Organization Active NPI

Premier Neurology and Pain Management LLC

  • Specialist
  • Egg Harbor Township, NJ
National Provider Identifier
1659551984
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA07825500 Issued in NJ
Legal business name
PREMIER NEUROLOGY AND PAIN MANAGEMENT LLC
Practice address
3069 English Creek Ave Ste 203
Egg Harbor Township, NJ 08234-9708
Phone
(609) 377-8516
Fax
(609) 377-8520
NPI assigned
Nov 3, 2007
Last updated
May 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Syed A Jaffery, MDNPI 1235153685
Title
Owner
Phone
(609) 377-8516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA07825500 NJ Primary

Addresses

Primary practice location

3069 English Creek Ave Ste 203
Egg Harbor Township, NJ 08234-9708

Mailing address

3069 English Creek Ave Ste 203
Egg Harbor Township, NJ 08234-9708
Phone (609) 377-8516

National Provider Directory

National Provider Directory

Locations

3069 English Creek Ave
Ste 203
Egg Hbr Twp, NJ 08234
Phone (609) 377-8516

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": "1194048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1659551984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE STE 203",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-377-8516",
            "fax_number": "609-377-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE STE 203",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-377-8516",
            "fax_number": "609-377-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NEUROLOGY AND PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-03",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "JAFFERY",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-377-8516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07825500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.