Provider Demographics
NPI:1083817019
Name:NEIGEL CENTER, PA
Entity Type:Organization
Organization Name:NEIGEL CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEIGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-410-1100
Mailing Address - Street 1:254 COLUMBIA TPKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1237
Mailing Address - Country:US
Mailing Address - Phone:973-410-1100
Mailing Address - Fax:973-410-1101
Practice Address - Street 1:254 COLUMBIA TPKE
Practice Address - Street 2:SUITE 200
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1237
Practice Address - Country:US
Practice Address - Phone:973-410-1100
Practice Address - Fax:973-410-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA40944174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty