Organization Active NPI

Neuro Care Medical, P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Staten Island, NY
National Provider Identifier
1225251358
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
194198 Issued in NY
Legal business name
NEURO CARE MEDICAL, P.C.
Practice address
1163 Forest Ave
Staten Island, NY 10310-2408
Phone
(718) 815-3529
Fax
(718) 815-0005
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Ranga C Krishna, MDNPI 1730151218
Title
President
Phone
(718) 815-3529

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 194198 NY Primary

Addresses

Primary practice location

1163 Forest Ave
Staten Island, NY 10310-2408

Mailing address

1513 Voorhies Ave
Brooklyn, NY 11235-3994
Phone (718) 332-7878

National Provider Directory

National Provider Directory

Locations

189 Montague St
Ste 913
Brooklyn, NY 11201
Phone (718) 802-0800

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1225251358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353994",
            "telephone_number": "718-332-7878",
            "fax_number": "718-815-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102408",
            "telephone_number": "718-815-3529",
            "fax_number": "718-815-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO CARE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "RANGA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-815-3529",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "194198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.