Three Village Neurology, P.C.
NPI 1871544015ActiveOrganization· Psychiatry & Neurology, Neurology· Port Jefferson Station, NY
Psychiatry & Neurology, Neurology in Port Jefferson Station, New York, registered in NPPES in May 2006. The authorized official on file is James D. Bruno, M.D., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871544015 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Dec 9, 2022 |
| Certified by provider | Dec 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | — | — |
| Specialist | 174400000X | 234763 | NY |
| Psychiatry & Neurology, Epilepsy | 2084E0001X | — | — |
| Psychiatry & Neurology, Sleep Medicine | 2084S0012X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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