Active NPI
Nancy L Mueller MD PA
- Neurology Physician
- Englewood Cliffs, NJ
National Provider Identifier
1508902883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA03634600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy L Mueller, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4781406 | Medicaid | NJ |
Other names 1
- Institute of Neurological Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Englewood Cliffs, NJ
- NPI 1124164959
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.