Organization Active NPI

Headache & Neurological Care Center of New Jersey

  • Neurology Physician
  • Freehold, NJ
National Provider Identifier
1194904714
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA03139300 Issued in NJ
Legal business name
HEADACHE & NEUROLOGICAL CARE CENTER OF NEW JERSEY
Practice address
2 Paragon Way
Suite 400
Freehold, NJ 07728-7897
Phone
(732) 431-4323
Fax
(732) 431-4435
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Monte B Pellmar, MD
Title
Owner
Phone
(732) 431-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 25MA03139300 NJ Primary

Addresses

Primary practice location

2 Paragon Way
Suite 400
Freehold, NJ 07728-7897

Mailing address

2 Paragon Way
Suite 400
Freehold, NJ 07728-7897
Phone (732) 431-4323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1194904714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARAGON WAY",
            "address_2": "SUITE 400",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287897",
            "telephone_number": "732-431-4323",
            "fax_number": "732-431-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARAGON WAY",
            "address_2": "SUITE 400",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287897",
            "telephone_number": "732-431-4323",
            "fax_number": "732-431-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE & NEUROLOGICAL CARE CENTER OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "PELLMAR",
        "authorized_official_first_name": "MONTE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-431-4323",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA03139300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.