Active NPI
Princeton Neurological Institute LLC
- Electroneurodiagnostic Specialist/Technologist
- New Hyde Park, NY
National Provider Identifier
1922587062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 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
National Provider Directory
National Provider DirectoryNPI 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
- Jason Brad Price, M.D.
- Taifa Price, MD
- Primary Care Group LLC
- Primary Partnercare Physicians PLLC
- Prime Connect Media LLC
- Douglas Louis Prisco Sr., M.D.
- Pro Active Health Care PC Medical
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy, P.C.
- Professional Primary Care Physician PLLC
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.