Jersey Shore Neurology Associates, P.a.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

JERSEY SHORE NEUROLOGY ASSOCIATES, P.A.

Practice address

1900 Corlies Ave
Neptune, NJ 07753-4800

Phone

(732) 775-2400

Fax

(732) 775-5673

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lynda L. Tebbs

Title

Office Manager

Phone

(732) 775-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John E. Fitzpatrick, M.D.

  • Neurology Physician
  • Neptune, NJ
  • NPI 1699740753
  Medicare reassignment Care Compare group
• Richard I Sultan, D.O.

  • Neurology Physician
  • Neptune, NJ
  • NPI 1295700359
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346294170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534800",
            "telephone_number": "732-775-2400",
            "fax_number": "732-775-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534800",
            "telephone_number": "732-775-2400",
            "fax_number": "732-775-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE NEUROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEBBS",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-775-2400",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "2880903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jersey Shore Anesthesiology Associates PA
• Jersey Shore Dental Center
• Jersey Shore Dental Group PA
• Jersey Shore Imaging, LLC
• Jersey Shore Monmouth County Associates
• Jersey Shore Psychiatric Associates, P.C.
• Jersey Shore Radiology Associates, P.a.
• Jersey Shore University Hospital
• Jersey Shore University Medical Center
• Jersey Shore University Medical Center

• Neurology Physician in Neptune, NJ
• Providers in Neptune, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.