| Jose Polanco, | |
|
8 Jensen Ln, Union, NJ 07083-7925 | |
| (973) 725-4078 | |
| Not Available |
| Full Name | Jose Polanco |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 8 Jensen Ln, Union, 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 |
|---|---|---|---|
| 1043854961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ01012600 (New Jersey) | Primary |
| Entity Name | Union County Health Care Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033271291 PECOS PAC ID: 2163450958 Enrollment ID: O20050802001062 |
| Entity Name | Center For Hope Hospice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790558948 PECOS PAC ID: 8426010802 Enrollment ID: O20170816000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Polanco, 8 Jensen Ln, Union, NJ 07083-7925 Ph: (973) 725-4078 | Jose Polanco, 8 Jensen Ln, Union, NJ 07083-7925 Ph: (973) 725-4078 |
Ms. Vody Elaine Vincent, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2742 Alice Ter, Union, NJ 07083 Phone: 908-708-3618 Fax: 862-205-2477 | |
Silvia M Hughes, MSN, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1273 Wildwood Ter, Union, NJ 07083 Phone: 908-358-8388 | |
Dr. Daniel D Okoro, DNP, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 540 North Ave, Union, NJ 07083 Phone: 908-355-5500 Fax: 908-355-5502 | |
Alyssa Hahn, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2840 Morris Ave, Union, NJ 07083 Phone: 888-244-5373 | |
Lateef Ajanaku-makun, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1577 Ridgeway St, Union, NJ 07083 Phone: 973-342-1160 | |
Rosalyn Abraham, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 856 Mitchell Ave, Union, NJ 07083 Phone: 908-964-4357 | |
Denise Julia Brown, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1948 Mountainview Ave, Union, NJ 07083 Phone: 973-432-5630 |