NPIMap

Organization Active NPI

Epilepsy & Neurophysiology Medical Consultants, PA

  • Neurology Physician
  • Pennington, NJ
National Provider Identifier
1386003580
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS, PA
Practice address
2 Capital Way
3Rd Floor, Suite 385
Pennington, NJ 08534-2521
Phone
(908) 522-4990
Fax
(973) 538-0043
NPI assigned
Feb 16, 2016
Last updated
Sep 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Shelley Infeld
Title
Credentialing Manager
Phone
(914) 428-3651

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Neurology Physician 2084N0400X NU Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU
Clinical Neurophysiology Physician 2084N0600X NU

Addresses

Primary practice location

2 Capital Way
3Rd Floor, Suite 385
Pennington, NJ 08534-2521

Mailing address

690 N Broadway
GL1
N White Plains, NY 10603-2417
Phone (914) 428-3651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041021000286 NJ Part B Supplier - Clinic/Group Practice 5395706501 Receives reassigned benefits from 43 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newark, NJ; Summit, NJ; Wayne, NJ; Pennington, NJ; Morristown, NJ; Hackensack, NJ; Jersey City, NJ; New Brunswick, NJ…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

310 Madison Ave
Ste 302
Morristown, NJ 07960
Phone (973) 695-8033

95 Madison Ave
Ste 306
Morristown, NJ 07960
Phone (973) 695-8033

303 George St
Ste 405
New Brunswick, NJ 08901
Phone (732) 828-1373

303 George St
Ste 420
New Brunswick, NJ 08901
Phone (732) 828-1373

2 Capital Way
Fl 2
Pennington, NJ 08534
Phone (908) 522-4990

1132 Park Ave
Plainfield, NJ 07060
Phone (201) 343-6676

400 Old Hook Rd
Ste 1-1
Westwood, NJ 07675
Phone (201) 343-6676

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1386003580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N BROADWAY",
            "address_2": "GL1",
            "city": "N WHITE PLAINS",
            "state": "NY",
            "postal_code": "106032417",
            "telephone_number": "914-428-3651",
            "fax_number": "914-428-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY",
            "address_2": "3RD FLOOR, SUITE 385",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342521",
            "telephone_number": "908-522-4990",
            "fax_number": "973-538-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPILEPSY & NEUROPHYSIOLOGY MEDICAL CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "INFELD",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "914-428-3651"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.