| Boston Children's Health Physicians, Llp | |
|
19 Skyline Dr Ofc 1n-d06 Hawthorne NY 10532 | |
| (914) 594-2100 | |
| Not Available |
| Full Name | Boston Children's Health Physicians, Llp |
|---|---|
| Speciality | Pediatrics |
| Location | 19 Skyline Dr Ofc 1n-d06, Hawthorne, New York |
| Authorized Official Name and Position | Robert Shaw (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9145942392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Children's Health Physicians, Llp 40 Sunshine Cottage Rd Ofc 1n-d06 Valhalla NY 10595-1524 Ph: (914) 594-2100 | Boston Children's Health Physicians, Llp 19 Skyline Dr Ofc 1n-d06 Hawthorne NY 10532 Ph: (914) 594-2100 |
| NPI Number | 1467454967 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Medicare PECOS PAC ID | 8325937014 |
|---|---|
| Medicare Enrollment ID | O20040311000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467454967 | NPI | - | NPPES |
| 0198498 | Medicaid | NJ | |
| 003128437 | Medicaid | CT | |
| 02511604 | Medicaid | NY |
| Provider Name | David F Kronn |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1619979697 PECOS PAC ID: 5799677373 Enrollment ID: I20040329000033 |
| Provider Name | Oya Tugal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093707838 PECOS PAC ID: 1951293281 Enrollment ID: I20040330000008 |
| Provider Name | Mehmet F Ozkaynak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720088453 PECOS PAC ID: 5890687131 Enrollment ID: I20040330000057 |
| Provider Name | Claudio Sandoval |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295722999 PECOS PAC ID: 3678465911 Enrollment ID: I20040330000083 |
| Provider Name | Vicki Iannotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972504553 PECOS PAC ID: 3375435639 Enrollment ID: I20040330000183 |
| Provider Name | Sandra Ortiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730150517 PECOS PAC ID: 9335135037 Enrollment ID: I20040420001339 |
| Provider Name | Eve Rosemarin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003984717 PECOS PAC ID: 3476541806 Enrollment ID: I20040504001476 |
| Provider Name | Mary Damore |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447250287 PECOS PAC ID: 9739170622 Enrollment ID: I20040519001568 |
| Provider Name | Shahid Parvez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265434922 PECOS PAC ID: 2769465806 Enrollment ID: I20040610000544 |
| Provider Name | Markus Erb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598765646 PECOS PAC ID: 7810975547 Enrollment ID: I20040709000795 |
| Provider Name | Christine Hom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609878362 PECOS PAC ID: 4981682473 Enrollment ID: I20040712000199 |
| Provider Name | Boriana Parvez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528050820 PECOS PAC ID: 9739167255 Enrollment ID: I20040712000408 |
| Provider Name | Beth Schorr-lesnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720013139 PECOS PAC ID: 8729067814 Enrollment ID: I20040714000108 |
| Provider Name | Nanette Silverberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316933740 PECOS PAC ID: 0648259226 Enrollment ID: I20040716000762 |
| Provider Name | Sankaran S Krishnan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427058866 PECOS PAC ID: 2062492762 Enrollment ID: I20040722001315 |
| Provider Name | Patricia E Mcgoldrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023009230 PECOS PAC ID: 6709866023 Enrollment ID: I20040726000504 |
| Provider Name | Donna F Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295891133 PECOS PAC ID: 2163494055 Enrollment ID: I20040811000352 |
| Provider Name | Nadav Traeger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811997257 PECOS PAC ID: 8921072000 Enrollment ID: I20040824000822 |
| Provider Name | Steven M Wolf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487645693 PECOS PAC ID: 7214996487 Enrollment ID: I20041005000494 |
| Provider Name | Stuart H Berezin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295735041 PECOS PAC ID: 1850351065 Enrollment ID: I20041012001607 |
| Provider Name | Amy Reichlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881688158 PECOS PAC ID: 8729040829 Enrollment ID: I20041101000791 |
| Provider Name | Jordan S Kase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871593590 PECOS PAC ID: 6709849045 Enrollment ID: I20041108001183 |
| Provider Name | Elizabeth R Lim-melia |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1932162401 PECOS PAC ID: 8527022177 Enrollment ID: I20041116000069 |
| Provider Name | Tara Lefenfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457323438 PECOS PAC ID: 0547224800 Enrollment ID: I20041116000840 |
| Provider Name | Sandra M Tarpey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073512935 PECOS PAC ID: 7719945591 Enrollment ID: I20041227000484 |
| Provider Name | Michael D Klein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508866757 PECOS PAC ID: 9830147008 Enrollment ID: I20050105000416 |
| Provider Name | Renee E Garrick |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386644128 PECOS PAC ID: 9537117619 Enrollment ID: I20050105000543 |
| Provider Name | Anjani K Dubey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124027156 PECOS PAC ID: 2264481274 Enrollment ID: I20050118000138 |
| Provider Name | Mariam S Latuga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700884749 PECOS PAC ID: 3870544927 Enrollment ID: I20050205000086 |
| Provider Name | Magdy S El-hennawy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770568990 PECOS PAC ID: 8426009242 Enrollment ID: I20050209000091 |
| Provider Name | Wallace R Jenkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487654653 PECOS PAC ID: 8022060730 Enrollment ID: I20050210000552 |
| Provider Name | Liliah Cantor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760484554 PECOS PAC ID: 1052363652 Enrollment ID: I20050211000226 |
| Provider Name | Aalok R Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801897590 PECOS PAC ID: 3375597081 Enrollment ID: I20050305000090 |
| Provider Name | Alan A Pinto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619978525 PECOS PAC ID: 6002861044 Enrollment ID: I20050314000193 |
| Provider Name | Muhammad T Kamran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467513424 PECOS PAC ID: 1557317583 Enrollment ID: I20050323000613 |
| Provider Name | Stephen Adler |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164421020 PECOS PAC ID: 7315986486 Enrollment ID: I20050428000012 |
| Provider Name | Philip W Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790818227 PECOS PAC ID: 0648210583 Enrollment ID: I20050510000522 |
| Provider Name | Veronica B Delaney |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043210297 PECOS PAC ID: 8022067784 Enrollment ID: I20050519000437 |
| Provider Name | Gary S Tatz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386645125 PECOS PAC ID: 4183666126 Enrollment ID: I20050531000721 |
| Provider Name | Yuxi Chen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750475018 PECOS PAC ID: 4587606488 Enrollment ID: I20050601000255 |
| Provider Name | Michael S Halata |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922008739 PECOS PAC ID: 6103861653 Enrollment ID: I20050624000295 |
| Provider Name | Henry J Issenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154321131 PECOS PAC ID: 8527094861 Enrollment ID: I20050708000825 |
| Provider Name | Matthew J Kapklein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245231224 PECOS PAC ID: 4789610270 Enrollment ID: I20050715000635 |
| Provider Name | John Welter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235139684 PECOS PAC ID: 9931136819 Enrollment ID: I20050721001006 |
| Provider Name | Abdul Haleem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104828862 PECOS PAC ID: 4981632312 Enrollment ID: I20050727001116 |
| Provider Name | Maria E Lombardi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063404374 PECOS PAC ID: 2163451527 Enrollment ID: I20050806000034 |
| Provider Name | Adam Lerche |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578522454 PECOS PAC ID: 9133158306 Enrollment ID: I20050808000907 |
| Provider Name | Oliver Cartano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003885039 PECOS PAC ID: 0143259887 Enrollment ID: I20050811001061 |
| Provider Name | Renat H Arslanov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679574941 PECOS PAC ID: 4981635414 Enrollment ID: I20050824001136 |
| Provider Name | Joanna Bochenek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952396228 PECOS PAC ID: 1557392594 Enrollment ID: I20050829001074 |
| Provider Name | Harriet Kang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235192683 PECOS PAC ID: 3870525710 Enrollment ID: I20050831000560 |
| Provider Name | Kathleen Ennabi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427040708 PECOS PAC ID: 2264457845 Enrollment ID: I20051012000969 |
| Provider Name | Zaheer A Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922000843 PECOS PAC ID: 4183642192 Enrollment ID: I20051108001039 |
| Provider Name | Howard E Bostwick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083606818 PECOS PAC ID: 2163442252 Enrollment ID: I20051205000435 |
| Provider Name | Sergio Golombek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770585432 PECOS PAC ID: 8224058250 Enrollment ID: I20051205000845 |
