NJ Neurosurgical

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

170107 Issued in NY

Legal business name

NJ NEUROSURGICAL

Practice address

1373 Broad Street
Suite 310
Clifton, NJ 07013

Phone

(845) 896-9200

NPI assigned

May 27, 2016

Last updated

May 31, 2016By 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

Merri Silverman

Title

Office Manager

Phone

(845) 896-9200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1790133072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAFAYETTE COURT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-896-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 BROAD STREET",
            "address_2": "SUITE 310",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "845-896-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ NEUROSURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "MERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-896-9200"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "170107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY NPI",
            "identifier": "1518957182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NJ Group Radiology LLC
• NJ Independent Internal Medicine (BerkelMD)
• NJ Independent Internal Medicine, PC
• NJ Institute of Minimal Invasive Surgery LLC
• NJ Medical Supplies LLC
• NJ Pain & Spine PC
• NJ Pain and Veins PA
• NJ Pediatricians, LLC
• NJ Premier Heart LLC
• NJ Premier Medical Care

• Neurological Surgery Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Neurological Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.