| Evernorth Care Providers - New Jersey Pc | |
|
999 Riverview Dr Fl 2 Totowa NJ 07512-1164 | |
| (773) 292-4800 | |
| (312) 564-4059 |
| Full Name | Evernorth Care Providers - New Jersey Pc |
|---|---|
| Speciality | General Practice |
| Location | 999 Riverview Dr Fl 2, Totowa, New Jersey |
| Authorized Official Name and Position | Grace V Blue (CREDENTIALING SR. MANAGER) |
| Authorized Official Contact | 7732924800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evernorth Care Providers - New Jersey Pc 730 Cool Springs Blvd Ste 500 Franklin TN 37067-7331 Ph: (773) 292-4800 | Evernorth Care Providers - New Jersey Pc 999 Riverview Dr Fl 2 Totowa NJ 07512-1164 Ph: (773) 292-4800 |
| NPI Number | 1174874200 |
|---|---|
| Provider Enumeration Date | 09/28/2012 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 9436450327 |
|---|---|
| Medicare Enrollment ID | O20151218000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174874200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New Jersey) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Heather A Goldner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801229554 PECOS PAC ID: 6103044623 Enrollment ID: I20140826000873 |
| Provider Name | Deborah Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043205628 PECOS PAC ID: 9436116829 Enrollment ID: I20180405001892 |
| Provider Name | Cecilia Shim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285891424 PECOS PAC ID: 4385810464 Enrollment ID: I20200508000198 |
| Provider Name | Mary Eileen Mcsorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023150570 PECOS PAC ID: 4385677475 Enrollment ID: I20210201000076 |
| Provider Name | Megan Ann Ruehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275846917 PECOS PAC ID: 6103008487 Enrollment ID: I20210225000201 |
| Provider Name | Alyssa Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760142871 PECOS PAC ID: 5991197394 Enrollment ID: I20220114001711 |
| Provider Name | Devonie M Forde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477228864 PECOS PAC ID: 6002291481 Enrollment ID: I20220921002064 |
Northeast Imaging & Diagnostics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 472 Union Blvd, Totowa, NJ 07512 Phone: 973-942-2440 Fax: 973-942-3367 | |
Totowa Pimary Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 Union Blvd, Ste 3, Totowa, NJ 07512 Phone: 973-790-0090 Fax: 973-790-6070 | |
Aim Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Lafayette Cir, Totowa, NJ 07512 Phone: 973-458-0114 Fax: 973-458-0661 | |
Totowa Physicians & Surgeons, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 Union Blvd, Totowa, NJ 07512 Phone: 973-595-8400 Fax: 973-595-8501 | |
Totowa Center For Pain Management & Physical Medicine,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 290 Union Blvd Ste 1, Totowa, NJ 07512 Phone: 973-720-1700 Fax: 973-720-1701 | |
Dr. Salvatore A. Conte Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Totowa Rd, Totowa, NJ 07512 Phone: 973-790-8811 Fax: 973-790-8817 |