| Alicia Wright, | |
|
150 Park Ave, Florham Park, NJ 07932-1049 | |
| (973) 404-9980 | |
| Not Available |
| Full Name | Alicia Wright |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 150 Park Ave, Florham Park, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508534124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00636500 (New Jersey) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 25MP00636500 (New Jersey) | Primary |
| Entity Name | Saint Peters University Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924834 PECOS PAC ID: 9931012382 Enrollment ID: O20040112000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Wright, 74 Astor Pl, Springfield, NJ 07081-4201 Ph: Not Available | Alicia Wright, 150 Park Ave, Florham Park, NJ 07932-1049 Ph: (973) 404-9980 |
Kirsten A. Ruhl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 Columbia Tpke Ste 106, Florham Park, NJ 07932 Phone: 973-822-2000 Fax: 973-822-2001 |
Mrs. Shahanaz Jalal, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 200 Park Ave, Florham Park, NJ 07932 Phone: 973-443-8401 |
Wesley Gingerella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 Park Ave, Florham Park, NJ 07932 Phone: 973-404-9800 Fax: 973-267-1737 |
Sylvia Botros, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Park Ave, Florham Park, NJ 07932 Phone: 973-404-9980 Fax: 973-267-7295 |
Yelena Mashkovich, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 131 Columbia Tpke, Florham Park, NJ 07932 Phone: 973-377-8776 |
Ms. Kerry Vaughan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 131 Columbia Tpke, Florham Park, NJ 07932 Phone: 973-377-8776 |
Nancy Soliman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 Park Ave, Florham Park, NJ 07932 Phone: 973-443-8401 |