Organization Active NPI

Neurokin LLC

  • Neurology Physician
  • Westfield, NJ
National Provider Identifier
1689370488
Registry record updated Apr 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROKIN LLC
Practice address
560 Springfield Ave Ste I
Westfield, NJ 07090-1024
Phone
(908) 215-2331
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2023

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

Authorized official

Name
Karina Campos, APN
Title
Onwer/Nurse Practitioner
Phone
(908) 215-2331

Specialties & licenses 1

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

Addresses

Primary practice location

560 Springfield Ave Ste I
Westfield, NJ 07090-1024

Mailing address

560 Springfield Ave Ste I
Westfield, NJ 07090-1024
Phone (908) 215-2331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230426000079 NJ Part B Supplier - Clinic/Group Practice 3678938735 Practice locations: Westfield, NJ

National Provider Directory

National Provider Directory

Locations

560 Springfield Ave
Ste I
Westfield, NJ 07090
Phone (908) 215-2331

Interoperability endpoints

  • Direct secure messaging: neurokin@org113.direct.charmhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680998400000",
    "number": "1689370488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SPRINGFIELD AVE STE I",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901024",
            "telephone_number": "908-215-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SPRINGFIELD AVE STE I",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901024",
            "telephone_number": "908-215-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-04-09",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "ONWER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "908-215-2331",
        "authorized_official_credential": "APN"
    },
    "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 Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.