PROGRESSIVE NEUROLOGY, PC (NPI# 1134404411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134404411 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE NEUROLOGY, PC |
| Practice Address |
260 Old Hook Rd Suite 200 Westwood NJ 07675-3123 |
| Practice Telephone | 2015468509 |
| Practice Fax Number | 2015038142 |
| Mailing Telephone | 2019678425 |
| Mailing Fax Number | 2012564098 |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2014-01-10 |
| Authorized Official Name | GEORGES A GHACIBEH (MEDICAL DOCTOR) |
| Authorized Official Telephone | 2019678425 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
25MA08232000 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
25MA08232000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA08232000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0143731 | 05 |
| Street Address |
260 OLD HOOK RD SUITE 200 |
| City | WESTWOOD |
| State | NJ |
| Zip Code | 07675-3123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578596508 | Robert Tassan | Internal Medicine | 260 Old Hook Rd, Suite 301, Westwood, NJ 07675-3123 | 2006-07-10 |
| 1902431240 | Regional Cancer Care Associates LLC | Internal Medicine | 260 Old Hook Rd, Westwood, NJ 07675-3123 | 2020-03-06 |
| 1245782713 | Lyndsay Buehler | Nurse Practitioner | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2016-10-31 |
| 1508273327 | Hackensack Epilepsy Center PC | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2014-07-14 |
| 1215291240 | Eric Mittelmann | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2012-06-25 |
| 1447513213 | Joyce Tsai | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2012-06-18 |
| 1801030473 | Robert Dedick Connors | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1134699200 | Angelly Guzman | Social Worker | 192 3rd Ave., Westwood, NJ 07675 | 2018-11-30 |
| 1477091270 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 216 Old Tappan Road, Suite 56-58d, Old Tappan, NJ 07675 | 2017-02-01 |
| 1871965392 | Jesse Glassman | Psychologist | 354 Old Hook Rd. Suite 203, Westwood, NJ 07675 | 2015-10-23 |
| 1972981249 | Sabrina Tate Hegarty | Physical Therapist | 38 Adams Court, Westwood, NJ 07675 | 2015-05-07 |
| 1205220910 | Annamma Goerge | Nurse Practitioner | 333 Old Hook Road, Suite 103, Endocrinology and Diabetes Associates, LLC, Westwood, NJ 07675 | 2015-03-20 |
| 1871997833 | Tia Davis | Social Worker | 80 Westwood Blvd, Westwood, NJ 07675 | 2014-10-20 |
| 1336564400 | Jessica Digiacomo | Counselor | 192 Third Avenue, Suite 1-b, Westwood, NJ 07675 | 2014-02-26 |
| 1487078507 | Bergen Pediatric Speech Therapy | Speech-Language Pathologist | 354 Old Hook Rd., Ll-1, Westwood, NJ 07675 | 2014-02-10 |
| Find all providers in zip 07675 | ||||
| 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 |
|---|---|---|---|---|
| 1912278615 | Pankaj Kakkar | Psychiatry & Neurology | 260 Old Hook Road, Suite 200, Westwood, NJ 07675 | 2012-01-26 |
| 1720048648 | Patricia Gorman Klein | Psychiatry & Neurology | 99 Kinderkamack Rd Ste 307, Westwood, NJ 07675-3021 | 2006-03-24 |
| 1215291240 | Eric Mittelmann | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2012-06-25 |
| 1447513213 | Joyce Tsai | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2012-06-18 |
| 1801030473 | Robert Dedick Connors | Psychiatry & Neurology | 260 Old Hook Rd, Suite 200, Westwood, NJ 07675-3123 | 2009-04-27 |
| 1972676401 | David D. Vanslooten,m.d.,p.a. | Psychiatry & Neurology | 99 Kinderkamack Rd Ste 307, Westwood, NJ 07675-3021 | 2006-11-15 |
| 1649354119 | Lorraine Lira | Psychiatry & Neurology | 99 Kinderkamack Rd Ste 307, Westwood, NJ 07675-3021 | 2006-10-24 |
| 1639251218 | David Dennis Van Slooten | Psychiatry & Neurology | 99 Kinderkamack Rd Ste 307, Westwood, NJ 07675-3021 | 2006-10-20 |
| 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 |
| 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.