Comprehensive Neurology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA04107600 Issued in NJ

Legal business name

COMPREHENSIVE NEUROLOGY LLC

Practice address

1245 Whitehorse Mercerville Rd
Suite 415
Trenton, NJ 08619-3831

Phone

(609) 585-2666

Fax

(609) 581-9282

NPI assigned

Mar 16, 2010

Last updated

Aug 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rao S. Pasupuleti, MDNPI 1891893541

Title

President/Owner

Phone

(609) 585-2666

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• Rao S Pasupuleti, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Hamilton, NJ
  • NPI 1891893541
  Medicare reassignment Care Compare group Authorized official
• Lei Zhang, M.D.

  • Neurology Physician
  • Hamilton, NJ
  • NPI 1821149659
  Medicare reassignment Care Compare group
• Chirag S. Shukla, M.D.

  • Clinical Neurophysiology Physician
  • Hamilton, NJ
  • NPI 1164520854
  NPD (past)

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1811211105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 415",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-585-2666",
            "fax_number": "609-581-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 415",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086193831",
            "telephone_number": "609-585-2666",
            "fax_number": "609-581-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "PASUPULETI",
        "authorized_official_first_name": "RAO",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "609-585-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04107600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035319",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "511110DAP",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "082058AKH",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139910",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.

Verify at the official NPI Registry.