Denmark Mugutso, MS. CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

916 Issued in GA

Practice address

1991 Marcus Ave
Suite 108 / Neurophysiology
New Hyde Park, NY 11042-2057

Phone

(804) 868-8011

Fax

(516) 442-1897

NPI assigned

Sep 8, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1366723926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE 108 / NEUROPHYSIOLOGY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "804-868-8011",
            "fax_number": "516-442-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE 108 / NEUROPHYSIOLOGY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "804-868-8011",
            "fax_number": "516-442-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGUTSO",
        "first_name": "DENMARK",
        "credential": "MS. CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "GA",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Mozie, PA-C
• Namrita Mozumdar, M.D.
• MSL Optical Inc
• Luke Mueller, M.D., M.B.A.
• Sarah Mufti
• Francesco Mule, M.D.
• Jennifer Mullen, CRNA
• Darius Jason Muller, LCSW
• Jessica Mulligan, NP
• Sarah Mulvaney, PA-C

• Electroneurodiagnostic Specialist/Technologist in New Hyde Park, NY
• Providers in New Hyde Park, 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 8, 2011; 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.