Provider Demographics
NPI:1225069560
Name:NEUROLOGICAL PROFESSIONAL ASSOCIATES
Entity Type:Organization
Organization Name:NEUROLOGICAL PROFESSIONAL ASSOCIATES
Other - Org Name:HACKENSACK NEUROLOGY GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAYHANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MERALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-488-1515
Mailing Address - Street 1:211 ESSEX ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-3231
Mailing Address - Country:US
Mailing Address - Phone:201-488-1515
Mailing Address - Fax:201-488-9471
Practice Address - Street 1:211 ESSEX ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-3231
Practice Address - Country:US
Practice Address - Phone:201-488-1515
Practice Address - Fax:201-488-9471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ527838Medicare ID - Type Unspecified