Neurologic Diagnostics, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD066714L Issued in PA

Legal business name

NEUROLOGIC DIAGNOSTICS, P.C.

Practice address

333 North Oxford Valley Road
Suite 503
Fairless Hills, PA 19030

Phone

(215) 949-7925

Fax

(215) 943-1304

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Debra Quinlan

Title

Office Manager

Phone

(215) 949-7925

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E. Rayner, MD

  • Surgery Physician
  • Fairless, PA
  • NPI 1073665253
  NPD

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1306875299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "19444",
            "telephone_number": "215-949-7925",
            "fax_number": "215-943-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NORTH OXFORD VALLEY ROAD",
            "address_2": "SUITE 503",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "19030",
            "telephone_number": "215-949-7925",
            "fax_number": "215-943-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC DIAGNOSTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-949-7925"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD066714L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0737358000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2257478",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "208576",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018063160002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrey Moyer, D.O.
• Lisa Ann Muraika, DO
• My Orthodontist
• Myeyedr Optometry of Pennsylvania, LLC
• Arli Necowitz, M. ED.
• Neurotec Medical Associates, PC
• New Day Behavioral Healthcare
• Newday Behavioral Healthcare
• Newpoint Healthcare Services, LLC
• Niazh Inc

• Neurology Physician in Fairless Hills, PA
• Providers in Fairless Hills, PA by specialty
• Neurology Physician in Pennsylvania

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