| Jersey Irish Medical | |
|
601 W. Union Ave. Bound Brook NJ 08805 | |
| (732) 469-3627 | |
| (732) 667-3708 |
| Full Name | Jersey Irish Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 W. Union Ave., Bound Brook, New Jersey |
| Authorized Official Name and Position | Harold Bruce Ehrlich (PRESIDENT) |
| Authorized Official Contact | 7324693627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Irish Medical 601 W. Union Ave Bound Brook NJ 08805 Ph: (732) 469-3627 | Jersey Irish Medical 601 W. Union Ave. Bound Brook NJ 08805 Ph: (732) 469-3627 |
| NPI Number | 1144575739 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 07/02/2024 |
| Medicare PECOS PAC ID | 0941451215 |
|---|---|
| Medicare Enrollment ID | O20121114000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144575739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA09394200 (New Jersey) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Philip H Whiting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568450658 PECOS PAC ID: 3375447741 Enrollment ID: I20031126000384 |
| Provider Name | Dwight E Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285726265 PECOS PAC ID: 1658367990 Enrollment ID: I20040422000851 |
| Provider Name | Andrew P Pecora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376637553 PECOS PAC ID: 5092705285 Enrollment ID: I20040518000897 |
| Provider Name | Douglas J Borkowski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285769851 PECOS PAC ID: 3173514908 Enrollment ID: I20040520001061 |
| Provider Name | Mauricio J Sanchez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215971783 PECOS PAC ID: 4284627712 Enrollment ID: I20040807000182 |
| Provider Name | Alka J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790804201 PECOS PAC ID: 6608860085 Enrollment ID: I20040928001038 |
| Provider Name | Richa Kathuria |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477582260 PECOS PAC ID: 2163481474 Enrollment ID: I20041004000401 |
| Provider Name | Beatrice Monroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811981780 PECOS PAC ID: 3577523349 Enrollment ID: I20041015000341 |
| Provider Name | John Pf Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255430179 PECOS PAC ID: 7911805700 Enrollment ID: I20041130000753 |
| Provider Name | Alan S Dias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609821685 PECOS PAC ID: 4284600131 Enrollment ID: I20050118000178 |
| Provider Name | Emi A Chiusano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205882438 PECOS PAC ID: 7911956842 Enrollment ID: I20050119000042 |
| Provider Name | Joseph Ballaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700971041 PECOS PAC ID: 8123063914 Enrollment ID: I20050622000812 |
| Provider Name | Frank L Wilczynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992876023 PECOS PAC ID: 7113950866 Enrollment ID: I20050914000744 |
| Provider Name | Harold Ehrlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114921582 PECOS PAC ID: 6002830213 Enrollment ID: I20060113000817 |
| Provider Name | Erin K Dicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023110285 PECOS PAC ID: 6901811843 Enrollment ID: I20060214000049 |
| Provider Name | Yuklin K Ling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508979378 PECOS PAC ID: 1456332014 Enrollment ID: I20061113000034 |
| Provider Name | Izhar U Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003919572 PECOS PAC ID: 4183625973 Enrollment ID: I20070202000170 |
| Provider Name | Thomas A Shaffrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518993443 PECOS PAC ID: 5597767467 Enrollment ID: I20070206000097 |
| Provider Name | Sumalatha Mannava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477583235 PECOS PAC ID: 9537269071 Enrollment ID: I20070712000295 |
| Provider Name | John Gregg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013118660 PECOS PAC ID: 9638262769 Enrollment ID: I20070906000363 |
| Provider Name | Julius A Mingroni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669485751 PECOS PAC ID: 5395831911 Enrollment ID: I20071012000219 |
| Provider Name | Rosa M Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023280914 PECOS PAC ID: 0042389512 Enrollment ID: I20080523000277 |
| Provider Name | Heidi L Handler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578737987 PECOS PAC ID: 5890866834 Enrollment ID: I20080618000290 |
| Provider Name | Edward Z Lawyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114189859 PECOS PAC ID: 1052485752 Enrollment ID: I20080729000585 |
| Provider Name | Annette Rosado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124230578 PECOS PAC ID: 1052489598 Enrollment ID: I20081010000010 |
| Provider Name | Michael Marchetti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609810241 PECOS PAC ID: 9335202712 Enrollment ID: I20090112000243 |
| Provider Name | Michael S Silverberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699770412 PECOS PAC ID: 2365591351 Enrollment ID: I20090521000508 |
| Provider Name | Shauna Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558514273 PECOS PAC ID: 0648324509 Enrollment ID: I20090812000617 |
| Provider Name | Bassam N Odatalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063620060 PECOS PAC ID: 0345386348 Enrollment ID: I20091006000017 |
