DR. EDWARD LEO CONNOLLY (NPI# 1093872103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093872103 |
| Entity Type | Individual |
| Full Name | DR. EDWARD LEO CONNOLLY |
| Credential | PH.D. |
| Practice Address |
9 Post Rd Suite D-1 Oakland NJ 07436-1615 |
| Practice Telephone | 2014051991 |
| Practice Fax Number | 2015810376 |
| Mailing Telephone | 2014051991 |
| Mailing Fax Number | 2015810376 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 35SI00381600 | NJ | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00381600 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | CAQH | 10764753 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750369419 | Edward A Connolly | Orthopaedic Surgery | 520 Valley View Dr, Moline, IL 61265-6194 | 2006-01-04 |
| 1447386578 | Edward Sander Connolly Jr. | Neurological Surgery | 710 W 168th St, Room 435, New York, NY 10032-3726 | 2007-02-25 |
| 1467465674 | Edward F Connolly | Pediatrics | 2101 Vale Rd, #301, San Pablo, CA 94806-3835 | 2006-08-15 |
| Street Address |
9 POST RD SUITE D-1 |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922090950 | Garden State Orthopaedic Center, Inc. | Prosthetic/Orthotic Supplier | 9 Post Rd, Suite 0p-1, Oakland, NJ 07436-1618 | 2005-08-16 |
| 1073948113 | Ira A Jacobs Dmd | Dentist | 9 Post Rd, Suite D8, Oakland, NJ 07436-1618 | 2013-09-09 |
| 1659716538 | Catalyst Counseling Services | Community/Behavioral Health | 9 Post Rd, Bldg Suite 6, Oakland, NJ 07436-1618 | 2013-05-06 |
| 1477886190 | Daniel Allen | Dentist | 9 Post Rd, Suite # M1a, Oakland, NJ 07436-1618 | 2009-09-14 |
| 1396078010 | Marvin Lagstein | Dentist | 9 Post Rd, Suite # M1a, Oakland, NJ 07436-1618 | 2009-09-14 |
| 1073779104 | Lawrence A Guarino Md Pa | Surgery | 9 Post Rd, Suite D-3, Oakland, NJ 07436-1618 | 2008-07-29 |
| 1124244884 | Richard Luther Bucher Jr. | Dentist | 9 Post Rd, Suite D5, Oakland, NJ 07436-1618 | 2007-04-18 |
| 1760607956 | Laser Dentistry of North Jersey, LLC. | Dentist | 9 Post Rd, Suite D5, Oakland, NJ 07436-1618 | 2007-04-15 |
| 1447378435 | Mountainview Medical Group PC | Internal Medicine | 9 Post Rd, Suite D7, Oakland, NJ 07436-1618 | 2007-03-27 |
| 1275658122 | Shahrzad Tajtaraghi | Dentist | 9 Post Rd, #d2 Oakland Family Dentistry Pa, Oakland, NJ 07436-1618 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| Find all providers in zip 07436 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619026739 | Shaliza Shorey | Clinical Neuropsychologist | 3900 Broadway Bldg 1, Oakland, CA 94611-5616 | 2007-01-09 |
| 1497829287 | F. Myron Hays, Ph.d. | Clinical Neuropsychologist | 2917 Mcclure St, Oakland, CA 94609-3504 | 2006-11-20 |
| 1528168366 | Gregory Seth Alter | Clinical Neuropsychologist | 5666 Telegraph Ave, Oakland, CA 94609-1708 | 2006-09-22 |
| 1376143123 | Thomas Vanvleet | Clinical Neuropsychologist | 3947 Opal St, Oakland, CA 94609-2626 | 2020-10-30 |
| 1619599974 | Savera Psychological Services PC | Clinical Neuropsychologist | 401 Grand Ave Ste 380, Oakland, CA 94610-5054 | 2020-05-09 |
| 1558994277 | Pranamind LLC | Clinical Neuropsychologist | 459 W Macarthur Blvd, Oakland, CA 94609-2808 | 2020-02-21 |
| 1568092617 | Meena Saleh | Clinical Neuropsychologist | 3756 Grand Ave, Ste 404, Oakland, CA 94610-1545 | 2020-01-16 |
| 1063912061 | Carol Fenner | Clinical Neuropsychologist | 2000 Embarcadero, Oakland, CA 94606-5334 | 2018-02-15 |
| 1477073062 | Amrita Mehta | Clinical Neuropsychologist | 401 Grand Ave Ste 380, Oakland, CA 94610-5054 | 2017-06-23 |
| 1699902759 | Michael Alex Peterson | Clinical Neuropsychologist | 1425 Leimert Blvd, Suite 403, Oakland, CA 94602-1865 | 2009-06-16 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.