Organization 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
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Jan 26, 2022

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220615000279 NJ Part B Supplier - Clinic/Group Practice 2961881354 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Knolls, NJ

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.

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.

Verify at the official NPI Registry.