EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS, PA (NPI# 1386003580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386003580 |
| Entity Type | Organization |
| Organization Name | EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS, PA |
| Practice Address |
2 Capital Way 3rd Floor, Suite 385 Pennington NJ 08534-2521 |
| Mailing Address |
690 N Broadway Gl1 N White Plains NY 10603-2417 |
| Practice Telephone | 9085224990 |
| Practice Fax Number | 9735380043 |
| Mailing Telephone | 9144283651 |
| Mailing Fax Number | 9144282648 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | SHELLEY INFELD (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9144283651 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
2 CAPITAL WAY 3RD FLOOR, SUITE 385 |
| City | PENNINGTON |
| State | NJ |
| Zip Code | 08534-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246725 | Victoria Morey Petty | Obstetrics & Gynecology | 2 Capital Way, Suite 356, Pennington, NJ 08534-2521 | 2005-06-22 |
| 1972154110 | Janine Santora | Nurse Practitioner | 2 Capital Way, Pennington, NJ 08534-2521 | 2019-09-27 |
| 1851825400 | Nathanael Elijah Smith | Registered Nurse | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2017-04-19 |
| 1033505748 | Victoria E Pena-cardinali | Social Worker | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2015-04-09 |
| 1447646153 | Sarah Moore | Social Worker | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2015-04-09 |
| 1215359708 | Shannon Lynn Renitsky | Nurse Practitioner | 2 Capital Way, Suite 356, Pennington, NJ 08534-2521 | 2014-01-17 |
| 1093145591 | We Care Md PC | Non-Pharmacy Dispensing Site | 2 Capital Way, Suite 359, Pennington, NJ 08534-2521 | 2013-11-19 |
| 1043651110 | Capital Health Center for Liver Disease | Internal Medicine | 2 Capital Way, Suite 380, Pennington, NJ 08534-2521 | 2013-07-17 |
| 1184063919 | Mercer Bucks Endocrinology PC | Internal Medicine | 2 Capital Way, Suite 315, Pennington, NJ 08534-2521 | 2013-06-14 |
| 1760732929 | Wendi Lynne Rank | Nurse Practitioner | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2012-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105163 | Arielle Skoryk | Psychologist | 800 Denow Road, Suite C #337, Pennington, NJ 08534 | 2020-08-19 |
| 1033751904 | Theresa Marie Archer | Registered Nurse | 108 Straube Center Blvd Suite I-17, Pennington, NJ 08534 | 2019-10-12 |
| 1295216059 | Confidentialistener LLC | Psychologist | 106 Straube Ctr Blvd Ste F112, Pennington, NJ 08534 | 2018-08-28 |
| 1245722164 | Jeffrey Adam Fehder | Nurse Anesthetist, Certified Registered | Capital Health Medical Center - Hopewell, 1 Capital Way - Second Floor, Anesthesia Offices, Pennington, NJ 08534 | 2018-06-06 |
| 1942711650 | Robert Vincent Simone | Social Worker | 65 South Main Street, Bldg. B Suite B-103, Pennington, NJ 08534 | 2017-10-20 |
| 1568980266 | Oaks Integrated Care | Clinic/Center | 720 Heritage Ct, Pennington, NJ 08534 | 2017-09-01 |
| 1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1891220174 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 104 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1124553409 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
| 1215486147 | Janine Disanti | Optometrist | Two Capital Way, Suite 326, Matossian Eye Associates, Pennington, NJ 08534 | 2016-10-04 |
| Find all providers in zip 08534 | ||||
| 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 |
|---|---|---|---|---|
| 1477504546 | Arnold Stewart Witte | Psychiatry & Neurology | 2 Capital Way Ste 456, Pennington, NJ 08534-2521 | 2006-05-13 |
| 1376906024 | David Kiviat | Psychiatry & Neurology | 1 Capital Way, Pennington, NJ 08534-2520 | 2016-03-31 |
| 1497173454 | Mohammed Kananeh | Psychiatry & Neurology | 1 Capital Way, Pennington, NJ 08534-2520 | 2014-04-06 |
| 1235484650 | Capital Institute for Neurosciences Center for Neuro-oncology | Psychiatry & Neurology | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2012-07-23 |
| 1306191770 | Daniel Benjamin Landau | Psychiatry & Neurology | 1 Capital Way, Pennington, NJ 08534-2520 | 2012-07-20 |
| 1770733008 | Alexandra E Landen | Psychiatry & Neurology | 2 Capital Way Ste 456, Pennington, NJ 08534-2521 | 2008-09-23 |
| 1013123587 | Hermann Christian Schumacher | Psychiatry & Neurology | 2 Capital Way Ste 456, Pennington, NJ 08534-2521 | 2007-05-14 |
| 1558462093 | Roy Andrew Patchell | Psychiatry & Neurology | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2006-09-26 |
| 1164520854 | Chirag S. Shukla | Psychiatry & Neurology | 2 Capital Way, Suite 456, Pennington, NJ 08534-5227 | 2006-09-20 |
| 1902826605 | John W Vester | Psychiatry & Neurology | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2006-07-19 |
| Find all providers in PENNINGTON | ||||
| City | PENNINGTON |
| Zip Code | 08534 |
Please comment or provide details below to improve the information on EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS, PA.
| 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.