# PHMD NEURO MONITORING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740865799
- **Authorized official:** MARVELL SCOTT MD (OWNER)
- **Authorized official phone:** (914) 376-6100

## Contact information

- **Practice address:** 1084 MAIN AVE, CLIFTON, NJ 07011-2330
- **Practice address phone:** (914) 376-6100
- **Mailing address:** 1084 MAIN AVE, CLIFTON, NJ 07011-2330
- **Mailing address phone:** (914) 376-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2021
- **Last updated:** 03/11/2021