Organization Active NPI

Big Apple Neurology PA

  • Neurology Physician
  • Jersey City, NJ
National Provider Identifier
1386084952
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA09124400 Issued in NJ
Legal business name
BIG APPLE NEUROLOGY PA
Practice address
1810 John F Kennedy Blvd
Jersey City, NJ 07305-2107
Phone
(201) 451-0400
Fax
(201) 451-0411
NPI assigned
Jun 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. Dan Lucian Dumitru, MD
Title
Ceo/President
Phone
(201) 451-0400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X 25MA09124400 NJ
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 25MA09124400 NJ Primary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X 25MA09124400 NJ
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X 25MA09124400 NJ

Addresses

Primary practice location

1810 John F Kennedy Blvd
Jersey City, NJ 07305-2107

Mailing address

1810 Kennedy Blvd
Jersey City, NJ 07305
Phone (201) 451-0400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1386084952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07305",
            "telephone_number": "201-451-0400",
            "fax_number": "201-451-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052107",
            "telephone_number": "201-451-0400",
            "fax_number": "201-451-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG APPLE NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "DUMITRU",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "LUCIAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "201-451-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "NJ",
            "license": "25MA09124400",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA09124400",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NJ",
            "license": "25MA09124400",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NJ",
            "license": "25MA09124400",
            "primary": false
        }
    ],
    "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 Aug 20, 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.