Michael J Denner MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MA41786 Issued in NJ

Legal business name

MICHAEL J DENNER MD PA

Practice address

17 W Red Bank Ave
Ste 204
Woodbury, NJ 08096

Phone

(856) 853-1133

Fax

(856) 845-5405

NPI assigned

Oct 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lucy A Azzarano

Title

Office Manager

Phone

(856) 853-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1043499825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W RED BANK AVE",
            "address_2": "STE 204",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-853-1133",
            "fax_number": "856-845-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W RED BANK AVE",
            "address_2": "STE 204",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "08096",
            "telephone_number": "856-853-1133",
            "fax_number": "856-845-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J DENNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "AZZARANO",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-853-1133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA41786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3229505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anila Mehta, M.D.
• Samantha Lee Mendelson, LAC
• Christopher Joseph Metzgier, ATC
• Alexandra Miceli, Ma, MFT, MA, MFT
• Michael Bronstein, D.M.D., P.a.
• Michael Vanaria, DMD, PC
• Joseph R. Michel, M.D.
• Joseph Mike, M.D.
• Lachell Miller, MS, RDN, CC
• Shayla Miller

• Neurology Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.