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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

NPI Number 1013998830
LBN Legal business name EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS PA
Authorized official MARCELO LANCMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2005
Last updated 03/04/2022 - About 4 years ago
Identifiers
NJ Medicaid 0240982
NJ Medicaid 7832508
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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