Organization Active NPI

Neurocare Health, PC

  • Neurology Physician
  • Greenwich, CT
National Provider Identifier
1174713085
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
040098 Issued in CT
Legal business name
NEUROCARE HEALTH, PC
Practice address
49 Lake Avenue
Greenwich, CT 06830-4501
Phone
(203) 661-9383
Fax
(203) 661-6724
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Mr. Frederick Nahm, MD, PHD
Title
Owner
Phone
(203) 661-9383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 040098 CT
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 040098 CT Primary

Addresses

Primary practice location

49 Lake Avenue
Greenwich, CT 06830-4501

Mailing address

49 Lake Avenue
Greenwich, CT 06830-4501
Phone (203) 661-9383

Other names 1

  • Neurology Of Greenwich, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

49 Lake Ave
Greenwich, CT 06830
Phone (203) 661-9383

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1174713085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LAKE AVENUE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-661-9383",
            "fax_number": "203-661-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVENUE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-661-9383",
            "fax_number": "203-661-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "NAHM",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-661-9383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "040098",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "040098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Of Greenwich, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.