Organization Active NPI

New York Neurophysiological Monitoring Services, PC

  • Clinical Neurophysiology Physician
  • Covington, LA
National Provider Identifier
1578852869
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
NEW YORK NEUROPHYSIOLOGICAL MONITORING SERVICES, PC
Practice address
76 Starbrush Cir
Covington, LA 70433
Phone
(866) 845-4595
Fax
(866) 845-8810
NPI assigned
Apr 7, 2011
Organization subpart
Yes
Parent organization
INTRA-OP MONITORING SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Michael Ian Vengrow, MD
Title
Presidnet
Phone
(866) 845-4595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

76 Starbrush Cir
Covington, LA 70433

Mailing address

76 Starbrush Cir
Covington, LA 70433

National Provider Directory

National Provider Directory
Part of
Intra-Op Monitoring Services LLC

Locations

76 Starbrush Cir
Covington, LA 70433
Phone (985) 400-5778

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1578852869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "866-845-4595",
            "fax_number": "866-845-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK NEUROPHYSIOLOGICAL MONITORING SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTRA-OP MONITORING SERVICES, LLC",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "VENGROW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "866-845-4595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.