Organization Active NPI

Nancy L Mueller MD PA

  • Neurology Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1508902883
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA03634600 Issued in NJ
Legal business name
NANCY L MUELLER MD PA
Practice address
610 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone
(201) 569-2282
Fax
(201) 569-6110
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Nancy L Mueller, MDNPI 1124164959
Title
President
Phone
(201) 569-2282

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 25MA03634600 NJ Primary

Addresses

Primary practice location

610 E Palisade Ave
Englewood Cliffs, NJ 07632

Mailing address

610 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 569-2282

Other identifiers 1

IdentifierTypeStateIssuer
4781406MedicaidNJ

Other names 1

  • Institute of Neurological Care Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060110001170 NJ Part B Supplier - Clinic/Group Practice 8426070574 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood Cliffs, NJ

National Provider Directory

National Provider Directory

Locations

610 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 567-5111

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1508902883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-569-2282",
            "fax_number": "201-569-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E PALISADE AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "07632",
            "telephone_number": "201-569-2282",
            "fax_number": "201-569-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY L MUELLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-569-2282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA03634600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4781406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute of Neurological Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.