NEUROLOGICAL GROUP, PC (NPI# 1336112267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336112267 |
| 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 | 2006-02-10 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | DR. LAURENCE I RADIN (MANAGING PARTNER) |
| Authorized Official Telephone | 8604431891 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205378163 | Neurological Group, PC | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320-4730 | 2016-11-09 |
| 1114120698 | Neurological Group, PC | Nurse Practitioner | 350 Montauk Ave, New London, CT 06320-4730 | 2007-06-11 |
| 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 |
| 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 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992762140 | Lawrence Richard Jenkyn | Psychiatry & Neurology | 273 County Road, New London, NH 03257-0000 | 2006-04-28 |
| 1508860156 | Laurence I. Radin | Psychiatry & Neurology | 350 Montauk Ave, New London, CT 06320-4730 | 2005-06-10 |
| 1639338858 | Olivia Elena Coiculescu | Psychiatry & Neurology | 194 Howard St, New London, CT 06320-5544 | 2008-06-03 |
| 1427053958 | Daniel E Moalli | Psychiatry & Neurology | 350 Montauk Ave, New London, CT 06320-4730 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
| 1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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| 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.