THREE VILLAGE NEUROPHYSIOLOGY, PLLC
NPI 1861627077
Clinic/Center - Medical Specialty in Miller Place, NY

Active since May 18, 2009
5 ALILAH CT, MILLER PLACE, NY 11764(631) 521-4137 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Three Village Neurophysiology, Pllc NPPES

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

THREE VILLAGE NEUROPHYSIOLOGY, PLLC (NPI 1861627077) is a healthcare organization registered as a medical specialty in Miller Place, New York and active in the NPI registry since May 2009. The organization lists James Bruno, President, as its authorized official.

NPPES Registry Identity

NPI1861627077
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTHREE VILLAGE NEUROPHYSIOLOGY, PLLC
Location Address5 ALILAH CTMiller Place, NY 11764-1902
Mailing Address5 Alilah CtMiller Place, NY 11764-1902
Organization SubpartNo
Authorized OfficialJames BrunoPresident · (631) 521-4137
Enumeration DateMay 18, 2009
✔ NPI 1861627077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 234763
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
5 ALILAH CT, Miller Place, NY 11764

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Three Village Neurophysiology, Pllc 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 Three Village Neurophysiology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurology
NPI 1750436879
2500 NESCONSET HWY BUILDING 21B
Stony Brook, NY 11790
(631) 751-0790
✔ PECOS✔ Accepts Medicare7.9 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 Three Village Neurophysiology, PLLC's NPI number?

The NPI number for Three Village Neurophysiology, PLLC is 1861627077. It was assigned to this organization in the NPPES registry on May 18, 2009.

Where is Three Village Neurophysiology, PLLC located?

Three Village Neurophysiology, PLLC is located at 5 Alilah Ct, Miller Place, NY 11764. The listed phone number is (631) 521-4137.

What is Three Village Neurophysiology, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Three Village Neurophysiology, PLLC enrolled in Medicare?

Yes. Three Village Neurophysiology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Three Village Neurophysiology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Three Village Neurophysiology, PLLC. 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 Three Village Neurophysiology, PLLC was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.