Neurostar Iom Medical PC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

249043-1 Issued in NY

Legal business name

NEUROSTAR IOM MEDICAL PC

Practice address

9 E 68TH St
Ste 1C
New York, NY 10065-4915

Phone

(212) 288-8832

NPI assigned

Dec 29, 2011

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elena Frid, M.D.NPI 1215197512

Title

President

Phone

(212) 288-8832

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Elena Frid, MD

  • Neurology Physician
  • New York, NY
  • NPI 1215197512
  Authorized official Same address or phone

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1932478443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E 68TH ST",
            "address_2": "STE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E 68TH ST",
            "address_2": "STE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654915",
            "telephone_number": "212-288-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSTAR IOM MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "FRID",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-288-8832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "249043-1",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NY",
            "license": "249043-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuropsychological Assessment & Consultation Services
• Neurorehabilitation Medical P.C.
• Neuroscience Guided TMS
• Neurosleepconsultants P.a.
• Neurosport Nyc LLC
• Neurosurgical Associates, P.C.
• Neurotest of New York Medical PLLC
• Jay M Neuschatz, D.M.D.
• Lori Neushotz, DNP, NPP, PMHCNS-BC,
• Karly Rose Neuss, OTR/L

• Other Specialist/Technologist in New York, NY
• Providers in New York, NY by specialty
• Other Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.