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RTJ ENTERPRISE NEUROLOGY PLLC
NPI 1912754599
Psychiatry & Neurology - Neurology in Clifton Park, NY

Active since May 02, 2024
7 SOUTHSIDE DR STE 206, CLIFTON PARK, NY 12065(518) 709-0005(518) 980-4132 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rtj Enterprise Neurology Pllc NPPES

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

RTJ ENTERPRISE NEUROLOGY PLLC (NPI 1912754599), doing business as Brea Stroke Center, is a healthcare organization registered as a neurology in Clifton Park, New York and active in the NPI registry since May 2024. The organization lists Shellie Liebig, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1912754599
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameRTJ ENTERPRISE NEUROLOGY PLLC
Location Address7 SOUTHSIDE DR STE 206Clifton Park, NY 12065-3894
Mailing Address7 Southside Dr Ste 206Clifton Park, NY 12065-3894 · (518) 709-0005 · Fax (518) 980-4132
Phone(518) 709-0005
Fax(518) 980-4132
Organization SubpartYes
Authorized OfficialShellie LiebigPractice Manager · (518) 709-0005
Enumeration DateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1912754599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
7 SOUTHSIDE DR STE 206, Clifton Park, NY 12065
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Other Names 1

Doing Business AsBrea Stroke Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rtj Enterprise Neurology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rtj Enterprise Neurology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Jackson, MD
Neurology
NPI 1932427218
102 PARK ST GLENS FALLS HOSPITAL NEUROLOGY
Glens Falls, NY 12801
(518) 926-2940
✔ PECOS31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rtj Enterprise Neurology PLLC's NPI number?

The NPI number for Rtj Enterprise Neurology PLLC is 1912754599. It was assigned to this organization in the NPPES registry on May 2, 2024. The provider is doing business as BREA Stroke Center.

Where is Rtj Enterprise Neurology PLLC located?

Rtj Enterprise Neurology PLLC is located at 7 Southside Dr Ste 206, Clifton Park, NY 12065. The listed phone number is (518) 709-0005.

What is Rtj Enterprise Neurology PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Rtj Enterprise Neurology PLLC enrolled in Medicare?

Yes. Rtj Enterprise Neurology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rtj Enterprise Neurology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Rtj Enterprise Neurology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rtj Enterprise Neurology PLLC was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.