NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC (NPI# 1427101658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427101658 |
Entity Type | Organization |
Organization Name | NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC |
Other Organization Name | NEURODIAGNOSTIC TECHNOLOGIES |
Practice Address |
1895 Kingsley Ave Suite 1005 Orange Park FL 32073-4466 |
Mailing Address |
Po Box 1450 Orange Park FL 32067-1450 |
Practice Telephone | 9047375792 |
Practice Fax Number | 9047376541 |
Mailing Telephone | 9047375792 |
Mailing Fax Number | 9047376541 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2008-09-26 |
Authorized Official Name | MR. AURELIO A. MUZAURIETA JR. (PRESIDENT/TECHNICAL DIRECTOR) |
Authorized Official Telephone | 9047375792 |
Authorized Official Credential | B.A.,RVT, R NCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
Y | 293D00000X | Physiological Laboratory | HCC4403 | FL | Laboratories |
Other Name | Type Code |
---|---|
Neurodiagnostic Technologies | Doing Business As Name - Organization |
Street Address |
1895 KINGSLEY AVE SUITE 1005 |
City | ORANGE PARK |
State | FL |
Zip Code | 32073-4466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891786059 | Victor A Maquera | Psychiatry & Neurology | 1895 Kingsley Ave, Ste 903, Orange Park, FL 32073-4466 | 2005-11-04 |
1184171605 | Institute for Health Sports Spine Rehabilitation & Pain Manage | Pain Medicine | 1895 Kingsley Ave, Orange Park, FL 32073-4466 | 2016-09-01 |
1093174377 | Ackerman Cancer Center | Urology | 1895 Kingsley Ave, Suite 903, Orange Park, FL 32073-4466 | 2016-02-16 |
1497148225 | Dianne Larson | Registered Nurse | 1895 Kingsley Ave, Suite 903, Orange Park, FL 32073-4466 | 2015-03-18 |
1821404914 | Advanced Maxillofacial Surgical LLC | Dentist | 1895 Kingsley Ave, Suite 403, Orange Park, FL 32073-4466 | 2014-07-09 |
1326478033 | Neurocare Inc. | Clinic/Center | 1895 Kingsley Ave, Suite 901, Orange Park, FL 32073-4466 | 2013-11-15 |
1346513876 | Carlos L. Esquivia-munoz, M.d.p.a. | Orthopaedic Surgery | 1895 Kingsley Ave, Suite 701, Orange Park, FL 32073-4466 | 2012-02-14 |
1346409745 | Francis D Ong Md Pa | Plastic Surgery | 1895 Kingsley Ave, Suite 403, Orange Park, FL 32073-4466 | 2008-06-02 |
1174717276 | Thomas Lupoli | Allergy & Immunology | 1895 Kingsley Ave, Orange Park, FL 32073-4466 | 2007-08-31 |
1811041015 | Allergy & Asthma Specialists of North Florida Pa | Allergy & Immunology | 1895 Kingsley Ave, Suite 401, Orange Park, FL 32073-4466 | 2007-01-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
Find all providers in zip 32073 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093764508 | Diagnostic Health Corporation | Physiological Laboratory | 2128 Park Ave, Orange Park, FL 32073-5584 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285240192 | Ohi West Medical Group, LLC | Physiological Laboratory | 2201 Central Ave Ste 100, St Petersburg, FL 33713-8844 | 2020-09-17 |
1619446853 | Myvy Southwest Imaging LLC | Physiological Laboratory | 1160 Kane Concourse Ste 402, Bay Harbor Is, FL 33154-2059 | 2018-11-16 |
1366919961 | Richard Thomas Escobar | Physiological Laboratory | 2111 S Pine Ave Ste B, Ocala, FL 34471-8194 | 2018-11-01 |
1316398787 | Braincare, LLC | Physiological Laboratory | 12301 Lake Underhill Rd Ste 201, Orlando, FL 32828-4511 | 2016-06-28 |
1124486931 | R&r Medx Solutions LLC | Physiological Laboratory | 7144 Stirling Rd, Ste 185, Hollywood, FL 33024-1650 | 2016-02-08 |
1730568486 | My Diagnostic Team Inc | Physiological Laboratory | 3114 45th St, Suite 9, West Palm Beach, FL 33407-1945 | 2015-05-28 |
1508260399 | Douglas Lyons | Physiological Laboratory | 1250 Diana Ave, Naples, FL 34103-4567 | 2014-10-22 |
1275956005 | University of South Florida | Physiological Laboratory | 3702 Spectrum Blvd, Suite 165, Tampa, FL 33612-9444 | 2014-01-30 |
1891125936 | Portable Medical Diagnostics, Inc | Physiological Laboratory | 8080 Belvedere Rd Ste 6, West Palm Beach, FL 33411-6224 | 2013-11-26 |
1083950752 | Beachway Therapy Treatment Center LLC | Physiological Laboratory | 705 Bond Way Ste B, Delray Beach, FL 33483-5826 | 2012-12-27 |
Find all providers with the same taxonomy |
City | ORANGE PARK |
Zip Code | 32073 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.