Active NPI
Neurology Pain Treatment, P.C.
- Specialist
- Fair Lawn, NJ
National Provider Identifier
1578596540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA64399
- Legal business name
- NEUROLOGY PAIN TREATMENT, P.C.
- Practice address
- 24-20 Broadway
Fair Lawn, NJ 07410-3057 - Phone
- (201) 797-8333
- Fax
- (201) 791-4877
- NPI assigned
- Jul 10, 2006
- Last updated
- May 24, 2008
- 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
- Dr. Boris Leybel, M.D.
- Title
- President
- Phone
- (201) 797-8333
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA64399 | NJ | Primary |
Addresses
Primary practice location
24-20 Broadway
Fair Lawn, NJ 07410-3057
Mailing address
15 Cedarwood LN
Saddle River, NJ 07458-2604
Phone (201) 797-8333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1 Broadway
Ste 402
Elmwood Park, NJ 07407
Phone (201) 797-8333
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211587200000",
"number": "1578596540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CEDARWOOD LN",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074582604",
"telephone_number": "201-797-8333",
"fax_number": "201-791-4877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24-20 BROADWAY",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074103057",
"telephone_number": "201-797-8333",
"fax_number": "201-791-4877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY PAIN TREATMENT, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2008-05-24",
"status": "A",
"authorized_official_last_name": "LEYBEL",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-797-8333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA64399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
- Vivek Natarajan
- Natasha G Baron
- Tenzin Kunsal Nelung
- Jennifer Regina Nero, LCSW
- Marni M Neuburger, LCSW
- New Jersey Adult Medical Day Care, Inc.
- New Jersey Associates in Medicine, PA
- New Jersey Back Institute
- New Jersey CVS Pharmacy LLC (CVS Pharmacy 00251)
- New Jersey CVS Pharmacy LLC (CVS Pharmacy 05427)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2008; 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.