| Jfk Community Medical Group | |
|
65 James St Edison NJ 08820-3947 | |
| (732) 321-7000 | |
| Not Available |
| Full Name | Jfk Community Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 65 James St, Edison, New Jersey |
| Authorized Official Name and Position | Frank Pipas (EXECUTIVE VP PRESIDENT) |
| Authorized Official Contact | 8488884687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jfk Community Medical Group 3600 Route 66 Fl 3 Neptune NJ 07753-2645 Ph: (732) 807-0877 | Jfk Community Medical Group 65 James St Edison NJ 08820-3947 Ph: (732) 321-7000 |
| NPI Number | 1356016661 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 11/24/2021 |
| Certification Date | 11/24/2021 |
| Medicare PECOS PAC ID | 9032181847 |
|---|---|
| Medicare Enrollment ID | O20220304001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356016661 | NPI | - | NPPES |
| Provider Name | Sunil Khanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063404242 PECOS PAC ID: 6305758756 Enrollment ID: I20031104000188 |
| Provider Name | Rakesh K Passi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275550915 PECOS PAC ID: 3577467869 Enrollment ID: I20031119000793 |
| Provider Name | Mohammad Tariq Javed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699750158 PECOS PAC ID: 5092608315 Enrollment ID: I20040204000135 |
| Provider Name | Kamran I Hamirani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033291711 PECOS PAC ID: 7719970169 Enrollment ID: I20040403000190 |
| Provider Name | Mathew Cholankeril |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588694780 PECOS PAC ID: 3678566957 Enrollment ID: I20040405000102 |
| Provider Name | Sung Y Chae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134280969 PECOS PAC ID: 3577558543 Enrollment ID: I20040419000724 |
| Provider Name | Subramanian Hariharan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497755847 PECOS PAC ID: 0446249478 Enrollment ID: I20040506000990 |
| Provider Name | Jayendra Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023044104 PECOS PAC ID: 2860488103 Enrollment ID: I20040511001357 |
| Provider Name | Peter M Duch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730108150 PECOS PAC ID: 6305740937 Enrollment ID: I20040511001390 |
| Provider Name | Mahmood Alam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679593875 PECOS PAC ID: 9830172253 Enrollment ID: I20040608000812 |
| Provider Name | Michelle A Wilks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689737082 PECOS PAC ID: 7719962539 Enrollment ID: I20040623001593 |
| Provider Name | Wei Wei Ma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063412310 PECOS PAC ID: 8527048677 Enrollment ID: I20040721000411 |
| Provider Name | Peter G Polos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285634501 PECOS PAC ID: 2466422290 Enrollment ID: I20040729000328 |
| Provider Name | Roger P Rossi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548281058 PECOS PAC ID: 4082524079 Enrollment ID: I20040804001105 |
| Provider Name | Thomas C Steineke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477553782 PECOS PAC ID: 9638142375 Enrollment ID: I20040819000513 |
| Provider Name | Margarette R Pierre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033119367 PECOS PAC ID: 7810964079 Enrollment ID: I20040916000104 |
| Provider Name | Deborah L Metz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104987866 PECOS PAC ID: 0244209484 Enrollment ID: I20040925000033 |
| Provider Name | Sudhansu Chokroverty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063412492 PECOS PAC ID: 3971592122 Enrollment ID: I20041018000370 |
| Provider Name | Craig A Snyder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427008945 PECOS PAC ID: 8426010257 Enrollment ID: I20041103000166 |
| Provider Name | Jawad F Kirmani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871527721 PECOS PAC ID: 4587616560 Enrollment ID: I20050217000793 |
| Provider Name | Robin E Bash |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730225210 PECOS PAC ID: 1254388499 Enrollment ID: I20050331000399 |
| Provider Name | Marianne Boylston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134323017 PECOS PAC ID: 6002863420 Enrollment ID: I20050407000038 |
| Provider Name | Ravindra I Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962428169 PECOS PAC ID: 7012901879 Enrollment ID: I20050621000067 |
| Provider Name | Saleem Husain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134197346 PECOS PAC ID: 6002852365 Enrollment ID: I20050708000110 |
| Provider Name | Stephen Michael Bloomfield |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265432603 PECOS PAC ID: 7810971140 Enrollment ID: I20050722000524 |
