1. Home
  2. Directory
  3. New Jersey
  4. Voorhees
  5. Psychiatry Neurology
  6. NPI Profile

EASTERN NEURODIAGNOSTIC ASSOC PC
NPI 1023177102
Psychiatry & Neurology - Neurology in Voorhees, NJ

Active since December 06, 2006CLIA 31D2320474 · Waiver
2301 E EVESHAM RD, PAVILLION 800 SUITE 209, VOORHEES, NJ 08043(856) 651-0060(856) 651-0061 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Neurodiagnostic Assoc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTERN NEURODIAGNOSTIC ASSOC PC (NPI 1023177102) is a healthcare organization registered as a neurology in Voorhees, New Jersey and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Shiva Gopal Vasishta, President, as its authorized official.

NPPES Registry Identity

NPI1023177102
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameEASTERN NEURODIAGNOSTIC ASSOC PC
Location Address2301 E EVESHAM RD, PAVILLION 800 SUITE 209Voorhees, NJ 08043-4501
Mailing Address2301 E Evesham Rd, Pavillion 800 Suite 209Voorhees, NJ 08043-4501 · (856) 651-0060 · Fax (856) 651-0061
Phone(856) 651-0060
Fax(856) 651-0061
Organization SubpartNo
Authorized OfficialShiva Gopal VasishtaPresident · (856) 651-0060
Enumeration DateDecember 6, 2006
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1023177102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
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.
2301 E EVESHAM RD, Voorhees, NJ 08043
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN035146

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2320474

Eastern Neurodianostic Associates · Voorhees, NJ
Active · expires Mar 17, 2027
CLIA Number31D2320474
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorWilliam R. Wolfe
Laboratory Phone(855) 527-7246
Laboratory LocationEastern Neurodianostic Associates2301 E. Evesham Rd. Pavillion 800 Suite 209, Voorhees, NJ 08043
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPTIMUM ORAL SURGERY GROUP LLC
Clinic/Center (Oral and Maxillofacial Surgery)
2301 E EVESHAM RD, SUITE 211
VOORHEES, NJ 08043
Camden County (856) 772-1500
RACHEL L. KRAMER M.D.
Obstetrics & Gynecology
2301 E EVESHAM RD
VOORHEES, NJ 08043
Camden County (888) 982-3726
MRS. JONEL M DERSHEM MD
Obstetrics & Gynecology
2301 E EVESHAM RD, BLD 800 STE 122
VOORHEES, NJ 08043
Camden County (856) 770-9300
DR. DONALD GLENN REBHUN D.M.D.
Dentist (Oral and Maxillofacial Surgery)
2301 E EVESHAM RD, SUITE 211
VOORHEES, NJ 08043
Camden County (856) 772-1500
PREMIER PLASTIC SURGERY ARTS PA
Plastic Surgery
2301 E EVESHAM RD, SUITE 107
VOORHEES, NJ 08043
Camden County (856) 772-6500
DR. OFELIA RAMOSO MANGUBAT M.D.
Pediatrics
2301 E EVESHAM RD, THE PAVILIONS OF VOORHEES, STE 405
VOORHEES, NJ 08043
Camden County (856) 772-4988
DR. MICHAEL JOHN GENTLESK M.D.
Allergy & Immunology
2301 E EVESHAM RD, SUITE 607
VOORHEES, NJ 08043
Camden County (856) 651-9393
NEW JERSEY PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC
Podiatrist (Foot & Ankle Surgery)
2301 E EVESHAM RD, SUITE 201
VOORHEES, NJ 08043
Camden County (856) 772-6211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastern Neurodiagnostic Assoc PC's NPI number?

The NPI number for Eastern Neurodiagnostic Assoc PC is 1023177102. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Eastern Neurodiagnostic Assoc PC located?

Eastern Neurodiagnostic Assoc PC is located at 2301 E Evesham Rd Pavillion 800 Suite 209, Voorhees, NJ 08043. The listed phone number is (856) 651-0060.

What is Eastern Neurodiagnostic Assoc PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does Eastern Neurodiagnostic Assoc PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2320474) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastern Neurodiagnostic Assoc PC was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.