Active NPI
Life Medical Services, PC
- Behavioral Neurology & Neuropsychiatry Physician
- Mineola, NY
National Provider Identifier
1881518496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- Legal business name
- LIFE MEDICAL SERVICES, PC
- Practice address
- 199 2ND St Apt E809
Mineola, NY 11501-6005 - Phone
- (212) 920-5909
- Fax
- (212) 920-5909
- NPI assigned
- Aug 6, 2026
- 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
- Srinivas B Rao
- Title
- Owner
- Phone
- (212) 920-5909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | Primary |
Addresses
Primary practice location
199 2ND St Apt E809
Mineola, NY 11501-6005
Mailing address
199 2ND St Apt E809
Mineola, NY 11501-6005
Phone (212) 920-5909
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1881518496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 2ND ST APT E809",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115016005",
"telephone_number": "212-920-5909",
"fax_number": "212-920-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 2ND ST APT E809",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115016005",
"telephone_number": "212-920-5909",
"fax_number": "212-920-5909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE MEDICAL SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "RAO",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-920-5909"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.