Organization Active NPI

Neurological Associates of St Paul PA

  • Neurology Physician
  • Maplewood, MN
National Provider Identifier
1497747182
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
746 Issued in MN
Legal business name
NEUROLOGICAL ASSOCIATES OF ST PAUL PA
Practice address
1650 Beam Ave
Suite 200
Maplewood, MN 55109-1147
Phone
(651) 221-9051
Fax
(651) 223-5220
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Dr. Nadeem Iqbal, M.D.
Title
President
Phone
(651) 221-9051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 746 MN Primary

Addresses

Primary practice location

1650 Beam Ave
Suite 200
Maplewood, MN 55109-1147

Mailing address

1650 Beam Ave
Suite 200
Maplewood, MN 55109-1147
Phone (651) 221-9051

Other identifiers 1

IdentifierTypeStateIssuer
829210800MedicaidMN

National Provider Directory

National Provider Directory

Locations

255 Smith Ave N
Ste 201
Saint Paul, MN 55102
Phone (651) 224-5895

17 Exchange St W
Ste 850
Saint Paul, MN 55102
Phone (651) 221-9051

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/p84Vhuk4mPWFXFbQg94FgStyyPbRtG_D/

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1497747182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BEAM AVE",
            "address_2": "SUITE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091147",
            "telephone_number": "651-221-9051",
            "fax_number": "651-223-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BEAM AVE",
            "address_2": "SUITE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091147",
            "telephone_number": "651-221-9051",
            "fax_number": "651-223-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL ASSOCIATES OF ST PAUL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-221-9051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829210800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.