NPIMap

Organization Active NPI

Crescent Coast Neurology, L.L.C.

  • Neurology Physician
  • Rockledge, FL
National Provider Identifier
1902522782
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CRESCENT COAST NEUROLOGY, L.L.C.
Practice address
1910 Rockledge Blvd Ste 101
Rockledge, FL 32955-3751
Phone
(321) 636-8366
Fax
(321) 636-3985
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Ahsan Zaki Niazi, M.D.
Title
Sole Member
Phone
(321) 636-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1910 Rockledge Blvd Ste 101
Rockledge, FL 32955-3751

Mailing address

1910 Rockledge Blvd Ste 101
Rockledge, FL 32955-3751
Phone (321) 636-8366

National Provider Directory

National Provider Directory

Locations

1910 Rockledge Blvd
Ste 101
Rockledge, FL 32955
Phone (321) 636-8366

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1902522782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROCKLEDGE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553751",
            "telephone_number": "321-636-8366",
            "fax_number": "321-636-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROCKLEDGE BLVD STE 101",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553751",
            "telephone_number": "321-636-8366",
            "fax_number": "321-636-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT COAST NEUROLOGY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "NIAZI",
        "authorized_official_first_name": "AHSAN",
        "authorized_official_middle_name": "ZAKI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "321-636-8366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.