| Trinitas Physicians Practice, Llc | |
|
200 Williamson St Ste 350 Elizabeth NJ 07202-2909 | |
| (908) 994-5500 | |
| (908) 558-0190 |
| Full Name | Trinitas Physicians Practice, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Williamson St Ste 350, Elizabeth, New Jersey |
| Authorized Official Name and Position | Ruric Anderson (CMO) |
| Authorized Official Contact | 9089945417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinitas Physicians Practice, Llc 225 Williamson St Fl 4 Elizabeth NJ 07202-3625 Ph: (908) 994-5579 | Trinitas Physicians Practice, Llc 200 Williamson St Ste 350 Elizabeth NJ 07202-2909 Ph: (908) 994-5500 |
| NPI Number | 1205189941 |
|---|---|
| Provider Enumeration Date | 10/18/2012 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 6709002850 |
|---|---|
| Medicare Enrollment ID | O20140725000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205189941 | NPI | - | NPPES |
| Provider Name | Rajesh A Dhirmalani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073522819 PECOS PAC ID: 9537051156 Enrollment ID: I20040331000341 |
| Provider Name | Mathew Cholankeril |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588694780 PECOS PAC ID: 3678566957 Enrollment ID: I20040405000102 |
| Provider Name | Peter M Lenchur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457335309 PECOS PAC ID: 1355231630 Enrollment ID: I20040505001393 |
| Provider Name | Leoncio Tacsa Carrasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598702276 PECOS PAC ID: 4284605304 Enrollment ID: I20040803000884 |
| Provider Name | Kastooril Gopinathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689668139 PECOS PAC ID: 5294793550 Enrollment ID: I20050103000814 |
| Provider Name | Paul E Schackman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144216342 PECOS PAC ID: 3173572427 Enrollment ID: I20050113000842 |
| Provider Name | Michael R Zaboski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043302946 PECOS PAC ID: 6709830532 Enrollment ID: I20050304000271 |
| Provider Name | Patrick G Tempera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508830050 PECOS PAC ID: 6103871231 Enrollment ID: I20050322000209 |
| Provider Name | Theodore Calefati |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952372773 PECOS PAC ID: 3971544099 Enrollment ID: I20050519000243 |
| Provider Name | Mark A Demasi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922080340 PECOS PAC ID: 9931140290 Enrollment ID: I20050520000548 |
| Provider Name | Robert E Weiss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669541157 PECOS PAC ID: 0941242234 Enrollment ID: I20050526000366 |
| Provider Name | Patricia Neary Ludmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386771541 PECOS PAC ID: 6406899830 Enrollment ID: I20050607000739 |
| Provider Name | Fayez Shamoon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528053477 PECOS PAC ID: 1557307048 Enrollment ID: I20050706000929 |
| Provider Name | Vladislav Bargman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508951997 PECOS PAC ID: 3072584317 Enrollment ID: I20050726000766 |
| Provider Name | Michael L Schwarz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952349763 PECOS PAC ID: 1355379850 Enrollment ID: I20050810000380 |
| Provider Name | Mrinal Koul |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114067527 PECOS PAC ID: 4183656184 Enrollment ID: I20050912000528 |
| Provider Name | Edward Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306831623 PECOS PAC ID: 2961436514 Enrollment ID: I20050922000707 |
| Provider Name | Robert J Cole |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043482342 PECOS PAC ID: 8022033539 Enrollment ID: I20051013000063 |
| Provider Name | William W Kessler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083710842 PECOS PAC ID: 9537184015 Enrollment ID: I20051025000119 |
| Provider Name | Sandra A Uzzalino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124078043 PECOS PAC ID: 8820022163 Enrollment ID: I20051027000164 |
| Provider Name | Kamran Khazai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578667119 PECOS PAC ID: 4981505583 Enrollment ID: I20060308000137 |
| Provider Name | Clarissa F Henson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568411908 PECOS PAC ID: 2264449925 Enrollment ID: I20060321000604 |
| Provider Name | Karim J Khimani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962460196 PECOS PAC ID: 8628087780 Enrollment ID: I20060418000432 |
| Provider Name | Gerardo Capo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225049505 PECOS PAC ID: 7113925405 Enrollment ID: I20061121000231 |
| Provider Name | Vincent E Salerno |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881634202 PECOS PAC ID: 9638272750 Enrollment ID: I20070310000067 |
| Provider Name | Anshu G Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043373715 PECOS PAC ID: 9537125158 Enrollment ID: I20080305000604 |
| Provider Name | Shirley Mcduffie |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083656888 PECOS PAC ID: 4789756602 Enrollment ID: I20080709000221 |
| Provider Name | Vasyl Pidkaminetskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023270253 PECOS PAC ID: 4082764485 Enrollment ID: I20090605000132 |
| Provider Name | Michael J Viksjo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508028770 PECOS PAC ID: 5193878742 Enrollment ID: I20090730000171 |
| Provider Name | Barry Levinson |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1043301641 PECOS PAC ID: 5092869222 Enrollment ID: I20090825000084 |
| Provider Name | Hitendra R Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245314509 PECOS PAC ID: 0244328664 Enrollment ID: I20091005000462 |
| Provider Name | William J Mchugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912082660 PECOS PAC ID: 9931234465 Enrollment ID: I20100323000039 |
| Provider Name | Carol A Rose Trzaska |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629304498 PECOS PAC ID: 3577515931 Enrollment ID: I20100407000673 |
| Provider Name | Nitin N Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831327675 PECOS PAC ID: 6709900731 Enrollment ID: I20100827000775 |
| Provider Name | Kunal Grover |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346445574 PECOS PAC ID: 6103940069 Enrollment ID: I20100830000100 |
| Provider Name | Ari S Eckman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386859585 PECOS PAC ID: 5991882953 Enrollment ID: I20101026001196 |
| Provider Name | Mary Ellen Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790093789 PECOS PAC ID: 1052592383 Enrollment ID: I20110221000348 |
| Provider Name | Lekha Sreekumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164742987 PECOS PAC ID: 6103009626 Enrollment ID: I20110322000072 |
| Provider Name | Oscar E Verzosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396844148 PECOS PAC ID: 3779768387 Enrollment ID: I20110426000259 |
| Provider Name | Ram Mani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801003199 PECOS PAC ID: 6709913775 Enrollment ID: I20110705000130 |
| Provider Name | Raja C Pullatt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477746634 PECOS PAC ID: 6608044292 Enrollment ID: I20110726000857 |
| Provider Name | Kathryn C Forlenza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750353801 PECOS PAC ID: 2961676341 Enrollment ID: I20111121000758 |
| Provider Name | Evelyne Kalyoussef |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053516765 PECOS PAC ID: 7618125550 Enrollment ID: I20120918000377 |
| Provider Name | Syed Tirmazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073656419 PECOS PAC ID: 5597919589 Enrollment ID: I20130128000398 |
| Provider Name | Sharareh Bagherian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912961582 PECOS PAC ID: 3375516701 Enrollment ID: I20130410000202 |
| Provider Name | Muniba Naqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962631226 PECOS PAC ID: 6002052982 Enrollment ID: I20130419000180 |
| Provider Name | Chetankumar K Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801024559 PECOS PAC ID: 6002070794 Enrollment ID: I20130510000521 |
| Provider Name | Mekhala Mathure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588942668 PECOS PAC ID: 3274770029 Enrollment ID: I20130515000022 |
| Provider Name | Michelle A Cholankeril |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801056155 PECOS PAC ID: 6204074602 Enrollment ID: I20130524000082 |
| Provider Name | Chan W Park |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760644280 PECOS PAC ID: 6204086770 Enrollment ID: I20131106000917 |
| Provider Name | Richard W Tai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164521175 PECOS PAC ID: 6709026941 Enrollment ID: I20140128000001 |
| Provider Name | Nazima Abrarova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487850319 PECOS PAC ID: 7416187091 Enrollment ID: I20140226001988 |
| Provider Name | Donald H Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841272309 PECOS PAC ID: 6204808728 Enrollment ID: I20140325001905 |
| Provider Name | Abu S Alam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235189507 PECOS PAC ID: 2466685623 Enrollment ID: I20140424000717 |
| Provider Name | Fauzia M Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730179953 PECOS PAC ID: 7618196825 Enrollment ID: I20140922000974 |
| Provider Name | Yu-lan Mary Ying |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205091527 PECOS PAC ID: 7113071606 Enrollment ID: I20141201001012 |
| Provider Name | Sergio L Baerga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356530539 PECOS PAC ID: 1355427683 Enrollment ID: I20150622000714 |
| Provider Name | Yasmin Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699932061 PECOS PAC ID: 1456544691 Enrollment ID: I20150624002325 |
| Provider Name | Umer Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265698591 PECOS PAC ID: 4688749955 Enrollment ID: I20150827001335 |
| Provider Name | Michael J Tadros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528366267 PECOS PAC ID: 4486809068 Enrollment ID: I20150831000297 |
| Provider Name | Iwona Lewinski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649635632 PECOS PAC ID: 4981903879 Enrollment ID: I20160427001379 |
| Provider Name | Adriana I Suarez-ligon |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1366679946 PECOS PAC ID: 0547579617 Enrollment ID: I20160617001286 |
| Provider Name | John Pepen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144462615 PECOS PAC ID: 4587802731 Enrollment ID: I20160713000233 |
| Provider Name | Jorane Bonheur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043669245 PECOS PAC ID: 4981997376 Enrollment ID: I20160722000410 |
| Provider Name | Tracey A Alves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780038869 PECOS PAC ID: 1759675168 Enrollment ID: I20160808002592 |
| Provider Name | Laury Rosefort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942575253 PECOS PAC ID: 1052606746 Enrollment ID: I20160819000461 |
| Provider Name | Mark R Preston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902992274 PECOS PAC ID: 9739232273 Enrollment ID: I20160924000027 |
| Provider Name | Salvatore G Savatta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164670717 PECOS PAC ID: 7810040276 Enrollment ID: I20161010000807 |
| Provider Name | Mirette G Habib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700121365 PECOS PAC ID: 3072891829 Enrollment ID: I20161028000982 |
| Provider Name | Danielle A Melican |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861864159 PECOS PAC ID: 3476832742 Enrollment ID: I20161110000242 |
| Provider Name | Jack F Perrone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033163365 PECOS PAC ID: 0547153777 Enrollment ID: I20170501000243 |
| Provider Name | Ali Husain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790073419 PECOS PAC ID: 8426326422 Enrollment ID: I20170615002016 |
| Provider Name | Randye Masel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740564491 PECOS PAC ID: 4284902214 Enrollment ID: I20170616000440 |
| Provider Name | Eddy M Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952465163 PECOS PAC ID: 3274802889 Enrollment ID: I20170712003112 |
| Provider Name | Boris Paskhover |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952691834 PECOS PAC ID: 2163743618 Enrollment ID: I20170720000792 |
| Provider Name | Ruby Mangsatabam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215379326 PECOS PAC ID: 7719257948 Enrollment ID: I20170721000272 |
| Provider Name | Prakriti S Merchant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447546775 PECOS PAC ID: 6002187747 Enrollment ID: I20170731000224 |
| Provider Name | Rachel Kaye |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861783615 PECOS PAC ID: 9638440464 Enrollment ID: I20170811002177 |
| Provider Name | Shelly Rishty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053678672 PECOS PAC ID: 7810260783 Enrollment ID: I20170829002965 |
| Provider Name | Lloyd A Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114320942 PECOS PAC ID: 2668747502 Enrollment ID: I20171011001067 |
| Provider Name | Saptarshi Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851514426 PECOS PAC ID: 5799821385 Enrollment ID: I20171106001026 |
| Provider Name | Khaled Al Alwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558701524 PECOS PAC ID: 8325335177 Enrollment ID: I20171115001137 |
| Provider Name | Michael G Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922527993 PECOS PAC ID: 5294094207 Enrollment ID: I20180122000505 |
| Provider Name | Matthew G Cholankeril |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003204850 PECOS PAC ID: 2961765466 Enrollment ID: I20180416002012 |
| Provider Name | Brad K Kamitaki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831455005 PECOS PAC ID: 4385930312 Enrollment ID: I20180612000366 |
| Provider Name | James J Messina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043696354 PECOS PAC ID: 9638437999 Enrollment ID: I20180618002895 |
| Provider Name | Shrutie Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306241872 PECOS PAC ID: 3476876764 Enrollment ID: I20180820002453 |
| Provider Name | Namrata D Jani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649649344 PECOS PAC ID: 4284979964 Enrollment ID: I20181228000079 |
| Provider Name | Joi Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205341658 PECOS PAC ID: 2163776907 Enrollment ID: I20190503002157 |
| Provider Name | Steven J Narbut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790261238 PECOS PAC ID: 9739416256 Enrollment ID: I20190807000163 |
| Provider Name | Arun R Mathew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265878185 PECOS PAC ID: 5294966321 Enrollment ID: I20190822001465 |
| Provider Name | Dhaval S Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881033215 PECOS PAC ID: 4587941265 Enrollment ID: I20190916000116 |
| Provider Name | Ruhin Yuridullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114370749 PECOS PAC ID: 2860723517 Enrollment ID: I20191009003528 |
| Provider Name | Afshan Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598241226 PECOS PAC ID: 5496086688 Enrollment ID: I20191021001125 |
| Provider Name | Margaret H Carman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386794303 PECOS PAC ID: 9335489921 Enrollment ID: I20191226001374 |
| Provider Name | Helen Mcghee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396950168 PECOS PAC ID: 4082041330 Enrollment ID: I20200226000111 |
| Provider Name | James Nels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760647366 PECOS PAC ID: 2264613611 Enrollment ID: I20200401000918 |
| Provider Name | Mai K Kaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962795971 PECOS PAC ID: 8628369451 Enrollment ID: I20200429003014 |
| Provider Name | Aditya Sanyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447736236 PECOS PAC ID: 3870914542 Enrollment ID: I20200604001868 |
| Provider Name | Jonathan Scott Blizzard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922548106 PECOS PAC ID: 9335410216 Enrollment ID: I20200624002170 |
| Provider Name | Steven Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833305 PECOS PAC ID: 2264734011 Enrollment ID: I20200625001235 |
| Provider Name | Hien Ngoc Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699779389 PECOS PAC ID: 8527965201 Enrollment ID: I20200625001355 |
| Provider Name | Muhammad Bilal Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366965378 PECOS PAC ID: 6709204480 Enrollment ID: I20200911001611 |
| Provider Name | Amy A Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770048522 PECOS PAC ID: 1052382942 Enrollment ID: I20200929000584 |
| Provider Name | Eunae Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003272865 PECOS PAC ID: 1951721554 Enrollment ID: I20201021000270 |
| Provider Name | Alex Crandall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033711825 PECOS PAC ID: 3577974633 Enrollment ID: I20201120000284 |
| Provider Name | Holli Teresa Horlacher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407320773 PECOS PAC ID: 6305257478 Enrollment ID: I20201120000694 |
| Provider Name | Jackelyn Heim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457825010 PECOS PAC ID: 1557772647 Enrollment ID: I20201120001302 |
| Provider Name | Eileen Moss |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295342962 PECOS PAC ID: 3779994819 Enrollment ID: I20201123000459 |
| Provider Name | Benjamin Lipman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063856904 PECOS PAC ID: 5092126748 Enrollment ID: I20201201002025 |
| Provider Name | Kevin William Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154552958 PECOS PAC ID: 7911318431 Enrollment ID: I20201204000053 |
| Provider Name | Amjad Alwaal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194153825 PECOS PAC ID: 8224251038 Enrollment ID: I20210319000095 |
| Provider Name | Midhun Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740767672 PECOS PAC ID: 6305248089 Enrollment ID: I20210719000666 |
| Provider Name | Daniel Bodek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306266408 PECOS PAC ID: 0345643581 Enrollment ID: I20210726000669 |
| Provider Name | Razan Fayez Shamoon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447667019 PECOS PAC ID: 5991108904 Enrollment ID: I20210728004181 |
| Provider Name | Ritu Walia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821621889 PECOS PAC ID: 4789082447 Enrollment ID: I20211011000609 |
| Provider Name | Evan Kovac |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912327594 PECOS PAC ID: 4183841935 Enrollment ID: I20211013000754 |
| Provider Name | Sunny Paghdal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770994592 PECOS PAC ID: 2163781915 Enrollment ID: I20211109002260 |
| Provider Name | Nicole Kaspar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497404792 PECOS PAC ID: 0749676377 Enrollment ID: I20220408000181 |
| Provider Name | Jennifer Kret |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902545486 PECOS PAC ID: 5698155430 Enrollment ID: I20220711001142 |
| Provider Name | Olivia A Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881330736 PECOS PAC ID: 1254711963 Enrollment ID: I20220712000041 |
| Provider Name | Jennifer De Los Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407328602 PECOS PAC ID: 6204217847 Enrollment ID: I20220714000041 |
| Provider Name | Jessica K Uscamayta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730811209 PECOS PAC ID: 6204218308 Enrollment ID: I20220805002810 |
| Provider Name | Manthan Pandya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174009849 PECOS PAC ID: 7618359720 Enrollment ID: I20220805003052 |
| Provider Name | Peymaan S. Banankhah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134688120 PECOS PAC ID: 7911303326 Enrollment ID: I20220818003331 |
| Provider Name | Helen Hyewon Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346775335 PECOS PAC ID: 2163760976 Enrollment ID: I20221024002395 |
| Provider Name | Kristin Cohen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184393951 PECOS PAC ID: 1759759673 Enrollment ID: I20221128002020 |
| Provider Name | Jennifer Lynn Roach |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497470645 PECOS PAC ID: 0042683468 Enrollment ID: I20230307000065 |
| Provider Name | Cecelia Edwina Nugent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013139740 PECOS PAC ID: 5395916563 Enrollment ID: I20230623000526 |
| Provider Name | Daniel Martingano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376920165 PECOS PAC ID: 0446599278 Enrollment ID: I20230725000121 |
| Provider Name | Rachel Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639817216 PECOS PAC ID: 5193189421 Enrollment ID: I20230919003645 |
| Provider Name | Kate Amoa Ohenakwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184334997 PECOS PAC ID: 0042660078 Enrollment ID: I20240103000929 |
| Provider Name | Jonathan Smith |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1255394177 PECOS PAC ID: 4385714781 Enrollment ID: I20240104000676 |
| Provider Name | Eddie Santana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851895726 PECOS PAC ID: 9335590868 Enrollment ID: I20240109004620 |
Family And Children's Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 North Ave, Elizabeth, NJ 07208 Phone: 908-352-7474 | |
Intervention Specialist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 583 Cherry St, Elizabeth, NJ 07208 Phone: 973-953-8896 Fax: 973-953-8896 | |
Neurological Associates Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Broad St, Ste 201, Elizabeth, NJ 07208 Phone: 908-354-3994 Fax: 908-354-0429 | |
Trinitas Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 654 E Jersey St Fl 2, Elizabeth, NJ 07206 Phone: 908-994-7560 | |
Caring For Families Social Services Nj, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Flora St Apt 1, Elizabeth, NJ 07201 Phone: 908-249-0061 Fax: 908-662-8887 | |
Dna Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Rahway Avenue, Elizabeth, NJ 07202 Phone: 908-930-4485 Fax: 732-661-0557 | |
Community Access Unlimited Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 349 W Grand St Apt 103, Elizabeth, NJ 07202 Phone: 908-354-3040 |