NPIMap

Organization Active NPI

Vertebral Neurodiagnostic Associates LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Elkridge, MD
National Provider Identifier
1861939068
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
VERTEBRAL NEURODIAGNOSTIC ASSOCIATES LLC
Practice address
7820 Paragon Cir Apt 113
Elkridge, MD 21075-6546
Phone
(443) 472-0497
NPI assigned
Jan 25, 2017
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Mr. Asif Sattar, MD, CNIMNPI 1295272888
Title
C.E.O
Phone
(443) 472-0497

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
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

7820 Paragon Cir Apt 113
Elkridge, MD 21075-6546

Mailing address

7820 Paragon Cir Apt 113
Elkridge, MD 21075-6546
Phone (443) 472-0497

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181003001057 MD Part B Supplier - Clinic/Group Practice 8123370194 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1861939068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 PARAGON CIR APT 113",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756546",
            "telephone_number": "443-472-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 PARAGON CIR APT 113",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756546",
            "telephone_number": "443-472-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTEBRAL NEURODIAGNOSTIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "SATTAR",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "443-472-0497",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.