| Life Excel, Llc | |
|
35 Beaverson Blvd Bldg 1d Brick NJ 08723-7812 | |
| (732) 920-7933 | |
| (732) 920-2966 |
| Full Name | Life Excel, Llc |
|---|---|
| Speciality | Counselor |
| Location | 35 Beaverson Blvd, Brick, New Jersey |
| Authorized Official Name and Position | Yogesh M Shingala (CEO) |
| Authorized Official Contact | 7329207933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Excel, Llc 35 Beaverson Blvd Bldg 1d Brick NJ 08723-7812 Ph: (732) 920-7933 | Life Excel, Llc 35 Beaverson Blvd Bldg 1d Brick NJ 08723-7812 Ph: (732) 920-7933 |
| NPI Number | 1144265208 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8729057583 |
|---|---|
| Medicare Enrollment ID | O20040928001086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144265208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (New Jersey) | Primary |
| Provider Name | Kalyani K Deshpande |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932299922 PECOS PAC ID: 4183614738 Enrollment ID: I20040514001028 |
| Provider Name | Vinod R Bhashyam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801831532 PECOS PAC ID: 6709855422 Enrollment ID: I20040929000957 |
| Provider Name | Richard J Poresky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417036724 PECOS PAC ID: 7113987942 Enrollment ID: I20041015000103 |
| Provider Name | Esha Khoshnu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689775942 PECOS PAC ID: 4880631407 Enrollment ID: I20050414000440 |
| Provider Name | Rajesh Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003908005 PECOS PAC ID: 9830281427 Enrollment ID: I20070828000308 |
| Provider Name | Yogesh M Shingala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316052731 PECOS PAC ID: 9234108713 Enrollment ID: I20110314000089 |
| Provider Name | Pooja Tandon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922377258 PECOS PAC ID: 4688969868 Enrollment ID: I20160826001512 |
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