NPIMap

Organization Active NPI

Universal Neurological Care PA

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1508257692
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME93143 Issued in FL
Legal business name
UNIVERSAL NEUROLOGICAL CARE PA
Practice address
8823 San Jose Blvd Ste 209
Jacksonville, FL 32217-4288
Phone
(904) 404-7044
Fax
(904) 329-2303
NPI assigned
Feb 10, 2015
Last updated
Feb 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Dr. Syed A Asad, MDNPI 1497851042
Title
Owner
Phone
(904) 404-7044

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME93143 FL Primary

Addresses

Primary practice location

8823 San Jose Blvd Ste 209
Jacksonville, FL 32217-4288

Mailing address

8823 San Jose Blvd Ste 209
Jacksonville, FL 32217-4288
Phone (904) 404-7044

Other practice location 1

3636 University Blvd S Ste B2
Jacksonville, FL 32216-4223
Phone (904) 404-7044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150908003100 FL Part B Supplier - Clinic/Group Practice 3274849120 Receives reassigned benefits from 7 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1508257692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 SAN JOSE BLVD STE 209",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174288",
            "telephone_number": "904-404-7044",
            "fax_number": "904-329-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8823 SAN JOSE BLVD STE 209",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174288",
            "telephone_number": "904-404-7044",
            "fax_number": "904-329-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3636 University Blvd S Ste B2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322164223",
            "country_code": "US",
            "telephone_number": "904-404-7044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSAL NEUROLOGICAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "ASAD",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-404-7044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME93143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.

Verify at the official NPI Registry.