| Provider Name | Arthur Steven Pecora |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023053246 PECOS PAC ID: 0749210789 Enrollment ID: I20091223000201 |
| Provider Name | Alison M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679740740 PECOS PAC ID: 4880689223 Enrollment ID: I20100106000189 |
| Provider Name | Irvinder Bhatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518189133 PECOS PAC ID: 1254463789 Enrollment ID: I20100720000364 |
| Provider Name | Cathleen M Saros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003054552 PECOS PAC ID: 7012196041 Enrollment ID: I20110124000657 |
| Provider Name | Carl A Vitola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922021138 PECOS PAC ID: 5597945832 Enrollment ID: I20110203000863 |
| Provider Name | Andrew Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379549 PECOS PAC ID: 8426185604 Enrollment ID: I20110214000081 |
| Provider Name | Eva L Kucaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821223199 PECOS PAC ID: 4789864257 Enrollment ID: I20110216000046 |
| Provider Name | Nawid E Najafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326258732 PECOS PAC ID: 0042356750 Enrollment ID: I20110913000093 |
| Provider Name | Sarah O Chima |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205166147 PECOS PAC ID: 7113191842 Enrollment ID: I20111115000662 |
| Provider Name | Hilda G Sciortino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760781736 PECOS PAC ID: 1254507940 Enrollment ID: I20111230000091 |
| Provider Name | Samir Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396075958 PECOS PAC ID: 0446409403 Enrollment ID: I20121008000015 |
| Provider Name | Jennie O Malone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558569814 PECOS PAC ID: 6103011101 Enrollment ID: I20121114000239 |
| Provider Name | Marylin M Otero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346593712 PECOS PAC ID: 4183861651 Enrollment ID: I20130501000330 |
| Provider Name | Anna Wolfson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831430800 PECOS PAC ID: 1355584053 Enrollment ID: I20130828000499 |
| Provider Name | James Hakim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881856631 PECOS PAC ID: 8224207378 Enrollment ID: I20130910000614 |
| Provider Name | Jasmeen Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336419191 PECOS PAC ID: 0143449041 Enrollment ID: I20140908001541 |
| Provider Name | Rita Belobrov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588006209 PECOS PAC ID: 8325260557 Enrollment ID: I20141105002170 |
| Provider Name | William R Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003179318 PECOS PAC ID: 2163736174 Enrollment ID: I20150805006672 |
| Provider Name | Keith A Strulowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932452703 PECOS PAC ID: 8426364100 Enrollment ID: I20150825005323 |
| Provider Name | Adryanna Tavares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205202090 PECOS PAC ID: 6002122975 Enrollment ID: I20150909000535 |
| Provider Name | Tamica S Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285059204 PECOS PAC ID: 7113221151 Enrollment ID: I20160211001710 |
| Provider Name | Tariq Mahmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619386414 PECOS PAC ID: 6204131634 Enrollment ID: I20160223002542 |
| Provider Name | Harisios Tjionas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326456880 PECOS PAC ID: 9537465182 Enrollment ID: I20160309000344 |
| Provider Name | Melvin H Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508271313 PECOS PAC ID: 8527358571 Enrollment ID: I20160602001573 |
| Provider Name | Raquel Marie Mahidashti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972573160 PECOS PAC ID: 8820088511 Enrollment ID: I20160817001608 |
| Provider Name | Arthur Kharonov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992258164 PECOS PAC ID: 3971881269 Enrollment ID: I20170302001948 |
| Provider Name | Douglas S Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174055800 PECOS PAC ID: 5698050011 Enrollment ID: I20170328000996 |
| Provider Name | Marie L Eloi-stiven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326146010 PECOS PAC ID: 0244335610 Enrollment ID: I20170613001233 |
| Provider Name | Atif Saleemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013274034 PECOS PAC ID: 9234371717 Enrollment ID: I20170711002344 |
| Provider Name | Grace H Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245494210 PECOS PAC ID: 3476825258 Enrollment ID: I20170815002177 |
| Provider Name | Zhen Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073508875 PECOS PAC ID: 1557317864 Enrollment ID: I20170915001007 |
| Provider Name | Courtney E Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710402730 PECOS PAC ID: 9830456037 Enrollment ID: I20171127000006 |
| Provider Name | Diane E Knudsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245419548 PECOS PAC ID: 6709957962 Enrollment ID: I20171213002575 |
| Provider Name | Luis E Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750890323 PECOS PAC ID: 9931468824 Enrollment ID: I20180123001109 |
| Provider Name | Bradley C Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790197101 PECOS PAC ID: 0042570772 Enrollment ID: I20180129000675 |
