Physician Compare National (NPI:1114976230)

HEALTHCARE PROVIDER: ANA MIGUEL KOMOTAR MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114976230
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214120591
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101019000883
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KOMOTAR
	Individual professional last name
Provider First Name	ANA
	Individual professional first name
Provider Middle Name	MIGUEL
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10 HURON AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	APT 1P
	Group Practice or individual's line 2 address
City	JERSEY CITY
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	073063609
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2019638203
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y