| Advocare, Llc | |
|
401 Route 73 N Ste 320 Marlton NJ 08053-3426 | |
| (856) 872-7055 | |
| Not Available |
| Full Name | Advocare, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 401 Route 73 N Ste 320, Marlton, New Jersey |
| Authorized Official Name and Position | Dawn M Candia (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 8568727053 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocare, Llc 401 Route 73 N Ste 320 Marlton NJ 08053-3426 Ph: (856) 872-7055 | Advocare, Llc 401 Route 73 N Ste 320 Marlton NJ 08053-3426 Ph: (856) 872-7055 |
| NPI Number | 1770538696 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 11/22/2021 |
| Medicare PECOS PAC ID | 3678562188 |
|---|---|
| Medicare Enrollment ID | O20040510001217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770538696 | NPI | - | NPPES |
| 31D0115336 | Other | ADVOCARE MEDICAL CENTER AT BUDD LAKE- CLIA | |
| 31D0118770 | Other | ADVOCARE THE FARM PEDIATRICS- CLIA | |
| 31D0119922 | Other | ADVOCARE SOUTH JERSEY PEDIATRICS- CLIA | |
| 31D1073248 | Other | ADVOCARE KRESSVILLE PEDIATRICS- CLIA | |
| 31D1087657 | Other | ADVOCARE ATRIUM PEDIATRICS- CLIA | |
| 31D1105569 | Other | ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA | |
| 31D0691840 | Other | ADVOCARE PEDIATRIC PHYSICIANS OF BURLINGTON COUNTY- CLIA | |
| 31D0698283 | Other | ADVOCARE MARLTON PEDIATRICS- CLIA | |
| 31D0707941 | Other | ADVOCARE MERCHANTVILLE PEDIATRIC ASSOCIATION- CLIA | |
| 31D0911582 | Other | ADVOCARE GROVE FAMILY MEDICAL ASSOCIATES- CLIA | |
| 31D0996061 | Other | ADVOCARE PRIMARY CARE FOR ADULTS- CLIA | |
| 31D0117249 | Other | ADVOCARE SOUTH JERSEY PEDIATRICS- CLIA | |
| 31D2004042 | Other | ADVOCARE DELGIORNO ENDOCRINOLOGY- CLIA | |
| 39D0203503 | Other | ADVOCARE BROOMALL PEDIATRICS- CLIA | |
| MULTIPLE MEDICAID | Other | NJ | 24 GROUPS |
| 31D0118892 | Other | ADVOCARE MOORESTOWN FAMILY PRACTICE- CLIA | |
| 31D0119875 | Other | ADVOCARE CORNERSTONE PEDIATRICS- CLIA | |
| 31D0676726 | Other | ADVOCARE GARDEN STATE PEDIATRIC AND ADOLESCENT MEDICINE | |
| 31D0881246 | Other | ADVOCARE DELRAN PEDIATRICS- CLIA | |
| 31D1028404 | Other | ADVOCARE TOWNSHIP PEDIATRICS- CLIA | |
| 31D1086880 | Other | ADVOCARE WOOLWICH PEDIATRICS- CLIA | |
| DA5946 | Other | RAILROAD MEDICARE | |
| 001629A | Other | ADVOCARE SOCIETY HILL PEDIATRICS- CLIA | |
| 31D0115763 | Other | ADVOCARE SUSSEX COUNTY PEDIATRICS- CLIA | |
| 31D0117766 | Other | ADVOCARE HADDONFIELD PEDIATRIC ASSOCIATION- CLIA | |
| 31D0118078 | Other | ADVOCARE ADVANCED PRIMARY CARE- CLIA | |
| 31D0947475 | Other | ADVOCARE GIGLIOTTI FAMILY MEDICINE- CLIA | |
| 31D1044755 | Other | ADVOCARE GREENTREE PEDIATRICS- CLIA | |
| 39D0878614 | Other | ADVOCARE CHILDRENS MEDICAL ASSOCIATES- CLIA | |
| 31D0115970 | Other | ADVOCARE WEST MORRIS PEDIATRICS- CLIA | |
| 31D0117398 | Other | ADVOCARE DELGIORNO PEDIATRICS- CLIA | |
| 31D0117875 | Other | ADVOCARE MEDFORD PEDIATRIC AND ADOLESCENT MEDICINE- CLIA | |
| 31D0959843 | Other | ADVOCARE HAMMONTON PEDIATRICS- CLIA | |
| 31D1020849 | Other | ADVOCARE FAMILY CARE CENTER OF MOORESTOWN- CLIA | |
| 39D0878611 | Other | ADVOCARE CHILDRENS MEDICAL ASSOCIATES- CLIA | |
| 31D0116586 | Other | ADVOCARE AYGEN PEDIATRICS- CLIA | |
| 31D0117993 | Other | ADVOCARE HEIGHTS PRIMARY CARE- CLIA | |
| 31D0118244 | Other | ADVOCARE THE FARM PEDIATRICS- CLIA | |
| 31D0901275 | Other | ADVOCARE WEST DEPTFORD PEDIATRICS- CLIA | |
| 31D0953106 | Other | ADVOCARE WEST DEPTFORD PEDIATRICS- CLIA | |
| 31D0962378 | Other | ADVOCARE SICKERLVILLE INTERNAL MEDICINE ASSOCIATES- CLIA | |
| 31D1085920 | Other | ADVOCARE ATRIUM PEDIATRICS- CLIA | |
| 39D0202342 | Other | ADVOCARE MAIN LINE PEDIATRICS- CLIA | |
| 021601A | Other | ADVOCARE PEDIATRIC MEDICAL ASSOCIATES- CLIA | |
| 31D0118010 | Other | ADVOCARE HADDON PEDIATRIC GROUP- CLIA | |
| 31D0118841 | Other | ADVOCARE HERITAGE FAMILY MEDICINE- CLIA | |
| 31D0902833 | Other | ADVOCARE FAMILY HEALTH AT MT. OLIVE- CLIA | |
| 31D0978203 | Other | ADVOCARE MAIN STREET MEDICAL ASSOCIATES- CLIA | |
| 39D0202793 | Other | ADVOCARE MAIN LINE PEDIATRICS- CLIA |
| Provider Name | Malgorzata Nagorna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841240413 PECOS PAC ID: 8921903949 Enrollment ID: I20031203000547 |
| Provider Name | Jeffrey R Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477532802 PECOS PAC ID: 6305743402 Enrollment ID: I20031217000244 |
| Provider Name | Daniel M Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417950767 PECOS PAC ID: 4981504701 Enrollment ID: I20040109000353 |
| Provider Name | Jin P Guo |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1205852464 PECOS PAC ID: 0648172874 Enrollment ID: I20040127000173 |
| Provider Name | Samantha Leib |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043224140 PECOS PAC ID: 4486547288 Enrollment ID: I20040205000462 |
| Provider Name | Jason T Pecarsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487660684 PECOS PAC ID: 3173418480 Enrollment ID: I20040217000119 |
| Provider Name | Lucinda Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750364261 PECOS PAC ID: 5294621066 Enrollment ID: I20040227000017 |
| Provider Name | Victor G Gentile |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821060187 PECOS PAC ID: 6002702719 Enrollment ID: I20040227000338 |
| Provider Name | Marybeth Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588734008 PECOS PAC ID: 4880581701 Enrollment ID: I20040303001124 |
| Provider Name | Kavita Gupta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699745828 PECOS PAC ID: 6507769858 Enrollment ID: I20040308000214 |
| Provider Name | Aazim S Hussain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134167596 PECOS PAC ID: 9537058946 Enrollment ID: I20040313000139 |
| Provider Name | Velmina Rivera |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235120213 PECOS PAC ID: 5991791592 Enrollment ID: I20040421000167 |
| Provider Name | Michael A Renzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962491241 PECOS PAC ID: 2860395860 Enrollment ID: I20040421000188 |
| Provider Name | Alexander J Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720077001 PECOS PAC ID: 7214830215 Enrollment ID: I20040421000208 |
| Provider Name | Eytan A Irwin |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1801897319 PECOS PAC ID: 7113913229 Enrollment ID: I20040423000428 |
| Provider Name | Christopher J Boynton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265433536 PECOS PAC ID: 6800882838 Enrollment ID: I20040423000624 |
| Provider Name | Roberta G Felsenstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245453646 PECOS PAC ID: 4789670738 Enrollment ID: I20040423000808 |
| Provider Name | Joseph Sireci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659313005 PECOS PAC ID: 5092701060 Enrollment ID: I20040423000947 |
| Provider Name | Howard J Winter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689676454 PECOS PAC ID: 9931195922 Enrollment ID: I20040423001081 |
| Provider Name | Robert L Gardine |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1659372167 PECOS PAC ID: 9931195930 Enrollment ID: I20040423001156 |
| Provider Name | Kenneth N Panitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528038403 PECOS PAC ID: 9436145125 Enrollment ID: I20040426000810 |
| Provider Name | Bruce M Schnall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154328748 PECOS PAC ID: 3971409814 Enrollment ID: I20040506001288 |
| Provider Name | Lucy L Chen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366556615 PECOS PAC ID: 9537146089 Enrollment ID: I20040701001262 |
| Provider Name | Rocco A Simmerano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518973296 PECOS PAC ID: 3870572076 Enrollment ID: I20040720000082 |
| Provider Name | Parvin Alizadeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730109919 PECOS PAC ID: 8628048915 Enrollment ID: I20040726001027 |
| Provider Name | Marissa B Weiss Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972544062 PECOS PAC ID: 0244200509 Enrollment ID: I20040727000058 |
| Provider Name | Helen Gorlitsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164458683 PECOS PAC ID: 3173595675 Enrollment ID: I20040806000086 |
| Provider Name | Neeraja Kairam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487691135 PECOS PAC ID: 2365415726 Enrollment ID: I20040816000194 |
| Provider Name | Julie S Whitney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568555357 PECOS PAC ID: 3274506498 Enrollment ID: I20040817000085 |
| Provider Name | John Vitolo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922074616 PECOS PAC ID: 8628041308 Enrollment ID: I20040819000944 |
| Provider Name | David Gigliotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518920552 PECOS PAC ID: 9739153917 Enrollment ID: I20040824000067 |
| Provider Name | Salah M Mohageb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679599260 PECOS PAC ID: 6406820240 Enrollment ID: I20040825001580 |
| Provider Name | Ralph Dauito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073562872 PECOS PAC ID: 6305820648 Enrollment ID: I20040831000581 |
| Provider Name | Scott R Schaffer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013940717 PECOS PAC ID: 8921074873 Enrollment ID: I20040902000743 |
| Provider Name | Seeta Arjun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669401535 PECOS PAC ID: 9032185160 Enrollment ID: I20040909000341 |
| Provider Name | Sean Michael Goudsward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114972999 PECOS PAC ID: 0941277727 Enrollment ID: I20040913000003 |
| Provider Name | William Furey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790822427 PECOS PAC ID: 6103893516 Enrollment ID: I20040915000328 |
| Provider Name | Sanjay Misra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528096948 PECOS PAC ID: 0840268983 Enrollment ID: I20040917000149 |
| Provider Name | Eric S Baskin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326043431 PECOS PAC ID: 5698744035 Enrollment ID: I20041001000206 |
| Provider Name | Dean T Filion |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679513188 PECOS PAC ID: 8729048269 Enrollment ID: I20041021000343 |
| Provider Name | Stacy A Smith Elfant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164470787 PECOS PAC ID: 4183685084 Enrollment ID: I20041025000156 |
| Provider Name | Donna Demelia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942417803 PECOS PAC ID: 8628039278 Enrollment ID: I20041026000882 |
| Provider Name | Wanda I Coss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326025404 PECOS PAC ID: 2961464466 Enrollment ID: I20041028000019 |
| Provider Name | Lawrence S Deutsch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588636534 PECOS PAC ID: 6709779986 Enrollment ID: I20041029000741 |
| Provider Name | Joseph J Conti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679552921 PECOS PAC ID: 2961497649 Enrollment ID: I20041101000202 |
| Provider Name | Michael A Falk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316905425 PECOS PAC ID: 5496717175 Enrollment ID: I20041104000009 |
| Provider Name | Kimberly B Osias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922006899 PECOS PAC ID: 8123083425 Enrollment ID: I20041129000596 |
| Provider Name | Shirley Bembo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023041472 PECOS PAC ID: 7113983222 Enrollment ID: I20041209000393 |
| Provider Name | Brenda Kurnik |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730180555 PECOS PAC ID: 4486611779 Enrollment ID: I20041218000020 |
| Provider Name | Debra S Malley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447299748 PECOS PAC ID: 3779541503 Enrollment ID: I20041228000143 |
| Provider Name | Richard Kovach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144209891 PECOS PAC ID: 9234197799 Enrollment ID: I20041230000053 |
| Provider Name | Christopher T Carey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518069970 PECOS PAC ID: 4486612835 Enrollment ID: I20041230000705 |
| Provider Name | Jodi A Benett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154351724 PECOS PAC ID: 7315995446 Enrollment ID: I20050105000895 |
| Provider Name | Benjamin A Rosenblum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316904410 PECOS PAC ID: 3274582978 Enrollment ID: I20050120000327 |
| Provider Name | Thomas Rone Nugent |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457321044 PECOS PAC ID: 8527018530 Enrollment ID: I20050127000569 |
| Provider Name | Susan I Kaufman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275504193 PECOS PAC ID: 7315998804 Enrollment ID: I20050202000121 |
| Provider Name | Kelly Barranger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285646026 PECOS PAC ID: 2264483148 Enrollment ID: I20050208000866 |
| Provider Name | Jayeshkumar K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316980527 PECOS PAC ID: 3072565704 Enrollment ID: I20050210000680 |
| Provider Name | Matthew P Olivo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669524088 PECOS PAC ID: 9830144435 Enrollment ID: I20050316000839 |
| Provider Name | Maynard R Holgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679526396 PECOS PAC ID: 4486649167 Enrollment ID: I20050317000663 |
| Provider Name | Eric B Grossman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659342202 PECOS PAC ID: 0042265357 Enrollment ID: I20050321000256 |
| Provider Name | Sudhir K Agarwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215006275 PECOS PAC ID: 9537116744 Enrollment ID: I20050331000104 |
| Provider Name | Indira L Amato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841385424 PECOS PAC ID: 3870540693 Enrollment ID: I20050405000021 |
| Provider Name | David M Elbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124053681 PECOS PAC ID: 1658318464 Enrollment ID: I20050415000005 |
| Provider Name | Benjamin I Blank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891786455 PECOS PAC ID: 4981648854 Enrollment ID: I20050613000722 |
| Provider Name | Diane E Fresca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104084649 PECOS PAC ID: 9931143294 Enrollment ID: I20050616001107 |
| Provider Name | Michael A Hassman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922002765 PECOS PAC ID: 4789629890 Enrollment ID: I20050620000965 |
| Provider Name | Joseph J Hickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639197239 PECOS PAC ID: 0941236244 Enrollment ID: I20050708000492 |
| Provider Name | Jen Lih Kou |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1386731354 PECOS PAC ID: 6002842234 Enrollment ID: I20050711000546 |
| Provider Name | Srilalitha Donepudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417048208 PECOS PAC ID: 1850327834 Enrollment ID: I20050712000008 |
| Provider Name | Alicia L Daniels |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831186733 PECOS PAC ID: 6507892122 Enrollment ID: I20050719000050 |
| Provider Name | Laxmi Solanki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518991157 PECOS PAC ID: 8527095116 Enrollment ID: I20050726000393 |
| Provider Name | Robert D Brady |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851335319 PECOS PAC ID: 4183684624 Enrollment ID: I20050810000873 |
| Provider Name | Judy Kerlin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1487612503 PECOS PAC ID: 4981633880 Enrollment ID: I20050811000139 |
| Provider Name | Sandra M Jakubowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861433229 PECOS PAC ID: 6204865496 Enrollment ID: I20050831000559 |
