Organization Active NPI

Advanced Neurological Diagnostics, Inc.

  • Neurology Physician
  • Nokomis, FL
National Provider Identifier
1417218090
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME113116 Issued in FL
Legal business name
ADVANCED NEUROLOGICAL DIAGNOSTICS, INC.
Practice address
2639 Curry LN
Nokomis, FL 34275-4903
Phone
(061) 779-7011
NPI assigned
May 31, 2012
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Patrick Joseph MaddenNPI 1134187073
Title
Owner of Entity
Phone
(617) 797-0110

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 Physician 2084N0400X ME113116 FL Primary

Addresses

Primary practice location

2639 Curry LN
Nokomis, FL 34275-4903

Mailing address

2639 Curry LN
Nokomis, FL 34275-4903
Phone (617) 797-0110

Other practice location 1

6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (617) 797-0110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120830000158 FL Part B Supplier - Clinic/Group Practice 9234386038 Receives reassigned benefits from 1 practitioner
Practice locations: Nokomis, FL; Sarasota, FL

National Provider Directory

National Provider Directory

Locations

1921 Waldemere St
Ste 810
Sarasota, FL 34239
Phone (941) 373-1971

5602 Marquesas Cir
Ste 105
Sarasota, FL 34233
Phone (941) 925-9532

5969 Cattleridge Blvd
Ste 100
Sarasota, FL 34232
Phone (941) 217-5460

435 Commercial Ct
Unit 201
Venice, FL 34292
Phone (941) 373-1971

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1417218090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 CURRY LN",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342754903",
            "telephone_number": "617-797-0110",
            "fax_number": "941-894-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CURRY LN",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342754903",
            "telephone_number": "061-779-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 Edgelake Dr",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342408803",
            "country_code": "US",
            "telephone_number": "617-797-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED NEUROLOGICAL DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "617-797-0110"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME113116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.