Organization Active NPI

Comprehensive Neurological Care PA

  • Neurology Physician
  • Sunny Isl BCH, FL
National Provider Identifier
1104406750
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
COMPREHENSIVE NEUROLOGICAL CARE PA
Practice address
18975 Collins Ave
Sunny Isl BCH, FL 33160-2300
Phone
(347) 634-9425
NPI assigned
Apr 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Julia Ostrovsky
Title
Manager
Phone
(347) 634-9425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

18975 Collins Ave
Sunny Isl BCH, FL 33160-2300

Mailing address

18975 Collins Ave Unit 1602
Sunny Isles Beach, FL 33160-2357
Phone (347) 634-9425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210630002686 FL Part B Supplier - Clinic/Group Practice 0446651210 Receives reassigned benefits from 7 practitioners
Practice locations: Boca Raton, FL; Boynton Beach, FL; Coral Springs, FL; Sunny Isl BCH, FL

National Provider Directory

National Provider Directory

Locations

7050 W Palmetto Park Rd
Ste 15175
Boca Raton, FL 33433

18975 Collins Ave
Sunny Isles Beach, FL 33160
Phone (347) 634-9425

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1104406750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18975 COLLINS AVE UNIT 1602",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331602357",
            "telephone_number": "347-634-9425",
            "fax_number": "212-962-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18975 COLLINS AVE",
            "city": "SUNNY ISL BCH",
            "state": "FL",
            "postal_code": "331602300",
            "telephone_number": "347-634-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "OSTROVSKY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-634-9425"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isl BCH, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.