| Bronx Medical Practice P.c. | |
|
2626 Halperin Ave Bronx NY 10461-2631 | |
| (646) 340-1309 | |
| (646) 374-4940 |
| Full Name | Bronx Medical Practice P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2626 Halperin Ave, Bronx, New York |
| Authorized Official Name and Position | Sumir P. Sahgal (OWNER OF CORP) |
| Authorized Official Contact | 7186180401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Medical Practice P.c. 2626 Halperin Ave Bronx NY 10461-2631 Ph: (718) 618-0401 | Bronx Medical Practice P.c. 2626 Halperin Ave Bronx NY 10461-2631 Ph: (646) 340-1309 |
| NPI Number | 1356726087 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 9739496100 |
|---|---|
| Medicare Enrollment ID | O20150917000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356726087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 108070 (New York) | Primary |
| Provider Name | Girish Bulsara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043298052 PECOS PAC ID: 4284538158 Enrollment ID: I20031121000608 |
| Provider Name | Donna M Snow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427018779 PECOS PAC ID: 3072419837 Enrollment ID: I20031211000394 |
| Provider Name | James J Weisbard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710063623 PECOS PAC ID: 3375438302 Enrollment ID: I20040218000949 |
| Provider Name | Shervin Mortazavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740241850 PECOS PAC ID: 3779471560 Enrollment ID: I20040304000769 |
| Provider Name | Shelley D Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841324548 PECOS PAC ID: 6103716881 Enrollment ID: I20040317000401 |
| Provider Name | Emefre Oscar-amanam Udo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841235033 PECOS PAC ID: 3870484983 Enrollment ID: I20040319001646 |
| Provider Name | Jasodaben Mandalaywala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574289 PECOS PAC ID: 3577455492 Enrollment ID: I20040326000093 |
| Provider Name | Elena Pollack |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366711350 PECOS PAC ID: 1658363478 Enrollment ID: I20040401000532 |
| Provider Name | Adria Burrows |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841298932 PECOS PAC ID: 7012909682 Enrollment ID: I20040401001615 |
| Provider Name | Dennis S Nachmann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174516355 PECOS PAC ID: 0749272151 Enrollment ID: I20040402000881 |
| Provider Name | Ali Sherzoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245265297 PECOS PAC ID: 0840283602 Enrollment ID: I20040407000044 |
| Provider Name | Ofelia V Calubiran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487770574 PECOS PAC ID: 1850384322 Enrollment ID: I20040408000548 |
| Provider Name | Aruna Barua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609940121 PECOS PAC ID: 8628062262 Enrollment ID: I20040414001215 |
| Provider Name | Stephen P Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982675013 PECOS PAC ID: 6608862990 Enrollment ID: I20040422000484 |
| Provider Name | Regina J Sotnik |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912952466 PECOS PAC ID: 0143217430 Enrollment ID: I20040428001128 |
| Provider Name | Lorelei Davidson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205883857 PECOS PAC ID: 7214926401 Enrollment ID: I20040511001811 |
| Provider Name | Ronny M Chadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700950565 PECOS PAC ID: 7719977867 Enrollment ID: I20040512001333 |
| Provider Name | Owen Golden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841285137 PECOS PAC ID: 0042291387 Enrollment ID: I20040525000296 |
| Provider Name | Hilda A Haynes Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306927736 PECOS PAC ID: 3870574312 Enrollment ID: I20040528001023 |
| Provider Name | Linda R Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568593010 PECOS PAC ID: 8527041813 Enrollment ID: I20040608001380 |
| Provider Name | Bentley L Patterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780789651 PECOS PAC ID: 6002899267 Enrollment ID: I20040609000624 |
| Provider Name | Imran Faisal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730124512 PECOS PAC ID: 0446235840 Enrollment ID: I20040621000920 |
| Provider Name | Tatyana Karachun |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154350429 PECOS PAC ID: 8022096270 Enrollment ID: I20040713000690 |
| Provider Name | Rodney A Becher |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538165634 PECOS PAC ID: 3375521487 Enrollment ID: I20040713001224 |
| Provider Name | Andrew R Brookner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629063888 PECOS PAC ID: 0244219954 Enrollment ID: I20040716000226 |
| Provider Name | Gerard Hanley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275574477 PECOS PAC ID: 2466431614 Enrollment ID: I20040720000490 |
| Provider Name | David Jakubowicz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538169230 PECOS PAC ID: 6709856453 Enrollment ID: I20040729000505 |
| Provider Name | Praveen Kumrah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568463842 PECOS PAC ID: 4587634233 Enrollment ID: I20040729000535 |
| Provider Name | Tristan Da Cunha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962679027 PECOS PAC ID: 8022089721 Enrollment ID: I20040805000162 |
| Provider Name | Joseph Tu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679534143 PECOS PAC ID: 9436121233 Enrollment ID: I20040811001163 |
| Provider Name | Rakesh Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255329876 PECOS PAC ID: 0446223374 Enrollment ID: I20040818000264 |
| Provider Name | Nikolaos Migias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790785509 PECOS PAC ID: 7810961554 Enrollment ID: I20040819001334 |
| Provider Name | Lawrence H Hanau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295825198 PECOS PAC ID: 1759356389 Enrollment ID: I20040827000746 |
| Provider Name | Jian Zhang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306882444 PECOS PAC ID: 1759356652 Enrollment ID: I20040901001156 |
| Provider Name | Rajeev Sindhwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346285145 PECOS PAC ID: 8820066640 Enrollment ID: I20040920001024 |
| Provider Name | Rajpal S Chopra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376562835 PECOS PAC ID: 0345218806 Enrollment ID: I20040922000497 |
| Provider Name | Sandeep K Malik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154484525 PECOS PAC ID: 0547229114 Enrollment ID: I20041008000277 |
| Provider Name | Nidhi Sahgal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518072636 PECOS PAC ID: 5092787853 Enrollment ID: I20041102000117 |
| Provider Name | Joshua B Holden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720010994 PECOS PAC ID: 6305809013 Enrollment ID: I20041104000344 |
| Provider Name | Elliot I Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821025099 PECOS PAC ID: 4385607712 Enrollment ID: I20041108000264 |
| Provider Name | Mariela Glandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235301920 PECOS PAC ID: 2062477102 Enrollment ID: I20041130000829 |
| Provider Name | Stuart B Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518935857 PECOS PAC ID: 1557319738 Enrollment ID: I20050104000868 |
| Provider Name | Hillary Diamond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902967011 PECOS PAC ID: 1052362639 Enrollment ID: I20050201001009 |
| Provider Name | Charles E Libby |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306954946 PECOS PAC ID: 5597719740 Enrollment ID: I20050310000137 |
| Provider Name | Ashuwinder Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912058801 PECOS PAC ID: 9537115654 Enrollment ID: I20050322000930 |
| Provider Name | Donna Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881706943 PECOS PAC ID: 6709823933 Enrollment ID: I20050411000031 |
| Provider Name | John Joseph Weber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306946991 PECOS PAC ID: 0446297949 Enrollment ID: I20050415000648 |
| Provider Name | Sabine E Larosiliere |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215964606 PECOS PAC ID: 9436199445 Enrollment ID: I20050510000337 |
| Provider Name | George P Koshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689642639 PECOS PAC ID: 0042252033 Enrollment ID: I20050601000055 |
| Provider Name | Win Myint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861460818 PECOS PAC ID: 0941244917 Enrollment ID: I20050610000841 |
| Provider Name | Timothy J Vittorio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427044536 PECOS PAC ID: 6709813025 Enrollment ID: I20050719000553 |
| Provider Name | David Sammett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881600575 PECOS PAC ID: 6002844438 Enrollment ID: I20050727001091 |
| Provider Name | Shahzad Iqbal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386667947 PECOS PAC ID: 7214965193 Enrollment ID: I20050802001269 |
| Provider Name | Anthony Paul Andrews |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457348781 PECOS PAC ID: 4880622885 Enrollment ID: I20050803000954 |
| Provider Name | Koku M Gasinu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609945856 PECOS PAC ID: 1355371154 Enrollment ID: I20050820000040 |
| Provider Name | Maureen A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427083336 PECOS PAC ID: 5698706646 Enrollment ID: I20050830000099 |
| Provider Name | Clyde H Weissbart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407925274 PECOS PAC ID: 8628000114 Enrollment ID: I20050906000687 |
| Provider Name | Nellye V Dankov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568449908 PECOS PAC ID: 7517999550 Enrollment ID: I20050909000897 |
| Provider Name | Ralph Jeudy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114925732 PECOS PAC ID: 0244265452 Enrollment ID: I20050927000759 |
| Provider Name | Robert Bressner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538191143 PECOS PAC ID: 1254366727 Enrollment ID: I20051004000256 |
| Provider Name | Thomas Gerard O Brien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063434298 PECOS PAC ID: 6507885308 Enrollment ID: I20051121000857 |
| Provider Name | Emanuela M Maciag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902806888 PECOS PAC ID: 9133140122 Enrollment ID: I20051219000453 |
| Provider Name | Lee H Trosterman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609824937 PECOS PAC ID: 5092729707 Enrollment ID: I20060202000238 |
| Provider Name | Rosetta M Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407961386 PECOS PAC ID: 0840207171 Enrollment ID: I20060313000082 |
| Provider Name | Vinette W Tummings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942391347 PECOS PAC ID: 7416965884 Enrollment ID: I20060327000309 |
| Provider Name | Janine M Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205891405 PECOS PAC ID: 4981613486 Enrollment ID: I20060411000610 |
| Provider Name | Hilary B Kern |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033282934 PECOS PAC ID: 3072523752 Enrollment ID: I20060425000641 |
| Provider Name | Ravindra Kashyap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639128366 PECOS PAC ID: 4688686264 Enrollment ID: I20060623000060 |
| Provider Name | Douglas N Weiner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679535017 PECOS PAC ID: 4486667979 Enrollment ID: I20060731000200 |
| Provider Name | Henry Roman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639288640 PECOS PAC ID: 3274530324 Enrollment ID: I20061102000100 |
| Provider Name | Mery Concepcion Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497825129 PECOS PAC ID: 4789786120 Enrollment ID: I20070302000477 |
| Provider Name | Vikas K Agrawal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568523496 PECOS PAC ID: 3476657917 Enrollment ID: I20070322000483 |
| Provider Name | Cynthia Prabahar Sudar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114064425 PECOS PAC ID: 9638275415 Enrollment ID: I20070511000250 |
| Provider Name | Domingo C Nunez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023027463 PECOS PAC ID: 8426155870 Enrollment ID: I20070518000156 |
| Provider Name | Nabil A Elhadidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548481898 PECOS PAC ID: 8921108960 Enrollment ID: I20070705000365 |
| Provider Name | Sarah A Stackpole |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124183629 PECOS PAC ID: 5597865360 Enrollment ID: I20070709000355 |
| Provider Name | Christin Montalbano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093700510 PECOS PAC ID: 8729188321 Enrollment ID: I20070711000935 |
| Provider Name | Sailaja Sivareddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023181138 PECOS PAC ID: 1658472634 Enrollment ID: I20070720000206 |
| Provider Name | Mohan Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194769653 PECOS PAC ID: 9739191479 Enrollment ID: I20070720000589 |
| Provider Name | Mohammad F Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083701783 PECOS PAC ID: 4981795101 Enrollment ID: I20070802000204 |
| Provider Name | Young H Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134213234 PECOS PAC ID: 2567555790 Enrollment ID: I20070905000127 |
| Provider Name | Hossain Mohseni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932153541 PECOS PAC ID: 9830155985 Enrollment ID: I20071023000789 |
| Provider Name | Susanne Y Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922072115 PECOS PAC ID: 2466548326 Enrollment ID: I20071101000249 |
| Provider Name | Gabriela Rosas Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316148265 PECOS PAC ID: 9638268410 Enrollment ID: I20071130000542 |
| Provider Name | Hamid I Lalani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164405262 PECOS PAC ID: 4587754668 Enrollment ID: I20071212000690 |
| Provider Name | Sheryll Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932384906 PECOS PAC ID: 5092897389 Enrollment ID: I20080125000016 |
| Provider Name | Catherine A Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992718951 PECOS PAC ID: 1355423930 Enrollment ID: I20080205000326 |
| Provider Name | Moiz A Hamdani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205048725 PECOS PAC ID: 3577640242 Enrollment ID: I20080404000363 |
| Provider Name | Viorel Boborodea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225240682 PECOS PAC ID: 1658380290 Enrollment ID: I20080414000354 |
| Provider Name | Janet T Tufaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013914670 PECOS PAC ID: 8527132885 Enrollment ID: I20080805000043 |
| Provider Name | Daniel J Addanki |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023281342 PECOS PAC ID: 9335214600 Enrollment ID: I20080821000006 |
| Provider Name | Mazda Alaie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174611164 PECOS PAC ID: 7618042730 Enrollment ID: I20080823000049 |
| Provider Name | Roseline N Ihim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790979391 PECOS PAC ID: 4183703663 Enrollment ID: I20080825000123 |
| Provider Name | Georges R Ramalanjaona |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104811785 PECOS PAC ID: 4587688429 Enrollment ID: I20081119000554 |
| Provider Name | Amit Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851507362 PECOS PAC ID: 6507927977 Enrollment ID: I20081203000531 |
| Provider Name | Omesh Jhagroo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598924904 PECOS PAC ID: 4688739253 Enrollment ID: I20090213000389 |
| Provider Name | Alfonso A Ortiz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699915967 PECOS PAC ID: 5193882066 Enrollment ID: I20090319000516 |
| Provider Name | Marcel M Benoit |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609855725 PECOS PAC ID: 1052478765 Enrollment ID: I20090325000246 |
| Provider Name | Sophia L Mcbean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316189947 PECOS PAC ID: 2860549722 Enrollment ID: I20090409000538 |
| Provider Name | Steven Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174736623 PECOS PAC ID: 5698822286 Enrollment ID: I20090420000015 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Emmanuel N Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497856728 PECOS PAC ID: 9830160704 Enrollment ID: I20090609000332 |
| Provider Name | Sheela Premanath Banad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396878724 PECOS PAC ID: 5193876514 Enrollment ID: I20090625000154 |
| Provider Name | Jalu Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447497532 PECOS PAC ID: 9335290238 Enrollment ID: I20090707000212 |
| Provider Name | James S Nesheiwat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487631792 PECOS PAC ID: 8527110766 Enrollment ID: I20090717000600 |
| Provider Name | Gina Sam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134387822 PECOS PAC ID: 0648323923 Enrollment ID: I20090804000439 |
