| New Providence Healthcare Associates Inc. | |
|
145 Fleet St Ste 136 C/o New Providence Healthcare Associates Inc. Oxon Hill MD 20745-1548 | |
| (301) 899-8910 | |
| (301) 899-8915 |
| Full Name | New Providence Healthcare Associates Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 145 Fleet St Ste 136, Oxon Hill, Maryland |
| Authorized Official Name and Position | Shanique Cartwright (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 3016333175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Providence Healthcare Associates Inc. 5627 Allentown Rd Unit 100 Camp Springs MD 20746-4520 Ph: (301) 241-0255 | New Providence Healthcare Associates Inc. 145 Fleet St Ste 136 C/o New Providence Healthcare Associates Inc. Oxon Hill MD 20745-1548 Ph: (301) 899-8910 |
| NPI Number | 1932592441 |
|---|---|
| Provider Enumeration Date | 03/07/2015 |
| Last Update Date | 04/09/2018 |
| Medicare PECOS PAC ID | 6709178163 |
|---|---|
| Medicare Enrollment ID | O20160706001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932592441 | NPI | - | NPPES |
| Provider Name | Shanique T Cartwright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265692115 PECOS PAC ID: 4587801998 Enrollment ID: I20130502000183 |
| Provider Name | Jene C Gould |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114334893 PECOS PAC ID: 4981967932 Enrollment ID: I20180404002615 |
| Provider Name | Athena Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356609325 PECOS PAC ID: 5294078283 Enrollment ID: I20191002001345 |
| Provider Name | Terri Loretta-bernice Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336307883 PECOS PAC ID: 9133371123 Enrollment ID: I20200122000741 |
| Provider Name | Ifeyinwa Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285236539 PECOS PAC ID: 9436567484 Enrollment ID: I20210413000879 |
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