Palm Beach Neurology

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

PALM BEACH NEUROLOGY

Practice address

2151 45TH Street
102
West Palm Beach, FL 33407

Phone

(561) 296-4120

Fax

(561) 296-3657

NPI assigned

Aug 13, 2008

Last updated

Mar 2, 2010By 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

Mrs. Chris Polanco

Title

Billing Manager

Phone

(561) 296-3851

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Palm Beach Neurology

  • Neurology Physician
  • Palm Beach Gardens, FL
  • NPI 1649455056

  O20040330001221

  Same enrollment
• Palm Beach Neurology

  • Neurology Physician
  • West Palm Beach, FL
  • NPI 1821133950

  O20040330001221

  Same enrollment
• Palm Beach Neurology

  dba Innovative Diagnostic Imaging

  • Neurology Physician
  • West Palm Beach, FL
  • NPI 1831377308

  O20040330001221

  Same enrollment

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1710133467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 NORTH CONGRESS AVE",
            "address_2": "200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-845-0500",
            "fax_number": "561-296-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH STREET",
            "address_2": "102",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-296-4120",
            "fax_number": "561-296-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-296-3851",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Beach Medical Partners LLC
• Palm Beach Medical Practitioners LLC
• Palm Beach Mobile Sonography Inc.
• Palm Beach Neurology
• Palm Beach Neurology
• Palm Beach Neurology
• Palm Beach Neurology (Innovative Diagnostic Imaging)
• Palm Beach NH LLC (Palm Beach Shores Health and Rehabilitation Center)
• Palm Beach Nursing, Inc.
• Palm Beach Oral and Maxillofacial Surgery

• Clinical Neurophysiology Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Neurophysiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.

Verify at the official NPI Registry.