| Provider Name | Debra H Etelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215929054 PECOS PAC ID: 5395766182 Enrollment ID: I20051208000159 |
| Provider Name | Patricia A Delamora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114015484 PECOS PAC ID: 8820019474 Enrollment ID: I20051212000526 |
| Provider Name | Marcia J Nackenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154320174 PECOS PAC ID: 1951322197 Enrollment ID: I20051215000105 |
| Provider Name | Julian Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215924618 PECOS PAC ID: 3678595071 Enrollment ID: I20051229000165 |
| Provider Name | Maryam Banikazemi |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1831164672 PECOS PAC ID: 6103840624 Enrollment ID: I20060123000769 |
| Provider Name | Elizabeth Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659300648 PECOS PAC ID: 8729093539 Enrollment ID: I20060215000741 |
| Provider Name | Romina G Wancier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043307119 PECOS PAC ID: 7113932831 Enrollment ID: I20060215000849 |
| Provider Name | Gary P Wormser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790708428 PECOS PAC ID: 4789690363 Enrollment ID: I20060307000086 |
| Provider Name | Martin S Katzenstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184616963 PECOS PAC ID: 4587671037 Enrollment ID: I20060308000761 |
| Provider Name | Andrew Mutnick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578593851 PECOS PAC ID: 7517960057 Enrollment ID: I20060823000004 |
| Provider Name | Agnes Q Banquet |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912942350 PECOS PAC ID: 0547264533 Enrollment ID: I20060906000066 |
| Provider Name | Shireen Pais |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396709838 PECOS PAC ID: 8820025968 Enrollment ID: I20060907000198 |
| Provider Name | Shetal I Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730121997 PECOS PAC ID: 3476558875 Enrollment ID: I20060918000433 |
| Provider Name | Susan S Malley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215959135 PECOS PAC ID: 5991701112 Enrollment ID: I20061011000637 |
| Provider Name | Kathryn Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245312826 PECOS PAC ID: 5395744312 Enrollment ID: I20061220000171 |
| Provider Name | Richard A Rosencrantz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376583591 PECOS PAC ID: 4284736471 Enrollment ID: I20070219000233 |
| Provider Name | Philip John Overby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255485645 PECOS PAC ID: 5193829182 Enrollment ID: I20070330000600 |
| Provider Name | Erika Berman-rosenzweig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831163708 PECOS PAC ID: 6507964293 Enrollment ID: I20070604000421 |
| Provider Name | Suzanne H Braniecki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831266881 PECOS PAC ID: 2264533942 Enrollment ID: I20070725000162 |
| Provider Name | Vanessa V Mercado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518095645 PECOS PAC ID: 6406947241 Enrollment ID: I20070808000084 |
| Provider Name | Amanda M Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003016411 PECOS PAC ID: 9133140619 Enrollment ID: I20071011000584 |
| Provider Name | Suzette T Gjonaj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902898588 PECOS PAC ID: 2163518515 Enrollment ID: I20071016000103 |
| Provider Name | Chun Peng Tiu Chao |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386636645 PECOS PAC ID: 7113013566 Enrollment ID: I20071016000138 |
| Provider Name | Mark S Glassman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851391163 PECOS PAC ID: 6406942861 Enrollment ID: I20071016000214 |
| Provider Name | Nina Arlievsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396732095 PECOS PAC ID: 3870689201 Enrollment ID: I20071017000415 |
| Provider Name | Alicia A Romano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487646063 PECOS PAC ID: 5395831242 Enrollment ID: I20071023000656 |
| Provider Name | Allen J Dozor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801896238 PECOS PAC ID: 4082701925 Enrollment ID: I20071024000668 |
| Provider Name | Latifa K Siddiqua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124214234 PECOS PAC ID: 1456448133 Enrollment ID: I20071026000529 |
| Provider Name | Carey S Goltzman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790786770 PECOS PAC ID: 3476641044 Enrollment ID: I20071115000075 |
| Provider Name | Diana B Lowenthal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861492209 PECOS PAC ID: 0446348676 Enrollment ID: I20071121000267 |
| Provider Name | Michael Gewitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730189895 PECOS PAC ID: 2860421328 Enrollment ID: I20071129000618 |
| Provider Name | Suresh Khanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922195007 PECOS PAC ID: 1456431360 Enrollment ID: I20080124000671 |
| Provider Name | Matthew G Pinto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649464074 PECOS PAC ID: 8820172893 Enrollment ID: I20080228000747 |
| Provider Name | Caren F Behar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124048780 PECOS PAC ID: 7810074382 Enrollment ID: I20080408000460 |
| Provider Name | Eric D Fethke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285600080 PECOS PAC ID: 0547347858 Enrollment ID: I20080411000047 |
| Provider Name | Deborah M Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407897564 PECOS PAC ID: 9032169651 Enrollment ID: I20080506000861 |
| Provider Name | Dori A Anchin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750399663 PECOS PAC ID: 9830278167 Enrollment ID: I20080512000221 |
| Provider Name | Nandita Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912108937 PECOS PAC ID: 6901978626 Enrollment ID: I20080711000297 |
| Provider Name | Merryl Schechtman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013073956 PECOS PAC ID: 2365515012 Enrollment ID: I20080714000708 |
| Provider Name | Orit Oppenheimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164623500 PECOS PAC ID: 6507931623 Enrollment ID: I20080823000073 |
| Provider Name | Elsa M Delille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346410214 PECOS PAC ID: 2769559194 Enrollment ID: I20080925000738 |
| Provider Name | Amy S Ciner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023053519 PECOS PAC ID: 6709945173 Enrollment ID: I20081030000659 |
| Provider Name | Mitchell S Cairo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669446399 PECOS PAC ID: 0840359097 Enrollment ID: I20081104000096 |
| Provider Name | Cesar T Villaflor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447368246 PECOS PAC ID: 9537229687 Enrollment ID: I20081119000046 |
| Provider Name | Michael O Petrella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528001419 PECOS PAC ID: 9638073208 Enrollment ID: I20081204000885 |
| Provider Name | Marie-micheline Lominy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013992288 PECOS PAC ID: 3678637956 Enrollment ID: I20090131000070 |
| Provider Name | Girish C Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568615060 PECOS PAC ID: 6507920527 Enrollment ID: I20090205000294 |
| Provider Name | John Nowakowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558384198 PECOS PAC ID: 1759447253 Enrollment ID: I20090309000349 |
| Provider Name | Vardhini Desikan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295984383 PECOS PAC ID: 5395801799 Enrollment ID: I20090311000004 |
| Provider Name | Luciano V Barone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972601862 PECOS PAC ID: 1355408410 Enrollment ID: I20090318000104 |
| Provider Name | Sandra Bertolino Crapanzano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598939134 PECOS PAC ID: 9133277296 Enrollment ID: I20090429000026 |
| Provider Name | Haeyoung K Hwang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235235318 PECOS PAC ID: 7113078528 Enrollment ID: I20090625000035 |
| Provider Name | Jessica C Hochberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801054382 PECOS PAC ID: 3971655812 Enrollment ID: I20090723000409 |
| Provider Name | Subhadra A Siegel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1215060108 PECOS PAC ID: 6901958859 Enrollment ID: I20090723000487 |
| Provider Name | Joseph L Giamelli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164650644 PECOS PAC ID: 9931253960 Enrollment ID: I20090811000037 |
| Provider Name | Jeffrey S Horowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558469437 PECOS PAC ID: 8426103151 Enrollment ID: I20090902000285 |
| Provider Name | Wendy Silver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760619142 PECOS PAC ID: 7315092962 Enrollment ID: I20090902000598 |
| Provider Name | Jennifer A Krajewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174698096 PECOS PAC ID: 2668518689 Enrollment ID: I20091006000159 |
| Provider Name | Marc Y El Khoury |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083825996 PECOS PAC ID: 3072650449 Enrollment ID: I20091019000116 |
| Provider Name | Toni Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518003771 PECOS PAC ID: 8426116930 Enrollment ID: I20091020000325 |
| Provider Name | Yanna Beniyaminov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720218670 PECOS PAC ID: 8921147455 Enrollment ID: I20091123000373 |
