NPIMap

Organization Active NPI

Neuro Medical Care Associates PLLC

  • Neurology Physician
  • Vestal, NY
National Provider Identifier
1447335757
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEURO MEDICAL CARE ASSOCIATES PLLC
Practice address
200 Front Street
Suite C
Vestal, NY 13850-1559
Phone
(607) 239-5694
Fax
(607) 239-5720
NPI assigned
Oct 26, 2006
Last updated
Mar 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Dharmesh R Patel, MDNPI 1861488041
Title
Physician, Owner
Phone
(607) 239-5694

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

200 Front Street
Suite C
Vestal, NY 13850-1559

Mailing address

200 Front Street
Suite C
Vestal, NY 13850-1559
Phone (607) 239-5694

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000303 NY Part B Supplier - Clinic/Group Practice 8729009071 Receives reassigned benefits from 8 practitioners
Practice locations: Vestal, NY

National Provider Directory

National Provider Directory

Locations

52 Harrison St
#2
Johnson City, NY 13790
Phone (607) 729-1521

503 Plaza Dr
Vestal, NY 13850
Phone (607) 669-4772

Practitioners & affiliated clinicians

Practitioners 11

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1447335757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FRONT STREET",
            "address_2": "SUITE C",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-239-5694",
            "fax_number": "607-239-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRONT STREET",
            "address_2": "SUITE C",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-239-5694",
            "fax_number": "607-239-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO MEDICAL CARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHARMESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "607-239-5694",
        "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 Vestal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.