Active NPI
Neurosurgical Care of New Jersey, P.a.
- Neurological Surgery Physician
- Montclair, NJ
National Provider Identifier
1669527073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 25MA04150100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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 DirectoryLocations
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.
-
- Specialist
- Montclair, NJ
- NPI 1316976772
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
- Neighbours-Inc
- Janet Quaintance Nelson, PHD
- Jordanne Nelson, MD
- Neuro Boost LLC
- Neurostim, LLC.
- New Allied Health Group LLC (Certified Home Healthcare)
- New Jersey Center for Restorative Breathing, LLC
- New Jersey CVS Pharmacy LLC (CVS Pharmacy 02535)
- New Jersey Plastic Surgery
- New Jersey/Pennsylvania Em-I Medical Services PC
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.