Organization Active NPI

Neurology and Pain Management Center

  • Neurology Physician
  • Milford, PA
National Provider Identifier
1740595222
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD428963 Issued in PA
Legal business name
NEUROLOGY AND PAIN MANAGEMENT CENTER
Practice address
104 Bennett Ave
Suite 1B
Milford, PA 18337-9759
Phone
(570) 296-8494
Fax
(570) 296-8493
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Dr. Fuhai Li, M.D.NPI 1548295231
Title
President
Phone
(570) 296-8494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084D0003X MD428963 PA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD428963 PA Primary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X MD428963 PA

Addresses

Primary practice location

104 Bennett Ave
Suite 1B
Milford, PA 18337-9759

Mailing address

104 Bennett Ave
Suite 1B
Milford, PA 18337-9759
Phone (570) 296-8494

Other identifiers 1

IdentifierTypeStateIssuer
1016960930002MedicaidPA

National Provider Directory

National Provider Directory

Locations

104 Bennett Ave
Ste 1B
Milford, PA 18337
Phone (570) 296-8494

200 3rd St
Milford, PA 18337
Phone (570) 296-4889

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": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1740595222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BENNETT AVE",
            "address_2": "SUITE 1B",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379759",
            "telephone_number": "570-296-8494",
            "fax_number": "570-296-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BENNETT AVE",
            "address_2": "SUITE 1B",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379759",
            "telephone_number": "570-296-8494",
            "fax_number": "570-296-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "FUHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-296-8494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "PA",
            "license": "MD428963",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD428963",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "PA",
            "license": "MD428963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016960930002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.