Provider Demographics
NPI:1174689244
Name:CHILD NEUROLOGY ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:CHILD NEUROLOGY ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARABAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-556-0200
Mailing Address - Street 1:3350 STATE ROUTE 138
Mailing Address - Street 2:BLDG. 1, SUITE 117
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9693
Mailing Address - Country:US
Mailing Address - Phone:732-556-0200
Mailing Address - Fax:732-556-0008
Practice Address - Street 1:3350 STATE ROUTE 138
Practice Address - Street 2:BLDG. 1, SUITE 117
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-9693
Practice Address - Country:US
Practice Address - Phone:732-556-0200
Practice Address - Fax:732-556-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA058885002084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty