Active NPI
Jeffrey C Pollock, M.D.
- Neurology Physician
- Summit, NJ
National Provider Identifier
1508894619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA43289
- Practice address
- 47 Maple St
Suite 104
Summit, NJ 07901-2571 - Phone
- (908) 277-2722
- Fax
- (908) 273-5970
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MA43289 | NJ | Primary |
Addresses
Primary practice location
47 Maple St
Suite 104
Summit, NJ 07901-2571
Mailing address
47 Maple St
Ste 104
Summit, NJ 07901-2571
Phone (908) 277-2722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA43289 | NJ | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1508894619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MAPLE ST",
"address_2": "STE 104",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012571",
"telephone_number": "908-277-2722",
"fax_number": "908-273-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 MAPLE ST",
"address_2": "SUITE 104",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079012571",
"telephone_number": "908-277-2722",
"fax_number": "908-273-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "JEFFREY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "MA43289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.