Active Health Northfield Llc is a medicare enrolled "Family Medicine" provider in Northfield, New Jersey. Their current practice location is
1612 Tilton Rd, Northfield, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(609) 886-8585.
Active Health Northfield Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Active Health Northfield Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1992434625.
Healthcare Provider's Profile
| Full Name | Active Health Northfield Llc |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 1612 Tilton Rd, Northfield, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992434625
- Provider Enumeration Date: 06/08/2022
- Last Update Date: 06/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123548583
- Enrollment ID: O20250228000924
Medical Identifiers
Medical identifiers for Active Health Northfield Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992434625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Active Health Northfield Llc acts as a billing entity for following providers:
| Provider Name | Robert Olivieri |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1043224090
PECOS PAC ID: 9234032301
Enrollment ID: I20040128000422 |
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| Provider Name | Denay Marino |
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| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
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| Provider Identifiers | NPI Number: 1215006341
PECOS PAC ID: 6507817848
Enrollment ID: I20050203000880 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Health Northfield Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Active Health Northfield Llc
1501 Route 47,
Rio Grande, NJ 08242-1401
Ph: (609) 886-8585 | Active Health Northfield Llc
1612 Tilton Rd,
Northfield, NJ 08225-1829
Ph: (609) 886-8585 |
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