Organization Active NPI

Neurological Testing Centers of America Inc.

  • Neurology Physician
  • Cooper City, FL
National Provider Identifier
1215099528
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL TESTING CENTERS OF AMERICA INC.
Practice address
10000 Stirling Road
Suite 1
Cooper City, FL 33024-8067
Phone
(954) 748-7474
Fax
(954) 748-7772
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Dr. Faraz Khursheed, M.D.NPI 1376705681
Title
Owner/Physician
Phone
(954) 748-7474

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X HCC4519 FL
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

10000 Stirling Road
Suite 1
Cooper City, FL 33024-8067

Mailing address

10000 Stirling Road
Suite 1
Cooper City, FL 33024-8067
Phone (954) 748-7474

Other names 1

  • Neuro Pain & Spine Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000474 FL Part B Supplier - Clinic/Group Practice 3870488810 Receives reassigned benefits from 5 practitioners
Practice locations: Hollywood, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2268662Neurological Testing Centers of America Inc10000 Stirling Rd, Ste 1, Cooper City, FL 33024Certificate of waiverSep 14, 2026

National Provider Directory

National Provider Directory
Tax ID family
Neuro Pain Spine Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1601 Clint Moore Rd
Ste 130
Boca Raton, FL 33487
Phone (561) 251-9099

1899 N Congress Ave
Ste 10
Boynton Beach, FL 33426
Phone (561) 737-3361

10000 Stirling Rd
Ste 1
Hollywood, FL 33024
Phone (954) 748-7474

10000 Stirling Rd
Ste 4B
Hollywood, FL 33024
Phone (305) 613-4141

10000 Stirling Rd
Ste 4
Hollywood, FL 33024
Phone (954) 748-7474

10000 Stirling Rd
Ste 19900
Hollywood, FL 33024

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1215099528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 STIRLING ROAD",
            "address_2": "SUITE 1",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330248067",
            "telephone_number": "954-748-7474",
            "fax_number": "954-748-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 STIRLING ROAD",
            "address_2": "SUITE 1",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330248067",
            "telephone_number": "954-748-7474",
            "fax_number": "954-748-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL TESTING CENTERS OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "KHURSHEED",
        "authorized_official_first_name": "FARAZ",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "954-748-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "HCC4519",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro Pain & Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.