| University Neurological Associates | |
|
90 Bergen St Newark NJ 07103-2425 | |
| (973) 972-2550 | |
| Not Available |
| Full Name | University Neurological Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 90 Bergen St, Newark, New Jersey |
| Authorized Official Name and Position | David Haier (CEO) |
| Authorized Official Contact | 9739729503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Neurological Associates 30 Bergen St Admc 12 1205 Newark NJ 07107-3000 Ph: (973) 972-0037 | University Neurological Associates 90 Bergen St Newark NJ 07103-2425 Ph: (973) 972-2550 |
| NPI Number | 1902816507 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Medicare PECOS PAC ID | 9830003417 |
|---|---|
| Medicare Enrollment ID | O20040301001092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902816507 | NPI | - | NPPES |
| 5475601 | Medicaid | NJ |
| Provider Name | Sergey V Pisklakov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659377026 PECOS PAC ID: 2668465519 Enrollment ID: I20040428000047 |
| Provider Name | Machteld E Hillen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255362463 PECOS PAC ID: 8527041060 Enrollment ID: I20040608000194 |
| Provider Name | Caroline Diane Hayes-rosen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942368550 PECOS PAC ID: 6103803564 Enrollment ID: I20040702000559 |
| Provider Name | Nizar Souayah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558402032 PECOS PAC ID: 7911961891 Enrollment ID: I20041119000354 |
| Provider Name | David A Marks |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497854012 PECOS PAC ID: 7416985205 Enrollment ID: I20050802000979 |
| Provider Name | Brian L Gerhardstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790982064 PECOS PAC ID: 4981799384 Enrollment ID: I20071001000181 |
| Provider Name | Andrea Hidalgo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427101302 PECOS PAC ID: 5597951327 Enrollment ID: I20101119000079 |
| Provider Name | Xue Ming |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346314507 PECOS PAC ID: 2062600992 Enrollment ID: I20101220000723 |
| Provider Name | Khalid Tabbarah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962524975 PECOS PAC ID: 8820181571 Enrollment ID: I20150908001290 |
| Provider Name | James R Quinless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285885954 PECOS PAC ID: 8224347893 Enrollment ID: I20151021002543 |
| Provider Name | Lisa M Ford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659445013 PECOS PAC ID: 8022316538 Enrollment ID: I20160418001053 |
| Provider Name | Erin Michele Feinstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972891547 PECOS PAC ID: 7911207006 Enrollment ID: I20161121000856 |
| Provider Name | Leila Maybodi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962613265 PECOS PAC ID: 8921282104 Enrollment ID: I20180808001639 |
| Provider Name | Yeva Mui Fernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629332663 PECOS PAC ID: 6709154941 Enrollment ID: I20190916000007 |
| Provider Name | Janet Elgallab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154607489 PECOS PAC ID: 8224324710 Enrollment ID: I20200409000470 |
| Provider Name | Nancy Song |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588074108 PECOS PAC ID: 4385942440 Enrollment ID: I20200803000842 |
| Provider Name | Volodymyr Vulkanov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831326784 PECOS PAC ID: 6204053200 Enrollment ID: I20200826003329 |
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