Cnmri PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CNMRI PA

Practice address

111 Neurology Way
Milford, DE 19901

Phone

(302) 422-0800

NPI assigned

Feb 20, 2007

Last updated

Jan 15, 2025By 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

Tammy M Rust

Title

Cnmri Authorized Representative

Phone

(302) 346-2491

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cnmri

  • Neurology Physician
  • Dover, DE
  • NPI 1861449498

  O20040120000141

  Same enrollment

Tax ID family

Cnmri PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cnmri PA

  • Neurology Physician
  • Dover, DE
  • NPI 1932454618
  NPD tax ID

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.

• Jay Dave, D.O.

  • Neurology Physician
  • Milford, DE
  • NPI 1215159488
  Medicare reassignment NPD
• James W Lust, P.A.-C

  • Physician Assistant
  • Dover, DE
  • NPI 1831116466
  Medicare reassignment

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1386788446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044141",
            "telephone_number": "302-678-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NEUROLOGY WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-422-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNMRI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CNMRI AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "302-346-2491"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000396902",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Christie
• Brandi Ciamarra
• Latisa Clark, LPN
• David J Cloney, M.D.
• Cnmri 20 PA
• Coastal Orthopaedics, P.a.
• Taylor Coco, AGNP
• Kimberly K Cole, RN
• Corinda C Collick, LBSW
• Antaneya Collins

• Neurology Physician in Milford, DE
• Providers in Milford, DE by specialty
• Neurology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.