| Tatiana Dea, APN | |
|
1255 Broad St, Bloomfield, NJ 07003-3000 | |
| (201) 833-9500 | |
| Not Available |
| Full Name | Tatiana Dea |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1255 Broad St, Bloomfield, 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 |
|---|---|---|---|
| 1194354126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00957700 (New Jersey) | Primary |
| Entity Name | Valley Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Tatiana Dea, APN 310 Copperfield Ln, Metuchen, NJ 08840-1240 Ph: (240) 645-3252 | Tatiana Dea, APN 1255 Broad St, Bloomfield, NJ 07003-3000 Ph: (201) 833-9500 |
Monique Vindas, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 256 Broad St, Bloomfield, NJ 07003 Phone: 973-771-0090 | |
Suela Lita, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Broadacres Dr, Bloomfield, NJ 07003 Phone: 862-314-7030 | |
Mr. Robert Anthony Lohse, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 256 Broad St, Bloomfield, NJ 07003 Phone: 973-743-4450 | |
Ketrice-ann Delonnay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Washington St, Bloomfield, NJ 07003 Phone: 347-983-9485 | |
Miss Sandra Rivera, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 194 Broad St, Bloomfield, NJ 07003 Phone: 973-748-5700 | |
Mrs. Nirmala Ratnam Baskar, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 194 Broad St, Bloomfield, NJ 07003 Phone: 973-748-5700 Fax: 973-748-5300 | |
Miss Cristin Ashley Famularo, A.P.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Lackawanna Pl, 412, Bloomfield, NJ 07003 Phone: 201-913-7146 |