WILLNER AND ALWEISS PA (BERGEN NEUROLOGY CONSULTANTS) - NPI NUMBER 1275577066

Summary

Provider Name: WILLNER AND ALWEISS PA (BERGEN NEUROLOGY CONSULTANTS)

NPI Number: 1275577066

Clasification: Psychiatry & Neurology (2084N0400X)

Specialization: Neurology

Address:
25 ROCKWOOD PL
SUITE110
ENGLEWOOD, NJ
ZIP 07631

Phone Number: (201) 894-5805



Detailed Information

WILLNER AND ALWEISS PA is a neurologist in Englewood, NJ. The provider is 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. The assigned NPI number for this provider is 1275577066 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bergen Neurology Consultants.

The provider's business address is:

25 ROCKWOOD PL
SUITE110
ENGLEWOOD, NJ
ZIP 07631-957
Phone: (201) 894-5805
Fax: (201) 894-1956

The provider's authorized official is Joseph H Willner .
The authorized official title is President and has the following contact phone number (201) 894-5805.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 6/18/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 2084N0400X Psychiatry & Neurology Neurology Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 A8494 OTHER NJ RAILROAD MEDICARE
2 033183 MEDICARE ID-TYPE UNSPECIFIED NJ

NPI Record

No. Field Name Field Value
1 NPI 1275577066
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name WILLNER AND ALWEISS PA
5 Provider Other Organization Name BERGEN NEUROLOGY CONSULTANTS
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 25 ROCKWOOD PL
8 Provider Second Line Business Practice Location Address SUITE110
9 Provider Business Practice Location Address City Name ENGLEWOOD
10 Provider Business Practice Location Address State Name NJ
11 Provider Business Practice Location Address Postal Code 076314957
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 2018945805
14 Provider Business Practice Location Address Fax Number 2018941956
15 Provider Enumeration Date 6/15/2006
16 Last Update Date 6/18/2008
17 Authorized Official Last Name WILLNER
18 Authorized Official First Name JOSEPH
19 Authorized Official Middle Name H
20 Authorized Official Title or Position PRESIDENT
21 Authorized Official Telephone Number 2018945805
22 Healthcare Provider Taxonomy Code 1 2084N0400X
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Other Provider Identifier 1 A8494
25 Other Provider Identifier Type Code 1 01
26 Other Provider Identifier State 1 NJ
27 Other Provider Identifier Issuer 1 RAILROAD MEDICARE
28 Other Provider Identifier 2 033183
29 Other Provider Identifier Type Code 2 04
30 Other Provider Identifier State 2 NJ
31 Is Organization Subpart N
32 Authorized Official Credential Text MD
33 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.