NPIMap

Organization Active NPI

Amplified Neurodiagnostics, P. a.

  • Point of Service
  • Hollywood, FL
National Provider Identifier
1689128266
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
CH11618 Issued in FL
Legal business name
AMPLIFIED NEURODIAGNOSTICS, P. A.
Practice address
2260 N 29TH Ave
Unit 302
Hollywood, FL 33020-1710
Phone
(717) 580-4189
NPI assigned
Aug 11, 2016
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Jordan S Sanderson, D.C.NPI 1184079881
Title
President
Phone
(717) 580-4189

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
Point of Service 305S00000X CH11618 FL Primary

Addresses

Primary practice location

2260 N 29TH Ave
Unit 302
Hollywood, FL 33020-1710

Mailing address

2260 N 29TH Ave
Unit 302
Hollywood, FL 33020-1710
Phone (717) 580-4189

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, 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": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1689128266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 N 29TH AVE",
            "address_2": "UNIT 302",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201710",
            "telephone_number": "717-580-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 N 29TH AVE",
            "address_2": "UNIT 302",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201710",
            "telephone_number": "717-580-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLIFIED NEURODIAGNOSTICS, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-580-4189",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "CH11618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.