Individual provider Active NPI

Roger M Kurlan, M.D.

  • Neurology Physician
  • Springfield, NJ
National Provider Identifier
1487663159
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08661300 Issued in NJ
Practice address
195 Mountain Ave
Springfield, NJ 07081-1755
Phone
(973) 850-4622
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA08661300 NJ Primary

Addresses

Primary practice location

195 Mountain Ave
Springfield, NJ 07081-1755

Mailing address

195 Mountain Ave
Springfield, NJ 07081-1755
Phone (973) 850-4622

Other identifiers 1

IdentifierTypeStateIssuer
00766514MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091229000033 NJ Practitioner - Neurology 6709926603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08661300NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Neurodiagnostic Assoc PC Neurology CurrentSince Jul 1, 2019 Accepting new patients

Locations

2301 E Evesham Rd
Bldg 800
Voorhees, NJ 08043
Phone (856) 770-9300

2301 E Evesham Rd
Ste 209
Voorhees, NJ 08043
Phone (856) 651-0060

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1487663159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811755",
            "telephone_number": "973-850-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811755",
            "telephone_number": "973-850-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURLAN",
        "first_name": "ROGER",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08661300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00766514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.