NPIMap

Organization Active NPI

Integrative Neurology

  • Neuromusculoskeletal Medicine & OMM Physician
  • Woodside, NY
National Provider Identifier
1841512951
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
26MA06969800 Issued in NJ
Legal business name
INTEGRATIVE NEUROLOGY
Practice address
3120 54TH St
Suite L2
Woodside, NY 11377-1530
Phone
(718) 476-5859
Fax
(718) 476-9859
NPI assigned
Feb 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Cristian EnescuNPI 1518920925
Title
President
Phone
(732) 557-6330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 26MA06969800 NJ Primary

Addresses

Primary practice location

3120 54TH St
Suite L2
Woodside, NY 11377-1530

Mailing address

15 Red Hawk Rd N
Colts Neck, NJ 07722-2013
Phone (732) 557-6330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1841512951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RED HAWK RD N",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222013",
            "telephone_number": "732-557-6330",
            "fax_number": "732-349-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 54TH ST",
            "address_2": "SUITE L2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771530",
            "telephone_number": "718-476-5859",
            "fax_number": "718-476-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "ENESCU",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-557-6330"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "26MA06969800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.