Organization Active NPI

West Palm Beach Neurology, P.a.

  • Specialist
  • Wellington, FL
National Provider Identifier
1730299272
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME85753 Issued in FL
Legal business name
WEST PALM BEACH NEUROLOGY, P.A.
Practice address
1035 S State Road 7 Ste 214
Wellington, FL 33414-6137
Phone
(561) 422-1006
Fax
(561) 422-1078
NPI assigned
Aug 30, 2006
Organization subpart
Yes
Parent organization
WEST PALM BEACH NEUROLOGY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Jamal Abdel-Halim, M.D.
Title
President/Owner
Phone
(561) 422-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME85753 FL Primary

Addresses

Primary practice location

1035 S State Road 7 Ste 214
Wellington, FL 33414-6137

Mailing address

1035 S State Road 7 Ste 214
Wellington, FL 33414-6137
Phone (561) 422-1006

Other identifiers 2

IdentifierTypeStateIssuer
51436OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA
265548900MedicaidFL

National Provider Directory

National Provider Directory
Part of
West Palm Beach Neurology P

Locations

4949 S Congress Ave
Ste A
Palm Springs, FL 33461
Phone (561) 642-1247

1035 S State Road 7
Ste 214
Wellington, FL 33414
Phone (561) 422-1006

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1730299272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7 STE 214",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146137",
            "telephone_number": "561-422-1006",
            "fax_number": "561-422-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7 STE 214",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146137",
            "telephone_number": "561-422-1006",
            "fax_number": "561-422-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PALM BEACH NEUROLOGY, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST PALM BEACH NEUROLOGY, PA",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "ABDEL-HALIM",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-422-1006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME85753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "51436",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265548900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.