Paradigm Neurological Services, PC

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

132024 Issued in NY

Legal business name

PARADIGM NEUROLOGICAL SERVICES, PC

Practice address

21814 Northern Blvd
Suite 101
Bayside, NY 11361-3581

Phone

(718) 229-4868

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Charles H Bagley, MD

Title

Owner

Phone

(718) 229-4868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1881955086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21814 NORTHERN BLVD",
            "address_2": "SUITE 101",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613581",
            "telephone_number": "718-229-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21814 NORTHERN BLVD",
            "address_2": "SUITE 101",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613581",
            "telephone_number": "718-229-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM NEUROLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-229-4868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NY",
            "license": "132024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Psychiatry & Neurology) Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.