NEW JERSEY PEDIATRIC NEUROLOGICAL ASSOCIATES, PC (NPI# 1548534993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548534993 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY PEDIATRIC NEUROLOGICAL ASSOCIATES, PC |
| Practice Address |
131 Madison Ave Suite 140 Morristown NJ 07960-7360 |
| Practice Telephone | 9733269000 |
| Practice Fax Number | 9733269001 |
| Mailing Telephone | 9733269000 |
| Mailing Fax Number | 9733269001 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | DR. CATHERINE A MAZZOLA (PRESIDENT & CEO) |
| Authorized Official Telephone | 9733269000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW JERSEY PEDIATRIC NEUROSURGICAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
25MA06780300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
131 MADISON AVE SUITE 140 |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-7360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013421775 | Laura Natoli | Nurse Practitioner | 131 Madison Ave, Morristown, NJ 07960-7360 | 2017-11-16 |
| 1821366295 | Vascular Research Institute, Inc. | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2011-12-13 |
| 1679856074 | Roman Markh | Physician Assistant | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2011-09-21 |
| 1558503672 | New Jersey Pediatric Neuroscience Institute, LLC | Neurological Surgery | 131 Madison Ave, Suite 140, Morristown, NJ 07960-7360 | 2009-04-03 |
| 1801081716 | Tiffany Joy Matragas | Physician Assistant | 131 Madison Ave, Second Floor, Morristown, NJ 07960-7360 | 2007-09-13 |
| 1124227806 | Kelly Ann Lynch | Nurse Practitioner | 131 Madison Ave, Second Floor, Morristown, NJ 07960-7360 | 2007-07-13 |
| 1801006838 | Omer Junaid Riaz | Surgery | 131 Madison Ave, 2nd Fl, Morristown, NJ 07960-7360 | 2007-05-22 |
| 1598811549 | Advanced Musculoskeletal Centers Pa | Orthopaedic Surgery | 131 Madison Ave, 3rd Floor, Morristown, NJ 07960-7360 | 2007-01-25 |
| 1902959737 | Lisa Jane Dunn | Physician Assistant | 131 Madison Ave, Morristown, NJ 07960-7360 | 2007-01-18 |
| 1316019300 | Plastic Surgery Center of New | Plastic Surgery | 131 Madison Ave, Suite 120, Morristown, NJ 07960-7360 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609014711 | Advocare, LLC | Psychiatry & Neurology | 25 Lindsley Dr, Suite 205, Morristown, NJ 07960-4455 | 2009-01-27 |
| 1972699205 | Trevor G Desouza | Psychiatry & Neurology | 25 Lindsley Dr, Suite 205, Morristown, NJ 07960-4455 | 2006-10-05 |
| 1043305204 | Lorraine M. Lazar | Psychiatry & Neurology | 100 Madison Ave, Division of Child Neurology, Morristown, NJ 07960-6136 | 2006-10-04 |
| 1285609495 | Harvey Bennett | Psychiatry & Neurology | 100 Madison Ave, Morristown, NJ 07960-6136 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467640 | Kidsneuro, LLC | Psychiatry & Neurology | 205 Browertown Rd Ste 1, Woodland Park, NJ 07424-2610 | 2017-06-27 |
| 1255871547 | Vinayak Dattatraya Bodas | Psychiatry & Neurology | 268 M.l. King Blvd., Newark, NJ 07102 | 2017-03-06 |
| 1013306885 | Namita Garg | Psychiatry & Neurology | 7 Bell St, Apartment # 401, Montclair, NJ 07042-2232 | 2015-01-16 |
| 1477895167 | Bridget Anne Leone | Psychiatry & Neurology | 200 S Orange Ave Ste 165, Livingston, NJ 07039 | 2013-03-20 |
| 1700047594 | Vikram Bhise | Psychiatry & Neurology | 89 French St Fl 2, Children's Health Institute of New Jersey, New Brunswick, NJ 08901-1935 | 2008-06-24 |
| 1952526816 | German Laufer | Psychiatry & Neurology | 22 Knutsen Dr, West Orange, NJ 07052-2162 | 2007-04-16 |
| 1215096524 | Neuroscience Assoc Md Pa | Psychiatry & Neurology | 31 Mountain Blvd Bldg A, Warren, NJ 07059-5645 | 2006-12-06 |
| 1700961307 | Beverly Fischer | Psychiatry & Neurology | 4 Chiplou Ln, Scotch Plains, NJ 07076-2204 | 2006-10-25 |
| 1851487193 | Leonid Lev Topper | Psychiatry & Neurology | 34 Mountain Blvd Ste B, Warren, NJ 07059-2640 | 2006-10-05 |
| 1578663738 | Gabor Barabas | Psychiatry & Neurology | 24 Muncy Dr, West Long Branch, NJ 07764-1147 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on NEW JERSEY PEDIATRIC NEUROLOGICAL ASSOCIATES, 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.