| Neurology Group Of Bergen County Pa | |
|
1200 East Ridgewood Ave 2nd Floor East Wing Ridgewood NJ 07450-3957 | |
| (201) 444-0868 | |
| (201) 493-0797 |
| Full Name | Neurology Group Of Bergen County Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1200 East Ridgewood Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Hugo N Lijtmaer (MANAGING PARTNER PRESIDENT) |
| Authorized Official Contact | 2014440868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Group Of Bergen County Pa 1200 East Ridgewood Ave 2nd Floor East Wing Ridgewood NJ 07450-3957 Ph: (201) 444-0868 | Neurology Group Of Bergen County Pa 1200 East Ridgewood Ave 2nd Floor East Wing Ridgewood NJ 07450-3957 Ph: (201) 444-0868 |
| NPI Number | 1881731107 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 5698755056 |
|---|---|
| Medicare Enrollment ID | O20040726000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881731107 | NPI | - | NPPES |
| 2823403 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Kenneth A Levin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679534515 PECOS PAC ID: 9133033806 Enrollment ID: I20040804000385 |
| Provider Name | Amrit K Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154382331 PECOS PAC ID: 6608812094 Enrollment ID: I20050901000480 |
| Provider Name | Olga Noskin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821139502 PECOS PAC ID: 6103917844 Enrollment ID: I20080725000076 |
| Provider Name | Yamini Naidu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801061585 PECOS PAC ID: 2567517345 Enrollment ID: I20090831000334 |
| Provider Name | Hugo N Lijtmaer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669433819 PECOS PAC ID: 0244144913 Enrollment ID: I20100505000827 |
| Provider Name | Reed C Perron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750342697 PECOS PAC ID: 2668386335 Enrollment ID: I20100528000566 |
| Provider Name | Kenneth A Citak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578527941 PECOS PAC ID: 4981518651 Enrollment ID: I20100604000617 |
| Provider Name | Daniel R Vanengel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912968165 PECOS PAC ID: 1759295413 Enrollment ID: I20100607000098 |
| Provider Name | John T Nasr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659332591 PECOS PAC ID: 9931131786 Enrollment ID: I20100809000601 |
| Provider Name | Susan P Molinari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720049976 PECOS PAC ID: 6204960453 Enrollment ID: I20100810000865 |
| Provider Name | James T Shammas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295796134 PECOS PAC ID: 2264346014 Enrollment ID: I20100903000681 |
| Provider Name | Peter L Heilbroner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861453011 PECOS PAC ID: 6204868052 Enrollment ID: I20100913000039 |
| Provider Name | Jennifer Ann Cope |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396706230 PECOS PAC ID: 0244355402 Enrollment ID: I20100913000429 |
| Provider Name | Daniel Berlin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356508741 PECOS PAC ID: 4183893175 Enrollment ID: I20110809000081 |
| Provider Name | Fumin Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699091918 PECOS PAC ID: 5294047544 Enrollment ID: I20150630001003 |
| Provider Name | Katherine S Inoyama |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902032188 PECOS PAC ID: 0244544690 Enrollment ID: I20150730010581 |
| Provider Name | Alexis Dallara Marsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457642308 PECOS PAC ID: 3870732258 Enrollment ID: I20160224001890 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20180607000552 |
| Provider Name | Jina R Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487003505 PECOS PAC ID: 2668719782 Enrollment ID: I20210817001495 |
| Provider Name | Alyssa Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720784796 PECOS PAC ID: 3375909989 Enrollment ID: I20230801000552 |
Emerge- The Counseling And Coaching Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 E Ridgewood Ave Ste 2, Ridgewood, NJ 07450 Phone: 517-750-5755 | |
Reilly Therapy And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Beechwood Rd, Ridgewood, NJ 07450 Phone: 973-963-7733 | |
Psychcare Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 N Maple Ave, Suite 104, Ridgewood, NJ 07450 Phone: 201-444-8999 Fax: 201-934-3341 | |
Dr. James R. Cowan, Jr. M.d. P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 N Maple Ave, Ridgewood, NJ 07450 Phone: 201-670-4124 Fax: 201-670-4120 | |
James F Battaglia Psychology Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Ridgewood Ave, Suite 3, Ridgewood, NJ 07450 Phone: 201-670-0222 | |
Pathways For Enhanced Living, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Dayton St, Ridgewood, NJ 07450 Phone: 201-445-3307 | |
Trinity Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 N Maple Ave Ste 101b, Ridgewood, NJ 07450 Phone: 551-250-1017 |