Provider Demographics
NPI:1568526648
Name:NEUROLOGY ASSOCIATES OF NEW JERSEY, LLC
Entity Type:Organization
Organization Name:NEUROLOGY ASSOCIATES OF NEW JERSEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:G
Authorized Official - Last Name:HUSAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-625-8888
Mailing Address - Street 1:170 E MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-3530
Mailing Address - Country:US
Mailing Address - Phone:973-625-8888
Mailing Address - Fax:973-625-7877
Practice Address - Street 1:170 E MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3530
Practice Address - Country:US
Practice Address - Phone:973-625-8888
Practice Address - Fax:973-625-7877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA053238002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty