Organization Active NPI

Keen Neurophysiology LLC

  • Specialist
  • Morristown, NJ
National Provider Identifier
1366206492
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KEEN NEUROPHYSIOLOGY LLC
Practice address
55 Madison Ave Ste 400
Morristown, NJ 07960-7397
Phone
(908) 900-4615
Fax
(908) 315-0469
NPI assigned
Feb 8, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Alexandra Carrer, MD
Title
Ceo
Phone
(908) 900-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

55 Madison Ave Ste 400
Morristown, NJ 07960-7397

Mailing address

55 Madison Ave Ste 400
Morristown, NJ 07960-7397
Phone (908) 315-0469

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1366206492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MADISON AVE STE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607397",
            "telephone_number": "908-315-0469",
            "fax_number": "908-900-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON AVE STE 400",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607397",
            "telephone_number": "908-900-4615",
            "fax_number": "908-315-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN NEUROPHYSIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRER",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-900-4589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.