| Provider Name | Juadan Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902940331 PECOS PAC ID: 1052464203 Enrollment ID: I20090805000411 |
| Provider Name | Bredy Pierre Louis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205073756 PECOS PAC ID: 6305999301 Enrollment ID: I20090807000328 |
| Provider Name | Padmaja Gunjupali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770736076 PECOS PAC ID: 0547314171 Enrollment ID: I20090818000028 |
| Provider Name | Dmitry Gorelik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942375654 PECOS PAC ID: 0345297883 Enrollment ID: I20091021000674 |
| Provider Name | Vanessa Escobar Barboza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558580936 PECOS PAC ID: 3072650845 Enrollment ID: I20091027000736 |
| Provider Name | Yvonne P Waldemar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992782866 PECOS PAC ID: 9830236595 Enrollment ID: I20091028000749 |
| Provider Name | Nirav S Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992951925 PECOS PAC ID: 3678612231 Enrollment ID: I20091120000454 |
| Provider Name | Sophia Gazis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912907825 PECOS PAC ID: 2668511692 Enrollment ID: I20091203000468 |
| Provider Name | Vladimir Lekht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023208386 PECOS PAC ID: 5496895302 Enrollment ID: I20091224000044 |
| Provider Name | Muhammad A Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811125339 PECOS PAC ID: 4688716582 Enrollment ID: I20100114000663 |
| Provider Name | Juan Carlos Barragan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962401190 PECOS PAC ID: 2466595442 Enrollment ID: I20100201000027 |
| Provider Name | Imtiaz A Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215943832 PECOS PAC ID: 2860535747 Enrollment ID: I20100201000111 |
| Provider Name | Sheri Klass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235161290 PECOS PAC ID: 7416090287 Enrollment ID: I20100202000141 |
| Provider Name | Emily Yurberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689754491 PECOS PAC ID: 0547303133 Enrollment ID: I20100204000382 |
| Provider Name | Prem B Singla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659369312 PECOS PAC ID: 1658406467 Enrollment ID: I20100318000673 |
| Provider Name | Raymond Diaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346250024 PECOS PAC ID: 6002903408 Enrollment ID: I20100330001144 |
| Provider Name | Jamil Ibrahim |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245222587 PECOS PAC ID: 2769518471 Enrollment ID: I20100406000466 |
| Provider Name | Marsha Marecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801955745 PECOS PAC ID: 0749319234 Enrollment ID: I20100521000002 |
| Provider Name | Michael Ira Levine |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912971250 PECOS PAC ID: 0749213056 Enrollment ID: I20100610000565 |
| Provider Name | Sorrel M Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689780561 PECOS PAC ID: 6002947579 Enrollment ID: I20100628000047 |
| Provider Name | Ingrid Veiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720247471 PECOS PAC ID: 3274666052 Enrollment ID: I20100730000107 |
| Provider Name | Mohamad Erfani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093036469 PECOS PAC ID: 7113041161 Enrollment ID: I20100828000001 |
| Provider Name | Florence Pua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124105036 PECOS PAC ID: 3971796483 Enrollment ID: I20101015001206 |
| Provider Name | Elliott M Feinman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679583553 PECOS PAC ID: 7618160649 Enrollment ID: I20101021001147 |
| Provider Name | Daralyn Samuels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366504284 PECOS PAC ID: 1153515739 Enrollment ID: I20101027000972 |
| Provider Name | Kyongmi Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871521112 PECOS PAC ID: 7315132099 Enrollment ID: I20101108000547 |
| Provider Name | Ambreen Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063564268 PECOS PAC ID: 2163618406 Enrollment ID: I20101129000173 |
| Provider Name | Seung H Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861698490 PECOS PAC ID: 9234224262 Enrollment ID: I20101209001314 |
| Provider Name | Kachi N Nweke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245462084 PECOS PAC ID: 5991831265 Enrollment ID: I20101210000026 |
| Provider Name | Thomas J Militana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578666582 PECOS PAC ID: 4789872755 Enrollment ID: I20101217000764 |
| Provider Name | Casey A Pidich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619293826 PECOS PAC ID: 2961691613 Enrollment ID: I20110111000446 |
| Provider Name | Stuart M Stern |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679502074 PECOS PAC ID: 1658586664 Enrollment ID: I20110111000896 |
| Provider Name | William Blank |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902851967 PECOS PAC ID: 4183804396 Enrollment ID: I20110204000670 |
| Provider Name | Rebecca Mammo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508062118 PECOS PAC ID: 5193638534 Enrollment ID: I20110315000583 |
| Provider Name | Erinmarie Sullivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427251982 PECOS PAC ID: 0143314450 Enrollment ID: I20110325000640 |
| Provider Name | Kamyar David Tavakoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528148475 PECOS PAC ID: 1456535483 Enrollment ID: I20110415000129 |
| Provider Name | Theodore Elias Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659379147 PECOS PAC ID: 9032394952 Enrollment ID: I20110419000689 |
| Provider Name | Janet Ohare |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740590603 PECOS PAC ID: 4981889755 Enrollment ID: I20110421000553 |
| Provider Name | Nina T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043499015 PECOS PAC ID: 1355526872 Enrollment ID: I20110427000637 |
| Provider Name | Thomas C Franchini |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588674592 PECOS PAC ID: 9335184514 Enrollment ID: I20110504000093 |
| Provider Name | Jae K Hong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740354539 PECOS PAC ID: 2860679792 Enrollment ID: I20110602000038 |
| Provider Name | Selena A Gilles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053601674 PECOS PAC ID: 7517144041 Enrollment ID: I20110608000766 |
| Provider Name | Edward C Phillips |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841345469 PECOS PAC ID: 9931377702 Enrollment ID: I20110721000533 |
| Provider Name | Valeria Vesselinova Loukanova-ivanov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689986515 PECOS PAC ID: 5698943355 Enrollment ID: I20110725000005 |
| Provider Name | Timothy Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164731634 PECOS PAC ID: 5496923807 Enrollment ID: I20110729000019 |
| Provider Name | Fernand Fils Theogene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093771206 PECOS PAC ID: 1355510348 Enrollment ID: I20110809000088 |
| Provider Name | Maria Theresa C Vinluan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598098402 PECOS PAC ID: 2860663895 Enrollment ID: I20110922000271 |
| Provider Name | Soodabeh Zolfaghari |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396907689 PECOS PAC ID: 7214109107 Enrollment ID: I20111019000543 |
| Provider Name | Shravan Kumar Mallapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114182441 PECOS PAC ID: 6305019811 Enrollment ID: I20111028000187 |
| Provider Name | Paul I Dantzig |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942382353 PECOS PAC ID: 3476726555 Enrollment ID: I20111107000046 |
| Provider Name | Aromma Kapoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497941090 PECOS PAC ID: 8224203781 Enrollment ID: I20111212000366 |
| Provider Name | Muruga Raj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356401848 PECOS PAC ID: 3971778119 Enrollment ID: I20111216000030 |
| Provider Name | Howard Rosas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285785147 PECOS PAC ID: 7012119050 Enrollment ID: I20111230000568 |
| Provider Name | Christopher M Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982971180 PECOS PAC ID: 3476729716 Enrollment ID: I20120109000051 |
| Provider Name | Edward John Bieniewicz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750448031 PECOS PAC ID: 8628235900 Enrollment ID: I20120130000710 |
| Provider Name | Farah Fatima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598926438 PECOS PAC ID: 6305004730 Enrollment ID: I20120215000052 |
| Provider Name | Carol Anne Livoti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023156163 PECOS PAC ID: 5799943965 Enrollment ID: I20120220000074 |
| Provider Name | Kimberly Sommer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770870172 PECOS PAC ID: 9133387764 Enrollment ID: I20120228000404 |
| Provider Name | Denise James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598850679 PECOS PAC ID: 8426019605 Enrollment ID: I20120229000200 |
| Provider Name | Jonathan Chai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063743169 PECOS PAC ID: 7315106598 Enrollment ID: I20120307000444 |
| Provider Name | Jean L Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811162480 PECOS PAC ID: 7719146521 Enrollment ID: I20120315000026 |
| Provider Name | Haleh Nassiri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013293166 PECOS PAC ID: 9133389000 Enrollment ID: I20120330000117 |
| Provider Name | Amit Chhabra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902005622 PECOS PAC ID: 1355502980 Enrollment ID: I20120409000281 |
| Provider Name | Catherine C Alcarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326084989 PECOS PAC ID: 1355375676 Enrollment ID: I20120417000533 |
| Provider Name | Sabine M Fednard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851442560 PECOS PAC ID: 4587826235 Enrollment ID: I20120426000000 |
| Provider Name | Cumanda D Angustia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427325026 PECOS PAC ID: 1759543002 Enrollment ID: I20120502000339 |
| Provider Name | Johnathan A Hoenig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851626824 PECOS PAC ID: 5799947859 Enrollment ID: I20120507000540 |
| Provider Name | Jean Yves Dastain |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417213299 PECOS PAC ID: 0143479576 Enrollment ID: I20120928000661 |
| Provider Name | Jay Dinovitser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649583808 PECOS PAC ID: 3678725108 Enrollment ID: I20121210000194 |
| Provider Name | Andre Jocelyn Duhamel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073577581 PECOS PAC ID: 3375587702 Enrollment ID: I20130327000337 |
| Provider Name | Jayne A Agyepong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508124322 PECOS PAC ID: 2264678770 Enrollment ID: I20130429000073 |
| Provider Name | Laali A Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396974119 PECOS PAC ID: 8820233349 Enrollment ID: I20130516000465 |
| Provider Name | Eugene M Edynak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383836 PECOS PAC ID: 1456590108 Enrollment ID: I20130610000711 |
| Provider Name | Carol S Woo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366498644 PECOS PAC ID: 0042232209 Enrollment ID: I20130719000244 |
| Provider Name | Seth Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508020587 PECOS PAC ID: 9537344478 Enrollment ID: I20130807000086 |
| Provider Name | Ahmed F Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982665311 PECOS PAC ID: 0648201210 Enrollment ID: I20130819000067 |
| Provider Name | Yuko Merchant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134304108 PECOS PAC ID: 8426112277 Enrollment ID: I20130904000028 |
| Provider Name | Adah Obekpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033216387 PECOS PAC ID: 9638271901 Enrollment ID: I20131001000211 |
| Provider Name | Ananth Adurthy Shankar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811153695 PECOS PAC ID: 8022242932 Enrollment ID: I20131009000081 |
| Provider Name | Shashonna J Dupree |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245597608 PECOS PAC ID: 2961636485 Enrollment ID: I20131016000032 |
| Provider Name | Venkata Durbhaka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134563885 PECOS PAC ID: 6800035486 Enrollment ID: I20131022000648 |
| Provider Name | Tawfik A Zein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265775308 PECOS PAC ID: 8325273147 Enrollment ID: I20131104000989 |
| Provider Name | Khashayar Yazdanbakhsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508097080 PECOS PAC ID: 2567697055 Enrollment ID: I20131111000220 |
| Provider Name | Rhonald O Hyndman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578793410 PECOS PAC ID: 9133355514 Enrollment ID: I20131112002011 |
| Provider Name | Trudy Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295099281 PECOS PAC ID: 0143458968 Enrollment ID: I20140124000071 |
| Provider Name | Farbod Raiszadeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336404128 PECOS PAC ID: 6608005475 Enrollment ID: I20140128000816 |
| Provider Name | Nighat Fazili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235578436 PECOS PAC ID: 2264662105 Enrollment ID: I20140220001109 |
| Provider Name | Afua A Kyei-anti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235304106 PECOS PAC ID: 4082845607 Enrollment ID: I20140325001250 |
| Provider Name | Amandeep Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831511278 PECOS PAC ID: 0446481816 Enrollment ID: I20140327001831 |
| Provider Name | Hyeonhye Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265858690 PECOS PAC ID: 6507099579 Enrollment ID: I20140428000375 |
| Provider Name | Madhavi L Nagapaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578795266 PECOS PAC ID: 1254564990 Enrollment ID: I20140502000516 |
| Provider Name | Joju Manulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093145856 PECOS PAC ID: 0941423354 Enrollment ID: I20140603000659 |
| Provider Name | Orin H Pearce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891821609 PECOS PAC ID: 5698990380 Enrollment ID: I20140715000019 |
| Provider Name | Ellis Mossaded |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790195261 PECOS PAC ID: 1658597695 Enrollment ID: I20140728001062 |
| Provider Name | Anatoly Shnayder |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306164421 PECOS PAC ID: 8527285311 Enrollment ID: I20140819001944 |
| Provider Name | Miyoung Kang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194131623 PECOS PAC ID: 0648498980 Enrollment ID: I20140827002240 |
| Provider Name | Alicia N Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225205297 PECOS PAC ID: 5092934950 Enrollment ID: I20140909000642 |
| Provider Name | Sungsil Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275949067 PECOS PAC ID: 6608095823 Enrollment ID: I20140919000596 |
| Provider Name | Rishi Batra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780898254 PECOS PAC ID: 7416176425 Enrollment ID: I20140923002125 |
| Provider Name | Mital Pratik Saparia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336552413 PECOS PAC ID: 6901027317 Enrollment ID: I20141029001031 |
| Provider Name | Rajwinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245635887 PECOS PAC ID: 8325361751 Enrollment ID: I20141216001196 |
| Provider Name | Ruby Barclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124371521 PECOS PAC ID: 1355664293 Enrollment ID: I20141229000184 |
| Provider Name | Stephanie Adigun Akunne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962809392 PECOS PAC ID: 7911220843 Enrollment ID: I20141230001625 |
| Provider Name | Kenneth Moberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033379540 PECOS PAC ID: 3375691843 Enrollment ID: I20150106000037 |
| Provider Name | Dymphna Gilhooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780716423 PECOS PAC ID: 9133308315 Enrollment ID: I20150108000294 |
| Provider Name | Ronald H Sumter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922260058 PECOS PAC ID: 9234314923 Enrollment ID: I20150123000098 |
| Provider Name | Monica Newborn-murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548660806 PECOS PAC ID: 3072838259 Enrollment ID: I20150210001668 |
| Provider Name | Youngyun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124424221 PECOS PAC ID: 1254656499 Enrollment ID: I20150211001078 |
| Provider Name | Tamari N Turnbull-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689927238 PECOS PAC ID: 6406171560 Enrollment ID: I20150212000104 |
| Provider Name | Nerlande Alcindor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326387499 PECOS PAC ID: 2668797721 Enrollment ID: I20150212000155 |
| Provider Name | Jaiby Augustine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386928265 PECOS PAC ID: 2062737877 Enrollment ID: I20150218001386 |
