Active NPI
Neuroedge Medical LLC
- Electroneurodiagnostic Specialist/Technologist
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- NEUROEDGE MEDICAL LLC
- Practice address
- 127 W Fairbanks Ave # 180
Winter Park, FL 32789 - Phone
- (877) 479-4004
- Fax
- (407) 440-1820
- NPI assigned
- Aug 18, 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
- Carlos Ramos
- Title
- Manager
- Phone
- (877) 479-4004
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | FL | Primary |
Addresses
Primary practice location
127 W Fairbanks Ave # 180
Winter Park, FL 32789
Mailing address
127 W Fairbanks Ave # 180
Winter Park, FL 32789-4326
Phone (877) 479-4004
National Provider Directory
National Provider DirectoryLocations
127 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 906-5092
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.
-
- Electroneurodiagnostic Specialist/Technologist
- Winter Park, FL
- NPI 1619396744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548028800000",
"number": "1083169122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W FAIRBANKS AVE # 180",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894326",
"telephone_number": "877-479-4004",
"fax_number": "407-440-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W FAIRBANKS AVE # 180",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "877-479-4004",
"fax_number": "407-440-1820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROEDGE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2019-01-21",
"status": "A",
"authorized_official_last_name": "RAMOS",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "877-479-4004"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Catherine Nesov
- Matthew Ryan Nethercutt, PTA
- Nicholas Neubauer, P.T.
- Neuro Imaging Institute of Winter Park, LTD (Neuro Imaging Winter Park)
- Neurocare Institute of Central Florida, P.a. (NeuroCare Institute)
- Neurology & Movement Disorders Healthcare, PA
- Neurology and Electromyography Consultants, P.a.
- Neurology Care Center PA
- Neuropsychological Associates of Central Florida, Inc.
- Jessica Anne Neustater
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.