EDISON NEUROLOGY LLC NPI 1497466858

NPI Information

  • NPI: 1497466858
  • Provider Name: EDISON NEUROLOGY LLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: CAREWELL HEALTH MEDICAL CENTER
    300 CENTRAL AVENUE
    EAST ORANGE, NJ
    ZIP 07018
  • Phone: (973) 672-8400

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NPI Details

EDISON NEUROLOGY LLC is a medical specialty clinic center in East Orange, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). EDISON NEUROLOGY LLC NPI is 1497466858. The provider is registered as an organization entity type.

The provider's business location address is:

CAREWELL HEALTH MEDICAL CENTER
300 CENTRAL AVENUE
EAST ORANGE, NJ
ZIP 07018
Phone: (973) 672-8400

The provider's authorized official is Hasmukh Sutaria .
The authorized official title is Owner and has the following contact phone number (908) 672-0403.

The enumeration date for this NPI number is 12/7/2022 and was last updated on 12/7/2022.

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
1261QM2500XClinic/CenterMedical SpecialtyYes

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
11568750263MEDICAIDNEW JERSEY
21366408056MEDICAIDNEW JERSEY

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: 3/30/2025

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