Active NPI
United Neuro Diagnostic Services, LLC
- Electroneurodiagnostic Specialist/Technologist
- Wayne, NJ
National Provider Identifier
1356082374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- UNITED NEURO DIAGNOSTIC SERVICES, LLC
- Practice address
- 401 Hamburg Tpke Ste 205
Wayne, NJ 07470-2139 - Phone
- (973) 633-0070
- Fax
- (973) 633-0706
- NPI assigned
- Apr 5, 2022
- Last updated
- Aug 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teejan Wojohk, ABRET
- Title
- Director Chief Technologist
- Phone
- (973) 633-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
401 Hamburg Tpke Ste 205
Wayne, NJ 07470-2139
Mailing address
401 Hamburg Tpke Ste 205
Wayne, NJ 07470-2139
Phone (973) 633-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235426347 | Other | NJ | DR DANI KORYA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dciavarella@unitedneuro.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221011000079 | NJ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4587040845 | Practice locations: Wayne, NJ |
National Provider Directory
National Provider DirectoryLocations
401 Hamburg Tpke
Ste 205
Wayne, NJ 07470
Phone (201) 996-3205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Hackensack, NJ
- NPI 1144277211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1356082374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 HAMBURG TPKE STE 205",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702139",
"telephone_number": "973-633-0070",
"fax_number": "973-633-0706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HAMBURG TPKE STE 205",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702139",
"telephone_number": "973-633-0070",
"fax_number": "973-633-0706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED NEURO DIAGNOSTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-05",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "WOJOHK",
"authorized_official_first_name": "TEEJAN",
"authorized_official_title_or_position": "DIRECTOR CHIEF TECHNOLOGIST",
"authorized_official_telephone_number": "973-633-0700",
"authorized_official_credential": "ABRET"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR DANI KORYA",
"identifier": "1235426347",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dciavarella@unitedneuro.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "401 Hamburg Turnpike",
"address_2": "Suite 205",
"city": "Wayne",
"state": "NJ",
"country_code": "US",
"postal_code": "07470",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.