EVELINA OKOUNEVA (NPI# 1881836625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881836625 |
Entity Type | Individual |
Full Name | EVELINA OKOUNEVA |
Credential | DO |
Practice Address |
150 New Providence Rd Mountainside NJ 07092-2590 |
Practice Telephone | 9083015491 |
Practice Fax Number | 9083015408 |
Mailing Telephone | 9083015491 |
Mailing Fax Number | 9083015408 |
Enumeration Date | 2009-03-25 |
Last Update Date | 2010-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
25MB08552600 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0230031 | 05 |
Street Address |
150 NEW PROVIDENCE RD |
City | MOUNTAINSIDE |
State | NJ |
Zip Code | 07092-2590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306812037 | Ave O Gozo | Pediatrics | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2006-02-23 |
1013537497 | Meghan E. Lonergan | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2020-04-25 |
1538633516 | Allison Heschle | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2019-01-14 |
1518458702 | Heather Anne Montemurro | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2018-05-23 |
1366953465 | Grace Giovinazzo-page | Nurse Practitioner | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2017-10-16 |
1083151088 | Karla R Estrada Saborio | Speech-Language Pathologist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2017-01-27 |
1598217143 | Laura Gorelick | Counselor | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-31 |
1285185215 | Angela Tonon | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-14 |
1609326610 | Amy Srebnik | Specialist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-10-13 |
1831547884 | Elizabeth Ann Hack | Physical Therapist | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2016-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
1497177273 | Mumta Hathiramani | Dentist | 1122 Route 22 Ste 104, Mountainside, NJ 07092 | 2014-01-13 |
1376817742 | Yekaterina Spivak | Physician Assistant | 444 New Providence Rd, Mountainside, NJ 07092 | 2012-03-02 |
1578837225 | Barbara I Reuven | Physical Therapist | 1111 Us Highway 22 East, Mountainside, NJ 07092 | 2012-02-28 |
1629350434 | Cooperative Counseling Services, LLC | Clinic/Center | 1139 Spruce Drive, Suite 2, Mountainside, NJ 07092 | 2011-09-16 |
1912207325 | Leslie Ann Eckenthal | Speech-Language Pathologist | 1607 Rising Way, Westfield, NJ 07092 | 2010-11-01 |
1598080806 | Darshana Patel | Pharmacist | 200 Sheffield, 103, Mountainside, NJ 07092 | 2010-03-30 |
1770807497 | Goda Devi Chari | Pharmacist | 200 Sheffield St., Ste.103, Mountainside, NJ 07092 | 2010-03-24 |
1982830485 | Arthur J. Matthews | Otolaryngology | 1060 Saddlebrook Rd., Mountainside, NJ 07092 | 2009-06-10 |
1285889105 | Charles Edward Dooley Jr | Internal Medicine | 560 Springfield Avenue, Westfield, NJ 07092 | 2008-11-19 |
Find all providers in zip 07092 |
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 |
---|---|---|---|---|
1588727796 | Abba Lewis Cargan | Psychiatry & Neurology | 1122 Us Highway 22, Mountainside, NJ 07092-2812 | 2006-12-18 |
1326016304 | Eveline C Traeger | Psychiatry & Neurology | 150 New Providence Rd, Mountainside, NJ 07092-2590 | 2006-03-08 |
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 | MOUNTAINSIDE |
Zip Code | 07092 |
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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.