Romana Kulikova, MD.

Key facts

NPI

1245263441

Entity type

Individual (NPI type 1)

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician 2084N0402X

License

25MA07970000 (NJ)

Practice address

400 Center St.
Garwood, NJ 07027

Phone

(908) 232-0200

Fax

(908) 232-0211

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

Organizations & group practices 4

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

• Hackensack Meridian Health Medical Group - Specialty Care PC Surgical Critical Care Physician · Red Bank, NJ · NPI 1215989249
  NPD (past)
• New Jersey Neuroscience Associates Specialist · Rochelle Park, NJ · NPI 1942401153
  NPD (past)
• St. Joseph'S Healthcare, Inc. Internal Medicine Physician · Paterson, NJ · NPI 1497791297
  NPD (past)
• Trustees of Columbia University in the City of New York Neurology Physician · New York, NY · NPI 1306899455
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Specialties & licenses

Addresses

Other names

• Romana Kulikova-Schupak Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 14, 2014.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1245263441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTER ST.",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "07027",
            "telephone_number": "908-232-0200",
            "fax_number": "908-232-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CENTER ST.",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "07027",
            "telephone_number": "908-232-0200",
            "fax_number": "908-232-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIKOVA",
        "first_name": "ROMANA",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA07970000",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "224371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMANA",
            "last_name": "KULIKOVA-SCHUPAK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Garwood, NJ · Neurology with Special Qualifications in Child Neurology Physician in New Jersey