Individual provider Active NPI

Eric Steven Englestein, MD PHD

  • Neurology Physician
  • Dover, NJ
National Provider Identifier
1851402846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA36556 Issued in NJ
Practice address
369 West Blackwell St
Dover, NJ 07801-2560
Phone
(973) 361-7606
Fax
(973) 361-8942
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MA36556 NJ Primary

Addresses

Primary practice location

369 West Blackwell St
Dover, NJ 07801-2560

Mailing address

369 West Blackwell St
Dover, NJ 07801-2560
Phone (973) 361-7606

Other identifiers 1

IdentifierTypeStateIssuer
1126300MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MA36556NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Specialists of Morris-Sussex, P.a. Neurology Current Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

369 W Blackwell St
Ste 6
Dover, NJ 07801
Phone (973) 361-7606

369 W Blackwell St
Dover, NJ 07801
Phone (973) 361-7606

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851402846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 WEST BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012560",
            "telephone_number": "973-361-7606",
            "fax_number": "973-361-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 WEST BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012560",
            "telephone_number": "973-361-7606",
            "fax_number": "973-361-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLESTEIN",
        "first_name": "ERIC",
        "middle_name": "STEVEN",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA36556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.