Provider Demographics
NPI:1215810080
Name:PROGNOSTIC NEUROMONITORING LLC
Entity type:Organization
Organization Name:PROGNOSTIC NEUROMONITORING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAL
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:732-632-7117
Mailing Address - Street 1:330 WASHINGTON ST UNIT 237
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4883
Mailing Address - Country:US
Mailing Address - Phone:732-632-7117
Mailing Address - Fax:
Practice Address - Street 1:330 WASHINGTON ST UNIT 237
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4883
Practice Address - Country:US
Practice Address - Phone:732-632-7117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty