Active NPI
Northwest Indiana Neurological Associates, PC
- Neurology Physician
- Munster, IN
National Provider Identifier
1104820083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01030711A
- Legal business name
- NORTHWEST INDIANA NEUROLOGICAL ASSOCIATES, PC
- Practice address
- 801 Macarthur Blvd
Ste 404
Munster, IN 46321-2919 - Phone
- (219) 836-2995
- Fax
- (219) 836-4075
- NPI assigned
- Jun 9, 2005
- 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. David S Rozenfeld, M.D
- Title
- President/Ceo
- Phone
- (219) 836-2995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01030711A | IN | Primary |
Addresses
Primary practice location
801 Macarthur Blvd
Ste 404
Munster, IN 46321-2919
Mailing address
801 Macarthur Blvd
Ste 404
Munster, IN 46321-2919
Phone (219) 836-2995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100169190 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
801 MacArthur Blvd
Ste 404
Munster, IN 46321
Phone (219) 836-2995
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Neurology Physician
- Munster, IN
- NPI 1295030187
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Lutz, FL
- NPI 1790149367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395014400000",
"number": "1104820083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MACARTHUR BLVD",
"address_2": "STE 404",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212919",
"telephone_number": "219-836-2995",
"fax_number": "219-836-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MACARTHUR BLVD",
"address_2": "STE 404",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212919",
"telephone_number": "219-836-2995",
"fax_number": "219-836-4075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST INDIANA NEUROLOGICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-09",
"last_updated": "2014-03-17",
"status": "A",
"authorized_official_last_name": "ROZENFELD",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "219-836-2995",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01030711A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100169190",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
- North American Health Systems, LLP
- North Point Orthopedics LLC
- Northwest Indiana Ear Nose Throat & Sinus Center Inc
- Northwest Indiana Eye Associates, PC
- Northwest Indiana Medical Associates, LLC
- Northwest Indiana Neurological Associates, PC
- Northwest Indiana Pain Services
- Northwest Indiana Pathology Consultants PC
- Northwest Indiana Podiatry Clinic, LLC
- Northwest Indiana Rehabilitation Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.