NPIMap

Organization Active NPI

Metropolitan Neurosurgery Associates, PC

  • Neurological Surgery Physician
  • Englewood, NJ
National Provider Identifier
1881661403
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
METROPOLITAN NEUROSURGERY ASSOCIATES, PC
Practice address
309 Engle St
Suite 6
Englewood, NJ 07631-1824
Phone
(201) 569-7737
Fax
(201) 569-1494
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Kevin Yao, MDNPI 1407971542
Title
President
Phone
(201) 569-7737

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

309 Engle St
Suite 6
Englewood, NJ 07631-1824

Mailing address

309 Engle St
Englewood, NJ 07631-1824
Phone (201) 569-7737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040325000082 NY Part B Supplier - Clinic/Group Practice 9436041654 Receives reassigned benefits from 5 practitioners
Practice locations: New York, NY
O20050211000186 NJ Part B Supplier - Clinic/Group Practice 9436041654 Receives reassigned benefits from 7 practitioners
Practice locations: Englewood, NJ

National Provider Directory

National Provider Directory

Locations

309 Engle St
Englewood, NJ 07631
Phone (201) 503-0447

309 Engle St
Ste 6
Englewood, NJ 07631
Phone (201) 569-7737

2 Journal Square Plz
Jersey City, NJ 07306
Phone (201) 894-3000

906 Oak Tree Ave
Ste P
South Plainfield, NJ 07080

906 Oak Tree Ave
South Plainfield, NJ 07080
Phone (732) 317-4105

Practitioners & affiliated clinicians

Practitioners 11

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": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1881661403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311824",
            "telephone_number": "201-569-7737",
            "fax_number": "201-373-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 ENGLE ST",
            "address_2": "SUITE 6",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311824",
            "telephone_number": "201-569-7737",
            "fax_number": "201-569-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN NEUROSURGERY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "YAO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-569-7737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.