NEUROLOGY CONSULTANTS OF SOUTH JERSEY LLC NPI 1780722314

NPI Information

  • NPI: 1780722314
  • Provider Name: NEUROLOGY CONSULTANTS OF SOUTH JERSEY, LLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 76 W JIMMIE LEEDS RD
    SUITE 503
    GALLOWAY, NJ
    ZIP 08205
  • Phone: (609) 748-7820

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NPI Details

NEUROLOGY CONSULTANTS OF SOUTH JERSEY, LLC is a clinical neurophysiology psychiatry neurology in Galloway, NJ. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). NEUROLOGY CONSULTANTS OF SOUTH JERSEY, LLC NPI is 1780722314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

76 W JIMMIE LEEDS RD
SUITE 503
GALLOWAY, NJ
ZIP 08205-411
Phone: (609) 748-7820
Fax: (609) 748-7825

The provider's authorized official is Iman Shawki Youssef .
The authorized official title is Member and has the following contact phone number (609) 653-1024.

The enumeration date for this NPI number is 2/4/2007 and was last updated on 8/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
12084N0600XPsychiatry & NeurologyClinical Neurophysiology25MA07153100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H21583MEDICARE UPINNEW JERSEY
2050748MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
38649308MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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