North Shore Tms LLC
Clinic/Center, Medical Specialty in Huntington, NY. Organization (NPI-2).
NPI number1497023964
StatusActive
Last updated in NPPESOct 12, 2020
Details
- NPI
- 1497023964
- Entity type
- Organization (NPI-2)
- Legal business name
- North Shore Tms LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2011
- Certification date
- Oct 12, 2020
- Last updated
- Oct 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | 242634 | NY | Yes |
Practice location
75 Prospect St Ste 102Huntington, NY 11743-3320
Phone 631-923-0006 · Fax 631-498-0189
Mailing address
75 Prospect St Ste 105Huntington, NY 11743-3310
Phone 631-923-0006 · Fax 631-498-0189
Authorized official
Andrea R. Carlsen
Medical Director
6319230006
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