Organization Active NPI

Complete Neurological Care of Miami PA

  • Neurology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1225889553
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
COMPLETE NEUROLOGICAL CARE OF MIAMI PA
Practice address
200 W Cypress Creek Rd
Fort Lauderdale, FL 33309-2174
Phone
(347) 634-9425
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Julia Ostrovsky
Title
Manager
Phone
(347) 634-9425

Specialties & licenses 1

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

Addresses

Primary practice location

200 W Cypress Creek Rd
Fort Lauderdale, FL 33309-2174

Mailing address

7730 Boynton Beach Blvd Ste 4
Boynton Beach, FL 33437-6155
Phone (347) 634-9425

Other practice location 1

7730 Boynton Beach Blvd Ste 4
Boynton Beach, FL 33437-6155
Phone (347) 634-9425

National Provider Directory

National Provider Directory

Locations

7050 W Palmetto Park Rd
#15175
Boca Raton, FL 33433

7730 W Boynton Beach Blvd
Ste 4
Boynton Beach, FL 33437
Phone (561) 572-0299

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1225889553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 BOYNTON BEACH BLVD STE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376155",
            "telephone_number": "347-634-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CYPRESS CREEK RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092174",
            "telephone_number": "347-634-9425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7730 Boynton Beach Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334376155",
            "country_code": "US",
            "telephone_number": "347-634-9425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE NEUROLOGICAL CARE OF MIAMI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "OSTROVSKY",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-634-9425"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.