Brain Institute Of Northern New Jersey PA
Clinic/Center, Multi-Specialty in Dover, New Jersey
1922388008- Practice location
- 8 S Morris St, Suite 302, Dover, NJ 07801-4649
- Phone
- 646-712-1635
- Fax
- 866-267-8173
- Last updated
- August 22, 2011
Brain Institute Of Northern New Jersey PA is a healthcare organization based in Dover, NJ. Brain Institute Of Northern New Jersey PA practices in Dover, NJ. The NPI Number for Brain Institute Of Northern New Jersey PA is 1922388008 and holds a License No. 25MA08061700 (NJ). The current practice location address for Brain Institute Of Northern New Jersey PA is 8 S Morris St, Suite 302, Dover, NJ 07801-4649 and can be reached out via phone at 646-712-1635 and via fax at 866-267-8173.
Provider Profile Details
- NPI Number
- 1922388008
- Provider Name
- Brain Institute Of Northern New Jersey PA
- Provider Entity Type
- Organization
- Address
- 8 S Morris St, Suite 302, Dover, NJ 07801-4649
- Phone Number
- 646-712-1635
- Fax Number
- 866-267-8173
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Lydia Shajenko, MD, PHD · President · 646-712-1635
- Provider Enumeration Date
- August 22, 2011
- Last Update Date
- August 22, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 8 S Morris St
Suite 302
Dover, NJ 07801-4649 - City
- Dover
- State
- New Jersey
- Zip
- 07801-4649
- Phone Number
- 646-712-1635
- Fax Number
- 866-267-8173
Provider Business Mailing Address Details
- Address
- 725 River RD
Suite 106
Edgewater, NJ 07020-1171 - City
- Edgewater
- State
- NJ
- Zip
- 07020-1171
- Phone Number
- 646-712-1635
- Fax Number
- 866-267-8173
License Information
- License Number
- 25MA08061700
- License State
- NJ
- Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brain Institute Of Northern New Jersey PA?
The NPI number of Brain Institute Of Northern New Jersey PA is 1922388008. It was assigned on August 22, 2011 and is currently active in the NPPES registry.
What is the specialty of Brain Institute Of Northern New Jersey PA?
Brain Institute Of Northern New Jersey PA is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in NJ under license number 25MA08061700.
Where does Brain Institute Of Northern New Jersey PA practice?
The practice location is 8 S Morris St, Suite 302, Dover, NJ 07801-4649. The office can be reached at 646-712-1635 (phone) or 866-267-8173 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922388008 directly on the NPPES registry website.