| Provider Name | Lance A Parton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699777441 PECOS PAC ID: 2769523273 Enrollment ID: I20100106000347 |
| Provider Name | Robin Leslie Altman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295736833 PECOS PAC ID: 2365583879 Enrollment ID: I20100106000400 |
| Provider Name | Monique M Regard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457351645 PECOS PAC ID: 5698817872 Enrollment ID: I20100127000007 |
| Provider Name | William Levinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669472403 PECOS PAC ID: 5698817880 Enrollment ID: I20100127000024 |
| Provider Name | Catherine B Small |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881617520 PECOS PAC ID: 2961544002 Enrollment ID: I20100127000643 |
| Provider Name | Moneeka Zaman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841282688 PECOS PAC ID: 3577606193 Enrollment ID: I20100204000629 |
| Provider Name | Fern R Juster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154322550 PECOS PAC ID: 5890838411 Enrollment ID: I20100204000670 |
| Provider Name | Berett P Shaps |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710215215 PECOS PAC ID: 2264575547 Enrollment ID: I20100209000394 |
| Provider Name | Paul Lobianco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508919564 PECOS PAC ID: 3870624943 Enrollment ID: I20100707000009 |
| Provider Name | Lisa Paul |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356670061 PECOS PAC ID: 7214061183 Enrollment ID: I20100813000402 |
| Provider Name | Kristina I Melchert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184863102 PECOS PAC ID: 3971627829 Enrollment ID: I20100828000098 |
| Provider Name | Rosemary D Calligaris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992899215 PECOS PAC ID: 2466577648 Enrollment ID: I20100910000846 |
| Provider Name | Rajesh Bisnauth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154427490 PECOS PAC ID: 5496947814 Enrollment ID: I20101004001255 |
| Provider Name | Elizabeth De La Riva-velasco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275860611 PECOS PAC ID: 7911190418 Enrollment ID: I20101015001000 |
| Provider Name | Youngsook Cathy Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548252828 PECOS PAC ID: 4688867732 Enrollment ID: I20101021000049 |
| Provider Name | Rebekka Levis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548492093 PECOS PAC ID: 2062606262 Enrollment ID: I20101102000333 |
| Provider Name | Simon Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871560409 PECOS PAC ID: 0840341426 Enrollment ID: I20101129000735 |
| Provider Name | Laura Katz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710183777 PECOS PAC ID: 6901095181 Enrollment ID: I20110105000048 |
| Provider Name | Glenn J. Belkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114914611 PECOS PAC ID: 2264611789 Enrollment ID: I20110128000670 |
| Provider Name | Ifran A Warsy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003041948 PECOS PAC ID: 2668653601 Enrollment ID: I20110223000668 |
| Provider Name | William Greenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780773119 PECOS PAC ID: 7911180450 Enrollment ID: I20110322000324 |
| Provider Name | Evan Weissman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033209804 PECOS PAC ID: 5395928667 Enrollment ID: I20110323000882 |
| Provider Name | Gerald Vogel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366532343 PECOS PAC ID: 1557544830 Enrollment ID: I20110323000912 |
| Provider Name | Jesse Hackell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730278185 PECOS PAC ID: 2860675147 Enrollment ID: I20110323000983 |
| Provider Name | Dmitry Samsonov |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356595862 PECOS PAC ID: 9335322494 Enrollment ID: I20110328000109 |
| Provider Name | Yehudit L Pollack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801198957 PECOS PAC ID: 3072796192 Enrollment ID: I20110328000678 |
| Provider Name | Gemma R Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487976361 PECOS PAC ID: 6103009931 Enrollment ID: I20110331000466 |
| Provider Name | Polly Kanganis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477644698 PECOS PAC ID: 2062696529 Enrollment ID: I20110406000899 |
| Provider Name | Herman B Kleinbaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528069093 PECOS PAC ID: 6002959715 Enrollment ID: I20110407000005 |
| Provider Name | Mitchell Aaron Josephs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063413532 PECOS PAC ID: 2264616739 Enrollment ID: I20110407000010 |
| Provider Name | Monique Richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568662849 PECOS PAC ID: 0749464873 Enrollment ID: I20110413000847 |
| Provider Name | Heather L Brumberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669473872 PECOS PAC ID: 7113101296 Enrollment ID: I20110414000283 |
| Provider Name | Hanan K Tawadrous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346554060 PECOS PAC ID: 1850576141 Enrollment ID: I20110502000397 |
| Provider Name | Lorna Sackler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477642833 PECOS PAC ID: 5890971634 Enrollment ID: I20110512000508 |
| Provider Name | Supriya S Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669701298 PECOS PAC ID: 6507042033 Enrollment ID: I20110518000627 |
| Provider Name | Marilyn Scharbach |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669612313 PECOS PAC ID: 0143499673 Enrollment ID: I20110817000743 |
| Provider Name | Jenny Sung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013015809 PECOS PAC ID: 1052202058 Enrollment ID: I20110906000007 |
| Provider Name | Necla Kudrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346528114 PECOS PAC ID: 5799957171 Enrollment ID: I20111006000505 |
| Provider Name | Sharon Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588769038 PECOS PAC ID: 4183896244 Enrollment ID: I20111013000510 |
| Provider Name | Christa L Miliaresis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063453777 PECOS PAC ID: 0042216079 Enrollment ID: I20111103000307 |
| Provider Name | Brad M Dworkin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528170362 PECOS PAC ID: 3577601806 Enrollment ID: I20111110000000 |
| Provider Name | Edward Lebovics |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619089513 PECOS PAC ID: 4385649557 Enrollment ID: I20111205000303 |
| Provider Name | Aromma Kapoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497941090 PECOS PAC ID: 8224203781 Enrollment ID: I20111212000366 |
| Provider Name | Carla Gendron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639306269 PECOS PAC ID: 2466611140 Enrollment ID: I20120315000776 |
| Provider Name | Julie A Sylvester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588838346 PECOS PAC ID: 0749444651 Enrollment ID: I20120605000494 |
| Provider Name | Mili Shum |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1407134224 PECOS PAC ID: 9931363793 Enrollment ID: I20120607000651 |
| Provider Name | Ilyssa A Henle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346479003 PECOS PAC ID: 1254595341 Enrollment ID: I20120621000548 |
| Provider Name | Matthew A Rainaldi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962692178 PECOS PAC ID: 1658536396 Enrollment ID: I20120703000454 |
| Provider Name | Daniela Jodorkovsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891932455 PECOS PAC ID: 1456517804 Enrollment ID: I20120730000460 |
| Provider Name | Theresa M Vertullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790081107 PECOS PAC ID: 8123274222 Enrollment ID: I20120806000371 |
| Provider Name | Allison B Driansky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083902084 PECOS PAC ID: 9234385378 Enrollment ID: I20120806000733 |
| Provider Name | Savneek S Chugh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851622476 PECOS PAC ID: 1557517984 Enrollment ID: I20120817000073 |
| Provider Name | Rachel T Redlich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093002677 PECOS PAC ID: 1759538127 Enrollment ID: I20120821000339 |
| Provider Name | Jeremy Rosenblum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982839858 PECOS PAC ID: 9638326507 Enrollment ID: I20120828000594 |
| Provider Name | Natasha Bamji |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922267103 PECOS PAC ID: 9436306941 Enrollment ID: I20120905000422 |
| Provider Name | Emily Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891855086 PECOS PAC ID: 1658529037 Enrollment ID: I20120910000105 |
| Provider Name | Maria David |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942218540 PECOS PAC ID: 6800044124 Enrollment ID: I20120912000004 |
| Provider Name | Hartley Bancroft |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023163953 PECOS PAC ID: 5799933891 Enrollment ID: I20120914000388 |
| Provider Name | Cynthia Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326138785 PECOS PAC ID: 4385892306 Enrollment ID: I20120918000119 |
| Provider Name | Donna Argenzio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053434134 PECOS PAC ID: 5294983177 Enrollment ID: I20120918000812 |
| Provider Name | Alanna Levine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821038902 PECOS PAC ID: 9436307030 Enrollment ID: I20120922000008 |
