NPIMap

Organization Active NPI

Eagle U.S. Neurology, P.C.

  • Neurology Physician
  • Woodcliff Lake, NJ
National Provider Identifier
1275665739
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
202303 Issued in NY
Legal business name
EAGLE U.S. NEUROLOGY, P.C.
Practice address
23 Fairview Ave
Woodcliff Lake, NJ 07677-7934
Phone
(201) 522-0646
NPI assigned
Mar 11, 2007
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Mirza Beg, M.D.NPI 1225064322
Title
President
Phone
(201) 522-0646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 202303 NY Primary

Addresses

Primary practice location

23 Fairview Ave
Woodcliff Lake, NJ 07677-7934

Mailing address

23 Fairview Ave
Woodcliff Lake, NJ 07677-7934
Phone (201) 522-0646

Other identifiers 2

IdentifierTypeStateIssuer
01679309MedicaidNY
202303OtherWORKERS COMP

Other names 1

  • U.S. Neurology P.C Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1275665739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FAIRVIEW AVE",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777934",
            "telephone_number": "201-522-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 FAIRVIEW AVE",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777934",
            "telephone_number": "201-522-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE U.S. NEUROLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "BEG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-522-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "202303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01679309",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "202303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Neurology P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodcliff Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.