Organization Active NPI

Jersey Neurosciences

  • Neurology Physician
  • Jersey City, NJ
National Provider Identifier
1346476256
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA67193 Issued in NJ
Legal business name
JERSEY NEUROSCIENCES
Practice address
550 Palisade Ave
Suite 303
Jersey City, NJ 07307-1410
Phone
(201) 918-2568
Fax
(201) 360-0453
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Musaid A Khan, MD
Title
Owner
Phone
(201) 918-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X MA67193 NJ Primary

Addresses

Primary practice location

550 Palisade Ave
Suite 303
Jersey City, NJ 07307-1410

Mailing address

PO Box 358
Colonia, NJ 07067-0358
Phone (201) 918-2568

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.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1346476256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070670358",
            "telephone_number": "201-918-2568",
            "fax_number": "201-360-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PALISADE AVE",
            "address_2": "SUITE 303",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071410",
            "telephone_number": "201-918-2568",
            "fax_number": "201-360-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY NEUROSCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUSAID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-918-2568",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA67193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.