| Emily Takhtarov, | |
|
141 Route 70 E Ste B, Marlton, NJ 08053-1855 | |
| (856) 596-9057 | |
| (856) 596-0837 |
| Full Name | Emily Takhtarov |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 141 Route 70 E Ste B, Marlton, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659119220 | NPI | - | NPPES |
| 1028596 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ15114400 (New Jersey) | Primary |
| 163W00000X | Registered Nurse | 26NR26058900 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virtua Willingboro Hospital | Willingboro, NJ | Hospital |
| Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
| Virtua Memorial Hospital Of Burlington County | Mount holly, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1498 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Takhtarov, 141 Route 70 E Ste B, Marlton, NJ 08053-1855 Ph: () - | Emily Takhtarov, 141 Route 70 E Ste B, Marlton, NJ 08053-1855 Ph: (856) 596-9057 |
Dorothy Rozelle, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 | |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 | |
Alison Lieu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 528 Lippincott Dr, Marlton, NJ 08053 Phone: 856-983-3899 | |
Mrs. Maribett Flores, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Lincoln Dr E, Marlton, NJ 08053 Phone: 215-823-4487 Fax: 267-292-9411 | |
Alyssa Whalen, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Route 70, Suite B Renaissance Square, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 | |
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874 | |
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057 |