Organization Active NPI

Brian Abaluck, LLC

  • Neurology Physician
  • Paoli, PA
National Provider Identifier
1962834077
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD4455233 Issued in PA
Legal business name
BRIAN ABALUCK, LLC
Practice address
2 Industrial Blvd Ste 100
Paoli, PA 19301-1645
Phone
(484) 565-1358
Fax
(484) 565-1312
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Brian K Abaluck, MD
Title
Ceo
Phone
(484) 565-1358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD4455233 PA Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X MD4455233 PA

Addresses

Primary practice location

2 Industrial Blvd Ste 100
Paoli, PA 19301-1645

Mailing address

2 Industrial Blvd Ste 100
Paoli, PA 19301-1645
Phone (484) 565-1358

National Provider Directory

National Provider Directory

Locations

462 E King Rd
Ste 1
Malvern, PA 19355
Phone (484) 888-0091

3855 West Chester Pike
Ste 215
Newtown Square, PA 19073
Phone (484) 565-1358

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1962834077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD STE 100",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011645",
            "telephone_number": "484-565-1358",
            "fax_number": "484-565-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD STE 100",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011645",
            "telephone_number": "484-565-1358",
            "fax_number": "484-565-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN ABALUCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "ABALUCK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-565-1358",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD4455233",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "PA",
            "license": "MD4455233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.