Organization Active NPI

Axioneuro of NJ LLC

  • Brain Injury Medicine (Psychiatry & Neurology) Physician
  • Long Branch, NJ
National Provider Identifier
1275415499
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P0301X
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

Updated by the provider on Jul 21, 2025

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)CodeLicenseStatePrimary
Brain Injury Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as
  • AXIONEURO LLC Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.