Active NPI
Clinical Neurophysiology & Epilepsy P.C.
- Neurology Physician
- Edgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA08061700
- Legal business name
- CLINICAL NEUROPHYSIOLOGY & EPILEPSY P.C.
- Practice address
- 725 River Rd Ste 106
Edgewater, NJ 07020-1170 - Phone
- (201) 943-2273
- Fax
- (201) 215-9548
- NPI assigned
- May 10, 2006
- Last updated
- Jul 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lydia Shajenko, M.D, PH.D
- Title
- Director/Owner
- Phone
- (201) 943-2273
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA08061700 | NJ | Primary |
Addresses
Primary practice location
725 River Rd Ste 106
Edgewater, NJ 07020-1170
Mailing address
725 River Rd Ste 106
Edgewater, NJ 07020-1170
Phone (201) 943-2273
National Provider Directory
National Provider Directory- Tax ID family
- Clinical Neurophysiology Epilepsy PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Neurophysiology Physician
- Edgewater, NJ
- NPI 1134179625
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1881644102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 RIVER RD STE 106",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201170",
"telephone_number": "201-943-2273",
"fax_number": "201-215-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD STE 106",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201170",
"telephone_number": "201-943-2273",
"fax_number": "201-215-9548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL NEUROPHYSIOLOGY & EPILEPSY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "SHAJENKO",
"authorized_official_first_name": "LYDIA",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "201-943-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D, PH.D"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA08061700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.