Organization Active NPI

Neuromonitoring Oversight Associates Management

  • Clinical Neurophysiology Physician
  • Wading River, NY
National Provider Identifier
1982430781
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
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

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Joseph Haddad, DHSCNPI 1841879038
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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.