| Jersey Shore Neurology Associates, P.a. | |
|
1900 Corlies Ave Neptune NJ 07753-4800 | |
| (732) 775-2400 | |
| (732) 775-5673 |
| Full Name | Jersey Shore Neurology Associates, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1900 Corlies Ave, Neptune, New Jersey |
| Authorized Official Name and Position | Lynda L. Tebbs (OFFICE MANAGER) |
| Authorized Official Contact | 7327752400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Neurology Associates, P.a. 1900 Corlies Ave Neptune NJ 07753-4800 Ph: (732) 775-2400 | Jersey Shore Neurology Associates, P.a. 1900 Corlies Ave Neptune NJ 07753-4800 Ph: (732) 775-2400 |
| NPI Number | 1346294170 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0345237483 |
|---|---|
| Medicare Enrollment ID | O20040429000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346294170 | NPI | - | NPPES |
| 2880903 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Richard I Sultan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295700359 PECOS PAC ID: 2567431281 Enrollment ID: I20040929000948 |
| Provider Name | Richard S Rhee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659346112 PECOS PAC ID: 6002815610 Enrollment ID: I20100618000058 |
| Provider Name | John E Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699740753 PECOS PAC ID: 7911906524 Enrollment ID: I20101116000058 |
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