| Provider Name | Eric Oberman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932140035 PECOS PAC ID: 8224287792 Enrollment ID: I20120927000701 |
| Provider Name | Amanda C Ayala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982839106 PECOS PAC ID: 7214180066 Enrollment ID: I20130104000095 |
| Provider Name | Nitin Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477790061 PECOS PAC ID: 6901041227 Enrollment ID: I20130314000189 |
| Provider Name | Yuliya Anikanova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356698567 PECOS PAC ID: 7911142880 Enrollment ID: I20130325000229 |
| Provider Name | Mary E Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235277161 PECOS PAC ID: 8123263779 Enrollment ID: I20130402000206 |
| Provider Name | Stuart E Beeber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528136413 PECOS PAC ID: 2264678655 Enrollment ID: I20130409000000 |
| Provider Name | Priya S Prashad |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1508995044 PECOS PAC ID: 1759538184 Enrollment ID: I20130430000044 |
| Provider Name | Jeanne M Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740257252 PECOS PAC ID: 6305083668 Enrollment ID: I20130506000554 |
| Provider Name | Anne Panarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396077350 PECOS PAC ID: 7315184298 Enrollment ID: I20130514000033 |
| Provider Name | Sheila M Nolan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104016823 PECOS PAC ID: 6901950377 Enrollment ID: I20130618000707 |
| Provider Name | Margot V Marrero Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861662975 PECOS PAC ID: 5799925608 Enrollment ID: I20130717000000 |
| Provider Name | Carolyn Graeber Mitchell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053572438 PECOS PAC ID: 1850541780 Enrollment ID: I20130823000373 |
| Provider Name | Daniel Y Shen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396912556 PECOS PAC ID: 8426291683 Enrollment ID: I20130909000160 |
| Provider Name | Christy Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912211384 PECOS PAC ID: 4082848437 Enrollment ID: I20131018000073 |
| Provider Name | Umesh Paudel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437597614 PECOS PAC ID: 5395970727 Enrollment ID: I20131021000490 |
| Provider Name | Payal R Anand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023218872 PECOS PAC ID: 1254597396 Enrollment ID: I20131021000815 |
| Provider Name | Bindu A George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619289352 PECOS PAC ID: 6800021635 Enrollment ID: I20131031001687 |
| Provider Name | Jessica C Sessions |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093748014 PECOS PAC ID: 0840425625 Enrollment ID: I20131101001574 |
| Provider Name | Sowmya Stephen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902077852 PECOS PAC ID: 9032250303 Enrollment ID: I20131204000287 |
| Provider Name | David J Robida |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700020013 PECOS PAC ID: 8426205386 Enrollment ID: I20140131000152 |
| Provider Name | Eileen Rafferty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558799957 PECOS PAC ID: 6608006499 Enrollment ID: I20140221001276 |
| Provider Name | Susan Cardona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194775189 PECOS PAC ID: 1850307539 Enrollment ID: I20140311000792 |
| Provider Name | Jeanne Dos Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962506105 PECOS PAC ID: 2264665439 Enrollment ID: I20140424001102 |
| Provider Name | Lizabeth K Nolan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427230200 PECOS PAC ID: 7719110360 Enrollment ID: I20140506000332 |
| Provider Name | Kimberly Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619033636 PECOS PAC ID: 2769605955 Enrollment ID: I20140515000451 |
| Provider Name | Deepali Tewari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265728679 PECOS PAC ID: 7517181076 Enrollment ID: I20140624001730 |
| Provider Name | Laura Perretta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184916678 PECOS PAC ID: 6800013251 Enrollment ID: I20140808001664 |
| Provider Name | Yevgeniya Shurp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669438941 PECOS PAC ID: 9739306929 Enrollment ID: I20140812001529 |
| Provider Name | Anita M Ware |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932425881 PECOS PAC ID: 7012134984 Enrollment ID: I20140818000355 |
| Provider Name | Jillian L Hochfelder |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1245473669 PECOS PAC ID: 1052538881 Enrollment ID: I20140819000150 |
| Provider Name | Melissa M Provost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245560242 PECOS PAC ID: 2365625050 Enrollment ID: I20140825000892 |
| Provider Name | Tanya E Pereira |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780855460 PECOS PAC ID: 4486803640 Enrollment ID: I20140826001949 |
| Provider Name | Marise D D Souza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992937098 PECOS PAC ID: 3476781915 Enrollment ID: I20141015000043 |
| Provider Name | Richard Ancona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275590697 PECOS PAC ID: 4385865567 Enrollment ID: I20141103000476 |
| Provider Name | David Ashe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710060413 PECOS PAC ID: 0042532103 Enrollment ID: I20141201001848 |
| Provider Name | Michele M Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942551890 PECOS PAC ID: 2062736325 Enrollment ID: I20150115001806 |
| Provider Name | Mary Ann Flynn Gameng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255531000 PECOS PAC ID: 8628392859 Enrollment ID: I20150119000064 |
| Provider Name | Peter S Liebert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598861247 PECOS PAC ID: 0244499473 Enrollment ID: I20150225000166 |
| Provider Name | Virgilio Monteleone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780761528 PECOS PAC ID: 5991021487 Enrollment ID: I20150227000280 |
| Provider Name | Martha Pimentel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043261266 PECOS PAC ID: 1254657760 Enrollment ID: I20150227001036 |
| Provider Name | Bennett Pallant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174520316 PECOS PAC ID: 2264758796 Enrollment ID: I20150227001642 |
| Provider Name | Keith Ancona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619934205 PECOS PAC ID: 4082930235 Enrollment ID: I20150305000457 |
| Provider Name | Lisa A Velella |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316154099 PECOS PAC ID: 6800113481 Enrollment ID: I20150318002413 |
| Provider Name | Monica A Caputo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558793786 PECOS PAC ID: 7012234560 Enrollment ID: I20150323001570 |
| Provider Name | Alexandra M Camilli |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255610762 PECOS PAC ID: 8921325028 Enrollment ID: I20150331000413 |
| Provider Name | Kate Franklin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114146719 PECOS PAC ID: 4981875549 Enrollment ID: I20150519001534 |
| Provider Name | Nandini Kogekar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346272168 PECOS PAC ID: 8224358668 Enrollment ID: I20150526001796 |
| Provider Name | Annette Pergamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457767899 PECOS PAC ID: 2365753662 Enrollment ID: I20150612000236 |
| Provider Name | Alex Soltren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558621748 PECOS PAC ID: 2567774490 Enrollment ID: I20150707002417 |
| Provider Name | Renee Brand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508956863 PECOS PAC ID: 4880907294 Enrollment ID: I20150714002085 |
| Provider Name | Vincente R Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639107642 PECOS PAC ID: 1355654617 Enrollment ID: I20150716001321 |
| Provider Name | Yorg Al Azzi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548572522 PECOS PAC ID: 5597078626 Enrollment ID: I20150720000756 |
| Provider Name | Martina Bezdickova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114014891 PECOS PAC ID: 5991018962 Enrollment ID: I20150720002417 |
| Provider Name | Alan M Hirschman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952318776 PECOS PAC ID: 0446563191 Enrollment ID: I20150723008628 |
| Provider Name | Michele Newmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053421834 PECOS PAC ID: 4183938640 Enrollment ID: I20150729007261 |
| Provider Name | Jaideep Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730171729 PECOS PAC ID: 2365424454 Enrollment ID: I20150730011349 |
| Provider Name | Prabhakar Kocherlakota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326035031 PECOS PAC ID: 5597079715 Enrollment ID: I20150731016958 |
| Provider Name | Shilpa Sood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992108468 PECOS PAC ID: 8628382488 Enrollment ID: I20150806012253 |
| Provider Name | Daniel H Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710074075 PECOS PAC ID: 2860707528 Enrollment ID: I20150811003673 |
| Provider Name | Leif Lovig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760828180 PECOS PAC ID: 7012157258 Enrollment ID: I20150817002239 |
| Provider Name | Jaimie V Samuel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629479563 PECOS PAC ID: 6103131164 Enrollment ID: I20150819009026 |
| Provider Name | Sang Woo Pak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184808461 PECOS PAC ID: 0345556858 Enrollment ID: I20150828001761 |
| Provider Name | Jaclyn Basso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912396219 PECOS PAC ID: 5991012148 Enrollment ID: I20150921000993 |
| Provider Name | Joseph T Boyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356341663 PECOS PAC ID: 3476535352 Enrollment ID: I20150922000355 |
| Provider Name | Nathan E Millard |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114121456 PECOS PAC ID: 1557446135 Enrollment ID: I20150929002416 |
| Provider Name | Michele L Gorlitsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285714048 PECOS PAC ID: 2163730482 Enrollment ID: I20151006000461 |
| Provider Name | Marta K Christov |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013163153 PECOS PAC ID: 1355512005 Enrollment ID: I20151125001748 |
| Provider Name | Amy Brown |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083857585 PECOS PAC ID: 8820399934 Enrollment ID: I20151215000981 |
| Provider Name | Joshua Chesir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821099235 PECOS PAC ID: 4587965553 Enrollment ID: I20151216000907 |
| Provider Name | Vanessa O Sukra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730249129 PECOS PAC ID: 3870894504 Enrollment ID: I20151222000701 |
| Provider Name | Kathryn B Ballerini |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619349859 PECOS PAC ID: 8022310788 Enrollment ID: I20160112002148 |
| Provider Name | Daniela Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962872846 PECOS PAC ID: 9931402005 Enrollment ID: I20160122001995 |
| Provider Name | Maria Abbate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669683637 PECOS PAC ID: 5395049092 Enrollment ID: I20160201000503 |
| Provider Name | Lisa S Troy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518279736 PECOS PAC ID: 8921304460 Enrollment ID: I20160310000212 |
| Provider Name | Nancy Giannini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770744518 PECOS PAC ID: 9436456415 Enrollment ID: I20160318001903 |
| Provider Name | Jaclyn Fallon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689816340 PECOS PAC ID: 8729385638 Enrollment ID: I20160321000850 |
| Provider Name | Abby Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891947529 PECOS PAC ID: 3577860352 Enrollment ID: I20160322000978 |
| Provider Name | Dina Rosconi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851526552 PECOS PAC ID: 8921306036 Enrollment ID: I20160406000100 |
| Provider Name | Barbara Gannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619085388 PECOS PAC ID: 9739487554 Enrollment ID: I20160412001347 |
| Provider Name | Abigail Grossman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083894182 PECOS PAC ID: 8729386065 Enrollment ID: I20160419002737 |
| Provider Name | Barbara Beyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255449997 PECOS PAC ID: 3072812650 Enrollment ID: I20160503001887 |
| Provider Name | Michael O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215257100 PECOS PAC ID: 8820387194 Enrollment ID: I20160510002407 |
| Provider Name | Lynne B Weissman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831277839 PECOS PAC ID: 0446549331 Enrollment ID: I20160517000103 |
| Provider Name | Allyson M Flower |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053745232 PECOS PAC ID: 5698066777 Enrollment ID: I20160621000606 |
| Provider Name | Lauren Jen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538422845 PECOS PAC ID: 1658662697 Enrollment ID: I20160622000048 |
| Provider Name | Nilofer C Naqvi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154724904 PECOS PAC ID: 6507158276 Enrollment ID: I20160718000494 |
| Provider Name | Louis M Goldblum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841290608 PECOS PAC ID: 6103119425 Enrollment ID: I20160725002094 |
| Provider Name | Karen H Brandstaedter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730343468 PECOS PAC ID: 0345557773 Enrollment ID: I20160823002901 |
| Provider Name | Eileen Mcvey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982908786 PECOS PAC ID: 8426215393 Enrollment ID: I20160827000033 |
| Provider Name | Christopher Obrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952663353 PECOS PAC ID: 4082937891 Enrollment ID: I20160920002528 |
| Provider Name | Jacqueline M Alleva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619326352 PECOS PAC ID: 7012204423 Enrollment ID: I20160929000539 |
| Provider Name | Harriet Estelle Wieder |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1518014349 PECOS PAC ID: 0648568790 Enrollment ID: I20161005002582 |
| Provider Name | Svenja Resto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316141179 PECOS PAC ID: 5597053215 Enrollment ID: I20161013000300 |
| Provider Name | Michael Ignat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083057269 PECOS PAC ID: 1153609854 Enrollment ID: I20161101001093 |
| Provider Name | Sejal M Gandhi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841599032 PECOS PAC ID: 9931487642 Enrollment ID: I20161101001280 |
| Provider Name | Lai-ming Lisa Chan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457793838 PECOS PAC ID: 2466731211 Enrollment ID: I20161117002350 |
| Provider Name | Rubina Bhatia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942387360 PECOS PAC ID: 6709165293 Enrollment ID: I20161128002528 |
| Provider Name | Alpa Shah Basu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558671321 PECOS PAC ID: 8022398411 Enrollment ID: I20161130001593 |
| Provider Name | Karen Chiu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134284698 PECOS PAC ID: 2769762046 Enrollment ID: I20161201002307 |
| Provider Name | Danielle M Fernandes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295155216 PECOS PAC ID: 1759658081 Enrollment ID: I20170517000540 |
| Provider Name | Emily A Colantoni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386045417 PECOS PAC ID: 6406123769 Enrollment ID: I20170517001780 |
| Provider Name | Anne A Fallon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457763583 PECOS PAC ID: 7810264801 Enrollment ID: I20170523000595 |
| Provider Name | Kristen M Savath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962670364 PECOS PAC ID: 8820281587 Enrollment ID: I20170523001327 |
| Provider Name | Sabrina M Kucherov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134669724 PECOS PAC ID: 6204104318 Enrollment ID: I20170614000754 |
| Provider Name | Anu Mallapaty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962843730 PECOS PAC ID: 3173894813 Enrollment ID: I20170731000268 |
| Provider Name | Cosmina A Mandru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992070742 PECOS PAC ID: 6901032333 Enrollment ID: I20170803002006 |
| Provider Name | Rebecca A Berger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972996809 PECOS PAC ID: 5294007969 Enrollment ID: I20170816001891 |
| Provider Name | Erin Kelleher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275706160 PECOS PAC ID: 4688848179 Enrollment ID: I20170907000533 |
| Provider Name | Gad Alpan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154320430 PECOS PAC ID: 9537434295 Enrollment ID: I20171005000562 |
| Provider Name | Sarah M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710408570 PECOS PAC ID: 8527333988 Enrollment ID: I20171011000816 |
| Provider Name | Jaclyn Tripodi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699035261 PECOS PAC ID: 8123386950 Enrollment ID: I20171227001094 |
| Provider Name | Melaine A Mclean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548356660 PECOS PAC ID: 5193048791 Enrollment ID: I20171228001062 |
| Provider Name | Kinberly D Kinney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952355182 PECOS PAC ID: 1658630835 Enrollment ID: I20180116000451 |
| Provider Name | Stephanie E Devlin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699010801 PECOS PAC ID: 7911266044 Enrollment ID: I20180118002160 |
| Provider Name | Maria J Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053639492 PECOS PAC ID: 0042579898 Enrollment ID: I20180124001163 |
| Provider Name | Nisida Berberi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942596630 PECOS PAC ID: 0446510937 Enrollment ID: I20180131002851 |
| Provider Name | David G Hunter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659461663 PECOS PAC ID: 3971564345 Enrollment ID: I20180221000391 |
| Provider Name | Swarup M Karande |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134137870 PECOS PAC ID: 7315208709 Enrollment ID: I20180227002640 |
| Provider Name | Claudia B Restrepo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205075066 PECOS PAC ID: 5991067076 Enrollment ID: I20180330000285 |
| Provider Name | Jordan B Wills |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720528847 PECOS PAC ID: 4789947789 Enrollment ID: I20180404000513 |
| Provider Name | Diane M Lindsay-adler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831564616 PECOS PAC ID: 8527322353 Enrollment ID: I20180503000562 |
| Provider Name | Gitty Leiner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508006214 PECOS PAC ID: 5991060626 Enrollment ID: I20180531000140 |
| Provider Name | Christina E Mezzone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679974141 PECOS PAC ID: 2567710403 Enrollment ID: I20180808003207 |