| Provider Name | Nicholas L Depace |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467496687 PECOS PAC ID: 4284679150 Enrollment ID: I20050831000606 |
| Provider Name | Mayumi A Mori |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003819905 PECOS PAC ID: 3678505401 Enrollment ID: I20050901000177 |
| Provider Name | Louis H Balsama |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861462939 PECOS PAC ID: 4688606338 Enrollment ID: I20050902000254 |
| Provider Name | Julian M Maressa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275643116 PECOS PAC ID: 9335116466 Enrollment ID: I20050913000350 |
| Provider Name | Norma J Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912944968 PECOS PAC ID: 6507899689 Enrollment ID: I20050919000367 |
| Provider Name | Meryl Y Stein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770590648 PECOS PAC ID: 4789617275 Enrollment ID: I20050921000079 |
| Provider Name | Spring R Matthews Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093746554 PECOS PAC ID: 5395779615 Enrollment ID: I20050926000351 |
| Provider Name | John D Giardino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790709624 PECOS PAC ID: 6204860737 Enrollment ID: I20050926000645 |
| Provider Name | Susan M Midili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487694774 PECOS PAC ID: 3375583560 Enrollment ID: I20050927001215 |
| Provider Name | Gabriel H Wong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194759225 PECOS PAC ID: 2365472305 Enrollment ID: I20051007000120 |
| Provider Name | Louis P Melchiorre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023096062 PECOS PAC ID: 5597799775 Enrollment ID: I20051018000976 |
| Provider Name | John R Waldron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154356343 PECOS PAC ID: 6709802770 Enrollment ID: I20051019000265 |
| Provider Name | Debra M Epstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821060005 PECOS PAC ID: 8628054020 Enrollment ID: I20051027000052 |
| Provider Name | Ajit Mathur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124049200 PECOS PAC ID: 5395769301 Enrollment ID: I20060123000831 |
| Provider Name | Aimee T Lariviere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154360592 PECOS PAC ID: 7315954369 Enrollment ID: I20060315000646 |
| Provider Name | Krista H King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053372136 PECOS PAC ID: 9931118155 Enrollment ID: I20060418000081 |
| Provider Name | Eric L Gross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215937602 PECOS PAC ID: 4880603976 Enrollment ID: I20060418000663 |
| Provider Name | Judith C Hugh-goffe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346232964 PECOS PAC ID: 1153330188 Enrollment ID: I20060419000258 |
| Provider Name | Jeffrey H Aroesty |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780633131 PECOS PAC ID: 1557373495 Enrollment ID: I20060615000127 |
| Provider Name | Que-chi Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558314641 PECOS PAC ID: 7911978101 Enrollment ID: I20060621000039 |
| Provider Name | Michele Corrice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821085143 PECOS PAC ID: 0244243400 Enrollment ID: I20060711000398 |
| Provider Name | Anne Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487603866 PECOS PAC ID: 8224041496 Enrollment ID: I20060711000420 |
| Provider Name | Edwin Abogado Empaynado |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1326071713 PECOS PAC ID: 3375546872 Enrollment ID: I20060823000562 |
| Provider Name | Carole E Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083666333 PECOS PAC ID: 1456355205 Enrollment ID: I20060908000310 |
| Provider Name | Mahalakshmi Seshadri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861419830 PECOS PAC ID: 5496759144 Enrollment ID: I20060912000016 |
| Provider Name | Trigun Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811927759 PECOS PAC ID: 9234130089 Enrollment ID: I20070123000202 |
| Provider Name | Carmen H Lebron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902872468 PECOS PAC ID: 2769483999 Enrollment ID: I20070130000689 |
| Provider Name | Danielle Alyce Sasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811958994 PECOS PAC ID: 8123020153 Enrollment ID: I20070205000369 |
| Provider Name | Connie R Kartoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093726044 PECOS PAC ID: 3870595630 Enrollment ID: I20070207000202 |
| Provider Name | Charles C Choe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629081211 PECOS PAC ID: 4486656006 Enrollment ID: I20070212000400 |
| Provider Name | Barbara L Hearle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417037722 PECOS PAC ID: 0345344099 Enrollment ID: I20070406000015 |
| Provider Name | John T Schwika |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699786798 PECOS PAC ID: 3173628310 Enrollment ID: I20070418000110 |
| Provider Name | Liliane M Quinlan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104985514 PECOS PAC ID: 0749387785 Enrollment ID: I20070525000247 |
| Provider Name | Susanne R Adamson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679646012 PECOS PAC ID: 6709983778 Enrollment ID: I20070525000564 |
| Provider Name | Michele Godorecci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255402079 PECOS PAC ID: 2264532381 Enrollment ID: I20070702000673 |
| Provider Name | Mark A Oswald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215935655 PECOS PAC ID: 6800893322 Enrollment ID: I20070730000636 |
| Provider Name | Cynthia M Saint Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669592606 PECOS PAC ID: 3476644675 Enrollment ID: I20070802000062 |
| Provider Name | Sarah A Werbel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063500775 PECOS PAC ID: 6305738154 Enrollment ID: I20070808000034 |
| Provider Name | Valerie Schiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194823880 PECOS PAC ID: 6800980095 Enrollment ID: I20070919000277 |
| Provider Name | Seth Jason Kanowitz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649375759 PECOS PAC ID: 1153328125 Enrollment ID: I20070925000318 |
| Provider Name | David M Kline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568653558 PECOS PAC ID: 1153417878 Enrollment ID: I20071011000050 |
| Provider Name | Sylvia Baszak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407958606 PECOS PAC ID: 6103912704 Enrollment ID: I20071012000018 |
| Provider Name | Julius A Mingroni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669485751 PECOS PAC ID: 5395831911 Enrollment ID: I20071012000219 |
| Provider Name | Tamara E Minghenelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639369879 PECOS PAC ID: 7618064742 Enrollment ID: I20071106000324 |
| Provider Name | Jason M Hollander |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093890303 PECOS PAC ID: 1153218227 Enrollment ID: I20071126000656 |
| Provider Name | Gary H Levin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568440592 PECOS PAC ID: 0244254894 Enrollment ID: I20071218000458 |
| Provider Name | Shanthi Subbiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104897370 PECOS PAC ID: 5597794446 Enrollment ID: I20071228000065 |
| Provider Name | Herbert M Jung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568418101 PECOS PAC ID: 0446332852 Enrollment ID: I20080124000164 |
| Provider Name | Karen R Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609822501 PECOS PAC ID: 8022190446 Enrollment ID: I20080124000218 |
| Provider Name | Anthony G Miccio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346280567 PECOS PAC ID: 2668574955 Enrollment ID: I20080124000376 |
| Provider Name | Suma B Ghanta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609818756 PECOS PAC ID: 0840372280 Enrollment ID: I20080124000406 |
| Provider Name | William R Freund |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831192541 PECOS PAC ID: 3072695212 Enrollment ID: I20080128000487 |
| Provider Name | Lori M Kitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891781043 PECOS PAC ID: 1951215995 Enrollment ID: I20080221000324 |
| Provider Name | Elena Nirenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295955219 PECOS PAC ID: 6406930544 Enrollment ID: I20080227000528 |
| Provider Name | David S Bechtel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427091560 PECOS PAC ID: 9032293147 Enrollment ID: I20080228000197 |
| Provider Name | Ava A Cavaliere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063596179 PECOS PAC ID: 1557447620 Enrollment ID: I20080329000067 |
| Provider Name | Gurbir S Saluja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548229081 PECOS PAC ID: 2668558693 Enrollment ID: I20080331000404 |
| Provider Name | Gurmit S Saluja |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417916941 PECOS PAC ID: 1355427394 Enrollment ID: I20080331000438 |
| Provider Name | Jean A Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447437074 PECOS PAC ID: 5890872790 Enrollment ID: I20080402000534 |
| Provider Name | Francis C Meeteer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184670200 PECOS PAC ID: 1658458187 Enrollment ID: I20080409000098 |
| Provider Name | Richard F Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356381388 PECOS PAC ID: 1557448081 Enrollment ID: I20080409000108 |
| Provider Name | Christine Marie Culkin-gemmell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770697617 PECOS PAC ID: 7719064062 Enrollment ID: I20080410000377 |
| Provider Name | Charles J Sharkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104835040 PECOS PAC ID: 6901983055 Enrollment ID: I20080414000428 |
| Provider Name | Andrew M Cogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346280591 PECOS PAC ID: 0749368496 Enrollment ID: I20080421000333 |
| Provider Name | Caryn K Bandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851301618 PECOS PAC ID: 5597843201 Enrollment ID: I20080422000267 |
| Provider Name | Irina Levin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477749182 PECOS PAC ID: 0244318715 Enrollment ID: I20080424000006 |
| Provider Name | David A Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811078488 PECOS PAC ID: 2860571866 Enrollment ID: I20080501000617 |
| Provider Name | Bernice L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174515795 PECOS PAC ID: 1052480456 Enrollment ID: I20080527000015 |
| Provider Name | Elizabeth Joan Pollard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952333833 PECOS PAC ID: 2668371394 Enrollment ID: I20080606000625 |
| Provider Name | Scott W Kuptsow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922048941 PECOS PAC ID: 7416029921 Enrollment ID: I20080627000403 |
| Provider Name | David S Hulbert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609864370 PECOS PAC ID: 7618062886 Enrollment ID: I20080711000081 |
| Provider Name | Francine M Siegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285621078 PECOS PAC ID: 1254426422 Enrollment ID: I20080711000109 |
| Provider Name | Michael T Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871580639 PECOS PAC ID: 0345335519 Enrollment ID: I20080711000122 |
| Provider Name | Michael I Zalkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831186626 PECOS PAC ID: 9133291834 Enrollment ID: I20080711000151 |
| Provider Name | Anthony A Lafferty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285709204 PECOS PAC ID: 3072688399 Enrollment ID: I20080821000358 |
| Provider Name | Ellyn K Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679772610 PECOS PAC ID: 7911073952 Enrollment ID: I20080827000608 |
| Provider Name | Samuel E Epstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609872555 PECOS PAC ID: 9133287436 Enrollment ID: I20081015000011 |
| Provider Name | Jack J Devita |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588624340 PECOS PAC ID: 9830294651 Enrollment ID: I20081023000162 |
| Provider Name | Neil M Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689634438 PECOS PAC ID: 4587605910 Enrollment ID: I20081023000184 |
| Provider Name | Vladimir Bozic |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871798777 PECOS PAC ID: 1456446103 Enrollment ID: I20081023000234 |
| Provider Name | Michael J Sasso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568469153 PECOS PAC ID: 4385625565 Enrollment ID: I20081107000749 |
| Provider Name | Christopher F Colopinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659341923 PECOS PAC ID: 9830090091 Enrollment ID: I20081215000290 |
| Provider Name | John Bermingham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700847910 PECOS PAC ID: 8729141544 Enrollment ID: I20090106000038 |
| Provider Name | Marc Lawrence Benton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003817156 PECOS PAC ID: 4284625518 Enrollment ID: I20090210000673 |
| Provider Name | Caroline Ropiak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134257470 PECOS PAC ID: 2466516000 Enrollment ID: I20090211000318 |
| Provider Name | Jennifer J Shiroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477751659 PECOS PAC ID: 4981760758 Enrollment ID: I20090303000104 |
| Provider Name | Nicholas G Palladino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639116569 PECOS PAC ID: 1850386533 Enrollment ID: I20090306000419 |
| Provider Name | Lydia M Grebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780788729 PECOS PAC ID: 0941367056 Enrollment ID: I20090317000290 |
| Provider Name | Charles Morgan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104930460 PECOS PAC ID: 5496642225 Enrollment ID: I20090413000398 |
| Provider Name | Jennifer T Agnello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447292396 PECOS PAC ID: 2466509237 Enrollment ID: I20090414000106 |
| Provider Name | Reem Jaber Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326231879 PECOS PAC ID: 3375690712 Enrollment ID: I20090422000086 |
| Provider Name | James Crudele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073577920 PECOS PAC ID: 2264417443 Enrollment ID: I20090501000314 |
| Provider Name | Aubrey Moyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861539926 PECOS PAC ID: 9537233275 Enrollment ID: I20090507000393 |
| Provider Name | Trevor Desouza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972699205 PECOS PAC ID: 3375691918 Enrollment ID: I20090508000089 |
| Provider Name | Leonid L Topper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851487193 PECOS PAC ID: 6507779469 Enrollment ID: I20090515000209 |
| Provider Name | Arthur M Treiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932280526 PECOS PAC ID: 8820140593 Enrollment ID: I20090714000407 |
| Provider Name | Sonal Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336285899 PECOS PAC ID: 9436203015 Enrollment ID: I20090817000292 |
| Provider Name | Lianne M Dehnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912984014 PECOS PAC ID: 6204980725 Enrollment ID: I20090819000036 |
| Provider Name | Misa Belazi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407911464 PECOS PAC ID: 5799831731 Enrollment ID: I20090916000754 |
| Provider Name | Dolores C Fee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821202201 PECOS PAC ID: 0648326454 Enrollment ID: I20090921000266 |
| Provider Name | Michael A Lawandy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134324841 PECOS PAC ID: 1658427034 Enrollment ID: I20090928000123 |
| Provider Name | Charles J Delgiorno |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548455314 PECOS PAC ID: 1951484716 Enrollment ID: I20091019000414 |
| Provider Name | Michael R Malone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194916908 PECOS PAC ID: 8123165123 Enrollment ID: I20091023000352 |
