CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC – NPI #1134179625
Psychiatry & Neurology

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).

CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC is a psychiatry & neurologist located in EDGEWATER, NJ. NPPES has assigned the NPI number 1134179625 to CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC on May 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0600X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Clinical Neurophysiology

The NPI profile was previously updated about 18 years ago on Jul 23, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC below.

NPI Profile for
CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC

NPI Number
1134179625
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC
Primary location
725 RIVER RD
SUITE.106
EDGEWATER, NJ 07020-1171
Phone: (201) 943-2273 Fax: (201) 215-9548
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LYDIA SHAJENKO
DIRECTOR OWNER
Phone: (646) 245-6180
Updated
Identifiers

Identifiers for CLINICAL NEUROPHYSIOLOGY & EPILEPSY PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ0148083
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology (Primary)
NJ 25MA08061700
2084N0400X
- Psychiatry & Neurology / Neurology
NJ 25MA08061700

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.