Active NPI
Epilepsy Institute of New Jersey, Inc
Doing business as The Epilepsy Institute of New Jersey, inc
- Neurological Surgery Physician
- Jersey City, NJ
National Provider Identifier
1174286819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- EPILEPSY INSTITUTE OF NEW JERSEY, INC
- Doing business as
- The Epilepsy Institute of New Jersey, inc
- Practice address
- 232 Pavonia Ave # 112
Jersey City, NJ 07302-1739 - Phone
- (718) 360-7534
- Fax
- (973) 718-3282
- NPI assigned
- Oct 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sonnie Daniels, MBA, MHA
- Title
- Office Manger
- Phone
- (718) 360-7534
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
232 Pavonia Ave # 112
Jersey City, NJ 07302-1739
Mailing address
232 Pavonia Ave # 112
Jersey City, NJ 07302-1739
Phone (718) 360-7534
Other names 1
- The Epilepsy Institute of New Jersey, inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1174286819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 PAVONIA AVE # 112",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073021739",
"telephone_number": "718-360-7534",
"fax_number": "973-718-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 PAVONIA AVE # 112",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073021739",
"telephone_number": "718-360-7534",
"fax_number": "973-718-3282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPILEPSY INSTITUTE OF NEW JERSEY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-19",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "SONNIE",
"authorized_official_title_or_position": "OFFICE MANGER",
"authorized_official_telephone_number": "718-360-7534",
"authorized_official_credential": "MBA, MHA"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Epilepsy Institute of New Jersey, inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Epilepsy Institute of New Jersey, inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.