NPIMap

Organization Active NPI

Neurologique Foundation, Inc.

  • Clinic/Center
  • Coconut Creek, FL
National Provider Identifier
1790926897
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME95890 Issued in FL
Legal business name
NEUROLOGIQUE FOUNDATION, INC.
Practice address
4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355
Phone
(561) 571-1198
Fax
(754) 333-8264
NPI assigned
Mar 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Dr. Daniel Kantor, MDNPI 1881637858
Title
Medical Director
Phone
(561) 571-1198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME95890 FL Primary

Addresses

Primary practice location

4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355

Mailing address

4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355
Phone (561) 571-1198

National Provider Directory

National Provider Directory

Locations

6 Fairfield Blvd
Ste 11
Ponte Vedra Beach, FL 32082
Phone (904) 834-3007

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1790926897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD STE A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "561-571-1198",
            "fax_number": "754-333-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD STE A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "561-571-1198",
            "fax_number": "754-333-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIQUE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-571-1198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME95890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.