| John-eric Vallarta, CRNA | |
|
1 Bay Avenue, Mountainside Medical Center, Montclair, NJ 07042 | |
| (973) 429-6000 | |
| Not Available |
| Full Name | John-eric Vallarta |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 1 Bay Avenue, Montclair, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497781140 | NPI | - | NPPES |
| 000000521892 | Other | KY | BCBS |
| 7100005840 | Medicaid | KY |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Valley Anesthesiology Pa | 0749194868 | 85 |
| Entity Name | Northern Valley Anesthesiology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245289487 PECOS PAC ID: 0749194868 Enrollment ID: O20031113000519 |
| Entity Name | Prime Healthcare Services - St Mary's Passaic, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730508250 PECOS PAC ID: 6305066911 Enrollment ID: O20141031000263 |
| Mailing Address | Practice Location Address |
|---|---|
| John-eric Vallarta, CRNA 8 Pine Tree Dr, Wayne, NJ 07470-5426 Ph: (732) 236-1772 | John-eric Vallarta, CRNA 1 Bay Avenue, Mountainside Medical Center, Montclair, NJ 07042 Ph: (973) 429-6000 |
Mr. Timothy L. Murry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6250 |
Ljiljana Kovacevic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Chestnut St, Montclair, NJ 07042 Phone: 973-842-0464 Fax: 973-972-2357 |
Erin Ferber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Avenue, Mountainside Hospital, Montclair, NJ 07042 Phone: 973-429-6000 Fax: 845-357-5777 |
Dianne Gali, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740 |
Ms. Carol A Grant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6275 |
Marci Viola, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740 |
Siju Mathew, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Bay Ave, Anesthesia Office, Montclair, NJ 07042 Phone: 973-429-6219 Fax: 845-547-0740 |