NJ Neurosurgery, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NJ NEUROSURGERY, PC

Practice address

400 Frank W Burr Blvd Ste 55
Atrium at Glenpoint, Ste 55
Teaneck, NJ 07666-6810

Phone

(845) 363-4845

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Robert R Goodman, M.D.

Title

Owner

Phone

(845) 363-4845

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1831568583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FRANK W BURR BLVD STE 55",
            "address_2": "ATRIUM AT GLENPOINT, STE 55",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FRANK W BURR BLVD STE 55",
            "address_2": "ATRIUM AT GLENPOINT, STE 55",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666810",
            "telephone_number": "845-363-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ NEUROSURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-363-4845",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA04377300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Joseph Nieves, MT-BC
• Moshe Nissanian, OTR/L
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• NJCD/Yachad (National Jewish Council for Disabilities)
• Diane Marie Noah, LCSW
• North Jersey Center for Oral & Maxillofacial Surgery PA
• North Jersey Foot and Ankle Associates LLC
• North Jersey Foot and Ankle Care, LLC

• Neurological Surgery Physician in Teaneck, NJ
• Providers in Teaneck, 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 Sep 23, 2015; 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.