| Lauren Theresa Fahy, | |
|
435 Elmora Ave, Elizabeth, NJ 07208-1576 | |
| (908) 659-9200 | |
| Not Available |
| Full Name | Lauren Theresa Fahy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 435 Elmora Ave, Elizabeth, 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 |
|---|---|---|---|
| 1477151850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 26NJ01066200 (New Jersey) | Primary |
| Entity Name | Advocare , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Theresa Fahy, 6 Aspen Ct, Hamilton, NJ 08619-4601 Ph: (732) 771-6777 | Lauren Theresa Fahy, 435 Elmora Ave, Elizabeth, NJ 07208-1576 Ph: (908) 659-9200 |
Caryne David, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 418 Palmer St, Elizabeth, NJ 07202 Phone: 908-820-4250 Fax: 908-820-4252 | |
Priscilla Maranon, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 216 Palmer St, Elizabeth, NJ 07202 Phone: 908-352-2656 | |
Vijayeta Dripaul, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 32 Oakwood Pl, Elizabeth, NJ 07208 Phone: 908-208-9099 | |
Virginia Guanco-villanueva, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Williamson St, Suite 403, Elizabeth, NJ 07202 Phone: 908-289-6996 | |
Novil Kaur, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Williamson St Ste 305, Elizabeth, NJ 07202 Phone: 908-354-5353 | |
Michelle Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1171 Elizabeth Ave, 1171 Elizabeth Ave, Elizabeth, NJ 07201 Phone: 908-351-5384 | |
Mirleivis D Sanchez Ruiz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 935 Cross Ave, Elizabeth, NJ 07208 Phone: 551-556-8691 |