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Contact Information

PROGRESSIVE NEUROLOGY, P.C.
260 OLD HOOK RD
SUITE 200
WESTWOOD, NJ07675-3123
 Phone: 201-546-8510
 Fax: 201-957-7316
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Sleep Medicine

2084S0012X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PROGRESSIVE NEUROLOGY, P.C.

NPI Number 1134404411
LBN Legal business name PROGRESSIVE NEUROLOGY, P.C.
Authorized official GEORGES GHACIBEH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2011
Last updated 03/06/2024 - About 2 years ago
Identifiers
NJ License # 25MA08232000
NJ Medicaid 0143731
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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