SHORELINE NEUROLOGY, LLC
NPI 1255653036
Psychiatry & Neurology - Neurology in Essex, CT

Active since February 22, 2010
180 WESTBROOK RD, BUILDING 5, ESSEX, CT 06426(860) 767-1034(860) 767-3434 Get Directions Write a Review

NPPES record last updated: February 22, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shoreline Neurology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORELINE NEUROLOGY, LLC (NPI 1255653036) is a healthcare organization registered as a neurology in Essex, Connecticut and active in the NPI registry since February 2010. The organization lists Gang Lian, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1255653036
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameSHORELINE NEUROLOGY, LLC
Location Address180 WESTBROOK RD, BUILDING 5Essex, CT 06426-1517
Mailing Address180 Westbrook Rd, Building 5Essex, CT 06426-1517 · (860) 767-1034 · Fax (860) 767-3434
Fax(860) 767-3434
Organization SubpartNo
Authorized OfficialGang LianSole Member · (860) 767-1034
Enumeration DateFebruary 22, 2010
✔ NPI 1255653036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CT · 041137
Definition
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.
180 WESTBROOK RD, Essex, CT 06426

Other Identifiers 3

Other130000590CT · Medicare Ptan
Medicaid001411371CT
Medicare UPINH78226CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoreline Neurology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shoreline Neurology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1316956501
180 WESTBROOK RD BUILDING 5
Essex, CT 06426
(860) 767-1034
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoreline Neurology, LLC's NPI number?

The NPI number for Shoreline Neurology, LLC is 1255653036. It was assigned to this organization in the NPPES registry on February 22, 2010.

Where is Shoreline Neurology, LLC located?

Shoreline Neurology, LLC is located at 180 Westbrook Rd Building 5, Essex, CT 06426. The listed phone number is (860) 767-1034.

What is Shoreline Neurology, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Shoreline Neurology, LLC enrolled in Medicare?

Yes. Shoreline Neurology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoreline Neurology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Shoreline Neurology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shoreline Neurology, LLC was last updated on February 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.