Guardian Intraoperative Neuromomitoring

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

MC050084 Issued in NJ

Legal business name

GUARDIAN INTRAOPERATIVE NEUROMOMITORING

Practice address

576 Valley Brook Ave
Lyndhurst, NJ 07071

Phone

(201) 933-5450

Fax

(201) 933-5452

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David G Harris, DCNPI 1669594453

Title

Owner

Phone

(201) 933-5450

Specialties & licenses 1

Addresses

Practitioners 2

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

• David Harris, D.C.

  • Chiropractor
  • Paterson, NJ
  • NPI 1669594453
  NPD (past) Authorized official
• Natalie Rodriguez

  • Occupational Therapist
  • Lyndhurst, NJ
  • NPI 1447835988
  NPD (past)

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1962849935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711919",
            "telephone_number": "201-933-5450",
            "fax_number": "201-933-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 VALLEY BROOK AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "07071",
            "telephone_number": "201-933-5450",
            "fax_number": "201-933-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN INTRAOPERATIVE NEUROMOMITORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-933-5450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "MC050084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd DDD Services LLC
• Stanislav Goykhman, M.D
• Jianna Theresa Grasso
• Bridget May Greenwald
• Mouad M Gseir
• Angela Gulla, LCSW
• Rhonda Ann Hagler, M.D.
• Robert J. Haley, D.C.
• Melissa Faye Handel
• Thomas Matthew Hansen, BCBA

• Ambulatory Surgical Clinic/Center in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.