Healthcare Provider Details

I. General information

NPI: 1295951986
Provider Name (Legal Business Name): RIVERSIDE NEURODIAGNOSTIC ASSOC., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 6TH AVE SUITE C
NEPTUNE NJ
07753-6101
US

IV. Provider business mailing address

235 DEERFIELD RD
MORGANVILLE NJ
07751-2641
US

V. Phone/Fax

Practice location:
  • Phone: 732-502-0920
  • Fax: 732-502-0926
Mailing address:
  • Phone: 732-972-3637
  • Fax: 732-677-2788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMA47205
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberMA47205
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number25MA07681900
License Number StateNJ

VIII. Authorized Official

Name: DR. ROBERT NEIL PELMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 609-760-1982