OrganizationActive
Clinical Neurophysiology & Epilepsy PC
NPI 1134179625 · Clinical Neurophysiology Physician · Edgewater, NJ
Provider details
- NPI number
- 1134179625
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lydia Shajenko, Director Owner(646) 245-6180
- License
- 25MA08061700 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
725 River Rd
Suite.106
Edgewater, NJ 07020-1171
Phone: (201) 943-2273
Fax: (201) 215-9548
Street-level locationGet directions
Mailing address
725 River Rd
Edgewater, NJ 07020-1171
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2008-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.