Organization Active NPI

North Jersey Neurologic Associates

  • Neurology Physician
  • Wayne, NJ
National Provider Identifier
1649331679
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NORTH JERSEY NEUROLOGIC ASSOCIATES
Practice address
1680 Route 23 Ste 300
Wayne, NJ 07470-7520
Phone
(973) 942-4778
Fax
(973) 942-7020
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Dr. Eliot H. Chodosh, M.D.
Title
President
Phone
(973) 942-4778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1680 Route 23 Ste 300
Wayne, NJ 07470-7520

Mailing address

1680 Route 23 Ste 300
Wayne, NJ 07470-7520
Phone (973) 942-4778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726000047 NJ Part B Supplier - Clinic/Group Practice 7214917673 Receives reassigned benefits from 3 practitioners
Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

220 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 790-8090

220 Hamburg Tpke
Ste 16
Wayne, NJ 07470
Phone (973) 389-6090

1680 State Route 23
Ste 300
Wayne, NJ 07470
Phone (973) 782-6073

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1649331679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 300",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-942-4778",
            "fax_number": "973-942-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 300",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-942-4778",
            "fax_number": "973-942-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY NEUROLOGIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "CHODOSH",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-942-4778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.

Verify at the official NPI Registry.