ADVANCED NEUROLOGY CENTER LLC NPI 1760490148

NPI Information

NPI: 1760490148
Provider Name: ADVANCED NEUROLOGY CENTER LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
676 ROUTES 202 206 N
BLDG 2, SUITE 1NE
BRIDGEWATER, NJ
ZIP 08807
Phone: (908) 218-1180
Get Directions

ADVANCED NEUROLOGY CENTER LLC is a neurology psychiatry neurology in Bridgewater, 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. ADVANCED NEUROLOGY CENTER LLC NPI is 1760490148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

676 ROUTES 202 206 N
BLDG 2, SUITE 1NE
BRIDGEWATER, NJ
ZIP 08807
Phone: (908) 218-1180
Fax: (908) 218-1718

The provider's authorized official is Srinivasa Potluri .
The authorized official title is Physician and has the following contact phone number (908) 218-1180.

The enumeration date for this NPI number is 8/3/2006 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
1	2084N0400X	Psychiatry & Neurology	Neurology	MA07137500	NEW JERSEY	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	1545098	OTHER		AMERIHEALTH
2	2229034000	OTHER		KEYSTONE
3	P2486490	OTHER		OXFORD
4	8686301	MEDICAID	NEW JERSEY
5	2K4368	OTHER		HEALTHNET
6	60008696	OTHER		HORIZON NJ HEALTH

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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