National Provider Identifier Database

EPILEPSY NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


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
* Neurology 2084N0400X
Clinical 1041C0700X
Clinical Neurophysiology 2084N0600X
Clinical Neuropsychologist 103G00000X
Neurology with Special Qualifications in Child Neurology 2084N0402X

* Indicates primary specialty

NPI Profile & details for EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA

NPI Number 1013998830
Legal business name
LBN
EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
Authorized official MARCELO LANCMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/09/2005
Last updated 03/04/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ Medicaid: 0240982
  • NJ Medicaid: 7832508

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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