Active NPI
Neurology and Pain Medical Associates LLC
- Neurology Physician
- Lafayette, IN
National Provider Identifier
1265996144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROLOGY AND PAIN MEDICAL ASSOCIATES LLC
- Practice address
- 130 Professional CT Ste D
Lafayette, IN 47905-5153 - Phone
- (765) 446-8888
- Fax
- (219) 866-7001
- NPI assigned
- Jan 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julian Ungar-Sargon, MD
- Title
- Owner
- Phone
- (219) 866-7222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
130 Professional CT Ste D
Lafayette, IN 47905-5153
Mailing address
123 S McKinley Ave
Rensselaer, IN 47978-2949
Phone (219) 866-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01040129A | Other | IN | MEDICAL LICESNE |
National Provider Directory
National Provider DirectoryLocations
130 Professional Ct
Lafayette, IN 47905
Phone (219) 588-8000
130 Professional Ct
#D
Lafayette, IN 47905
Phone (219) 756-0400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Crown Point, IN
- NPI 1245209246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623196800000",
"number": "1265996144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S MCKINLEY AVE",
"city": "RENSSELAER",
"state": "IN",
"postal_code": "479782949",
"telephone_number": "219-866-7222",
"fax_number": "219-866-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 PROFESSIONAL CT STE D",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055153",
"telephone_number": "765-446-8888",
"fax_number": "219-866-7001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY AND PAIN MEDICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-25",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A",
"authorized_official_last_name": "UNGAR-SARGON",
"authorized_official_first_name": "JULIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-866-7222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICESNE",
"identifier": "01040129A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.