CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC (NPI# 1134179625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134179625 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC |
| Practice Address |
725 River Rd Suite.106 Edgewater NJ 07020-1171 |
| Practice Telephone | 2019432273 |
| Practice Fax Number | 2012159548 |
| Mailing Telephone | 2019432273 |
| Mailing Fax Number | 2012159548 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | DR. LYDIA SHAJENKO (DIRECTOR OWNER) |
| Authorized Official Telephone | 6462456180 |
| Authorized Official Credential | M.D., PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA08061700 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
25MA08061700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0148083 | 05 |
| Street Address |
725 RIVER RD SUITE.106 |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952852709 | Five Element Rehab, LLC | Chiropractor | 725 River Rd, Suite 201, Edgewater, NJ 07020-1171 | 2016-10-17 |
| 1033567151 | Riverview Pain and Spine Institute PC | Non-Pharmacy Dispensing Site | 725 River Rd, Suite 201a, Edgewater, NJ 07020-1171 | 2016-05-31 |
| 1073978730 | Neurohab | Clinic/Center | 725 River Rd, Suite 58, Edgewater, NJ 07020-1171 | 2015-12-23 |
| 1972996254 | Riverview Pain and Spine Institute PC | Pain Medicine | 725 River Rd, Suite 201, Edgewater, NJ 07020-1171 | 2015-03-11 |
| 1215346218 | Adam Alex, LLC | Family Medicine | 725 River Rd, Suite 27, Edgewater, NJ 07020-1171 | 2014-08-05 |
| 1942618806 | Samuel Kim | Dentist | 725 River Rd, 53, Edgewater, NJ 07020-1171 | 2014-07-23 |
| 1619391729 | Comprehensive Allergy and Asthma Care | Allergy & Immunology | 725 River Rd, Suite 208, Edgewater, NJ 07020-1171 | 2014-02-10 |
| 1578998092 | Michael Pomykala | Physical Therapist | 725 River Rd, Suite 60, Edgewater, NJ 07020-1171 | 2013-09-04 |
| 1205272242 | New Jersey Spine and Pain, PC | Pain Medicine | 725 River Rd, Suite 32-107, Edgewater, NJ 07020-1171 | 2013-05-17 |
| 1831437748 | Ando Chiropractic, LLC | Chiropractor | 725 River Rd, Ste 101, Edgewater, NJ 07020-1171 | 2013-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992908263 | Riverfront Medical Associates PC | Psychiatry & Neurology | 725 River Rd, Suite 106, Edgewater, NJ 07020-1171 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410154 | Synergy Surgical Associates, LLC | Psychiatry & Neurology | 1247 Ratzer Rd, Wayne, NJ 07470-2311 | 2020-06-02 |
| 1871139469 | Advanced Neuromonitoring, LLC | Psychiatry & Neurology | 160 E Hanover Ave Ste 201, Morristown, NJ 07960-3150 | 2019-11-19 |
| 1831355981 | Volker Armin Knappertz | Psychiatry & Neurology | 22 Three Gables Rd, Morristown, NJ 07960-6505 | 2008-07-29 |
| 1386679942 | Iman S Youssef | Psychiatry & Neurology | 24 Marshall Dr, Egg Harbor Twp, NJ 08234-6002 | 2006-07-12 |
| 1154372621 | Nilay Ramesh Shah | Psychiatry & Neurology | 255 W Spring Valley Ave Ste 102, Maywood, NJ 07607-1444 | 2006-05-12 |
| 1205471547 | Khh Medical Care PC. | Psychiatry & Neurology | 1 Bridge Plz N Ste 275, Fort Lee, NJ 07024-7586 | 2019-11-11 |
| 1538600606 | Neuroshield Network Se LLC | Psychiatry & Neurology | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-03-09 |
| 1134668981 | Complete Neurological Care of Nj PC | Psychiatry & Neurology | 124 Gregory Ave, Suite 203, Passaic, NJ 07055-4856 | 2017-02-13 |
| 1528510807 | Epilepsy & Behavior Neurological Services LLC | Psychiatry & Neurology | 90 Paterson St, Suite 100, New Brunswick, NJ 08901-2109 | 2016-11-02 |
| 1508273327 | Hackensack Epilepsy Center PC | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2014-07-14 |
| Find all providers with the same taxonomy | ||||
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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.