Organization Active NPI

Cnmri PA

  • Neurology Physician
  • Dover, DE
National Provider Identifier
1932454618
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CNMRI PA
Practice address
1095 S Bradford St
Dover, DE 19904-4141
Phone
(302) 678-8100
NPI assigned
Jul 18, 2012
Organization subpart
Yes
Parent organization
CNMRI PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Tammy Rust
Title
Billing Clerk
Phone
(302) 346-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1095 S Bradford St
Dover, DE 19904-4141

Mailing address

1074 S State St
Dover, DE 19901-6925
Phone (302) 678-8100

National Provider Directory

National Provider Directory
Tax ID family
Central Delaware Neurol2 organizations share this tax ID, including this one
Part of
Central Delaware Neurol

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1074 S State St
Dover, DE 19901
Phone (302) 678-8100

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1932454618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016925",
            "telephone_number": "302-678-8100",
            "fax_number": "302-346-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044141",
            "telephone_number": "302-678-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNMRI PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CNMRI PA",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "302-346-2491"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.