| Neurocognitive Institute | |
|
111 Howard Blvd Suite 205 Mt Arlington NJ 07856-1315 | |
| (973) 601-0100 | |
| (973) 440-1656 |
| Full Name | Neurocognitive Institute |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 111 Howard Blvd, Mt Arlington, New Jersey |
| Authorized Official Name and Position | Gerald Tramontano (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9736010100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocognitive Institute 111 Howard Blvd Suite 205 Mt Arlington NJ 07856-1315 Ph: (973) 601-0100 | Neurocognitive Institute 111 Howard Blvd Suite 205 Mt Arlington NJ 07856-1315 Ph: (973) 601-0100 |
| NPI Number | 1841573375 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 6204095185 |
|---|---|
| Medicare Enrollment ID | O20120313000280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841573375 | NPI | - | NPPES |
| Provider Name | Gerald Tramontano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962550228 PECOS PAC ID: 7810983152 Enrollment ID: I20050421000736 |
| Provider Name | Michael S Driscoll |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518933548 PECOS PAC ID: 2961448865 Enrollment ID: I20050630000711 |
| Provider Name | Geeta R Damaraju |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134367782 PECOS PAC ID: 4880955954 Enrollment ID: I20180306002189 |
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