Active NPI
Neurocare Health, PC
- Neurology Physician
- Greenwich, CT
National Provider Identifier
1174713085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 040098
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 040098 | CT | |
| Neurology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.