Active NPI
Neuromonitoring Oversight Associates Management
- Clinical Neurophysiology Physician
- Wading River, NY
National Provider Identifier
1982430781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- NEUROMONITORING OVERSIGHT ASSOCIATES MANAGEMENT
- Practice address
- 3 Elms LN
Wading River, NY 11792-9203 - Phone
- (860) 573-0007
- NPI assigned
- Sep 10, 2024
- 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
- Dr. Joseph Haddad, DHSC
- Title
- Partner
- Phone
- (860) 805-9599
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | |||
| Clinical Neurophysiology Physician | 2084N0600X | Primary |
Addresses
Primary practice location
3 Elms LN
Wading River, NY 11792-9203
Mailing address
325 Main St Ste 2B
Farmington, CT 06032-2977
Phone (860) 573-0777
National Provider Directory
National Provider DirectoryLocations
325 Main St
Ste 2B
Farmington, CT 06032
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neurophysiology Physician
- Glastonbury, CT
- NPI 1841879038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1982430781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAIN ST STE 2B",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322977",
"telephone_number": "860-573-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ELMS LN",
"city": "WADING RIVER",
"state": "NY",
"postal_code": "117929203",
"telephone_number": "860-573-0007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROMONITORING OVERSIGHT ASSOCIATES MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-10",
"last_updated": "2024-09-10",
"certification_date": "2024-08-28",
"status": "A",
"authorized_official_last_name": "HADDAD",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "860-805-9599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DHSC"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wading River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.