DR. JEFFREY MICHAEL KORNITZER (NPI# 1932499266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932499266 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MICHAEL KORNITZER |
| Credential | M.D. |
| Practice Address |
90 Bergen St Ste 8100 Room F-603 Newark NJ 07103-2425 |
| Mailing Address |
90 Bergen St Suite 8100 Newark NJ 07103-2425 |
| Practice Telephone | 9739727151 |
| Practice Fax Number | 9739721019 |
| Mailing Telephone | 9739727151 |
| Mailing Fax Number | 9739729960 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| 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 |
25MA09571600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
90 BERGEN ST STE 8100 ROOM F-603 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068927 | Chirag D Gandhi | Neurological Surgery | 90 Bergen St Ste 8100, Neurological Institute of New Jersey, Newark, NJ 07103-2425 | 2007-04-02 |
| 1396365821 | Evgenii Belykh | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-24 |
| 1194353300 | Sydney Rae Zaransky | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1225667355 | Roman Povolotskiy | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1346878550 | Travis Ramiro Quinoa | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1982232047 | Paul Thomas Cowan | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1518595685 | Jordan Thompson | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1033765383 | University Neurosurgery Associates (om) | Neurological Surgery | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2019-08-13 |
| 1760988901 | Timothy Wong | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2018-04-05 |
| 1194220517 | Mayand Praful Vakil | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2018-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
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| 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 |
|---|---|---|---|---|
| 1255871547 | Vinayak Dattatraya Bodas | Psychiatry & Neurology | 268 M.l. King Blvd., Newark, NJ 07102 | 2017-03-06 |
| 1275907743 | Comprehensive Neurology, P.a. | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2015-11-21 |
| 1245410885 | Anjum Hashim | Psychiatry & Neurology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2007-11-12 |
| 1639375009 | Comprehensive Neurology Center of Delaware | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2007-06-22 |
| 1659445013 | Lisa Melanie Ford | Psychiatry & Neurology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-11-20 |
| 1386651099 | Carl Ramses Yacoub | Psychiatry & Neurology | 537 Stanton Christiana Rd, Suite 106, Newark, DE 19713-2146 | 2006-08-02 |
| 1396768651 | Misbah Us Salam | Psychiatry & Neurology | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-07-26 |
| 1518997659 | Rosario R. Trifiletti | Psychiatry & Neurology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316467640 | Kidsneuro, LLC | Psychiatry & Neurology | 205 Browertown Rd Ste 1, Woodland Park, NJ 07424-2610 | 2017-06-27 |
| 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 |
| 1477566222 | Rajeshwari Mahalingam | Psychiatry & Neurology | 97 Paterson St, New Brunswick, NJ 08901-2160 | 2006-08-14 |
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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.