| Provider Name | Gregory J Przybylski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740280064 PECOS PAC ID: 4284663469 Enrollment ID: I20050808000947 |
| Provider Name | Nikita Varshneya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275551103 PECOS PAC ID: 3779515457 Enrollment ID: I20050901000703 |
| Provider Name | Bhudev Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477555100 PECOS PAC ID: 5294767505 Enrollment ID: I20050908000051 |
| Provider Name | Valsamma Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104860170 PECOS PAC ID: 0042242109 Enrollment ID: I20050912000028 |
| Provider Name | Ian J Molk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073546636 PECOS PAC ID: 7911930623 Enrollment ID: I20050914000054 |
| Provider Name | Varinder M Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093883597 PECOS PAC ID: 3274566989 Enrollment ID: I20050914000060 |
| Provider Name | Malvin S Keller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013967520 PECOS PAC ID: 4082648779 Enrollment ID: I20050922000116 |
| Provider Name | Joseph C Landolfi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033119383 PECOS PAC ID: 5092730820 Enrollment ID: I20051011000901 |
| Provider Name | Philip A Hanna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306846647 PECOS PAC ID: 8224053921 Enrollment ID: I20051012000103 |
| Provider Name | Phillip D Kramer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053311233 PECOS PAC ID: 7113942814 Enrollment ID: I20051012000127 |
| Provider Name | Michael L Rosenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275533440 PECOS PAC ID: 9335164037 Enrollment ID: I20051012000182 |
| Provider Name | Okechukwu P Anene |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134129570 PECOS PAC ID: 5496770109 Enrollment ID: I20051012000215 |
| Provider Name | Lalji S Chudasama |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174519250 PECOS PAC ID: 5193741148 Enrollment ID: I20051019000133 |
| Provider Name | Krishna J Urs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366484768 PECOS PAC ID: 2365468899 Enrollment ID: I20051201000329 |
| Provider Name | Thomas Leopold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902898737 PECOS PAC ID: 0941296206 Enrollment ID: I20051220000273 |
| Provider Name | Victor A Uduaghan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326198003 PECOS PAC ID: 4183633530 Enrollment ID: I20060412000322 |
| Provider Name | Gary Breitbart |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073553400 PECOS PAC ID: 7810907268 Enrollment ID: I20060501000253 |
| Provider Name | David M Richmand |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861435885 PECOS PAC ID: 3274543624 Enrollment ID: I20060501000293 |
| Provider Name | Geoffrey Wong |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1811916745 PECOS PAC ID: 2163425489 Enrollment ID: I20060807000034 |
| Provider Name | Spozhmy Panezai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457378945 PECOS PAC ID: 0749285526 Enrollment ID: I20060929000204 |
| Provider Name | Divya Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477559763 PECOS PAC ID: 0143221127 Enrollment ID: I20070117000301 |
| Provider Name | Adity Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538192257 PECOS PAC ID: 1850493685 Enrollment ID: I20070226000640 |
| Provider Name | Harish K Bhatt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114922002 PECOS PAC ID: 5092811695 Enrollment ID: I20070427000229 |
| Provider Name | Ricardo A Calvo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356384705 PECOS PAC ID: 9931208741 Enrollment ID: I20070620000055 |
| Provider Name | Kavitha Velicheti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033310404 PECOS PAC ID: 4486747516 Enrollment ID: I20070906000330 |
| Provider Name | Robyn Del Negro |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003910571 PECOS PAC ID: 5294829867 Enrollment ID: I20070915000101 |
| Provider Name | Brian L Gerhardstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790982064 PECOS PAC ID: 4981799384 Enrollment ID: I20071001000181 |
| Provider Name | Stan J Wasilewski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841240132 PECOS PAC ID: 8123102779 Enrollment ID: I20080221000230 |
| Provider Name | Anne M Anselmo Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083764823 PECOS PAC ID: 6204986631 Enrollment ID: I20090605000401 |
| Provider Name | Talya K Fleming |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679712327 PECOS PAC ID: 1456497619 Enrollment ID: I20091001000746 |
| Provider Name | Renee P Armour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093864779 PECOS PAC ID: 0244376333 Enrollment ID: I20091002000342 |
| Provider Name | Iqbal H Jafri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811913692 PECOS PAC ID: 1850432931 Enrollment ID: I20100122000546 |
| Provider Name | Mohammad Memon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932101755 PECOS PAC ID: 4688717945 Enrollment ID: I20100209000204 |
| Provider Name | Aaron J Feingold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811947328 PECOS PAC ID: 9234162074 Enrollment ID: I20100310000007 |
| Provider Name | Raj Ballal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386645638 PECOS PAC ID: 2365577061 Enrollment ID: I20100319000696 |
| Provider Name | Elliot Rudnitzky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215967534 PECOS PAC ID: 8729114814 Enrollment ID: I20100329000057 |
| Provider Name | Henry Altszuler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104818186 PECOS PAC ID: 9032105390 Enrollment ID: I20100406000194 |
| Provider Name | Martin N Herman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902862345 PECOS PAC ID: 8325132202 Enrollment ID: I20100414000546 |
| Provider Name | Robert A Panebianco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134129232 PECOS PAC ID: 2264569839 Enrollment ID: I20100430000194 |
| Provider Name | Richard Zaki Andraws |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649447269 PECOS PAC ID: 7719018894 Enrollment ID: I20100707000104 |
| Provider Name | Chris Ann Lemkan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578622643 PECOS PAC ID: 8820121841 Enrollment ID: I20100728000284 |
| Provider Name | Heikki Uustal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952328635 PECOS PAC ID: 3870626302 Enrollment ID: I20100804000030 |
| Provider Name | Steven Escaldi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1720004625 PECOS PAC ID: 6406989938 Enrollment ID: I20100804000052 |
| Provider Name | Lei Lin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104847797 PECOS PAC ID: 2062545379 Enrollment ID: I20100805000984 |
| Provider Name | Sara Jean Cuccurullo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982638904 PECOS PAC ID: 1951426717 Enrollment ID: I20100916000731 |
| Provider Name | Susan L Fedoruk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336163716 PECOS PAC ID: 4082730585 Enrollment ID: I20100921001310 |
| Provider Name | David P Brown |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255359477 PECOS PAC ID: 8022200849 Enrollment ID: I20101012000013 |
| Provider Name | Sanjeev Saksena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295836294 PECOS PAC ID: 9436052446 Enrollment ID: I20101028000308 |
| Provider Name | Sushanth Bhat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396941126 PECOS PAC ID: 2365535036 Enrollment ID: I20101117000486 |
| Provider Name | Richard J Malone |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245261460 PECOS PAC ID: 9638365075 Enrollment ID: I20101124000054 |
| Provider Name | Rakesh K Sahni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265636526 PECOS PAC ID: 4385537315 Enrollment ID: I20101124000090 |
| Provider Name | Ronald D Karnaugh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194965905 PECOS PAC ID: 9436346319 Enrollment ID: I20101203000734 |
| Provider Name | Miladys Diaz-vrablik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154659266 PECOS PAC ID: 4082893763 Enrollment ID: I20110127000091 |
| Provider Name | Richard A Gan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063588481 PECOS PAC ID: 8921287467 Enrollment ID: I20110128000896 |
| Provider Name | Ming He |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497911531 PECOS PAC ID: 6709937196 Enrollment ID: I20110211000940 |
| Provider Name | Amish T Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841460144 PECOS PAC ID: 7911066865 Enrollment ID: I20110214000097 |
| Provider Name | Asif Bashir |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104021054 PECOS PAC ID: 0143313643 Enrollment ID: I20110223000943 |
| Provider Name | Michael D Merkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669548079 PECOS PAC ID: 6800920828 Enrollment ID: I20110307000850 |
| Provider Name | Aron A Barsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023273703 PECOS PAC ID: 3971771726 Enrollment ID: I20110721000255 |
| Provider Name | Irina Kravetskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912217241 PECOS PAC ID: 8820268675 Enrollment ID: I20110902000422 |
| Provider Name | Ranbir Kaur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689810186 PECOS PAC ID: 7810169406 Enrollment ID: I20111003000619 |
| Provider Name | John Metz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386705127 PECOS PAC ID: 9638344278 Enrollment ID: I20111212000045 |
| Provider Name | Sridevi Kandula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194942805 PECOS PAC ID: 7517132848 Enrollment ID: I20111214000609 |
| Provider Name | Farzin M Aliasgharpour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881708212 PECOS PAC ID: 3476729468 Enrollment ID: I20111221000528 |
| Provider Name | Robin Okner Winter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295896157 PECOS PAC ID: 5193991024 Enrollment ID: I20111227000509 |
| Provider Name | Charlene Milne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952462616 PECOS PAC ID: 3476729989 Enrollment ID: I20120105000266 |
| Provider Name | Krupa S Pandey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255501508 PECOS PAC ID: 0446305627 Enrollment ID: I20120925000554 |
| Provider Name | Georgianna Dart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750644324 PECOS PAC ID: 8820241136 Enrollment ID: I20130118000208 |
| Provider Name | Brian Greenwald |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1518935089 PECOS PAC ID: 4082504345 Enrollment ID: I20130309000020 |
| Provider Name | Sherene T Dunkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013266709 PECOS PAC ID: 7911143292 Enrollment ID: I20130410000470 |
| Provider Name | Gina C Danner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548384506 PECOS PAC ID: 6406097054 Enrollment ID: I20130725000040 |
| Provider Name | Savitra M Bandari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306005038 PECOS PAC ID: 3870735913 Enrollment ID: I20130820000370 |
| Provider Name | Brigitte J. Percival |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154623528 PECOS PAC ID: 6507009578 Enrollment ID: I20130823000995 |
| Provider Name | Sagar Shailesh Parikh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356570709 PECOS PAC ID: 8527292515 Enrollment ID: I20131007000080 |
| Provider Name | Sharon Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417392127 PECOS PAC ID: 9234364589 Enrollment ID: I20131023000405 |
| Provider Name | Harini C Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821380940 PECOS PAC ID: 7214105378 Enrollment ID: I20131121001096 |
| Provider Name | Angela A Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629406913 PECOS PAC ID: 1850522335 Enrollment ID: I20140326001287 |
| Provider Name | Christine Greiss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043537947 PECOS PAC ID: 1951526664 Enrollment ID: I20140711001764 |
| Provider Name | Abid Husain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669585618 PECOS PAC ID: 4486629953 Enrollment ID: I20140825000133 |
| Provider Name | Bindu P George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437599891 PECOS PAC ID: 0042438137 Enrollment ID: I20140903000839 |
| Provider Name | Aigner Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669813119 PECOS PAC ID: 9830319805 Enrollment ID: I20140926000148 |
| Provider Name | Joy-lynne Carnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467723262 PECOS PAC ID: 9133348097 Enrollment ID: I20141204000289 |
| Provider Name | Lilly Paulose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699014316 PECOS PAC ID: 0840514055 Enrollment ID: I20150116001614 |
| Provider Name | Diosely Silveira |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427223791 PECOS PAC ID: 5294800025 Enrollment ID: I20150225001185 |
| Provider Name | Kajal Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477953974 PECOS PAC ID: 4587980511 Enrollment ID: I20150310000359 |
| Provider Name | Sandeep K Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225314966 PECOS PAC ID: 9133448269 Enrollment ID: I20150512000920 |
| Provider Name | Siddhart K Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821476003 PECOS PAC ID: 3072824929 Enrollment ID: I20150618000528 |
| Provider Name | Leslie A Bagay |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265712038 PECOS PAC ID: 7113232448 Enrollment ID: I20150817000880 |
| Provider Name | Christiana A Manu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740641315 PECOS PAC ID: 9931406303 Enrollment ID: I20160330000582 |
| Provider Name | Jigna Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437311537 PECOS PAC ID: 6204135387 Enrollment ID: I20160422002007 |
| Provider Name | Nancy E Gadallah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588007041 PECOS PAC ID: 7315180619 Enrollment ID: I20160616000111 |
| Provider Name | Emad R Noor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043506231 PECOS PAC ID: 2466745971 Enrollment ID: I20160721000351 |
| Provider Name | Kurt Florian P Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043274350 PECOS PAC ID: 0941338032 Enrollment ID: I20160906002121 |
