Organization Active NPI

Dr. Miric Neurology Center

  • Neurology Physician
  • Denville, NJ
National Provider Identifier
1346417409
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08380900 Issued in NJ
Legal business name
DR. MIRIC NEUROLOGY CENTER
Practice address
35 W Main St
Suite 103
Denville, NJ 07834-2174
Phone
(973) 625-0588
Fax
(973) 625-0589
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Slobodan Miric, MD
Title
Owner
Phone
(973) 625-0588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 25MA08380900 NJ Primary

Addresses

Primary practice location

35 W Main St
Suite 103
Denville, NJ 07834-2174

Mailing address

35 W Main St
Suite 103
Denville, NJ 07834-2174
Phone (973) 625-0588

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1346417409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "address_2": "SUITE 103",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342174",
            "telephone_number": "973-625-0588",
            "fax_number": "973-625-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W MAIN ST",
            "address_2": "SUITE 103",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342174",
            "telephone_number": "973-625-0588",
            "fax_number": "973-625-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MIRIC NEUROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "MIRIC",
        "authorized_official_first_name": "SLOBODAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-625-0588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08380900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.