Active NPI
Acclaim Neurodiagnostics Group
- Neurology Physician
- Newark, DE
National Provider Identifier
1164994166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl Ramses Yacoub, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210329000059 | DE | Part B Supplier - Clinic/Group Practice | 0547677163 |
Receives reassigned benefits from 1 practitioner Practice locations: Newark, DE |
National Provider Directory
National Provider DirectoryLocations
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.