Neurology Institute of South Jersey PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MB06007200 Issued in NJ

Legal business name

NEUROLOGY INSTITUTE OF SOUTH JERSEY PA

Practice address

76 W Jimmie Leeds Rd
Ste 105
Galloway, NJ 08205-9411

Phone

(609) 748-6696

Fax

(609) 748-6693

NPI assigned

Oct 12, 2006

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Robert Boxman, D.O.NPI 1376548172

Title

President

Phone

(609) 748-6696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey R Boxman, D.O

  • Neurology Physician
  • Galloway, NJ
  • NPI 1376548172
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1184713240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WEST JIMMIE LEEDS ROAD",
            "address_2": "STE 105",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-748-6696",
            "fax_number": "609-748-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD",
            "address_2": "STE 105",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059411",
            "telephone_number": "609-748-6696",
            "fax_number": "609-748-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY INSTITUTE OF SOUTH JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "BOXMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-748-6696",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB06007200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tome Z Nascimento, MD
• Nasser E Borai MD LLC
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• Ayesha Nawas, BSN, RN
• Neurology Consultants of South Jersey, LLC
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 02853)
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 01033)
• Pamela Dimitrius Nichols
• Shelby Nilsen, LCSW
• NJ Certified Dermatology PC

• Specialist in Galloway, NJ
• Providers in Galloway, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.