NPIMap

Organization Active NPI

Neurology and Stroke Assoc.

  • Neurology Physician
  • Lititz, PA
National Provider Identifier
1114953361
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD061259L Issued in PA
Legal business name
NEUROLOGY AND STROKE ASSOC.
Practice address
640 East Oregon Road
Lititz, PA 17543
Phone
(717) 569-8773
Fax
(717) 569-8187
NPI assigned
Jun 22, 2006
Last updated
Jan 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Venkatachalam Mangeshkumar, MDNPI 1730173485
Title
Owner
Phone
(717) 569-8773

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Neurology Physician 2084N0400X MD061259L PA Primary

Addresses

Primary practice location

640 East Oregon Road
Lititz, PA 17543

Mailing address

640 East Oregon Road
Lititz, PA 17543
Phone (717) 569-8773

Other identifiers 1

IdentifierTypeStateIssuer
0016722400MedicaidPA

National Provider Directory

National Provider Directory

Locations

640 E Oregon Rd
Lititz, PA 17543
Phone (717) 569-8773

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1114953361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 EAST OREGON ROAD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "717-569-8773",
            "fax_number": "717-569-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 EAST OREGON ROAD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "717-569-8773",
            "fax_number": "717-569-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND STROKE ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "MANGESHKUMAR",
        "authorized_official_first_name": "VENKATACHALAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-569-8773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD061259L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016722400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.