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Neurological Institute of Northern New Jersey

NPI 1487059978ActiveOrganization· Psychiatry & Neurology, Neurology· Livingston, NJ

Psychiatry & Neurology, Neurology in Livingston, New Jersey, registered in NPPES in October 2014. The authorized official on file is Guha Venkatraman, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1487059978
StatusActive
Entity typeOrganization
NPI issuedOct 27, 2014
Last updated in NPPESApr 17, 2023
Certified by providerApr 17, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychiatry & Neurology, Neurology Primary2084N0400X272570-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NJ)

Medicare sources and data years

Other Psychiatry & Neurology, Neurology providers in Livingston

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