Active NPI
West Palm Beach Neurology, P.a.
- Specialist
- Wellington, FL
National Provider Identifier
1730299272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME85753
- 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, PA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51436 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| 265548900 | Medicaid | FL |
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
- Wellington'S Premier Day Spa
- Wellness & Motion Therapy Centers, Inc
- Wellness Experience of Wellington Inc
- Wells Pharmacy Network LLC
- Tracy Ann Weskamp
- West Palm Beach Vamc
- Western Communities Family Practice Assoc Inc
- Western Communities Internal Medicine Corp
- Western Imaging Inc
- Western Surgical Specialists PA
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.