| Epilepsy & Neurophysiology Medical Consultants Pa | |
|
20 Prospect Ave Suite 800 Hackensack NJ 07601-1997 | |
| (201) 996-3205 | |
| (201) 343-6689 |
| Full Name | Epilepsy & Neurophysiology Medical Consultants Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20 Prospect Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Marcelo E Lancman (OWNER) |
| Authorized Official Contact | 9144283651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epilepsy & Neurophysiology Medical Consultants Pa 333 Westchester Ave Ste E104 White Plains NY 10604-2930 Ph: (914) 428-3651 | Epilepsy & Neurophysiology Medical Consultants Pa 20 Prospect Ave Suite 800 Hackensack NJ 07601-1997 Ph: (201) 996-3205 |
| NPI Number | 1013998830 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 03/04/2022 |
| Certification Date | 03/04/2022 |
| Medicare PECOS PAC ID | 5395706501 |
|---|---|
| Medicare Enrollment ID | O20041021000286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013998830 | NPI | - | NPPES |
| 0240982 | Medicaid | NJ | |
| 7832508 | Medicaid | NJ |
| Provider Name | Rajeshwari Mahalingham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477566222 PECOS PAC ID: 4688660772 Enrollment ID: I20040423000308 |
| Provider Name | Kathleen Boreale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043299431 PECOS PAC ID: 6709867740 Enrollment ID: I20040526001295 |
| Provider Name | Olgica Laban Grant |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639158462 PECOS PAC ID: 5395729222 Enrollment ID: I20041019000497 |
| Provider Name | Maria Alexianu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235109059 PECOS PAC ID: 8325038813 Enrollment ID: I20050823000012 |
| Provider Name | Shannon E Brophy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891731642 PECOS PAC ID: 0244213239 Enrollment ID: I20060829000420 |
| Provider Name | Jeffrey M Politsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174620256 PECOS PAC ID: 8820097504 Enrollment ID: I20061206000339 |
| Provider Name | Lorraine M Lazar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043305204 PECOS PAC ID: 1951403096 Enrollment ID: I20070221000039 |
| Provider Name | Igor Ugorec |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790875961 PECOS PAC ID: 5698856292 Enrollment ID: I20080122000352 |
| Provider Name | Enrique Feoli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629097852 PECOS PAC ID: 7214921469 Enrollment ID: I20100910001087 |
| Provider Name | Marcelo E Lancman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609857010 PECOS PAC ID: 7315833951 Enrollment ID: I20101122000432 |
| Provider Name | Eric B Segal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770736530 PECOS PAC ID: 4880856061 Enrollment ID: I20120504000240 |
| Provider Name | Preeti V Puntambekar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538336425 PECOS PAC ID: 1850548769 Enrollment ID: I20120829000096 |
| Provider Name | Erin E Mccrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093017030 PECOS PAC ID: 3274785381 Enrollment ID: I20121218000055 |
| Provider Name | Christos Constantine Lambrakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912988320 PECOS PAC ID: 8628179082 Enrollment ID: I20130111000306 |
| Provider Name | John S Ebersole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568513547 PECOS PAC ID: 1456361427 Enrollment ID: I20140514000459 |
| Provider Name | Salah Mesad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053390872 PECOS PAC ID: 0941398580 Enrollment ID: I20140826000375 |
| Provider Name | David Bezov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417223942 PECOS PAC ID: 4880843135 Enrollment ID: I20150421002270 |
| Provider Name | Firas Taha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073752382 PECOS PAC ID: 0244472421 Enrollment ID: I20150817000650 |
| Provider Name | Chae Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073050076 PECOS PAC ID: 6406128933 Enrollment ID: I20170818000173 |
| Provider Name | Olga Segal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518117316 PECOS PAC ID: 0941353064 Enrollment ID: I20170919000302 |
| Provider Name | Bianca N Amorese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427522002 PECOS PAC ID: 4284973363 Enrollment ID: I20190307001430 |
| Provider Name | Lillian D Cassarello Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104016955 PECOS PAC ID: 0840573895 Enrollment ID: I20190403002437 |
| Provider Name | Asfi Rafiuddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801200019 PECOS PAC ID: 4587999198 Enrollment ID: I20201014001114 |
| Provider Name | Danielle V Seier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700469848 PECOS PAC ID: 3173929601 Enrollment ID: I20210909001403 |
| Provider Name | Amirah J Brack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083386056 PECOS PAC ID: 9436542404 Enrollment ID: I20220216000011 |
| Provider Name | Siddhartha S Nadkarni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861400814 PECOS PAC ID: 4284691684 Enrollment ID: I20220324003000 |
| Provider Name | Don K Mathew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497902324 PECOS PAC ID: 5395986095 Enrollment ID: I20230315002782 |
| Provider Name | Jose I Serruya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609850296 PECOS PAC ID: 4183780869 Enrollment ID: I20230713001910 |
| Provider Name | Daisy Mae C Edu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639733702 PECOS PAC ID: 5991169690 Enrollment ID: I20230914000135 |
| Provider Name | Erkam Zengin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033616321 PECOS PAC ID: 9234583451 Enrollment ID: I20230921002973 |
| Provider Name | Ludgina Faustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699458729 PECOS PAC ID: 4981058757 Enrollment ID: I20230927002615 |
| Provider Name | Irina V Yadov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861275695 PECOS PAC ID: 7517314263 Enrollment ID: I20231117000350 |
Cornerstone Clinical Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Linden St, Apt. 311, Hackensack, NJ 07601 Phone: 347-739-8901 | |
Lotus Spring Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Prospect Ave Apt 14e, Hackensack, NJ 07601 Phone: 201-525-1625 | |
Teachable Moments Of Nj Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Fairmount Ave Apt 8b, Hackensack, NJ 07601 Phone: 201-478-1547 | |
Hackensack Psychiatric Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Essex St Ste 204, Hackensack, NJ 07601 Phone: 201-487-1240 Fax: 201-487-1241 | |
Syncere Consultants, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Allen St, Hackensack, NJ 07601 Phone: 551-265-8150 Fax: 291-996-9344 | |
Boundless Behavior Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Clinton Pl Apt 117, Hackensack, NJ 07601 Phone: 551-497-9373 |