Organization Active NPI

Neurosurgical Associates of New Jersey, P.C.

  • Neurological Surgery Physician
  • Ridgewood, NJ
National Provider Identifier
1992753594
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C.
Practice address
1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450-3937
Phone
(201) 327-8600
Fax
(201) 327-8225
NPI assigned
May 5, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Richard C Anderson, M.D.NPI 1811062094
Title
Treasurer
Phone
(201) 327-8600

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 Physician 207T00000X NU Primary

Addresses

Primary practice location

1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450-3937

Mailing address

1200 E Ridgewood Ave Ste 200
Ridgewood, NJ 07450-3937
Phone (201) 327-8600

Other practice location 1

200 S Orange Ave Ste 265
Livingston, NJ 07039-5817
Phone (973) 577-2888

Other practice location 2

745 Hope Rd
Eatontown, NJ 07724-2031
Phone (732) 222-8866

Other practice location 3

10 Waldron Ave
Nyack, NY 10960-2965
Phone (845) 553-5165

Other practice location 4

703 Main St # A2404
Paterson, NJ 07503-2621
Phone (973) 754-2463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060810000008 NJ Part B Supplier - Clinic/Group Practice 2961405055 Receives reassigned benefits from 42 practitioners
Practice locations: Ridgewood, NJ; West Long Branch, NJ; Wayne, NJ; Toms River, NJ; Paterson, NJ; Morristown, NJ; Livingston, NJ; Holmdel, NJ…
O20230725003598 NY Part B Supplier - Clinic/Group Practice 2961405055 Receives reassigned benefits from 5 practitioners
Practice locations: Nyack, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

745 Hope Rd
Eatontown, NJ 07724
Phone (732) 222-8866

311 Bay Ave
Ste 201
Glen Ridge, NJ 07028
Phone (973) 577-2883

101 Crawfords Corner Rd
Ste 1116D
Holmdel, NJ 07733
Phone (732) 226-0018

200 S Orange Ave
Ste 265
Livingston, NJ 07039
Phone (973) 577-2888

100 Madison Ave
Bldg 3RD
Morristown, NJ 07960
Phone (908) 522-3523

703 Main St
#A2404
Paterson, NJ 07503
Phone (973) 754-2463

703 Main St
Ste A2404
Paterson, NJ 07503
Phone (973) 754-2463

1200 E Ridgewood Ave
Ste 200
Ridgewood, NJ 07450
Phone (201) 327-8600

1200 E Ridgewood Ave
Ste 209
Ridgewood, NJ 07450
Phone (201) 327-8600

82 E Allendale Rd
Saddle River, NJ 07458
Phone (201) 327-8600

530 Lakehurst Rd
Ste 308
Toms River, NJ 08755
Phone (732) 222-8866

1680 Route 23
Ste 300
Wayne, NJ 07470
Phone (973) 782-6073

121 State Route 36
Ste 330
West Long Branch, NJ 07764
Phone (732) 222-8866

Practitioners & affiliated clinicians

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1992753594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE STE 200",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503937",
            "telephone_number": "201-327-8600",
            "fax_number": "212-305-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE STE 200",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503937",
            "telephone_number": "201-327-8600",
            "fax_number": "201-327-8225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Orange Ave Ste 265",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395817",
            "country_code": "US",
            "telephone_number": "973-577-2888",
            "fax_number": "697-357-7288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077242031",
            "country_code": "US",
            "telephone_number": "732-222-8866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Waldron Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109602965",
            "country_code": "US",
            "telephone_number": "845-553-5165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 Main St # A2404",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032621",
            "country_code": "US",
            "telephone_number": "973-754-2463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "201-327-8600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.