Active NPI
Neurosync Medical Group P.C.
- Neurology Physician
- Palo Alto, CA
National Provider Identifier
1497520928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROSYNC MEDICAL GROUP P.C.
- Practice address
- 2172 Staunton Court
Palo Alto, CA 94306 - Phone
- (855) 455-8500
- NPI assigned
- Nov 15, 2023
- 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
- Mr. Gary Gregory
- Title
- Secretary
- Phone
- (508) 397-8885
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | |||
| Neurology Physician | 2084N0400X | Primary | ||
| Neurology Physical Therapist | 2251N0400X |
Addresses
Primary practice location
2172 Staunton Court
Palo Alto, CA 94306
Mailing address
118 Washington St
Holliston, MA 01746
Phone (609) 828-0150
National Provider Directory
National Provider DirectoryLocations
2172 Staunton Ct
Palo Alto, CA 94306
Phone (855) 455-8500
118 Washington St
Holliston, MA 01746
Phone (508) 429-0852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1497520928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WASHINGTON ST",
"city": "HOLLISTON",
"state": "MA",
"postal_code": "01746",
"telephone_number": "609-828-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 STAUNTON COURT",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94306",
"telephone_number": "855-455-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROSYNC MEDICAL GROUP P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "508-397-8885",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2081P0301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.