Organization Active NPI

Neuroalliance LLC

  • Neurology Physician
  • Secaucus, NJ
National Provider Identifier
1407612773
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROALLIANCE LLC
Practice address
255 Route 3 Ste 202a
Secaucus, NJ 07094-3857
Phone
(617) 459-2825
NPI assigned
Feb 26, 2024
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Kiandokht Keyhanian, MDNPI 1508398546
Title
Neurologist
Phone
(617) 459-2825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

255 Route 3 Ste 202a
Secaucus, NJ 07094-3857

Mailing address

170 Prospect Ave Apt 12F
Hackensack, NJ 07601-1862
Phone (617) 459-2825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106002650 NJ Part B Supplier - Clinic/Group Practice 3870021785 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

255 Route 3
Ste 202A
Secaucus, NJ 07094
Phone (617) 459-2825

7000 Hadley Rd
Ste 1180
South Plainfield, NJ 07080

1044 Route 23
Wayne, NJ 07470
Phone (973) 633-9898

1044 Route 23
Ste 101
Wayne, NJ 07470
Phone (201) 359-4618

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1407612773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PROSPECT AVE APT 12F",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011862",
            "telephone_number": "617-459-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROUTE 3 STE 202A",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943857",
            "telephone_number": "617-459-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "KEYHANIAN",
        "authorized_official_first_name": "KIANDOKHT",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "617-459-2825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.

Verify at the official NPI Registry.