Organization Active NPI

Acclaim Neurodiagnostics Group

  • Neurology Physician
  • Newark, DE
National Provider Identifier
1164994166
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ACCLAIM NEURODIAGNOSTICS GROUP
Practice address
1423 Capitol TRL Ste 1114
Newark, DE 19711-5709
Phone
(302) 932-9456
Fax
(302) 996-9027
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Carl Ramses Yacoub, MDNPI 1386651099
Title
Medical Director
Phone
(302) 996-9010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1423 Capitol TRL Ste 1114
Newark, DE 19711-5709

Mailing address

1423 Capitol TRL Ste 1114
Newark, DE 19711-5709
Phone (302) 932-9456

Other names 1

  • Acclaim Neurology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210329000059 DE Part B Supplier - Clinic/Group Practice 0547677163 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Locations

537 Stanton Christiana Rd
Ste 106
Newark, DE 19713
Phone (302) 996-5457

Practitioners & affiliated clinicians

Practitioners 1

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": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1164994166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRL STE 1114",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115709",
            "telephone_number": "302-932-9456",
            "fax_number": "302-996-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRL STE 1114",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115709",
            "telephone_number": "302-932-9456",
            "fax_number": "302-996-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM NEURODIAGNOSTICS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "RAMSES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "302-996-9010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acclaim Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.