Provider Demographics
NPI:1609129030
Name:BRAIN INJURY ALLIANCE OF NEW JERSEY
Entity Type:Organization
Organization Name:BRAIN INJURY ALLIANCE OF NEW JERSEY
Other - Org Name:BRAIN INJURY ASSOCIATION OF NEW JERSEY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT-CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEIGER-PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-745-0200
Mailing Address - Street 1:825 GEORGES RD
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3357
Mailing Address - Country:US
Mailing Address - Phone:732-745-0200
Mailing Address - Fax:732-745-0211
Practice Address - Street 1:825 GEORGES RD
Practice Address - Street 2:FLOOR 2
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3357
Practice Address - Country:US
Practice Address - Phone:732-745-0200
Practice Address - Fax:732-745-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage