Basic Information
Provider Information
NPI: 1427287424
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHRISTOPHER
FirstName: NEIL
MiddleName: CLARENCE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 135 ASHLAND PL
Address2: APT #10C
City: BROOKLYN
State: NY
PostalCode: 112013975
CountryCode: US
TelephoneNumber: 4125125650
FaxNumber:  
Practice Location
Address1: 30 PROSPECT AVE
Address2:  
City: HACKENSACK
State: NJ
PostalCode: 076011915
CountryCode: US
TelephoneNumber: 5519962000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/10/2009
LastUpdateDate: 05/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X2839641NYN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207R00000X283964-1NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X25MA11034900NJN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200X2839641NYN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RC0200X25MA11034900NJN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207P00000X25MA11034900NJY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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