DR. ANDREA ISABELLE REZNIK MD NPI 1780644641

NPI Information

NPI: 1780644641
Provider Name: DR. ANDREA ISABELLE REZNIK, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
201 UNION AVE
BLDG 2 SUITE A
BRIDGEWATER, NJ
ZIP 08807
Phone: (908) 725-4242
Get Directions

DR. Andrea Isabelle Reznik, MD is a neurology psychiatry neurology in Bridgewater, NJ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Andrea Isabelle Reznik, MD NPI is 1780644641. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 UNION AVE
BLDG 2 SUITE A
BRIDGEWATER, NJ
ZIP 08807
Phone: (908) 725-4242
Fax: (908) 725-4006

The NPI 1780644641 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2006 and was last updated on 8/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	40326	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	116627	MEDICARE PIN	NEW JERSEY
2	C53343	MEDICARE UPIN
3	116627	MEDICARE ID-TYPE UNSPECIFIED
4	3265307	MEDICAID	NEW JERSEY
5	222681346	OTHER		TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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