Organization Active NPI

Neurology Associates of the Main Line

  • Neurology Physician
  • Wynnewood, PA
National Provider Identifier
1609333145
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOCIATES OF THE MAIN LINE
Practice address
100 E Lancaster Ave Ste 161
Wynnewood, PA 19096-3427
Phone
(610) 894-7200
Fax
(484) 930-0886
NPI assigned
Feb 20, 2019
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Samira Aabi
Title
Office Manager
Phone
(610) 894-7200

Specialties & licenses 1

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

Addresses

Primary practice location

100 E Lancaster Ave Ste 161
Wynnewood, PA 19096-3427

Mailing address

100 E Lancaster Ave Ste 161
Wynnewood, PA 19096-3427
Phone (610) 894-7200

Other practice location 1

2800 S 20th St
Philadelphia, PA 19145-5001
Phone (267) 639-2555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200921001312 PA Part B Supplier - Clinic/Group Practice 2567880735 Receives reassigned benefits from 2 practitioners
Practice locations: Allentown, PA; Philadelphia, PA; Wynnewood, PA; Wyomissing, PA

National Provider Directory

National Provider Directory

Locations

2200 Hamilton St
Ste 214
Allentown, PA 18104
Phone (215) 366-2803

2800 S 20th St
Ste D
Philadelphia, PA 19145

100 E Lancaster Ave
Ste 161
Wynnewood, PA 19096
Phone (610) 642-5371

2201 Ridgewood Rd
Ste 165
Wyomissing, PA 19610
Phone (484) 509-1900

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": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1609333145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 161",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963427",
            "telephone_number": "610-894-7200",
            "fax_number": "484-930-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE STE 161",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963427",
            "telephone_number": "610-894-7200",
            "fax_number": "484-930-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 S 20th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191455001",
            "country_code": "US",
            "telephone_number": "267-639-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF THE MAIN LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "AABI",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-894-7200"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.