Active NPI
Neurological Institute of Northern New Jersey
- Neurology Physician
- Livingston, NJ
National Provider Identifier
1487059978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 272570-1
- Legal business name
- NEUROLOGICAL INSTITUTE OF NORTHERN NEW JERSEY
- Practice address
- 340 E Northfield Rd Ste 1B
Livingston, NJ 07039-4892 - Phone
- (973) 974-9946
- Fax
- (973) 500-4411
- NPI assigned
- Oct 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guha Venkatraman, M.D.
- Title
- President
- Phone
- (973) 255-8920
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 272570-1 | NY | Primary |
Addresses
Primary practice location
340 E Northfield Rd Ste 1B
Livingston, NJ 07039-4892
Mailing address
340 E Northfield Rd Ste 1B
Livingston, NJ 07039-4892
Phone (973) 974-9946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
340 E Northfield Rd
Ste 1B
Livingston, NJ 07039
Phone (201) 994-0880
340 E Northfield Rd
Livingston, NJ 07039
Phone (973) 992-1811
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Livingston, NJ
- NPI 1356517593
-
- Gerontology Nurse Practitioner
- Livingston, NJ
- NPI 1366995128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681689600000",
"number": "1487059978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E NORTHFIELD RD STE 1B",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394892",
"telephone_number": "973-974-9946",
"fax_number": "973-500-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E NORTHFIELD RD STE 1B",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394892",
"telephone_number": "973-974-9946",
"fax_number": "973-500-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGICAL INSTITUTE OF NORTHERN NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-27",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A",
"authorized_official_last_name": "VENKATRAMAN",
"authorized_official_first_name": "GUHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-255-8920",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "272570-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
- Daniel Benjamin Nejat, DMD
- Darwin Christopher Nelson, DO
- Michael Lawrence Nemlick, M.D.
- Debra Ann Neretich, RN, APN
- Neurobehavioral Associates, LLC
- Neurology and Neurodiagnostics, PA
- Emily Anne Nevola, PT, DPT
- New Ability Associates
- New Jersey Aesthetic Plastic Surgery, P.a.
- New Jersey Center for Cardiovascular Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.