| Mrs Nino Miminoshvili, | |
|
132 Reinman Rd, Warren, NJ 07059-5740 | |
| (347) 524-3182 | |
| Not Available |
| Full Name | Mrs Nino Miminoshvili |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 132 Reinman Rd, Warren, 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 |
|---|---|---|---|
| 1568213510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F351425-01 (New York) | Primary |
| Entity Name | South Brooklyn Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639246150 PECOS PAC ID: 6002844933 Enrollment ID: O20050801000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nino Miminoshvili, 132 Reinman Rd, Warren, NJ 07059-5740 Ph: (347) 524-3182 | Mrs Nino Miminoshvili, 132 Reinman Rd, Warren, NJ 07059-5740 Ph: (347) 524-3182 |
Steve Delosrios, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 76 Stirling Rd Ste 201, Warren, NJ 07059 Phone: 908-755-5437 | |
Megan C Mccarthy, ACAGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18 Pinewood Ln, Warren, NJ 07059 Phone: 908-392-6860 | |
Ms. Aprille Palac Mangalonzo, RN, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Hillcrest Blvd, Warren, NJ 07059 Phone: 908-304-2905 | |
Susan Korb, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 76 Stirling Rd, Suite 201, Warren, NJ 07059 Phone: 908-755-5437 Fax: 908-755-6905 | |
Joel Pierre, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53 Mountain Blvd Ste 200, Warren, NJ 07059 Phone: 484-202-0826 | |
Cristina Maria Maiorana, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 177 Washington Valley Rd, Warren, NJ 07059 Phone: 908-786-9052 | |
Lauren Keane, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 154 Mount Bethel Rd, Warren, NJ 07059 Phone: 908-755-5400 |