Active NPI
Professional Neurological Associates PC
- Specialist
- Dunmore, PA
National Provider Identifier
1689604332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PROFESSIONAL NEUROLOGICAL ASSOCIATES PC
- Practice address
- 121 S Apple St
Dunmore, PA 18512-2459 - Phone
- (570) 963-8803
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vithalbhai D Dhaduk, M.D.
- Title
- President
- Phone
- (570) 963-8803
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
121 S Apple St
Dunmore, PA 18512-2459
Mailing address
121 S Apple St
Dunmore, PA 18512-2459
Phone (570) 963-8803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1444 E Lackawanna St
Ste 222
Olyphant, PA 18447
Phone (570) 963-8803
235 Main St
Ste 115
Scranton, PA 18519
Phone (570) 963-8803
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Dunmore, PA
- NPI 1023098902
-
- Adult Health Nurse Practitioner
- Dunmore, PA
- NPI 1306054317
-
- Neurology Physician
- Hershey, PA
- NPI 1568422848
-
- Neurology Physician
- Brooklyn, NY
- NPI 1720057953
-
- Neurology Physician
- Sewell, NJ
- NPI 1770665135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1689604332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S APPLE ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185122459",
"telephone_number": "570-963-8803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S APPLE ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185122459",
"telephone_number": "570-963-8803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL NEUROLOGICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DHADUK",
"authorized_official_first_name": "VITHALBHAI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-963-8803",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.