MEDCOM NEUROLOGICAL SERVICES, LLC (NPI# 1245262385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245262385 |
| Entity Type | Organization |
| Organization Name | MEDCOM NEUROLOGICAL SERVICES, LLC |
| Practice Address |
310 Chris Gaupp Dr Suite 101 Galloway NJ 08205-4461 |
| Mailing Address |
258 N New Rd Pleasantville NJ 08232-2170 |
| Practice Telephone | 6099095355 |
| Practice Fax Number | 6099095357 |
| Mailing Telephone | 6096464064 |
| Mailing Fax Number | 6092728526 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | ILYAS A RAJPUT (PRESIDENT) |
| Authorized Official Telephone | 6096464064 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0088072 | 05 |
| Street Address |
310 CHRIS GAUPP DR SUITE 101 |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-4461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114316825 | Deborah S Smith Psyd LLC | Psychologist | 310 Chris Gaupp Dr, Suite 105, Galloway, NJ 08205-4461 | 2015-01-19 |
| 1861784423 | Holly D. Bennett | Nurse Practitioner | 310 Chris Gaupp Dr, Suite 102, Galloway, NJ 08205-4461 | 2011-05-13 |
| 1427257880 | Susan Lee Mullen | Counselor | 310 Chris Gaupp Dr, Suite 105, Galloway, NJ 08205-4461 | 2007-07-16 |
| 1598988560 | Sharon L. Carroccia | Social Worker | 310 Chris Gaupp Dr, Suite 105, Galloway, NJ 08205-4461 | 2007-04-10 |
| 1851438675 | Claude L. Delaverdac | Internal Medicine | 310 Chris Gaupp Dr, Suite 102, Galloway, NJ 08205-4461 | 2007-01-31 |
| 1821135674 | Alexander Lieberman IIi | Internal Medicine | 310 Chris Gaupp Dr, Suite 102, Galloway, NJ 08205-4461 | 2007-01-31 |
| 1275670986 | Atlantic Internal Medicine Associates.pa | Internal Medicine | 310 Chris Gaupp Dr, Suite 102, Galloway, NJ 08205-4461 | 2007-01-31 |
| 1255425344 | Deborah S. Smith | Psychologist | 310 Chris Gaupp Dr, Galloway Mental Health, Suite 105, Galloway, NJ 08205-4461 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548172 | Jeffrey R Boxman | Psychiatry & Neurology | 436 Chris Gaupp Dr, Ste 104, Galloway, NJ 08205-4487 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717719 | Hudson Healthcare Express LLC | Psychiatry & Neurology | 9225 Kennedy Blvd Ste D, North Bergen, NJ 07047-5361 | 2020-07-08 |
| 1225660947 | Harmony Direct Psychiatric Clinic | Psychiatry & Neurology | 332 Cranbury Rd, East Brunswick, NJ 08816-3074 | 2020-02-11 |
| 1548804909 | Stc Pediatrics LLC | Psychiatry & Neurology | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-29 |
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1821555376 | Executive Center for Psychological Medicine | Psychiatry & Neurology | 701 White Horse Rd Ste C-101, Voorhees, NJ 08043-2494 | 2019-02-20 |
| 1871058446 | Midatlantic Neuromonitoring Limited | Psychiatry & Neurology | 125 Half Mile Rd Ste 200, Red Bank, NJ 07701-6749 | 2019-02-07 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225551146 | Bindi Akshay Patel | Psychiatry & Neurology | 125 Paterson St Ste 6100, New Brunswick, NJ 08901-1962 | 2017-07-23 |
| 1841647823 | Joshua Daniel | Psychiatry & Neurology | 58 W Aspen Way, Aberdeen, NJ 07747-1906 | 2016-05-19 |
| 1487059978 | Neurological Institute of Northern New Jersey | Psychiatry & Neurology | 3 Wedgewood Dr, West Orange, NJ 07052-2719 | 2014-10-27 |
| 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.