10TH AVE MEDICAL ASSOCIATES, LLC — NPI 1497066914 (Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) in LAKE WORTH, FL)

CMS-1500 Box 24J / 33a • NPI

1497066914

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2084P0802X (CMS 86)

Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)

Box 32 Service Location & ZIP+4

3185 BOUTWELL RD, LAKE WORTH, FL, 33461-2610

✓ 9-Digit EDI 837 ZIP+4 (33461-2610)

Practice Phone & Referral Fax

(561) 533-0074

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497066914 (10TH AVE MEDICAL ASSOCIATES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1497066914` (NPI-2 Organization / Facility)
Provider / Legal Name	10TH AVE MEDICAL ASSOCIATES, LLC
Plain-English Specialty	Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) NUCC Code: `2084P0802X` (Psychiatry & Neurology, Addiction Psychiatry)
Certifying / Licensing Body	American Board of Psychiatry and Neurology (ABPN)
Practice Location Address	3185 BOUTWELL RD, LAKE WORTH, FL, 33461-2610
Practice Telephone / Fax	Tel: (561) 533-0074
Administrative Mailing Address	PO BOX 7240, JUPITER, FL, 33468-7240
Enumeration & Last Sync	Enumerated: 2010-06-30 \| CMS Record Updated: 2012-10-15
Authorized Official	KAREN BARLOW (PRESIDENT JUPITER PROF DEVELOPMENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3185 BOUTWELL RD, LAKE WORTH, FL, 33461-2610

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Plain-English Taxonomy & CMS Crosswalk (2084P0802X)

What Does Taxonomy Code 2084P0802X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2084P0802X translates to:
"Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 86 (Physician/Neuropsychiatry)
Certifying / Accrediting Authority: American Board of Psychiatry and Neurology (ABPN)
Clinical Scope: Stroke recovery, chronic or severe migraines, seizures, numbness/tingling in hands or feet (neuropathy), tremors, memory loss, or suspected CSF leak.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (10TH AVE MEDICAL ASSOCIATES, LLC)

Typical CPT / Diagnostic Procedures:

Electroencephalography (EEG — CPT 95816) for Seizure & Epilepsy Evaluation
Electromyography (EMG) & Nerve Conduction Studies (NCS)
Lumbar Puncture & Cerebrospinal Fluid (CSF) Pressure/Analysis
Acute Ischemic Stroke NIHSS Assessment & Neuroimaging Review

Common Therapeutic Classes:

CGRP Antagonists & Triptans (Sumatriptan, Rizatriptan) for Migraine
Antiepileptic Drugs (Levetiracetam, Lamotrigine, Valproate)
Levodopa/Carbidopa (Parkinson's Disease) & Gabapentin/Pregabalin (Neuropathy)
Antiplatelet & Secondary Stroke Prevention Regimens

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2084P0802X` — Psychiatry & Neurology, Addiction Psychiatry Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: FL \| License: `ME83014` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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10TH AVE MEDICAL ASSOCIATES, LLC (NPI #1497066914)