Ana Miguel Komotar, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25MA03029500 Issued in NJ

Practice address

10 Huron Ave
Suite 1P
Jersey City, NJ 07306

Phone

(201) 963-8203

Fax

(201) 963-9155

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jenny Cam M.D. PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Jersey City, NJ
  • NPI 1427375179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1114976230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GORGE ROAD",
            "address_2": "SUITE 16 J",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "07010",
            "telephone_number": "201-941-6159",
            "fax_number": "201-941-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HURON AVE",
            "address_2": "SUITE 1P",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-963-8203",
            "fax_number": "201-963-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMOTAR",
        "first_name": "ANA",
        "middle_name": "MIGUEL",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA03029500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392308",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Feraydoon Kohan, MD
• Kristina Maria Kohler, CNM
• Joshua Kolb, DO
• Sai Samba Krishna R. Kolla, M.D.
• Vamsi K Kolli
• Nguessan Pelagie Konan, LPN
• Fady Konds
• Caroline Eberechi Konkwo Jr., MENTAL HEALTH COUNSE
• Tara Jean Konradi, OTD, OTR/L
• Funda Korkmaz, MD

• Neurology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.