Active NPI
Highlands Electrodiagnostics
- Physical Medicine & Rehabilitation Physician
- Highlands, NJ
National Provider Identifier
1194038695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 25MAO4340200
- Legal business name
- HIGHLANDS ELECTRODIAGNOSTICS
- Practice address
- 95 Portland Rd
Highlands, NJ 07732-1955 - Phone
- (973) 751-8454
- Fax
- (973) 751-0071
- NPI assigned
- Jul 26, 2010
- Last updated
- Jul 26, 2010
- 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
- Dr. Frederick D Gangemi, MD
- Title
- Owner
- Phone
- (973) 751-8454
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 25MAO4340200 | NJ | Primary |
Addresses
Primary practice location
95 Portland Rd
Highlands, NJ 07732-1955
Mailing address
95 Portland Rd
Highlands, NJ 07732-1955
Phone (973) 751-8454
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, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Belleville, NJ
- NPI 1356446108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280102400000",
"number": "1194038695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 PORTLAND RD",
"city": "HIGHLANDS",
"state": "NJ",
"postal_code": "077321955",
"telephone_number": "973-751-8454",
"fax_number": "973-751-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 PORTLAND RD",
"city": "HIGHLANDS",
"state": "NJ",
"postal_code": "077321955",
"telephone_number": "973-751-8454",
"fax_number": "973-751-0071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS ELECTRODIAGNOSTICS",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A",
"authorized_official_last_name": "GANGEMI",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-751-8454",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "25MAO4340200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highlands, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.