Justin Willer MD,PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

174836 Issued in NY

Legal business name

JUSTIN WILLER MD,PC

Practice address

729 Ocean Pkwy
Brooklyn, NY 11230-1113

Phone

(718) 859-8920

Fax

(718) 859-7438

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Justin Aaron Willer, MDNPI 1194719146

Title

Owner

Phone

(917) 887-1678

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Justin Aaron Willer, MD

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1194719146
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1902091374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ARBUCKLE AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982703",
            "telephone_number": "718-859-8920",
            "fax_number": "718-859-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301113",
            "telephone_number": "718-859-8920",
            "fax_number": "718-859-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN WILLER MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "WILLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-887-1678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "174836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01085625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadine Lourdes Juste, LMSW
• Shirley Francess Juste
• Kim Marie Justesen
• Jeffrey Justice, LCSW
• Sonya Rae Justice
• Cindy Justin
• Jerry A Justin, RRT
• Angela Lisa Justiniano
• Brian Justman
• Goldy Justman

• Neurology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.