| Provider Name | Monica E Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811381098 PECOS PAC ID: 7012265911 Enrollment ID: I20180809001195 |
| Provider Name | Erin S Rescoe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821404005 PECOS PAC ID: 1557672995 Enrollment ID: I20180815001218 |
| Provider Name | Rocco Richards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679912729 PECOS PAC ID: 5890045355 Enrollment ID: I20180904000736 |
| Provider Name | Aditi Kamat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215314349 PECOS PAC ID: 2466702766 Enrollment ID: I20180907000617 |
| Provider Name | Alison T Lennox |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477849883 PECOS PAC ID: 1557679925 Enrollment ID: I20180912001453 |
| Provider Name | Melissa D Gans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588059448 PECOS PAC ID: 5395096283 Enrollment ID: I20180914001507 |
| Provider Name | Diana B Haddad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114292489 PECOS PAC ID: 8921359803 Enrollment ID: I20180918000436 |
| Provider Name | Karen Angela Hussein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386902146 PECOS PAC ID: 6406084466 Enrollment ID: I20181005000693 |
| Provider Name | Melanie Leong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982965604 PECOS PAC ID: 8325390032 Enrollment ID: I20181008003053 |
| Provider Name | Michele Alexandra L Ledesma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083978233 PECOS PAC ID: 9133432313 Enrollment ID: I20181022002197 |
| Provider Name | Elena E Gazzola-kraenzlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275600116 PECOS PAC ID: 9032462916 Enrollment ID: I20181023000514 |
| Provider Name | Lisa G Mandelker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962663047 PECOS PAC ID: 9133473929 Enrollment ID: I20181114001407 |
| Provider Name | Susan Meisler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528134137 PECOS PAC ID: 0244584746 Enrollment ID: I20181120001599 |
| Provider Name | Hilary Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780750398 PECOS PAC ID: 3476807835 Enrollment ID: I20181121001558 |
| Provider Name | Rolla T Nuoman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457770620 PECOS PAC ID: 3971844796 Enrollment ID: I20190404001278 |
| Provider Name | Daniel Aaron Krich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316289812 PECOS PAC ID: 6305187923 Enrollment ID: I20190409001753 |
| Provider Name | Kristen Elizabeth O'dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558585398 PECOS PAC ID: 4880935022 Enrollment ID: I20190416001712 |
| Provider Name | Dana Bernbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427243138 PECOS PAC ID: 1658501473 Enrollment ID: I20190416002252 |
| Provider Name | Lisa Ann Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003103136 PECOS PAC ID: 3375884562 Enrollment ID: I20190417000762 |
| Provider Name | Rebecca L. Belsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154619542 PECOS PAC ID: 6901147198 Enrollment ID: I20190417000801 |
| Provider Name | Monika Reisenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700132669 PECOS PAC ID: 6901148899 Enrollment ID: I20190424001987 |
| Provider Name | Christine Dordulaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679974323 PECOS PAC ID: 3476895236 Enrollment ID: I20190425002763 |
| Provider Name | Sabina Mary Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639604226 PECOS PAC ID: 7810255361 Enrollment ID: I20190429001740 |
| Provider Name | Aliza Esther Gardenswartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073958112 PECOS PAC ID: 0749514545 Enrollment ID: I20190627003255 |
| Provider Name | Salma Ali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639199722 PECOS PAC ID: 5294922688 Enrollment ID: I20190701001846 |
| Provider Name | Terri Lee Mccluskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972074664 PECOS PAC ID: 4082949466 Enrollment ID: I20190708000611 |
| Provider Name | Sarah K Goldberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619092350 PECOS PAC ID: 2668602905 Enrollment ID: I20190717002959 |
| Provider Name | Alyssa Schunk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770946790 PECOS PAC ID: 1759617277 Enrollment ID: I20190722002178 |
| Provider Name | Lila Pereira |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679822332 PECOS PAC ID: 0941536254 Enrollment ID: I20190724002698 |
| Provider Name | Leanna Rose Szalay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962858340 PECOS PAC ID: 8921334145 Enrollment ID: I20190725002992 |
| Provider Name | Nathalie Trinidad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003262452 PECOS PAC ID: 6507192440 Enrollment ID: I20190730002240 |
| Provider Name | Sonia Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396180741 PECOS PAC ID: 9830472992 Enrollment ID: I20190731001866 |
| Provider Name | Lalaine Mortera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275541781 PECOS PAC ID: 5395072060 Enrollment ID: I20190805001120 |
| Provider Name | Katherine A Glover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700248739 PECOS PAC ID: 5597092577 Enrollment ID: I20190814000775 |
| Provider Name | Shilpa Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255743365 PECOS PAC ID: 1254668197 Enrollment ID: I20190814003669 |
| Provider Name | Abigail Trager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780666545 PECOS PAC ID: 1557698305 Enrollment ID: I20190816000477 |
| Provider Name | Marie Alexis Giustino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689233769 PECOS PAC ID: 0648508994 Enrollment ID: I20190823001763 |
| Provider Name | Mary Cecilia Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861628893 PECOS PAC ID: 5991034795 Enrollment ID: I20190904000158 |
| Provider Name | Laura Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366453391 PECOS PAC ID: 1254660673 Enrollment ID: I20190911000551 |
| Provider Name | Patricia Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588998926 PECOS PAC ID: 4284964826 Enrollment ID: I20190925001948 |
| Provider Name | Mary Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033565668 PECOS PAC ID: 8921339011 Enrollment ID: I20191003001161 |
| Provider Name | Katie E Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427604362 PECOS PAC ID: 2365774999 Enrollment ID: I20191030003021 |
| Provider Name | Elissa M Kappel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922573930 PECOS PAC ID: 9032545736 Enrollment ID: I20200128001835 |
| Provider Name | Mira Lalchandani Kothari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710246426 PECOS PAC ID: 7113353426 Enrollment ID: I20200205001235 |
| Provider Name | Dipika Eila Rana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821383423 PECOS PAC ID: 6204264484 Enrollment ID: I20200323000534 |
| Provider Name | Yaffa Klar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538453030 PECOS PAC ID: 3870921067 Enrollment ID: I20200323000908 |
| Provider Name | Hannah Tahhan |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1215351374 PECOS PAC ID: 4082042270 Enrollment ID: I20200323001279 |
| Provider Name | Jules Martin Gewirtz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336240647 PECOS PAC ID: 4284062316 Enrollment ID: I20200323003281 |
| Provider Name | Robert Vincent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225063308 PECOS PAC ID: 4183890916 Enrollment ID: I20200428000822 |
| Provider Name | Lisa Ann Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538255377 PECOS PAC ID: 5092146654 Enrollment ID: I20200514001525 |
| Provider Name | Megan Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704842 PECOS PAC ID: 5991126120 Enrollment ID: I20200526002524 |
| Provider Name | Marilyn Serbetzian Serbetzian Lashlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891260295 PECOS PAC ID: 9739500539 Enrollment ID: I20200603001741 |
| Provider Name | Mary C Patten-rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770795197 PECOS PAC ID: 4385067735 Enrollment ID: I20200702000586 |
| Provider Name | Dana Marie Tirella |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356991889 PECOS PAC ID: 1850715095 Enrollment ID: I20200721004303 |
| Provider Name | Eleni Electra Karagiannis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619403920 PECOS PAC ID: 3072930122 Enrollment ID: I20200903001246 |
| Provider Name | Christina Scelfo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548655061 PECOS PAC ID: 9931494044 Enrollment ID: I20200917001291 |
| Provider Name | Aleena Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336501329 PECOS PAC ID: 9133411275 Enrollment ID: I20200925000071 |
| Provider Name | Ezra Dweck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861913915 PECOS PAC ID: 3678818689 Enrollment ID: I20201006001894 |
| Provider Name | Ariela Miriam Agress |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1043746019 PECOS PAC ID: 3274944194 Enrollment ID: I20201126000007 |
| Provider Name | Lauren Michele Byrne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053559856 PECOS PAC ID: 4688086424 Enrollment ID: I20201218001603 |
| Provider Name | Keila R Veiga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184966434 PECOS PAC ID: 9931476124 Enrollment ID: I20201223001998 |
