| Annandale Family Practice Llc | |
|
56 Payne Rd Suite 21 Lebanon NJ 08833-3262 | |
| (908) 238-0100 | |
| (908) 238-0951 |
| Full Name | Annandale Family Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 56 Payne Rd, Lebanon, New Jersey |
| Authorized Official Name and Position | Theresa Ann Sacchieri (PROVIDER/OWNER) |
| Authorized Official Contact | 2013141139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annandale Family Practice Llc 56 Payne Rd Suite 21 Lebanon NJ 08833-3262 Ph: (908) 238-0100 | Annandale Family Practice Llc 56 Payne Rd Suite 21 Lebanon NJ 08833-3262 Ph: (908) 238-0100 |
| NPI Number | 1003080169 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 01/25/2024 |
| Medicare PECOS PAC ID | 7416028527 |
|---|---|
| Medicare Enrollment ID | O20080702000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003080169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA07764100 (New Jersey) | Primary |
| Provider Name | Theresa A Sacchieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578616942 PECOS PAC ID: 9335177724 Enrollment ID: I20050818000021 |
| Provider Name | Lauren Carruth Mehnert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477687200 PECOS PAC ID: 3779587811 Enrollment ID: I20060905000136 |
| Provider Name | Reid T Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659637320 PECOS PAC ID: 0749437044 Enrollment ID: I20120821000841 |
| Provider Name | Angela Bindics |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366056236 PECOS PAC ID: 6204241607 Enrollment ID: I20210217001256 |