NEUROSHIELD NETWORK SE LLC (NPI# 1538600606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538600606 |
| Entity Type | Organization |
| Organization Name | NEUROSHIELD NETWORK SE LLC |
| Practice Address |
700 Us Highway 46 Suite 420 Fairfield NJ 07004-1591 |
| Mailing Address |
Po Box 5805 Carol Stream IL 60197-5805 |
| Practice Telephone | 9738823456 |
| Practice Fax Number | 9738823450 |
| Mailing Telephone | 9738823456 |
| Mailing Fax Number | 9738823450 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | MARCOS J CRUZ (OWNER) |
| Authorized Official Telephone | 9738823456 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770084063 | Neuroshield Network Se LLC | Psychiatry & Neurology | 1304 Sunset Blvd, West Columbia, SC 29169-5914 | 2018-02-22 |
| Street Address |
700 US HIGHWAY 46 SUITE 420 |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-1591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447472220 | Accurate Monitoring, LLC. | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2007-05-02 |
| 1679008601 | Nelson Vasquez | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-04-27 |
| 1770018863 | Fernando Honorio | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-04-26 |
| 1871028928 | Priyank Desai | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-04-26 |
| 1841731973 | Accurate Neuromonitoring Se LLC | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-03-08 |
| 1679011456 | Emily Haight | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-02-01 |
| 1588109326 | Janki Patel | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-01-04 |
| 1821531781 | Allison Greenbaum | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2016-11-28 |
| 1902349871 | Nancy Mele | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2016-11-28 |
| 1578005997 | Maria Donnelly | Specialist/Technologist, Other | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2016-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| 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 |
|---|---|---|---|---|
| 1437243664 | Neurology Associates, Inc. | Psychiatry & Neurology | 2960 Mack Rd, Suite 201, Fairfield, OH 45014-5373 | 2006-10-03 |
| 1891793642 | Vijay Rajan | Psychiatry & Neurology | 2960 Mack Rd, Suite 201, Fairfield, OH 45014-5373 | 2005-07-13 |
| 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 |
| 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 |
| 1972921898 | Mian Neurology | Psychiatry & Neurology | 310 E Main St, Somerville, NJ 08876-3006 | 2014-03-29 |
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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.