| Provider Name | Rajesh Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902891393 PECOS PAC ID: 7315837846 Enrollment ID: I20180419001169 |
| Provider Name | Michael D Ruppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659870848 PECOS PAC ID: 9638433980 Enrollment ID: I20180514001667 |
| Provider Name | Aaron Willen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316352776 PECOS PAC ID: 6002132214 Enrollment ID: I20180717002842 |
| Provider Name | Krishna D Konakondla |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1457761223 PECOS PAC ID: 8820345820 Enrollment ID: I20180723001308 |
| Provider Name | Sevim Ruzehaji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427555788 PECOS PAC ID: 9931458197 Enrollment ID: I20180821002361 |
| Provider Name | Jossie Marie Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487148995 PECOS PAC ID: 8123371309 Enrollment ID: I20181106000700 |
| Provider Name | Damaris Grossmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114320710 PECOS PAC ID: 3173877610 Enrollment ID: I20181119002736 |
| Provider Name | Jennifer Couso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659846566 PECOS PAC ID: 9931445194 Enrollment ID: I20190108003594 |
| Provider Name | Brian O Gaspar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316418734 PECOS PAC ID: 1456690049 Enrollment ID: I20190226001016 |
| Provider Name | Maria Victoria Regencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467970798 PECOS PAC ID: 7618218553 Enrollment ID: I20190403000652 |
| Provider Name | Dzmitry Limarenka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982168522 PECOS PAC ID: 9638411424 Enrollment ID: I20190426000580 |
| Provider Name | Tynetta Eleazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922510148 PECOS PAC ID: 8426391343 Enrollment ID: I20190516002089 |
| Provider Name | Michael Patric Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760940290 PECOS PAC ID: 6002149432 Enrollment ID: I20190617002840 |
| Provider Name | Ilya Parizh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619361995 PECOS PAC ID: 8123353992 Enrollment ID: I20190716002354 |
| Provider Name | Immacula Jean-charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871002139 PECOS PAC ID: 3375803489 Enrollment ID: I20190903000897 |
| Provider Name | Vanessa Pilar Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083171177 PECOS PAC ID: 8426388984 Enrollment ID: I20190925003075 |
| Provider Name | Sheryl L Trippel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114577293 PECOS PAC ID: 5294167276 Enrollment ID: I20191113000089 |
| Provider Name | Kyle T Bergan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114490224 PECOS PAC ID: 6204262264 Enrollment ID: I20200211000957 |
| Provider Name | Juan Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770957466 PECOS PAC ID: 7214232792 Enrollment ID: I20200318000166 |
| Provider Name | Nicole B Simonson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295361616 PECOS PAC ID: 3173953155 Enrollment ID: I20200414002855 |
| Provider Name | Amritpal Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407496060 PECOS PAC ID: 1951732411 Enrollment ID: I20200518000255 |
| Provider Name | Jijoe M Joseph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336521178 PECOS PAC ID: 4789017906 Enrollment ID: I20200609002793 |
| Provider Name | Akuwa Gbogbotsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518576206 PECOS PAC ID: 9234557349 Enrollment ID: I20200922000092 |
| Provider Name | Alicia E Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013338763 PECOS PAC ID: 1658649793 Enrollment ID: I20201103000119 |
| Provider Name | Iniobong Ukonne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871097980 PECOS PAC ID: 8527495951 Enrollment ID: I20201208000901 |
| Provider Name | Jennifer Landzinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275140451 PECOS PAC ID: 0648682435 Enrollment ID: I20201221000837 |
| Provider Name | Priscilla Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588208037 PECOS PAC ID: 8123431194 Enrollment ID: I20210112001799 |
| Provider Name | Vanessa I Almeida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588262349 PECOS PAC ID: 5294148151 Enrollment ID: I20210113002711 |
| Provider Name | Eniola R Bamidele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275061525 PECOS PAC ID: 2769898295 Enrollment ID: I20210309000902 |
| Provider Name | Assad Mujtaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699230359 PECOS PAC ID: 4880928282 Enrollment ID: I20210311000002 |
| Provider Name | Seungyeon Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265048359 PECOS PAC ID: 5395152813 Enrollment ID: I20210330001873 |
| Provider Name | Natalia Bortell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730796681 PECOS PAC ID: 9537574173 Enrollment ID: I20210421001206 |
| Provider Name | Carla Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467071126 PECOS PAC ID: 0446668784 Enrollment ID: I20210426001798 |
| Provider Name | Diana Pichardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205422607 PECOS PAC ID: 2860801271 Enrollment ID: I20210513002808 |
| Provider Name | Shravan Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124519087 PECOS PAC ID: 3274935655 Enrollment ID: I20210707002788 |
