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Contact Information

CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC
725 RIVER RD
SUITE.106
EDGEWATER, NJ07020-1171
 Phone: 201-943-2273
 Fax: 201-215-9548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC

NPI # 1134179625
LBN Legal business name CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC
Authorized official LYDIA SHAJENKO - (DIRECTOR OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 07/23/2008 - About 18 years ago
Identifiers
NJ License # 25MA08061700
NJ Medicaid 0148083
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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