Active NPI
NJ Ama LLC
- Electroneurodiagnostic Specialist/Technologist
- Montville, NJ
National Provider Identifier
1821206632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 25MA04449000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 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 DirectoryLocations
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.