Provider Demographics
NPI:1770762197
Name:NJ NEUROLOGY INC.
Entity type:Organization
Organization Name:NJ NEUROLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROMANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KULIKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-845-0055
Mailing Address - Street 1:114 ESSEX ST FL 3
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-4335
Mailing Address - Country:US
Mailing Address - Phone:201-845-0055
Mailing Address - Fax:201-845-0068
Practice Address - Street 1:114 ESSEX ST FL 3
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-4335
Practice Address - Country:US
Practice Address - Phone:201-845-0055
Practice Address - Fax:201-845-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty