Clinical Neurophysiology & Epilepsy Pc

LBN: Clinical Neurophysiology & Epilepsy Pc
Clinical Neurophysiology & Epilepsy Pc is an health care organization with primary practice located at 725 River Rd Suite.106, Edgewater NJ 07020-1171. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is the primary health care specialty. Clinical Neurophysiology & Epilepsy Pc can be contacted via phone (201) 943-2273, or through Shajenko, Lydia via phone (646) 245-6180.

Contact Information

Primary practice address
725 River Rd Suite.106 Edgewater NJ 07020-1171
Phone: (201) 943-2273
Fax: (201) 215-9548
Website:
Map and Directions
Authorized official contact:
Name: Shajenko, Lydia M.D., PH.D
Phone: (646) 245-6180

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25MA08061700 New Jersey
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 25MA08061700 New Jersey

Profile Details

NPI number 1134179625
LBN Legal business name Clinical Neurophysiology & Epilepsy Pc
DBA Doing business as
Authorized official Shajenko, Lydia M.D., PH.D
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Jul 23rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134179625 NPPES
New Jersey MEDICAID 0148083

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