Active NPI
Pediatric Neurosurgeons of New Jersey, PC
- Neurological Surgery Physician
- Maywood, NJ
National Provider Identifier
1194509356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- PEDIATRIC NEUROSURGEONS OF NEW JERSEY, PC
- Practice address
- 13 Essex St Ste 204
Maywood, NJ 07607-1806 - Phone
- (551) 777-8118
- Fax
- (551) 310-0615
- NPI assigned
- Aug 21, 2023
- Last updated
- Aug 21, 2023
- 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. Timothy W Vogel, MD
- Title
- President
- Phone
- (201) 525-8701
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
13 Essex St Ste 204
Maywood, NJ 07607-1806
Mailing address
134 Orangeburgh Rd
Old Tappan, NJ 07675-7499
Phone (551) 777-8118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1117 US Highway 46
Ste 202
Clifton, NJ 07013
Phone (973) 778-8728
Practitioners & 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1194509356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 ORANGEBURGH RD",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757499",
"telephone_number": "551-777-8118",
"fax_number": "551-310-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 ESSEX ST STE 204",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071806",
"telephone_number": "551-777-8118",
"fax_number": "551-310-0615"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC NEUROSURGEONS OF NEW JERSEY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "VOGEL",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-525-8701",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.