MEDCOM NEUROLOGICAL SERVICES LLC NPI 1245262385

NPI Information

NPI: 1245262385
Provider Name: MEDCOM NEUROLOGICAL SERVICES, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
310 CHRIS GAUPP DR
SUITE 101
GALLOWAY, NJ
ZIP 08205
Phone: (609) 909-5355
Get Directions

MEDCOM NEUROLOGICAL SERVICES, LLC is a neurology psychiatry neurology in Galloway, NJ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MEDCOM NEUROLOGICAL SERVICES, LLC NPI is 1245262385. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 CHRIS GAUPP DR
SUITE 101
GALLOWAY, NJ
ZIP 08205-461
Phone: (609) 909-5355
Fax: (609) 909-5357

The provider's authorized official is Ilyas A Rajput .
The authorized official title is President and has the following contact phone number (609) 646-4064.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 1/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0088072	MEDICAID	NEW JERSEY
2	097269	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY	GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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