Provider Demographics
NPI:1174006233
Name:AMOR MEHTA MD - NEUROLOGY CENTER FOR EPILEPSY AND SEIZURES, LLC
Entity Type:Organization
Organization Name:AMOR MEHTA MD - NEUROLOGY CENTER FOR EPILEPSY AND SEIZURES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMOR
Authorized Official - Middle Name:RUYINTAN
Authorized Official - Last Name:MEHTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-856-5999
Mailing Address - Street 1:479 COUNTY ROAD 520
Mailing Address - Street 2:SUITE 101-B, BUILDING B
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1085
Mailing Address - Country:US
Mailing Address - Phone:732-856-5999
Mailing Address - Fax:732-800-0662
Practice Address - Street 1:479 COUNTY ROAD 520
Practice Address - Street 2:SUITE 101-B, BUILDING B
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1085
Practice Address - Country:US
Practice Address - Phone:732-856-5999
Practice Address - Fax:732-800-0662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty