NPIMap

Organization Active NPI

Palm Beach Neurology

  • Neurology Physician
  • West Palm Beach, FL
National Provider Identifier
1225206139
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
PALM BEACH NEUROLOGY
Practice address
5305 Greenwood Ave
Suite 102
West Palm Beach, FL 33407-2451
Phone
(561) 882-6363
Fax
(561) 882-1023
NPI assigned
Feb 13, 2008
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Mrs. Chris Polanco
Title
Billing MGR
Phone
(561) 296-3851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

5305 Greenwood Ave
Suite 102
West Palm Beach, FL 33407-2451

Mailing address

4631 N Congress Ave
Suite 200
West Palm Beach, FL 33407-3209
Phone (561) 845-0500

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Neurology4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5305 Greenwood Ave
Ste 102
West Palm Beach, FL 33407
Phone (561) 840-7779

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJFDBA

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1225206139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 N CONGRESS AVE",
            "address_2": "SUITE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073209",
            "telephone_number": "561-845-0500",
            "fax_number": "561-296-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE",
            "address_2": "SUITE 102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072451",
            "telephone_number": "561-882-6363",
            "fax_number": "561-882-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "561-296-3851",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.