Active NPI
Michael M. Brand, M.D.,P.a.
- Neurology Physician
- Belleville, NJ
National Provider Identifier
1578710695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA22361
- Legal business name
- MICHAEL M. BRAND, M.D.,P.A.
- Practice address
- 5 Franklin Ave.
Suite 307
Belleville, NJ 07109 - Phone
- (973) 751-5644
- Fax
- (973) 751-5678
- NPI assigned
- Aug 20, 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
- Michael M. Brand, M.D
- Title
- Physician
- Phone
- (973) 751-5644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MA22361 | NJ | Primary |
Addresses
Primary practice location
5 Franklin Ave.
Suite 307
Belleville, NJ 07109
Mailing address
5 Franklin Ave.
Suite 307
Belleville, NJ 07109
Phone (973) 751-5644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2738201 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272844800000",
"number": "1578710695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FRANKLIN AVE.",
"address_2": "SUITE 307",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "07109",
"telephone_number": "973-751-5644",
"fax_number": "973-751-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FRANKLIN AVE.",
"address_2": "SUITE 307",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "07109",
"telephone_number": "973-751-5644",
"fax_number": "973-751-5678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL M. BRAND, M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2010-05-03",
"status": "A",
"authorized_official_last_name": "BRAND",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "973-751-5644",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "MA22361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2738201",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.