| Central Jersey Neurology Associates, P.a. | |
|
501 Iron Bridge Rd Ste 3 Freehold NJ 07728-5305 | |
| (732) 462-7030 | |
| (732) 308-3562 |
| Full Name | Central Jersey Neurology Associates, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 501 Iron Bridge Rd Ste 3, Freehold, New Jersey |
| Authorized Official Name and Position | Yolanda Shorey (OFFICE MANAGER) |
| Authorized Official Contact | 8457647343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Jersey Neurology Associates, P.a. 501 Iron Bridge Rd Ste 3 Freehold NJ 07728-5305 Ph: (732) 462-7030 | Central Jersey Neurology Associates, P.a. 501 Iron Bridge Rd Ste 3 Freehold NJ 07728-5305 Ph: (732) 462-7030 |
| NPI Number | 1770779928 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Medicare PECOS PAC ID | 2769432269 |
|---|---|
| Medicare Enrollment ID | O20050124000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770779928 | NPI | - | NPPES |
| 3390900 | Medicaid | NJ | |
| 526903 | Other | NJ | GROUP'S MEDICARE ID NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Vasko K Gulevski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528011517 PECOS PAC ID: 0840203758 Enrollment ID: I20071029000402 |
| Provider Name | David J Frank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174633648 PECOS PAC ID: 6406943273 Enrollment ID: I20110603000008 |
| Provider Name | Susan M Lage |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689784159 PECOS PAC ID: 7315034188 Enrollment ID: I20110603000094 |
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