Organization Active NPI

Neurological Neurodiagnostic Associates

  • Neurology Physician
  • Pittsburgh, PA
National Provider Identifier
1568559243
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL NEURODIAGNOSTIC ASSOCIATES
Practice address
4815 Liberty Ave
Suite 426
Pittsburgh, PA 15224-2156
Phone
(412) 682-2536
Fax
(412) 682-0214
NPI assigned
Oct 6, 2006
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. H Ronald Berk, M.D.
Title
Partner
Phone
(412) 682-2536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

4815 Liberty Ave
Suite 426
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave
Suite 426
Pittsburgh, PA 15224-2156
Phone (412) 682-2536

Other identifiers 1

IdentifierTypeStateIssuer
0006476360004MedicaidPA

National Provider Directory

National Provider Directory

Locations

4815 Liberty Ave
#426
Pittsburgh, PA 15224
Phone (412) 782-4211

4815 Liberty Ave
Ste 426
Pittsburgh, PA 15224
Phone (412) 682-2536

Practitioners & affiliated clinicians

Practitioners 2

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1568559243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE 426",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-682-2536",
            "fax_number": "412-682-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "SUITE 426",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-682-2536",
            "fax_number": "412-682-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL NEURODIAGNOSTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "412-682-2536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006476360004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.