NEUROLOGICAL GROUP, PC (NPI# 1205378163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205378163 |
| 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 | 2016-11-09 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | LAURENCE I RADIN (PRESIDEN) |
| Authorized Official Telephone | 8604431891 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003463 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114120698 | Neurological Group, PC | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320-4730 | 2007-06-11 |
| 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 |
| 1114120698 | Neurological Group, PC | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320-4730 | 2007-06-11 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073620647 | John Joseph Cosenza | Nurse Practitioner | Va Clinic/uscga, 15 Mohegan Ave, New London, CT 06320 | 2006-08-23 |
| 1023025772 | Susan H. Austen | Nurse Practitioner | 15 Mohegan Ave, New London, CT 06320 | 2006-08-02 |
| 1174540694 | Lisa Stemm | Nurse Practitioner | 78 Viets St, New London, CT 06320-3354 | 2006-07-17 |
| 1457705972 | Agnes Maria Toplosky | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2016-04-21 |
| 1750744546 | Maureen Leach | Nurse Practitioner | 194 Howard St, New London, CT 06320-5544 | 2016-03-30 |
| 1164856035 | Dania Alexa Wilson | Nurse Practitioner | 194 Howard St, New London, CT 06320-5544 | 2013-08-28 |
| 1902150964 | Ryan Rachael Chadek | Nurse Practitioner | 1405 Mill St, New London, WI 54961-2155 | 2012-10-30 |
| 1316116049 | Susan M. Turley | Nurse Practitioner | 270 Mohegan Ave, New London, CT 06320-4125 | 2008-02-27 |
| 1962681403 | Dianne Elizabeth Seidell | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2007-11-01 |
| 1750436689 | Monique Rossignol | Nurse Practitioner | 276 Newport Rd, Suite 107, New London, NH 03257-5468 | 2007-01-23 |
| 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.