Organization Active NPI

Child Neurology Associates, P.a.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Wall Township, NJ
National Provider Identifier
1174689244
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
25MA05888500 Issued in NJ
Legal business name
CHILD NEUROLOGY ASSOCIATES, P.A.
Practice address
3350 State Route 138
BLDG. 1, Suite 117
Wall Township, NJ 07719-9693
Phone
(732) 556-0200
Fax
(732) 556-0008
NPI assigned
Dec 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Barabas, M.D.
Title
Vice President
Phone
(732) 556-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X 25MA05888500 NJ Primary

Addresses

Primary practice location

3350 State Route 138
BLDG. 1, Suite 117
Wall Township, NJ 07719-9693

Mailing address

3350 State Route 138
BLDG. 1, Suite 117
Wall Township, NJ 07719-9693
Phone (732) 556-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174689244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 STATE ROUTE 138",
            "address_2": "BLDG. 1, SUITE 117",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199693",
            "telephone_number": "732-556-0200",
            "fax_number": "732-556-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 STATE ROUTE 138",
            "address_2": "BLDG. 1, SUITE 117",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199693",
            "telephone_number": "732-556-0200",
            "fax_number": "732-556-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD NEUROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARABAS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "732-556-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA05888500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.