MEDICARE: NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1992753594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROSURGICAL ASSOCIATES OF NEW JERSEY, P.C.

Provider Business Mailing Address
First Line	:	1200 E RIDGEWOOD AVE STE 200
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-3937
Country	:	US
Telephone Number	:	201-327-8600
Fax Number	:	212-305-3629

Provider Business Practice Location Address
First Line	:	1200 E RIDGEWOOD AVE STE 200
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-3937
Country	:	US
Telephone Number	:	201-327-8600
Fax Number	:	201-327-8225

Authorized Official
Title or Position	:	TREASURER
Name	:	RICHARD C ANDERSON
Credential	:	M.D.
Telephone Number	:	201-327-8600

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	03/21/2024

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