| Provider Name | Hyunji Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225426471 PECOS PAC ID: 4486970191 Enrollment ID: I20150224000089 |
| Provider Name | Jeffrey Altamirano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952648560 PECOS PAC ID: 4688991441 Enrollment ID: I20150317000044 |
| Provider Name | Sandra Boateng-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255585295 PECOS PAC ID: 6800113507 Enrollment ID: I20150317001944 |
| Provider Name | Micheline Lataliza Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417245382 PECOS PAC ID: 1153640594 Enrollment ID: I20150506000546 |
| Provider Name | Diya D Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922403708 PECOS PAC ID: 3375863129 Enrollment ID: I20150520000065 |
| Provider Name | Ali Tabarroki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952794489 PECOS PAC ID: 5395065049 Enrollment ID: I20150520000335 |
| Provider Name | Thomas L Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053383786 PECOS PAC ID: 8426030420 Enrollment ID: I20150522000849 |
| Provider Name | Kenneth Edward Bloom |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477536068 PECOS PAC ID: 2163429457 Enrollment ID: I20150609001213 |
| Provider Name | Elizabeth Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073862207 PECOS PAC ID: 4688995046 Enrollment ID: I20150610001992 |
| Provider Name | Alaaddin Sharha |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073908943 PECOS PAC ID: 3870804628 Enrollment ID: I20150619000814 |
| Provider Name | Randy M Pellew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447642400 PECOS PAC ID: 9931410693 Enrollment ID: I20150622001789 |
| Provider Name | Maria Donna Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578705463 PECOS PAC ID: 8224341276 Enrollment ID: I20150720001827 |
| Provider Name | Noor A Kazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871828699 PECOS PAC ID: 6305976291 Enrollment ID: I20150727000617 |
| Provider Name | Nisha Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538547351 PECOS PAC ID: 5597077297 Enrollment ID: I20150805006988 |
| Provider Name | Boram Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063894475 PECOS PAC ID: 4880909548 Enrollment ID: I20150811003915 |
| Provider Name | Rita M Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598735615 PECOS PAC ID: 2264449701 Enrollment ID: I20150812008198 |
| Provider Name | Vinaya V Gaduputi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588829188 PECOS PAC ID: 0547576282 Enrollment ID: I20150826001521 |
| Provider Name | Anthonia Ajimavo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114309283 PECOS PAC ID: 0143536045 Enrollment ID: I20150908001225 |
| Provider Name | Soon Jee Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053795104 PECOS PAC ID: 4082921465 Enrollment ID: I20150917000497 |
| Provider Name | Neeta Sethi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1063657559 PECOS PAC ID: 8325208226 Enrollment ID: I20150923000198 |
| Provider Name | Monzur Morshed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376806315 PECOS PAC ID: 3577870146 Enrollment ID: I20151001001190 |
| Provider Name | Marie Bien Aime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699104349 PECOS PAC ID: 5294044467 Enrollment ID: I20151029001125 |
| Provider Name | Diarra A Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730556341 PECOS PAC ID: 9830499557 Enrollment ID: I20151202002792 |
| Provider Name | Tammy B Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164831004 PECOS PAC ID: 8224338892 Enrollment ID: I20151203002487 |
| Provider Name | Motibhai D Talpada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134502958 PECOS PAC ID: 3779898978 Enrollment ID: I20151218000722 |
| Provider Name | Doris Marilu Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316101124 PECOS PAC ID: 9537332572 Enrollment ID: I20160104001374 |
| Provider Name | Jijy Easow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508859539 PECOS PAC ID: 3072816362 Enrollment ID: I20160120001430 |
| Provider Name | Heesoo Karina Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144452749 PECOS PAC ID: 2860707866 Enrollment ID: I20160204000704 |
| Provider Name | Amanur Rahman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104162502 PECOS PAC ID: 5193022150 Enrollment ID: I20160318001528 |
| Provider Name | Soowon Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639539869 PECOS PAC ID: 9234436817 Enrollment ID: I20160325000206 |
| Provider Name | Gay Logan-downer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770942641 PECOS PAC ID: 4880991371 Enrollment ID: I20160329000676 |
| Provider Name | Deevya L Narayanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033461371 PECOS PAC ID: 9830497726 Enrollment ID: I20160408001331 |
| Provider Name | Joanne Deguia-rayos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764553 PECOS PAC ID: 5092014407 Enrollment ID: I20160505001293 |
| Provider Name | Ikenna Ugochukwu Onwumere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356518856 PECOS PAC ID: 1951445261 Enrollment ID: I20160513000384 |
| Provider Name | Hyun Ji Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508259722 PECOS PAC ID: 4486943289 Enrollment ID: I20160518000951 |
| Provider Name | Venkata Harini Chintaluri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215282512 PECOS PAC ID: 5294024683 Enrollment ID: I20160525002577 |
| Provider Name | Roshin Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740657311 PECOS PAC ID: 5395055453 Enrollment ID: I20160527001249 |
| Provider Name | Jonathan G Guterman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720285349 PECOS PAC ID: 6608091061 Enrollment ID: I20160622001405 |
| Provider Name | Sadra Azizi-ghannad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639435084 PECOS PAC ID: 0446542872 Enrollment ID: I20160706000451 |
| Provider Name | Amanda M Diamond |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528422953 PECOS PAC ID: 6608168935 Enrollment ID: I20160707001171 |
| Provider Name | Bindu Giji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851764567 PECOS PAC ID: 4789976432 Enrollment ID: I20160718000116 |
| Provider Name | Matthew W Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497014351 PECOS PAC ID: 7012201718 Enrollment ID: I20160803001110 |
| Provider Name | Ishtiaq Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261379 PECOS PAC ID: 0345472999 Enrollment ID: I20160817000893 |
| Provider Name | Hossain Rouf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154769628 PECOS PAC ID: 6507151214 Enrollment ID: I20160819001161 |
| Provider Name | Reuben David Burshtein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033458526 PECOS PAC ID: 4183919558 Enrollment ID: I20160824001115 |
| Provider Name | Olumuyiwa Anthony Owoyomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720534118 PECOS PAC ID: 3971891052 Enrollment ID: I20161005000086 |
| Provider Name | Gabriel Cartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295282606 PECOS PAC ID: 3779871546 Enrollment ID: I20161011001015 |
| Provider Name | Frances Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831647817 PECOS PAC ID: 5597043117 Enrollment ID: I20161101001947 |
| Provider Name | Subhash Chandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306134333 PECOS PAC ID: 3870872716 Enrollment ID: I20161116001145 |
| Provider Name | Khaled Al Alwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558701524 PECOS PAC ID: 8325335177 Enrollment ID: I20161122001548 |
| Provider Name | Minjung Ji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194275545 PECOS PAC ID: 2769762137 Enrollment ID: I20161201001629 |
| Provider Name | Miok Lim-drakatos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043762800 PECOS PAC ID: 7416237227 Enrollment ID: I20161214000946 |
| Provider Name | Kil Hyon Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568705382 PECOS PAC ID: 3577844414 Enrollment ID: I20170109000017 |
| Provider Name | Diana P Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700109642 PECOS PAC ID: 6507147485 Enrollment ID: I20170109001453 |
| Provider Name | Bibish N Mukena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619428026 PECOS PAC ID: 6800178302 Enrollment ID: I20170118000491 |
| Provider Name | Min Jo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538601315 PECOS PAC ID: 0749562585 Enrollment ID: I20170131001025 |
| Provider Name | Victoria Goldsmith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588821102 PECOS PAC ID: 8628351186 Enrollment ID: I20170207000587 |
| Provider Name | Maya B Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992028542 PECOS PAC ID: 6800058751 Enrollment ID: I20170208002708 |
| Provider Name | Onojeta E Ohwevwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023360377 PECOS PAC ID: 9335362037 Enrollment ID: I20170220002207 |
| Provider Name | Aldo Manuel Navarro Oviedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235487703 PECOS PAC ID: 8527342013 Enrollment ID: I20170301000241 |
| Provider Name | Jong Ok Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396283479 PECOS PAC ID: 0042594103 Enrollment ID: I20170309000986 |
| Provider Name | Prisca H Moky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467651992 PECOS PAC ID: 4183908254 Enrollment ID: I20170309001315 |
| Provider Name | Eliana Lopez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740578269 PECOS PAC ID: 9830474717 Enrollment ID: I20170315001342 |
| Provider Name | Salamata Yoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205383940 PECOS PAC ID: 2668757550 Enrollment ID: I20170315001734 |
| Provider Name | Alan Jay Goodman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1447255351 PECOS PAC ID: 4183754815 Enrollment ID: I20170317001068 |
| Provider Name | Kimberly Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770712499 PECOS PAC ID: 6002067055 Enrollment ID: I20170404000483 |
| Provider Name | Joungran Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851830491 PECOS PAC ID: 0840576880 Enrollment ID: I20170406000139 |
| Provider Name | Nanhee Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396285508 PECOS PAC ID: 4284910183 Enrollment ID: I20170407000008 |
| Provider Name | Ramadurgam Poliki Monica Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225460884 PECOS PAC ID: 6305122128 Enrollment ID: I20170411000040 |
| Provider Name | Su Jung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649711607 PECOS PAC ID: 3779869391 Enrollment ID: I20170417000052 |
| Provider Name | Eric L. Altschuler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558384867 PECOS PAC ID: 7810924156 Enrollment ID: I20170420000170 |
| Provider Name | Mark Petrovani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871758565 PECOS PAC ID: 2668646878 Enrollment ID: I20170426000874 |
| Provider Name | Andrew J Lerrick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730185513 PECOS PAC ID: 7911914643 Enrollment ID: I20170509002191 |
| Provider Name | Ruben N Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063783843 PECOS PAC ID: 4183991854 Enrollment ID: I20170531000522 |
| Provider Name | Moses Akiri Agborenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518008887 PECOS PAC ID: 1557639168 Enrollment ID: I20170622000586 |
| Provider Name | Sunita Parajuli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730444605 PECOS PAC ID: 1759650716 Enrollment ID: I20170706002263 |
| Provider Name | Mehrdad Soleimani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285049809 PECOS PAC ID: 5890065312 Enrollment ID: I20170717001437 |
| Provider Name | Mana Rao |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003162686 PECOS PAC ID: 8426329640 Enrollment ID: I20170807002437 |
| Provider Name | Johane Gildade Boursiquot |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275801219 PECOS PAC ID: 2264675255 Enrollment ID: I20170808003114 |
| Provider Name | Louis Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174946099 PECOS PAC ID: 2264703099 Enrollment ID: I20170811002255 |
| Provider Name | Rose Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275067290 PECOS PAC ID: 7719259399 Enrollment ID: I20170816002404 |
| Provider Name | Douglas Arvell Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457641300 PECOS PAC ID: 5597937839 Enrollment ID: I20170817003042 |
| Provider Name | Jayasree Chanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841232493 PECOS PAC ID: 4284643511 Enrollment ID: I20170817003665 |
| Provider Name | Preenu Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861803553 PECOS PAC ID: 0547551228 Enrollment ID: I20170830000112 |
| Provider Name | Kerby Laguerre-simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699949636 PECOS PAC ID: 1658644372 Enrollment ID: I20170831001462 |
| Provider Name | Mandeep K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760821797 PECOS PAC ID: 5294031472 Enrollment ID: I20170907002400 |
| Provider Name | Edith A Koduah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235655895 PECOS PAC ID: 5698048965 Enrollment ID: I20170907003491 |
| Provider Name | Jovite D Nguembou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114446077 PECOS PAC ID: 8628343753 Enrollment ID: I20170929000059 |
| Provider Name | Hyung Sook Paik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528587706 PECOS PAC ID: 3072888437 Enrollment ID: I20171011000842 |
| Provider Name | Alicia Bacchus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255790192 PECOS PAC ID: 2961782958 Enrollment ID: I20171017000319 |
| Provider Name | Wilmer Joseph Petite |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417188020 PECOS PAC ID: 2264708726 Enrollment ID: I20171027001257 |
| Provider Name | Younjea Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306201603 PECOS PAC ID: 6305112798 Enrollment ID: I20171031002166 |
| Provider Name | Elina Yushuvayev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093002339 PECOS PAC ID: 3577829266 Enrollment ID: I20171114000159 |
| Provider Name | Michele Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285736819 PECOS PAC ID: 2264799360 Enrollment ID: I20171128001381 |
| Provider Name | Ellis Enabosi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669866158 PECOS PAC ID: 3274890272 Enrollment ID: I20171129002536 |
| Provider Name | Kyoungsun Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982724 PECOS PAC ID: 7113284076 Enrollment ID: I20171130002121 |
| Provider Name | Nora L Benavides |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740558444 PECOS PAC ID: 2062771231 Enrollment ID: I20180116000222 |
| Provider Name | Charlene Scotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164934394 PECOS PAC ID: 6709147473 Enrollment ID: I20180221002073 |
| Provider Name | Cassandre Desirade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205178860 PECOS PAC ID: 9537420518 Enrollment ID: I20180308001311 |
| Provider Name | Tamara B Desvarieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114205531 PECOS PAC ID: 9638305337 Enrollment ID: I20180309001423 |
| Provider Name | Solomon Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770936791 PECOS PAC ID: 7214299106 Enrollment ID: I20180312001580 |
| Provider Name | Okechukwu Christopher Igwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275763112 PECOS PAC ID: 8921379678 Enrollment ID: I20180314001762 |
| Provider Name | Elizabeth Nosier-turenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841701711 PECOS PAC ID: 6709148000 Enrollment ID: I20180327000766 |
| Provider Name | Regina Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972025674 PECOS PAC ID: 0042583916 Enrollment ID: I20180327002079 |
| Provider Name | Shayla Shachi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144762329 PECOS PAC ID: 2365704582 Enrollment ID: I20180327002190 |
| Provider Name | Alaa A Kalloub |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497196554 PECOS PAC ID: 8729340930 Enrollment ID: I20180328002782 |
| Provider Name | Rahul Raja Valluru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689938763 PECOS PAC ID: 0345503116 Enrollment ID: I20180409000071 |
| Provider Name | Miriam O Emokpae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992030373 PECOS PAC ID: 2860755535 Enrollment ID: I20180410002529 |
| Provider Name | Laquisha Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043740475 PECOS PAC ID: 4082977699 Enrollment ID: I20180412002760 |
| Provider Name | Seyed Mohsen Ghanefar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245530294 PECOS PAC ID: 4981836640 Enrollment ID: I20180418002671 |
| Provider Name | Jacqueline S Mahabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609388123 PECOS PAC ID: 3072878289 Enrollment ID: I20180517000701 |
