Organization Active NPI

Integrative Neuromedical Associates LLC

  • Physical Medicine & Rehabilitation Physician
  • Freehold, NJ
National Provider Identifier
1720237423
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INTEGRATIVE NEUROMEDICAL ASSOCIATES LLC
Practice address
4251 US Highway 9
Freehold, NJ 07728-8303
Phone
(732) 683-1800
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Jidong Sun, MD
Title
Director
Phone
(732) 683-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

4251 US Highway 9
Freehold, NJ 07728-8303

Mailing address

4251 US Highway 9
Freehold, NJ 07728-8303
Phone (732) 683-1800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1720237423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 US HIGHWAY 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288303",
            "telephone_number": "732-683-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 US HIGHWAY 9",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288303",
            "telephone_number": "732-683-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE NEUROMEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "JIDONG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-683-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.