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Contact Information

EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
20 PROSPECT AVE
SUITE 800
HACKENSACK, NJ07601-1997
 Phone: 201-996-3205
 Fax: 201-343-6689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Clinical Neuropsychologist

103G00000X
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for EPILEPSY NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA · (Female)

NPI Number 1013998830
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2005
Last updated 03/04/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 0240982
  • NJ Medicaid 7832508
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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