Organization Active NPI

Neurolink Monitoring, LLC

  • Health Service Clinic/Center
  • Freeport, NY
National Provider Identifier
1831785161
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Dec 21, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.