Organization Active NPI

Nestor C. Punay, MD.,P.a

  • Neurology Physician
  • Beaumont, TX
National Provider Identifier
1205028347
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L9856 Issued in TX
Legal business name
NESTOR C. PUNAY, MD.,P.A
Practice address
755 N 11TH St
Suite P3900
Beaumont, TX 77702-1500
Phone
(409) 347-1600
Fax
(409) 347-1608
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Leila Noval Demecillo
Title
Office Manager, Cfo
Phone
(409) 347-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X L9856 TX Primary

Addresses

Primary practice location

755 N 11TH St
Suite P3900
Beaumont, TX 77702-1500

Mailing address

755 N 11TH St
Suite P3900
Beaumont, TX 77702-1500
Phone (409) 347-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041117001012 TX Part B Supplier - Clinic/Group Practice 6608830740 Receives reassigned benefits from 1 practitioner
Practice locations: Beaumont, TX

National Provider Directory

National Provider Directory

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1205028347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3900",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-347-1600",
            "fax_number": "409-347-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3900",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-347-1600",
            "fax_number": "409-347-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESTOR C. PUNAY, MD.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "DEMECILLO",
        "authorized_official_first_name": "LEILA",
        "authorized_official_middle_name": "NOVAL",
        "authorized_official_title_or_position": "OFFICE MANAGER, CFO",
        "authorized_official_telephone_number": "409-347-1600"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L9856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.