| Progressive Neurology, P.c. | |
|
260 Old Hook Rd Suite 200 Westwood NJ 07675-3123 | |
| (201) 546-8510 | |
| (201) 957-7316 |
| Full Name | Progressive Neurology, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 260 Old Hook Rd, Westwood, New Jersey |
| Authorized Official Name and Position | Georges A Ghacibeh (PRESIDENT) |
| Authorized Official Contact | 2015468510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Neurology, P.c. 381 Park Street Suite 200 Hackensack NJ 07601 Ph: (201) 546-8510 | Progressive Neurology, P.c. 260 Old Hook Rd Suite 200 Westwood NJ 07675-3123 Ph: (201) 546-8510 |
| NPI Number | 1134404411 |
|---|---|
| Provider Enumeration Date | 10/18/2011 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 9335314814 |
|---|---|
| Medicare Enrollment ID | O20111212000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134404411 | NPI | - | NPPES |
| 0143731 | Medicaid | NJ |
| Provider Name | Georges A Ghacibeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851331680 PECOS PAC ID: 6103806633 Enrollment ID: I20071025000133 |
| Provider Name | Robert D Connors |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801030473 PECOS PAC ID: 7618194010 Enrollment ID: I20140808000051 |
| Provider Name | Pankaj Kakkar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912278615 PECOS PAC ID: 4688998578 Enrollment ID: I20150126000122 |
| Provider Name | Eric Mittelmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215291240 PECOS PAC ID: 1254617665 Enrollment ID: I20170420000442 |
| Provider Name | Joyce Tsai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447513213 PECOS PAC ID: 4385911650 Enrollment ID: I20170517002389 |
| Provider Name | Lyndsay A Buehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245782713 PECOS PAC ID: 9436426715 Enrollment ID: I20170517002555 |
| Provider Name | Celine Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477970630 PECOS PAC ID: 3072829894 Enrollment ID: I20210325001334 |
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