Organization Active NPI

Neurology Institute of Melbourne PA

  • Neurology Physician
  • Melbourne, FL
National Provider Identifier
1871546689
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME80168 Issued in FL
Legal business name
NEUROLOGY INSTITUTE OF MELBOURNE PA
Practice address
116 Silver Palm Ave
Melbourne, FL 32901-3172
Phone
(321) 725-6999
Fax
(321) 725-6981
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Dr. Richard Mahlon Unger Jr., M.D.NPI 1730155961
Title
Owner/Physician
Phone
(321) 725-6999

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 ME80168 FL Primary

Addresses

Primary practice location

116 Silver Palm Ave
Melbourne, FL 32901-3172

Mailing address

PO Box 459
Melbourne, FL 32902-0459
Phone (321) 725-6999

Other identifiers 2

IdentifierTypeStateIssuer
259417000MedicaidFL
35458OtherFLBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060207000566 FL Part B Supplier - Clinic/Group Practice 0143235598 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

116 Silver Palm Ave
Melbourne, FL 32901
Phone (321) 725-6999

Practitioners & affiliated clinicians

Practitioners 1

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1871546689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329020459",
            "telephone_number": "321-725-6999",
            "fax_number": "321-725-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 SILVER PALM AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013172",
            "telephone_number": "321-725-6999",
            "fax_number": "321-725-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY INSTITUTE OF MELBOURNE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "UNGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MAHLON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "321-725-6999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME80168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259417000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "35458",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.