Organization Active NPI

Neurology Associates LTD

  • Child & Adolescent Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1700954922
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD010079E Issued in PA
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

Updated by the provider on Aug 3, 2011

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)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0006768340001MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.