| Krizelda Dizon, | |
|
330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704 | |
| (973) 317-0155 | |
| (973) 317-0149 |
| Full Name | Krizelda Dizon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 330 Ratzer Rd Ste B7, Wayne, 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 |
|---|---|---|---|
| 1174275903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ01163400 (New Jersey) | Primary |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Krizelda Dizon, Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Krizelda Dizon, 330 Ratzer Rd Ste B7, Wayne, NJ 07470-7704 Ph: (973) 317-0155 |
Mrs. Deanna Marie Sanacore, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Hamburg Tpke Ste 107, Wayne, NJ 07470 Phone: 973-870-0777 Fax: 888-465-2135 | |
Yelena Anfibio, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 Hamburg Tpke Ste 202, Wayne, NJ 07470 Phone: 973-595-1809 | |
Jacquelyn Marie Amodeo, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 Hamburg Tpke Ste 205, Wayne, NJ 07470 Phone: 973-389-1800 | |
Tangina B Rahman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Vizcaya Ct, Wayne, NJ 07470 Phone: 973-870-8744 | |
Se Young Oh, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 State Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 | |
Hamida 0 Yaqoobi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2440 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-839-3400 | |
Lina Muthoni, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Hamburg Tpke Ste 302, Wayne, NJ 07470 Phone: 973-790-9222 |