Neurorays of New Jersey, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEURORAYS OF NEW JERSEY, P.C.

Practice address

25 Kilmer Dr
Suite 104
Morganville, NJ 07751-1564

Phone

(732) 851-7449

Fax

(732) 851-7454

NPI assigned

Nov 30, 2011

Last updated

Nov 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Neal M. Lisann, M.D.

Title

M.D.

Phone

(631) 648-8860

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1124395496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117790094",
            "telephone_number": "631-648-8860",
            "fax_number": "631-648-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KILMER DR",
            "address_2": "SUITE 104",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511564",
            "telephone_number": "732-851-7449",
            "fax_number": "732-851-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURORAYS OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "LISANN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "631-648-8860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Morganville, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.