| Daniel Korya Md Llc | |
|
55 Meadowlands Pkwy Secaucus NJ 07094-2977 | |
| (551) 277-4441 | |
| Not Available |
| Full Name | Daniel Korya Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 55 Meadowlands Pkwy, Secaucus, New Jersey |
| Authorized Official Name and Position | Dani Korya (OWNER) |
| Authorized Official Contact | 5512774441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Korya Md Llc 3950 Presidential Dr Palm Harbor FL 34685-1027 Ph: (551) 277-4441 | Daniel Korya Md Llc 55 Meadowlands Pkwy Secaucus NJ 07094-2977 Ph: (551) 277-4441 |
| NPI Number | 1427512722 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 8820339310 |
|---|---|
| Medicare Enrollment ID | O20190410001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427512722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jessica M Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326346933 PECOS PAC ID: 2860670403 Enrollment ID: I20110629000524 |
| Provider Name | Sashi Wettimuny |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609021005 PECOS PAC ID: 0547430373 Enrollment ID: I20140303001079 |
| Provider Name | Dani Korya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235426347 PECOS PAC ID: 4486978749 Enrollment ID: I20150115001966 |
| Provider Name | Mary Grace Tolentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578000550 PECOS PAC ID: 3870879729 Enrollment ID: I20170408000018 |
| Provider Name | Cherrielyn B Escono-quiambao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437697745 PECOS PAC ID: 9931472396 Enrollment ID: I20170906002625 |
| Provider Name | Leila Sugrue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427473370 PECOS PAC ID: 8426302217 Enrollment ID: I20181114001325 |
| Provider Name | Argel Baltazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366995128 PECOS PAC ID: 4486998564 Enrollment ID: I20181129003004 |
| Provider Name | Annas Aljassem |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1366755811 PECOS PAC ID: 9830403492 Enrollment ID: I20211217001446 |
| Provider Name | Amirah J Brack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083386056 PECOS PAC ID: 9436542404 Enrollment ID: I20220216000011 |
| Provider Name | Trixia Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962168963 PECOS PAC ID: 5698160182 Enrollment ID: I20220321000199 |
| Provider Name | Stephanie Idiaquez Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508522269 PECOS PAC ID: 5092100156 Enrollment ID: I20220328001767 |
| Provider Name | Marc Vanillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770286668 PECOS PAC ID: 6901262583 Enrollment ID: I20230524002206 |
| Provider Name | Gregory Yip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376269373 PECOS PAC ID: 5991166480 Enrollment ID: I20230731003889 |
| Provider Name | Alan Wolfson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376823955 PECOS PAC ID: 8123348034 Enrollment ID: I20230911000012 |
| Provider Name | Jesmy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497487490 PECOS PAC ID: 1951755909 Enrollment ID: I20230926001397 |
| Provider Name | Uri Napchan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710045844 PECOS PAC ID: 4981770013 Enrollment ID: I20230929001073 |
| Provider Name | Dima Vicital |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083218168 PECOS PAC ID: 2769835560 Enrollment ID: I20240129001433 |
| Provider Name | Paula P Incalcaterra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902660970 PECOS PAC ID: 5294253233 Enrollment ID: I20250514001265 |
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