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 | 2084S0012X | Psychiatry & Neurology | Sleep Medicine | 25MA09591000 | NEW JERSEY | No |
| 2 | 2084S0012X | Psychiatry & Neurology | Sleep Medicine | 200501588 | NORTH CAROLINA | No |
| 3 | 2084N0400X | Psychiatry & Neurology | Neurology | 25MA09591000 | NEW JERSEY | Yes |
| 4 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | 2005-01588 | NORTH CAROLINA | No |
| 5 | 2084N0400X | Psychiatry & Neurology | Neurology | 2005-01588 | NORTH CAROLINA | No |
| 6 | 2084N0400X | Psychiatry & Neurology | Neurology | ME 108915 | FLORIDA | No |
| 7 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | MD430879 | PENNSYLVANIA | No |
| 8 | 2084N0600X | Psychiatry & Neurology | Clinical Neurophysiology | 25MA09591000 | NEW JERSEY | No |
| 9 | 2084N0400X | Psychiatry & Neurology | Neurology | MD430879 | PENNSYLVANIA | No |