NORTHEAST NEUROSURGICAL ASSOCIATES (NPI# 1497149082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497149082 |
| Entity Type | Organization |
| Organization Name | NORTHEAST NEUROSURGICAL ASSOCIATES |
| Practice Address |
1057 Commerce Ave Union NJ 07083-5025 |
| Practice Telephone | 9086888800 |
| Practice Fax Number | 9086882377 |
| Mailing Telephone | 9086888800 |
| Mailing Fax Number | 9086882377 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | DAVID POULAD (PRESIDENT) |
| Authorized Official Telephone | 9086888800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | IGEA BRAIN & SPINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 25MA08517100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0198838 | 05 |
| Street Address |
1057 COMMERCE AVE |
| City | UNION |
| State | NJ |
| Zip Code | 07083-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184695090 | David Poulad | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2006-01-30 |
| 1285970202 | Payal Patel | Physical Therapist | 1057 Commerce Ave, Union, NJ 07083-5025 | 2012-12-19 |
| 1942589957 | Eileen Muench | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2011-08-08 |
| 1740577857 | Isha Duggal Gupta | Psychiatry & Neurology | 1057 Commerce Ave, Union, NJ 07083-5025 | 2011-07-10 |
| 1356657381 | Glorimar Weaver | Physician Assistant | 1057 Commerce Ave, Union, NJ 07083-5025 | 2010-08-27 |
| 1205142304 | Anthony Patrick De Marco | Clinical Neuropsychologist | 1057 Commerce Ave, Union, NJ 07083-5025 | 2010-08-26 |
| 1881838993 | Arun Rajaram | Orthopaedic Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2009-04-21 |
| 1770743429 | Ronit Gilad | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2008-06-16 |
| 1053570374 | Anil Karunakaran Nair | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2008-06-02 |
| 1114116464 | Ciro Giuseppe Randazzo | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710103288 | Igea Brain & Spine,pa | Neurological Surgery | 1057 Commerce Avenue, Union, NJ 07083-5025 | 2007-04-17 |
| 1184695090 | David Poulad | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2006-01-30 |
| 1073513545 | Marvin Elliott Friedlander | Neurological Surgery | 700 Rahway Ave, Union, NJ 07083-6634 | 2005-07-27 |
| 1942589957 | Eileen Muench | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2011-08-08 |
| 1770743429 | Ronit Gilad | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2008-06-16 |
| 1053570374 | Anil Karunakaran Nair | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2008-06-02 |
| 1114116464 | Ciro Giuseppe Randazzo | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2007-10-22 |
| 1912012071 | Adam Craig Lipson | Neurological Surgery | 1057 Commerce Ave, Union, NJ 07083-5025 | 2006-08-20 |
| 1295848141 | The Back Institute | Neurological Surgery | 700 Rahway Ave, Union, NJ 07083-6634 | 2006-08-16 |
| 1235139700 | Paul Keith Ratzker | Neurological Surgery | 700 Rahway Ave, Union, NJ 07083-6634 | 2005-07-27 |
| Find all providers in UNION | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.