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RIVERSIDE NEURODIAGNOSTIC ASSOC. P.C. NPI 1295951986


NPI Information

NPI: 1295951986
Provider Name: RIVERSIDE NEURODIAGNOSTIC ASSOC., P.C.

Doing Business As: SPINAL & HEAD TRAUMA ASSOCIATES, P.C.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D0994829

Address:
2040 6TH AVE
SUITE C
NEPTUNE, NJ
ZIP 07753
Phone: (732) 502-0920
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RIVERSIDE NEURODIAGNOSTIC ASSOC., P.C. is a family medicine in Neptune, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RIVERSIDE NEURODIAGNOSTIC ASSOC., P.C. NPI is 1295951986. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spinal & Head Trauma Associates, P.c..

The provider's business location address is:

2040 6TH AVE
SUITE C
NEPTUNE, NJ
ZIP 07753-101
Phone: (732) 502-0920
Fax: (732) 502-0926

The provider's authorized official is Robert Neil Pelman .
The authorized official title is President and has the following contact phone number (609) 760-1982.

The CLIA number assigned to this NPI record is 31D0994829 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineMA47205NEW JERSEYYes
22081P2900XPhysical Medicine & RehabilitationPain Medicine25MA07681900NEW JERSEYX
3208VP0000XPain MedicinePain MedicineMA47205NEW JERSEYX

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

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