Organization Active NPI

Atlantic Premier Neurology Inc

  • Neurology Physician
  • Shrewsbury, NJ
National Provider Identifier
1184405698
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
ATLANTIC PREMIER NEUROLOGY INC
Practice address
160 Avenue at the CMN Ste 1
Shrewsbury, NJ 07702-4570
Phone
(848) 226-5595
Fax
(866) 493-2616
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Dr. Francis Bernard Ponce, MDNPI 1912963323
Title
Owner
Phone
(848) 226-5595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

160 Avenue at the CMN Ste 1
Shrewsbury, NJ 07702-4570

Mailing address

215 North St Ste D
Elkton, MD 21921-5505

Other practice location 1

5 Round Hl
Holmdel, NJ 07733-1935
Phone (732) 829-7881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419002131 NJ Part B Supplier - Clinic/Group Practice 5799124921 Receives reassigned benefits from 1 practitioner
Practice locations: Shrewsbury, NJ

National Provider Directory

National Provider Directory

Locations

215 North St
Ste D
Elkton, MD 21921
Phone (410) 398-4222

160 Avenue At the Cmn
Ste 1
Shrewsbury, NJ 07702
Phone (848) 226-5595

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1184405698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NORTH ST STE D",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 AVENUE AT THE CMN STE 1",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024570",
            "telephone_number": "848-226-5595",
            "fax_number": "866-493-2616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Round Hl",
            "address_purpose": "LOCATION",
            "city": "Holmdel",
            "state": "NJ",
            "postal_code": "077331935",
            "country_code": "US",
            "telephone_number": "732-829-7881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC PREMIER NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-226-5595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.