Healthcare Provider Details

I. General information

NPI: 1073197505
Provider Name (Legal Business Name): NEAL MONKA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 PALISADE AVE
JERSEY CITY NJ
07306-1121
US

IV. Provider business mailing address

1000 EXECUTIVE DR APT 617
WEST ORANGE NJ
07052-3482
US

V. Phone/Fax

Practice location:
  • Phone: 201-795-8200
  • Fax:
Mailing address:
  • Phone: 973-975-6356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA12233700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: