New Wave Neurology PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

242921 Issued in NY

Legal business name

NEW WAVE NEUROLOGY PC

Practice address

5 Medical Dr
Port Jefferson Station, NY 11776-1601

Phone

(631) 364-9119

Fax

(631) 364-9118

NPI assigned

Feb 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Warren D Spinner, D.O

Title

Dr/Owner

Phone

(631) 364-9119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1487046058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761601",
            "telephone_number": "631-364-9119",
            "fax_number": "631-364-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761601",
            "telephone_number": "631-364-9119",
            "fax_number": "631-364-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "SPINNER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "631-364-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "242921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nathan, D.D.S.
• Sophie Nomsombuluko Ndala, R.N.
• Matthew Nebrija, PA-C
• Jennifer Lynn Nelson, LMSW
• Nicole Ness, BCBA
• New York Dialysis Services, Inc.
• New York Therapy Placement Services
• New York Therapy Placement Services Inc
• New York Therapy Placement Services Inc.
• Rinkal Newkirk, LCSW

• Neurology Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.