Organization Active NPI

Neuralogix Management, LLC

  • Clinical Neurophysiology Physician
  • Metairie, LA
National Provider Identifier
1780057984
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
NEURALOGIX MANAGEMENT, LLC
Practice address
2612 Severn Ave
Suite B
Metairie, LA 70002-5935
Phone
(833) 274-6988
NPI assigned
Nov 10, 2015
Last updated
May 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Charles G. Eckert
Title
President
Phone
(504) 539-3378

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU
Clinical Neurophysiology Physician 2084N0600X NU Primary

Addresses

Primary practice location

2612 Severn Ave
Suite B
Metairie, LA 70002-5935

Mailing address

2612 Severn Ave Ste B
Metairie, LA 70002-5935
Phone (833) 274-6988

National Provider Directory

National Provider Directory

Locations

2612 Severn Ave
Ste B
Metairie, LA 70002
Phone (833) 274-6988

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1780057984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 SEVERN AVE STE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025935",
            "telephone_number": "833-274-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 SEVERN AVE",
            "address_2": "SUITE B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025935",
            "telephone_number": "833-274-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURALOGIX MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-539-3378"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.