National Neurodiagnostic Technologies Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

HCC4403 Issued in FL

Legal business name

NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC

Doing business as

Neurodiagnostic Technologies

Practice address

1895 Kingsley Ave
Suite 1005
Orange Park, FL 32073-4466

Phone

(904) 737-5792

Fax

(904) 737-6541

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Aurelio A. Muzaurieta Jr., B.A.,RVT, R NCS T

Title

President/Technical Director

Phone

(904) 737-5792

Specialties & licenses 5

Addresses

Other names 1

• Neurodiagnostic Technologies Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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.

• Travis Randall Von Tobel, M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1487954723
  Medicare reassignment NPD
• Krishna Rao Nalluri, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Gulfport, MS
  • NPI 1336212554
  NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1427101658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320671450",
            "telephone_number": "904-737-5792",
            "fax_number": "904-737-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE",
            "address_2": "SUITE 1005",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734466",
            "telephone_number": "904-737-5792",
            "fax_number": "904-737-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "MUZAURIETA",
        "authorized_official_first_name": "AURELIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "904-737-5792",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.A.,RVT, R NCS T"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "HCC4403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurodiagnostic Technologies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allen Nadeau, PA-C
• Muhammad Abubakar Nagra, M.B.B.S
• Leslie Nahinu, IBCLC
• Umamaheswararao Naidu, RPH
• Sabrina Nasta, LMHC, M.A.
• Elias Andres Nazario, PHARMD.
• Karolyn Neat, PT
• Janalyn S Nebrat, RPH
• Need Medical Supplies LLC
• Roopesh K Neelkant, B.PHARM

• Physiological Laboratory in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.