St Augustine Neurology PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME97839 Issued in FL

Legal business name

ST AUGUSTINE NEUROLOGY PA

Practice address

208 Southpark Cir E
St Augustine, FL 32086-5135

Phone

(904) 824-2201

Fax

(904) 824-2353

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jueyang WeiNPI 1346249455

Title

President and Ceo

Phone

(904) 824-2201

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jueyang Wei, MD, PHD

  • Neurology Physician
  • St Augustine, FL
  • NPI 1346249455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1871611749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "SUITE 220",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865793",
            "telephone_number": "904-824-2201",
            "fax_number": "904-824-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SOUTHPARK CIR E",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865135",
            "telephone_number": "904-824-2201",
            "fax_number": "904-824-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AUGUSTINE NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "WEI",
        "authorized_official_first_name": "JUEYANG",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "904-824-2201",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME97839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR JUEYANG WEI, MD",
            "identifier": "1346249455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Augustine Cardiology LLC
• St Augustine Endoscopy Center LLC
• St Augustine FL Opco LLC
• St Augustine FL Opco LLC
• St Augustine Medical Equipment LLC
• St Augustine Oral & Facial Surgical Center PA
• St Augustine Physical Medicine
• St Augustine Physicians Associates Inc
• St Augustine Physicians Associates Inc.
• St Augustine Primary Care P L

• Medical Specialty Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.