Organization Active NPI

Rem Neuromonitoring Management LLC

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1881116648
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
REM NEUROMONITORING MANAGEMENT LLC
Practice address
19820 N 7TH Ave Ste 230T
Phoenix, AZ 85027-4785
Phone
(602) 369-8112
NPI assigned
Jul 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gregory B Maxon Maldonado
Title
Manager
Phone
(602) 369-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

19820 N 7TH Ave Ste 230T
Phoenix, AZ 85027-4785

Mailing address

19820 N 7TH Ave Ste 230T
Phoenix, AZ 85027-4785
Phone (602) 369-8112

National Provider Directory

National Provider Directory

Locations

19820 N 7th Ave
Ste 230T
Phoenix, AZ 85027
Phone (602) 369-8112

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881116648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE STE 230T",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274785",
            "telephone_number": "602-369-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 N 7TH AVE STE 230T",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274785",
            "telephone_number": "602-369-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM NEUROMONITORING MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAXON MALDONADO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-369-8112"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.