| Provider Name | Arun Kachroo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609840602 PECOS PAC ID: 3577561752 Enrollment ID: I20091026000346 |
| Provider Name | Seth M Keller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366557043 PECOS PAC ID: 4486652666 Enrollment ID: I20091026000399 |
| Provider Name | Jonathan I Orwitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659486611 PECOS PAC ID: 7214935493 Enrollment ID: I20091026000449 |
| Provider Name | Sefton C Vergano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427266717 PECOS PAC ID: 9830236603 Enrollment ID: I20091027000702 |
| Provider Name | Jamie Strause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972608685 PECOS PAC ID: 2961541917 Enrollment ID: I20091203000637 |
| Provider Name | Vijay Singh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174786297 PECOS PAC ID: 8426197427 Enrollment ID: I20091204000343 |
| Provider Name | Bruce J Romanczuk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427136993 PECOS PAC ID: 5294874012 Enrollment ID: I20091208000023 |
| Provider Name | Tamara M Fisicaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700094075 PECOS PAC ID: 8527107226 Enrollment ID: I20091208000754 |
| Provider Name | Rajendra B Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912961947 PECOS PAC ID: 5799826277 Enrollment ID: I20100106000123 |
| Provider Name | Ye Aung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427064138 PECOS PAC ID: 2264403815 Enrollment ID: I20100224000094 |
| Provider Name | Sherrylynn N Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487759130 PECOS PAC ID: 0244311306 Enrollment ID: I20100304000377 |
| Provider Name | Melanie Wassel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730264508 PECOS PAC ID: 5597792325 Enrollment ID: I20100317000912 |
| Provider Name | Katie H Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336381938 PECOS PAC ID: 5597890004 Enrollment ID: I20100323000192 |
| Provider Name | Brian P Brett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942386917 PECOS PAC ID: 2264569136 Enrollment ID: I20100423000854 |
| Provider Name | Jay M Bernstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053314955 PECOS PAC ID: 8022147206 Enrollment ID: I20100526000597 |
| Provider Name | Robert F Mazzuca |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831163237 PECOS PAC ID: 8224168240 Enrollment ID: I20100617000216 |
| Provider Name | Kenneth Cubelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346257581 PECOS PAC ID: 7810092491 Enrollment ID: I20100716000461 |
| Provider Name | Douglas J Cohen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366427007 PECOS PAC ID: 0042115818 Enrollment ID: I20100722000437 |
| Provider Name | Andrew J Blank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184720542 PECOS PAC ID: 6406841113 Enrollment ID: I20100820000096 |
| Provider Name | Frank Capecci |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184639940 PECOS PAC ID: 9638274210 Enrollment ID: I20100916000222 |
| Provider Name | Paul L Schell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770570541 PECOS PAC ID: 4587789078 Enrollment ID: I20100921001100 |
| Provider Name | Davonnie Marie Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144302530 PECOS PAC ID: 0446376727 Enrollment ID: I20100923000860 |
| Provider Name | Elina Nachevnik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396778684 PECOS PAC ID: 8426240730 Enrollment ID: I20101005000878 |
| Provider Name | Marty D Sweinhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447359963 PECOS PAC ID: 9537153556 Enrollment ID: I20101007000240 |
| Provider Name | Jennifer Lam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275862328 PECOS PAC ID: 8921290909 Enrollment ID: I20101008000512 |
| Provider Name | Lindsay D De Flesco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144352014 PECOS PAC ID: 4587747662 Enrollment ID: I20101012000111 |
| Provider Name | Joseph M Hassman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831193671 PECOS PAC ID: 5496948903 Enrollment ID: I20101015001250 |
| Provider Name | Christopher Vare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558688986 PECOS PAC ID: 5294928685 Enrollment ID: I20101018001062 |
| Provider Name | Lisa M Cutillo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881787851 PECOS PAC ID: 6305039264 Enrollment ID: I20101023000087 |
| Provider Name | Richard M Mauriello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023012952 PECOS PAC ID: 0042404493 Enrollment ID: I20101030000023 |
| Provider Name | Eugene A Gatti |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1144200601 PECOS PAC ID: 4688572472 Enrollment ID: I20101105000127 |
| Provider Name | Gregory R Toci |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1386624849 PECOS PAC ID: 4688869266 Enrollment ID: I20101109000446 |
| Provider Name | Joanne Marie Tobiasz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013230424 PECOS PAC ID: 4981899598 Enrollment ID: I20101109000835 |
| Provider Name | Ernest G Leva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144389537 PECOS PAC ID: 8820284409 Enrollment ID: I20101122000504 |
| Provider Name | Steve S Lim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548366487 PECOS PAC ID: 4587716527 Enrollment ID: I20101123000109 |
| Provider Name | Mary K Stailey-sims |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538198346 PECOS PAC ID: 6406042704 Enrollment ID: I20101129000905 |
| Provider Name | Pierre Rigens Valeus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306021027 PECOS PAC ID: 0547270589 Enrollment ID: I20101130000201 |
| Provider Name | Millard D Strutin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598798654 PECOS PAC ID: 5294734018 Enrollment ID: I20110103000414 |
| Provider Name | Patricia Patsaros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184934382 PECOS PAC ID: 6709065584 Enrollment ID: I20110126000049 |
| Provider Name | Nancy Carol Somer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023096302 PECOS PAC ID: 6204029358 Enrollment ID: I20110127000140 |
| Provider Name | Adeshola Fakulujo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528297678 PECOS PAC ID: 6608912126 Enrollment ID: I20110215001094 |
| Provider Name | Saba Aftab |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760674287 PECOS PAC ID: 2264612787 Enrollment ID: I20110216000834 |
| Provider Name | Wayne Epstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992865141 PECOS PAC ID: 5799896049 Enrollment ID: I20110301000787 |
| Provider Name | Glen P Wainen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831100999 PECOS PAC ID: 7810067626 Enrollment ID: I20110302000728 |
| Provider Name | Paula C Jasionowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255509857 PECOS PAC ID: 7618150343 Enrollment ID: I20110317000756 |
| Provider Name | Ramesh Ragothaman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356331482 PECOS PAC ID: 4183654775 Enrollment ID: I20110321000594 |
| Provider Name | Ana Mann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487816799 PECOS PAC ID: 1557544913 Enrollment ID: I20110322000645 |
| Provider Name | Wendy Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265504666 PECOS PAC ID: 2668559972 Enrollment ID: I20110328000592 |
| Provider Name | John W Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740291806 PECOS PAC ID: 1355438946 Enrollment ID: I20110330000470 |
| Provider Name | Jay M Kashkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235128497 PECOS PAC ID: 6800070400 Enrollment ID: I20110406000110 |
| Provider Name | Vijay K Kalola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649373978 PECOS PAC ID: 1557545993 Enrollment ID: I20110411000250 |
| Provider Name | William B Adams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083812705 PECOS PAC ID: 6305020454 Enrollment ID: I20110414000051 |
| Provider Name | Rose L Magness |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003863119 PECOS PAC ID: 4981888963 Enrollment ID: I20110418000245 |
| Provider Name | Patricia T Stafford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285672543 PECOS PAC ID: 5890979876 Enrollment ID: I20110419000561 |
| Provider Name | Michael A Deehan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306857461 PECOS PAC ID: 9638249444 Enrollment ID: I20110509000872 |
| Provider Name | Priya Airen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083801146 PECOS PAC ID: 4284810631 Enrollment ID: I20110519000061 |
| Provider Name | Debora A Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346258357 PECOS PAC ID: 9739365149 Enrollment ID: I20110519000730 |
| Provider Name | David R Hassman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922001841 PECOS PAC ID: 8527071570 Enrollment ID: I20110606000634 |
| Provider Name | Herman Philip Cohen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700966330 PECOS PAC ID: 1951588219 Enrollment ID: I20110614000495 |
| Provider Name | Donna Graziano Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437159027 PECOS PAC ID: 9133122120 Enrollment ID: I20110616000058 |
| Provider Name | Paige H Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831243815 PECOS PAC ID: 8325226558 Enrollment ID: I20110617000062 |
| Provider Name | Michael Richard Sinkoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720227002 PECOS PAC ID: 1456539477 Enrollment ID: I20110622000336 |
| Provider Name | Naresh J Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760798797 PECOS PAC ID: 0941488605 Enrollment ID: I20110628000377 |
| Provider Name | Deborah C Lentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780973131 PECOS PAC ID: 9133397680 Enrollment ID: I20110727000671 |
| Provider Name | Muhammad Sarwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902048168 PECOS PAC ID: 6901075878 Enrollment ID: I20110810000169 |
| Provider Name | Jennifer Yanoschak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255300778 PECOS PAC ID: 8123922853 Enrollment ID: I20110919000449 |
| Provider Name | Merrick Wetzler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396716239 PECOS PAC ID: 7113040965 Enrollment ID: I20110929000121 |
| Provider Name | Jeffrey Barrett Daniels |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538130471 PECOS PAC ID: 5890868673 Enrollment ID: I20110929000569 |
| Provider Name | Thomas James Odowd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598736423 PECOS PAC ID: 6709054745 Enrollment ID: I20110929000625 |
| Provider Name | Shahram J Mirmanesh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750335360 PECOS PAC ID: 5799958492 Enrollment ID: I20111025000258 |
| Provider Name | Miguel Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578724746 PECOS PAC ID: 1254504848 Enrollment ID: I20111026000583 |
| Provider Name | Esther Malave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992747885 PECOS PAC ID: 3375514748 Enrollment ID: I20111107000712 |
| Provider Name | Ansu Joy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629278536 PECOS PAC ID: 5294908117 Enrollment ID: I20111109000239 |
| Provider Name | Fawad Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006242 PECOS PAC ID: 0042364622 Enrollment ID: I20111117000475 |
| Provider Name | Laura Bonaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528078797 PECOS PAC ID: 0345415998 Enrollment ID: I20111208000675 |
| Provider Name | Donna D Elia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518039981 PECOS PAC ID: 0143495333 Enrollment ID: I20111216000589 |
| Provider Name | Uche O Eneanya |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912020736 PECOS PAC ID: 8123173218 Enrollment ID: I20111229000063 |
| Provider Name | George W Tarng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013204023 PECOS PAC ID: 9133395635 Enrollment ID: I20120105000089 |
| Provider Name | Faraz A Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760789390 PECOS PAC ID: 8325214687 Enrollment ID: I20120109000368 |
| Provider Name | Jonel Dershem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003988403 PECOS PAC ID: 6305012519 Enrollment ID: I20120110000064 |
| Provider Name | Kim Palermo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285840918 PECOS PAC ID: 2163523788 Enrollment ID: I20120120000188 |
| Provider Name | Keerti Thalayur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194047068 PECOS PAC ID: 8729245568 Enrollment ID: I20120206000506 |
| Provider Name | Richa Mishra |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346400207 PECOS PAC ID: 7315105715 Enrollment ID: I20120214000623 |
| Provider Name | Natalie Tsigonis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659301836 PECOS PAC ID: 9133387467 Enrollment ID: I20120216000168 |
| Provider Name | Meredith M Hunter Elischer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841586435 PECOS PAC ID: 5294993705 Enrollment ID: I20120229000591 |
| Provider Name | Vijay Seelall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821219171 PECOS PAC ID: 0749363430 Enrollment ID: I20120306000136 |
| Provider Name | John C Mirmanesh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780811034 PECOS PAC ID: 1355500216 Enrollment ID: I20120313000045 |
| Provider Name | Linda M Batastini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093099368 PECOS PAC ID: 2961663984 Enrollment ID: I20120418000135 |
| Provider Name | Patrick Michael Cronin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194817486 PECOS PAC ID: 1658373881 Enrollment ID: I20120430000263 |
| Provider Name | Renato J Giacchi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841224847 PECOS PAC ID: 7315101037 Enrollment ID: I20120608000506 |
| Provider Name | Daphne Dadzie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083945687 PECOS PAC ID: 2961668827 Enrollment ID: I20120720000112 |
| Provider Name | Damian W Sorvino |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962436964 PECOS PAC ID: 4082754379 Enrollment ID: I20120725000497 |
| Provider Name | Catherine J Albrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710242623 PECOS PAC ID: 7810143039 Enrollment ID: I20120803000278 |
| Provider Name | Devang V Lodhavia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679570634 PECOS PAC ID: 9133033129 Enrollment ID: I20120803000379 |
| Provider Name | Sara B Immerman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922204429 PECOS PAC ID: 8325294556 Enrollment ID: I20120803000444 |
| Provider Name | Raul Berio Dorta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225268444 PECOS PAC ID: 0840446654 Enrollment ID: I20120810000202 |
| Provider Name | Diego R Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578793030 PECOS PAC ID: 4385890979 Enrollment ID: I20120815000071 |
| Provider Name | Meredith A Kenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104056282 PECOS PAC ID: 8820244304 Enrollment ID: I20120816000372 |
| Provider Name | Daniel S Fabius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073884680 PECOS PAC ID: 8123275500 Enrollment ID: I20120821000448 |
| Provider Name | Aldrin Calingacion Amistoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457683518 PECOS PAC ID: 0941457329 Enrollment ID: I20120821000449 |
| Provider Name | Pamela A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295019552 PECOS PAC ID: 5092962126 Enrollment ID: I20120824000603 |
| Provider Name | Camelia S Vitoc |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225269970 PECOS PAC ID: 3274710033 Enrollment ID: I20120831000477 |
| Provider Name | Jasdeep S Sodhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922246396 PECOS PAC ID: 9537316070 Enrollment ID: I20120905000784 |
| Provider Name | April Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144588674 PECOS PAC ID: 8325296866 Enrollment ID: I20120907000298 |
| Provider Name | Sharon Castellino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033346291 PECOS PAC ID: 9032367867 Enrollment ID: I20120919000535 |
| Provider Name | Kelly L Sharkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336327022 PECOS PAC ID: 4981852597 Enrollment ID: I20120924000142 |
| Provider Name | Thanuja K Hamilton |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1073774691 PECOS PAC ID: 3971788076 Enrollment ID: I20120925000042 |
| Provider Name | Kristin A Le Beau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992092142 PECOS PAC ID: 1355591025 Enrollment ID: I20121016000362 |
| Provider Name | Lisa F Felkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427304252 PECOS PAC ID: 1254581804 Enrollment ID: I20121017000571 |
| Provider Name | Ibironke A Macaulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235426503 PECOS PAC ID: 9739343336 Enrollment ID: I20130107000073 |
| Provider Name | Swati Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376855908 PECOS PAC ID: 1759573868 Enrollment ID: I20130115000233 |
| Provider Name | Jillian Kae Tardif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548510662 PECOS PAC ID: 5092968206 Enrollment ID: I20130118000330 |
| Provider Name | Elena M Lumezanu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275700858 PECOS PAC ID: 4789839861 Enrollment ID: I20130220000359 |
| Provider Name | Christine A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942407747 PECOS PAC ID: 4082851761 Enrollment ID: I20130517000065 |
| Provider Name | Nathan D Bodin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881855955 PECOS PAC ID: 3375783384 Enrollment ID: I20130715000499 |
| Provider Name | Alexander Paul Materna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669616595 PECOS PAC ID: 4981857596 Enrollment ID: I20130717000501 |
| Provider Name | Diana Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467686162 PECOS PAC ID: 4587805619 Enrollment ID: I20130801000044 |
| Provider Name | Nisha I Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710226568 PECOS PAC ID: 9436391752 Enrollment ID: I20130815000167 |
| Provider Name | Angela Mukherjee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164718300 PECOS PAC ID: 3173765419 Enrollment ID: I20130815000427 |
| Provider Name | Parth Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992069264 PECOS PAC ID: 5698917870 Enrollment ID: I20130819000300 |
| Provider Name | Tetyana Nesteruk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598076242 PECOS PAC ID: 5698918746 Enrollment ID: I20130821000744 |
| Provider Name | Samantha Blakeslee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497070353 PECOS PAC ID: 7618110313 Enrollment ID: I20130828000503 |
| Provider Name | Bernard C Steinbacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700853751 PECOS PAC ID: 1759289663 Enrollment ID: I20130911000067 |
| Provider Name | Nicole F Vales-buckwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801069521 PECOS PAC ID: 6507000643 Enrollment ID: I20130911000780 |
| Provider Name | Jacek Jodelka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831414226 PECOS PAC ID: 2961646799 Enrollment ID: I20130918000307 |
| Provider Name | Eric A Dorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457529299 PECOS PAC ID: 7416181193 Enrollment ID: I20131011001280 |
| Provider Name | Alice J Spina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760725998 PECOS PAC ID: 3971737503 Enrollment ID: I20131014001115 |
| Provider Name | Alison Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669639969 PECOS PAC ID: 8426283763 Enrollment ID: I20131023000347 |
| Provider Name | Amar G Nanavati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871756791 PECOS PAC ID: 1658544564 Enrollment ID: I20140110000151 |
| Provider Name | Jennifer Marie Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154755692 PECOS PAC ID: 0749419182 Enrollment ID: I20140206000965 |
| Provider Name | Vincent Varghese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316145808 PECOS PAC ID: 8325215627 Enrollment ID: I20140212001139 |
| Provider Name | Kathryn S Klein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598961484 PECOS PAC ID: 2264608884 Enrollment ID: I20140218001056 |
| Provider Name | Scott C Hollander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609030758 PECOS PAC ID: 8224192323 Enrollment ID: I20140222000282 |
| Provider Name | Alice M Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699100263 PECOS PAC ID: 4688804495 Enrollment ID: I20140222000428 |
| Provider Name | Christine Sheehan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821063629 PECOS PAC ID: 2365673928 Enrollment ID: I20140324001350 |
| Provider Name | Anna C Arcaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992141626 PECOS PAC ID: 0143451666 Enrollment ID: I20140326002203 |
| Provider Name | Roji Andrews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417014523 PECOS PAC ID: 7719118959 Enrollment ID: I20140401000731 |
| Provider Name | Harry D Grossman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043309487 PECOS PAC ID: 2567421282 Enrollment ID: I20140422000553 |
| Provider Name | Sushma R Kaki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427260850 PECOS PAC ID: 8022241868 Enrollment ID: I20140502000349 |
| Provider Name | Regina Politis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245224856 PECOS PAC ID: 5799908703 Enrollment ID: I20140520002174 |
| Provider Name | Alejandra Giselle Borensztein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699909556 PECOS PAC ID: 1850515024 Enrollment ID: I20140609000813 |
| Provider Name | Jeffrey Petrozzino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083852958 PECOS PAC ID: 7911122197 Enrollment ID: I20140701001747 |
| Provider Name | Jessica Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295146918 PECOS PAC ID: 9436374071 Enrollment ID: I20140715001778 |
| Provider Name | Kamaljit Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811283633 PECOS PAC ID: 3274759840 Enrollment ID: I20140717001749 |
| Provider Name | Nancy Lorber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366576274 PECOS PAC ID: 2466679162 Enrollment ID: I20140804000769 |
| Provider Name | Lorenza Frisoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013246099 PECOS PAC ID: 2466679840 Enrollment ID: I20140807001965 |
| Provider Name | Clare Lipperini Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235420605 PECOS PAC ID: 3870710049 Enrollment ID: I20140812000985 |
| Provider Name | Steven M Tepper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790948016 PECOS PAC ID: 4981873304 Enrollment ID: I20140828000837 |
| Provider Name | Teresa Louise Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629481528 PECOS PAC ID: 5395963243 Enrollment ID: I20140905001945 |
| Provider Name | Beth Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578798617 PECOS PAC ID: 8123283017 Enrollment ID: I20140912000142 |
| Provider Name | Mohammad Abdeljawad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487917365 PECOS PAC ID: 1052530573 Enrollment ID: I20140916001287 |
| Provider Name | Giant Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699933044 PECOS PAC ID: 7517186885 Enrollment ID: I20140918001153 |
| Provider Name | Kavitha Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881974574 PECOS PAC ID: 5890916787 Enrollment ID: I20141017000648 |
| Provider Name | Gina A Tucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548670995 PECOS PAC ID: 4981826005 Enrollment ID: I20141105001008 |
| Provider Name | Rita Belobrov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588006209 PECOS PAC ID: 8325260557 Enrollment ID: I20141105002170 |
| Provider Name | Kim A Luciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740284496 PECOS PAC ID: 1850613076 Enrollment ID: I20141125001203 |
| Provider Name | Faith Tiver Foran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356740617 PECOS PAC ID: 0547246944 Enrollment ID: I20141218000542 |
| Provider Name | Mary Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245338771 PECOS PAC ID: 5496079303 Enrollment ID: I20150126000899 |
| Provider Name | Joanne M Galasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932505211 PECOS PAC ID: 7810212750 Enrollment ID: I20150217000669 |
| Provider Name | Rosily James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972912954 PECOS PAC ID: 1153646039 Enrollment ID: I20150218000175 |
| Provider Name | Alicia K Rapson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659533693 PECOS PAC ID: 7113165960 Enrollment ID: I20150402000351 |
| Provider Name | Brian H Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003214842 PECOS PAC ID: 1850619230 Enrollment ID: I20150415000829 |
| Provider Name | Rebecca Jean Abeyawardene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063800605 PECOS PAC ID: 3274852181 Enrollment ID: I20150427001737 |
| Provider Name | Maria B Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679831739 PECOS PAC ID: 3476872318 Enrollment ID: I20150428000305 |
| Provider Name | Kathleen D Lindemuth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982093811 PECOS PAC ID: 1153640412 Enrollment ID: I20150507002229 |
| Provider Name | Lauren Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265838296 PECOS PAC ID: 2466772272 Enrollment ID: I20150519001403 |
| Provider Name | Shira Rosenbaum-roller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326486408 PECOS PAC ID: 8527297902 Enrollment ID: I20150520002210 |
| Provider Name | Mathew Figueiras |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1942605225 PECOS PAC ID: 5991026940 Enrollment ID: I20150603001301 |
| Provider Name | Leonardo Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588686570 PECOS PAC ID: 2264753573 Enrollment ID: I20150611000597 |
| Provider Name | John Scarpitti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487958971 PECOS PAC ID: 0941485981 Enrollment ID: I20150624000457 |
| Provider Name | Aaron J Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164821500 PECOS PAC ID: 3375598147 Enrollment ID: I20150807013861 |
| Provider Name | Swathi Sanghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437387016 PECOS PAC ID: 6709033772 Enrollment ID: I20150817001602 |
| Provider Name | Elissa Hassman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891199188 PECOS PAC ID: 5799090676 Enrollment ID: I20150821012866 |
| Provider Name | Amara Nidimusili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073935037 PECOS PAC ID: 7315252178 Enrollment ID: I20150824000315 |
| Provider Name | Janine Kargul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598061673 PECOS PAC ID: 3870809635 Enrollment ID: I20150825004245 |
| Provider Name | Daniel S Ice |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669633004 PECOS PAC ID: 1850510348 Enrollment ID: I20150916001087 |
| Provider Name | Jessica Lynn Kraemer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881023786 PECOS PAC ID: 8426365834 Enrollment ID: I20150917001731 |
| Provider Name | Christina Josephine Mach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164813770 PECOS PAC ID: 1355658550 Enrollment ID: I20150921002922 |
| Provider Name | Ashley K Hammer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043506603 PECOS PAC ID: 9638487655 Enrollment ID: I20150924001578 |
| Provider Name | Ghulam Rahmani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477823441 PECOS PAC ID: 2567613045 Enrollment ID: I20150930000443 |
| Provider Name | Janet Weitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093038226 PECOS PAC ID: 9436280716 Enrollment ID: I20151002000690 |
| Provider Name | George Kargul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538376421 PECOS PAC ID: 8820166689 Enrollment ID: I20151009001073 |
| Provider Name | Charles Glass |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467748632 PECOS PAC ID: 0749407518 Enrollment ID: I20151012000123 |
| Provider Name | Nickolas Tyris |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821309154 PECOS PAC ID: 7214192848 Enrollment ID: I20151014002783 |
| Provider Name | Corina Pereira Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962881300 PECOS PAC ID: 6800105420 Enrollment ID: I20151022001156 |
| Provider Name | Pawan Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659697167 PECOS PAC ID: 5698914273 Enrollment ID: I20151026001556 |
| Provider Name | Stephen Tai |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689870073 PECOS PAC ID: 8729277686 Enrollment ID: I20151116001041 |
| Provider Name | Christina Dooley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508984147 PECOS PAC ID: 7012953862 Enrollment ID: I20151117001448 |
| Provider Name | Toni Michelle Seibert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861860256 PECOS PAC ID: 9739489980 Enrollment ID: I20151120000096 |
| Provider Name | Russell Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336518778 PECOS PAC ID: 4486954963 Enrollment ID: I20151207000505 |
| Provider Name | Alberto Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336519883 PECOS PAC ID: 1850693029 Enrollment ID: I20160105001192 |
| Provider Name | Candice Disanti |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013125632 PECOS PAC ID: 4183857444 Enrollment ID: I20160212000479 |
| Provider Name | Elizabeth Kosmetatos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386725281 PECOS PAC ID: 0648575605 Enrollment ID: I20160229002481 |
| Provider Name | Azmatullah Syed Hussaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366725335 PECOS PAC ID: 4587972906 Enrollment ID: I20160301000659 |
| Provider Name | Jinhee Bratu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189698 PECOS PAC ID: 5496052706 Enrollment ID: I20160401000087 |
| Provider Name | Kathleen A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207917 PECOS PAC ID: 9537466602 Enrollment ID: I20160405001237 |
| Provider Name | Elizabeth Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427324375 PECOS PAC ID: 9638477110 Enrollment ID: I20160418000181 |
| Provider Name | Desmond Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861862286 PECOS PAC ID: 3577866953 Enrollment ID: I20160504002500 |
| Provider Name | Kristin Hextall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790147304 PECOS PAC ID: 1850690348 Enrollment ID: I20160505000051 |
| Provider Name | Paula L Hasenauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346632452 PECOS PAC ID: 3375842867 Enrollment ID: I20160505000179 |
| Provider Name | Jason Magargle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619101797 PECOS PAC ID: 5193974780 Enrollment ID: I20160509001816 |
| Provider Name | Samir Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396087987 PECOS PAC ID: 5799090833 Enrollment ID: I20160511001132 |
| Provider Name | Olga Gonzalez-byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336516582 PECOS PAC ID: 1850680679 Enrollment ID: I20160518001612 |
| Provider Name | Seyed Shahmehdi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356521439 PECOS PAC ID: 4486841509 Enrollment ID: I20160606000191 |
| Provider Name | Arun Chawla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568611630 PECOS PAC ID: 1153467634 Enrollment ID: I20160607002252 |
