| Amelia Fasciano, | |
|
510 Jackson Ave, Northfield, NJ 08225-1631 | |
| (609) 383-0200 | |
| (609) 383-8352 |
| Full Name | Amelia Fasciano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 510 Jackson Ave, Northfield, 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 |
|---|---|---|---|
| 1083189054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00853400 (New Jersey) | Primary |
| Entity Name | Geps Physician Group Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871512038 PECOS PAC ID: 4981590346 Enrollment ID: O20040409000423 |
| Entity Name | Regional Nephrology Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982613113 PECOS PAC ID: 6507843257 Enrollment ID: O20040701000656 |
| Entity Name | Gps Physician Group Of New Jersey, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548776008 PECOS PAC ID: 4688933674 Enrollment ID: O20180119002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Amelia Fasciano, 510 Jackson Ave, Northfield, NJ 08225-1631 Ph: (609) 383-0200 | Amelia Fasciano, 510 Jackson Ave, Northfield, NJ 08225-1631 Ph: (609) 383-0200 |
Kristen Davis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Tilton Rd Ste 5, Northfield, NJ 08225 Phone: 856-308-9293 | |
Jackson Pokres, PMHNP -BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 406 Northfield Ave, Northfield, NJ 08225 Phone: 609-350-3218 Fax: 732-454-5321 | |
Rosario Marquez Alfaro, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Shore Rd, Northfield, NJ 08225 Phone: 609-365-5300 | |
Ms. Patricia Hogan, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 New Rd., Northfield, NJ 08225 Phone: 609-677-9499 | |
Ms. Diane Theresa Maggio, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1418 New Rd Ste 2, Northfield, NJ 08225 Phone: 609-796-2119 | |
Kendra Lawson Davis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1907 New Rd, Northfield, NJ 08225 Phone: 609-645-8884 Fax: 609-645-9780 |