| Jersey Neurosciences | |
|
550 Palisade Ave Suite 303 Jersey City NJ 07307-1410 | |
| (201) 918-2568 | |
| (201) 360-0453 |
| Full Name | Jersey Neurosciences |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 550 Palisade Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Musaid A Khan (OWNER) |
| Authorized Official Contact | 2019182568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Neurosciences Po Box 358 Colonia NJ 07067-0358 Ph: (201) 918-2568 | Jersey Neurosciences 550 Palisade Ave Suite 303 Jersey City NJ 07307-1410 Ph: (201) 918-2568 |
| NPI Number | 1346476256 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 06/09/2014 |
| Medicare PECOS PAC ID | 8123170040 |
|---|---|
| Medicare Enrollment ID | O20090723000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346476256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA67193 (New Jersey) | Primary |
| Provider Name | Musaid A Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134263460 PECOS PAC ID: 9638221559 Enrollment ID: I20090723000178 |
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