| Provider Name | Juliet Uwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023600384 PECOS PAC ID: 5799188249 Enrollment ID: I20210721004171 |
| Provider Name | Waleska L Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629653217 PECOS PAC ID: 3870996994 Enrollment ID: I20210728000013 |
| Provider Name | Melissa Porth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992475016 PECOS PAC ID: 3971991811 Enrollment ID: I20211027000270 |
| Provider Name | Kelly Dowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023699725 PECOS PAC ID: 6002205804 Enrollment ID: I20211117001112 |
| Provider Name | Avraham Y Eisenman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205434248 PECOS PAC ID: 8426463753 Enrollment ID: I20211117002073 |
| Provider Name | Richard Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114681970 PECOS PAC ID: 9436543006 Enrollment ID: I20220224000421 |
| Provider Name | Jurgita Katkauskaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942890280 PECOS PAC ID: 8325432321 Enrollment ID: I20220308000081 |
| Provider Name | George Sidrak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194283085 PECOS PAC ID: 5890193973 Enrollment ID: I20220331002545 |
| Provider Name | Mark Gerard Havlicek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033708052 PECOS PAC ID: 4385030774 Enrollment ID: I20220412001898 |
| Provider Name | James Edward Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356387062 PECOS PAC ID: 3577454792 Enrollment ID: I20220623000360 |
| Provider Name | Carmel Bethsaida Louis-jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295461838 PECOS PAC ID: 0547636763 Enrollment ID: I20221013000279 |
| Provider Name | Lindsey R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740997618 PECOS PAC ID: 5294103073 Enrollment ID: I20221129001600 |
| Provider Name | Navdeep K Chharan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316480148 PECOS PAC ID: 0446533475 Enrollment ID: I20221219000721 |
| Provider Name | Natalie Noelle Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912616574 PECOS PAC ID: 5294107876 Enrollment ID: I20230208000201 |
| Provider Name | Estefany Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700501095 PECOS PAC ID: 7214300508 Enrollment ID: I20230307003392 |
| Provider Name | Carolyn Cedeno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962142968 PECOS PAC ID: 9739553801 Enrollment ID: I20230314000560 |
| Provider Name | Lauren Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225742224 PECOS PAC ID: 2163896606 Enrollment ID: I20230323000733 |
| Provider Name | Christine Cowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275243941 PECOS PAC ID: 7911372610 Enrollment ID: I20230411002607 |
| Provider Name | Jennel Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659092203 PECOS PAC ID: 5991160335 Enrollment ID: I20230508001817 |
| Provider Name | Timothy A Aldrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194212522 PECOS PAC ID: 5193151934 Enrollment ID: I20230828001766 |
| Provider Name | Theodros Seyoum |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558672428 PECOS PAC ID: 0244537082 Enrollment ID: I20231002001879 |
| Provider Name | Obioma Eke-okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518746940 PECOS PAC ID: 6800246612 Enrollment ID: I20231220000478 |
| Provider Name | Michele Yip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073242699 PECOS PAC ID: 4688010697 Enrollment ID: I20240313001438 |
| Provider Name | Brooke R Blakey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124877402 PECOS PAC ID: 0143762369 Enrollment ID: I20240604000314 |
| Provider Name | Sherelle Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144949553 PECOS PAC ID: 9234590258 Enrollment ID: I20241021004477 |
| Provider Name | Anna Chuyko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811715915 PECOS PAC ID: 4789117557 Enrollment ID: I20241031003407 |
| Provider Name | Annie Depaolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255157822 PECOS PAC ID: 9133659394 Enrollment ID: I20250204001363 |
| Provider Name | Maria Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699326413 PECOS PAC ID: 9931539533 Enrollment ID: I20250211002260 |
| Provider Name | Emmanuel Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801616826 PECOS PAC ID: 2466975560 Enrollment ID: I20250331000322 |
Warren Medicenter, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Union Ave, Ste 107, Bound Brook, NJ 08805 Phone: 732-469-3627 Fax: 732-667-3708 | |
Ek Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Union Ave, Bound Brook, NJ 08805 Phone: 732-939-5487 Fax: 908-751-5079 | |
Family Care Of Somerset, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 515 Church St Ste 4, Bound Brook, NJ 08805 Phone: 908-218-1121 Fax: 908-253-9031 | |
Family & Community Services Of Somerset County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 W 2nd St, Bound Brook, NJ 08805 Phone: 732-356-1082 Fax: 732-356-6327 | |
Middlebrook Family Physicians, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Union Ave, Bound Brook, NJ 08805 Phone: 732-560-0490 Fax: 732-560-3681 | |
Altea Medical New Jersey Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Route 22 West, Bound Brook, NJ 08805 Phone: 732-469-2000 |