Organization Active NPI

Neuromonitoring Telepro LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Tampa, FL
National Provider Identifier
1285405696
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
NEUROMONITORING TELEPRO LLC
Practice address
7320 E Fletcher Ave
Tampa, FL 33637-0916
Phone
(813) 399-1433
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Mark ParaisoNPI 1740673193
Title
Owner/Neurodiagnostic Tech
Phone
(813) 399-1433

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
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

7320 E Fletcher Ave
Tampa, FL 33637-0916

Mailing address

7320 E Fletcher Ave
Tampa, FL 33637-0916
Phone (813) 399-1433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250912003675 FL Part B Supplier - Clinic/Group Practice 4284137332 Receives reassigned benefits from 2 practitioners
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

7320 E Fletcher Ave
Ste 300
Tampa, FL 33637
Phone (813) 205-3139

Practitioners & affiliated clinicians

Practitioners 4

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": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1285405696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336370916",
            "telephone_number": "813-399-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336370916",
            "telephone_number": "813-399-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMONITORING TELEPRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A",
        "authorized_official_last_name": "PARAISO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/NEURODIAGNOSTIC TECH",
        "authorized_official_telephone_number": "813-399-1433"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

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