Washinton TWP Neurology Associates, PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MA07368500 Issued in NJ

Legal business name

WASHINTON TWP NEUROLOGY ASSOCIATES, PC

Practice address

Ganttown Professional Plaza
438 Ganttown Road, Suite B-3
Sewell, NJ 08080

Phone

(856) 256-2600

Fax

(856) 256-2516

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pravin B. Vasoya, M.D.

Title

Chairman

Phone

(856) 256-2600

Specialties & licenses 1

Addresses

Other names 1

• WASHINGTON TOWNSHIP NEUROLOGY ASSOCIATES, PC Other name

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053447995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GANTTOWN PROFESSIONAL PLAZA",
            "address_2": "438 GANTTOWN ROAD, SUITE B-3",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-256-2600",
            "fax_number": "856-256-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GANTTOWN PROFESSIONAL PLAZA",
            "address_2": "438 GANTTOWN ROAD, SUITE B-3",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-256-2600",
            "fax_number": "856-256-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINTON TWP NEUROLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VASOYA",
        "authorized_official_first_name": "PRAVIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "856-256-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA07368500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTON TOWNSHIP NEUROLOGY ASSOCIATES, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Washington TWP Dental Assoc, P.a.
• Wedgewood Family Practice Assoc P a
• Jenna Ruth Weidman, MD
• Howard M Weinberg, DO
• Danielle Weiss, MS, LAC, NCC
• Thomas Peter Weiss, PT, DPT

• Medical Specialty Clinic/Center in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.