Active NPI
Neurolink Monitoring, LLC
- Health Service Clinic/Center
- Freeport, NY
National Provider Identifier
1831785161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- NEUROLINK MONITORING, LLC
- Practice address
- 30 S Ocean Ave RM 103
Freeport, NY 11520-3550 - Phone
- (631) 602-7073
- NPI assigned
- Dec 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nestor Nicolaides
- Title
- Provider
- Phone
- (631) 602-7073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
30 S Ocean Ave RM 103
Freeport, NY 11520-3550
Mailing address
PO Box 33
Glen Head, NY 11545-0033
Phone (631) 602-7073
National Provider Directory
National Provider DirectoryLocations
30 S Ocean Ave
Rm 103
Freeport, NY 11520
Phone (631) 602-7073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608508800000",
"number": "1831785161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115450033",
"telephone_number": "631-602-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 S OCEAN AVE RM 103",
"city": "FREEPORT",
"state": "NY",
"postal_code": "115203550",
"telephone_number": "631-602-7073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLINK MONITORING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A",
"authorized_official_last_name": "NICOLAIDES",
"authorized_official_first_name": "NESTOR",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "631-602-7073"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.