Organization Active NPI

Nervelink Neuromonitoring, LLC

  • Clinical Neurophysiology Physician
  • Stratford, CT
National Provider Identifier
1245518844
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
NERVELINK NEUROMONITORING, LLC
Practice address
2318 Main St Ste 2
Stratford, CT 06615-5966
Phone
(203) 923-8540
Fax
(203) 549-0755
NPI assigned
Jul 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Yvette Maurice, R.EP T, CNIM
Title
Owner
Phone
(203) 923-8540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

2318 Main St Ste 2
Stratford, CT 06615-5966

Mailing address

2318 Main St Ste 2
Stratford, CT 06615-5966
Phone (203) 923-8540

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1245518844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 MAIN ST STE 2",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155966",
            "telephone_number": "203-923-8540",
            "fax_number": "203-549-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 MAIN ST STE 2",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155966",
            "telephone_number": "203-923-8540",
            "fax_number": "203-549-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVELINK NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "MAURICE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-923-8540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.EP T, CNIM"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.