Organization Active NPI

NJ Ama LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Montville, NJ
National Provider Identifier
1821206632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
25MA04449000 Issued in NJ
Legal business name
NJ AMA LLC
Practice address
170 Changebridge Rd
Suite C2
Montville, NJ 07045-9115
Phone
(973) 575-5540
Fax
(973) 575-4885
NPI assigned
May 18, 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
Dr. Arnold I Pallay, M.D
Title
Owener
Phone
(973) 575-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X 25MA04449000 NJ Primary

Addresses

Primary practice location

170 Changebridge Rd
Suite C2
Montville, NJ 07045-9115

Mailing address

40 Londonberry Dr
Holmdel, NJ 07733-3103
Phone (908) 309-7866

National Provider Directory

National Provider Directory

Locations

170 Changebridge Rd
Bldg C2
Montville, NJ 07045
Phone (973) 575-5540

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821206632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LONDONBERRY DR",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077333103",
            "telephone_number": "908-309-7866",
            "fax_number": "732-671-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CHANGEBRIDGE RD",
            "address_2": "SUITE C2",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459115",
            "telephone_number": "973-575-5540",
            "fax_number": "973-575-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ AMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALLAY",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "973-575-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NJ",
            "license": "25MA04449000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

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.