LIFELINE MEDICAL PC
NPI 1700112158
Neurological Surgery in Freeport, NY

Active since October 20, 2009
121 S OCEAN AVE, SUITE 2, FREEPORT, NY 11520(212) 255-2333 Get Directions Write a Review

NPPES record last updated: October 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifeline Medical Pc NPPES

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

LIFELINE MEDICAL PC (NPI 1700112158) is a healthcare organization registered as a neurological surgery in Freeport, New York and active in the NPI registry since October 2009. The organization lists Omar Gutierrez, President, as its authorized official.

NPPES Registry Identity

NPI1700112158
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameLIFELINE MEDICAL PC
Location Address121 S OCEAN AVE, SUITE 2Freeport, NY 11520-4558
Mailing Address121 S Ocean Ave, Suite 2Freeport, NY 11520-4558
Organization SubpartNo
Authorized OfficialOmar GutierrezPresident · (212) 255-2333
Enumeration DateOctober 20, 2009
NPI 1700112158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
121 S OCEAN AVE, Freeport, NY 11520

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
121 S OCEAN AVE
FREEPORT, NY 11520
Clinic/Center (Medical Specialty)
121 S OCEAN AVE, 1
FREEPORT, NY 11520
Clinic/Center (Physical Therapy)
121 S OCEAN AVE, SUITE 2
FREEPORT, NY 11520
Physical Therapist
121 S OCEAN AVE
FREEPORT, NY 11520

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 Lifeline Medical PC's NPI number?

The NPI number for Lifeline Medical PC is 1700112158. It was assigned to this organization in the NPPES registry on October 20, 2009.

Where is Lifeline Medical PC located?

Lifeline Medical PC is located at 121 S Ocean Ave Suite 2, Freeport, NY 11520. The listed phone number is (212) 255-2333.

What is Lifeline Medical PC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Lifeline Medical PC was last updated on October 20, 2009. 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.