| Provider Name | Neda Motamedi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609325117 PECOS PAC ID: 9638434889 Enrollment ID: I20180517002394 |
| Provider Name | Ravinder Sharma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497100895 PECOS PAC ID: 1658636709 Enrollment ID: I20180521001869 |
| Provider Name | Veerabadran Ravichandran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629568167 PECOS PAC ID: 6305101122 Enrollment ID: I20180529001543 |
| Provider Name | Yolanda Harmon-lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629567532 PECOS PAC ID: 3678838901 Enrollment ID: I20180607000980 |
| Provider Name | Donald Eugene Berman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730102252 PECOS PAC ID: 1052312386 Enrollment ID: I20180613000500 |
| Provider Name | Sheila Roxana Safar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346503067 PECOS PAC ID: 9931454709 Enrollment ID: I20180619002111 |
| Provider Name | Delores Sylvia Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982922951 PECOS PAC ID: 5597012484 Enrollment ID: I20180724001444 |
| Provider Name | Lisann M Giscombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275960981 PECOS PAC ID: 9032466933 Enrollment ID: I20180724001906 |
| Provider Name | Germaine Kaja Mpoyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033343660 PECOS PAC ID: 5991053688 Enrollment ID: I20180813003284 |
| Provider Name | Fabio Alberto Barrera Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487038105 PECOS PAC ID: 8325397516 Enrollment ID: I20180821003626 |
| Provider Name | David S Szames |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508307794 PECOS PAC ID: 4284983354 Enrollment ID: I20180822002693 |
| Provider Name | Khalil Alsoutary |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619388980 PECOS PAC ID: 7911257373 Enrollment ID: I20180905002145 |
| Provider Name | Guillermo Gallardo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134342439 PECOS PAC ID: 2365768942 Enrollment ID: I20180925002299 |
| Provider Name | Sanjay Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255451811 PECOS PAC ID: 8921909722 Enrollment ID: I20180927001352 |
| Provider Name | Michael Edward Hawthorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275043077 PECOS PAC ID: 0749536696 Enrollment ID: I20181010003019 |
| Provider Name | Tina Marie-ann Rolston-duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861905101 PECOS PAC ID: 1951653062 Enrollment ID: I20181017001975 |
| Provider Name | Chinwe Emerah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485871 PECOS PAC ID: 4183976269 Enrollment ID: I20181018000975 |
| Provider Name | Nastacia Karine Chavannes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013440452 PECOS PAC ID: 2567715931 Enrollment ID: I20181101000726 |
| Provider Name | Sabinah Babalola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184963779 PECOS PAC ID: 4385997659 Enrollment ID: I20181102001868 |
| Provider Name | Stella Goldgisser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801301197 PECOS PAC ID: 7911250154 Enrollment ID: I20181105002548 |
| Provider Name | Elizabeth Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972088979 PECOS PAC ID: 5496008682 Enrollment ID: I20181106001191 |
| Provider Name | Ravipal Singh Ghatoura |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336617570 PECOS PAC ID: 9931443447 Enrollment ID: I20181210001685 |
| Provider Name | Manuel Joaquin Peguero Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487122933 PECOS PAC ID: 3971847377 Enrollment ID: I20181211002091 |
| Provider Name | Mee-young Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407337520 PECOS PAC ID: 1355686601 Enrollment ID: I20181214002069 |
| Provider Name | Mohammed Alsabri Hussein Alsabri |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982189320 PECOS PAC ID: 2062758154 Enrollment ID: I20190110001310 |
| Provider Name | Marlen E Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629543038 PECOS PAC ID: 1355688524 Enrollment ID: I20190125000641 |
| Provider Name | Pauline Kuriakose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265911648 PECOS PAC ID: 3779821012 Enrollment ID: I20190213000224 |
| Provider Name | Aliciana Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831653310 PECOS PAC ID: 3870832694 Enrollment ID: I20190221003153 |
| Provider Name | Marie Natacha Dieudonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447783303 PECOS PAC ID: 4082953732 Enrollment ID: I20190225002602 |
| Provider Name | Angela Yvonne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487158820 PECOS PAC ID: 4688913064 Enrollment ID: I20190301000435 |
| Provider Name | Eldad Vered |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396815023 PECOS PAC ID: 9133143472 Enrollment ID: I20190306000907 |
| Provider Name | Victoria Appiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952884728 PECOS PAC ID: 1456690338 Enrollment ID: I20190312001322 |
| Provider Name | Chitra Chitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962728980 PECOS PAC ID: 2668712779 Enrollment ID: I20190327000258 |
| Provider Name | Bekim Hajrizi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558829184 PECOS PAC ID: 9638419732 Enrollment ID: I20190328000756 |
| Provider Name | Malba Kwabena Nanyame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417426636 PECOS PAC ID: 9133469133 Enrollment ID: I20190328001026 |
| Provider Name | Joy C. Chris-onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801352521 PECOS PAC ID: 0345581252 Enrollment ID: I20190402002298 |
| Provider Name | Oluebere C Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003182031 PECOS PAC ID: 7618218140 Enrollment ID: I20190410003021 |
| Provider Name | Richard Allen Badke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669483905 PECOS PAC ID: 1052219326 Enrollment ID: I20190411002956 |
| Provider Name | Marlon S Hylton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013315803 PECOS PAC ID: 1759622996 Enrollment ID: I20190416001842 |
| Provider Name | Misbah Ahmed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750849527 PECOS PAC ID: 3779825898 Enrollment ID: I20190422000054 |
| Provider Name | Felicia Foster Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215492954 PECOS PAC ID: 2466794599 Enrollment ID: I20190422000262 |
| Provider Name | Tanya Marie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891259149 PECOS PAC ID: 5294077962 Enrollment ID: I20190429001904 |
| Provider Name | Abiola Nike Oke |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295296408 PECOS PAC ID: 5496097008 Enrollment ID: I20190501001585 |
| Provider Name | Sheeraz Yousif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396205308 PECOS PAC ID: 4486996949 Enrollment ID: I20190502001103 |
| Provider Name | Anthony E Addesa |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538186119 PECOS PAC ID: 7214080993 Enrollment ID: I20190507000388 |
| Provider Name | Michelle Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487092151 PECOS PAC ID: 2961745286 Enrollment ID: I20190529002702 |
| Provider Name | Mercy Chima Nwogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790243681 PECOS PAC ID: 4981947256 Enrollment ID: I20190530001484 |
| Provider Name | Leilani Tandoc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538621537 PECOS PAC ID: 7517290471 Enrollment ID: I20190607000392 |
| Provider Name | Maria E Alcantara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588176465 PECOS PAC ID: 5092076851 Enrollment ID: I20190610002397 |
| Provider Name | Patricia Jones Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801066386 PECOS PAC ID: 7012240625 Enrollment ID: I20190613003140 |
| Provider Name | Swathi Gadangi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154736528 PECOS PAC ID: 6507199031 Enrollment ID: I20190614001054 |
| Provider Name | Shivang Desai |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811288830 PECOS PAC ID: 3577860360 Enrollment ID: I20190619002302 |
| Provider Name | Muhammad Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255784401 PECOS PAC ID: 1658605373 Enrollment ID: I20190628000869 |
| Provider Name | Pravin Bhat |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336411990 PECOS PAC ID: 5799019402 Enrollment ID: I20190701001065 |
| Provider Name | Nisha C Manglani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477024172 PECOS PAC ID: 3971837543 Enrollment ID: I20190702001108 |
| Provider Name | Silvio Goris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982068078 PECOS PAC ID: 2163767237 Enrollment ID: I20190711000746 |
| Provider Name | Carolina Bernabe Ramirez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538501838 PECOS PAC ID: 8820333123 Enrollment ID: I20190723001650 |
| Provider Name | Talia Golding-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417516105 PECOS PAC ID: 7315273331 Enrollment ID: I20190730000969 |
| Provider Name | Naomi Molner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952501371 PECOS PAC ID: 8224057328 Enrollment ID: I20190805002282 |
| Provider Name | Latasha Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891347167 PECOS PAC ID: 0941537153 Enrollment ID: I20190812000872 |
| Provider Name | Ojinika L Ikedilo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902186497 PECOS PAC ID: 4486982162 Enrollment ID: I20190819002918 |
| Provider Name | Myrlene Mathieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770824641 PECOS PAC ID: 7315299245 Enrollment ID: I20190823001679 |
| Provider Name | Neha Verma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538569355 PECOS PAC ID: 3375818420 Enrollment ID: I20190828000656 |
| Provider Name | Erica Devonne Camba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619521580 PECOS PAC ID: 7810225844 Enrollment ID: I20190828002529 |
| Provider Name | Farah Eloise Mathieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053973974 PECOS PAC ID: 1456680917 Enrollment ID: I20190909001202 |
| Provider Name | Mohammadmehdi Omidvari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194137760 PECOS PAC ID: 8921337155 Enrollment ID: I20190912001947 |
| Provider Name | Evaline Awuor Obare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881240380 PECOS PAC ID: 8921337098 Enrollment ID: I20190916001160 |
| Provider Name | Monica Cespedes Santana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20190926000825 |
| Provider Name | Latoya Elizabeth Betton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003170275 PECOS PAC ID: 6507196631 Enrollment ID: I20191002002644 |
| Provider Name | Girardine Guerda Mondesir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825837 PECOS PAC ID: 7517298508 Enrollment ID: I20191004001886 |
| Provider Name | Sabienne Emilie Legros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114576717 PECOS PAC ID: 3173854171 Enrollment ID: I20191004002228 |
| Provider Name | Petal Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770041279 PECOS PAC ID: 0042541518 Enrollment ID: I20191015000341 |
| Provider Name | Stereen Zebari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619526407 PECOS PAC ID: 0840521027 Enrollment ID: I20191021000677 |
| Provider Name | Marie Valles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487206967 PECOS PAC ID: 0042542136 Enrollment ID: I20191022002352 |
| Provider Name | Shana Elaine Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437702479 PECOS PAC ID: 2163754219 Enrollment ID: I20191023001270 |
| Provider Name | Denise Angelique Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265941967 PECOS PAC ID: 5294067195 Enrollment ID: I20191025001507 |
| Provider Name | Scott J Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578875837 PECOS PAC ID: 5395916019 Enrollment ID: I20191029002267 |
| Provider Name | Anantha R Reddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265719355 PECOS PAC ID: 3678805124 Enrollment ID: I20191101001445 |
| Provider Name | Jungyun Basham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669023370 PECOS PAC ID: 9234561846 Enrollment ID: I20191120002427 |
| Provider Name | Jamika Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225595523 PECOS PAC ID: 9032541487 Enrollment ID: I20191122002399 |
| Provider Name | Kerry Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316597297 PECOS PAC ID: 7012340433 Enrollment ID: I20191125002428 |
| Provider Name | Simone Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497026298 PECOS PAC ID: 8325471022 Enrollment ID: I20191211001419 |
| Provider Name | Marilyn Grace Wiltshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346388683 PECOS PAC ID: 5193158632 Enrollment ID: I20191213001450 |
| Provider Name | Ingit Mukeshbhai Parmar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982264768 PECOS PAC ID: 6608201033 Enrollment ID: I20200114000262 |
| Provider Name | Hilda Mary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497393334 PECOS PAC ID: 6406281278 Enrollment ID: I20200124001286 |
| Provider Name | Halimattu Foday-kakpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821630369 PECOS PAC ID: 8921434655 Enrollment ID: I20200128002892 |
| Provider Name | Pendor Haiyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215586490 PECOS PAC ID: 4880020510 Enrollment ID: I20200128003090 |
| Provider Name | Mordechai Mark Weinreb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972894426 PECOS PAC ID: 4183050826 Enrollment ID: I20200129000086 |
| Provider Name | Chabidou Sampain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023661188 PECOS PAC ID: 3971939224 Enrollment ID: I20200204001716 |
| Provider Name | Jasmin Dent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326688318 PECOS PAC ID: 5496182206 Enrollment ID: I20200217001105 |
| Provider Name | Cindy Oblenida Pangilinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750920427 PECOS PAC ID: 1456788140 Enrollment ID: I20200218002161 |
| Provider Name | Sheri Lineberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598213548 PECOS PAC ID: 6305110966 Enrollment ID: I20200219001499 |
| Provider Name | Cynthia J Forstbauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619507449 PECOS PAC ID: 2163859828 Enrollment ID: I20200219002101 |
| Provider Name | Itisha Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740638196 PECOS PAC ID: 0749617314 Enrollment ID: I20200219002880 |
| Provider Name | Michelle Marcelle Younger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528691953 PECOS PAC ID: 7911334917 Enrollment ID: I20200304002124 |
| Provider Name | Nancy Lalanne - Brutus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265751721 PECOS PAC ID: 5799112678 Enrollment ID: I20200305002625 |
| Provider Name | Shama Bader Zakai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780216903 PECOS PAC ID: 7214365113 Enrollment ID: I20200306001028 |
| Provider Name | Lesly Marcus Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114450731 PECOS PAC ID: 4587092341 Enrollment ID: I20200310002510 |
| Provider Name | Jelani Greasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740558089 PECOS PAC ID: 5193153435 Enrollment ID: I20200319001287 |
| Provider Name | Alison Md Uccello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821259268 PECOS PAC ID: 5496010985 Enrollment ID: I20200324001644 |
| Provider Name | Saurav Chatterjee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295963072 PECOS PAC ID: 0648564112 Enrollment ID: I20200327001183 |
| Provider Name | Marisa Aranyavickul |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659725604 PECOS PAC ID: 2961831862 Enrollment ID: I20200327001978 |
| Provider Name | Lhachi Gurung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124405477 PECOS PAC ID: 8820427263 Enrollment ID: I20200406001310 |
| Provider Name | Ashley Jandi Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992353395 PECOS PAC ID: 4880926609 Enrollment ID: I20200415001729 |
| Provider Name | Stacey France |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427367408 PECOS PAC ID: 1355771262 Enrollment ID: I20200416002609 |
| Provider Name | Nadia Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417484981 PECOS PAC ID: 8224468079 Enrollment ID: I20200420001690 |
| Provider Name | Bernice Wirekoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427677582 PECOS PAC ID: 6507296811 Enrollment ID: I20200428000432 |
| Provider Name | Antonio Basil Chatila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275014607 PECOS PAC ID: 5092145318 Enrollment ID: I20200428000688 |
| Provider Name | Christine Kathy Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851911788 PECOS PAC ID: 9335570563 Enrollment ID: I20200504000607 |
| Provider Name | Marta M Bryceland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073147039 PECOS PAC ID: 4880025964 Enrollment ID: I20200505000368 |
