NPIMap

Organization Active NPI

Virginia Beach Neurology, LTD

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1457575409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101052447 Issued in VA
Legal business name
VIRGINIA BEACH NEUROLOGY, LTD
Practice address
968 First Colonial Raod
Suite 103
Virginia Beach, VA 23454-4638
Phone
(757) 481-3808
Fax
(757) 481-2498
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marilyn Jacobson
Title
Billing
Phone
(757) 481-3808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0101052447 VA Primary

Addresses

Primary practice location

968 First Colonial Raod
Suite 103
Virginia Beach, VA 23454-4638

Mailing address

968 First Colonial Rd
Suite 103
Virginia Beach, VA 23454-3171

National Provider Directory

National Provider Directory
Tax ID family
Neurology Specialists L3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457575409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 FIRST COLONIAL RD",
            "address_2": "SUITE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 FIRST COLONIAL RAOD",
            "address_2": "SUITE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544638",
            "telephone_number": "757-481-3808",
            "fax_number": "757-481-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH NEUROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "757-481-3808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101052447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • 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.