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NEURO DYNAMICS PENN
NPI 1649745803
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Philadelphia, PA

Active since October 03, 2018
100 N 18TH ST, STE 300, PHILADELPHIA, PA 19103(918) 770-9333(918) 213-4888 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2019, Nov 5, 2018, Oct 18, 2018 and 1 more (4 updates tracked since 2018).

About Neuro Dynamics Penn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEURO DYNAMICS PENN (NPI 1649745803) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Philadelphia, Pennsylvania and active in the NPI registry since October 2018. The organization lists Jay L Krottinger, Coo, as its authorized official.

NPPES Registry Identity

NPI1649745803
Entity TypeOrganization
Primary Taxonomy335V00000X
Legal Business NameNEURO DYNAMICS PENN
Location Address100 N 18TH ST, STE 300Philadelphia, PA 19103
Mailing AddressPo Box 1430, Lockbox #5120Jenks, OK 74034-1430 · (918) 932-2734 · Fax (918) 932-2734
Phone(918) 770-9333
Fax(918) 213-4888
Organization SubpartNo
Authorized OfficialJay L KrottingerCoo · (918) 932-2734
Enumeration DateOctober 3, 2018
Last NPPES UpdateJanuary 9, 20194 updates tracked since enumeration
✔ NPI 1649745803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
Taxonomy Code335V00000X
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
100 N 18TH ST, Philadelphia, PA 19103
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. OLUWATUMININU CONRAD TYNDALL
Behavior Technician
100 N 18TH ST, SUITE 400
PHILADELPHIA, PA 19103
Philadelphia County (888) 922-2843
ANGENA MOMBRUN LPC
Counselor (Professional)
100 N 18TH ST
PHILADELPHIA, PA 19103
Philadelphia County (484) 450-6598
CARE365 SERVICE COORDINATOR, INC
Case Management
100 N 18TH ST, 300
PHILADELPHIA, PA 19103
Philadelphia County (267) 397-3505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neuro Dynamics Penn's NPI number?

The NPI number for Neuro Dynamics Penn is 1649745803. It was assigned to this organization in the NPPES registry on October 3, 2018.

Where is Neuro Dynamics Penn located?

Neuro Dynamics Penn is located at 100 N 18th St Ste 300, Philadelphia, PA 19103. The listed phone number is (918) 770-9333.

What is Neuro Dynamics Penn's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Neuro Dynamics Penn was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.