| Bay Healthcare Llc | |
|
81 Memorial Pkwy Ofc A Randolph MA 02368-4505 | |
| (781) 926-3339 | |
| Not Available |
| Full Name | Bay Healthcare Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 81 Memorial Pkwy Ofc A, Randolph, Massachusetts |
| Authorized Official Name and Position | Sulayman Zuod (CEO/PRESIDENT) |
| Authorized Official Contact | 7819642654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Healthcare Llc 81 Memorial Pkwy Ofc A Randolph MA 02368-4505 Ph: (781) 926-3339 | Bay Healthcare Llc 81 Memorial Pkwy Ofc A Randolph MA 02368-4505 Ph: (781) 926-3339 |
| NPI Number | 1659097483 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 4880063726 |
|---|---|
| Medicare Enrollment ID | O20221215000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659097483 | NPI | - | NPPES |
| Provider Name | Irving Raul Restituyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093876906 PECOS PAC ID: 9638262355 Enrollment ID: I20070911000246 |
| Provider Name | Carissa M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20101117001009 |
| Provider Name | Sulayman Zuod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588286983 PECOS PAC ID: 8123448693 Enrollment ID: I20201022000147 |
| Provider Name | Atlee Quarrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013524164 PECOS PAC ID: 5597178228 Enrollment ID: I20210119001581 |
| Provider Name | Doris Odion-ukpebor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619649118 PECOS PAC ID: 2264825439 Enrollment ID: I20220210002001 |
| Provider Name | Carla Merlos Chindongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809685 PECOS PAC ID: 2860876232 Enrollment ID: I20220902001140 |
| Provider Name | Darline Justal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316610900 PECOS PAC ID: 4587033725 Enrollment ID: I20221212000712 |
| Provider Name | Nicole Sturgis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770155434 PECOS PAC ID: 5890166185 Enrollment ID: I20230124003360 |
| Provider Name | Naomie Robert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841902970 PECOS PAC ID: 7618341256 Enrollment ID: I20230321002193 |
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