Organization Active NPI

Neuro Health Associates Inc

  • Neurological Surgery Physician
  • Hialeah, FL
National Provider Identifier
1710427984
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME122876 Issued in FL
Legal business name
NEURO HEALTH ASSOCIATES INC
Practice address
777 E 25TH St Ste 308
Hialeah, FL 33013-3824
Phone
(786) 534-7751
Fax
(786) 363-1179
NPI assigned
Mar 7, 2017
Last updated
Mar 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Mr. Gabriel A Widi, MDNPI 1639342926
Title
Doctor
Phone
(305) 510-4639

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME122876 FL Primary

Addresses

Primary practice location

777 E 25TH St Ste 308
Hialeah, FL 33013-3824

Mailing address

777 E 25TH St Ste 308
Hialeah, FL 33013-3824
Phone (786) 534-7751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180223001905 FL Part B Supplier - Clinic/Group Practice 0143581611 Receives reassigned benefits from 1 practitioner
Practice locations: Plantation, FL; Miami, FL; Hialeah, FL; Aventura, FL; Doral, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

7867 SW 88th St
Ste 105
Miami, FL 33156
Phone (305) 279-2900

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1710427984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133824",
            "telephone_number": "786-534-7751",
            "fax_number": "786-363-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 25TH ST STE 308",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133824",
            "telephone_number": "786-534-7751",
            "fax_number": "786-363-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO HEALTH ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "WIDI",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "305-510-4639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME122876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.