Organization Active NPI

Arubah Neuroscience Institute PLLC

  • Neurological Surgery Physician
  • Fort Pierce, FL
National Provider Identifier
1487024162
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ARUBAH NEUROSCIENCE INSTITUTE PLLC
Practice address
1701 S 23Rd St
Fort Pierce, FL 34950-4803
Phone
(722) 448-8600
Fax
(722) 448-8612
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Akram Shhadeh, MD
Title
President/Member
Phone
(973) 901-5457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1701 S 23Rd St
Fort Pierce, FL 34950-4803

Mailing address

214 Green Bay Rd
Thiensville, WI 53092-1616
Phone (844) 458-4201

Other identifiers 1

IdentifierTypeStateIssuer
018549200MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1487024162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 GREEN BAY RD",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530921616",
            "telephone_number": "844-458-4201",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "722-448-8600",
            "fax_number": "722-448-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUBAH NEUROSCIENCE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "SHHADEH",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "973-901-5457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018549200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.