Ny Neurological Consultant, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

186529 Issued in NY

Legal business name

NY NEUROLOGICAL CONSULTANT, PC

Practice address

350 Fort Washington Ave
New York, NY 10033

Phone

(212) 927-3327

Fax

(212) 927-3307

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Casilda Balmaceda, MDNPI 1093751919

Title

Medical Director

Phone

(212) 927-3327

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEDJAA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casilda Balmaceda, M.D.

  • Neurology Physician
  • New York, NY
  • NPI 1093751919

  NJ

  Medicare reassignment NPD Authorized official
• Carlos Josue Medina

  • Counselor
  • New York, NY
  • NPI 1538886387
  NPD (past)
• Catherine Cano Seria, PT

  • Physical Therapist
  • New York, NY
  • NPI 1194050633
  NPD (past)
• Lawrence Shapiro, P.T

  • Specialist
  • New York, NY
  • NPI 1750403697
  NPD (past)
• Shikha Goenka

  • Physical Therapist
  • Union City, NJ
  • NPI 1033529516
  NPD (past)

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1053629477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336846",
            "telephone_number": "212-927-3327",
            "fax_number": "212-927-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-927-3327",
            "fax_number": "212-927-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100321323",
            "country_code": "US",
            "telephone_number": "212-927-3327",
            "fax_number": "212-927-5525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 W 45th St Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364905",
            "country_code": "US",
            "telephone_number": "212-867-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NY NEUROLOGICAL CONSULTANT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "BALMACEDA",
        "authorized_official_first_name": "CASILDA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-927-3327",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "186529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01830579",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.