Advancedneuro Corp

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ADVANCEDNEURO CORP

Practice address

13010 Arbor Isle Dr Unit 102
Temple Terr, FL 33637-1145

Phone

(201) 590-5104

Fax

(813) 315-6299

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Chirag SavaniNPI 1194263178

Title

MD

Phone

(201) 590-5104

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

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.

• Chirag Savani

  • Neurology Physician
  • Temple Terrace, FL
  • NPI 1194263178

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Elisa Martinez Garcia, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1932871076
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1043893878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 ARBOR ISLE DR UNIT 102",
            "city": "TEMPLE TERR",
            "state": "FL",
            "postal_code": "336371145",
            "telephone_number": "201-590-5104",
            "fax_number": "813-315-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 ARBOR ISLE DR UNIT 102",
            "city": "TEMPLE TERR",
            "state": "FL",
            "postal_code": "336371145",
            "telephone_number": "201-590-5104",
            "fax_number": "813-315-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCEDNEURO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "SAVANI",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-590-5104"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME146254",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Dwight Bobo, Sr
• Kisha Choice, LCSW, CAP

• Neurology Physician in Temple Terr, FL
• Providers in Temple Terr, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.

Verify at the official NPI Registry.