| Physician Associates Of Northern New Jersey, Pc | |
|
240 Central Ave Ste 100 East Orange NJ 07018-3313 | |
| (973) 266-8416 | |
| (862) 253-0090 |
| Full Name | Physician Associates Of Northern New Jersey, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 240 Central Ave Ste 100, East Orange, New Jersey |
| Authorized Official Name and Position | Rafael Ramos (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 9734143448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Associates Of Northern New Jersey, Pc 300 Central Ave East Orange NJ 07018-2819 Ph: (973) 414-3448 | Physician Associates Of Northern New Jersey, Pc 240 Central Ave Ste 100 East Orange NJ 07018-3313 Ph: (973) 266-8416 |
| NPI Number | 1174125942 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Medicare PECOS PAC ID | 6608285028 |
|---|---|
| Medicare Enrollment ID | O20210514000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174125942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ivy Nnorom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737077 PECOS PAC ID: 5294084885 Enrollment ID: I20180815000459 |
| Provider Name | Alexandr Dron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295170439 PECOS PAC ID: 5597049189 Enrollment ID: I20191226000056 |
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