| Miranda Villanueva, MS, PA-C | |
|
901 W Main St, Centrastate Medical Center, Freehold, NJ 07728-2537 | |
| (732) 294-2666 | |
| (732) 431-8267 |
| Full Name | Miranda Villanueva |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 901 W Main St, Freehold, 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 |
|---|---|---|---|
| 1306960026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 25MP00177400 (New Jersey) | Primary |
| Entity Name | Central Jersey Emergency Medicine Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538106257 PECOS PAC ID: 2769386812 Enrollment ID: O20031121000027 |
| Entity Name | Morristown Emergency Medical Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649541087 PECOS PAC ID: 7618136078 Enrollment ID: O20120306000053 |
| Entity Name | Live Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407439870 PECOS PAC ID: 7214338771 Enrollment ID: O20210622002694 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Villanueva, MS, PA-C Po Box 2680, Central Jersey Emergency Med Assoc Pc, New Brunswick, NJ 08903-2680 Ph: (800) 666-2455 | Miranda Villanueva, MS, PA-C 901 W Main St, Centrastate Medical Center, Freehold, NJ 07728-2537 Ph: (732) 294-2666 |
Nidhi Kakar, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 W Main St Ste 267, Freehold, NJ 07728 Phone: 609-921-9001 |
Mr. Jerry Kong, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Iron Bridge Rd, Suite 1, Freehold, NJ 07728 Phone: 732-720-2565 Fax: 732-720-2556 |
Salvatore Susino, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 470 Stillwells Corner Rd, Freehold, NJ 07728 Phone: 732-780-3633 |
Olivia Goldberg, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 W Main St Ste 267, Freehold, NJ 07728 Phone: 609-921-9001 |
Courtney Grace Santifort, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Paragon Way, Freehold, NJ 07728 Phone: 732-462-9800 |
Sonia Sanghvi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 W Main St Ste 107, Freehold, NJ 07728 Phone: 732-677-1091 Fax: 793-431-4640 |
Caitlin Mary Fabian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 Professional View Dr, Freehold, NJ 07728 Phone: 732-720-2555 Fax: 732-720-2556 |