Organization Active NPI

Neurodiagnostics of Stuart,P.a.

  • Neurology Physician
  • Stuart, FL
National Provider Identifier
1609899053
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME0060437 Issued in FL
Legal business name
NEURODIAGNOSTICS OF STUART,P.A.
Practice address
827 East 5TH Street
Stuart, FL 34994
Phone
(772) 223-5345
Fax
(772) 223-0960
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Jose R Toledo, M.D.
Title
President
Phone
(772) 223-5345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X ME0060437 FL Primary

Addresses

Primary practice location

827 East 5TH Street
Stuart, FL 34994

Mailing address

827 SE 5TH St
Stuart, FL 34994-2401
Phone (772) 223-5345

Other identifiers 1

IdentifierTypeStateIssuer
055716100MedicaidFL

National Provider Directory

National Provider Directory

Locations

900 Osceola Dr
#300A
West Palm Beach, FL 33409
Phone (772) 223-0960

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1609899053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 SE 5TH ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942401",
            "telephone_number": "772-223-5345",
            "fax_number": "772-223-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 EAST 5TH STREET",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-223-5345",
            "fax_number": "772-223-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIAGNOSTICS OF STUART,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-223-5345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0060437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055716100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.