| Openloop Healthcare Partners New Jersey Pc | |
|
820 Bear Tavern Rd Ewing NJ 08628-1021 | |
| (515) 216-0962 | |
| Not Available |
| Full Name | Openloop Healthcare Partners New Jersey Pc |
|---|---|
| Speciality | General Practice |
| Location | 820 Bear Tavern Rd, Ewing, New Jersey |
| Authorized Official Name and Position | Jamie Terrero (SR. DIRECTOR PROVIDER DATA MNGMT) |
| Authorized Official Contact | 2016675568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Openloop Healthcare Partners New Jersey Pc 317 6th Ave Ste 400 Des Moines IA 50309-4108 Ph: (515) 216-0962 | Openloop Healthcare Partners New Jersey Pc 820 Bear Tavern Rd Ewing NJ 08628-1021 Ph: (515) 216-0962 |
| NPI Number | 1588335152 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 7315326964 |
|---|---|
| Medicare Enrollment ID | O20220628001939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588335152 | NPI | - | NPPES |
| Provider Name | Christopher Naraine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972505329 PECOS PAC ID: 4880586528 Enrollment ID: I20040326000963 |
| Provider Name | Priya Airen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083801146 PECOS PAC ID: 4284810631 Enrollment ID: I20110519000061 |
| Provider Name | Janine Foster-boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083937189 PECOS PAC ID: 6204004278 Enrollment ID: I20110718000498 |
| Provider Name | Valerie Caraballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578987442 PECOS PAC ID: 9133342421 Enrollment ID: I20140513001368 |
| Provider Name | Afsheen Masood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548666373 PECOS PAC ID: 1658658984 Enrollment ID: I20170515001053 |
| Provider Name | Jaclyn Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295257673 PECOS PAC ID: 5193098010 Enrollment ID: I20170829000300 |
| Provider Name | Jenessa Dieterle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372824 PECOS PAC ID: 7315283371 Enrollment ID: I20190111001077 |
| Provider Name | Miriam Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346894565 PECOS PAC ID: 6406186527 Enrollment ID: I20191002002169 |
| Provider Name | Ashli Bottino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932681822 PECOS PAC ID: 2062759475 Enrollment ID: I20200720000064 |
| Provider Name | Laura Ellen Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20210630000801 |
| Provider Name | Jacqueline Marie Ramsey Rosenhein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487137089 PECOS PAC ID: 1759614589 Enrollment ID: I20220215000738 |
| Provider Name | Kate Cordisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003246851 PECOS PAC ID: 0345467247 Enrollment ID: I20220718002847 |
| Provider Name | Amy Alicia Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154609071 PECOS PAC ID: 4183841588 Enrollment ID: I20220825001541 |
| Provider Name | Nicole Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282600 PECOS PAC ID: 8123281466 Enrollment ID: I20220915001977 |
| Provider Name | Chet Tharpe |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1053541581 PECOS PAC ID: 7416106216 Enrollment ID: I20220920003806 |
| Provider Name | Kayla Mardaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093245532 PECOS PAC ID: 8426321449 Enrollment ID: I20220924000117 |
| Provider Name | Wasim Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649627696 PECOS PAC ID: 0547593667 Enrollment ID: I20221024002298 |
| Provider Name | Natasha Pervez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487030615 PECOS PAC ID: 8628498029 Enrollment ID: I20230123000055 |
| Provider Name | Idrees Mohiuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518372713 PECOS PAC ID: 3274752464 Enrollment ID: I20230201000231 |
| Provider Name | Jarrod Murphy Nero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086296 PECOS PAC ID: 9032439187 Enrollment ID: I20230204000171 |
| Provider Name | James John Teet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576925 PECOS PAC ID: 8729204730 Enrollment ID: I20230206001176 |
| Provider Name | Andrew Blake Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871883462 PECOS PAC ID: 4486876505 Enrollment ID: I20230216001368 |
| Provider Name | Rachel Nejem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992045462 PECOS PAC ID: 2365768595 Enrollment ID: I20230222003276 |
| Provider Name | Ryan Snyder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720371537 PECOS PAC ID: 2163646829 Enrollment ID: I20230313002303 |
| Provider Name | Leo Damasco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134326366 PECOS PAC ID: 2264738053 Enrollment ID: I20230420001419 |
| Provider Name | Trissy Chun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295924140 PECOS PAC ID: 2769521715 Enrollment ID: I20230502000014 |