| Provider Name | Ghandy Jean-gilles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063048171 PECOS PAC ID: 1759712342 Enrollment ID: I20200514002812 |
| Provider Name | Mmar-ymi Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417599291 PECOS PAC ID: 5496186850 Enrollment ID: I20200519001531 |
| Provider Name | Salma Habib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124668041 PECOS PAC ID: 2668803909 Enrollment ID: I20200520002369 |
| Provider Name | Anneta C Ramcharran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225314420 PECOS PAC ID: 1456672732 Enrollment ID: I20200527001754 |
| Provider Name | Nayale Lafleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821591603 PECOS PAC ID: 6901227818 Enrollment ID: I20200602000592 |
| Provider Name | Sarah Jane Sankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477931814 PECOS PAC ID: 5991060964 Enrollment ID: I20200617002180 |
| Provider Name | Shireen Hallim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972123651 PECOS PAC ID: 0042632150 Enrollment ID: I20200618001845 |
| Provider Name | Rajeena A Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104453653 PECOS PAC ID: 5890117659 Enrollment ID: I20200624000834 |
| Provider Name | Jakyung Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164043139 PECOS PAC ID: 0749602431 Enrollment ID: I20200625002607 |
| Provider Name | Virginia Wei-cheng Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740706472 PECOS PAC ID: 3173946191 Enrollment ID: I20200709002637 |
| Provider Name | Juanita N Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417579939 PECOS PAC ID: 1254754278 Enrollment ID: I20200709002662 |
| Provider Name | Travonna Shanelle Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235770470 PECOS PAC ID: 1850714718 Enrollment ID: I20200710000608 |
| Provider Name | Pooja Shah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821520933 PECOS PAC ID: 1951725910 Enrollment ID: I20200723000524 |
| Provider Name | Jyoti S Drall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245327907 PECOS PAC ID: 1052735701 Enrollment ID: I20200728001576 |
| Provider Name | Denise Cassandra Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033531595 PECOS PAC ID: 7618392333 Enrollment ID: I20200729000136 |
| Provider Name | Jacqueline Bouvier Wigfall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689128886 PECOS PAC ID: 3173948858 Enrollment ID: I20200729002535 |
| Provider Name | Md Rezaul Hoque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316467723 PECOS PAC ID: 4082039680 Enrollment ID: I20200729003335 |
| Provider Name | Ci Ai Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669024691 PECOS PAC ID: 8224365374 Enrollment ID: I20200729003650 |
| Provider Name | Parthiv Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669907143 PECOS PAC ID: 8527483056 Enrollment ID: I20200731000298 |
| Provider Name | Helen Huili Mu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487298956 PECOS PAC ID: 2769808591 Enrollment ID: I20200811003055 |
| Provider Name | Osahanor V Osagie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841722139 PECOS PAC ID: 7315207776 Enrollment ID: I20200817000291 |
| Provider Name | Marie M. Medina-merveille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407383193 PECOS PAC ID: 8022434372 Enrollment ID: I20200817003090 |
| Provider Name | Sindhu Mittadoddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306299573 PECOS PAC ID: 7618393521 Enrollment ID: I20200821000967 |
| Provider Name | Tara Joan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063979896 PECOS PAC ID: 5193141042 Enrollment ID: I20200821002388 |
| Provider Name | Caleb Thomas Brackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386119188 PECOS PAC ID: 1052653169 Enrollment ID: I20200825000938 |
| Provider Name | Zyeshia L Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134678279 PECOS PAC ID: 2567889223 Enrollment ID: I20200827000258 |
| Provider Name | Salwa G. Khouri |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679734784 PECOS PAC ID: 0446677090 Enrollment ID: I20200828000339 |
| Provider Name | Johanne Jasmin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063032472 PECOS PAC ID: 1456779362 Enrollment ID: I20200909001748 |
| Provider Name | Binu Kuriakose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649705328 PECOS PAC ID: 4688919780 Enrollment ID: I20200915001371 |
| Provider Name | Sahadatu Akilu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184974974 PECOS PAC ID: 4981022217 Enrollment ID: I20200917001886 |
| Provider Name | Linda Kwartemaa Boamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447885157 PECOS PAC ID: 0143648493 Enrollment ID: I20200917002815 |
| Provider Name | Thierno Neke Diallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407470412 PECOS PAC ID: 6406275502 Enrollment ID: I20200923000423 |
| Provider Name | William Adam Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760914634 PECOS PAC ID: 0547509820 Enrollment ID: I20200925001872 |
| Provider Name | Megan Hollister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245840131 PECOS PAC ID: 2062735756 Enrollment ID: I20200928001361 |
| Provider Name | Stella Chinedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093352544 PECOS PAC ID: 3173942943 Enrollment ID: I20200928001851 |
| Provider Name | Rashmi Verma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740529486 PECOS PAC ID: 0345534830 Enrollment ID: I20200929000816 |
| Provider Name | Daena Alycia Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588090781 PECOS PAC ID: 3476972639 Enrollment ID: I20201007002867 |
| Provider Name | Amani Ashley Hambric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417505298 PECOS PAC ID: 0547680357 Enrollment ID: I20201016001135 |
| Provider Name | Lokendra Mati Rai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215546924 PECOS PAC ID: 8224458609 Enrollment ID: I20201023002231 |
| Provider Name | Semone Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841803103 PECOS PAC ID: 7810317112 Enrollment ID: I20201026000464 |
| Provider Name | Rattandeep Ghotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134653967 PECOS PAC ID: 1658603121 Enrollment ID: I20201106001117 |
| Provider Name | Scherly Leon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952627424 PECOS PAC ID: 4587899950 Enrollment ID: I20201113000242 |
| Provider Name | Craig Christopher Bhoorasingh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275996878 PECOS PAC ID: 5597175935 Enrollment ID: I20201113001057 |
| Provider Name | Rose D Olivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932712874 PECOS PAC ID: 6002227451 Enrollment ID: I20201116002954 |
| Provider Name | Adanna Ibezim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124305958 PECOS PAC ID: 6800207259 Enrollment ID: I20201116003063 |
| Provider Name | Harriet A Yeboah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174123574 PECOS PAC ID: 2062823297 Enrollment ID: I20201119001933 |
| Provider Name | Angelique Miste Saavedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992304604 PECOS PAC ID: 4789095936 Enrollment ID: I20201119002577 |
| Provider Name | Khadine Harrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164043311 PECOS PAC ID: 2466863576 Enrollment ID: I20201120002240 |
| Provider Name | Matthew Landon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447590245 PECOS PAC ID: 6002227923 Enrollment ID: I20201125002586 |
| Provider Name | Lisa A Horowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245584549 PECOS PAC ID: 4385056753 Enrollment ID: I20201209002796 |
| Provider Name | Muhammad Imran Mir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750982807 PECOS PAC ID: 4587076435 Enrollment ID: I20201217000482 |
| Provider Name | Jacques Sainvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205485638 PECOS PAC ID: 2567890775 Enrollment ID: I20201217001133 |
| Provider Name | Mohammadreza Feizi Lighvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699392894 PECOS PAC ID: 3678985587 Enrollment ID: I20201217003008 |
| Provider Name | Anisha Kumari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932705860 PECOS PAC ID: 2062824824 Enrollment ID: I20201219000034 |
| Provider Name | Riddhi Chheda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013534007 PECOS PAC ID: 7517379225 Enrollment ID: I20201221002016 |
| Provider Name | Nilar Myint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790225738 PECOS PAC ID: 1355753021 Enrollment ID: I20201222001916 |
| Provider Name | Rosele Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215337894 PECOS PAC ID: 3577975192 Enrollment ID: I20201223001072 |
| Provider Name | Eun Mi Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992317085 PECOS PAC ID: 3476965385 Enrollment ID: I20201223001894 |
| Provider Name | Shalan Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407208150 PECOS PAC ID: 7719249044 Enrollment ID: I20201229002923 |
| Provider Name | Inga Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427602820 PECOS PAC ID: 9638401227 Enrollment ID: I20210102000002 |
| Provider Name | Marlie Hilaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710418116 PECOS PAC ID: 7719390517 Enrollment ID: I20210118000628 |
| Provider Name | Isabel Goel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528667847 PECOS PAC ID: 3577976299 Enrollment ID: I20210119001159 |
| Provider Name | Rukiska Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437770989 PECOS PAC ID: 0941614531 Enrollment ID: I20210121002222 |
| Provider Name | Gisela Lisa Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821601006 PECOS PAC ID: 0749694362 Enrollment ID: I20210122000087 |
| Provider Name | John Fadel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700272499 PECOS PAC ID: 5496189227 Enrollment ID: I20210122000130 |
| Provider Name | Jane Sim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952833584 PECOS PAC ID: 4981941226 Enrollment ID: I20210122001764 |
| Provider Name | Tania Alecia Lee-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932732898 PECOS PAC ID: 5395159867 Enrollment ID: I20210123000025 |
| Provider Name | Rachel Michele Reece |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295236727 PECOS PAC ID: 7517371867 Enrollment ID: I20210127001290 |
| Provider Name | Labake Uguala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518565266 PECOS PAC ID: 3274947437 Enrollment ID: I20210128002806 |
| Provider Name | Angel I Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629496815 PECOS PAC ID: 1254745441 Enrollment ID: I20210129001048 |
| Provider Name | Ruth Moze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205206893 PECOS PAC ID: 9830503069 Enrollment ID: I20210130000188 |
| Provider Name | Sneha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174139216 PECOS PAC ID: 1658785886 Enrollment ID: I20210130000192 |
| Provider Name | Victoria Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467870907 PECOS PAC ID: 2365856598 Enrollment ID: I20210130000280 |
| Provider Name | Mehdi Pouria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376929042 PECOS PAC ID: 2769791557 Enrollment ID: I20210201001533 |
| Provider Name | Huascar Perez Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962857151 PECOS PAC ID: 5294070389 Enrollment ID: I20210203001911 |
| Provider Name | Nelaja L'elie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821494451 PECOS PAC ID: 3476968108 Enrollment ID: I20210210002355 |
| Provider Name | Rachel Telfort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306312038 PECOS PAC ID: 1153736798 Enrollment ID: I20210212001665 |
| Provider Name | Anne Wold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427031061 PECOS PAC ID: 6800862970 Enrollment ID: I20210219001807 |
| Provider Name | Blair Kady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912324120 PECOS PAC ID: 2264847425 Enrollment ID: I20210220000002 |
| Provider Name | Rose E Rene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053911784 PECOS PAC ID: 2961818752 Enrollment ID: I20210302001862 |
| Provider Name | Samantha L Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023617131 PECOS PAC ID: 2264848787 Enrollment ID: I20210309000677 |
| Provider Name | Minnie Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346736246 PECOS PAC ID: 7214344050 Enrollment ID: I20210324000020 |
| Provider Name | Anu J Vazhappilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912519059 PECOS PAC ID: 2365859022 Enrollment ID: I20210324001682 |
| Provider Name | Nicole Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093264079 PECOS PAC ID: 4082021613 Enrollment ID: I20210329000520 |
| Provider Name | Jameela Alhassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790029858 PECOS PAC ID: 3971910464 Enrollment ID: I20210330000689 |
| Provider Name | Lisa Erlanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942797733 PECOS PAC ID: 0840607230 Enrollment ID: I20210331002365 |
| Provider Name | Sharene Nubani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184914103 PECOS PAC ID: 6901060029 Enrollment ID: I20210402000251 |
| Provider Name | Alexandra Riobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174109508 PECOS PAC ID: 8426465535 Enrollment ID: I20210407000934 |
| Provider Name | Pat Emilie Merecido Polimeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174111215 PECOS PAC ID: 1153739909 Enrollment ID: I20210416000855 |
| Provider Name | Lobsang Tashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689278137 PECOS PAC ID: 8022426600 Enrollment ID: I20210420001719 |
| Provider Name | Mary A. Mensah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790360097 PECOS PAC ID: 8628486248 Enrollment ID: I20210421000493 |
| Provider Name | Lori Esther Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295316990 PECOS PAC ID: 1153739560 Enrollment ID: I20210426000103 |
| Provider Name | Ann-marie Mais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356690499 PECOS PAC ID: 9638587934 Enrollment ID: I20210427001653 |
| Provider Name | Stacyann S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750915344 PECOS PAC ID: 3274948351 Enrollment ID: I20210428002058 |
| Provider Name | Rinku Barot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558974386 PECOS PAC ID: 9638588734 Enrollment ID: I20210430001300 |
| Provider Name | Keshav Teelucksingh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003164179 PECOS PAC ID: 0042582355 Enrollment ID: I20210511002873 |
| Provider Name | Keralla G Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104400860 PECOS PAC ID: 5890104400 Enrollment ID: I20210512001434 |
| Provider Name | Drashti Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578147948 PECOS PAC ID: 2365851805 Enrollment ID: I20210512002734 |
| Provider Name | Harlea Tauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669067674 PECOS PAC ID: 7810306362 Enrollment ID: I20210512003246 |
| Provider Name | Madelyn Delgado Borges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306453683 PECOS PAC ID: 7810307782 Enrollment ID: I20210513002995 |
| Provider Name | Jeanine Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386205623 PECOS PAC ID: 3779992011 Enrollment ID: I20210517002391 |
| Provider Name | Mirlande Paul-denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104301753 PECOS PAC ID: 0941613798 Enrollment ID: I20210524002540 |
| Provider Name | Betty Degella Viaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679155071 PECOS PAC ID: 4284033218 Enrollment ID: I20210525001602 |
| Provider Name | Miran An |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063924249 PECOS PAC ID: 1254731581 Enrollment ID: I20210608003043 |
| Provider Name | Ivy Sarpong-barnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568791945 PECOS PAC ID: 2062812332 Enrollment ID: I20210609000574 |
| Provider Name | Shyama Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639744345 PECOS PAC ID: 6709286990 Enrollment ID: I20210609001799 |
| Provider Name | Myrlande Jean-francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386120608 PECOS PAC ID: 8820498728 Enrollment ID: I20210615001310 |
| Provider Name | Gayatri Samita Samnarain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548630619 PECOS PAC ID: 0941550560 Enrollment ID: I20210617000547 |
| Provider Name | Kamal Said Farha |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164954897 PECOS PAC ID: 8022419282 Enrollment ID: I20210624002783 |
| Provider Name | Johnson Oppong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013518794 PECOS PAC ID: 9638570872 Enrollment ID: I20210625001581 |
| Provider Name | Andrea E Spiekhout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003201872 PECOS PAC ID: 0648575019 Enrollment ID: I20210629002887 |
