Active NPI
Neurology Clinics of Nevada LLC
- Neurology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROLOGY CLINICS OF NEVADA LLC
- Practice address
- 4275 Burnham Ave Ste 230
Las Vegas, NV 89119-5400 - Phone
- (702) 956-0996
- Fax
- (702) 965-2216
- NPI assigned
- Sep 26, 2018
- Last updated
- May 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdul Tariq, DO
- Title
- Physician Owner
- Phone
- (702) 956-0996
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
4275 Burnham Ave Ste 230
Las Vegas, NV 89119-5400
Mailing address
390 Otsego CT
Henderson, NV 89012-4862
Other practice location 1
3022 S Durango Dr Ste 100
Las Vegas, NV 89117-4440
Phone (702) 256-3637
Other practice location 2
390 Otsego Ct
Henderson, NV 89012
Phone (702) 761-4724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1601 E Flamingo Rd
Ste E18
Las Vegas, NV 89119
Phone (702) 958-0996
1621 E Flamingo Rd
Las Vegas, NV 89119
621 E Flamingo Rd 16a
Las Vegas, NV 89119
621 E Flamingo Rd Ste 16a
Las Vegas, NV 89119
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Neurology Physician
- Las Vegas, NV
- NPI 1669883534
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1992360598
-
- Psychiatric/Mental Health Nurse Practitioner
- Henderson, NV
- NPI 1205470911
-
- Acute Care Nurse Practitioner
- Las Vegas, NV
- NPI 1891393567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589414400000",
"number": "1487139499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 OTSEGO CT",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890124862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4275 BURNHAM AVE STE 230",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195400",
"telephone_number": "702-956-0996",
"fax_number": "702-965-2216"
}
],
"practiceLocations": [
{
"address_1": "3022 S Durango Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891174440",
"country_code": "US",
"telephone_number": "702-256-3637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "390 Otsego Ct",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "89012",
"country_code": "US",
"telephone_number": "702-761-4724",
"fax_number": "702-213-2863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEUROLOGY CLINICS OF NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-26",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A",
"authorized_official_last_name": "TARIQ",
"authorized_official_first_name": "ABDUL",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "702-956-0996",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.