Organization Active NPI

Well Care Neurology PLLC

  • Neurology Physician
  • Bronx, NY
National Provider Identifier
1285084251
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
273140 Issued in NY
Legal business name
WELL CARE NEUROLOGY PLLC
Practice address
1665 Grand Concourse
Suite a
Bronx, NY 10452-5815
Phone
(917) 386-8964
NPI assigned
Jun 20, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Vikas Agrawal, MDNPI 1568523496
Title
President
Phone
(917) 386-8964

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
Neurology Physician 2084N0400X 273140 NY Primary

Addresses

Primary practice location

1665 Grand Concourse
Suite a
Bronx, NY 10452-5815

Mailing address

18 Sylvia Ave
Ardsley, NY 10502-1109
Phone (917) 386-8964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161019001290 NY Part B Supplier - Clinic/Group Practice 7113215443 Receives reassigned benefits from 1 practitioner
Practice locations: Bronx, NY; Yonkers, NY

National Provider Directory

National Provider Directory

Locations

1665 Grand Concourse
Apt A
Bronx, NY 10452
Phone (718) 294-4100

944 N Broadway
Ste 106
Yonkers, NY 10701
Phone (914) 920-3535

944 N Broadway
Ste 202
Yonkers, NY 10701
Phone (914) 920-3535

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1285084251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SYLVIA AVE",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021109",
            "telephone_number": "917-386-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 GRAND CONCOURSE",
            "address_2": "SUITE A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104525815",
            "telephone_number": "917-386-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-386-8964",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "273140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.