| Provider Name | Franckel Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992254395 PECOS PAC ID: 9537428578 Enrollment ID: I20210630003016 |
| Provider Name | Yetunde Oguntade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740191 PECOS PAC ID: 0941602254 Enrollment ID: I20210708003415 |
| Provider Name | Victoria Thomas Awoyera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578132973 PECOS PAC ID: 4981006152 Enrollment ID: I20210709002077 |
| Provider Name | Ioanna Katsa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982018644 PECOS PAC ID: 6002156932 Enrollment ID: I20210712001474 |
| Provider Name | Barbara Larteley Larkai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295309227 PECOS PAC ID: 4981007028 Enrollment ID: I20210727000934 |
| Provider Name | Ralph Balintong Mosher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770154981 PECOS PAC ID: 0941603021 Enrollment ID: I20210727002471 |
| Provider Name | Anisa Philia Nervais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023625639 PECOS PAC ID: 3476957838 Enrollment ID: I20210806000806 |
| Provider Name | Catalina Trevino Saenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275991747 PECOS PAC ID: 5193129575 Enrollment ID: I20210806001212 |
| Provider Name | Zinaida Klien |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417302308 PECOS PAC ID: 6002150547 Enrollment ID: I20210810000324 |
| Provider Name | Hinaben Rashmikant Parikh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922772870 PECOS PAC ID: 4082018049 Enrollment ID: I20210812002447 |
| Provider Name | Shatonya Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861761298 PECOS PAC ID: 7416352380 Enrollment ID: I20210817000098 |
| Provider Name | Abdul-razak Mohammed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346668712 PECOS PAC ID: 9638410582 Enrollment ID: I20210817000530 |
| Provider Name | Luis Antonio Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467713826 PECOS PAC ID: 7618372392 Enrollment ID: I20210818001305 |
| Provider Name | Nkechi Nwaoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245764489 PECOS PAC ID: 2668877366 Enrollment ID: I20210818002502 |
| Provider Name | Debbie Harripersad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336714062 PECOS PAC ID: 7113322611 Enrollment ID: I20210821000062 |
| Provider Name | Umma Salma Sultana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306323209 PECOS PAC ID: 9739584111 Enrollment ID: I20210823003224 |
| Provider Name | Jonathan David Rosenbloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497249544 PECOS PAC ID: 6901201276 Enrollment ID: I20210825000370 |
| Provider Name | Adam S Splaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932155983 PECOS PAC ID: 0244217347 Enrollment ID: I20210827001766 |
| Provider Name | Britney Smith-murry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699368886 PECOS PAC ID: 1658776687 Enrollment ID: I20210830000021 |
| Provider Name | Muhammad A Jaffari |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497374086 PECOS PAC ID: 4385040476 Enrollment ID: I20210915002751 |
| Provider Name | Megi S Dinova |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568979482 PECOS PAC ID: 0143560557 Enrollment ID: I20210916001809 |
| Provider Name | Kyaw T Thein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730683756 PECOS PAC ID: 9739436155 Enrollment ID: I20210917002500 |
| Provider Name | Sarah Nicole Adamic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619644887 PECOS PAC ID: 2466859343 Enrollment ID: I20210920001710 |
| Provider Name | Jafar Yakubu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922673573 PECOS PAC ID: 9335546241 Enrollment ID: I20210920002891 |
| Provider Name | Josephine Budinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053802504 PECOS PAC ID: 3072878693 Enrollment ID: I20210922002312 |
| Provider Name | Giovanni Beaubrun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891465324 PECOS PAC ID: 8820495450 Enrollment ID: I20210924001898 |
| Provider Name | Monica Bueno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588203707 PECOS PAC ID: 3971917600 Enrollment ID: I20210927003021 |
| Provider Name | Foram Vishal Udeshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639660038 PECOS PAC ID: 8426455890 Enrollment ID: I20210928001284 |
| Provider Name | Dawn J Ramsay-dasent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245773316 PECOS PAC ID: 7719262260 Enrollment ID: I20211007001766 |
| Provider Name | Syed Asim Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932518016 PECOS PAC ID: 3678971140 Enrollment ID: I20211013003151 |
| Provider Name | Hyejung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801568662 PECOS PAC ID: 1658779020 Enrollment ID: I20211015000515 |
| Provider Name | Maurice Edward Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316178320 PECOS PAC ID: 8921406265 Enrollment ID: I20211018000919 |
| Provider Name | Lola Lucilda Barracks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376139048 PECOS PAC ID: 4880092139 Enrollment ID: I20211018001538 |
| Provider Name | Michael Osei Kwakye |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104232040 PECOS PAC ID: 1557759628 Enrollment ID: I20211021001930 |
| Provider Name | Nigelarani Sivapalasingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780846477 PECOS PAC ID: 1355479882 Enrollment ID: I20211025002976 |
| Provider Name | Gabriel Asante-odame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275209405 PECOS PAC ID: 4981092624 Enrollment ID: I20211028001959 |
| Provider Name | Anish Y Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104321140 PECOS PAC ID: 8820332281 Enrollment ID: I20211108001706 |
| Provider Name | Bladimir Quijano-rondan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528417565 PECOS PAC ID: 8921346891 Enrollment ID: I20211110000618 |
| Provider Name | Roselyn Conesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619645132 PECOS PAC ID: 8820487796 Enrollment ID: I20211115001631 |
| Provider Name | May Kyaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811351737 PECOS PAC ID: 5597019877 Enrollment ID: I20211117002451 |
| Provider Name | Ashish Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790262939 PECOS PAC ID: 2567851231 Enrollment ID: I20211118000903 |
| Provider Name | Kimberly Kozlosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437776978 PECOS PAC ID: 5698165892 Enrollment ID: I20211202000589 |
| Provider Name | Kamilla Christopher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699431361 PECOS PAC ID: 6305236274 Enrollment ID: I20211208001631 |
| Provider Name | Cecilia Omoboye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528302049 PECOS PAC ID: 4688065121 Enrollment ID: I20211217000126 |
| Provider Name | Regina Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902482599 PECOS PAC ID: 2264823137 Enrollment ID: I20220104000243 |
| Provider Name | Yumeng Yao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114509254 PECOS PAC ID: 8820489693 Enrollment ID: I20220105001707 |
| Provider Name | Swada Iddris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770903148 PECOS PAC ID: 1355732140 Enrollment ID: I20220105002611 |
| Provider Name | Gene Rosenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093716219 PECOS PAC ID: 2769468719 Enrollment ID: I20220106001233 |
| Provider Name | Winsome Elizabeth Benain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972113694 PECOS PAC ID: 2769874346 Enrollment ID: I20220111000459 |
| Provider Name | Yanique Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649932963 PECOS PAC ID: 4385036953 Enrollment ID: I20220112001311 |
| Provider Name | Valerija Shvartsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598134587 PECOS PAC ID: 9335531847 Enrollment ID: I20220113000338 |
| Provider Name | Esther Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598397879 PECOS PAC ID: 0345632774 Enrollment ID: I20220117000504 |
| Provider Name | Tamara Benoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528597663 PECOS PAC ID: 4880086073 Enrollment ID: I20220120001561 |
| Provider Name | Hyejin Jeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861143091 PECOS PAC ID: 4587056544 Enrollment ID: I20220125001039 |
| Provider Name | Soyoung Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932536521 PECOS PAC ID: 2163741414 Enrollment ID: I20220126000484 |
| Provider Name | Fuad Kurjakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871251934 PECOS PAC ID: 4880086701 Enrollment ID: I20220126000687 |
| Provider Name | Erewarifagha M Haidome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114301728 PECOS PAC ID: 7911399845 Enrollment ID: I20220126001024 |
| Provider Name | Fabiola Plessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013677210 PECOS PAC ID: 9830582659 Enrollment ID: I20220131000702 |
| Provider Name | Justina Ikimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760982318 PECOS PAC ID: 6800162793 Enrollment ID: I20220217000157 |
| Provider Name | Kaycean Lieota White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982366092 PECOS PAC ID: 2961896667 Enrollment ID: I20220223000498 |
| Provider Name | Sajid Arshad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528552775 PECOS PAC ID: 9436543907 Enrollment ID: I20220225001687 |
| Provider Name | Sun Y Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497324164 PECOS PAC ID: 5597159913 Enrollment ID: I20220301002215 |
| Provider Name | Joke Irene Bamgbopa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992029367 PECOS PAC ID: 2567856982 Enrollment ID: I20220301002353 |
| Provider Name | Venkateswararao Damisetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154903383 PECOS PAC ID: 2961896394 Enrollment ID: I20220301002623 |
| Provider Name | Altagrace Saint Paul-lafortune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558956144 PECOS PAC ID: 4789079641 Enrollment ID: I20220311002146 |
| Provider Name | Tremaine Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247926 PECOS PAC ID: 2961897798 Enrollment ID: I20220315000568 |
| Provider Name | Seria Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578210563 PECOS PAC ID: 1850786989 Enrollment ID: I20220328000727 |
| Provider Name | Joseph Scarpa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295931848 PECOS PAC ID: 0446646582 Enrollment ID: I20220330000041 |
| Provider Name | Juan Alvaro Escobar Quintanilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699444109 PECOS PAC ID: 0345633376 Enrollment ID: I20220331002385 |
| Provider Name | Jessi Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629572920 PECOS PAC ID: 2062758386 Enrollment ID: I20220405002198 |
| Provider Name | Tandika Delicia Boatswain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003163742 PECOS PAC ID: 6305232000 Enrollment ID: I20220406000213 |
| Provider Name | Desrene Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689625543 PECOS PAC ID: 4880593037 Enrollment ID: I20220428000595 |
| Provider Name | Badri Taparia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902944408 PECOS PAC ID: 9830299163 Enrollment ID: I20220504000479 |
| Provider Name | Sai Krishna Koyoda |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902327356 PECOS PAC ID: 6204214695 Enrollment ID: I20220525001244 |
| Provider Name | Aakash Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790206415 PECOS PAC ID: 5395015762 Enrollment ID: I20220608001915 |
| Provider Name | Nima Ghalehsari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063918233 PECOS PAC ID: 0143609669 Enrollment ID: I20220614000399 |
| Provider Name | Mohammed Abdulrahman Yousuf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144727421 PECOS PAC ID: 6204215627 Enrollment ID: I20220615001199 |
| Provider Name | Tahiesha Kimyata Tolbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144772955 PECOS PAC ID: 3678952819 Enrollment ID: I20220620000270 |
| Provider Name | Jennifer Ann Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548834492 PECOS PAC ID: 5597145110 Enrollment ID: I20220629000965 |
| Provider Name | Modesta Malu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578214318 PECOS PAC ID: 5890175442 Enrollment ID: I20220629002046 |
| Provider Name | Amirah Yasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114657483 PECOS PAC ID: 1456731470 Enrollment ID: I20220708001443 |
| Provider Name | Gianna Joanne Link |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053428870 PECOS PAC ID: 3779514773 Enrollment ID: I20220712002808 |
| Provider Name | Anna Stoupine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477116689 PECOS PAC ID: 5294117560 Enrollment ID: I20220803000346 |
| Provider Name | Fabiola Metellus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770213886 PECOS PAC ID: 6507248580 Enrollment ID: I20220808002144 |
| Provider Name | Liji Binu Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568198760 PECOS PAC ID: 5496138612 Enrollment ID: I20220819001614 |
| Provider Name | Andrea Archibald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881359875 PECOS PAC ID: 2163805276 Enrollment ID: I20220822002125 |
| Provider Name | Jessica Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780920009 PECOS PAC ID: 2860876463 Enrollment ID: I20220831001719 |
| Provider Name | Samantha Catherine Ruddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972037596 PECOS PAC ID: 0648654772 Enrollment ID: I20220908001508 |
| Provider Name | David Murray Corwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770538381 PECOS PAC ID: 1759766645 Enrollment ID: I20220913002262 |
| Provider Name | Sharlene Chisolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902575251 PECOS PAC ID: 2062888183 Enrollment ID: I20221014001109 |
| Provider Name | Tanishka Dabade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558083626 PECOS PAC ID: 8224405691 Enrollment ID: I20221028000395 |
| Provider Name | Louis Francesco Martinucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609385608 PECOS PAC ID: 9133596695 Enrollment ID: I20221114000595 |
| Provider Name | Obioma Onah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013363951 PECOS PAC ID: 6608244181 Enrollment ID: I20221115002448 |
| Provider Name | Marienellie Grandchamps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295451029 PECOS PAC ID: 9335517952 Enrollment ID: I20221201001285 |
| Provider Name | Michelle C Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487362125 PECOS PAC ID: 2769852169 Enrollment ID: I20221229001458 |
| Provider Name | Patricia Degaetani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558671362 PECOS PAC ID: 0446620579 Enrollment ID: I20230105000965 |
| Provider Name | Malhar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790312593 PECOS PAC ID: 9133542772 Enrollment ID: I20230110002958 |
| Provider Name | Karan Khosla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992228670 PECOS PAC ID: 4486078250 Enrollment ID: I20230117001972 |
| Provider Name | Oluchi Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699403287 PECOS PAC ID: 8123499647 Enrollment ID: I20230120000568 |
| Provider Name | Kimberley Mckenney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679531339 PECOS PAC ID: 9830171883 Enrollment ID: I20230126002453 |
| Provider Name | Radhika Thakkar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588376370 PECOS PAC ID: 7416328315 Enrollment ID: I20230131001801 |
| Provider Name | John Missanelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124134341 PECOS PAC ID: 5092743328 Enrollment ID: I20230201003126 |
| Provider Name | Landy F Pollas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710602701 PECOS PAC ID: 8022487602 Enrollment ID: I20230207001001 |
| Provider Name | Carley Ann Keim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932660099 PECOS PAC ID: 7618349127 Enrollment ID: I20230209002575 |
| Provider Name | Sunil Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841229382 PECOS PAC ID: 4486552106 Enrollment ID: I20230217002139 |
| Provider Name | Yesika Garcia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104277219 PECOS PAC ID: 4587903257 Enrollment ID: I20230303001059 |
| Provider Name | Idan Alkalay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114129293 PECOS PAC ID: 5395835524 Enrollment ID: I20230315001236 |
| Provider Name | Cristina Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790482800 PECOS PAC ID: 8123492972 Enrollment ID: I20230320000471 |
| Provider Name | Ilona Semenenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891456828 PECOS PAC ID: 4486028818 Enrollment ID: I20230324002333 |
| Provider Name | Tenzin Chodon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013613363 PECOS PAC ID: 6709251630 Enrollment ID: I20230407000087 |
| Provider Name | Ella Choi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366066326 PECOS PAC ID: 6608241542 Enrollment ID: I20230407000180 |
| Provider Name | Joy Geulah Sorscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881010791 PECOS PAC ID: 3173998937 Enrollment ID: I20230407001622 |
| Provider Name | Leyla Farraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720529290 PECOS PAC ID: 5991170284 Enrollment ID: I20230419002301 |
| Provider Name | Catherine Donkoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003529298 PECOS PAC ID: 7416312475 Enrollment ID: I20230426000391 |
| Provider Name | Yadhira V Mescain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588020317 PECOS PAC ID: 3274999198 Enrollment ID: I20230519000737 |
| Provider Name | Naomie P Jean |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013577717 PECOS PAC ID: 6608232186 Enrollment ID: I20230525002917 |
| Provider Name | Shailee R Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790479657 PECOS PAC ID: 0143688903 Enrollment ID: I20230627000586 |
| Provider Name | Summer Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922719814 PECOS PAC ID: 3779942370 Enrollment ID: I20230629002192 |
| Provider Name | Be Pietros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184917726 PECOS PAC ID: 5799144283 Enrollment ID: I20230630001263 |
| Provider Name | Emma Otieno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730716119 PECOS PAC ID: 3072972595 Enrollment ID: I20230630002455 |
| Provider Name | Melaine Stephens-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083845481 PECOS PAC ID: 1951760198 Enrollment ID: I20230706000102 |
| Provider Name | Rizowana Kabir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104445931 PECOS PAC ID: 4183084312 Enrollment ID: I20230719001164 |
| Provider Name | Mai Eugene Landicho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790373728 PECOS PAC ID: 5597125765 Enrollment ID: I20230719002825 |
| Provider Name | Sakshi Vishwas Chavan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487334348 PECOS PAC ID: 4284096991 Enrollment ID: I20230811002875 |
| Provider Name | Hawanatu Bundu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942919246 PECOS PAC ID: 4789046111 Enrollment ID: I20230816001823 |
| Provider Name | Adam Saeed Fakir |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821640343 PECOS PAC ID: 9234591546 Enrollment ID: I20230818001098 |
| Provider Name | Mimerose Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437880648 PECOS PAC ID: 8527421692 Enrollment ID: I20230823001942 |
| Provider Name | Everlin Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942919170 PECOS PAC ID: 3072976869 Enrollment ID: I20230827000089 |
| Provider Name | Shaned Spielman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457057986 PECOS PAC ID: 4082078480 Enrollment ID: I20230919002296 |
| Provider Name | Tony Thomas Koshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598389868 PECOS PAC ID: 5092169078 Enrollment ID: I20230925002036 |
| Provider Name | Niranjan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043487978 PECOS PAC ID: 0648318873 Enrollment ID: I20231004001347 |
| Provider Name | Pratibha Surathi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619455318 PECOS PAC ID: 1850746827 Enrollment ID: I20231011001055 |
| Provider Name | Chinyere Nora Ogbonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982306775 PECOS PAC ID: 9234584244 Enrollment ID: I20231011002951 |
| Provider Name | Kyle Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205258258 PECOS PAC ID: 6800241738 Enrollment ID: I20231013000161 |
| Provider Name | Paula Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548515182 PECOS PAC ID: 9931565280 Enrollment ID: I20231018003390 |
| Provider Name | Krystyna Bronchard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275021552 PECOS PAC ID: 2668828146 Enrollment ID: I20231020000643 |
| Provider Name | Claire Allison Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417468166 PECOS PAC ID: 9133575491 Enrollment ID: I20231024001229 |
| Provider Name | Tkeyah Ebony Whaley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154839405 PECOS PAC ID: 6709233455 Enrollment ID: I20231117000342 |
| Provider Name | Sophia Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306534813 PECOS PAC ID: 4284082561 Enrollment ID: I20231127002743 |
| Provider Name | Priscilla Hirst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962055533 PECOS PAC ID: 7214386226 Enrollment ID: I20231214003702 |
| Provider Name | Meghna Krishnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376781914 PECOS PAC ID: 5092848630 Enrollment ID: I20231218000867 |
| Provider Name | Akouavi Videva Kpizing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619660552 PECOS PAC ID: 9638529860 Enrollment ID: I20231229000687 |
| Provider Name | Eunice Glee Quiachon Rolea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881304814 PECOS PAC ID: 1850742438 Enrollment ID: I20240108005265 |
| Provider Name | Barbara Witek Matricardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295515989 PECOS PAC ID: 6507217882 Enrollment ID: I20240111000956 |
| Provider Name | Aman Shaikh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013544188 PECOS PAC ID: 6305299199 Enrollment ID: I20240129001402 |
| Provider Name | Gary Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306544473 PECOS PAC ID: 2466813985 Enrollment ID: I20240131001990 |
| Provider Name | Minh Tam T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235710484 PECOS PAC ID: 1951754316 Enrollment ID: I20240201001915 |
| Provider Name | Shirniece Abigail Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447948666 PECOS PAC ID: 2062865439 Enrollment ID: I20240201002248 |
| Provider Name | Kimia Mirabbaszadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013795772 PECOS PAC ID: 8426401803 Enrollment ID: I20240201002603 |
| Provider Name | Tawseef A Dar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437568821 PECOS PAC ID: 8527380617 Enrollment ID: I20240205003627 |
| Provider Name | Evadne Claudia Vascianna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992584502 PECOS PAC ID: 0840633004 Enrollment ID: I20240205004215 |
| Provider Name | Marissa A. Reuter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437927670 PECOS PAC ID: 7113360249 Enrollment ID: I20240206002317 |
| Provider Name | Tanya N Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902672306 PECOS PAC ID: 9830532803 Enrollment ID: I20240206004355 |
| Provider Name | Barbara Claire Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164194759 PECOS PAC ID: 9133563810 Enrollment ID: I20240221002158 |
| Provider Name | Shweta Arvindbhai Dholariya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013786474 PECOS PAC ID: 1153766506 Enrollment ID: I20240226002493 |
| Provider Name | Delia Marguerite Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578331708 PECOS PAC ID: 2567807472 Enrollment ID: I20240301001983 |
| Provider Name | Lauren Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255739124 PECOS PAC ID: 2466784426 Enrollment ID: I20240304003436 |
| Provider Name | Temilola Yewande Esan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851941199 PECOS PAC ID: 7315383726 Enrollment ID: I20240307003229 |
| Provider Name | Charles Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427490473 PECOS PAC ID: 3870939564 Enrollment ID: I20240317000069 |
| Provider Name | Jamelia Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770995078 PECOS PAC ID: 0042657769 Enrollment ID: I20240318001431 |
| Provider Name | William Montes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528674355 PECOS PAC ID: 7012354541 Enrollment ID: I20240320001340 |
| Provider Name | Jahnique Sackiya Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114797933 PECOS PAC ID: 9032556261 Enrollment ID: I20240325000865 |
| Provider Name | Christena O Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033684188 PECOS PAC ID: 2264879238 Enrollment ID: I20240326002704 |
| Provider Name | Marie G Duclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649051921 PECOS PAC ID: 6204273139 Enrollment ID: I20240327000930 |
| Provider Name | Lovelett Clarke - Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801232293 PECOS PAC ID: 2264879105 Enrollment ID: I20240327001108 |
| Provider Name | Jessica M Balraj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497510366 PECOS PAC ID: 0446698005 Enrollment ID: I20240402004108 |
| Provider Name | Renee Marrian Lewis-duquesnay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295506228 PECOS PAC ID: 4183062243 Enrollment ID: I20240409001596 |
| Provider Name | Rabeya Sarker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952508723 PECOS PAC ID: 3375982267 Enrollment ID: I20240411001552 |
| Provider Name | Elaina Avit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407632763 PECOS PAC ID: 8022457969 Enrollment ID: I20240411003529 |
| Provider Name | Marinela Saliasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316728157 PECOS PAC ID: 7416396221 Enrollment ID: I20240412002130 |
| Provider Name | Hugo H Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679040919 PECOS PAC ID: 5496194110 Enrollment ID: I20240415001574 |
| Provider Name | Esther Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336788298 PECOS PAC ID: 1153760608 Enrollment ID: I20240416003251 |
| Provider Name | Rhomanda A Baron-saine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770355638 PECOS PAC ID: 0042659401 Enrollment ID: I20240417003751 |
| Provider Name | Dafina Naydenova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134993942 PECOS PAC ID: 2860831021 Enrollment ID: I20240419003302 |
| Provider Name | Valeria S Cone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174391676 PECOS PAC ID: 0547609653 Enrollment ID: I20240422001528 |
| Provider Name | Khatuna Kipiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104151554 PECOS PAC ID: 4183064983 Enrollment ID: I20240426001565 |
| Provider Name | Emmanuel Debouvary Rhodes Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245651025 PECOS PAC ID: 5597105114 Enrollment ID: I20240430002743 |
| Provider Name | Natisha Stefanie Wint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407632169 PECOS PAC ID: 9638519119 Enrollment ID: I20240501000948 |
| Provider Name | Lela Anne Karlawish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982479663 PECOS PAC ID: 4082054515 Enrollment ID: I20240501003193 |
| Provider Name | Johnna Rose Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538931209 PECOS PAC ID: 3779923172 Enrollment ID: I20240502001494 |
| Provider Name | Adam Jimoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352634 PECOS PAC ID: 3577903897 Enrollment ID: I20240502002841 |
| Provider Name | Momina Arif |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457114233 PECOS PAC ID: 6709227853 Enrollment ID: I20240507004207 |
| Provider Name | Leah Elman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437576725 PECOS PAC ID: 2668813593 Enrollment ID: I20240509002429 |
| Provider Name | Bassira Famah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932833738 PECOS PAC ID: 9436590148 Enrollment ID: I20240513002361 |
| Provider Name | Loy Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497164958 PECOS PAC ID: 9032550587 Enrollment ID: I20240515000454 |
| Provider Name | Mohita Dutta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013782903 PECOS PAC ID: 2668813148 Enrollment ID: I20240515001309 |
| Provider Name | Simranjit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467822 PECOS PAC ID: 8729420807 Enrollment ID: I20240521001441 |
| Provider Name | Natalia Hershkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063750651 PECOS PAC ID: 2961844964 Enrollment ID: I20240522001921 |
| Provider Name | Omolola Kofoworola Oloyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316333479 PECOS PAC ID: 3577930429 Enrollment ID: I20240603001313 |
| Provider Name | Haidy Awad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639706955 PECOS PAC ID: 2466810676 Enrollment ID: I20240604002104 |
| Provider Name | Constance Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518728856 PECOS PAC ID: 7810439692 Enrollment ID: I20240607001976 |
| Provider Name | Jennifer Cushman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609334325 PECOS PAC ID: 2769834860 Enrollment ID: I20240610000520 |
| Provider Name | Bing Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306238100 PECOS PAC ID: 7214282755 Enrollment ID: I20240611001088 |
| Provider Name | Mandip Chahil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356014260 PECOS PAC ID: 7810359932 Enrollment ID: I20240613001305 |
| Provider Name | Sherry Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992953293 PECOS PAC ID: 6901349372 Enrollment ID: I20240614000113 |
| Provider Name | Scott Dinesen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508858614 PECOS PAC ID: 4789578402 Enrollment ID: I20240710004735 |
| Provider Name | Catherine Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811670805 PECOS PAC ID: 5799220943 Enrollment ID: I20240711002009 |
| Provider Name | Chinello Egwuonwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306619259 PECOS PAC ID: 0042755209 Enrollment ID: I20240711002471 |
| Provider Name | Tariq Rasheed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932776341 PECOS PAC ID: 4587109236 Enrollment ID: I20240717002902 |
| Provider Name | Akhtara Banu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972375392 PECOS PAC ID: 4082150420 Enrollment ID: I20240723000157 |
| Provider Name | Derek Enos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295230340 PECOS PAC ID: 6103362215 Enrollment ID: I20240725001571 |
| Provider Name | Ronak Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700272515 PECOS PAC ID: 2860757176 Enrollment ID: I20240725002166 |
| Provider Name | Ashley Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851545016 PECOS PAC ID: 0446796304 Enrollment ID: I20240726003266 |
| Provider Name | Eileen Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922576412 PECOS PAC ID: 9537537667 Enrollment ID: I20240729001880 |
| Provider Name | Alejandro Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316606981 PECOS PAC ID: 2466801097 Enrollment ID: I20240730000051 |
| Provider Name | Editha Lopez Quirino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306695960 PECOS PAC ID: 2860655966 Enrollment ID: I20240731002022 |
| Provider Name | Guylene Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962944884 PECOS PAC ID: 5294010856 Enrollment ID: I20240801001367 |
| Provider Name | Hyang Yi Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356054647 PECOS PAC ID: 4587101050 Enrollment ID: I20240801002007 |
| Provider Name | Tyrell Kamal Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396594891 PECOS PAC ID: 6002353521 Enrollment ID: I20240801003615 |
| Provider Name | Kyoung-yi Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376313312 PECOS PAC ID: 5395283105 Enrollment ID: I20240812002331 |
| Provider Name | Millicent F Moseray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285416958 PECOS PAC ID: 8022556760 Enrollment ID: I20240813003275 |
| Provider Name | Emily Floode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982143343 PECOS PAC ID: 5890067920 Enrollment ID: I20240813003666 |
| Provider Name | Desiree Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124893953 PECOS PAC ID: 9830637453 Enrollment ID: I20240814002439 |
| Provider Name | Janeen Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255091997 PECOS PAC ID: 9234677865 Enrollment ID: I20240814002675 |
| Provider Name | Neidra Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407163306 PECOS PAC ID: 3476091000 Enrollment ID: I20240814002835 |
| Provider Name | Darrel Rengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205693348 PECOS PAC ID: 3870031321 Enrollment ID: I20240814004014 |
| Provider Name | Adam Benjamin Katz Cadesky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528616984 PECOS PAC ID: 0042758567 Enrollment ID: I20240815001524 |
| Provider Name | Phinehas Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780452672 PECOS PAC ID: 1456899814 Enrollment ID: I20240815003553 |
| Provider Name | Nikita Renee Dow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043971245 PECOS PAC ID: 3779021167 Enrollment ID: I20240816000572 |
| Provider Name | Nsemboowo Enyong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477328839 PECOS PAC ID: 1254505712 Enrollment ID: I20240816001102 |
| Provider Name | Shruti Jagani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235967068 PECOS PAC ID: 6901344068 Enrollment ID: I20240820003239 |
