Gaston Neurological, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

200001228722 Issued in NC

Legal business name

GASTON NEUROLOGICAL, PLLC

Doing business as

Gaston Neurological

Practice address

815 Cox Rd
Gastonia, NC 28054-3453

Phone

(704) 865-1700

Fax

(704) 865-7948

NPI assigned

Oct 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John A Difini, M.D.NPI 1144216581

Title

Owner

Phone

(704) 865-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GASTON NEUROLOGICAL Doing business as

Locations

Practitioners 1

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.

• John Anthony Difini, MD

  • Neurology Physician
  • Camp Lejeune, NC
  • NPI 1144216581
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376631168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-865-1700",
            "fax_number": "704-865-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-865-1700",
            "fax_number": "704-865-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON NEUROLOGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIFINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-865-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200001228722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012XJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GASTON NEUROLOGICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gaston Memorial Hospital, Inc (Gaston Memorial Hospital - Pharmacy)
• Gaston Memorial Hospital, Inc (Gaston Memorial Outpatient Pharmacy)
• Gaston Memorial Hospital, Incorporated (CaroMont Regional Medical Center)
• Gaston Memorial Hospital, Incorporated (CaroMont Imaging Services)
• Gaston Memorial Hospital, Incorporated (CaroMont Laboratory Services)
• Gaston Oral & Maxillofacial Surgery
• Gaston Pharmacy LLC (Gaston Pharmacy)
• Gaston Piedmont Health Care Inc. (Family First Home Health Care Inc.)
• Gaston Primary Care PLLC
• Gaston Radiology

• Specialist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.