Provider Demographics
NPI:1669804852
Name:NEUROLOGY ASSOCIATES OF CENTRAL JERSEY
Entity type:Organization
Organization Name:NEUROLOGY ASSOCIATES OF CENTRAL JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEFALI
Authorized Official - Middle Name:
Authorized Official - Last Name:GANDHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-788-6537
Mailing Address - Street 1:5 DIMISA DR
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-2273
Mailing Address - Country:US
Mailing Address - Phone:732-788-6537
Mailing Address - Fax:732-788-6537
Practice Address - Street 1:670 N BEERS ST
Practice Address - Street 2:BLDG 2, STE 4
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1516
Practice Address - Country:US
Practice Address - Phone:732-788-6537
Practice Address - Fax:732-788-6537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty