| Rathamani Muthusamy, DNP | |
|
25 Andrew Ave, Oakland, NJ 07436-3819 | |
| (201) 417-9774 | |
| Not Available |
| Full Name | Rathamani Muthusamy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 25 Andrew Ave, Oakland, 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 |
|---|---|---|---|
| 1891524369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ01339000 (New Jersey) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ01339000 (New Jersey) | Primary |
| Entity Name | St Josephs Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Rathamani Muthusamy, DNP 25 Andrew Ave, Oakland, NJ 07436-3819 Ph: (201) 417-9774 | Rathamani Muthusamy, DNP 25 Andrew Ave, Oakland, NJ 07436-3819 Ph: (201) 417-9774 |
Valerie Lynn Ruberto, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Ramapo Valley Rd Ste 203b, Oakland, NJ 07436 Phone: 201-907-7915 Fax: 201-502-4881 |
Mr. Mark Gerard Havlicek, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43 Yawpo Ave, Oakland, NJ 07436 Phone: 201-337-0066 |
Madelyn Vitamia, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43 Yawpo Ave, Oakland, NJ 07436 Phone: 201-337-0066 |
Sylvia Bucharowski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43 Yawpo Ave, Oakland, NJ 07436 Phone: 201-337-0066 |
Emerlinda Imperio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Yawpo Ave, Oakland, NJ 07436 Phone: 201-337-3412 Fax: 201-337-3353 |
Shannon Morgan Waller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 43 Yawpo Ave, Oakland, NJ 07436 Phone: 201-337-0066 |
Vlad Shteiman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Yawpo Ave Ste 2, Oakland, NJ 07436 Phone: 201-337-0066 |