DR. PAUL M KOSTOULAKOS (NPI# 1982817326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982817326 |
| Entity Type | Individual |
| Full Name | DR. PAUL M KOSTOULAKOS |
| Credential | D.O. |
| Practice Address |
1944 State Route 33 Ste 206 Neptune NJ 07753-4862 |
| Mailing Address |
1944 Corlies Ave Suite 206 Neptune NJ 07753 |
| Practice Telephone | 7327748282 |
| Practice Fax Number | 7327746816 |
| Mailing Telephone | 7327748282 |
| Mailing Fax Number | 7327746816 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MB08220200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1944 STATE ROUTE 33 STE 206 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821087313 | Tressie D. Dalaya | Genetic Counselor, MS | 1944 State Route 33, Suite 203, Neptune, NJ 07753-4862 | 2005-10-17 |
| 1205025574 | Anne G Roth | Pediatrics | 1944 State Route 33, Suite 101a, Neptune, NJ 07753-4862 | 2007-10-23 |
| 1265635627 | Atlantic Coast Urology,pa | Urology | 1944 State Route 33, Suite 101, Neptune, NJ 07753-4862 | 2007-06-06 |
| 1770603409 | Neuropsychology Rehabilitation Services | Clinical Neuropsychologist | 1944 State Route 33, Suite 202, Neptune, NJ 07753-4862 | 2007-03-29 |
| 1538289319 | Heather Greco | Counselor | 1944 State Route 33, Suite 202, Neptune, NJ 07753-4862 | 2007-03-29 |
| 1316067119 | George Corradino | Counselor | 1944 State Route 33, Suite 202, Neptune, NJ 07753-4862 | 2007-03-29 |
| 1114047909 | Joseph Pantone | Counselor | 1944 State Route 33, Suite 202, Neptune, NJ 07753-4862 | 2007-03-29 |
| 1255462008 | Brian Burgess | Psychologist | 1944 State Route 33, Suite 202, Neptune, NJ 07753-4862 | 2007-03-07 |
| 1164553939 | Steve Greco | Clinical Neuropsychologist | 1944 State Route 33, Suite 202, Neptune, NJ 07753-4862 | 2007-03-07 |
| 1487610952 | Carlos W Benito | Obstetrics & Gynecology | 1944 State Route 33, Medical Arts Building Suite 203, Neptune, NJ 07753-4862 | 2006-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
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| 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 |
|---|---|---|---|---|
| 1225328701 | Huma Baqui | Psychiatry & Neurology | 1944 Corlies Avenue, Suite 206, Neptune, NJ 07753 | 2011-04-18 |
| 1528040011 | Alan D. Deutsch | Psychiatry & Neurology | 1944 Corlies Ave., Ste 206, Neptune, NJ 07753 | 2005-11-18 |
| 1043515471 | Anastasia Maria Eswar | Psychiatry & Neurology | 1944 Corlies Ave, Suite 206, Neptune, NJ 07753-4862 | 2011-01-15 |
| 1346294170 | Jersey Shore Neurology Associates, P.a. | Psychiatry & Neurology | 1900 Corlies Ave, Neptune, NJ 07753-4800 | 2006-05-19 |
| 1053364430 | David B Duncan | Psychiatry & Neurology | 1945 Route 33, 1st Floor Amdur Pavillion, Neptune, NJ 07753-2605 | 2006-05-18 |
| 1699740753 | John E. Fitzpatrick | Psychiatry & Neurology | 1900 Corlies Ave, Neptune, NJ 07753-4800 | 2006-02-22 |
| 1295700359 | Richard I Sultan | Psychiatry & Neurology | 1900 Corlies Ave, Neptune, NJ 07753-4800 | 2006-02-22 |
| 1659346112 | Richard Sang Rhee | Psychiatry & Neurology | 1900 Corlies Ave, Neptune, NJ 07753-4800 | 2006-02-20 |
| 1306811807 | Paul J. Gilson | Psychiatry & Neurology | 1900 Corlies Ave, Neptune, NJ 07753-4800 | 2006-02-20 |
| 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 |
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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.