Organization Active NPI

Neurocare Consultants Inc

  • Specialist
  • Jupiter, FL
National Provider Identifier
1851588958
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0050280 Issued in FL
Legal business name
NEUROCARE CONSULTANTS INC
Practice address
601 University Blvd
Suite 205
Jupiter, FL 33458-2788
Phone
(561) 624-0702
Fax
(561) 624-0773
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Sonia M Canaves Nunez, MDNPI 1437184843
Title
President
Phone
(561) 624-0702

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME0050280 FL Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME84122 FL

Addresses

Primary practice location

601 University Blvd
Suite 205
Jupiter, FL 33458-2788

Mailing address

PO Box 33225
Palm Beach Gardens, FL 33420-3225
Phone (561) 624-0702

Other identifiers 3

IdentifierTypeStateIssuer
05739OtherFLBCBS
4122062OtherFLAETNA
0581875OtherFLUNITED HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110831000518 FL Part B Supplier - Clinic/Group Practice 0143490078 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

601 University Blvd
Ste 205
Jupiter, FL 33458
Phone (561) 624-0702

Practitioners & affiliated clinicians

Practitioners 2

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1851588958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33225",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334203225",
            "telephone_number": "561-624-0702",
            "fax_number": "561-624-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-624-0702",
            "fax_number": "561-624-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "CANAVES NUNEZ",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-624-0702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050280",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME84122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05739",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4122062",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0581875",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.