SHORELINE NEUROLOGY, LLC
NPI 1255653036
Psychiatry & Neurology - Neurology in Essex, CT
- Organization
- Psychiatry & Neurology
- Neurology
About SHORELINE NEUROLOGY, LLC
This page provides the complete NPI Profile along with additional information for Shoreline Neurology, Llc, a provider established in Essex, Connecticut operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1255653036 assigned on February 2010. The practitioner's primary taxonomy code is 2084N0400X with license number 041137 (CT). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Gang Lian M.d., Ph.d. (Sole Member)
- NPI
- 1255653036 Verify this NPI
- Provider Name
- SHORELINE NEUROLOGY, LLC
- Entity Type
- Organization
- Location Address
- 180 WESTBROOK RD BUILDING 5 ESSEX, CT 06426
- Location Phone
- (860) 767-1034
- Location Fax
- (860) 767-3434
- Mailing Address
- 180 WESTBROOK RD BUILDING 5 ESSEX, CT 06426
- Mailing Phone
- (860) 767-1034
- Mailing Fax
- (860) 767-3434
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2010
- Last Update Date
- 02-22-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 041137
- License State
- CT
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130000590 | OTHER (01) | CT | MEDICARE PTAN |
| 001411371 | MEDICAID (05) | CT | |
| H78226 | MEDICARE UPIN (02) | CT |
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
ESSEX, CT 06426
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255653036, enumerated as an "organization" on February 22, 2010.
The provider is located at 180 WESTBROOK RD BUILDING 5 ESSEX, CT 06426 and the phone number is (860) 767-1034.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
