COMPLETE NEUROLOGICAL CARE OF NJ PC (NPI# 1134668981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134668981 |
| Entity Type | Organization |
| Organization Name | COMPLETE NEUROLOGICAL CARE OF NJ PC |
| Practice Address |
124 Gregory Ave Suite 203 Passaic NJ 07055-4856 |
| Mailing Address |
308 Myers Ave Hasbrouck Heights NJ 07604-2236 |
| Practice Telephone | 2123492787 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | ELLEN I EDGAR (OWNER) |
| Authorized Official Telephone | 2123492787 |
| 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 |
25MA09993200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
124 GREGORY AVE SUITE 203 |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370575 | New Jersey Vision Associates PC | Ophthalmology | 124 Gregory Ave, Suite 104, Passaic, NJ 07055-4856 | 2005-07-21 |
| 1194236596 | Nirali P Borad | Occupational Therapist | 124 Gregory Ave, Passaic, NJ 07055-4856 | 2017-10-12 |
| 1275949158 | Alpha Care Pediatrics, LLC | Clinic/Center | 124 Gregory Ave, Suite 201, Passaic, NJ 07055-4856 | 2014-07-11 |
| 1629416599 | First Class Physical Therapy (nj), PC | Physical Therapist | 124 Gregory Ave, Passaic, NJ 07055-4856 | 2013-06-12 |
| 1780990820 | Children's Dentistry of Passaic LLC | Clinic/Center | 124 Gregory Ave, Suite 303, Passaic, NJ 07055-4856 | 2010-08-26 |
| 1740457571 | Amarnath Avancha | Internal Medicine | 124 Gregory Ave, Suite 102, Passaic, NJ 07055-4856 | 2008-05-12 |
| 1770754632 | James V Abraham | Internal Medicine | 124 Gregory Ave, Unit 301, Passaic, NJ 07055-4856 | 2008-03-19 |
| 1417168154 | Jose R. Sachez-pena M.d.p.c | Internal Medicine | 124 Gregory Ave, Passaic, NJ 07055-4856 | 2007-05-24 |
| 1689881690 | Passaic County Integrated Healthcare | Internal Medicine | 124 Gregory Ave, Passaic, NJ 07055-4856 | 2007-05-17 |
| 1154441723 | James V Abraham | Internal Medicine | 124 Gregory Ave, Unit 301, Passaic, NJ 07055-4856 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1538600606 | Neuroshield Network Se LLC | Psychiatry & Neurology | 700 Us Highway 46, Suite 420, Fairfield, NJ 07004-1591 | 2017-03-09 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMPLETE NEUROLOGICAL CARE OF NJ PC.
| 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.