Clinical Neurophysiology & Epilepsy PC
Healthcare Provider in Edgewater, New Jersey
1134179625- Practice location
- 725 River RD, Suite.106, Edgewater, NJ 07020-1171
- Phone
- 201-943-2273
- Fax
- 201-215-9548
- Last updated
- July 23, 2008
Clinical Neurophysiology & Epilepsy PC is a healthcare organization based in Edgewater, NJ. Clinical Neurophysiology & Epilepsy PC practices in Edgewater, NJ. The NPI Number for Clinical Neurophysiology & Epilepsy PC is 1134179625 and holds a License No. 25MA08061700 (NJ). The current practice location address for Clinical Neurophysiology & Epilepsy PC is 725 River RD, Suite.106, Edgewater, NJ 07020-1171 and can be reached out via phone at 201-943-2273 and via fax at 201-215-9548.
Provider Profile Details
- NPI Number
- 1134179625
- Provider Name
- Clinical Neurophysiology & Epilepsy PC
- Provider Entity Type
- Organization
- Address
- 725 River RD, Suite.106, Edgewater, NJ 07020-1171
- Phone Number
- 201-943-2273
- Fax Number
- 201-215-9548
- Primary Taxonomy
- Healthcare Provider · 2084N0600X
- Organization Subpart
- No
- Authorized Official
- Dr. Lydia Shajenko, MD, PHD · Director Owner · 646-245-6180
- Provider Enumeration Date
- May 12, 2006
- Last Update Date
- July 23, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 725 River RD
Suite.106
Edgewater, NJ 07020-1171 - City
- Edgewater
- State
- New Jersey
- Zip
- 07020-1171
- Phone Number
- 201-943-2273
- Fax Number
- 201-215-9548
Provider Business Mailing Address Details
- Address
- 725 River RD
Suite.106
Edgewater, NJ 07020-1171 - City
- Edgewater
- State
- NJ
- Zip
- 07020-1171
- Phone Number
- 201-943-2273
- Fax Number
- 201-215-9548
License Information
- License Number (1)
- 25MA08061700
- License State (1)
- NJ
- Taxonomy (1)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (2)
- 25MA08061700
- License State (2)
- NJ
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clinical Neurophysiology & Epilepsy PC?
The NPI number of Clinical Neurophysiology & Epilepsy PC is 1134179625. It was assigned on May 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Clinical Neurophysiology & Epilepsy PC?
Clinical Neurophysiology & Epilepsy PC is registered under the primary taxonomy Healthcare Provider (code 2084N0600X), licensed in NJ under license number 25MA08061700.
Where does Clinical Neurophysiology & Epilepsy PC practice?
The practice location is 725 River RD, Suite.106, Edgewater, NJ 07020-1171. The office can be reached at 201-943-2273 (phone) or 201-215-9548 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134179625 directly on the NPPES registry website.