Neuro Connect Corp.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

NEURO CONNECT CORP.

Practice address

1188 Bishop St
Suite # 607
Honolulu, HI 96813-3302

Phone

(888) 541-5509

Fax

(808) 356-0771

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Miss Michelle Lea Russo, R. EEG. T

Title

President

Phone

(808) 754-7967

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1871995092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "SUITE # 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133302",
            "telephone_number": "888-541-5509",
            "fax_number": "808-356-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "SUITE # 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133302",
            "telephone_number": "888-541-5509",
            "fax_number": "808-356-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO CONNECT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-754-7967",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R. EEG. T"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Neumann, DNP, APRN-RX, FNP-BC
• Nikki Leigh Neumann, APRN
• Katie Elizabeth Neumayer, D.O.
• Mandira Neupane
• Neuro Connect
• Neurocognitive Testing Lab Inc
• Neurological Services of Hawaii Inc
• Neurology Associates Inc.
• Reina Nevado
• Faye Neves

• Physiological Laboratory in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Physiological Laboratory in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.