Neurology Centers of Palm Beach Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 0055218 Issued in FL

Legal business name

NEUROLOGY CENTERS OF PALM BEACH INC

Practice address

5458 Town Center Rd
Suite #22
Boca Raton, FL 33486-1089

Phone

(561) 392-2950

Fax

(561) 391-2970

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Banchik, M.D.NPI 1699705863

Title

Owner of Corporation

Phone

(561) 392-2950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Lisa Ingrid Banchik, M.D.

  • Neurology Physician
  • Boca Raton, FL
  • NPI 1699705863

  FL, Neurology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1225148166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER ROAD",
            "address_2": "SUITE #22",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33486",
            "telephone_number": "561-392-2950",
            "fax_number": "561-391-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5458 TOWN CENTER RD",
            "address_2": "SUITE #22",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861089",
            "telephone_number": "561-392-2950",
            "fax_number": "561-391-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CENTERS OF PALM BEACH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "BANCHIK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER OF CORPORATION",
        "authorized_official_telephone_number": "561-392-2950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 0055218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurohealth of South Florida LLC
• Neurologic Wellness Institute PLLC
• Neurological Disorders Clinic PA
• Neurological Group of South Florida Inc.
• Neurological Microsurgical Asoc.
• Neurology Consultants of Boca Raton PA
• Neurology Offices of South Florida PLLC
• Neuropathy Center of Boca Raton
• Neurorad Diagnostics LLC
• Neurorad Testing Services LLC

• All providers in Boca Raton, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.