Neurowave Profiles LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEUROWAVE PROFILES LLC

Practice address

590 Newark Ave
Jersey City, NJ 07306-2302

Phone

(201) 342-1205

Fax

(211) 342-1259

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Danilo Mangunay, MD

Title

President

Phone

(201) 342-1205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1104096445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076490441",
            "telephone_number": "201-342-1205",
            "fax_number": "201-342-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062302",
            "telephone_number": "201-342-1205",
            "fax_number": "211-342-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROWAVE PROFILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MANGUNAY",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-342-1205",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.