Organization Active NPI

Neurology, Neurodiagnostic & Pain Clinic

  • Neurology Physician
  • Monroe, NC
National Provider Identifier
1942214242
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY, NEURODIAGNOSTIC & PAIN CLINIC
Practice address
1414 Ellen St
Monroe, NC 28112-5173
Phone
(704) 283-8811
Fax
(704) 283-2980
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Chock Tsering, MD
Title
Doctor
Phone
(704) 283-8811

Specialties & licenses 1

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

Addresses

Primary practice location

1414 Ellen St
Monroe, NC 28112-5173

Mailing address

PO Box 734
Monroe, NC 28111-0734
Phone (704) 283-8811

Other identifiers 2

IdentifierTypeStateIssuer
DD4074OtherNCRAILROAD MEDICARE
89129YAMedicaidNC

National Provider Directory

National Provider Directory

Locations

1414 Ellen St
Monroe, NC 28112
Phone (704) 283-2942

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1942214242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281110734",
            "telephone_number": "704-283-8811",
            "fax_number": "704-283-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 ELLEN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125173",
            "telephone_number": "704-283-8811",
            "fax_number": "704-283-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY, NEURODIAGNOSTIC & PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "TSERING",
        "authorized_official_first_name": "CHOCK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "704-283-8811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4074",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129YA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.