Active NPI
Vero Beach Neurology and Research Institute LLC
- Neurology Physician
- Vero Beach, FL
National Provider Identifier
1013367556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME72269
- Legal business name
- VERO BEACH NEUROLOGY AND RESEARCH INSTITUTE LLC
- Practice address
- 1040 37TH PL
Suite 201
Vero Beach, FL 32960-4806 - Phone
- (772) 492-7051
- NPI assigned
- Jun 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart J Shafer, M.D.
- Title
- MBR
- Phone
- (772) 492-7051
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME72269 | FL | Primary |
Addresses
Primary practice location
1040 37TH PL
Suite 201
Vero Beach, FL 32960-4806
Mailing address
1040 37TH PL
Suite 201
Vero Beach, FL 32960-4806
Phone (772) 492-7051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2121642 | Vero Beach Neurology and Research Institute | Certificate of waiver | Nov 9, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/AHIFAD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Vero Beach, FL
- NPI 1003818816
-
- Medical Physician Assistant
- Vero Beach, FL
- NPI 1316930886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517875200000",
"number": "1013367556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 37TH PL",
"address_2": "SUITE 201",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604806",
"telephone_number": "772-492-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 37TH PL",
"address_2": "SUITE 201",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604806",
"telephone_number": "772-492-7051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERO BEACH NEUROLOGY AND RESEARCH INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-15",
"last_updated": "2018-02-06",
"status": "A",
"authorized_official_last_name": "SHAFER",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MBR",
"authorized_official_telephone_number": "772-492-7051",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME72269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Vero Beach Compounding LLC
- Vero Beach Facility Operations LLC
- Vero Beach Family Care Inc.
- Vero Beach FL Opco LLC
- Vero Beach Hematology Oncology, PA
- Vero Beach Operations, LLC
- Vero Beach Outpatient Surgical Center LLC
- Vero Beach Pediatrics, LLC
- Vero Beach Psychology, LLC
- Vero Beach Recovery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.