| North Jersey Neurologic Associates | |
|
1680 Route 23 Ste 300 Wayne NJ 07470-7520 | |
| (973) 942-4778 | |
| (973) 942-7020 |
| Full Name | North Jersey Neurologic Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1680 Route 23 Ste 300, Wayne, New Jersey |
| Authorized Official Name and Position | Eliot H. Chodosh (PRESIDENT) |
| Authorized Official Contact | 9739424778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jersey Neurologic Associates 1680 Route 23 Ste 300 Wayne NJ 07470-7520 Ph: (973) 942-4778 | North Jersey Neurologic Associates 1680 Route 23 Ste 300 Wayne NJ 07470-7520 Ph: (973) 942-4778 |
| NPI Number | 1649331679 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 07/31/2019 |
| Medicare PECOS PAC ID | 7214917673 |
|---|---|
| Medicare Enrollment ID | O20040726000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649331679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Harrold S Leader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992736896 PECOS PAC ID: 7113907577 Enrollment ID: I20040804000382 |
| Provider Name | Eliot H Chodosh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235156969 PECOS PAC ID: 3476533837 Enrollment ID: I20040804001078 |
| Provider Name | Robert Wagner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205907086 PECOS PAC ID: 5799759882 Enrollment ID: I20040824000921 |
| Provider Name | Jennefer E. Monck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720019516 PECOS PAC ID: 8325015290 Enrollment ID: I20040911000156 |
| Provider Name | Frank L Gazzillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376643973 PECOS PAC ID: 1759361116 Enrollment ID: I20101015001258 |
| Provider Name | Ann Marie Madaline Mascellino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730116690 PECOS PAC ID: 5193919348 Enrollment ID: I20101101001346 |
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