North Shore TMS LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

242634 Issued in NY

Legal business name

NORTH SHORE TMS LLC

Practice address

75 Prospect St Ste 102
Huntington, NY 11743-3320

Phone

(631) 923-0006

Fax

(631) 498-0189

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Andrea R. Carlsen, M.D.NPI 1912079302

Title

Medical Director

Phone

(631) 923-0006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Andrea R. Carlsen, MD

  • Psychiatry Physician
  • Huntington, NY
  • NPI 1912079302
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1497023964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PROSPECT ST STE 105",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433310",
            "telephone_number": "631-923-0006",
            "fax_number": "631-498-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PROSPECT ST STE 102",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433320",
            "telephone_number": "631-923-0006",
            "fax_number": "631-498-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE TMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "CARLSEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-923-0006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "242634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Medical Group of the Mount Sinai School of Medicine
• North Shore Pain Management P.C.
• North Shore Rheumatology
• North Shore Services
• North Shore TMS
• Adamo Elvis Notarantonio, D.D.S
• Kristin Nowakowski, PHARM.D.
• Katharine R Nowicki, DNP
• Nsuh Huntington Physicians Ufp Corporation
• Junior S Nunez Gomez

• Medical Specialty Clinic/Center in Huntington, NY
• Providers in Huntington, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.