Active NPI
Eric Steven Englestein, MD PHD
- Neurology Physician
- Dover, NJ
National Provider Identifier
1851402846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MA36556
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1126300 | Medicaid | NJ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA36556 | NJ | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Neurology Physician
- Dover, NJ
- NPI 1457412553
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
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
- Larry Morris Edelman, D.D.S.
- Lyudmila Edshteyn, DO
- Sharon Lynne Einbinder, M.S., CCC-A
- Jeremy Hayes Eliopoulos, LSW
- Elite Limo and Taxi Services LLC
- Dennis Louis Errichiello, DMD
- Excel Treatment Center of Dover, LLC
- Eye Associates of North Jersey PA
- Family Health Center at Dover PC
- Nozanin Farrukhzoda
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.