| Bergen Geriatric Care, Llc | |
|
680 Kinderkamack Road Ste 205 Oradell NJ 07649-1600 | |
| (201) 387-2003 | |
| (201) 387-2277 |
| Full Name | Bergen Geriatric Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 680 Kinderkamack Road, Oradell, New Jersey |
| Authorized Official Name and Position | Odessa E Hoinkis (CO-OWNER) |
| Authorized Official Contact | 2013872003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Geriatric Care, Llc 680 Kinderkamack Rd Ste 205 Oradell NJ 07649-1600 Ph: (201) 387-2003 | Bergen Geriatric Care, Llc 680 Kinderkamack Road Ste 205 Oradell NJ 07649-1600 Ph: (201) 387-2003 |
| NPI Number | 1316293996 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 10/15/2012 |
| Medicare PECOS PAC ID | 6507016706 |
|---|---|
| Medicare Enrollment ID | O20121024000735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316293996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB07894000 (New Jersey) | Primary |
| 207Q00000X | Family Medicine | 25MA08487900 (New Jersey) | Secondary |
| Provider Name | Daniel James Wilkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922092121 PECOS PAC ID: 8921063793 Enrollment ID: I20051108000119 |
| Provider Name | Anne C Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891798252 PECOS PAC ID: 9638187446 Enrollment ID: I20060404000779 |
| Provider Name | Clare E Rovito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669583621 PECOS PAC ID: 3375542848 Enrollment ID: I20061211000201 |
| Provider Name | Odessa E Hoinkis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255582680 PECOS PAC ID: 2961556642 Enrollment ID: I20090814000129 |
| Provider Name | Leelamma Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992039002 PECOS PAC ID: 2860681087 Enrollment ID: I20110104000686 |
| Provider Name | Anna Wolfson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831430800 PECOS PAC ID: 1355584053 Enrollment ID: I20130828000499 |
| Provider Name | Martha E Oates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750827796 PECOS PAC ID: 2961760590 Enrollment ID: I20180103000525 |
| Provider Name | Rachel Lipschitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306378609 PECOS PAC ID: 0749540284 Enrollment ID: I20180201001720 |
| Provider Name | Brianne L Deptuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083180244 PECOS PAC ID: 4486988730 Enrollment ID: I20190620002187 |
| Provider Name | Ashley Lewinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134656119 PECOS PAC ID: 0244504702 Enrollment ID: I20200331001129 |
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