Organization Active NPI

Neurology & Neurodiagnostic Consultants

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1952687832
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME58038 Issued in FL
Legal business name
NEUROLOGY & NEURODIAGNOSTIC CONSULTANTS
Practice address
2909 N Orange Avenue,
Suite 109
Orlando, FL 32804
Phone
(407) 228-0220
Fax
(407) 228-4668
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Lata Bansal
Title
M.D.
Phone
(407) 228-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME58038 FL Primary

Addresses

Primary practice location

2909 N Orange Avenue,
Suite 109
Orlando, FL 32804

Mailing address

2909 N. Orange Ave
#109
Orlando, FL 32804
Phone (407) 228-0220

National Provider Directory

National Provider Directory

Locations

2909 N Orange Ave
Ste 109
Orlando, FL 32804
Phone (407) 228-0220

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1952687832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 N. ORANGE AVE",
            "address_2": "#109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-228-0220",
            "fax_number": "407-228-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 N ORANGE AVENUE,",
            "address_2": "SUITE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32804",
            "telephone_number": "407-228-0220",
            "fax_number": "407-228-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY & NEURODIAGNOSTIC CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "LATA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "407-228-0220"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME58038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.