| Shruti Pandya, | |
|
765 Route 10 E Ste 201, Randolph, NJ 07869-1925 | |
| (973) 989-0068 | |
| Not Available |
| Full Name | Shruti Pandya |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 765 Route 10 E Ste 201, Randolph, 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 |
|---|---|---|---|
| 1861191660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ01443800 (New Jersey) | Primary |
| Entity Name | Id Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639146277 PECOS PAC ID: 7719959998 Enrollment ID: O20101208000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Shruti Pandya, 105 Raider Blvd Ste 101, Hillsborough, NJ 08844-1528 Ph: (908) 281-0221 | Shruti Pandya, 765 Route 10 E Ste 201, Randolph, NJ 07869-1925 Ph: (973) 989-0068 |
Lindsay Elizabeth Kellogg, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E, Suite 201, Randolph, NJ 07869 Phone: 973-989-0068 | |
Ms. Annette K Allegra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 447 Route 10 E Ste 2, Randolph, NJ 07869 Phone: 862-781-0082 | |
Heather Hogh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E Ste 201, Randolph, NJ 07869 Phone: 973-989-0068 Fax: 973-361-8955 | |
Kaitlyn Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E, Ste 201, Randolph, NJ 07869 Phone: 973-479-1128 | |
Kelly Vanwyck, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 477 Route 10 Ste 205, Randolph, NJ 07869 Phone: 973-560-9500 | |
Barbara Baggstrom, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Route 10 E, Ste 203, Randolph, NJ 07869 Phone: 973-659-9991 Fax: 973-659-9632 | |
Angela Marie Giordano, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Route 10 E, Suite 201, Randolph, NJ 07869 Phone: 973-989-0068 Fax: 973-361-8955 |