Pediatric Neurology of North Carolina PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

87482 Issued in NC

Legal business name

PEDIATRIC NEUROLOGY OF NORTH CAROLINA PA

Practice address

206 Towne Village Dr
Cary, NC 27513-8910

Phone

(919) 380-3092

Fax

(206) 339-7662

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

David Jay Jaffe, MD

Title

Owner

Phone

(919) 380-3092

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Anne Dreater, FNP

  • Family Nurse Practitioner
  • Pearl Harbor, HI
  • NPI 1659441657
  NPD (past)

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1780915959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 TOWNE VILLAGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138910",
            "telephone_number": "919-380-3092",
            "fax_number": "206-339-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 TOWNE VILLAGE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138910",
            "telephone_number": "919-380-3092",
            "fax_number": "206-339-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROLOGY OF NORTH CAROLINA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-380-3092",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "87482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126JJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saidah Aisha Pearson, RN, IBCLC
• Shayla Pearson
• William H Pechter, MD
• Pediatric & Family Psychology, P.a.
• Pediatric Hair Solutions Corporation
• Pediatric Speech Works, PLLC
• Jaime Pedraza, MD
• Lamari Kiana Peele
• Alyssa Lauren Peeler, LCSWA
• Kendall Peeler

• Specialist in Cary, NC
• Providers in Cary, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.