| Provider Name | Katherine C Pehlivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104261502 PECOS PAC ID: 5496983306 Enrollment ID: I20201224000551 |
| Provider Name | Saba N Sharif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659558203 PECOS PAC ID: 8426134586 Enrollment ID: I20210122002048 |
| Provider Name | Jen-ruey Tang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902952583 PECOS PAC ID: 8820402308 Enrollment ID: I20210125000388 |
| Provider Name | Carmela Rita Coppola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144220849 PECOS PAC ID: 6406995596 Enrollment ID: I20210128002966 |
| Provider Name | Kayla Marie Aguirre Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548877665 PECOS PAC ID: 7911311907 Enrollment ID: I20210203000902 |
| Provider Name | Whitney Oneil Shkreli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851820484 PECOS PAC ID: 6608281019 Enrollment ID: I20210217001974 |
| Provider Name | Meenakshi Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841694148 PECOS PAC ID: 1951695394 Enrollment ID: I20210222001932 |
| Provider Name | Jennifer Michelle Byrne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568578342 PECOS PAC ID: 1052728227 Enrollment ID: I20210406001345 |
| Provider Name | Telmo C Santos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396277596 PECOS PAC ID: 5294077103 Enrollment ID: I20210423002052 |
| Provider Name | Wendy Rosset |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972181097 PECOS PAC ID: 4981012184 Enrollment ID: I20210427001785 |
| Provider Name | Emily Stoddard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912531195 PECOS PAC ID: 9739588724 Enrollment ID: I20210524002758 |
| Provider Name | Julie A Levasseur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467849356 PECOS PAC ID: 3173860202 Enrollment ID: I20210624002451 |
| Provider Name | Ben Numpang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619119286 PECOS PAC ID: 1254577455 Enrollment ID: I20210712000311 |
| Provider Name | Marjorie Y Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598011421 PECOS PAC ID: 8426470915 Enrollment ID: I20210728001499 |
| Provider Name | Barbara A Milmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942635495 PECOS PAC ID: 4981001815 Enrollment ID: I20210921000132 |
| Provider Name | Kristina Margaret Bianco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548766470 PECOS PAC ID: 4082944913 Enrollment ID: I20210924000592 |
| Provider Name | Jessica Elizabeth Rough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467114306 PECOS PAC ID: 2466841929 Enrollment ID: I20211123000547 |
| Provider Name | Deanna Rose Bova Brannigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871244871 PECOS PAC ID: 5496149254 Enrollment ID: I20220222001170 |
| Provider Name | Paul Mandaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255838553 PECOS PAC ID: 2466849039 Enrollment ID: I20220428002404 |
| Provider Name | Samantha Marinaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216656 PECOS PAC ID: 5991182768 Enrollment ID: I20220517000666 |
| Provider Name | Alison P Loop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174754782 PECOS PAC ID: 1254718026 Enrollment ID: I20220517000689 |
| Provider Name | Christine Elizabeth Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720738263 PECOS PAC ID: 6507243318 Enrollment ID: I20220517002206 |
| Provider Name | Rebecca Jacobowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184001596 PECOS PAC ID: 2264770437 Enrollment ID: I20220602001809 |
| Provider Name | Judith B Foinmbamtita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962810788 PECOS PAC ID: 9335528652 Enrollment ID: I20220616001945 |
| Provider Name | Ashley Nicole Goba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275203523 PECOS PAC ID: 5395125710 Enrollment ID: I20220701001276 |
| Provider Name | Addison Forgit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902314354 PECOS PAC ID: 0042692030 Enrollment ID: I20220808002645 |
| Provider Name | Susan H Vacca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275665002 PECOS PAC ID: 5890918015 Enrollment ID: I20220811002016 |
| Provider Name | Tanvi Devi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093276818 PECOS PAC ID: 8527441377 Enrollment ID: I20220811003221 |
| Provider Name | Dawn Marie Sithian |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982802989 PECOS PAC ID: 8224411574 Enrollment ID: I20220818002211 |
| Provider Name | Erica Boylan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528705738 PECOS PAC ID: 3678956927 Enrollment ID: I20220818002270 |
| Provider Name | Rebecca Wachter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306308994 PECOS PAC ID: 5597148585 Enrollment ID: I20220824002481 |
| Provider Name | Shyall Bhela |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215483169 PECOS PAC ID: 2668857475 Enrollment ID: I20220914003828 |
| Provider Name | Andrew Bellantoni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003278680 PECOS PAC ID: 8729327556 Enrollment ID: I20220919002776 |
| Provider Name | Moshe Apfel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750842787 PECOS PAC ID: 9032594577 Enrollment ID: I20220919003054 |
| Provider Name | Edo Schaefer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386298693 PECOS PAC ID: 8820474406 Enrollment ID: I20221005001368 |
| Provider Name | Maria Luisa De La Morena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316015761 PECOS PAC ID: 2860878469 Enrollment ID: I20221005002261 |
| Provider Name | Carlyn Ann Oppedisano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073512604 PECOS PAC ID: 4284000282 Enrollment ID: I20221017000957 |
| Provider Name | Martin Manuel Rodriguez-ema |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376541987 PECOS PAC ID: 3577939586 Enrollment ID: I20221017001245 |
| Provider Name | Meaghan Barracoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225764947 PECOS PAC ID: 2163898834 Enrollment ID: I20221020001981 |
| Provider Name | Emily Vanhook |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942930904 PECOS PAC ID: 0648647958 Enrollment ID: I20221028002424 |
| Provider Name | Asena Derohannesian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043685308 PECOS PAC ID: 7517232408 Enrollment ID: I20221117001707 |
| Provider Name | Kimberly Clare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689642852 PECOS PAC ID: 4789052564 Enrollment ID: I20221129001906 |
| Provider Name | Joseph Calabro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114996253 PECOS PAC ID: 3072981786 Enrollment ID: I20221129003281 |
| Provider Name | Parvaneh Borojeni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922076397 PECOS PAC ID: 0547638207 Enrollment ID: I20221130001896 |
| Provider Name | Vito Larocca |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679569321 PECOS PAC ID: 3476522558 Enrollment ID: I20221213001836 |
| Provider Name | Christian Hietanen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558322958 PECOS PAC ID: 7911377502 Enrollment ID: I20221222001449 |
| Provider Name | Ellen Daly Timmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730811993 PECOS PAC ID: 6305211806 Enrollment ID: I20230414002352 |
| Provider Name | Alain A. Le Guillou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982742565 PECOS PAC ID: 2062887409 Enrollment ID: I20230417001599 |
| Provider Name | Deena Blanchard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063661171 PECOS PAC ID: 0749646347 Enrollment ID: I20230524003136 |
| Provider Name | Aniqa Anwar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902240849 PECOS PAC ID: 5395103865 Enrollment ID: I20230615002954 |
| Provider Name | Stephanie Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699434126 PECOS PAC ID: 8729446646 Enrollment ID: I20230623002682 |
| Provider Name | Mayan Kolb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891228268 PECOS PAC ID: 5698134427 Enrollment ID: I20230711002407 |
| Provider Name | Kathleen Claire Annette |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447810098 PECOS PAC ID: 1759742612 Enrollment ID: I20230725003985 |
| Provider Name | Keya Thakkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437682861 PECOS PAC ID: 4385980838 Enrollment ID: I20230803000762 |
| Provider Name | Maria Bartellino Damanakis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093247298 PECOS PAC ID: 2264899657 Enrollment ID: I20230803004152 |
| Provider Name | Nicole D'emic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760010417 PECOS PAC ID: 2365803301 Enrollment ID: I20230807002512 |
| Provider Name | Alexandra Mazo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194202283 PECOS PAC ID: 8527420868 Enrollment ID: I20230817002320 |
| Provider Name | Shir Miretzky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063049021 PECOS PAC ID: 1951764323 Enrollment ID: I20230901000195 |
| Provider Name | Rachel G. Hirschberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033640057 PECOS PAC ID: 4385008457 Enrollment ID: I20230908001291 |
| Provider Name | Blake Allister Le Grand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699272567 PECOS PAC ID: 6800250879 Enrollment ID: I20230908001484 |
| Provider Name | Kristina A. Jenney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669906749 PECOS PAC ID: 2062866825 Enrollment ID: I20230927002182 |
