| Virtual Neurology New Jersey Llc | |
|
11215 Metro Pkwy Ste 100 Fort Myers FL 33966-1206 | |
| (239) 208-2212 | |
| Not Available |
| Full Name | Virtual Neurology New Jersey Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11215 Metro Pkwy Ste 100, Fort Myers, Florida |
| Authorized Official Name and Position | Mohammed Zaman (OWNER) |
| Authorized Official Contact | 2392082212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Neurology New Jersey Llc 11215 Metro Pkwy Ste 100 Fort Myers FL 33966-1206 Ph: () - | Virtual Neurology New Jersey Llc 11215 Metro Pkwy Ste 100 Fort Myers FL 33966-1206 Ph: (239) 208-2212 |
| NPI Number | 1972368165 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Medicare PECOS PAC ID | 8224476932 |
|---|---|
| Medicare Enrollment ID | O20240401001366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972368165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20091015000546 |
| Provider Name | Danielle Haskins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144232893 PECOS PAC ID: 0840337333 Enrollment ID: I20091103000222 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20100707000327 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20131207000065 |
| Provider Name | Bradley Marc Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20180607000552 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20180718003912 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20220413001262 |
| Provider Name | Mofei Lu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952806390 PECOS PAC ID: 1759744063 Enrollment ID: I20231201000968 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20240402000463 |
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