Organization Active NPI

Neurology Group of North Jersey PA

  • Neurology Physician
  • Clifton, NJ
National Provider Identifier
1063407674
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY GROUP OF NORTH JERSEY PA
Practice address
905 Allwood Rd
Suite 105
Clifton, NJ 07012-1946
Phone
(973) 471-3680
Fax
(973) 471-6360
NPI assigned
Sep 20, 2005
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Stanley Joel Knep, MDNPI 1518952803
Title
President
Phone
(973) 471-3680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

905 Allwood Rd
Suite 105
Clifton, NJ 07012-1946

Mailing address

905 Allwood Rd
Suite 105
Clifton, NJ 07012-1946
Phone (973) 471-3680

Other identifiers 1

IdentifierTypeStateIssuer
2675901MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1063407674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD",
            "address_2": "SUITE 105",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121946",
            "telephone_number": "973-471-3680",
            "fax_number": "973-471-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 ALLWOOD RD",
            "address_2": "SUITE 105",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121946",
            "telephone_number": "973-471-3680",
            "fax_number": "973-471-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY GROUP OF NORTH JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "KNEP",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-471-3680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

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