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NEUROLOGY SPECIALISTS OF MONMOUTH COUNTY NJ PA NPI 1992768220


NPI Information

NPI: 1992768220
Provider Name: NEUROLOGY SPECIALISTS OF MONMOUTH COUNTY NJ PA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 31D2079643

Address:
107 MONMOUTH RD
WEST LONG BRANCH, NJ
ZIP 07764
Phone: (732) 935-1850
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NEUROLOGY SPECIALISTS OF MONMOUTH COUNTY NJ PA is a neurology psychiatry neurology in West Long Branch, 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. NEUROLOGY SPECIALISTS OF MONMOUTH COUNTY NJ PA NPI is 1992768220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 MONMOUTH RD
WEST LONG BRANCH, NJ
ZIP 07764
Phone: (732) 935-1850
Fax: (732) 544-0494

The provider's authorized official is Joshua Mendelson .
The authorized official title is Managing Partner and has the following contact phone number (732) 935-1850.

The CLIA number assigned to this NPI record is 31D2079643 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2006 and was last updated on 4/27/2022.


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
12084N0400XPsychiatry & NeurologyNeurologyYes

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: 5/5/2024

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