Active NPI
Neurology Center of Philadelphia Inc
- Neurological Surgery Physician
- Bristol, PA
National Provider Identifier
1831496694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEUROLOGY CENTER OF PHILADELPHIA INC
- Practice address
- 501 Bath Rd Ste 201
Bristol, PA 19007-3101 - Phone
- (215) 870-2551
- NPI assigned
- Feb 14, 2011
- 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
- Dr. Mikhail Shamayev, M.D., PH.D
- Title
- Owner
- Phone
- (215) 870-2551
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
501 Bath Rd Ste 201
Bristol, PA 19007-3101
Mailing address
2401 Hoffnagle St Apt A204
Philadelphia, PA 19152-2554
Phone (215) 870-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Neuro Ctr of Philadelphia
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurology Physician
- Philadelphia, PA
- NPI 1164727277
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
- Philadelphia, PA
- NPI 1932399144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584921600000",
"number": "1831496694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 HOFFNAGLE ST APT A204",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522554",
"telephone_number": "215-870-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BATH RD STE 201",
"city": "BRISTOL",
"state": "PA",
"postal_code": "190073101",
"telephone_number": "215-870-2551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY CENTER OF PHILADELPHIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-14",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A",
"authorized_official_last_name": "SHAMAYEV",
"authorized_official_first_name": "MIKHAIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-870-2551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., PH.D"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.