| Mr Sanjay Raval, APN | |
|
246 Hamburg Tpke Ste 202, Wayne, NJ 07470-2160 | |
| (973) 754-2000 | |
| Not Available |
| Full Name | Mr Sanjay Raval |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 246 Hamburg Tpke Ste 202, Wayne, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659920700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00953500 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital And Medical Center | Paterson, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Passaic River Observation, Llc | 0143617126 | 15 |
| Entity Name | North Haledon Medical, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477624088 PECOS PAC ID: 0345299947 Enrollment ID: O20050121000032 |
| Entity Name | Passaic River Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962162644 PECOS PAC ID: 4486041514 Enrollment ID: O20220420000861 |
| Entity Name | Passaic River Observation, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568113348 PECOS PAC ID: 0143617126 Enrollment ID: O20220421000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sanjay Raval, APN 246 Hamburg Tpke Ste 202, Wayne, NJ 07470-2160 Ph: (973) 754-2000 | Mr Sanjay Raval, APN 246 Hamburg Tpke Ste 202, Wayne, NJ 07470-2160 Ph: (973) 754-2000 |
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 | |
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 | |
Se Young Oh, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 State Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 | |
Hamida 0 Yaqoobi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2440 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-839-3400 | |
Lina Muthoni, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Hamburg Tpke Ste 302, Wayne, NJ 07470 Phone: 973-790-9222 |