| Lucy Tasharofi, PA | |
|
1255 Raritan Rd, Clark, NJ 07066-1200 | |
| (848) 206-0072 | |
| (848) 206-0078 |
| Full Name | Lucy Tasharofi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 1255 Raritan Rd, Clark, 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 |
|---|---|---|---|
| 1205087202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 25MP00091100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Pa | 5395642276 | 1204 |
| Entity Name | Summit Medical Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
| 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 |
|---|---|
| Lucy Tasharofi, PA 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Lucy Tasharofi, PA 1255 Raritan Rd, Clark, NJ 07066-1200 Ph: (848) 206-0072 |
Grace De La Cruz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1255 Raritan Rd Ste F4b, Clark, NJ 07066 Phone: 848-206-0072 |
Alexander Bull, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 Central Ave, Clark, NJ 07066 Phone: 732-943-5042 |
Jalpa Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1399 |
Mrs. Inga Bufano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1399 Fax: 732-574-1433 |
Tara Prisco, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 999 Raritan Rd, Clark, NJ 07066 Phone: 732-381-9418 Fax: 732-381-3733 |
Ms. Laura Beth Wagner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14 Deerwood Dr, Clark, NJ 07066 Phone: 732-574-2481 |
Mrs. Melissa Petronella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Raritan Rd Ste F4b, Clark, NJ 07066 Phone: 848-206-0078 Fax: 848-206-0078 |