| Ellen Vitievsky, | |
|
5600 Kennedy Blvd W, Suite 102, West New York, NJ 07093-1256 | |
| (201) 866-3100 | |
| (201) 866-0321 |
| Full Name | Ellen Vitievsky |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 5600 Kennedy Blvd W, West New York, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366547135 | NPI | - | NPPES |
| 0076937 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07786200 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Name Medical Center | Teaneck, NJ | Hospital |
| Hudson Regional Hospital | Secaucus, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Healthcare Group, P.c. | 8123054855 | 2 |
| Sciometrix Inc | 9335511443 | 36 |
| Entity Name | Integrated Healthcare Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669577318 PECOS PAC ID: 8123054855 Enrollment ID: O20050722000185 |
| Entity Name | Sciometrix Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457065591 PECOS PAC ID: 9335511443 Enrollment ID: O20240229002300 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Vitievsky, Po Box 7664, North Brunswick, NJ 08902-7664 Ph: (201) 866-3100 | Ellen Vitievsky, 5600 Kennedy Blvd W, Suite 102, West New York, NJ 07093-1256 Ph: (201) 866-3100 |
Dr. Hilda Rosa Roque-dieguez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 317 60th St, West New York, NJ 07093 Phone: 201-864-0757 Fax: 201-861-3126 | |
Ami A Patel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-866-9320 Fax: 201-266-9090 | |
Dr. Thach Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6050 Blvd East Apt 4f, West New York, NJ 07093 Phone: 501-834-4462 | |
Mr. Pablo Anibal Arteta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 426 57th Street, West New York, NJ 07093 Phone: 201-869-6000 Fax: 201-869-6622 | |
Dr. Dennis L. Aponte, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 60th St, West New York, NJ 07009 Phone: 201-869-8888 Fax: 201-869-0088 | |
Mrs. Chitra Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5311 Boulevard East, West New York, NJ 07093 Phone: 201-864-7172 Fax: 201-864-5599 | |
Dr. Raffaele A Gibilisco, MD, PA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 435 59th St, 1st Floor, West New York, NJ 07093 Phone: 201-295-1456 Fax: 201-295-0266 |