Progressive Neurology LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PROGRESSIVE NEUROLOGY LLC

Practice address

2405 Whittier Dr Unit 100
Frederick, MD 21702-3361

Phone

(301) 682-2988

NPI assigned

Dec 20, 2019

Last updated

Jan 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raya Massoud, MDNPI 1831370063

Title

Director

Phone

(301) 799-7588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raya Massoud, M.D.

  • Neurology Physician
  • Frederick, MD
  • NPI 1831370063

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577836800000",
    "number": "1235777210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 WHITTIER DR UNIT 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023361",
            "telephone_number": "301-799-7588",
            "fax_number": "301-799-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 WHITTIER DR UNIT 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023361",
            "telephone_number": "301-682-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A",
        "authorized_official_last_name": "MASSOUD",
        "authorized_official_first_name": "RAYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-799-7588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.