| Somc Medical Group Pc | |
| 
					2290 W County Line Rd, Jackson, NJ 08527-2267  | |
| (732) 364-3881 | |
| Not Available | 
| Full Name | Somc Medical Group Pc | 
|---|---|
| Type | Facility | 
| Speciality | Internal Medicine | 
| Location | 2290 W County Line Rd, Jackson, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699004606 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (New Jersey) | Secondary | 
| 207R00000X | Internal Medicine | (New Jersey) | Primary | 
| Provider Name | Jay A Vida | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1831195601 PECOS PAC ID: 4981697117 Enrollment ID: I20040405001522  | 
| Provider Name | Arthur H Braunwell | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1821094640 PECOS PAC ID: 4486633328 Enrollment ID: I20040715000368  | 
| Provider Name | Rosalia C Riguerra | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1891886008 PECOS PAC ID: 0941259634 Enrollment ID: I20050120000216  | 
| Provider Name | Susan A Rivas | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1801928510 PECOS PAC ID: 6002869179 Enrollment ID: I20050301000470  | 
| Provider Name | Nicholas D Cariddo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1851455257 PECOS PAC ID: 9537246509 Enrollment ID: I20080402000570  | 
| Provider Name | Mary C Okeefe | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1467481846 PECOS PAC ID: 9436203718 Enrollment ID: I20090820000788  | 
| Provider Name | Michael Rothberg | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1861498628 PECOS PAC ID: 2860407756 Enrollment ID: I20100212000296  | 
| Provider Name | Anna Dedona | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1194721902 PECOS PAC ID: 6507900065 Enrollment ID: I20100222000400  | 
| Provider Name | Frederick Rothberg | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1033115738 PECOS PAC ID: 5193850709 Enrollment ID: I20100322000698  | 
| Provider Name | Wael Elsamman | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1831419126 PECOS PAC ID: 4183811409 Enrollment ID: I20110412000904  | 
| Provider Name | Nawid E Najafi | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1326258732 PECOS PAC ID: 0042356750 Enrollment ID: I20110913000093  | 
| Provider Name | Susan Michelle Beltran | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568894244 PECOS PAC ID: 9739323627 Enrollment ID: I20130916000085  | 
| Provider Name | David E Konigsberg | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1114178142 PECOS PAC ID: 5395975072 Enrollment ID: I20140225000359  | 
| Provider Name | Caitlyn Krichman | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1225446214 PECOS PAC ID: 7618198797 Enrollment ID: I20141015001490  | 
| Provider Name | Mark Anthony Castillo Navarro | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1568774651 PECOS PAC ID: 8123253713 Enrollment ID: I20160205000193  | 
| Provider Name | Diana L Fibison | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1932479706 PECOS PAC ID: 0143525881 Enrollment ID: I20160218000527  | 
| Provider Name | Lucretia S Mongal | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1861620791 PECOS PAC ID: 8224255708 Enrollment ID: I20160308001366  | 
| Provider Name | Stephanie M Ferrara | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1790114965 PECOS PAC ID: 5597043836 Enrollment ID: I20161020002287  | 
| Provider Name | Elizabeth Ann Noller | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1154878296 PECOS PAC ID: 6608158548 Enrollment ID: I20170130000159  | 
| Provider Name | Christopher W. Zukowski | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1407826746 PECOS PAC ID: 1951599323 Enrollment ID: I20171120000046  | 
| Provider Name | Rebecca L Buckley | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205394954 PECOS PAC ID: 2365777331 Enrollment ID: I20190712001265  | 
| Provider Name | Stephanie Ann Papa | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1710536842 PECOS PAC ID: 0648602227 Enrollment ID: I20191120001334  | 
| Provider Name | Christina E Sawires | 
|---|---|
| Provider Type | Practitioner - Podiatry | 
| Provider Identifiers | NPI Number: 1487182911 PECOS PAC ID: 0941629877 Enrollment ID: I20200928000040  | 
| Provider Name | Amy A Werner | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1770048522 PECOS PAC ID: 1052382942 Enrollment ID: I20200929000584  | 
| Provider Name | Justin Anthony Herrel | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1922537919 PECOS PAC ID: 0244646586 Enrollment ID: I20210310002222  | 
| Provider Name | Lindsey Peragallo-flynn | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1326543091 PECOS PAC ID: 1254686116 Enrollment ID: I20211118001096  | 
| Provider Name | Nicole G Babushkin | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1912495284 PECOS PAC ID: 0345634655 Enrollment ID: I20220303000301  | 
| Provider Name | Ashley Aya | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1295298594 PECOS PAC ID: 3577938091 Enrollment ID: I20230413002193  | 
| Provider Name | Amanda Dawson | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1134681455 PECOS PAC ID: 6901262419 Enrollment ID: I20230524003874  | 
| Provider Name | Giuseppe Filice | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1164983383 PECOS PAC ID: 0941667489 Enrollment ID: I20230527000007  | 
| Provider Name | Amanda M Zurlo | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1992556468 PECOS PAC ID: 9335581339 Enrollment ID: I20240522001856  | 
| Provider Name | Priya Patel | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1770167017 PECOS PAC ID: 4587191846 Enrollment ID: I20241227000046  | 
| Provider Name | Stephen J Ugbogbo | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1689315780 PECOS PAC ID: 0042732810 Enrollment ID: I20250321000206  | 
| Provider Name | Mary Rose Ramos Gallardo | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1255412391 PECOS PAC ID: 6709300700 Enrollment ID: I20250411001737  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Somc Medical Group Pc 1200 Jumping Brook Rd, Building 5, Neptune, NJ 07753-2634 Ph: (732) 643-4321  | Somc Medical Group Pc 2290 W County Line Rd, Jackson, NJ 08527-2267 Ph: (732) 364-3881  |