Active NPI
Advanced Neurology of the Palm Beaches, P.a.
- Neurology Physician
- Palm Beach Gardens, FL
National Provider Identifier
1790924835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- ADVANCED NEUROLOGY OF THE PALM BEACHES, P.A.
- Practice address
- 3400 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4352 - Phone
- (561) 626-1159
- Fax
- (561) 275-7050
- NPI assigned
- Feb 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose M Hernandez Jr.
- Title
- Credentialing Coordinator
- Phone
- (561) 626-1159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
3400 Burns Rd Ste 101
Palm Beach Gardens, FL 33410-4352
Mailing address
3375 Burns Rd
Suite 203
Palm Beach Gardens, FL 33410-4349
Phone (561) 626-1159
Other practice location 1
3375 Burns Rd
Suite 203
Palm Beach Gardens, FL 33410-4349
Phone (561) 626-1159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3375 Burns Rd
Ste 203
Palm Beach Gardens, FL 33410
Phone (561) 626-1159
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHGDBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Palm Beach Gardens, FL
- NPI 1073578209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633564800000",
"number": "1790924835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 BURNS RD",
"address_2": "SUITE 203",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104349",
"telephone_number": "561-626-1159",
"fax_number": "561-626-5788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 BURNS RD STE 101",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334104352",
"telephone_number": "561-626-1159",
"fax_number": "561-275-7050"
}
],
"practiceLocations": [
{
"address_1": "3375 Burns Rd",
"address_2": "SUITE 203",
"address_purpose": "LOCATION",
"city": "Palm Beach Gardens",
"state": "FL",
"postal_code": "334104349",
"country_code": "US",
"telephone_number": "561-626-1159",
"fax_number": "561-626-5788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCED NEUROLOGY OF THE PALM BEACHES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-12",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "561-626-1159",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
- Brittany Adragna
- Advance Healing & Wellness Center
- Advanced Cardiovascular Consultants LLC
- Advanced Dental Care of Palm Beach Gardens
- Advanced Medical Support, Inc.
- Advanced Nursing Practice Inc.
- Advanced Ocean Rehab Inc
- Advanced Orthopedics & Spine Surgery LLC
- Advanced Orthopedics and Neurosurgery, LLC
- Advanced Orthopedics and Pain Management, P.L.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.