Neuroservice of Pennsylvania PC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

NEUROSERVICE OF PENNSYLVANIA PC

Practice address

5990 University Blvd
PMB # 198
Moon Township, PA 15108-4229

Phone

(412) 226-3071

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Raley, M.D.

Title

President

Phone

(412) 226-3071

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1487189692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 UNIVERSITY BLVD",
            "address_2": "PMB # 198",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 UNIVERSITY BLVD",
            "address_2": "PMB # 198",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084229",
            "telephone_number": "412-226-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSERVICE OF PENNSYLVANIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-226-3071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Tifuh Munakwa-Njah
• Jenna E Muraco, CRNP
• Paige Kunz Murrer, DMD
• Edward M Neely, MD
• Jessica Marie Neff, PHARMD
• Tonya M Nicholson-Quillin, FNP-C
• Marissa Anne Nocera, D.P.T.
• Joan Oconnor, CRNP
• Kerrie Odonnell
• Stacy Lynn Ogden, ATC

• Clinical Neurophysiology Physician in Moon Township, PA
• Providers in Moon Township, PA by specialty
• Clinical Neurophysiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.