NPIMap

Organization Active NPI

Neuroglee Care PLLC

  • Neurology Physician
  • Winston Salem, NC
National Provider Identifier
1548049026
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROGLEE CARE PLLC
Practice address
615 Saint George Square CT Ste 300
Winston Salem, NC 27103-1368
Phone
(888) 411-7686
Fax
(857) 557-5778
NPI assigned
Sep 25, 2023
Organization subpart
Yes
Parent organization
NEUROGLEE CARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Ravi Patel, DO
Title
Medical Director
Phone
(352) 313-8000

Specialties & licenses 1

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

Addresses

Primary practice location

615 Saint George Square CT Ste 300
Winston Salem, NC 27103-1368

Mailing address

101 Arch St FL 8
Boston, MA 02110-7500
Phone (888) 411-7686

Other names 1

  • Neuroglee Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neuroglee Care PLLC9 organizations share this tax ID, including this one
Part of
Neuroglee Care PLLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1548049026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ARCH ST FL 8",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021107500",
            "telephone_number": "888-411-7686",
            "fax_number": "857-557-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT STE 300",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031368",
            "telephone_number": "888-411-7686",
            "fax_number": "857-557-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROGLEE CARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROGLEE CARE PLLC",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "352-313-8000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuroglee Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.