New Jersey Pediatric Neurological Associates, PC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

25MA06780300 Issued in NJ

Legal business name

NEW JERSEY PEDIATRIC NEUROLOGICAL ASSOCIATES, PC

Practice address

131 Madison Ave
Suite 140
Morristown, NJ 07960-7360

Phone

(973) 326-9000

Fax

(973) 326-9001

NPI assigned

Mar 2, 2012

Organization subpart

Yes

Parent organization

NEW JERSEY PEDIATRIC NEUROSURGICALAs reported in NPPES

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

Authorized official

Name

Dr. Catherine A Mazzola, M.D.

Title

President & Ceo

Phone

(973) 326-9000

Specialties & licenses 1

Addresses

Part of

New Jersey Pediatric Neuro

Locations

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1548534993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE",
            "address_2": "SUITE 140",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-326-9000",
            "fax_number": "973-326-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE",
            "address_2": "SUITE 140",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-326-9000",
            "fax_number": "973-326-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PEDIATRIC NEUROLOGICAL ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW JERSEY PEDIATRIC NEUROSURGICAL",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "MAZZOLA",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "973-326-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA06780300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology with Special Qualifications in Child Neurology Physician in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.