Organization Active NPI

Neurology Clinics & Research Center PA

  • Neurology Physician
  • Naples, FL
National Provider Identifier
1659547263
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0S0006026 Issued in FL
Legal business name
NEUROLOGY CLINICS & RESEARCH CENTER PA
Practice address
5475 Golden Gate Pkwy Ste 4
Naples, FL 34116-7529
Phone
(239) 353-1555
Fax
(239) 353-7001
NPI assigned
May 3, 2008
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Eshan Kibria, D.O.NPI 1194703363
Title
Physician/Owner
Phone
(239) 353-1555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 0S0006026 FL Primary

Addresses

Primary practice location

5475 Golden Gate Pkwy Ste 4
Naples, FL 34116-7529

Mailing address

5475 Golden Gate Pkwy Ste 4
Naples, FL 34116-7529
Phone (239) 353-1555

National Provider Directory

National Provider Directory

Locations

12811 Kenwood Ln
Ste 114
Fort Myers, FL 33907
Phone (239) 273-8624

9935 Tamiami Trl N
Ste 2
Naples, FL 34108
Phone (239) 591-0020

Practitioners & affiliated clinicians

Practitioners 1

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": "1209772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1659547263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PKWY STE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-353-1555",
            "fax_number": "239-353-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PKWY STE 4",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-353-1555",
            "fax_number": "239-353-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CLINICS & RESEARCH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "KIBRIA",
        "authorized_official_first_name": "ESHAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "239-353-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "0S0006026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.