| Neurology Consultants Of North Jersey Professional Association | |
|
194 Broad St Suite 4 Bloomfield NJ 07003-2606 | |
| (201) 342-0066 | |
| Not Available |
| Full Name | Neurology Consultants Of North Jersey Professional Association |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 194 Broad St, Bloomfield, New Jersey |
| Authorized Official Name and Position | Ayman Ibrahim (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5167240863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Consultants Of North Jersey Professional Association 370 W Pleasantview Ave Suite 2-299 Hackensack NJ 07601-8004 Ph: (973) 680-8400 | Neurology Consultants Of North Jersey Professional Association 194 Broad St Suite 4 Bloomfield NJ 07003-2606 Ph: (201) 342-0066 |
| NPI Number | 1548684244 |
|---|---|
| Provider Enumeration Date | 02/16/2014 |
| Last Update Date | 11/08/2016 |
| Medicare PECOS PAC ID | 0547493322 |
|---|---|
| Medicare Enrollment ID | O20140501000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548684244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MB09396200 (New Jersey) | Primary |
| Provider Name | Ayman M Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508025834 PECOS PAC ID: 2365610854 Enrollment ID: I20140501000987 |
| Provider Name | Natalie Fattal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548781040 PECOS PAC ID: 6901160100 Enrollment ID: I20180515001929 |
| Provider Name | Juliana Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346721768 PECOS PAC ID: 8022356989 Enrollment ID: I20190219001648 |
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