Organization Active NPI

Epilepsy and Neurology Group, LLC

  • Neurology Physician
  • Freehold, NJ
National Provider Identifier
1447554001
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08078600 Issued in NJ
Legal business name
EPILEPSY AND NEUROLOGY GROUP, LLC
Practice address
901 W Main St
Suite 260, Cn5050
Freehold, NJ 07728-2537
Phone
(732) 414-8585
Fax
(732) 875-0509
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Dr. Megdad Zaatreh, M.DNPI 1285719591
Title
Director
Phone
(732) 407-6555

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: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 25MA08078600 NJ Primary

Addresses

Primary practice location

901 W Main St
Suite 260, Cn5050
Freehold, NJ 07728-2537

Mailing address

9 Delaware Dr
East Brunswick, NJ 08816-3256
Phone (732) 414-8585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000574 NJ Part B Supplier - Clinic/Group Practice 8224212907 Receives reassigned benefits from 1 practitioner
Practice locations: Freehold, NJ; Sewell, NJ

National Provider Directory

National Provider Directory

Locations

614 Cranbury Rd
Unit 479
East Brunswick, NJ 08816

901 W Main St
Ste 260
Freehold, NJ 07728
Phone (732) 851-4700

432 Ganttown Rd
Ste 102
Sewell, NJ 08080
Phone (856) 582-0470

803 Liberty Pl
Sicklerville, NJ 08081
Phone (856) 875-0123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1447554001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DELAWARE DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163256",
            "telephone_number": "732-414-8585",
            "fax_number": "732-875-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "SUITE 260, CN5050",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-414-8585",
            "fax_number": "732-875-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPILEPSY AND NEUROLOGY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "ZAATREH",
        "authorized_official_first_name": "MEGDAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-407-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08078600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.