Active NPI
Neurology Associates LTD
- Child & Adolescent Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1700954922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD010079E
- Legal business name
- NEUROLOGY ASSOCIATES LTD
- Practice address
- 1514 Wolf St
Philadelphia, PA 19145-4441 - Phone
- (215) 463-3349
- Fax
- (215) 463-0131
- NPI assigned
- Dec 4, 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
- Ms. Rita Grisolia
- Title
- Office Manager
- Phone
- (215) 463-3349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD010079E | PA | Primary |
Addresses
Primary practice location
1514 Wolf St
Philadelphia, PA 19145-4441
Mailing address
1514 Wolf St
Philadelphia, PA 19145-4441
Phone (215) 463-3349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006768340001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1514 Wolf St
Philadelphia, PA 19145
Phone (215) 463-3029
5249 Cedar Ave
Ste B
Philadelphia, PA 19143
Phone (215) 471-4863
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Abington, PA
- NPI 1417984923
-
- Neurology Physician
- Philadelphia, PA
- NPI 1942377742
-
- Neurology Physician
- Southaven, MS
- NPI 1831144039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1700954922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 WOLF ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454441",
"telephone_number": "215-463-3349",
"fax_number": "215-463-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 WOLF ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454441",
"telephone_number": "215-463-3349",
"fax_number": "215-463-0131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "GRISOLIA",
"authorized_official_first_name": "RITA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-463-3349",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD010079E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006768340001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Neuro Source Diagnostics, Inc
- Neuro-Ophthalmologic Associates PC
- Neurodynamix Testing and Therapy Solutions PLLC
- Neuroflow
- Neurology and Neurophysiology Associates, P.C.
- Neurology Center of Philadelphia Inc.
- Neuromed Diagnostics
- Neurophys Diagnostics
- Neurophys Diagnostics, Inc.
- Neurosurgical Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.