Tri-State Eeg LLC

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

TRI-STATE EEG LLC

Practice address

6260 99TH St Apt 1227
Rego Park, NY 11374-6030

Phone

(347) 614-1848

Fax

(347) 665-1939

NPI assigned

Aug 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pepi Dakov, M.D.NPI 1194030866

Title

Ceo

Phone

(718) 614-4138

Specialties & licenses 1

Addresses

Practitioners 1

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

• Pepi Dakov

  • EEG Specialist/Technologist
  • Rego Park, NY
  • NPI 1194030866

  Eeg

  NPD (past) Authorized official

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

{
    "created_epoch": "1281830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1528373578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 99TH ST APT 1227",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113746030",
            "telephone_number": "347-614-1848",
            "fax_number": "347-665-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 99TH ST APT 1227",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113746030",
            "telephone_number": "347-614-1848",
            "fax_number": "347-665-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE EEG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-15",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "DAKOV",
        "authorized_official_first_name": "PEPI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-614-4138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rego Park, NY by specialty
• Other Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.