| Provider Name | Mohit Joshipura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023374527 PECOS PAC ID: 8426296229 Enrollment ID: I20230502001647 |
| Provider Name | Kara Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053330324 PECOS PAC ID: 3072503150 Enrollment ID: I20230504000096 |
| Provider Name | Manjushree Karkare |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649437948 PECOS PAC ID: 4880023811 Enrollment ID: I20230508000393 |
| Provider Name | Sue Chuting Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730522152 PECOS PAC ID: 6305118803 Enrollment ID: I20230510002245 |
| Provider Name | Kei Kikuhara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164719506 PECOS PAC ID: 9032330493 Enrollment ID: I20230512001887 |
| Provider Name | Chere Elizabeth Mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346341724 PECOS PAC ID: 0345285383 Enrollment ID: I20230515002865 |
| Provider Name | Rosa Lourdes Becerra Soberon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679650592 PECOS PAC ID: 5799110581 Enrollment ID: I20230517000928 |
| Provider Name | Zakiya Antoine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477868719 PECOS PAC ID: 9931397452 Enrollment ID: I20230517001768 |
| Provider Name | Michelle Rodgers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255754602 PECOS PAC ID: 5799193942 Enrollment ID: I20230522003194 |
| Provider Name | Andrea Soares |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659090967 PECOS PAC ID: 6800252420 Enrollment ID: I20230529000030 |
| Provider Name | Naheed Rizvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992817662 PECOS PAC ID: 1052306065 Enrollment ID: I20230531003611 |
| Provider Name | Sandra Lynn Audley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073590063 PECOS PAC ID: 0446278402 Enrollment ID: I20230602000693 |
| Provider Name | Stacey Simon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811319098 PECOS PAC ID: 5698145233 Enrollment ID: I20230608000631 |
| Provider Name | Megan Hilbert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134842073 PECOS PAC ID: 7113384645 Enrollment ID: I20230612000244 |
| Provider Name | Dima Salhoobi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760045165 PECOS PAC ID: 2860827888 Enrollment ID: I20230612001149 |
| Provider Name | Dana Dose |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629499389 PECOS PAC ID: 2668700519 Enrollment ID: I20230613000959 |
| Provider Name | Megan Callahan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275084782 PECOS PAC ID: 9931480381 Enrollment ID: I20230615000033 |
| Provider Name | Amanda Carlile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154554434 PECOS PAC ID: 2062538598 Enrollment ID: I20230619001118 |
| Provider Name | Antonio Abreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700246972 PECOS PAC ID: 6608122650 Enrollment ID: I20230621000253 |
| Provider Name | Christopher Lee Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871985564 PECOS PAC ID: 5698096360 Enrollment ID: I20230627000072 |
| Provider Name | Mikelanne Phaneuf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306157821 PECOS PAC ID: 8527250745 Enrollment ID: I20230710003808 |
| Provider Name | Holly Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891043105 PECOS PAC ID: 1456500909 Enrollment ID: I20230712000559 |
| Provider Name | Jennifer Fix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578097143 PECOS PAC ID: 5597033860 Enrollment ID: I20230713001146 |
| Provider Name | Jean-phillip Okhovat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497103105 PECOS PAC ID: 0941595862 Enrollment ID: I20230809001139 |
| Provider Name | Elisheva Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528422441 PECOS PAC ID: 0648569913 Enrollment ID: I20230815000006 |
| Provider Name | April Rosetta Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841749389 PECOS PAC ID: 2062793367 Enrollment ID: I20230817004249 |
| Provider Name | Jie Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780066472 PECOS PAC ID: 2264787878 Enrollment ID: I20230828000212 |
| Provider Name | Mark Gersten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003929555 PECOS PAC ID: 4789631425 Enrollment ID: I20230920002103 |
| Provider Name | Keiko Janet Shigeno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043325558 PECOS PAC ID: 7012090053 Enrollment ID: I20230920003120 |
| Provider Name | Scott Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033106497 PECOS PAC ID: 5799702015 Enrollment ID: I20230929000509 |
| Provider Name | Hallie Rae Schnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710531389 PECOS PAC ID: 0547693806 Enrollment ID: I20231120000050 |
| Provider Name | Haley C Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174033765 PECOS PAC ID: 8224304951 Enrollment ID: I20231130004035 |
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