| Provider Name | Victoria L Roccia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306291042 PECOS PAC ID: 6204128622 Enrollment ID: I20160706000021 |
| Provider Name | James Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750543567 PECOS PAC ID: 8820380074 Enrollment ID: I20160707002148 |
| Provider Name | Laura Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245654771 PECOS PAC ID: 3870896608 Enrollment ID: I20160721001860 |
| Provider Name | Aditi Mohankumar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629365440 PECOS PAC ID: 1052551454 Enrollment ID: I20160816000746 |
| Provider Name | Shruti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952746133 PECOS PAC ID: 8729373394 Enrollment ID: I20160822000406 |
| Provider Name | Tanveer Akhtar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609025691 PECOS PAC ID: 8325217086 Enrollment ID: I20160823001754 |
| Provider Name | Mary C Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700128725 PECOS PAC ID: 7517253321 Enrollment ID: I20160902001544 |
| Provider Name | Kwan Rivlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427396209 PECOS PAC ID: 3870728280 Enrollment ID: I20160912000843 |
| Provider Name | Leena R Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851655765 PECOS PAC ID: 1254628944 Enrollment ID: I20160923000547 |
| Provider Name | Andrea H Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922000520 PECOS PAC ID: 2567750664 Enrollment ID: I20161005001047 |
| Provider Name | Young J Genau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215948344 PECOS PAC ID: 2264529080 Enrollment ID: I20161018000447 |
| Provider Name | Ewa Ruel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023242799 PECOS PAC ID: 1850679291 Enrollment ID: I20161105000073 |
| Provider Name | Maria Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551742 PECOS PAC ID: 2163736448 Enrollment ID: I20161121001796 |
| Provider Name | Brian J Portanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336595800 PECOS PAC ID: 0446530307 Enrollment ID: I20161212000070 |
| Provider Name | Francisco Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548529282 PECOS PAC ID: 4789966805 Enrollment ID: I20170126000167 |
| Provider Name | Kelly E Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205234903 PECOS PAC ID: 8123300175 Enrollment ID: I20170126002060 |
| Provider Name | Natasha Ann-marie Kargbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275076762 PECOS PAC ID: 2567744386 Enrollment ID: I20170131000599 |
| Provider Name | Susheela Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619939642 PECOS PAC ID: 0143446377 Enrollment ID: I20170201000800 |
| Provider Name | Christine Kember |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336471226 PECOS PAC ID: 3870718877 Enrollment ID: I20170202001194 |
| Provider Name | Vincent Yacono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740319995 PECOS PAC ID: 1557656931 Enrollment ID: I20170213002616 |
| Provider Name | Jennifer Rae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299390 PECOS PAC ID: 5890078000 Enrollment ID: I20170214002238 |
| Provider Name | Racine B Zechowy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679669618 PECOS PAC ID: 4981988722 Enrollment ID: I20170223000617 |
| Provider Name | Annette Wilmott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982011250 PECOS PAC ID: 9234414202 Enrollment ID: I20170315000272 |
| Provider Name | Teresa Manocchio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144212002 PECOS PAC ID: 0648555441 Enrollment ID: I20170317000583 |
| Provider Name | Michael Foreman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801844188 PECOS PAC ID: 1759666985 Enrollment ID: I20170330000476 |
| Provider Name | Maureen Baxley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407868276 PECOS PAC ID: 5294010492 Enrollment ID: I20170331000247 |
| Provider Name | Grace Calimlim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922177336 PECOS PAC ID: 8729363924 Enrollment ID: I20170331000292 |
| Provider Name | Angela Harrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871541623 PECOS PAC ID: 6800171976 Enrollment ID: I20170403001010 |
| Provider Name | Minhaz Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831154426 PECOS PAC ID: 7911975990 Enrollment ID: I20170407001813 |
| Provider Name | Erik M Dienna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003109893 PECOS PAC ID: 6406076199 Enrollment ID: I20170410001942 |
| Provider Name | Yael Boyarsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528290897 PECOS PAC ID: 5991081531 Enrollment ID: I20170413000515 |
| Provider Name | Karen Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487718946 PECOS PAC ID: 4981980455 Enrollment ID: I20170418000451 |
| Provider Name | Lisa Steinel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639232739 PECOS PAC ID: 3476839952 Enrollment ID: I20170418000750 |
| Provider Name | Emily Fischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659631331 PECOS PAC ID: 4385920719 Enrollment ID: I20170419000423 |
| Provider Name | Howard Sonnenblick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336202241 PECOS PAC ID: 4880970243 Enrollment ID: I20170419001579 |
| Provider Name | Rona Riegelhaupt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770646697 PECOS PAC ID: 9234415639 Enrollment ID: I20170420000144 |
| Provider Name | Jeffrey Blackman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538117908 PECOS PAC ID: 8628355773 Enrollment ID: I20170427002324 |
| Provider Name | Yogesh Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407110828 PECOS PAC ID: 3779804794 Enrollment ID: I20170526000794 |
| Provider Name | Natalie Kay Caruso |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437690914 PECOS PAC ID: 3173890738 Enrollment ID: I20170601002822 |
| Provider Name | Dana L Biermann-flynn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265697429 PECOS PAC ID: 8325275019 Enrollment ID: I20170612000472 |
| Provider Name | Thomas J Killeen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902126121 PECOS PAC ID: 2062647829 Enrollment ID: I20170612000585 |
| Provider Name | David E Chasen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275599045 PECOS PAC ID: 8426291931 Enrollment ID: I20170612001154 |
| Provider Name | Claire L Caltabiano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457315665 PECOS PAC ID: 5294969044 Enrollment ID: I20170613000246 |
| Provider Name | Joanne E Lopes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679618664 PECOS PAC ID: 9133362023 Enrollment ID: I20170613001147 |
| Provider Name | Sharon Colgate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265971014 PECOS PAC ID: 2264700327 Enrollment ID: I20170613001657 |
| Provider Name | Pierre Coant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669436945 PECOS PAC ID: 2365710324 Enrollment ID: I20170615000029 |
| Provider Name | Theresa Welsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013971894 PECOS PAC ID: 6103194063 Enrollment ID: I20170616002103 |
| Provider Name | Sara Gellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609290337 PECOS PAC ID: 7214158096 Enrollment ID: I20170620000189 |
| Provider Name | Neil Cederbaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407855406 PECOS PAC ID: 0648566018 Enrollment ID: I20170620000329 |
| Provider Name | Sabra Shulman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306932702 PECOS PAC ID: 9234425661 Enrollment ID: I20170622000246 |
| Provider Name | Karolina Janasek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295093714 PECOS PAC ID: 0648586727 Enrollment ID: I20170622001043 |
| Provider Name | Marvin Goldman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821183336 PECOS PAC ID: 8921394396 Enrollment ID: I20170622001299 |
| Provider Name | Larnie Booker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730279563 PECOS PAC ID: 8022396738 Enrollment ID: I20170622002257 |
| Provider Name | Boram Sung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235373010 PECOS PAC ID: 9133415359 Enrollment ID: I20170623000021 |
| Provider Name | Amy Jaroslow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568557064 PECOS PAC ID: 8820386147 Enrollment ID: I20170623000449 |
| Provider Name | Warren Sweberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285729566 PECOS PAC ID: 5698061067 Enrollment ID: I20170626000596 |
| Provider Name | John Delgiorno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104970359 PECOS PAC ID: 6204144504 Enrollment ID: I20170627000719 |
| Provider Name | Joseph Delgiorno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003871203 PECOS PAC ID: 0648549170 Enrollment ID: I20170627000799 |
| Provider Name | Audrey Iacobucci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154589869 PECOS PAC ID: 4284903733 Enrollment ID: I20170627001824 |
| Provider Name | Cyriac George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629239884 PECOS PAC ID: 5193094654 Enrollment ID: I20170627002257 |
| Provider Name | Angela G Knestaut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881642569 PECOS PAC ID: 8820223043 Enrollment ID: I20170627003093 |
| Provider Name | Elisabeth Simon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649360405 PECOS PAC ID: 4688960115 Enrollment ID: I20170629001819 |
| Provider Name | Joseph Raviola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356872881 PECOS PAC ID: 7012286255 Enrollment ID: I20170703001656 |
| Provider Name | Victoria Chih-chuang Tai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790720050 PECOS PAC ID: 1254411515 Enrollment ID: I20170707000024 |
| Provider Name | Kathleen Ann Oshea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407397920 PECOS PAC ID: 1456620301 Enrollment ID: I20170707002412 |
| Provider Name | Kandy A Bahadur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548792898 PECOS PAC ID: 8325318942 Enrollment ID: I20170714000329 |
| Provider Name | Jamie Zacharias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578827440 PECOS PAC ID: 8820368467 Enrollment ID: I20170714000917 |
| Provider Name | Caitlin A Massone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235429317 PECOS PAC ID: 0840423620 Enrollment ID: I20170720000132 |
| Provider Name | Eleanor Pingeon Tring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609138767 PECOS PAC ID: 7911210976 Enrollment ID: I20170728000039 |
| Provider Name | Brittany Owens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427492479 PECOS PAC ID: 6901021328 Enrollment ID: I20170801002323 |
| Provider Name | Christine Cairns |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578829859 PECOS PAC ID: 5193026268 Enrollment ID: I20170802000543 |
| Provider Name | Jillian Mclaughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063830297 PECOS PAC ID: 5991025330 Enrollment ID: I20170811002149 |
| Provider Name | Julie Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073871356 PECOS PAC ID: 2961636287 Enrollment ID: I20170815002760 |
| Provider Name | Shubhrit Benipal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225562663 PECOS PAC ID: 2264705789 Enrollment ID: I20170906000395 |
| Provider Name | Michael Lynch |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336661297 PECOS PAC ID: 9830463330 Enrollment ID: I20170921003605 |
| Provider Name | Anand Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710392717 PECOS PAC ID: 4183999212 Enrollment ID: I20170929000042 |
| Provider Name | Peter Perno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326499914 PECOS PAC ID: 4486929676 Enrollment ID: I20171016000513 |
| Provider Name | Shahan Arif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942610753 PECOS PAC ID: 0648586412 Enrollment ID: I20171030002684 |
| Provider Name | Denise Novaes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447257225 PECOS PAC ID: 9032475678 Enrollment ID: I20171114002797 |
| Provider Name | Editha Ansay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326127101 PECOS PAC ID: 5890052922 Enrollment ID: I20171128002891 |
| Provider Name | Emma A Mangosing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457357196 PECOS PAC ID: 4688931736 Enrollment ID: I20171128003702 |
| Provider Name | William C Yu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407852056 PECOS PAC ID: 1658638549 Enrollment ID: I20171130003226 |
| Provider Name | Zofia J Lipert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831195577 PECOS PAC ID: 0345507273 Enrollment ID: I20171201001407 |
| Provider Name | Tatanisha A Hason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013420298 PECOS PAC ID: 6406113026 Enrollment ID: I20171206001269 |
| Provider Name | Scott Michael Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518127133 PECOS PAC ID: 4385827393 Enrollment ID: I20171219000847 |
| Provider Name | Jennifer Kover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215447446 PECOS PAC ID: 3971861790 Enrollment ID: I20171227000430 |
| Provider Name | Kathryn Stuffo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316280043 PECOS PAC ID: 8921366584 Enrollment ID: I20180103001983 |
| Provider Name | Devin B Eckstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942628912 PECOS PAC ID: 7517226871 Enrollment ID: I20180111001179 |
| Provider Name | Neil Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063771830 PECOS PAC ID: 3072756337 Enrollment ID: I20180112000750 |
| Provider Name | Allison Ann Sopko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922442615 PECOS PAC ID: 0749542371 Enrollment ID: I20180320001318 |
| Provider Name | Sheila Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447763156 PECOS PAC ID: 1557623089 Enrollment ID: I20180322000207 |
| Provider Name | Heather Ruddock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780631846 PECOS PAC ID: 1557300555 Enrollment ID: I20180406000037 |
| Provider Name | Danielle R Seiler |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881982890 PECOS PAC ID: 2668690520 Enrollment ID: I20180416000957 |
| Provider Name | Katherine Park |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558861401 PECOS PAC ID: 8426311895 Enrollment ID: I20180417002321 |
| Provider Name | Kathryn Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811406200 PECOS PAC ID: 8022371285 Enrollment ID: I20180423000155 |
| Provider Name | John M Galezniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730560988 PECOS PAC ID: 7113273442 Enrollment ID: I20180628002733 |
| Provider Name | Gail M Porat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275726697 PECOS PAC ID: 5698865111 Enrollment ID: I20180629001235 |
| Provider Name | Svetlana Valeryevna Shifrin-douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558329227 PECOS PAC ID: 7810988920 Enrollment ID: I20180823000485 |
| Provider Name | Bruce M Taubman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982762167 PECOS PAC ID: 1456594092 Enrollment ID: I20180907000289 |
| Provider Name | Kanika Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821475898 PECOS PAC ID: 6608154430 Enrollment ID: I20180911000670 |
| Provider Name | Carolyn E Clear |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205884681 PECOS PAC ID: 5991931321 Enrollment ID: I20180919003052 |
| Provider Name | Jennifer Lynne Carite |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972922870 PECOS PAC ID: 6507089471 Enrollment ID: I20180920002590 |
| Provider Name | Allyson Joan Mitidieri |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982152450 PECOS PAC ID: 5698026136 Enrollment ID: I20180924000987 |
