| Ms Theresa Rose Chan, MSN, FNP-C, RN | |
|
1 Riverfront Plz Ste 300, Newark, NJ 07102-5412 | |
| (201) 273-7047 | |
| (855) 998-4358 |
| Full Name | Ms Theresa Rose Chan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1 Riverfront Plz Ste 300, Newark, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932855038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | F02220735 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Patient Care | Clifton, NJ | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ennoble Hc Nj Pc | 0345638185 | 82 |
| Clare Medical Of New Jersey, Llc | 8325369895 | 4 |
| Personal Np Services Llc | 9335455179 | 47 |
| Entity Name | Clare Medical Of New Jersey, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255718276 PECOS PAC ID: 8325369895 Enrollment ID: O20150609001994 |
| Entity Name | Personal Np Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649658105 PECOS PAC ID: 9335455179 Enrollment ID: O20150825003750 |
| Entity Name | Ennoble Hc Nj Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306500764 PECOS PAC ID: 0345638185 Enrollment ID: O20211028000825 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Theresa Rose Chan, MSN, FNP-C, RN 100 Old Palisade Rd Apt 2111, Fort Lee, NJ 07024-7020 Ph: (510) 220-1797 | Ms Theresa Rose Chan, MSN, FNP-C, RN 1 Riverfront Plz Ste 300, Newark, NJ 07102-5412 Ph: (201) 273-7047 |
Mr. Michael C Cadorette, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Gateway Ctr Ste 2600, Newark, NJ 07102 Phone: 866-949-0108 | |
Casey Yeonjoo Cho, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6938 | |
Nirali S. Bhavsar, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Riverfront Plz Ste 300, Newark, NJ 07102 Phone: 201-273-7047 Fax: 855-998-4358 | |
Amalia Zuna, DNP, CPNP-AC/PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Mrs. Kisha Tamara Anderson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Sabitri Nesbitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Marva Monique, Natasha Barbour, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 University Ave, Newark, NJ 07102 Phone: 973-877-6171 |