Healthcare Provider Details

I. General information

NPI: 1841573375
Provider Name (Legal Business Name): THE NEUROCOGNITIVE INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HOWARD BLVD SUITE 205
MT ARLINGTON NJ
07856-1315
US

IV. Provider business mailing address

111 HOWARD BLVD STE 205
MT ARLINGTON NJ
07856-1315
US

V. Phone/Fax

Practice location:
  • Phone: 973-601-0100
  • Fax: 973-440-1656
Mailing address:
  • Phone: 973-601-0100
  • Fax: 973-710-9146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: GERALD TRAMONTANO
Title or Position: CLINICAL DIRECTOR
Credential: PHD
Phone: 973-601-0100