Provider Demographics
NPI:1568509370
Name:NEUROSURGICAL ASSOCIATES OF CENTRAL JERSEY, P.A.
Entity Type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES OF CENTRAL JERSEY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHIMENTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-302-1720
Mailing Address - Street 1:1200 US HIGHWAY 22 EAST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807
Mailing Address - Country:US
Mailing Address - Phone:732-302-1720
Mailing Address - Fax:732-302-1724
Practice Address - Street 1:1200 US HIGHWAY 22 EAST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:732-302-1720
Practice Address - Fax:732-302-1724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA65678174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty