Organization Active NPI

Netherfield Place PLLC

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1356061279
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NETHERFIELD PLACE PLLC
Practice address
7376 Stonerock Cir
Orlando, FL 32819-8000
Phone
(407) 289-0644
NPI assigned
Aug 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Afra Janarious, MDNPI 1760826580
Title
Chairman
Phone
(407) 373-5853

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

7376 Stonerock Cir
Orlando, FL 32819-8000

Mailing address

10594 Royal Cypress Way
Orlando, FL 32836-6529
Phone (407) 373-5853

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221017001048 FL Part B Supplier - Clinic/Group Practice 6709252703 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

7376 Stonerock Cir
Orlando, FL 32819
Phone (407) 226-9766

Practitioners & affiliated clinicians

Practitioners 1

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": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1356061279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10594 ROYAL CYPRESS WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366529",
            "telephone_number": "407-373-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7376 STONEROCK CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-289-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETHERFIELD PLACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "JANARIOUS",
        "authorized_official_first_name": "AFRA",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "407-373-5853",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.