Organization Active NPI

Neurodiagnostics Medical P.C.

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1972173334
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEURODIAGNOSTICS MEDICAL P.C.
Practice address
188 Montague St Ste 300
Brooklyn, NY 11201-3609
Phone
(516) 749-4678
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Dr. Ashwin Malhotra, M.D.NPI 1679936454
Title
Owner/President
Phone
(516) 749-4678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

188 Montague St Ste 300
Brooklyn, NY 11201-3609

Mailing address

20 Carol Dr
Englewood Cliffs, NJ 07632-2326

Other practice location 1

860 5th Ave
New York, NY 10065-5856
Phone (516) 749-4678

Other practice location 2

11 Ralph Pl Ste 217
Staten Island, NY 10304-4416
Phone (516) 749-4678

Other names 2

  • Brain Health Center Doing business as
  • Neuro Injury Care Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210712003484 NY Part B Supplier - Clinic/Group Practice 6305248477 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1972173334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CAROL DR",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 MONTAGUE ST STE 300",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013609",
            "telephone_number": "516-749-4678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100655856",
            "country_code": "US",
            "telephone_number": "516-749-4678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Ralph Pl Ste 217",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103044416",
            "country_code": "US",
            "telephone_number": "516-749-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURODIAGNOSTICS MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "ASHWIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-749-4678",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Brain Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neuro Injury Care Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.