| The Neuroscience Center Of Northern New Jersey , Pa | |
|
310 Madison Ave Morristown NJ 07960-6909 | |
| (973) 285-1446 | |
| (973) 605-8854 |
| Full Name | The Neuroscience Center Of Northern New Jersey , Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 310 Madison Ave, Morristown, New Jersey |
| Authorized Official Name and Position | Mark Diamond (PRESIDENT) |
| Authorized Official Contact | 9732851446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neuroscience Center Of Northern New Jersey , Pa 310 Madison Ave Suite 120 Morristown NJ 07960-6909 Ph: (973) 285-1446 | The Neuroscience Center Of Northern New Jersey , Pa 310 Madison Ave Morristown NJ 07960-6909 Ph: (973) 285-1446 |
| NPI Number | 1265432595 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9739084799 |
|---|---|
| Medicare Enrollment ID | O20031203000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265432595 | NPI | - | NPPES |
| CC8184 | Other | GA | RR MEDICARE |
| 6967205 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (New Jersey) | Primary |
| Provider Name | Oladotun A Okunola |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073718185 PECOS PAC ID: 5799878526 Enrollment ID: I20070910000531 |
| Provider Name | Richard S Rosenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598766636 PECOS PAC ID: 8224163621 Enrollment ID: I20100323000778 |
| Provider Name | Mark S Diamond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073514113 PECOS PAC ID: 7214832286 Enrollment ID: I20100325000060 |
| Provider Name | Matthew F Conigliari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417958604 PECOS PAC ID: 5496650467 Enrollment ID: I20100325000451 |
| Provider Name | Stuart W Fox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063413102 PECOS PAC ID: 7012812092 Enrollment ID: I20100415000097 |
| Provider Name | Mathew N Alias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508027574 PECOS PAC ID: 9739344474 Enrollment ID: I20150813009713 |
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