| Bridgecare Provider Group Llc | |
|
493 Black Oak Ridge Rd Wayne NJ 07470-6501 | |
| (973) 692-9500 | |
| Not Available |
| Full Name | Bridgecare Provider Group Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 493 Black Oak Ridge Rd, Wayne, New Jersey |
| Authorized Official Name and Position | Iyad Baker (OWNER) |
| Authorized Official Contact | 2015966262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgecare Provider Group Llc 173 Bridge Plz N Fort Lee NJ 07024-7575 Ph: () - | Bridgecare Provider Group Llc 493 Black Oak Ridge Rd Wayne NJ 07470-6501 Ph: (973) 692-9500 |
| NPI Number | 1164148672 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Medicare PECOS PAC ID | 8123498193 |
|---|---|
| Medicare Enrollment ID | O20230109001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164148672 | NPI | - | NPPES |
| Provider Name | Iyad Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730341322 PECOS PAC ID: 4587823463 Enrollment ID: I20120313000263 |
| Provider Name | Jenee P Skinner Hamler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821470923 PECOS PAC ID: 6002124245 Enrollment ID: I20151007002397 |
| Provider Name | Thomas M Berges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396959847 PECOS PAC ID: 8729041488 Enrollment ID: I20161019001624 |
| Provider Name | Elizabeth R Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528443447 PECOS PAC ID: 6305127374 Enrollment ID: I20171121003037 |
| Provider Name | Armeegrace Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487150314 PECOS PAC ID: 2264787431 Enrollment ID: I20180613000406 |
| Provider Name | Elizabeth Kowalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858793 PECOS PAC ID: 7113278672 Enrollment ID: I20180921001237 |
| Provider Name | Monique A Coriolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689147217 PECOS PAC ID: 8123366721 Enrollment ID: I20190206001234 |
| Provider Name | Karen Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194297978 PECOS PAC ID: 6406185420 Enrollment ID: I20190917000151 |
| Provider Name | Jennifer J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295371813 PECOS PAC ID: 5597196774 Enrollment ID: I20200505000017 |
| Provider Name | Dimpal Narendra Rana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609466432 PECOS PAC ID: 8628485125 Enrollment ID: I20210330001040 |
| Provider Name | Batulio J Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912542697 PECOS PAC ID: 5799175469 Enrollment ID: I20211213000918 |
| Provider Name | Anara Hamded |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740923234 PECOS PAC ID: 1456739242 Enrollment ID: I20220607002397 |
| Provider Name | Bernard F Perutti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073273769 PECOS PAC ID: 5496125437 Enrollment ID: I20230109000110 |
| Provider Name | Augusto C Cespedes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023623642 PECOS PAC ID: 4082086855 Enrollment ID: I20230206001097 |
| Provider Name | Myiella G Adelantar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841906294 PECOS PAC ID: 4183089303 Enrollment ID: I20230422000137 |
Creative Counseling Solutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 661 State Route 23, Wayne, NJ 07470 Phone: 862-881-2988 | |
Psychiatry&psychosomatic Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 549 Pines Lake Dr E, Wayne, NJ 07470 Phone: 973-464-7599 | |
North Jersey Psychiatric Serivces Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Hamburg Tpke, Suite 303, Wayne, NJ 07470 Phone: 973-790-9222 Fax: 973-790-0671 | |
Mferra Therapy And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1581 State Route 23, Wayne, NJ 07470 Phone: 609-240-4246 | |
Wayne Counseling And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1022 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-694-1234 Fax: 973-633-0992 | |
North Jersey Psychiatry Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2035 Hamburg Tpke, Suite M, Wayne, NJ 07470 Phone: 973-839-2945 Fax: 973-839-1244 | |
Kerri Scully Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Newark Pompton Tpke, Wayne, NJ 07470 Phone: 201-650-3888 |