NPIMap

Organization Active NPI

Advance Neuro

  • Neurology Physician
  • Toms River, NJ
National Provider Identifier
1407157803
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA06969800 Issued in NJ
Legal business name
ADVANCE NEURO
Practice address
20 Hospital Dr Ste 9
Toms River, NJ 08755-6434
Phone
(732) 557-6330
Fax
(732) 349-1690
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Cristian Enescu, MD
Title
Neurologist
Phone
(732) 557-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 25MA06969800 NJ Primary

Addresses

Primary practice location

20 Hospital Dr Ste 9
Toms River, NJ 08755-6434

Mailing address

15 Red Hawk Rd N
Colts Neck, NJ 07722-2013
Phone (732) 557-6330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1407157803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RED HAWK RD N",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222013",
            "telephone_number": "732-557-6330",
            "fax_number": "732-349-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR STE 9",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-557-6330",
            "fax_number": "732-349-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE NEURO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "ENESCU",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "732-557-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA06969800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.