| Bromley Neurology, Pc | |
|
739 S White Horse Pike Suite One Audubon NJ 08106-1659 | |
| (856) 546-2300 | |
| (856) 546-2301 |
| Full Name | Bromley Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 739 S White Horse Pike, Audubon, New Jersey |
| Authorized Official Name and Position | Steven M Bromley (PRESIDENT/OWNER) |
| Authorized Official Contact | 8565462300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bromley Neurology, Pc 739 S White Horse Pike Suite One Audubon NJ 08106-1659 Ph: (856) 546-2300 | Bromley Neurology, Pc 739 S White Horse Pike Suite One Audubon NJ 08106-1659 Ph: (856) 546-2300 |
| NPI Number | 1437313368 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 11/24/2015 |
| Medicare PECOS PAC ID | 2264428283 |
|---|---|
| Medicare Enrollment ID | O20040423000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437313368 | NPI | - | NPPES |
| 2279321000 | Other | NJ | AMERIHEALTH |
| P3118807 | Other | NJ | OXFORD |
| 3394542 | Other | NJ | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA07564200 (New Jersey) | Primary |
| 363AM0700X | Physician Assistant - Medical | 25MP00144400 (New Jersey) | Secondary |
| Provider Name | Steven Bromley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962591586 PECOS PAC ID: 8022921790 Enrollment ID: I20031110000033 |
| Provider Name | Keith V Preis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750317301 PECOS PAC ID: 6800880154 Enrollment ID: I20040412000340 |
| Provider Name | Indrani Sen Hightower |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952410458 PECOS PAC ID: 2860453206 Enrollment ID: I20041020000253 |
| Provider Name | Jennifer Rae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299390 PECOS PAC ID: 5890078000 Enrollment ID: I20170214002238 |
| Provider Name | Brandee A Fonseca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568957926 PECOS PAC ID: 1153667332 Enrollment ID: I20190109000152 |
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