Provider Demographics
NPI:1598904708
Name:CENTRAL JERSEY NEUROLOGICAL INSTITUTE PA
Entity Type:Organization
Organization Name:CENTRAL JERSEY NEUROLOGICAL INSTITUTE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-591-5888
Mailing Address - Street 1:470 STATE ROUTE 79 STE 5
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4701
Mailing Address - Country:US
Mailing Address - Phone:732-591-5888
Mailing Address - Fax:732-591-1133
Practice Address - Street 1:470 STATE ROUTE 79 STE 5
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-4701
Practice Address - Country:US
Practice Address - Phone:732-591-5888
Practice Address - Fax:732-591-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05319500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty