NEURO DIAGNOSTIC ASSOCIATES LLC (NPI# 1336469105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336469105 |
| Entity Type | Organization |
| Organization Name | NEURO DIAGNOSTIC ASSOCIATES LLC |
| Practice Address |
1 Bridge Plz N Ste 275 Fort Lee NJ 07024-7101 |
| Mailing Address |
18945 Concerto Dr Boca Raton FL 33498-4870 |
| Practice Telephone | 8669438682 |
| Practice Fax Number | 5614700339 |
| Mailing Telephone | 8669438682 |
| Mailing Fax Number | 5614700339 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | DR. MARK SCHWARTZ (PRESIDENT) |
| Authorized Official Telephone | 8669438682 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MB06381000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1 BRIDGE PLZ N STE 275 |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518043165 | Alfred Dean Kulik | Ophthalmology | 1 Bridge Plz N, 2nd Floor, Fort Lee, NJ 07024-7101 | 2006-10-27 |
| 1851663868 | Lourdes J Melendez | Counselor | 1 Bridge Plz N, Suite 275, Fort Lee, NJ 07024-7101 | 2012-02-07 |
| 1104133362 | Doctors Diagnostic Group, LLC | Family Medicine | 1 Bridge Plz N, Suite 275, Fort Lee, NJ 07024-7101 | 2010-09-09 |
| 1467769620 | North Jersey Diagnostics Group | Family Medicine | 1 Bridge Plz N, Suite 275, Fort Lee, NJ 07024-7101 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
| 1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
| 1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
| 1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
| 1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
| 1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
| 1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
| 1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
| Find all providers in zip 07024 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093870776 | Joseph Philip Cassotta | Family Medicine | 1600 Center Ave, Fort Lee, NJ 07024-4731 | 2006-12-23 |
| 1588757058 | Ohan Karatoprak | Family Medicine | 420 Deerwood Road, Fort Lee, NJ 07024 | 2006-10-02 |
| 1124090378 | Kenneth R. West | Family Medicine | Usameddac Kahc, 700 24th Street, Fort Lee, VA 23801-1716 | 2006-02-02 |
| 1104133362 | Doctors Diagnostic Group, LLC | Family Medicine | 1 Bridge Plz N, Suite 275, Fort Lee, NJ 07024-7101 | 2010-09-09 |
| 1467769620 | North Jersey Diagnostics Group | Family Medicine | 1 Bridge Plz N, Suite 275, Fort Lee, NJ 07024-7101 | 2010-09-09 |
| 1710148242 | Irwin Lee Rhine | Family Medicine | 2150 Center Ave, Apt 18e, Fort Lee, NJ 07024 | 2008-06-18 |
| 1659568467 | Slavomir Andrew Bilinski | Family Medicine | 700 24th St, Fort Lee, VA 23801-1716 | 2007-09-26 |
| 1417016510 | Arvinder K Barot | Family Medicine | 700 24th St, Fort Lee, VA 23801-1716 | 2006-12-06 |
| 1861467771 | Daniel Haile Selassie | Family Medicine | 700 24th St, Fort Lee, VA 23801-1716 | 2006-02-22 |
| 1407828981 | Rana Khalid | Family Medicine | 700 24th St, Fort Lee, VA 23801-1716 | 2006-02-07 |
| Find all providers in FORT LEE | ||||
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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.