NEUROLOGICAL GROUP, PC (NPI# 1114120698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114120698 |
| Entity Type | Organization |
| Organization Name | NEUROLOGICAL GROUP, PC |
| Practice Address |
350 Montauk Ave New London CT 06320-4730 |
| Practice Telephone | 8604431891 |
| Practice Fax Number | 8604432980 |
| Mailing Telephone | 8604431891 |
| Mailing Fax Number | 8604432980 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROSEMARY STEPHENSON (OFFICE MANAGER) |
| Authorized Official Telephone | 8604431891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
003504 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 003504 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205378163 | Neurological Group, PC | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320-4730 | 2016-11-09 |
| 1336112267 | Neurological Group, PC | Psychiatry & Neurology | 350 Montauk Ave, New London, CT 06320-4730 | 2006-02-10 |
| Street Address |
350 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860156 | Laurence I. Radin | Psychiatry & Neurology | 350 Montauk Ave, New London, CT 06320-4730 | 2005-06-10 |
| 1205378163 | Neurological Group, PC | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320-4730 | 2016-11-09 |
| 1457490070 | Andrea M Stewart | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320 | 2007-02-06 |
| 1336230630 | Andrea J Bartels | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320-4730 | 2006-09-28 |
| 1336112267 | Neurological Group, PC | Psychiatry & Neurology | 350 Montauk Ave, New London, CT 06320-4730 | 2006-02-10 |
| 1427053958 | Daniel E Moalli | Psychiatry & Neurology | 350 Montauk Ave, New London, CT 06320-4730 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1346694353 | Peter Woods | Nurse Practitioner | 270 Montauk Ave, New London, CT 06320-4712 | 2016-04-15 |
| 1326351032 | Kimberly A Kurey | Nurse Practitioner | 400 Bayonet St Ste 206, New London, CT 06320-2633 | 2010-07-22 |
| 1366634776 | Life Long Care of New London Pllc | Nurse Practitioner | 276 Newport Rd Ste 107, New London, NH 03257-5468 | 2007-08-10 |
| 1992748784 | Betsy Gaffney | Nurse Practitioner | 255 Hempstead St, New London, CT 06320-6204 | 2006-06-13 |
| 1295706554 | Shirley A Mendes | Nurse Practitioner | 270 Mohegan Avenue, Warnshuis Building, New London, CT 06320-4125 | 2006-01-26 |
| 1588643019 | Kathleen M Kidder | Nurse Practitioner | 276 Newport Rd, The Gallery, Suite 107, New London, NH 03257-5468 | 2006-01-12 |
| 1588651244 | Rhonda S Niemi Judge | Nurse Practitioner | 1370 N Shawano St, Ste A, New London, WI 54961-7944 | 2005-09-28 |
| 1124581681 | Fnp Medical Services LLC | Nurse Practitioner | 400 Bayonet St Ste 206, New London, CT 06320-2633 | 2019-04-11 |
| 1457835357 | Natasha Singer | Nurse Practitioner | 37 Beech Dr, New London, CT 06320-3003 | 2018-09-18 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on NEUROLOGICAL GROUP, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.