| Provider Name | Anna Iones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558597336 PECOS PAC ID: 6406179589 Enrollment ID: I20180926002479 |
| Provider Name | Anthony Aristide Marchese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861455867 PECOS PAC ID: 8224282876 Enrollment ID: I20180927001462 |
| Provider Name | Kai Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659751659 PECOS PAC ID: 0446502959 Enrollment ID: I20181011001142 |
| Provider Name | Taher Modarressi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811335433 PECOS PAC ID: 9830327121 Enrollment ID: I20181018001154 |
| Provider Name | Tamika Lillian Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861560336 PECOS PAC ID: 5294962981 Enrollment ID: I20181025001996 |
| Provider Name | Leatrice M Current |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083112676 PECOS PAC ID: 8224382536 Enrollment ID: I20181126000790 |
| Provider Name | Samuel Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366836611 PECOS PAC ID: 5698019982 Enrollment ID: I20181127001340 |
| Provider Name | Marta Santos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841373149 PECOS PAC ID: 4284632464 Enrollment ID: I20181128001549 |
| Provider Name | Daniel Pereira Costa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518346063 PECOS PAC ID: 5193069474 Enrollment ID: I20181128001719 |
| Provider Name | Natalie Dwier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902311848 PECOS PAC ID: 5991049132 Enrollment ID: I20181129001071 |
| Provider Name | Theresa A Lafranco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265414296 PECOS PAC ID: 4183693476 Enrollment ID: I20181129003443 |
| Provider Name | Thomas K O Brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659342889 PECOS PAC ID: 3173868866 Enrollment ID: I20181228000570 |
| Provider Name | Agnes Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538635669 PECOS PAC ID: 9335485416 Enrollment ID: I20190110000890 |
| Provider Name | Tulsi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932685146 PECOS PAC ID: 4688910581 Enrollment ID: I20190115000279 |
| Provider Name | Jenna Lynn Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558832766 PECOS PAC ID: 7315283199 Enrollment ID: I20190116000096 |
| Provider Name | Kenneth James Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285650226 PECOS PAC ID: 5395082895 Enrollment ID: I20190122002360 |
| Provider Name | Shannon Marie O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154567675 PECOS PAC ID: 0547325185 Enrollment ID: I20190123000066 |
| Provider Name | Elizabeth Tursi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902376197 PECOS PAC ID: 1850638065 Enrollment ID: I20190125002226 |
| Provider Name | Morgan Marhefka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164900676 PECOS PAC ID: 4183962947 Enrollment ID: I20190221000038 |
| Provider Name | Allison Michelle Stec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912478439 PECOS PAC ID: 8527307388 Enrollment ID: I20190222001723 |
| Provider Name | Khushbu Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184003634 PECOS PAC ID: 4082959630 Enrollment ID: I20190306000201 |
| Provider Name | Irwin Zachary Benzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841586914 PECOS PAC ID: 3072806330 Enrollment ID: I20190312003517 |
| Provider Name | Colleen Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902379142 PECOS PAC ID: 7315287265 Enrollment ID: I20190313000304 |
| Provider Name | Michael Ricardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336436229 PECOS PAC ID: 7113284241 Enrollment ID: I20190321002026 |
| Provider Name | Ciana Tyiesh Hayes Maxwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689836264 PECOS PAC ID: 5092963678 Enrollment ID: I20190402000184 |
| Provider Name | Kimberly K Denick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124082508 PECOS PAC ID: 7810130325 Enrollment ID: I20190403001857 |
| Provider Name | Kerry L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356812309 PECOS PAC ID: 8022359884 Enrollment ID: I20190405000004 |
| Provider Name | Lauren Burgstresser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962974329 PECOS PAC ID: 5294076998 Enrollment ID: I20190405001978 |
| Provider Name | Rebecca L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710443049 PECOS PAC ID: 4284975913 Enrollment ID: I20190408000772 |
| Provider Name | Rebecca J Pinchoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811057565 PECOS PAC ID: 3971789736 Enrollment ID: I20190422002418 |
| Provider Name | Julia V Tenthoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417420019 PECOS PAC ID: 1153663810 Enrollment ID: I20190429001242 |
| Provider Name | Tamara Phoebus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962965640 PECOS PAC ID: 1254673403 Enrollment ID: I20190508002413 |
| Provider Name | Marianne Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235109299 PECOS PAC ID: 5395088744 Enrollment ID: I20190528001781 |
| Provider Name | Gordon Lee Lerch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790885275 PECOS PAC ID: 4587997614 Enrollment ID: I20190605000773 |
| Provider Name | Paige Meredith Silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003052929 PECOS PAC ID: 6002143096 Enrollment ID: I20190814001352 |
| Provider Name | Arun Kottarathara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568852838 PECOS PAC ID: 9436429800 Enrollment ID: I20191024001602 |
| Provider Name | Josefina Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073786737 PECOS PAC ID: 5193957728 Enrollment ID: I20191114000483 |
| Provider Name | Lokesh Gowda B Nanjunda Gowda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265614622 PECOS PAC ID: 7315093895 Enrollment ID: I20191220000438 |
| Provider Name | Stacy Marie Karle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932759255 PECOS PAC ID: 4082049523 Enrollment ID: I20200110001736 |
| Provider Name | Matthew Howe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154462240 PECOS PAC ID: 5496180358 Enrollment ID: I20200123000026 |
| Provider Name | Brian F Marcus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235216045 PECOS PAC ID: 1658706320 Enrollment ID: I20200128000161 |
| Provider Name | Utpal Suresh Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225066491 PECOS PAC ID: 7416383195 Enrollment ID: I20200129001687 |
| Provider Name | Radhika K Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346555950 PECOS PAC ID: 9032545629 Enrollment ID: I20200129002670 |
| Provider Name | Sabeen Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760701320 PECOS PAC ID: 1557797164 Enrollment ID: I20200130000190 |
| Provider Name | Ha Vo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962849497 PECOS PAC ID: 7618119470 Enrollment ID: I20200130000700 |
| Provider Name | Lisa Solomon Pivawer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750509089 PECOS PAC ID: 5799111258 Enrollment ID: I20200203000337 |
| Provider Name | John Kintiroglou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528198645 PECOS PAC ID: 6002242302 Enrollment ID: I20200205000885 |
| Provider Name | Stephanie Bayruns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992151732 PECOS PAC ID: 2163712530 Enrollment ID: I20200213001629 |
| Provider Name | Constantinos Kintiroglou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205966124 PECOS PAC ID: 7416384490 Enrollment ID: I20200304000975 |
| Provider Name | Frederick Weck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366453383 PECOS PAC ID: 4981031978 Enrollment ID: I20200304001840 |
| Provider Name | Bolanle Akingboye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376646364 PECOS PAC ID: 2567618416 Enrollment ID: I20200306000154 |
| Provider Name | Gregory Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558701250 PECOS PAC ID: 0446570782 Enrollment ID: I20200330003754 |
| Provider Name | Gina Carabelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215378724 PECOS PAC ID: 0840629697 Enrollment ID: I20200331001203 |
| Provider Name | Paulina R Maida |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699139949 PECOS PAC ID: 8325339096 Enrollment ID: I20200401001338 |
| Provider Name | Cindy Stein-kravetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518376672 PECOS PAC ID: 0648530766 Enrollment ID: I20200402003792 |
| Provider Name | Lauren Illya Kohlberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235252065 PECOS PAC ID: 5395174817 Enrollment ID: I20200405000284 |
| Provider Name | Ashley L Tomasini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295379832 PECOS PAC ID: 5193154458 Enrollment ID: I20200407003685 |
| Provider Name | Stacey Rene Zavala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144433673 PECOS PAC ID: 0244382281 Enrollment ID: I20200414002658 |
| Provider Name | Hillary Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407496821 PECOS PAC ID: 0446680219 Enrollment ID: I20200417001996 |
| Provider Name | Leslie Yerkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326426552 PECOS PAC ID: 0143503433 Enrollment ID: I20200420001219 |
| Provider Name | Athena Maria Yudin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174171086 PECOS PAC ID: 2961833082 Enrollment ID: I20200505002381 |
| Provider Name | Allison Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942758388 PECOS PAC ID: 1254612401 Enrollment ID: I20200506001053 |
| Provider Name | Melissa Bonilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922106087 PECOS PAC ID: 9638170087 Enrollment ID: I20200506001115 |
| Provider Name | Anthony N Mishik |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699723668 PECOS PAC ID: 7719976232 Enrollment ID: I20200506002423 |
| Provider Name | Cassandra Ullrich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609300185 PECOS PAC ID: 3678842838 Enrollment ID: I20200512000055 |
| Provider Name | Varda Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336501014 PECOS PAC ID: 5395176861 Enrollment ID: I20200518000436 |
| Provider Name | Ciaran Smolinsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699279893 PECOS PAC ID: 5890126155 Enrollment ID: I20200521000093 |
| Provider Name | Mahbod Mohazzebi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538319827 PECOS PAC ID: 3678994779 Enrollment ID: I20200527003205 |
| Provider Name | Dawn Hartner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881233930 PECOS PAC ID: 5698196624 Enrollment ID: I20200529002739 |
| Provider Name | Anthony Emanuel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528088473 PECOS PAC ID: 1153483847 Enrollment ID: I20200602000020 |
| Provider Name | Noha Polack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578530010 PECOS PAC ID: 4183045925 Enrollment ID: I20200602002453 |
| Provider Name | Kari Jane Teraguchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073685095 PECOS PAC ID: 4587085014 Enrollment ID: I20200609000616 |
| Provider Name | Karla Rubini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093366551 PECOS PAC ID: 6800217365 Enrollment ID: I20200609001708 |
| Provider Name | Jinisha Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962851733 PECOS PAC ID: 9830510296 Enrollment ID: I20200611000035 |
| Provider Name | Diana R. Mayer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770507238 PECOS PAC ID: 7810319191 Enrollment ID: I20200615000500 |
| Provider Name | Marta R Zeb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760406136 PECOS PAC ID: 1153743901 Enrollment ID: I20200624000405 |
| Provider Name | Dina Wassef Hanna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386759447 PECOS PAC ID: 5799107553 Enrollment ID: I20200624000885 |
| Provider Name | Shannon Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699398495 PECOS PAC ID: 5092137877 Enrollment ID: I20200624001569 |
| Provider Name | Caroline Youssef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598214280 PECOS PAC ID: 9436571098 Enrollment ID: I20200629000049 |
| Provider Name | Devon Ganter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215341490 PECOS PAC ID: 8426324948 Enrollment ID: I20200629001497 |
| Provider Name | Lindsay Requa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265799050 PECOS PAC ID: 1850609017 Enrollment ID: I20200701001087 |
| Provider Name | Khristine J Aguinaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508340845 PECOS PAC ID: 3375966526 Enrollment ID: I20200707003125 |
| Provider Name | Dipanshi Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851814354 PECOS PAC ID: 6507289568 Enrollment ID: I20200709000244 |
| Provider Name | Prerna Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922529767 PECOS PAC ID: 9335563840 Enrollment ID: I20200716002690 |
| Provider Name | Alice Marie Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073730495 PECOS PAC ID: 7719301951 Enrollment ID: I20200722000022 |
| Provider Name | Kimberly Jeanne Deery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992081392 PECOS PAC ID: 1951619964 Enrollment ID: I20200810002756 |
| Provider Name | Jennifer Joan Tiernan-palermo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790311587 PECOS PAC ID: 8921424524 Enrollment ID: I20200813000697 |
| Provider Name | Maureen Mary Torchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962532580 PECOS PAC ID: 6204253313 Enrollment ID: I20200902003561 |
| Provider Name | James Weidner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468815 PECOS PAC ID: 4981847423 Enrollment ID: I20200909002018 |
| Provider Name | Denise Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912931452 PECOS PAC ID: 2365860228 Enrollment ID: I20200910000235 |
| Provider Name | Kaitlyn Ferrill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720435597 PECOS PAC ID: 3870886419 Enrollment ID: I20200910000972 |
| Provider Name | Donna Marie Schwaiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700498052 PECOS PAC ID: 3173941507 Enrollment ID: I20200916001026 |
| Provider Name | Jennifer Azer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447614284 PECOS PAC ID: 0648510412 Enrollment ID: I20200917002075 |
| Provider Name | Renata Siruckova |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215554043 PECOS PAC ID: 1850719907 Enrollment ID: I20200922001343 |
| Provider Name | Michelle Wilke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841722071 PECOS PAC ID: 0244581197 Enrollment ID: I20200923002766 |
| Provider Name | Heidi L. Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649324740 PECOS PAC ID: 0143649863 Enrollment ID: I20200930000868 |
| Provider Name | Claudio J Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457365470 PECOS PAC ID: 3577982909 Enrollment ID: I20201002002468 |
| Provider Name | Jeffrey L Flick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174526875 PECOS PAC ID: 6305266370 Enrollment ID: I20201013000538 |
| Provider Name | Meghan Houck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235545401 PECOS PAC ID: 1355649328 Enrollment ID: I20201013000827 |
| Provider Name | Christine T Otruba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104106863 PECOS PAC ID: 2769618461 Enrollment ID: I20201013002973 |
| Provider Name | James Christopher Petrucci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740453471 PECOS PAC ID: 9032539085 Enrollment ID: I20201014000088 |
| Provider Name | Thomas F Dierkes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336142041 PECOS PAC ID: 1355646167 Enrollment ID: I20201014000521 |
