Neurology Mobile System Associates,Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEUROLOGY MOBILE SYSTEM ASSOCIATES,INC

Practice address

10661 SW 88TH St Ste 104
Miami, FL 33176-1593

Phone

(305) 270-7771

Fax

(305) 270-7775

NPI assigned

Mar 3, 2011

Last updated

Sep 30, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

NEUROLOGY MOBILE SYSTEM ASSOCIATES,INCAs reported in NPPES

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

Authorized official

Name

Sergio Sacchettoni

Title

Owner

Phone

(305) 270-7771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Neurology Mobile System Associates Inc

  • Specialist
  • Miami, FL
  • NPI 1316929557

  6406837467

  Same PAC ID

Part of

Neurology Mobile System Associates Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Neurology Mobile System Associates Inc

  • Specialist
  • Miami, FL
  • NPI 1316929557
  NPPES parent name

Practitioners 3

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.

• Raul Enrique Carballosa, M.D.

  • Neurology Physician
  • Boca Raton, FL
  • NPI 1992728448
  Medicare reassignment NPD
• Lliliam Cordero, ARNP-BC

  • Nurse Practitioner
  • Miami, FL
  • NPI 1124853437
  Medicare reassignment NPD
• Steven Adam Burack, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Boca Raton, FL
  • NPI 1639220064
  NPD (past)

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1871891655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10661 SW 88TH ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761593",
            "telephone_number": "305-270-7771",
            "fax_number": "305-270-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 SW 88TH ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761593",
            "telephone_number": "305-270-7771",
            "fax_number": "305-270-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY MOBILE SYSTEM ASSOCIATES,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROLOGY MOBILE SYSTEM ASSOCIATES,INC",
        "enumeration_date": "2011-03-03",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "SACCHETTONI",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-270-7771"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurologic Center of South Florida Inc
• Neurological Studies Reading Inc
• Neurology and Wellness Center, Inc
• Neurology Diagnosis Applied Solutions, Inc.
• Neurology Mobile System Associates Inc
• Neuroloogicial Neurosurgical Pain Management Center Inc
• Neuromuscular Physical Therapy, Inc
• Neuromuscular Rehabilitation Center, Inc
• Neuromuscular Therapy of South Florida, Inc.
• Neuropsychological Institue, P.a.

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.