Gurbej Virk, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

2874 Issued in NY

Practice address

140 Adams Ave
Suite B-13
Hauppauge, NY 11788-3618

Phone

(631) 560-4857

Fax

(631) 617-6023

NPI assigned

Sep 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1336697598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ADAMS AVE",
            "address_2": "SUITE B-13",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883618",
            "telephone_number": "631-560-4857",
            "fax_number": "631-617-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ADAMS AVE",
            "address_2": "SUITE B-13",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883618",
            "telephone_number": "631-560-4857",
            "fax_number": "631-617-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRK",
        "first_name": "GURBEJ",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NY",
            "license": "2874",
            "primary": true
        },
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Vilas-Boas, LPN
• Sabena Vilaysom
• Scott Anthony Vinci, D.C., D.A.C.B.S.P.
• Nicole Marie Viniotis
• Holly D Vion
• Angelina Vitale
• Susan Ann Vitale
• Laura A Viviano, P.T.
• Jenna Vogler, LMHC
• Daniel Thomas Volk, PHD

• Electroneurodiagnostic Specialist/Technologist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Electroneurodiagnostic Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.