Healthcare Provider Details

I. General information

NPI: 1306545702
Provider Name (Legal Business Name): NEURO HEALTH CENTER OF HACKETTSTOWN, NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2023
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 COUNTY ROAD 517 STE 214
HACKETTSTOWN NJ
07840-2717
US

IV. Provider business mailing address

1500 COUNTY ROAD 517 STE 214
HACKETTSTOWN NJ
07840-2717
US

V. Phone/Fax

Practice location:
  • Phone: 908-310-3861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FRANK PLUT
Title or Position: OWNER
Credential:
Phone: 908-310-3861