| Rappore Medicine Nj Pc | |
|
221 River St Ste 9 Hoboken NJ 07030-5990 | |
| (212) 564-0480 | |
| (206) 673-8050 |
| Full Name | Rappore Medicine Nj Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 221 River St Ste 9, Hoboken, New Jersey |
| Authorized Official Name and Position | Brian Kinsella (CEO) |
| Authorized Official Contact | 2125640480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rappore Medicine Nj Pc 442 5th Ave # 1983 New York NY 10018-2794 Ph: (212) 564-0480 | Rappore Medicine Nj Pc 221 River St Ste 9 Hoboken NJ 07030-5990 Ph: (212) 564-0480 |
| NPI Number | 1154173003 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 7315476595 |
|---|---|
| Medicare Enrollment ID | O20250203001313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154173003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Allison Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588676217 PECOS PAC ID: 2567403629 Enrollment ID: I20250203002485 |
| Provider Name | Amelia Mae Zucco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487491445 PECOS PAC ID: 2961937461 Enrollment ID: I20250203002632 |
| Provider Name | Beth A Waldorf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376147116 PECOS PAC ID: 1456707421 Enrollment ID: I20250203002820 |
| Provider Name | Jill J. Wynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710674080 PECOS PAC ID: 1355788415 Enrollment ID: I20250203002912 |
| Provider Name | Megan Senko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417602152 PECOS PAC ID: 5092171686 Enrollment ID: I20250203003439 |
| Provider Name | Grace S Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780363200 PECOS PAC ID: 6709231970 Enrollment ID: I20250203003524 |
| Provider Name | Erica Kass Gettenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609021922 PECOS PAC ID: 4385822477 Enrollment ID: I20250203003624 |
| Provider Name | Lisa Penberthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659839256 PECOS PAC ID: 0244605640 Enrollment ID: I20250210001939 |
| Provider Name | Aditi Alina Naik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871211466 PECOS PAC ID: 4486003480 Enrollment ID: I20250212000277 |
| Provider Name | Julia Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457036956 PECOS PAC ID: 7113459595 Enrollment ID: I20250213000612 |
| Provider Name | Cheryl Ann Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942322110 PECOS PAC ID: 7113207903 Enrollment ID: I20250217001982 |
| Provider Name | Kristin Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619416989 PECOS PAC ID: 3971996125 Enrollment ID: I20250217003275 |
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