Neurology Associates of Northern NJ PC
Organization Active NPI Specialist · Keyport, NJ
NPI 1154600302 · NPPES record last updated Aug 5, 2011
Key facts
- NPI
- 1154600302
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 25MA08576600 (NJ)
- Legal business name
- NEUROLOGY ASSOCIATES OF NORTHERN NJ PC
- Practice address
- 39 W Front St
Keyport, NJ 07735-1209 - Phone
- (732) 264-2224
- NPI assigned
- Aug 5, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Gary S Miller, M.D.
- Title
- Owner
- Phone
- (760) 322-5124
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 25MA08576600 | NJ | Yes |
Addresses
Primary practice location
39 W Front St
Keyport, NJ 07735-1209
Mailing address
39 W Front St
Keyport, NJ 07735-1209
Phone (732) 264-2224
Other providers in Keyport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.