| Provider Name | Yevgenia Shekhtman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1508000787 PECOS PAC ID: 5496042632 Enrollment ID: I20161003000697 |
| Provider Name | Merianne Ramil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194275040 PECOS PAC ID: 6305124959 Enrollment ID: I20161102000441 |
| Provider Name | Jaclyn B Joki |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386949576 PECOS PAC ID: 4183841141 Enrollment ID: I20170207001027 |
| Provider Name | Laura Suhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866319 PECOS PAC ID: 7911281902 Enrollment ID: I20170313001452 |
| Provider Name | Suk-ying Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184017469 PECOS PAC ID: 6507166642 Enrollment ID: I20170426000861 |
| Provider Name | Dipesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831504588 PECOS PAC ID: 3971876459 Enrollment ID: I20170905002063 |
| Provider Name | Sheila Sahni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215251103 PECOS PAC ID: 2668748187 Enrollment ID: I20171026003335 |
| Provider Name | Sara M Strauss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104119460 PECOS PAC ID: 6608160676 Enrollment ID: I20171031000765 |
| Provider Name | Ayu B Kebede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639589880 PECOS PAC ID: 5294052510 Enrollment ID: I20180103000773 |
| Provider Name | Shefali Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659759447 PECOS PAC ID: 3375801442 Enrollment ID: I20180201001099 |
| Provider Name | Casey R Schoenlank |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043659725 PECOS PAC ID: 2365702586 Enrollment ID: I20180208002162 |
| Provider Name | Shehzad Masood Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215153192 PECOS PAC ID: 6204847031 Enrollment ID: I20180327003027 |
| Provider Name | Melissa E Maniscalco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669987350 PECOS PAC ID: 5496018657 Enrollment ID: I20180423000141 |
| Provider Name | Raisa Bakshiyev |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588009740 PECOS PAC ID: 0840556437 Enrollment ID: I20180425002669 |
| Provider Name | Haralabos Zacharatos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639345333 PECOS PAC ID: 5395989719 Enrollment ID: I20180508000037 |
| Provider Name | Alphonsa Thomas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922419779 PECOS PAC ID: 5395000335 Enrollment ID: I20180523000275 |
| Provider Name | Laurent Delavaux |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1356684583 PECOS PAC ID: 5991050262 Enrollment ID: I20180611001815 |
| Provider Name | Ofure R Luke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851710784 PECOS PAC ID: 6507112638 Enrollment ID: I20180703001985 |
| Provider Name | Dorcas Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083109607 PECOS PAC ID: 9830445337 Enrollment ID: I20180712002254 |
| Provider Name | Craig Van Dien |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750623112 PECOS PAC ID: 3870844376 Enrollment ID: I20180921002987 |
| Provider Name | Suann S Chen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194959023 PECOS PAC ID: 7911137609 Enrollment ID: I20181128002195 |
| Provider Name | Asha M Iyer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831410299 PECOS PAC ID: 6709121338 Enrollment ID: I20181228002278 |
| Provider Name | Ebere Aniegbuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023599578 PECOS PAC ID: 2264778166 Enrollment ID: I20190115000522 |
| Provider Name | Stella Onyenachi Opara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699055822 PECOS PAC ID: 6507104999 Enrollment ID: I20190211000301 |
| Provider Name | Devon Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841678430 PECOS PAC ID: 8820387509 Enrollment ID: I20190325000411 |
| Provider Name | Anthony Doss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750775987 PECOS PAC ID: 0941542310 Enrollment ID: I20190506000066 |
| Provider Name | Lea Dela Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942630215 PECOS PAC ID: 9335482744 Enrollment ID: I20190528000160 |
| Provider Name | Marline Y Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003275140 PECOS PAC ID: 4880993054 Enrollment ID: I20190619000021 |
| Provider Name | Colleen E Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881159960 PECOS PAC ID: 8325372758 Enrollment ID: I20190619000276 |
| Provider Name | Anton Svetlanov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346667599 PECOS PAC ID: 0345584744 Enrollment ID: I20190829001434 |
| Provider Name | Ester Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548744642 PECOS PAC ID: 7315276748 Enrollment ID: I20190911000668 |
