Neurology Center of Philadelphia Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD432308 Issued in PA

Legal business name

NEUROLOGY CENTER OF PHILADELPHIA INC.

Practice address

9922 Roosevelt Blvd
Philadelphia, PA 19115-1705

Phone

(215) 870-2551

NPI assigned

Jan 20, 2011

Organization subpart

No

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

Authorized official

Name

Mikhail Shamayev, MDNPI 1932399144

Title

President

Phone

(215) 870-2551

Specialties & licenses 1

Addresses

Tax ID family

Neuro Ctr of Philadelphia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Neurology Center of Philadelphia Inc

  • Neurological Surgery Physician
  • Bristol, PA
  • NPI 1831496694
  NPD tax ID

Practitioners 1

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

• Mikhail Shamayev, MD

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1932399144
  NPD Authorized official

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1164727277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9922 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "215-870-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9922 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191151705",
            "telephone_number": "215-870-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CENTER OF PHILADELPHIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "SHAMAYEV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-870-2551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD432308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuro-Ophthalmologic Associates PC
• Neurodynamix Testing and Therapy Solutions PLLC
• Neuroflow
• Neurology and Neurophysiology Associates, P.C.
• Neurology Associates LTD
• Neuromed Diagnostics
• Neurophys Diagnostics
• Neurophys Diagnostics, Inc.
• Neurosurgical Associates
• Jason Harold Neustadter, M.D.

• Neurology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.