| Miss Sandra Rivera, APN | |
|
194 Broad St, Bloomfield, NJ 07003-2606 | |
| (973) 748-5700 | |
| Not Available |
| Full Name | Miss Sandra Rivera |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 194 Broad St, Bloomfield, 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 |
|---|---|---|---|
| 1093260416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 26NJ00518700 (New Jersey) | Primary |
| Entity Name | Id Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639146277 PECOS PAC ID: 7719959998 Enrollment ID: O20101208000463 |
| Entity Name | Old Bridge Spine & Wellness Center,pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487885141 PECOS PAC ID: 7416137492 Enrollment ID: O20110208000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Sandra Rivera, APN 194 Broad St, Bloomfield, NJ 07003-2606 Ph: (973) 748-5700 | Miss Sandra Rivera, APN 194 Broad St, Bloomfield, NJ 07003-2606 Ph: (973) 748-5700 |
Monique Vindas, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 256 Broad St, Bloomfield, NJ 07003 Phone: 973-771-0090 | |
Suela Lita, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Broadacres Dr, Bloomfield, NJ 07003 Phone: 862-314-7030 | |
Mr. Robert Anthony Lohse, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 256 Broad St, Bloomfield, NJ 07003 Phone: 973-743-4450 | |
Ketrice-ann Delonnay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Washington St, Bloomfield, NJ 07003 Phone: 347-983-9485 | |
Mrs. Nirmala Ratnam Baskar, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 194 Broad St, Bloomfield, NJ 07003 Phone: 973-748-5700 Fax: 973-748-5300 | |
Miss Cristin Ashley Famularo, A.P.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Lackawanna Pl, 412, Bloomfield, NJ 07003 Phone: 201-913-7146 |