NPIMap

Organization Active NPI

Neuroimage Inc

  • Legal Medicine
National Provider Identifier
1629363049
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
4301098929 Issued in MI
Legal business name
NEUROIMAGE INC
Practice address
2181 Yonge St Suite 801
Toronto, ONTARIO M4S3H7
CA
Phone
(416) 457-5699
Fax
(416) 800-8762
NPI assigned
Jun 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Adolfo Cotter, MDNPI 1548547243
Title
President and Senior Advisor
Phone
(416) 457-5699

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
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 4301098929 MI Primary

Addresses

Primary practice location

2181 Yonge St Suite 801
Toronto, ONTARIO M4S3H7
CA

Mailing address

2181 Yonge St Suite 801
Toronto, ONTARIO M4S3H7
CA
Phone (416) 457-5699

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1629363049",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2181 YONGE ST SUITE 801",
            "city": "TORONTO",
            "state": "ONTARIO",
            "postal_code": "M4S3H7",
            "telephone_number": "416-457-5699",
            "fax_number": "416-800-8762"
        },
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "2181 YONGE ST SUITE 801",
            "city": "TORONTO",
            "state": "ONTARIO",
            "postal_code": "M4S3H7",
            "telephone_number": "416-457-5699",
            "fax_number": "416-800-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROIMAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "ADOLFO",
        "authorized_official_title_or_position": "PRESIDENT AND SENIOR ADVISOR",
        "authorized_official_telephone_number": "416-457-5699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301098929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.