CAREND PROVIDER GROUP OF NEW JERSEY PC – Neurology Physician, NPI 1891410494
Neurology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CAREND PROVIDER GROUP OF NEW JERSEY PC
2045 W GRAND AVE STE B
PMB 89496
CHICAGO, IL 60612
Phone: (708) 306-1534
Type: Mailing
101 EISENHOWER PKWY STE 300
PMB 3146
ROSELAND, NJ 070680706
Phone: (708) 872-7108
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 13 Medicare enrollment records; no due dates published yet.
Enrollment records
13
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20221201000334 | O | Clinic/Group Practice | NJ | TBD |
| O20231205002165 | O | Clinic/Group Practice | SC | TBD |
| O20240119001432 | O | Clinic/Group Practice | FL | TBD |
| O20240327003733 | O | Clinic/Group Practice | GA | TBD |
| O20240401002761 | O | Clinic/Group Practice | CT | TBD |
| O20240903003463 | O | Clinic/Group Practice | MN | TBD |
| O20240904002393 | O | Clinic/Group Practice | CA | TBD |
| O20241001001045 | O | Clinic/Group Practice | AZ | TBD |
| O20241017000844 | O | Clinic/Group Practice | NY | TBD |
| O20241113000514 | O | Clinic/Group Practice | HI | TBD |
| O20250110001560 | O | Clinic/Group Practice | TN | TBD |
| O20250703001074 | O | Clinic/Group Practice | WI | TBD |
| O20250721001605 | O | Clinic/Group Practice | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60612)
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