Shore Eeg Consulting LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SHORE EEG CONSULTING LLC

Practice address

27 Wildflower TRL
Robbinsville, NJ 08691-2516

Phone

(609) 947-6132

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Brian Michael Flynn, DONPI 1548618705

Title

Physician

Phone

(609) 947-6132

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.

• Brian Michael Flynn, D.O.

  • Neurology Physician
  • Willingboro, NJ
  • NPI 1548618705
  NPD Authorized official

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1972185593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WILDFLOWER TRL",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086912516",
            "telephone_number": "609-947-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WILDFLOWER TRL",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086912516",
            "telephone_number": "609-947-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE EEG CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-947-6132",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "273100000X",
            "taxonomy_group": "",
            "desc": "Epilepsy Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Shah, O.D.
• Farah Sahid Shaikh, PHARMD, RPH
• Maanya Sharma
• Rachna Sheth
• Shooting Star Counseling LLC
• Donyale Jones Showers
• Todd A Singer, DDS
• Parmvir Singh, M.D.
• Shalabh Singhal, MD
• Heather Marie Smith-Briggs, D.M.D.

• Physiological Laboratory in Robbinsville, NJ
• Providers in Robbinsville, NJ by specialty
• Physiological Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.