Edison Neurologic Associates

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

EDISON NEUROLOGIC ASSOCIATES

Practice address

34-36 Progress St
Suite B-3
Edison, NJ 08820-1197

Phone

(908) 757-6633

Fax

(908) 757-3912

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Lorraine Baranowski

Title

Office Manager

Phone

(908) 757-6633

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1295860773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST",
            "address_2": "SUITE B-3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-757-6633",
            "fax_number": "908-757-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-36 PROGRESS ST",
            "address_2": "SUITE B-3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201197",
            "telephone_number": "908-757-6633",
            "fax_number": "908-757-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON NEUROLOGIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "BARANOWSKI",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-757-6633"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edison Medical Health Care LLC
• Edison Medical Imaging
• Edison Medical Nutrition Center
• Edison Metuchen Orthopaedic Group PA
• Edison Nephrorlogy Consultants
• Edison Ophthalmology Associates L.L.C.
• Edison Optical Corporation
• Edison Optomeric
• Edison Orthopaedic Institute PA
• Edison Pain & Rehab Center LLC

• Neurology Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.