Provider Demographics
NPI:1700771730
Name:NEUROCRITICAL CARE ASSOCIATES
Entity type:Organization
Organization Name:NEUROCRITICAL CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ITAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-286-8169
Mailing Address - Street 1:1900 SUPERIOR AVE E STE 327
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2148
Mailing Address - Country:US
Mailing Address - Phone:216-644-0951
Mailing Address - Fax:
Practice Address - Street 1:1900 SUPERIOR AVE E, STE 327
Practice Address - Street 2:ATTN: B DANE OR ITAY KESHET MD
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114
Practice Address - Country:US
Practice Address - Phone:216-644-0951
Practice Address - Fax:216-644-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical CareGroup - Single Specialty
No305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06941840Medicaid