Active NPI
Neurological Associates of St Paul PA
- Neurology Physician
- Maplewood, MN
National Provider Identifier
1497747182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 746
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 829210800 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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
- 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.