Provider Demographics
NPI:1134252810
Name:NJCPX LLC
Entity type:Organization
Organization Name:NJCPX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:HUSAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-690-5846
Mailing Address - Street 1:14 SNOWHILL ST
Mailing Address - Street 2:
Mailing Address - City:SPOTSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08884-1358
Mailing Address - Country:US
Mailing Address - Phone:732-690-5846
Mailing Address - Fax:
Practice Address - Street 1:14 SNOWHILL ST
Practice Address - Street 2:
Practice Address - City:SPOTSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08884-1358
Practice Address - Country:US
Practice Address - Phone:732-690-5846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2592249OtherGHI PROVIDER NUMBER
7267536OtherAETNA PROVIDER NUMBER
3549743OtherAETNA HMO PROVIDER NUMBER
3549743OtherAETNA HMO PROVIDER NUMBER
=========OtherAETNA TAX ID
=========OtherHEALTHCARE PAYERS COALITI
=========OtherLOCAL 825 OPERATING ENGIN
=========OtherMAGNACARE TAX ID
7267536OtherAETNA PROVIDER NUMBER
2592249OtherGHI PROVIDER NUMBER
=========OtherHEALTHSMART PREFERREDCARE
=========OtherONE HEALTHE PLAN TAX ID
=========OtherMULTIPLAN TAX ID
=========OtherMASTERCARE TAX ID
=========OtherCCN TAX ID
=========OtherDEVON HEALTH SERVICES TAX
=========OtherHORIZON BCBS OF NJ TAX ID
=========OtherGHI TAX ID
=========OtherPHCS PRIVATE HEALTHCARE S
083850Medicare ID - Type UnspecifiedPROVIDER NUMBER