Organization Active NPI

Riverside Neurology LLC

  • Neurology Physician
  • Salisbury, MD
National Provider Identifier
1013496405
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
RIVERSIDE NEUROLOGY LLC
Practice address
560 Riverside Dr Ste B204
Salisbury, MD 21801-4703
Phone
(410) 546-5722
Fax
(410) 546-5851
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danial McDonald
Title
Operations
Phone
(410) 546-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

560 Riverside Dr Ste B204
Salisbury, MD 21801-4703

Mailing address

560 Riverside Dr Ste B204
Salisbury, MD 21801-4703
Phone (410) 546-5722

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1013496405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DR STE B204",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014703",
            "telephone_number": "410-546-5722",
            "fax_number": "410-546-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DR STE B204",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014703",
            "telephone_number": "410-546-5722",
            "fax_number": "410-546-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "DANIAL",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "410-546-5722"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.