NPIMap

Organization Active NPI

Neuro Diagnostic Associates LLC

  • Family Medicine Physician
  • Fort Lee, NJ
National Provider Identifier
1336469105
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06381000 Issued in NJ
Legal business name
NEURO DIAGNOSTIC ASSOCIATES LLC
Practice address
1 Bridge PLZ N
Ste 275
Fort Lee, NJ 07024-7101
Phone
(866) 943-8682
Fax
(561) 470-0339
NPI assigned
Jun 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Mark Schwartz, D.O.
Title
President
Phone
(866) 943-8682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MB06381000 NJ Primary

Addresses

Primary practice location

1 Bridge PLZ N
Ste 275
Fort Lee, NJ 07024-7101

Mailing address

18945 Concerto Dr
Boca Raton, FL 33498-4870
Phone (866) 943-8682

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1336469105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18945 CONCERTO DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334984870",
            "telephone_number": "866-943-8682",
            "fax_number": "561-470-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE PLZ N",
            "address_2": "STE 275",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247101",
            "telephone_number": "866-943-8682",
            "fax_number": "561-470-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO DIAGNOSTIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-943-8682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06381000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.