| Mr Andrew Christopher Konopacki, PA-C | |
|
456 Prospect Ave, West Orange, NJ 07052-4112 | |
| (973) 731-6767 | |
| (973) 731-9881 |
| Full Name | Mr Andrew Christopher Konopacki |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 456 Prospect Ave, West Orange, 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 |
|---|---|---|---|
| 1285183350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00407700 (New Jersey) | Primary |
| Entity Name | Immediate Care Medical Walk in of Hazlet PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245595313 PECOS PAC ID: 0547410797 Enrollment ID: O20121024000045 |
| Entity Name | Urgent Care Physicians of New Jersey LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447622402 PECOS PAC ID: 1658674585 Enrollment ID: O20160126002347 |
| Entity Name | Prohealth Urgent Care Medicine of New Jersey LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477927754 PECOS PAC ID: 6002178647 Enrollment ID: O20180320001992 |
| Entity Name | Essential Diagnostics, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376245753 PECOS PAC ID: 7113386970 Enrollment ID: O20230711003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Andrew Christopher Konopacki, PA-C 328 W Saint Georges Ave, Linden, NJ 07036-5638 Ph: (908) 925-7519 | Mr Andrew Christopher Konopacki, PA-C 456 Prospect Ave, West Orange, NJ 07052-4112 Ph: (973) 731-6767 |
Alisa G. Cullen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 745 Northfield Ave, Suite 4, West Orange, NJ 07052 Phone: 973-736-0041 Fax: 973-736-0044 |
Mrs. Sangita Rossano, P.A. - C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Old Short Hills Rd, Suite 405, West Orange, NJ 07052 Phone: 973-736-9300 Fax: 973-736-9328 |
Nicole Miller, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 217, West Orange, NJ 07052 Phone: 973-731-4600 |
Mrs. Leigh C. Mosquera, PHYSICIAN ASSISTANT Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 741 Northfield Ave, West Orange, NJ 07052 Phone: 973-467-9055 Fax: 973-467-9586 |
Daniella Yasmeen Rahni, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 745 Northfield Ave Ste 7, West Orange, NJ 07052 Phone: 973-243-0002 |
Sujelis Perez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 347 Mount Pleasant Ave, Suite 103, West Orange, NJ 07052 Phone: 973-571-2121 Fax: 973-498-0569 |
Mrs. Garland Lee, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052 Phone: 973-571-2121 Fax: 973-498-0512 |