| Startnewu Llc | |
|
400 Madison Ave Ste 101 Manalapan NJ 07726-9596 | |
| (732) 351-4333 | |
| Not Available |
| Full Name | Startnewu Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Madison Ave Ste 101, Manalapan, New Jersey |
| Authorized Official Name and Position | Natalie Kandelaki (PRESIDENT) |
| Authorized Official Contact | 7323514333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Startnewu Llc 400 Madison Ave Ste 101 Manalapan NJ 07726-9596 Ph: (732) 351-4333 | Startnewu Llc 400 Madison Ave Ste 101 Manalapan NJ 07726-9596 Ph: (732) 351-4333 |
| NPI Number | 1740943455 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Medicare PECOS PAC ID | 8123555232 |
|---|---|
| Medicare Enrollment ID | O20241231000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740943455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sangeet Khanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225298896 PECOS PAC ID: 6204992761 Enrollment ID: I20090804000237 |
| Provider Name | Marlena Boeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649965500 PECOS PAC ID: 0446797559 Enrollment ID: I20240807002700 |
| Provider Name | Seraphim Chemodakov |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1104397967 PECOS PAC ID: 8325576887 Enrollment ID: I20250110002982 |
| Provider Name | Deborah Zollo |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861203226 PECOS PAC ID: 7810427655 Enrollment ID: I20250210002294 |
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