Organization Active NPI

Neurology Clinic of Jacksonville LLC

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1821472341
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY CLINIC OF JACKSONVILLE LLC
Practice address
9838 Old Baymeadows Rd
Ste 377
Jacksonville, FL 32256-8101
Phone
(904) 570-4444
Fax
(512) 233-5299
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Dr. Rajul Parikh, M.D.NPI 1417098930
Title
Owner
Phone
(512) 296-4126

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

9838 Old Baymeadows Rd
Ste 377
Jacksonville, FL 32256-8101

Mailing address

9838 Old Baymeadows Rd
Ste 377
Jacksonville, FL 32256-8101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151112002964 FL Part B Supplier - Clinic/Group Practice 0042520538 Receives reassigned benefits from 4 practitioners
Practice locations: Orange Park, FL; Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

5251 Emerson St
Ste A
Jacksonville, FL 32207

1555 Kingsley Ave
Ste 302
Orange Park, FL 32073
Phone (904) 579-2265

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCFCAD

Practitioners & affiliated clinicians

Practitioners 4

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": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1821472341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 OLD BAYMEADOWS RD",
            "address_2": "STE 377",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568101",
            "fax_number": "512-233-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9838 OLD BAYMEADOWS RD",
            "address_2": "STE 377",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568101",
            "telephone_number": "904-570-4444",
            "fax_number": "512-233-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CLINIC OF JACKSONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "RAJUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-296-4126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.