| Cristina Whelan, | |
|
349 Passaic Ave, Nutley, NJ 07110-2738 | |
| (973) 667-8889 | |
| Not Available |
| Full Name | Cristina Whelan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 349 Passaic Ave, Nutley, 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 |
|---|---|---|---|
| 1841524915 | NPI | - | NPPES |
| 03569124 | Medicaid | NY | |
| 0988197 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 33 335809 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ01100400 (New Jersey) | Primary |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Entity Name | Brightpoint Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003093436 PECOS PAC ID: 6800951989 Enrollment ID: O20090225000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Cristina Whelan, 349 Passaic Ave, Nutley, NJ 07110-2738 Ph: (973) 667-8889 | Cristina Whelan, 349 Passaic Ave, Nutley, NJ 07110-2738 Ph: (973) 667-8889 |
Mr. Antonio D'amato, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 349 Passaic Ave, Nutley, NJ 07110 Phone: 973-667-8889 | |
Julianne Eike, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Metro Blvd, Nutley, NJ 07110 Phone: 000-000-0000 | |
Barbara Bousi Njuguna, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 169 Chestnut St, Nutley, NJ 07110 Phone: 973-667-1884 | |
Ajitha Ninan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 73 Columbia Ave, Nutley, NJ 07110 Phone: 973-542-0034 | |
Mrs. Melissa Dawn Algieri, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 242 Washington Ave, Nutley, NJ 07110 Phone: 973-667-6676 Fax: 973-667-6029 | |
Angelica Delacruz, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 562 Kingsland St, Nutley, NJ 07110 Phone: 973-235-0101 | |
Japeth Sandoval Demetria, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27 De Vausney Pl, Nutley, NJ 07110 Phone: 973-342-5352 |