Shore Neurology, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA04195700 Issued in NJ

Legal business name

SHORE NEUROLOGY, P.A.

Practice address

633 Rte 37 W
Toms River, NJ 08755-8007

Phone

(732) 240-4787

Fax

(732) 240-3114

NPI assigned

May 1, 2006

Last updated

Jul 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pandurang R Miskin, MDNPI 1154371250

Title

President

Phone

(732) 240-4787

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

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.

• Pandurang R Miskin, MD

  • Neurology Physician
  • Toms River, NJ
  • NPI 1154371250
  Authorized official Same address or phone
• Aly Cohen, MD

  • Rheumatology Physician
  • Monroe, NJ
  • NPI 1346294188
  NPD (past)
• Tejas P Deliwala, M.D.

  • Specialist
  • Toms River, NJ
  • NPI 1881647188
  NPD (past)
• Rajat K Dhar, MD

  • Rheumatology Physician
  • Glendale, AZ
  • NPI 1023073277
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1780642827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558007",
            "telephone_number": "732-240-4787",
            "fax_number": "732-240-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 RTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558007",
            "telephone_number": "732-240-4787",
            "fax_number": "732-240-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "MISKIN",
        "authorized_official_first_name": "PANDURANG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-240-4787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04195700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3144402",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0038295",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "D02228",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shore Hyperbaric Limited Liability Company
• Shore Internists LLC
• Shore Medical Associates PA
• Shore Medical Specialists
• Shore Mental Healthcare, LLC
• Shore Neurology, PA
• Shore Optical
• Shore Orthodontics PA
• Shore Orthodontics, PA (New Jersey Dental Sleep Solutions)
• Shore Pointe Chiropractic P a

• Specialist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.