| Njcri Physicians Group Pc | |
|
393 Central Ave Newark NJ 07103-2842 | |
| (973) 483-3444 | |
| (347) 342-0769 |
| Full Name | Njcri Physicians Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 393 Central Ave, Newark, New Jersey |
| Authorized Official Name and Position | Shawn Ekwall (ADMINISTRATOR) |
| Authorized Official Contact | 9734833444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Njcri Physicians Group Pc 393 Central Ave Newark NJ 07103-2842 Ph: (973) 483-3444 | Njcri Physicians Group Pc 393 Central Ave Newark NJ 07103-2842 Ph: (973) 483-3444 |
| NPI Number | 1487100657 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 04/12/2017 |
| Medicare PECOS PAC ID | 4587949961 |
|---|---|
| Medicare Enrollment ID | O20170327002115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487100657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 25MA05479500 (New Jersey) | Primary |
| Provider Name | Jihad Slim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366411076 PECOS PAC ID: 0547295743 Enrollment ID: I20050927000651 |
| Provider Name | Ronald Poblete |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740271998 PECOS PAC ID: 0042206393 Enrollment ID: I20080410000251 |
| Provider Name | Eileen G Scarinci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861417974 PECOS PAC ID: 7315024411 Enrollment ID: I20080414000041 |
| Provider Name | Stephanie Corpron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083015762 PECOS PAC ID: 1355664004 Enrollment ID: I20150105000160 |
| Provider Name | Martha K Momanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275092512 PECOS PAC ID: 8628402914 Enrollment ID: I20191219000271 |
| Provider Name | Raisa Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861031247 PECOS PAC ID: 0547697922 Enrollment ID: I20200225000152 |
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