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

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 Field Definition 1
1 NPI 1275577066 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name WILLNER AND ALWEISS PA The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name BERGEN NEUROLOGY CONSULTANTS Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 25 ROCKWOOD PL The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Second Line Business Practice Location Address SUITE110 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name ENGLEWOOD The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name NJ The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 076314957 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 2018945805 The telephone number associated with the location address of the provider being identified.
14 Provider Business Practice Location Address Fax Number 2018941956 The fax number associated with the location address of the provider being identified.
15 Provider Enumeration Date 6/15/2006 The date the provider was assigned a unique identifier (assigned an NPI).
16 Last Update Date 6/18/2008 The date that a record was last updated or changed.
17 Authorized Official Last Name WILLNER The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
18 Authorized Official First Name JOSEPH The first name of the authorized official.
19 Authorized Official Middle Name H The middle name of the authorized official.
20 Authorized Official Title or Position PRESIDENT The title or position of the authorized official.
21 Authorized Official Telephone Number 2018945805 The 10-position telephone number of the authorized official.
22 Healthcare Provider Taxonomy Code 1 2084N0400X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Other Provider Identifier 1 A8494 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier State 1 NJ
27 Other Provider Identifier Issuer 1 RAILROAD MEDICARE
28 Other Provider Identifier 2 033183 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier Type Code 2 04 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
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: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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