| Mayra Crespo, APN | |
|
1680 Rte 23, Wayne, NJ 07470-7501 | |
| (973) 305-1400 | |
| Not Available |
| Full Name | Mayra Crespo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1680 Rte 23, 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 |
|---|---|---|---|
| 1376965616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00478800 (New Jersey) | Primary |
| Entity Name | Optum Medical Care of New Jersey PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578665048 PECOS PAC ID: 3072650290 Enrollment ID: O20091021000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Mayra Crespo, APN 1680 Route 23 Ste 120, Wayne, NJ 07470-7520 Ph: (973) 305-1400 | Mayra Crespo, APN 1680 Rte 23, Wayne, NJ 07470-7501 Ph: (973) 305-1400 |
Mrs. Deanna Marie Sanacore, APN Nurse Practitioner Medicare: Medicare Enrolled 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 |
Ariel Avion Vassel, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Hamburg Tpke Ste 302, Wayne, NJ 07470 Phone: 973-790-9222 |
Kaitlyn Gearst, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1120 Crossing Way, Wayne, NJ 07470 Phone: 201-207-9070 |
Jacquelyn Marie Amodeo, APN Nurse Practitioner Medicare: Accepting Medicare Assignments 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 |
Jessica Turner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Shore Rd, Wayne, NJ 07470 Phone: 908-421-5014 |