| Provider Name | Nika Douvikas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861856098 PECOS PAC ID: 1355640905 Enrollment ID: I20190918002063 |
| Provider Name | Rosa M. Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649683830 PECOS PAC ID: 3072885698 Enrollment ID: I20190919000610 |
| Provider Name | Laurie Dabaghian |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205256278 PECOS PAC ID: 5597097485 Enrollment ID: I20191025001319 |
| Provider Name | Gilbert B Vicencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063042604 PECOS PAC ID: 0749619542 Enrollment ID: I20200330002819 |
| Provider Name | Emad Barsoum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922313907 PECOS PAC ID: 9032339460 Enrollment ID: I20200526000104 |
| Provider Name | Steven M Markos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124481643 PECOS PAC ID: 8921421462 Enrollment ID: I20200701000101 |
| Provider Name | Yenna Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699300806 PECOS PAC ID: 0749605160 Enrollment ID: I20200803000770 |
| Provider Name | Matthew D Moore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679950893 PECOS PAC ID: 5395083489 Enrollment ID: I20200806000162 |
| Provider Name | Elena M Dingle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144743121 PECOS PAC ID: 1850718636 Enrollment ID: I20200825001057 |
| Provider Name | Ashley T Kakkanatt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528418738 PECOS PAC ID: 7719304401 Enrollment ID: I20200826001422 |
| Provider Name | Althea Moneaque Hill Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417429770 PECOS PAC ID: 5193131837 Enrollment ID: I20210304001338 |
| Provider Name | Susan Matthew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205425246 PECOS PAC ID: 9931508108 Enrollment ID: I20210520003010 |
| Provider Name | Suanne H Fleyzor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124679428 PECOS PAC ID: 0244630259 Enrollment ID: I20210614001282 |
| Provider Name | Shahid Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801050679 PECOS PAC ID: 1153621958 Enrollment ID: I20210721000448 |
| Provider Name | Brian M Salata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174919559 PECOS PAC ID: 3375875404 Enrollment ID: I20210726000166 |
| Provider Name | Anthony G Conte |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487097283 PECOS PAC ID: 3870984289 Enrollment ID: I20211220000498 |
| Provider Name | Abdallah O Amireh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538681903 PECOS PAC ID: 7911270939 Enrollment ID: I20211221000037 |
| Provider Name | Stacey D Elkhatib Smidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891038774 PECOS PAC ID: 0941537005 Enrollment ID: I20220103000295 |
| Provider Name | Navid Tabibzadeh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720388325 PECOS PAC ID: 2567687940 Enrollment ID: I20220103001929 |
| Provider Name | Alexander Shustorovich |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1306372552 PECOS PAC ID: 2466700711 Enrollment ID: I20220901002049 |
| Provider Name | Jennifer M Chui |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679008171 PECOS PAC ID: 3678841137 Enrollment ID: I20220920000926 |
| Provider Name | Palak Shashikant Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366821381 PECOS PAC ID: 0547506123 Enrollment ID: I20220921001229 |
| Provider Name | Vanessa C Milano |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285077396 PECOS PAC ID: 8123312774 Enrollment ID: I20221018000610 |
| Provider Name | Harsha Ayyala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922536903 PECOS PAC ID: 2567831134 Enrollment ID: I20221205000944 |
| Provider Name | Anuradha Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700318136 PECOS PAC ID: 4082941745 Enrollment ID: I20221230000025 |
Behavioral Health Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Lyle Pl, Edison, NJ 08820 Phone: 908-867-8786 | |
Apricity Behavioral Health And Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Talmadge Rd, Igo Building Suite 872, Edison, NJ 08817 Phone: 908-774-9884 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 James St, Edison, NJ 08820 Phone: 732-632-1571 Fax: 732-632-1644 | |
Understanding Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Edison Glen Ter, Edison, NJ 08837 Phone: 848-459-1595 | |
Lotus Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Jeff St, Edison, NJ 08837 Phone: 732-742-8597 | |
H.e.r Heart Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Talmadge Rd Bldg Suite748, Edison, NJ 08817 Phone: 908-565-2222 | |
Green Springs Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Ely Pl, Edison, NJ 08817 Phone: 917-936-6288 Fax: 732-503-8962 |