Organization Active NPI

Neuromonitoring Physicians, LLC

  • Clinical Neurophysiology Physician
  • Potomac, MD
National Provider Identifier
1144395393
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
D0054114 Issued in MD
Legal business name
NEUROMONITORING PHYSICIANS, LLC
Practice address
9115 Kendale Rd
Potomac, MD 20854-4512
Phone
(301) 767-0015
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Allen Stuart Mandir, MD, PHD
Title
Partner
Phone
(202) 444-7554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X D0054114 MD Primary

Addresses

Primary practice location

9115 Kendale Rd
Potomac, MD 20854-4512

Mailing address

9115 Kendale Rd
Potomac, MD 20854-4512
Phone (301) 767-0015

National Provider Directory

National Provider Directory

Locations

44045 Riverside Pkwy
Ste 250
Leesburg, VA 20176

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144395393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 KENDALE RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544512",
            "telephone_number": "301-767-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 KENDALE RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544512",
            "telephone_number": "301-767-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMONITORING PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDIR",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "202-444-7554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MD",
            "license": "D0054114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.