Provider Demographics
NPI:1073556148
Name:NEUROSURGICAL ASSOCIATES LTD.
Entity Type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAHIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-750-1400
Mailing Address - Street 1:1205 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:STE 210
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1219
Mailing Address - Country:US
Mailing Address - Phone:215-750-1400
Mailing Address - Fax:215-750-9034
Practice Address - Street 1:1205 LANGHORNE NEWTOWN RD
Practice Address - Street 2:STE 210
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1219
Practice Address - Country:US
Practice Address - Phone:215-750-1400
Practice Address - Fax:215-750-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018979E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0045170000OtherKEYSTONE HEALTH PLAN EAST
PA049008OtherHORIZON BLUE SHIELD
PA0045170000OtherINDEPENDENCE BLUE CROSS
PA0111463OtherAETNA
NJ049008OtherNJ BLUE CROSS
PAB41379Medicare UPIN
NJ049008OtherNJ BLUE CROSS