NPIMap

Organization Active NPI

Greater New Jersey Neuromonitoring LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Bel Air, MD
National Provider Identifier
1821202748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
GREATER NEW JERSEY NEUROMONITORING LLC
Practice address
5 Village CT
Bel Air, MD 21014-4013
Phone
(410) 322-8105
Fax
(410) 879-3015
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mitchell Emanuel Grupp
Title
Administrative Director
Phone
(410) 322-8105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

5 Village CT
Bel Air, MD 21014-4013

Mailing address

5 Village CT
Bel Air, MD 21014-4013
Phone (410) 322-8105

National Provider Directory

National Provider Directory
Tax ID family
Greater New Jersey Neuromonitoring LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821202748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 VILLAGE CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144013",
            "telephone_number": "410-322-8105",
            "fax_number": "410-879-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 VILLAGE CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144013",
            "telephone_number": "410-322-8105",
            "fax_number": "410-879-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW JERSEY NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUPP",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "410-322-8105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.