| Tina Marie James, MSN, APRN, PMHNP-BC | |
|
1123 Clinton Ave, Irvington, NJ 07111-2010 | |
| (732) 582-5964 | |
| (732) 369-9047 |
| Full Name | Tina Marie James |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1123 Clinton Ave, Irvington, New Jersey |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366021222 | NPI | - | NPPES |
| 0793523 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01138800 (New Jersey) | Primary |
| 163W00000X | Registered Nurse | 26NR17629700 (New Jersey) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mind Your Mind | 6002242690 | 21 |
| Jls Medical Pc | 7719342005 | 53 |
| Entity Name | Mind Your Mind |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053955096 PECOS PAC ID: 6002242690 Enrollment ID: O20200129002828 |
| Entity Name | Premier Mental & Behavioral Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114599305 PECOS PAC ID: 6305240912 Enrollment ID: O20210804001637 |
| Entity Name | Jls Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164007043 PECOS PAC ID: 7719342005 Enrollment ID: O20230419002320 |
| Entity Name | Self Love Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396595682 PECOS PAC ID: 1052750148 Enrollment ID: O20240423000958 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Marie James, MSN, APRN, PMHNP-BC 1123 Clinton Ave, Irvington, NJ 07111-2010 Ph: (732) 582-5964 | Tina Marie James, MSN, APRN, PMHNP-BC 1123 Clinton Ave, Irvington, NJ 07111-2010 Ph: (732) 582-5964 |
Sonya L Goodrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Clinton Ave, Suite 140, Irvington, NJ 07111 Phone: 973-374-1080 Fax: 973-373-1726 | |
Ms. Stacy A Sharpe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Ball St, Irvington, NJ 07111 Phone: 973-372-1095 Fax: 973-372-1096 | |
Olubunmi E Bilewu, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 989 Sanford Ave, Irvington, NJ 07111 Phone: 856-725-5236 | |
Mrs. Teresa Grant, R.N., NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1150 Springfield Avenue, Irvington, NJ 07111 Phone: 973-399-6292 | |
Richard Elinihaki Tuvako, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Marshall St Apt 6h, Irvington, NJ 07111 Phone: 973-760-2379 | |
Mr. Femi Ramat Omidire, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Union Ave Ste 301, Irvington, NJ 07111 Phone: 973-393-2296 Fax: 862-849-2319 | |
Sylvia M Mugala, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 Berkshire Pl, Irvington, NJ 07111 Phone: 973-609-0281 |