| Provider Name | Melanie Janine Glassford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134769995 PECOS PAC ID: 2365862968 Enrollment ID: I20201021000492 |
| Provider Name | Sharon Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174087142 PECOS PAC ID: 4587084017 Enrollment ID: I20201021002098 |
| Provider Name | Azin Azizi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437240991 PECOS PAC ID: 8123448685 Enrollment ID: I20201022000103 |
| Provider Name | Natalia Agnieszka Zak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508463258 PECOS PAC ID: 1254751597 Enrollment ID: I20201026002190 |
| Provider Name | Alan Masia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578536264 PECOS PAC ID: 4284044272 Enrollment ID: I20201103000471 |
| Provider Name | Debra Harmady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053383455 PECOS PAC ID: 8022428861 Enrollment ID: I20201105000803 |
| Provider Name | Luisa Rita Del Castillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376549196 PECOS PAC ID: 6608287727 Enrollment ID: I20201123000020 |
| Provider Name | Ellen B Ganek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750379228 PECOS PAC ID: 3072924125 Enrollment ID: I20201123000733 |
| Provider Name | Simona Dragos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326344011 PECOS PAC ID: 7810308822 Enrollment ID: I20201124000597 |
| Provider Name | Sheena Costantini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306149075 PECOS PAC ID: 5092959437 Enrollment ID: I20201228000425 |
| Provider Name | Diana Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760794796 PECOS PAC ID: 0648405308 Enrollment ID: I20201230000147 |
| Provider Name | Howard N Orel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548218589 PECOS PAC ID: 9739178252 Enrollment ID: I20201230000325 |
| Provider Name | Jennifer Talley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639528896 PECOS PAC ID: 0143633610 Enrollment ID: I20201231000420 |
| Provider Name | Nikolaus Hjelm |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942610761 PECOS PAC ID: 3870814254 Enrollment ID: I20210105000232 |
| Provider Name | Christopher Amato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639251903 PECOS PAC ID: 4486067444 Enrollment ID: I20210112001163 |
| Provider Name | Aditee Leszkowicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962492959 PECOS PAC ID: 9335373182 Enrollment ID: I20210113001063 |
| Provider Name | Karen Kaighn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386674406 PECOS PAC ID: 4587077284 Enrollment ID: I20210119000148 |
| Provider Name | Yen-shin Daisy Tang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528296829 PECOS PAC ID: 9739488180 Enrollment ID: I20210119001140 |
| Provider Name | Catherine A Roscioli Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861460271 PECOS PAC ID: 2668886318 Enrollment ID: I20210121000165 |
| Provider Name | Luba Stein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902023872 PECOS PAC ID: 3476967068 Enrollment ID: I20210121002369 |
| Provider Name | Elizabeth Dalsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437708559 PECOS PAC ID: 2062826258 Enrollment ID: I20210129001076 |
| Provider Name | Susan Louise Ackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952422347 PECOS PAC ID: 3577977644 Enrollment ID: I20210201001632 |
| Provider Name | Benjamin Piantedosi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205912144 PECOS PAC ID: 2163659848 Enrollment ID: I20210202001134 |
| Provider Name | Erin Milligan Milburn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346402922 PECOS PAC ID: 5092943696 Enrollment ID: I20210205001442 |
| Provider Name | Deborah Hung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770531055 PECOS PAC ID: 0840426797 Enrollment ID: I20210205002320 |
| Provider Name | Richard King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386687853 PECOS PAC ID: 9335554161 Enrollment ID: I20210209000905 |
| Provider Name | Vrinda B Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922264795 PECOS PAC ID: 3870908536 Enrollment ID: I20210211000239 |
| Provider Name | Susan Amy Bergdoll-faykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245499268 PECOS PAC ID: 4385059815 Enrollment ID: I20210216001406 |
| Provider Name | Bryan H Levey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134119811 PECOS PAC ID: 1951716323 Enrollment ID: I20210217000130 |
| Provider Name | Audra R Hover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811534506 PECOS PAC ID: 8820404742 Enrollment ID: I20210301001680 |
| Provider Name | Marius Wechsler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952348864 PECOS PAC ID: 4486061330 Enrollment ID: I20210322001272 |
| Provider Name | Jenna Michelle Vanmeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861084345 PECOS PAC ID: 6406264316 Enrollment ID: I20210414000841 |
| Provider Name | Tiffany Tsang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164868535 PECOS PAC ID: 4284934746 Enrollment ID: I20210505000329 |
| Provider Name | Molly A Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811509482 PECOS PAC ID: 0042629768 Enrollment ID: I20210511000366 |
| Provider Name | Dawn M Truett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609004894 PECOS PAC ID: 3971912379 Enrollment ID: I20210517000257 |
| Provider Name | Jessica B Hollembeak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033797824 PECOS PAC ID: 6608275482 Enrollment ID: I20210527001298 |
| Provider Name | Nicole Theresa Lawson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699351056 PECOS PAC ID: 3274932850 Enrollment ID: I20210602001126 |
| Provider Name | Danielle Sancho-james |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568967156 PECOS PAC ID: 2466852876 Enrollment ID: I20210607000969 |
| Provider Name | Charles Joseph Elsea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215501176 PECOS PAC ID: 9335540731 Enrollment ID: I20210623000650 |
| Provider Name | Jasmine Vincent |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033529466 PECOS PAC ID: 9830493964 Enrollment ID: I20210713000234 |
| Provider Name | Michael J Palmieri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477050417 PECOS PAC ID: 7012266950 Enrollment ID: I20210721002300 |
| Provider Name | Jovanna Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508361643 PECOS PAC ID: 7911300975 Enrollment ID: I20210728001741 |
| Provider Name | Diana Ewa Huzar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336310788 PECOS PAC ID: 9638572548 Enrollment ID: I20210729000276 |
| Provider Name | Jaclyn Cammarata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982090015 PECOS PAC ID: 9638573595 Enrollment ID: I20210813003094 |
| Provider Name | Ami Amin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144674219 PECOS PAC ID: 9032514823 Enrollment ID: I20210817001521 |
| Provider Name | Robyn Michelle Meyers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801480660 PECOS PAC ID: 6901201714 Enrollment ID: I20210817002273 |
| Provider Name | Marianne Armanious |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114416203 PECOS PAC ID: 9739584178 Enrollment ID: I20210823001847 |
| Provider Name | Kimberly Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952843070 PECOS PAC ID: 2769763341 Enrollment ID: I20210824000261 |
| Provider Name | Rachael Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164869392 PECOS PAC ID: 3870818628 Enrollment ID: I20210826002655 |
| Provider Name | Lisa Dicicco |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982284022 PECOS PAC ID: 7810392966 Enrollment ID: I20210827000206 |
| Provider Name | Maggie Mowbray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356016570 PECOS PAC ID: 1759787765 Enrollment ID: I20210831000274 |
| Provider Name | Lindsey Stinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942875232 PECOS PAC ID: 8921404724 Enrollment ID: I20210902000335 |
| Provider Name | Samara Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356622120 PECOS PAC ID: 4880859461 Enrollment ID: I20210909003855 |
| Provider Name | Kira Feldman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629071014 PECOS PAC ID: 6901203926 Enrollment ID: I20210917001518 |
| Provider Name | Brittany Elizabeth Martynov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043621311 PECOS PAC ID: 2769880855 Enrollment ID: I20211004001722 |
| Provider Name | Casey Marie Huckestein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457831547 PECOS PAC ID: 8527466267 Enrollment ID: I20211008002879 |
| Provider Name | Megan Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588237002 PECOS PAC ID: 3173911278 Enrollment ID: I20211021002830 |
| Provider Name | Cristina Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760988539 PECOS PAC ID: 0648526400 Enrollment ID: I20211025000072 |
| Provider Name | Kadri Mehmet Aygen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497723092 PECOS PAC ID: 1658769278 Enrollment ID: I20211101000160 |
| Provider Name | Florence Pandit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699768671 PECOS PAC ID: 5193113702 Enrollment ID: I20211102000516 |
| Provider Name | Michele Haviland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336219963 PECOS PAC ID: 0840688214 Enrollment ID: I20211104001014 |
| Provider Name | Lisa Olivia Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770254856 PECOS PAC ID: 0941699375 Enrollment ID: I20211105000705 |
| Provider Name | Abigail Capps |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326467838 PECOS PAC ID: 5496144636 Enrollment ID: I20211110000578 |
| Provider Name | Alycia Leigh Bischof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407995558 PECOS PAC ID: 1759518434 Enrollment ID: I20211116000957 |
| Provider Name | Kimberly Poplaski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295400992 PECOS PAC ID: 6204225956 Enrollment ID: I20211118000363 |
| Provider Name | Javad Hazeghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598173684 PECOS PAC ID: 1355561879 Enrollment ID: I20211202002554 |
| Provider Name | Jenna Marchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932861424 PECOS PAC ID: 9133519259 Enrollment ID: I20211203002568 |
| Provider Name | Lauren Theresa Fahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477151850 PECOS PAC ID: 2961892096 Enrollment ID: I20211206000104 |
| Provider Name | Zehra Zeynep Aygen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760450266 PECOS PAC ID: 1456741313 Enrollment ID: I20211208000918 |
| Provider Name | Parul Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013270073 PECOS PAC ID: 5698165470 Enrollment ID: I20211209003026 |
| Provider Name | Natalia Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285060855 PECOS PAC ID: 5496146037 Enrollment ID: I20211215001998 |
| Provider Name | Dana E Sless |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184615973 PECOS PAC ID: 5294126868 Enrollment ID: I20211216000340 |
| Provider Name | Marie Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083825228 PECOS PAC ID: 3274820824 Enrollment ID: I20211222000495 |
| Provider Name | Mary Zorzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952977720 PECOS PAC ID: 4789075037 Enrollment ID: I20211222000761 |
| Provider Name | Robin K Lynch Varela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467707448 PECOS PAC ID: 9638306319 Enrollment ID: I20211223000035 |
| Provider Name | Melissa Labroli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437294352 PECOS PAC ID: 4284730011 Enrollment ID: I20220113001295 |
| Provider Name | Linda L Faragasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952060923 PECOS PAC ID: 0547652737 Enrollment ID: I20220120001382 |
| Provider Name | Fay Ann Inigo Trimor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922138015 PECOS PAC ID: 8820480833 Enrollment ID: I20220126000022 |
| Provider Name | Maryellen Levine |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225798846 PECOS PAC ID: 3779975693 Enrollment ID: I20220126000772 |
| Provider Name | Parwen Wali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699340182 PECOS PAC ID: 2860884715 Enrollment ID: I20220126002203 |
| Provider Name | Victoria J Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508456716 PECOS PAC ID: 5799178570 Enrollment ID: I20220201000382 |
| Provider Name | Surekha Ashwin Jadhav |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164899704 PECOS PAC ID: 7315330974 Enrollment ID: I20220203002114 |
| Provider Name | Jacelyn Annett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780335935 PECOS PAC ID: 5799178042 Enrollment ID: I20220209000126 |
| Provider Name | Alon E Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033163928 PECOS PAC ID: 8921241563 Enrollment ID: I20220215000466 |
| Provider Name | Edward Galena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548269640 PECOS PAC ID: 8123078151 Enrollment ID: I20220217002548 |
| Provider Name | Christian Fras |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407884976 PECOS PAC ID: 7214902832 Enrollment ID: I20220228001159 |
| Provider Name | Riana Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265185110 PECOS PAC ID: 6406240696 Enrollment ID: I20220304000568 |
| Provider Name | Kelley Seta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558786087 PECOS PAC ID: 5799063616 Enrollment ID: I20220304001252 |
| Provider Name | Grace Lorraine Laubenstein |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306591698 PECOS PAC ID: 8224423447 Enrollment ID: I20220324001299 |
| Provider Name | Hadiyah A Blakney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841941960 PECOS PAC ID: 1557756624 Enrollment ID: I20220328002211 |
| Provider Name | Kim Giblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215584032 PECOS PAC ID: 0446646251 Enrollment ID: I20220404002337 |
| Provider Name | Katherine Lestino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740933084 PECOS PAC ID: 4284020033 Enrollment ID: I20220405001259 |
| Provider Name | Rebecca J Stanwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427359462 PECOS PAC ID: 7517192545 Enrollment ID: I20220411002392 |
| Provider Name | Elizabeth Forman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154077444 PECOS PAC ID: 0244626570 Enrollment ID: I20220413000722 |
| Provider Name | Caroline Lally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336600063 PECOS PAC ID: 1658768601 Enrollment ID: I20220422000184 |
| Provider Name | Brianne Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851031298 PECOS PAC ID: 4486032521 Enrollment ID: I20220602000870 |
| Provider Name | Dana Fody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063160885 PECOS PAC ID: 9638557325 Enrollment ID: I20220608003012 |
| Provider Name | Ryan Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114662632 PECOS PAC ID: 9739567397 Enrollment ID: I20220609002768 |
| Provider Name | Jared Lander |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215390877 PECOS PAC ID: 3274821400 Enrollment ID: I20220627001750 |
| Provider Name | Meaghan Andre-brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679005433 PECOS PAC ID: 9234554841 Enrollment ID: I20220726000479 |
| Provider Name | Breanna Leigh Doenitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912557372 PECOS PAC ID: 1355723099 Enrollment ID: I20220728000264 |
| Provider Name | Charles Edrick Ong Chua |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609339480 PECOS PAC ID: 8022346618 Enrollment ID: I20220805000821 |
| Provider Name | Roselle Monica Pascual David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871130005 PECOS PAC ID: 6800279944 Enrollment ID: I20220823000007 |
