| Miguel Angel Perez Gonzalez, | |
|
248 Marlin Rd, Absecon, NJ 08201-2508 | |
| (609) 369-3976 | |
| Not Available |
| Full Name | Miguel Angel Perez Gonzalez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 248 Marlin Rd, Absecon, 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 |
|---|---|---|---|
| 1851165187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR18905700 (New Jersey) | Secondary |
| 363L00000X | Nurse Practitioner | 26NJ15100300 (New Jersey) | Primary |
| Entity Name | Northeast Kidney Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023889565 PECOS PAC ID: 8921445032 Enrollment ID: O20240326000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel Angel Perez Gonzalez, 1925 Pacific Ave, Atlantic City, NJ 08401-6713 Ph: (609) 407-2243 | Miguel Angel Perez Gonzalez, 248 Marlin Rd, Absecon, NJ 08201-2508 Ph: (609) 369-3976 |
Ms. Denise Leonore Lenz, FNP-C, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 Shady Ln, Absecon, NJ 08201 Phone: 609-412-9761 | |
Shannon Marshall, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 Ohio Ave, Absecon, NJ 08201 Phone: 609-534-2099 | |
Mrs. Melanie Tracie Robinson, APN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 320 Ohio Ave, Absecon, NJ 08201 Phone: 833-377-8474 | |
Natalia Niebuhr, PMHNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 Lisbon Ave, Absecon, NJ 08201 Phone: 917-579-1624 |