Organization Active NPI

The Neuroscience Center of Northern New Jersey , PA

  • Neurology Physician
  • Morristown, NJ
National Provider Identifier
1265432595
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
THE NEUROSCIENCE CENTER OF NORTHERN NEW JERSEY , PA
Practice address
310 Madison Ave
Morristown, NJ 07960-6909
Phone
(973) 285-1446
Fax
(973) 605-8854
NPI assigned
Jul 28, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Mark Diamond, M.D.NPI 1073514113
Title
President
Phone
(973) 285-1446

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)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NJ Primary

Addresses

Primary practice location

310 Madison Ave
Morristown, NJ 07960-6909

Mailing address

310 Madison Ave
Suite 120
Morristown, NJ 07960-6909
Phone (973) 285-1446

Other identifiers 2

IdentifierTypeStateIssuer
CC8184OtherGARR MEDICARE
6967205MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031203000349 NJ Part B Supplier - Clinic/Group Practice 9739084799 Receives reassigned benefits from 7 practitioners
Practice locations: Morristown, NJ

National Provider Directory

National Provider Directory

Locations

310 Madison Ave
Ste 120
Morristown, NJ 07960
Phone (973) 285-1446

95 Madison Ave
Ste B03
Morristown, NJ 07960
Phone (973) 285-1446

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61626

Practitioners & affiliated clinicians

Practitioners 7

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": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265432595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "address_2": "SUITE 120",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606909",
            "telephone_number": "973-285-1446",
            "fax_number": "973-605-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606909",
            "telephone_number": "973-285-1446",
            "fax_number": "973-605-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROSCIENCE CENTER OF NORTHERN NEW JERSEY , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-285-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC8184",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6967205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.