| Provider Name | Kyungsook Bu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639794233 PECOS PAC ID: 8022557867 Enrollment ID: I20240826000958 |
| Provider Name | Falaknaz I Modan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710726054 PECOS PAC ID: 0143769711 Enrollment ID: I20240827002582 |
| Provider Name | Shakib Nawaz Choudhury |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396324711 PECOS PAC ID: 0840730982 Enrollment ID: I20240904002615 |
| Provider Name | Tashanna Gillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073371522 PECOS PAC ID: 4688114564 Enrollment ID: I20240905004030 |
| Provider Name | Jerry Arraut |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033728449 PECOS PAC ID: 1658811534 Enrollment ID: I20240905004166 |
| Provider Name | Stacyann M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295593663 PECOS PAC ID: 8820538705 Enrollment ID: I20240905004181 |
| Provider Name | Anjali Yagnik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013741404 PECOS PAC ID: 9133669757 Enrollment ID: I20240910003693 |
| Provider Name | Dahania Jacquice Corrodus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407449945 PECOS PAC ID: 6901347095 Enrollment ID: I20240917000218 |
| Provider Name | Joan David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518492875 PECOS PAC ID: 1456892397 Enrollment ID: I20240919001291 |
| Provider Name | Damu Sherpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487401808 PECOS PAC ID: 7911448766 Enrollment ID: I20240919002156 |
| Provider Name | Hiral Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811724297 PECOS PAC ID: 8123569654 Enrollment ID: I20240924001397 |
| Provider Name | Kyungje Sung |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851950703 PECOS PAC ID: 0840616314 Enrollment ID: I20241001001622 |
| Provider Name | Olivia Richman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245819424 PECOS PAC ID: 8729481692 Enrollment ID: I20241001003195 |
| Provider Name | Chandra R Tameshwar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144060427 PECOS PAC ID: 0143751032 Enrollment ID: I20241002003154 |
| Provider Name | Divaker Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528558319 PECOS PAC ID: 8325579105 Enrollment ID: I20241003002790 |
| Provider Name | Gabriella R Lake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235616889 PECOS PAC ID: 4082145743 Enrollment ID: I20241004001850 |
| Provider Name | Justin Ray Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528803988 PECOS PAC ID: 8224569983 Enrollment ID: I20241004002048 |
| Provider Name | Lakisha Shivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154903680 PECOS PAC ID: 6709317472 Enrollment ID: I20241004002407 |
| Provider Name | Stella Nkem Okechukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922299965 PECOS PAC ID: 8123559812 Enrollment ID: I20241004003037 |
| Provider Name | Blessen B George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871347567 PECOS PAC ID: 0749711299 Enrollment ID: I20241008001950 |
| Provider Name | Daniela I Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417731712 PECOS PAC ID: 9133650682 Enrollment ID: I20241008002236 |
| Provider Name | Coriena Lisa Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488958 PECOS PAC ID: 6305377730 Enrollment ID: I20241009001350 |
| Provider Name | Stephany N Semexant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366208167 PECOS PAC ID: 4082145453 Enrollment ID: I20241009002999 |
| Provider Name | Sonia Amanat |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225728355 PECOS PAC ID: 5799216172 Enrollment ID: I20241009003157 |
| Provider Name | Nicole Yohrling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831874072 PECOS PAC ID: 9830620210 Enrollment ID: I20241009003391 |
| Provider Name | Johnathan C Hays |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366654162 PECOS PAC ID: 5698825867 Enrollment ID: I20241010001423 |
| Provider Name | Wilhermina Okyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629581095 PECOS PAC ID: 0143752493 Enrollment ID: I20241011002242 |
| Provider Name | Tara Delmoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104563303 PECOS PAC ID: 3274065925 Enrollment ID: I20241018001563 |
| Provider Name | Oluchi Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841530748 PECOS PAC ID: 9931631629 Enrollment ID: I20241018003170 |
| Provider Name | Bahareh Ehsaei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922685775 PECOS PAC ID: 1254871676 Enrollment ID: I20241024001998 |
| Provider Name | Madhav Bole |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104506880 PECOS PAC ID: 0941733190 Enrollment ID: I20241028001293 |
| Provider Name | Efa Keny Moronta Polanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427878370 PECOS PAC ID: 1658804596 Enrollment ID: I20241030001998 |
| Provider Name | Ilan Merdler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396495651 PECOS PAC ID: 9931632767 Enrollment ID: I20241031001596 |
| Provider Name | Josephine Abena Nkansah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750998308 PECOS PAC ID: 6103359948 Enrollment ID: I20241031002091 |
| Provider Name | Shideh Sherafat Kazem Zadeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851884316 PECOS PAC ID: 0749713592 Enrollment ID: I20241031002114 |
| Provider Name | James Edward Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810309 PECOS PAC ID: 0648559070 Enrollment ID: I20241101000232 |
| Provider Name | Dennis Robert Berhalter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184206443 PECOS PAC ID: 0941733679 Enrollment ID: I20241101001776 |
| Provider Name | Blessing Ngozi Nweke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013605708 PECOS PAC ID: 4486187143 Enrollment ID: I20241101002844 |
| Provider Name | Rokia Gittens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417710583 PECOS PAC ID: 9335672039 Enrollment ID: I20241104000414 |
| Provider Name | Matthew Tse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063080851 PECOS PAC ID: 8729512215 Enrollment ID: I20241106001327 |
| Provider Name | Ada Lyn Yao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891100590 PECOS PAC ID: 1052625431 Enrollment ID: I20241106003395 |
| Provider Name | Kerline Lahens-headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780453084 PECOS PAC ID: 6103350368 Enrollment ID: I20241111001205 |
| Provider Name | Roberto Arana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992543045 PECOS PAC ID: 6103350970 Enrollment ID: I20241115002068 |
| Provider Name | Heta Mehta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649093733 PECOS PAC ID: 7618401357 Enrollment ID: I20241118000631 |
| Provider Name | Phoebe Dacha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922341999 PECOS PAC ID: 8426583170 Enrollment ID: I20241119001423 |
| Provider Name | John Califano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720124381 PECOS PAC ID: 0446419238 Enrollment ID: I20241119001748 |
| Provider Name | Nimmy James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598586612 PECOS PAC ID: 2567997067 Enrollment ID: I20241120003359 |
| Provider Name | Geisy Mauras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740038033 PECOS PAC ID: 3375078744 Enrollment ID: I20241121002760 |
| Provider Name | Ashley Cansu Ireland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497421754 PECOS PAC ID: 7719378314 Enrollment ID: I20241121002984 |
| Provider Name | Melissa Yohanna Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467290759 PECOS PAC ID: 0042745259 Enrollment ID: I20241125003661 |
| Provider Name | Samarth Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407351463 PECOS PAC ID: 7618357153 Enrollment ID: I20241126001031 |
| Provider Name | Oluwafunmilayo A Adekanbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952678724 PECOS PAC ID: 7517492341 Enrollment ID: I20241203000869 |
| Provider Name | Patricia A Murphy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750381091 PECOS PAC ID: 8123015013 Enrollment ID: I20241205001028 |
| Provider Name | Jhanna M Francisco Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538989322 PECOS PAC ID: 4981130630 Enrollment ID: I20241205001361 |
| Provider Name | Guylante Jules |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740881200 PECOS PAC ID: 6800322371 Enrollment ID: I20241206001618 |
| Provider Name | Pranay Chetan Uppuluri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396991451 PECOS PAC ID: 0749597268 Enrollment ID: I20241217000525 |
| Provider Name | Matri Nayanbhai Chhaya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871328872 PECOS PAC ID: 7315474020 Enrollment ID: I20241219001110 |
| Provider Name | Saheed Shittu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952644593 PECOS PAC ID: 7012456973 Enrollment ID: I20241220003059 |
| Provider Name | Gabriela Taveras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104632538 PECOS PAC ID: 9133656309 Enrollment ID: I20241230002024 |
| Provider Name | Rashid Ahmed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861222820 PECOS PAC ID: 5991233967 Enrollment ID: I20250106000572 |
| Provider Name | Linda Bonnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932940301 PECOS PAC ID: 0345778320 Enrollment ID: I20250106000605 |
| Provider Name | Melissa Christine Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407686538 PECOS PAC ID: 5597293365 Enrollment ID: I20250107001676 |
| Provider Name | Joy Shakelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334822 PECOS PAC ID: 8729354212 Enrollment ID: I20250107003046 |
| Provider Name | Shyavia Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205267853 PECOS PAC ID: 6305374166 Enrollment ID: I20250108001517 |
| Provider Name | Clement Asemota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437520848 PECOS PAC ID: 4587192232 Enrollment ID: I20250109001493 |
| Provider Name | Sonia Innocent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780404681 PECOS PAC ID: 8426586058 Enrollment ID: I20250110000945 |
| Provider Name | Maricel Cuevas Minaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356159354 PECOS PAC ID: 1658809892 Enrollment ID: I20250115001929 |
| Provider Name | Nand Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861178725 PECOS PAC ID: 5890223952 Enrollment ID: I20250116003537 |
| Provider Name | Nityananda Rao Jakkula |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225700933 PECOS PAC ID: 8123557170 Enrollment ID: I20250121002729 |
| Provider Name | Stephanie Coral Mangual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801585385 PECOS PAC ID: 5597112193 Enrollment ID: I20250123001533 |
| Provider Name | Caitlin Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134935539 PECOS PAC ID: 9931638772 Enrollment ID: I20250123003539 |
| Provider Name | Marija Vicanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477361905 PECOS PAC ID: 3971032533 Enrollment ID: I20250128000200 |
| Provider Name | Preethi Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295548626 PECOS PAC ID: 1153851902 Enrollment ID: I20250207002346 |
| Provider Name | Sarhai Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083439178 PECOS PAC ID: 1951831692 Enrollment ID: I20250210002567 |
| Provider Name | Onyinye Jason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083436216 PECOS PAC ID: 0042740391 Enrollment ID: I20250217000383 |
| Provider Name | Shanikqua Renee Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013480185 PECOS PAC ID: 3274053285 Enrollment ID: I20250220003056 |
| Provider Name | Abdul Rhman Shamsi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790734762 PECOS PAC ID: 9032166103 Enrollment ID: I20250228000658 |
| Provider Name | Fan Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710783493 PECOS PAC ID: 5395266571 Enrollment ID: I20250304002299 |
| Provider Name | Anthony Fennell Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689824609 PECOS PAC ID: 1658892724 Enrollment ID: I20250305001752 |
| Provider Name | Marjorie Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851083588 PECOS PAC ID: 3870941131 Enrollment ID: I20250306001295 |
| Provider Name | Tali Kluk Kusnir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083421663 PECOS PAC ID: 0345761334 Enrollment ID: I20250306001741 |
| Provider Name | Saadia Melendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487976718 PECOS PAC ID: 9032630926 Enrollment ID: I20250307001628 |
| Provider Name | Jamie Scott Seigal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720009392 PECOS PAC ID: 8921238791 Enrollment ID: I20250321001739 |
| Provider Name | Victoria Agayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710664602 PECOS PAC ID: 4284156902 Enrollment ID: I20250321002160 |
| Provider Name | Virleny Polanco Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811705684 PECOS PAC ID: 1850813429 Enrollment ID: I20250324002386 |
| Provider Name | Saundra Tawana Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982406302 PECOS PAC ID: 4880117647 Enrollment ID: I20250402001489 |
| Provider Name | Michael J Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972948073 PECOS PAC ID: 4284158775 Enrollment ID: I20250407000268 |
| Provider Name | Clifford Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861614430 PECOS PAC ID: 1153413448 Enrollment ID: I20250409000565 |
| Provider Name | Ian C Coelho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821225533 PECOS PAC ID: 3971750431 Enrollment ID: I20250409002340 |
| Provider Name | Francia Saldivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447938360 PECOS PAC ID: 5193249209 Enrollment ID: I20250410001891 |
| Provider Name | Vanessa Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578922944 PECOS PAC ID: 4284981556 Enrollment ID: I20250411000242 |
| Provider Name | Kaylin Marie Lemelle-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235945239 PECOS PAC ID: 8628592516 Enrollment ID: I20250414000218 |
| Provider Name | Heckmat J Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053731778 PECOS PAC ID: 9335664960 Enrollment ID: I20250416002319 |
| Provider Name | Kimberly Quinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831918747 PECOS PAC ID: 4880110675 Enrollment ID: I20250424001587 |
| Provider Name | Angela Theresa Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326708272 PECOS PAC ID: 3779009451 Enrollment ID: I20250424003783 |
| Provider Name | Jennifer Aphrodite Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003673054 PECOS PAC ID: 3971029455 Enrollment ID: I20250428002962 |
| Provider Name | Haydee Mancao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962233296 PECOS PAC ID: 0749706091 Enrollment ID: I20250429003039 |
| Provider Name | Yvan Fortunat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114766086 PECOS PAC ID: 0143746313 Enrollment ID: I20250430002420 |
| Provider Name | Linda Amarachukwu Lekweuwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255644241 PECOS PAC ID: 2466979828 Enrollment ID: I20250508001854 |
| Provider Name | Sharee N Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619757119 PECOS PAC ID: 3274051156 Enrollment ID: I20250514002535 |
| Provider Name | Amara Sharon Oluigbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326619131 PECOS PAC ID: 3678091360 Enrollment ID: I20250516000920 |
| Provider Name | Ali Junayed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609670090 PECOS PAC ID: 2365960085 Enrollment ID: I20250516001646 |
| Provider Name | Joseph Dieumil Fremont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447654512 PECOS PAC ID: 6204360779 Enrollment ID: I20250529004099 |
| Provider Name | Uloma Oluwatosin Umeadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598004814 PECOS PAC ID: 1850800905 Enrollment ID: I20250602000819 |
| Provider Name | Javelle Marie Mcelhaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619141249 PECOS PAC ID: 0648780098 Enrollment ID: I20250605003608 |
| Provider Name | Angela Tewa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578134615 PECOS PAC ID: 7416467873 Enrollment ID: I20250605003794 |
| Provider Name | Shahabuddin Mohammed Haq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568266971 PECOS PAC ID: 2668982760 Enrollment ID: I20250609000741 |
| Provider Name | Jon Bieschke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659105146 PECOS PAC ID: 8224549647 Enrollment ID: I20250613000624 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Brightpoint Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1543-1545 Inwood Avenue, Bronx, NY 10452 Phone: 855-687-8700 Fax: 718-294-4765 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Montefiore Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E 161st St, Bronx, NY 10451 Phone: 718-920-4321 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |