| Jancy Civichan, | |
|
258 N New Rd, Pleasantville, NJ 08232 | |
| (732) 743-5910 | |
| (732) 994-6993 |
| Full Name | Jancy Civichan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 258 N New Rd, Pleasantville, 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 |
|---|---|---|---|
| 1952897829 | NPI | - | NPPES |
| 26NJ00812700 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0600X | Registered Nurse - Gerontology | 26NJ00812700 (New Jersey) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00812700 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Regional Medical Center Inc | Cape may court house, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of New Jersey Omb Centralized Payroll | 6406742592 | 87 |
| Entity Name | State Of New Jersey Omb Centralized Payroll |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982642641 PECOS PAC ID: 6406742592 Enrollment ID: O20050420000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Jancy Civichan, 258 N New Rd, Pleasantville, NJ 08232-2170 Ph: (732) 743-5910 | Jancy Civichan, 258 N New Rd, Pleasantville, NJ 08232 Ph: (732) 743-5910 |
Janet Gibson, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8025 Black Horse Pike, Ste 501, Pleasantville, NJ 08232 Phone: 609-641-4675 Fax: 609-569-0439 | |
Olanda R Dreher, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 W Black Horse Pike, Pleasantville, NJ 08232 Phone: 609-641-1118 | |
Marie Y Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 912 S Main St, Pleasantville, NJ 08232 Phone: 609-445-4926 Fax: 609-380-4795 | |
Ellen D Doyle, APN,PMHNP-C,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 S New Rd Unit 9, Pleasantville, NJ 08232 Phone: 609-200-5117 Fax: 609-939-3671 | |
Nancy P To, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1004 S New Rd, Pleasantville, NJ 08232 Phone: 609-652-4141 | |
Sheila Lill, MSN, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8025 Black Horse Pike Ste 501, Pleasantville, NJ 08232 Phone: 609-822-7979 Fax: 609-822-7980 | |
Mrs. Elizabeth Kroliczak Lewis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8025 Black Horse Pike Ste 501, Pleasantville, NJ 08232 Phone: 609-464-1433 Fax: 610-647-2006 |