Organization Active NPI

Neurology Associates LLC

  • Neurology Physician
  • Appleton, WI
National Provider Identifier
1851607170
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
33613 Issued in WI
Legal business name
NEUROLOGY ASSOCIATES LLC
Practice address
2500 E Enterprise Ave
Suite E
Appleton, WI 54913-8557
Phone
(920) 968-5057
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Authorized official

Name
Dr. Dominic T Cardelli, M.D.
Title
President
Phone
(920) 968-5057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 33613 WI Primary

Addresses

Primary practice location

2500 E Enterprise Ave
Suite E
Appleton, WI 54913-8557

Mailing address

2500 E Enterprise Ave
Suite E
Appleton, WI 54913-8557
Phone (920) 968-5057

National Provider Directory

National Provider Directory

Locations

2500 E Enterprise Ave
Ste E
Appleton, WI 54913
Phone (920) 968-5057

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1851607170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E ENTERPRISE AVE",
            "address_2": "SUITE E",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138557",
            "telephone_number": "920-968-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E ENTERPRISE AVE",
            "address_2": "SUITE E",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138557",
            "telephone_number": "920-968-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "CARDELLI",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-968-5057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "33613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.