Active NPI
Neurological Disorders Clinic PA
- Specialist
- Boca Raton, FL
National Provider Identifier
1043375611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 74877
- Legal business name
- NEUROLOGICAL DISORDERS CLINIC PA
- Practice address
- 880 NW 13TH St
Suite 3-B
Boca Raton, FL 33486-2342 - Phone
- (561) 394-0005
- Fax
- (561) 393-0048
- NPI assigned
- Dec 26, 2006
- Last updated
- Aug 17, 2010
- 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
- Dr. Fernano Norona, M.D.
- Title
- Director
- Phone
- (561) 394-0005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 74877 | FL | Primary |
Addresses
Primary practice location
880 NW 13TH St
Suite 3-B
Boca Raton, FL 33486-2342
Mailing address
880 NW 13TH St
Suite 3-B
Boca Raton, FL 33486-2342
Phone (561) 394-0005
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49479 | Other | FL | BLUE SHIELD FL PROVIDER |
| 49479Z | Other | DC | MEDICARE INDIVIDUAL |
| WM988 | Other | NE | EMPIRE BC BS |
| 2338601 | Other | FL | AETNA HMO |
| 032627 | Other | FL | NHP |
| 2338601 | Other | FL | AETNA |
| 74877 | Other | FL | FL LICENSE NUMBER |
| 1026677 | Other | FL | CARE PLU |
| 5890751 | Other | FL | AETNA NON HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
880 NW 13th St
Ste 3B
Boca Raton, FL 33486
Phone (561) 392-6226
951 NW 13th St
Ste 2B
Boca Raton, FL 33486
Phone (561) 379-1613
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282003200000",
"number": "1043375611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 NW 13TH ST",
"address_2": "SUITE 3-B",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862342",
"telephone_number": "561-394-0005",
"fax_number": "561-393-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 NW 13TH ST",
"address_2": "SUITE 3-B",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862342",
"telephone_number": "561-394-0005",
"fax_number": "561-393-0048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICAL DISORDERS CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2010-08-17",
"status": "A",
"authorized_official_last_name": "NORONA",
"authorized_official_first_name": "FERNANO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "561-394-0005",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "74877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD FL PROVIDER",
"identifier": "49479",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL",
"identifier": "49479Z",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC BS",
"identifier": "WM988",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2338601",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "032627",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2338601",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE NUMBER",
"identifier": "74877",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE PLU",
"identifier": "1026677",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "5890751",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Neuro-Rhythm LLC
- Neurodoc Testing LLC
- Neuroguide Alliance PLLC
- Neurohealth of South Florida LLC
- Neurologic Wellness Institute PLLC
- Neurological Group of South Florida Inc.
- Neurological Microsurgical Asoc.
- Neurology Centers of Palm Beach Inc
- Neurology Consultants of Boca Raton PA
- Neurology Offices of South Florida PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.