Kidsneuro, LLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

KIDSNEURO, LLC

Practice address

205 Browertown Rd Ste 1
Woodland Park, NJ 07424-2610

Phone

(973) 582-0644

Fax

(973) 582-0605

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Kornitzer, MD

Title

Attending Physician

Phone

(973) 582-0644

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mannan Razzak, M.D.

  • Pediatrics Physician
  • Woodland Park, NJ
  • NPI 1083640627
  NPD (past)
• Nadia Mohsin Razzak, MD

  • Pediatrics Physician
  • Woodland Park, NJ
  • NPI 1710167184
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316467640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BROWERTOWN RD",
            "address_2": "#001",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "07424",
            "telephone_number": "973-582-0644",
            "fax_number": "973-582-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BROWERTOWN RD STE 1",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242610",
            "telephone_number": "973-582-0644",
            "fax_number": "973-582-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSNEURO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KORNITZER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "973-582-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waleed Fathi Mustafa Janem, M.D.
• Lynda Johnson, LCSW
• Janice Celia Jolin, LPC
• Anant Pankaj Joshi, DPM
• Keystone Recovery Center Inc
• Kinetic Foot and Ankle, LLC
• Kitchen Tango
• Marc Kitrosser, DPM
• Elsie Koh, MD
• Michael Patrick Kolosvary, DPT

• Neurology with Special Qualifications in Child Neurology Physician in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.