Organization Active NPI

Princeton Neurological Institute LLC

  • Electroneurodiagnostic Specialist/Technologist
  • New Hyde Park, NY
National Provider Identifier
1922587062
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
PRINCETON NEUROLOGICAL INSTITUTE LLC
Practice address
50 Rose PL
New Hyde Park, NY 11040-5312
Phone
(888) 279-6336
Fax
(888) 289-5601
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Mr. Glen Gremillion
Title
Owner
Phone
(866) 279-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZE0600X NJ Primary

Addresses

Primary practice location

50 Rose PL
New Hyde Park, NY 11040-5312

Mailing address

50 Rose PL
New Hyde Park, NY 11040-5312
Phone (888) 279-6336

Other names 1

  • United Medical Monitoring Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1922587062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROSE PL",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405312",
            "telephone_number": "888-279-6336",
            "fax_number": "888-289-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROSE PL",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405312",
            "telephone_number": "888-279-6336",
            "fax_number": "888-289-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON NEUROLOGICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "GREMILLION",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-279-6336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Monitoring",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.