| Provider Name | Madona Gadalla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730700972 PECOS PAC ID: 8426403783 Enrollment ID: I20231006001916 |
| Provider Name | Julia Dodd Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578256020 PECOS PAC ID: 5395190573 Enrollment ID: I20231007000365 |
| Provider Name | Dania Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689382343 PECOS PAC ID: 6901252063 Enrollment ID: I20231025001943 |
| Provider Name | Kim Josette Abrams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922240761 PECOS PAC ID: 3971950932 Enrollment ID: I20231113002184 |
| Provider Name | Nicole Suzanne Bajcar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073233268 PECOS PAC ID: 0345697132 Enrollment ID: I20231116001214 |
| Provider Name | Lauren Elizabeth Matera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780115246 PECOS PAC ID: 3577834068 Enrollment ID: I20231117002981 |
| Provider Name | Amy Mcleod Rickard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043463920 PECOS PAC ID: 9537517636 Enrollment ID: I20231130001019 |
| Provider Name | Marykatelyn Albin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366225237 PECOS PAC ID: 4981052008 Enrollment ID: I20231130001526 |
| Provider Name | Carly M Rice-iocolano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235768029 PECOS PAC ID: 0446673164 Enrollment ID: I20231130001662 |
| Provider Name | Danielle Elaine Chiaravalloti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730263237 PECOS PAC ID: 2062861107 Enrollment ID: I20231214000458 |
| Provider Name | Shipra Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073744421 PECOS PAC ID: 3779717392 Enrollment ID: I20240101000256 |
| Provider Name | Christina Marie Chiorazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710765631 PECOS PAC ID: 4981055183 Enrollment ID: I20240112000398 |
| Provider Name | Marley Lauren Deutchman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386392215 PECOS PAC ID: 7810331105 Enrollment ID: I20240214002334 |
| Provider Name | Brianna Rose Ghelarducci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922884394 PECOS PAC ID: 5092154864 Enrollment ID: I20240413000402 |
| Provider Name | Scott Bookner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831440049 PECOS PAC ID: 8224477815 Enrollment ID: I20240416000803 |
| Provider Name | Marc Douglas Wager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649360462 PECOS PAC ID: 6305285917 Enrollment ID: I20240416001235 |
| Provider Name | Peter Gergely |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619051117 PECOS PAC ID: 2264657006 Enrollment ID: I20240416001352 |
| Provider Name | Kerry M Cannity |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861827818 PECOS PAC ID: 9638518251 Enrollment ID: I20240416001787 |
| Provider Name | Delilah C Tejada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063277523 PECOS PAC ID: 5698114213 Enrollment ID: I20240416001922 |
| Provider Name | Judith Halpern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366793572 PECOS PAC ID: 5890134449 Enrollment ID: I20240416002847 |
| Provider Name | Minella Capili Lentini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881129054 PECOS PAC ID: 0648619155 Enrollment ID: I20240417001011 |
| Provider Name | Lisa Joanna Steccato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568244804 PECOS PAC ID: 6204275662 Enrollment ID: I20240417003878 |
| Provider Name | Maria E.d. Bernardez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316013220 PECOS PAC ID: 1658711536 Enrollment ID: I20240425000941 |
| Provider Name | Erin Jennifer Foxx |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952169518 PECOS PAC ID: 5193165074 Enrollment ID: I20240425001005 |
| Provider Name | Pushpa A Viswanathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316113012 PECOS PAC ID: 5496821803 Enrollment ID: I20240425001883 |
| Provider Name | Erin Shyong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003327966 PECOS PAC ID: 8628418548 Enrollment ID: I20240425002255 |
| Provider Name | Madalyn Marie Pinto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457950412 PECOS PAC ID: 1850732553 Enrollment ID: I20240513001752 |
| Provider Name | Janet Eisig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649364456 PECOS PAC ID: 8820439292 Enrollment ID: I20240516000802 |
| Provider Name | Enrique Valladares Romero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750834065 PECOS PAC ID: 5395074074 Enrollment ID: I20240603004122 |
| Provider Name | Ashley Duff Burke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306426325 PECOS PAC ID: 1557804085 Enrollment ID: I20240625000997 |
| Provider Name | Jessica Nicole Werkhoven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497227300 PECOS PAC ID: 1759825342 Enrollment ID: I20240708001649 |
| Provider Name | Catherine Rose Ferrara |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609562578 PECOS PAC ID: 2860938610 Enrollment ID: I20240729002371 |
| Provider Name | Taya Carpenter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316408461 PECOS PAC ID: 0345787073 Enrollment ID: I20240731000583 |
| Provider Name | Sabrina Libretti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033798582 PECOS PAC ID: 6002353372 Enrollment ID: I20240805000774 |
| Provider Name | Kayleigh Emma Krogh Clark Klose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144757501 PECOS PAC ID: 2062959232 Enrollment ID: I20240806000874 |
| Provider Name | Hunter Proscia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003665068 PECOS PAC ID: 6709323991 Enrollment ID: I20240806001950 |
| Provider Name | Sreya Radhakrishna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932660370 PECOS PAC ID: 4183161383 Enrollment ID: I20240806002383 |
| Provider Name | Paulina Minucci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609612894 PECOS PAC ID: 6305383464 Enrollment ID: I20240807000743 |
| Provider Name | Shrema Parikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073046637 PECOS PAC ID: 4587075080 Enrollment ID: I20240807000894 |
| Provider Name | Patricia Maria Pehme |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124775044 PECOS PAC ID: 5294274981 Enrollment ID: I20240826003056 |
| Provider Name | Wendi Gu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588168280 PECOS PAC ID: 3577003292 Enrollment ID: I20240909004280 |
| Provider Name | Christine N Verna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588726988 PECOS PAC ID: 2062953946 Enrollment ID: I20240918003841 |
| Provider Name | Alexandra Linder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588195796 PECOS PAC ID: 3870830623 Enrollment ID: I20240923002481 |
| Provider Name | Andrea Harrand |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578397428 PECOS PAC ID: 5597296335 Enrollment ID: I20241003001084 |
| Provider Name | Isabel Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225688484 PECOS PAC ID: 8224463708 Enrollment ID: I20241003001229 |
| Provider Name | Alexis Tchaconas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871053421 PECOS PAC ID: 7113258468 Enrollment ID: I20241003003171 |
| Provider Name | Lesley Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154894772 PECOS PAC ID: 9739417569 Enrollment ID: I20241009004251 |
| Provider Name | Logan Rae Lohrer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982322954 PECOS PAC ID: 2668904087 Enrollment ID: I20241010000872 |
| Provider Name | Jennifer Flores Kaswick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710484498 PECOS PAC ID: 3577095801 Enrollment ID: I20241011001470 |
| Provider Name | Rowena Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740410026 PECOS PAC ID: 0446782650 Enrollment ID: I20241014000708 |
| Provider Name | Rachel N Santos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588198105 PECOS PAC ID: 3678810058 Enrollment ID: I20241106001949 |
| Provider Name | Dana Estefan Chersi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578093829 PECOS PAC ID: 5092249235 Enrollment ID: I20241112000624 |
| Provider Name | Yissel Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902652035 PECOS PAC ID: 1355875188 Enrollment ID: I20241115000342 |
| Provider Name | Gina Phifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578381141 PECOS PAC ID: 2163956996 Enrollment ID: I20241115000369 |
| Provider Name | Lisa S Yun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437736857 PECOS PAC ID: 1153856745 Enrollment ID: I20241119003170 |
| Provider Name | Sonia Pothraj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619504693 PECOS PAC ID: 2860851797 Enrollment ID: I20241213002697 |
| Provider Name | Akhil Maheshwari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962446328 PECOS PAC ID: 3779563978 Enrollment ID: I20250123001662 |
| Provider Name | Suhaylah Abdullah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477303436 PECOS PAC ID: 8820527575 Enrollment ID: I20250124000530 |
| Provider Name | Emilie Burgess |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912406331 PECOS PAC ID: 4284050006 Enrollment ID: I20250219003865 |
| Provider Name | Lisa Alexandra Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710466511 PECOS PAC ID: 8123548104 Enrollment ID: I20250220002071 |
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