Active NPI
Northeast Neurosurgical Associates
- Neurological Surgery Physician
- Union, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 25MA08517100
- Legal business name
- NORTHEAST NEUROSURGICAL ASSOCIATES
- Practice address
- 1057 Commerce Ave
Union, NJ 07083-5025 - Phone
- (908) 688-8800
- Fax
- (908) 688-2377
- NPI assigned
- Mar 23, 2015
- Organization subpart
- Yes
- Parent organization
- IGEA BRAIN & SPINE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Poulad, M.D.
- Title
- President
- Phone
- (908) 688-8800
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 25MA08517100 | NJ | Primary |
Addresses
Primary practice location
1057 Commerce Ave
Union, NJ 07083-5025
Mailing address
1057 Commerce Ave
Union, NJ 07083-5025
Phone (908) 688-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0198838 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Part of
- Igea Brain Spinepa
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
905 Allwood Rd
Ste 105
Clifton, NJ 07012
Phone (973) 471-3680
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Neurological Surgery Physician
- Union, NJ
- NPI 1710103288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Union, NJ
- NPI 1184695090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1497149082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 COMMERCE AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835025",
"telephone_number": "908-688-8800",
"fax_number": "908-688-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 COMMERCE AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835025",
"telephone_number": "908-688-8800",
"fax_number": "908-688-2377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST NEUROSURGICAL ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IGEA BRAIN & SPINE",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "POULAD",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-688-8800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "NJ",
"license": "25MA08517100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0198838",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.