Provider Demographics
NPI:1962299651
Name:INSTITUTE OF CHILD NEUROLOGY AND NEURODEVELOPMENT
Entity type:Organization
Organization Name:INSTITUTE OF CHILD NEUROLOGY AND NEURODEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-968-5097
Mailing Address - Street 1:600 SYLVAN AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3107
Mailing Address - Country:US
Mailing Address - Phone:201-968-5097
Mailing Address - Fax:646-222-7583
Practice Address - Street 1:600 SYLVAN AVE STE 307
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-3107
Practice Address - Country:US
Practice Address - Phone:201-968-5097
Practice Address - Fax:646-222-7583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty