Healthcare Provider Details

I. General information

NPI: 1982996039
Provider Name (Legal Business Name): NORTH SHORE NEUROLOGY & EMG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 CONANT ST STE 200
BEVERLY MA
01915-1659
US

IV. Provider business mailing address

152 CONANT ST STE 200
BEVERLY MA
01915-1659
US

V. Phone/Fax

Practice location:
  • Phone: 978-922-2226
  • Fax: 978-922-2269
Mailing address:
  • Phone: 978-922-2226
  • Fax: 978-922-2269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: LOUIS TRAMONTOZZI
Title or Position: MANAGING PARTNER
Credential:
Phone: 978-922-2226