Active NPI
Headache & Neurological Care Center of New Jersey
- Neurology Physician
- Freehold, NJ
National Provider Identifier
1194904714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA03139300
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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 DirectoryNPI 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.