| Provider Name | Robin Renee Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083145239 PECOS PAC ID: 2860767720 Enrollment ID: I20220825000198 |
| Provider Name | Nigam Dharmendra Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710474127 PECOS PAC ID: 3870977432 Enrollment ID: I20220830004613 |
| Provider Name | Ronak Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689106650 PECOS PAC ID: 8426326216 Enrollment ID: I20220908001510 |
| Provider Name | Amandeep Sandhu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174977227 PECOS PAC ID: 7810281615 Enrollment ID: I20221003000846 |
| Provider Name | Carmela Valentina Calvo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114994423 PECOS PAC ID: 2163591033 Enrollment ID: I20221102000444 |
| Provider Name | Alexandra Rowe Allaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184348393 PECOS PAC ID: 0941677801 Enrollment ID: I20221104002586 |
| Provider Name | Lydia Karp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619439015 PECOS PAC ID: 3971971474 Enrollment ID: I20221114002707 |
| Provider Name | Donna M Muratschew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548228851 PECOS PAC ID: 1557739075 Enrollment ID: I20221115000142 |
| Provider Name | Eric Quinn Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013329192 PECOS PAC ID: 3971841354 Enrollment ID: I20221117003555 |
| Provider Name | Rocco A Pascucci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841722576 PECOS PAC ID: 9133467228 Enrollment ID: I20221121000764 |
| Provider Name | Courtney Elyse D Annunzio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871221028 PECOS PAC ID: 7719355817 Enrollment ID: I20221121003157 |
| Provider Name | Raymond Joseph Schlitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750946653 PECOS PAC ID: 4880929025 Enrollment ID: I20221123001158 |
| Provider Name | Leah Goldberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649768144 PECOS PAC ID: 3375962657 Enrollment ID: I20221128001420 |
| Provider Name | Lauren M Gaynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043598006 PECOS PAC ID: 2365810918 Enrollment ID: I20221201002531 |
| Provider Name | Nina Epstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245317676 PECOS PAC ID: 3274518097 Enrollment ID: I20221215002198 |
| Provider Name | Lisa Urban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023008000 PECOS PAC ID: 0143539650 Enrollment ID: I20221215002273 |
| Provider Name | Janie Klug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366009854 PECOS PAC ID: 7517388929 Enrollment ID: I20221219000452 |
| Provider Name | Diana Karnilaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437600608 PECOS PAC ID: 3971973132 Enrollment ID: I20230104000562 |
| Provider Name | Bradley Michael Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114649167 PECOS PAC ID: 8527438456 Enrollment ID: I20230110001260 |
| Provider Name | Sherin Elsa Mathews |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346656568 PECOS PAC ID: 2062769581 Enrollment ID: I20230111001741 |
| Provider Name | Jessie C Long |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881871531 PECOS PAC ID: 9335263490 Enrollment ID: I20230123002825 |
| Provider Name | Sonja Spurkeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205568706 PECOS PAC ID: 5597136564 Enrollment ID: I20230130002635 |
| Provider Name | Kathleen Nora Gazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023762374 PECOS PAC ID: 5991177578 Enrollment ID: I20230207003733 |
| Provider Name | Liv A Lee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467985937 PECOS PAC ID: 6608274469 Enrollment ID: I20230209000115 |
| Provider Name | Maria Theresa Micale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619949252 PECOS PAC ID: 7012389570 Enrollment ID: I20230209000581 |
| Provider Name | Nicole Napolitano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598483901 PECOS PAC ID: 4183096621 Enrollment ID: I20230210000658 |
| Provider Name | Morgan Emily Sutter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083177158 PECOS PAC ID: 2668845090 Enrollment ID: I20230306000111 |
| Provider Name | Sarah Pollack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396442927 PECOS PAC ID: 9032582218 Enrollment ID: I20230309000785 |
| Provider Name | Kimberly Dachisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457917007 PECOS PAC ID: 1850723545 Enrollment ID: I20230314000266 |
| Provider Name | Molly Mcshane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396458402 PECOS PAC ID: 8224402300 Enrollment ID: I20230314000817 |
| Provider Name | Susan Sonhe Yoo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134257298 PECOS PAC ID: 6002280005 Enrollment ID: I20230314001821 |
| Provider Name | Tarah Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710453121 PECOS PAC ID: 1850765868 Enrollment ID: I20230314002487 |
| Provider Name | Jay Alon Lovenheim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770642035 PECOS PAC ID: 2466826482 Enrollment ID: I20230314002637 |
| Provider Name | Seema Alexander Mathew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831389154 PECOS PAC ID: 2860866894 Enrollment ID: I20230315000103 |
| Provider Name | Rida Sandhu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255891818 PECOS PAC ID: 1850765306 Enrollment ID: I20230323001431 |
| Provider Name | Walter J Jacques |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619932860 PECOS PAC ID: 9436523933 Enrollment ID: I20230324000385 |
| Provider Name | Saira Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578958088 PECOS PAC ID: 9638543945 Enrollment ID: I20230328000042 |
| Provider Name | Helen M Leszczynska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699237453 PECOS PAC ID: 0749654010 Enrollment ID: I20230328002255 |
| Provider Name | Jacklyn Lillian Ignizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972202836 PECOS PAC ID: 6608240833 Enrollment ID: I20230329002497 |
| Provider Name | Kaitlin Renee Hulbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902525538 PECOS PAC ID: 1456725613 Enrollment ID: I20230330000467 |
| Provider Name | Marilynn Dora Boim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306801568 PECOS PAC ID: 2860867090 Enrollment ID: I20230331000936 |
| Provider Name | Agne Letushko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861192015 PECOS PAC ID: 3274908041 Enrollment ID: I20230408000028 |
| Provider Name | Danielle L Flitcraft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962158931 PECOS PAC ID: 2961877709 Enrollment ID: I20230410002460 |
| Provider Name | Hannah Rogers-mcquade |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912430463 PECOS PAC ID: 4486029196 Enrollment ID: I20230412000088 |
| Provider Name | Katherine Gargiulo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700044047 PECOS PAC ID: 0749668465 Enrollment ID: I20230413002120 |
| Provider Name | Paula Grasso Zollner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831116656 PECOS PAC ID: 6901271402 Enrollment ID: I20230415000126 |
| Provider Name | Karen Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760679310 PECOS PAC ID: 4981079480 Enrollment ID: I20230415000271 |
| Provider Name | Kendra Sirolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144257502 PECOS PAC ID: 2466468087 Enrollment ID: I20230417000024 |
| Provider Name | Louis J Tesoro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982773461 PECOS PAC ID: 8820463334 Enrollment ID: I20230417000216 |
| Provider Name | Shira Kaye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336776236 PECOS PAC ID: 4385019777 Enrollment ID: I20230418000556 |
| Provider Name | Mary Pajic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134617343 PECOS PAC ID: 6709241060 Enrollment ID: I20230420002992 |
| Provider Name | Alyssa D'astoli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619596913 PECOS PAC ID: 6002271681 Enrollment ID: I20230504000326 |
| Provider Name | Esther Netanya Shor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821626623 PECOS PAC ID: 1658736129 Enrollment ID: I20230505001284 |
| Provider Name | Meghan C Salvatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053640110 PECOS PAC ID: 6901262294 Enrollment ID: I20230511000079 |
| Provider Name | Nadine Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831331099 PECOS PAC ID: 2769647205 Enrollment ID: I20230511002280 |
| Provider Name | Katherine A O'keefe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871053116 PECOS PAC ID: 4183959349 Enrollment ID: I20230519000714 |
| Provider Name | Caty Milano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336866433 PECOS PAC ID: 9739547837 Enrollment ID: I20230622000555 |
| Provider Name | Linda Katz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194811539 PECOS PAC ID: 4688032329 Enrollment ID: I20230628000599 |
| Provider Name | Sunny Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609370667 PECOS PAC ID: 7719221704 Enrollment ID: I20230629001835 |
| Provider Name | Noah Joseph Elkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801425665 PECOS PAC ID: 3577922889 Enrollment ID: I20230705002178 |
| Provider Name | Gabrielle T Capozzoli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740740299 PECOS PAC ID: 4981063096 Enrollment ID: I20230707002455 |
| Provider Name | Felicia M Booker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508806647 PECOS PAC ID: 2860851839 Enrollment ID: I20230710000108 |
| Provider Name | Sonia Pothraj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619504693 PECOS PAC ID: 2860851797 Enrollment ID: I20230710002496 |
| Provider Name | Brian Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487811980 PECOS PAC ID: 4486961232 Enrollment ID: I20230718000935 |
| Provider Name | Kathleen Greaney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952367898 PECOS PAC ID: 6406163252 Enrollment ID: I20230719001488 |
| Provider Name | Tova Yellin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356307201 PECOS PAC ID: 1052628898 Enrollment ID: I20230719003800 |
| Provider Name | Valentyna Tack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235628850 PECOS PAC ID: 9739582461 Enrollment ID: I20230720002099 |
| Provider Name | Taleen Muin Kakish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700440187 PECOS PAC ID: 3072973924 Enrollment ID: I20230724003017 |
| Provider Name | Andrew Bensinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164953667 PECOS PAC ID: 6901175470 Enrollment ID: I20230809000402 |
| Provider Name | Jennifer L Buccigrossi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598728131 PECOS PAC ID: 6901268523 Enrollment ID: I20230815000575 |
| Provider Name | Kristin M Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548652704 PECOS PAC ID: 9032438247 Enrollment ID: I20230815001167 |
| Provider Name | Rachael Tenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902534258 PECOS PAC ID: 3274996087 Enrollment ID: I20230828000698 |
| Provider Name | Erin Cahill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285053868 PECOS PAC ID: 8022471614 Enrollment ID: I20230830000699 |
| Provider Name | Marta Buchbinder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134172893 PECOS PAC ID: 9133583370 Enrollment ID: I20230907000101 |
| Provider Name | Victoria Lynn Zoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285300608 PECOS PAC ID: 2668836115 Enrollment ID: I20230915003187 |
| Provider Name | Michael A Blair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487820502 PECOS PAC ID: 3274776117 Enrollment ID: I20230920004010 |
| Provider Name | Tristanne Torres-sen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407244163 PECOS PAC ID: 3577917517 Enrollment ID: I20230926000966 |
| Provider Name | Tina Colella |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467237693 PECOS PAC ID: 9931553435 Enrollment ID: I20231003001491 |
| Provider Name | Katherine Anne Iacobellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816369 PECOS PAC ID: 0345695532 Enrollment ID: I20231007000633 |
| Provider Name | Danielle Barbieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427835883 PECOS PAC ID: 1052766250 Enrollment ID: I20231009000262 |
| Provider Name | Brenda L Allgood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073706222 PECOS PAC ID: 1759516784 Enrollment ID: I20231012002796 |
| Provider Name | Tara Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154100428 PECOS PAC ID: 3577919091 Enrollment ID: I20231019002007 |
| Provider Name | Emily Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124532460 PECOS PAC ID: 0143659342 Enrollment ID: I20231101000382 |
| Provider Name | Victoria Minneci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316726979 PECOS PAC ID: 9133576614 Enrollment ID: I20231104000498 |
| Provider Name | Navreet Khanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316393135 PECOS PAC ID: 2264889245 Enrollment ID: I20231113002958 |
| Provider Name | Molly Montagano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881471597 PECOS PAC ID: 2961850821 Enrollment ID: I20231204000361 |
| Provider Name | Roxanne George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114252616 PECOS PAC ID: 7810346038 Enrollment ID: I20231213003815 |
| Provider Name | Joshua Abraham Kanji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396271797 PECOS PAC ID: 9739425455 Enrollment ID: I20240123003302 |
| Provider Name | Raghavendra Siragavarapu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154582377 PECOS PAC ID: 2062680705 Enrollment ID: I20240124002078 |
| Provider Name | Amy Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598530842 PECOS PAC ID: 2264875590 Enrollment ID: I20240202003955 |
| Provider Name | Meenal A Gupte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770612962 PECOS PAC ID: 2769826429 Enrollment ID: I20240221001799 |
| Provider Name | Maryan N Philips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265894703 PECOS PAC ID: 3274977855 Enrollment ID: I20240222001770 |
| Provider Name | Jennifer L Palma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346018827 PECOS PAC ID: 3173967627 Enrollment ID: I20240223000055 |
| Provider Name | Garbis Gary Baydar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669438388 PECOS PAC ID: 4385089226 Enrollment ID: I20240229004332 |
| Provider Name | Sean Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346984622 PECOS PAC ID: 0547606519 Enrollment ID: I20240313000115 |
Dr. Catherine Morse,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Route 70, Inside Walmart, Marlton, NJ 08043 Phone: 856-596-2432 | |
Cherry Hill Evesham Pediatric And Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Lippincott Dr, Marlton, NJ 08053 Phone: 856-985-3700 | |
Advocare Mirmanesh Pediatric & Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 651 Route 73 N Ste 311, Marlton, NJ 08053 Phone: 856-985-8100 Fax: 856-985-8374 | |
Cadoro Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Route 73 S, Suite 307a, Marlton, NJ 08053 Phone: 856-983-9666 Fax: 856-983-2662 | |
Advocare , Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Lippincott Dr, Marlton, NJ 08053 Phone: 856-985-3700 Fax: 856-985-8476 | |
Delaware Valley Gastroenterology Associates Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Lippincott Dr, Suite E, Marlton, NJ 08053 Phone: 856-983-1900 Fax: 856-983-5110 | |
Integrated Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Brick Rd, Suite 105, Marlton, NJ 08053 Phone: 856-988-0444 |