Provider Demographics
NPI:1912950254
Name:NEUROLOGICAL ASSOCIATES OF OCEAN COUNTY, P.A.
Entity Type:Organization
Organization Name:NEUROLOGICAL ASSOCIATES OF OCEAN COUNTY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-367-8280
Mailing Address - Street 1:40 BEY LEA RD
Mailing Address - Street 2:BLDG C SUITE 103
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2900
Mailing Address - Country:US
Mailing Address - Phone:732-367-8280
Mailing Address - Fax:732-367-1529
Practice Address - Street 1:40 BEY LEA RD
Practice Address - Street 2:BLDG C SUITE 103
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2900
Practice Address - Country:US
Practice Address - Phone:732-367-8280
Practice Address - Fax:732-367-1529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCN0478Medicare PIN