Active NPI
Daniel Neissany
- Specialist
- Carteret, NJ
National Provider Identifier
1609060946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40QA01254900
- Practice address
- 1175 Roosevelt Ave
Carteret, NJ 07008-1536 - Phone
- (732) 541-2233
- Fax
- (732) 541-2234
- NPI assigned
- Aug 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA01254900 | NJ | Primary |
Addresses
Primary practice location
1175 Roosevelt Ave
Carteret, NJ 07008-1536
Mailing address
41 W 33Rd St
Bayonne, NJ 07002-3907
Phone (201) 315-0915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00435904 | Other | NJ | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01254900 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1609060946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 W 33RD ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023907",
"telephone_number": "201-315-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 ROOSEVELT AVE",
"city": "CARTERET",
"state": "NJ",
"postal_code": "070081536",
"telephone_number": "732-541-2233",
"fax_number": "732-541-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEISSANY",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "40QA01254900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00435904",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carteret, NJ
Sources for this page
- 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.