Organization Active NPI

Safe Passage Neuromonitoring, LLC

  • Neurology Physician
  • New York, NY
National Provider Identifier
1922245935
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SAFE PASSAGE NEUROMONITORING, LLC
Practice address
915 Broadway
Suite 1200
New York, NY 10010-7108
Phone
(617) 571-7303
NPI assigned
Jan 13, 2009
Last updated
Jan 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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

Authorized official

Name
Mr. Dylan Attia
Title
Director
Phone
(617) 571-7303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

915 Broadway
Suite 1200
New York, NY 10010-7108

Mailing address

PO Box 515
Ithaca, NY 14851-0515
Phone (617) 571-7303

National Provider Directory

National Provider Directory

Locations

915 Broadway
Ste 1200
New York, NY 10010
Phone (212) 228-4002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484352000000",
    "number": "1922245935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148510515",
            "telephone_number": "617-571-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BROADWAY",
            "address_2": "SUITE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107108",
            "telephone_number": "617-571-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE PASSAGE NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2017-01-14",
        "status": "A",
        "authorized_official_last_name": "ATTIA",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-571-7303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.