Active NPI
Axioneuro of NJ LLC
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Long Branch, NJ
National Provider Identifier
1275415499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Psychiatry & Neurology) Physician
- Legal business name
- AXIONEURO OF NJ LLC
- Practice address
- 23 Emmons St # 207
Long Branch, NJ 07740-6004 - Phone
- (732) 996-7999
- NPI assigned
- Jul 21, 2025
- 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
- Mourad Kattan
- Title
- President
- Phone
- (732) 996-7999
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
23 Emmons St # 207
Long Branch, NJ 07740-6004
Mailing address
23 Emmons St # 207
Long Branch, NJ 07740-6004
Phone (732) 996-7999
Other names 2
- NEUROSPINE DX
- AXIONEURO LLC
National Provider Directory
National Provider DirectoryLocations
23 Emmons St
#207
Long Branch, NJ 07740
Phone (732) 996-7999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753056000000",
"number": "1275415499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 EMMONS ST # 207",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406004",
"telephone_number": "732-996-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 EMMONS ST # 207",
"city": "LONG BRANCH",
"state": "NJ",
"postal_code": "077406004",
"telephone_number": "732-996-7999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXIONEURO OF NJ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-21",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A",
"authorized_official_last_name": "KATTAN",
"authorized_official_first_name": "MOURAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-996-7999"
},
"taxonomies": [
{
"code": "2084P0301X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Brain Injury Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEUROSPINE DX",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AXIONEURO LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Branch, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.