Organization Active NPI

Neurosurgical Care of New Jersey, P.a.

  • Neurological Surgery Physician
  • Montclair, NJ
National Provider Identifier
1669527073
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA04150100 Issued in NJ
Legal business name
NEUROSURGICAL CARE OF NEW JERSEY, P.A.
Practice address
96 Gates Ave
Montclair, NJ 07042-2511
Phone
(973) 744-3166
Fax
(973) 744-3199
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Dr. Roderick John Clemente, M.D.
Title
President
Phone
(973) 744-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 25MA04150100 NJ Primary

Addresses

Primary practice location

96 Gates Ave
Montclair, NJ 07042-2511

Mailing address

96 Gates Ave
Montclair, NJ 07042-2511
Phone (973) 744-3166

National Provider Directory

National Provider Directory

Locations

96 Gates Ave
Montclair, NJ 07042
Phone (973) 744-3166

Practitioners & affiliated clinicians

Practitioners 1

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1669527073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 GATES AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422511",
            "telephone_number": "973-744-3166",
            "fax_number": "973-744-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 GATES AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422511",
            "telephone_number": "973-744-3166",
            "fax_number": "973-744-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL CARE OF NEW JERSEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-744-3166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA04150100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.