Gni Neuro Critical Care LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

GNI NEURO CRITICAL CARE LLC

Practice address

One Medical Center Blvd.
Acp, Suite 232
Chester, PA 19013-3902

Phone

(844) 464-6387

Fax

(215) 239-3037

NPI assigned

Jul 24, 2019

Last updated

Apr 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

S. Ausim Azizi, MD

Title

Authorized Official

Phone

(844) 464-6387

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Rubye Bardouille

  • Physician Assistant
  • Langhorne, PA
  • NPI 1336634203
  NPD (past)
• Efkan Mustafa Colpan, M.D.

  • Neurological Surgery Physician
  • Lebanon, PA
  • NPI 1407092224
  NPD (past)
• Zakaria Hakma, M.D.

  • Neurological Surgery Physician
  • Vineland, NJ
  • NPI 1952543696
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1689227076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD.",
            "address_2": "ACP, SUITE 232",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD.",
            "address_2": "ACP, SUITE 232",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St. Christopher's Hosp. for Children",
            "address_2": "160 E Erie Avenue, Suite 2205",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341011",
            "country_code": "US",
            "telephone_number": "215-330-6025",
            "fax_number": "215-330-6464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 N Broad St Fl 7",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071506",
            "country_code": "US",
            "telephone_number": "844-464-6387",
            "fax_number": "215-239-3037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GNI NEURO CRITICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "S. AUSIM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "844-464-6387",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne Gilpert, L.C.S.W.
• Ashley Gincel, CRNP
• Mark A. Ginsburg, DO
• Laura K Gleason, MD
• Global Neurosciences Institute LLC
• Mylene Sy Go, M.D
• Sydny Goldstein
• Jason Gong, MA
• Katina M Gordon, BA
• Laquanda Gordon

• Neurology Physician in Chester, PA
• Providers in Chester, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.