NPIMap

Organization Active NPI

Flemington Ionm LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Princeton, NJ
National Provider Identifier
1427589233
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
25MA079465500 Issued in NJ
Legal business name
FLEMINGTON IONM LLC
Practice address
731 Alexander Rd Ste 200
Princeton, NJ 08540-6345
Phone
(844) 856-1456
Fax
(888) 289-5601
NPI assigned
Mar 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Mr. Glen Gremillion
Title
Administrator
Phone
(516) 404-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZE0600X 25MA079465500 NJ Primary

Addresses

Primary practice location

731 Alexander Rd Ste 200
Princeton, NJ 08540-6345

Mailing address

731 Alexander Rd Ste 200
Princeton, NJ 08540-6345
Phone (844) 856-1456

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1427589233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 ALEXANDER RD STE 200",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406345",
            "telephone_number": "844-856-1456",
            "fax_number": "888-289-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 ALEXANDER RD STE 200",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406345",
            "telephone_number": "844-856-1456",
            "fax_number": "888-289-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEMINGTON IONM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "GREMILLION",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-404-7717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NJ",
            "license": "25MA079465500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.