| Careathome Medical Practice Nj | |
|
28 Valley Rd Ofc 229 Montclair NJ 07042-2709 | |
| (888) 553-2823 | |
| Not Available |
| Full Name | Careathome Medical Practice Nj |
|---|---|
| Speciality | Internal Medicine |
| Location | 28 Valley Rd Ofc 229, Montclair, New Jersey |
| Authorized Official Name and Position | James Wood (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7046503818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careathome Medical Practice Nj 287 Park Ave S Fl 3 New York NY 10010-4573 Ph: (917) 410-7931 | Careathome Medical Practice Nj 28 Valley Rd Ofc 229 Montclair NJ 07042-2709 Ph: (888) 553-2823 |
| NPI Number | 1659974301 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 1052727120 |
|---|---|
| Medicare Enrollment ID | O20210517000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659974301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Diane Evelyn Deangelo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760422703 PECOS PAC ID: 8527093624 Enrollment ID: I20051223000062 |
| Provider Name | Jessica Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043704851 PECOS PAC ID: 9133462922 Enrollment ID: I20190517002208 |
| Provider Name | Miriam Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346894565 PECOS PAC ID: 6406186527 Enrollment ID: I20191002002169 |
| Provider Name | Joseph Jasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043339930 PECOS PAC ID: 0042392870 Enrollment ID: I20191031002653 |
| Provider Name | James Wood |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1770549735 PECOS PAC ID: 8022036888 Enrollment ID: I20210316000716 |
| Provider Name | Ruslana Shargorodskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013301589 PECOS PAC ID: 3971892548 Enrollment ID: I20220128001567 |
| Provider Name | Sara Ardila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871091728 PECOS PAC ID: 5193052959 Enrollment ID: I20220214002251 |
| Provider Name | Katherine Bhadra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588907034 PECOS PAC ID: 1850538893 Enrollment ID: I20220310001361 |
| Provider Name | Helen Portalatin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902042518 PECOS PAC ID: 4688851165 Enrollment ID: I20220314000141 |
| Provider Name | Maria Dizhgalvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184144792 PECOS PAC ID: 4183974884 Enrollment ID: I20220315000345 |
| Provider Name | Laura Ardila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699273540 PECOS PAC ID: 7517295868 Enrollment ID: I20220316003085 |
| Provider Name | Erika Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215433354 PECOS PAC ID: 7416207428 Enrollment ID: I20220317000276 |
| Provider Name | Gemma C Kaunert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962697482 PECOS PAC ID: 2163725573 Enrollment ID: I20221102002254 |
| Provider Name | Lauren Guse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990210 PECOS PAC ID: 8325366990 Enrollment ID: I20230315001543 |
| Provider Name | Jing Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922505056 PECOS PAC ID: 6507244399 Enrollment ID: I20230526001115 |
| Provider Name | Jessica Suzanne Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20230918001088 |
| Provider Name | Crystal Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316330103 PECOS PAC ID: 7719265511 Enrollment ID: I20240425002704 |
| Provider Name | Gretchen Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538645957 PECOS PAC ID: 6800140591 Enrollment ID: I20240528001458 |
| Provider Name | Valery Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371810 PECOS PAC ID: 2466799093 Enrollment ID: I20240611003787 |
| Provider Name | Hali Faustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225637655 PECOS PAC ID: 1658791967 Enrollment ID: I20240617003831 |
| Provider Name | Sandra Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689002867 PECOS PAC ID: 2668601782 Enrollment ID: I20240731000770 |
| Provider Name | Kelly Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326388430 PECOS PAC ID: 0749427268 Enrollment ID: I20240816000614 |
| Provider Name | Ashley Eldredge-martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466220 PECOS PAC ID: 7719245745 Enrollment ID: I20241002000731 |
| Provider Name | Stacey Jantsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861091324 PECOS PAC ID: 7810304482 Enrollment ID: I20241017003738 |
| Provider Name | Haley Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285172510 PECOS PAC ID: 6507141397 Enrollment ID: I20250107000198 |
| Provider Name | Ashlee Goulette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538687868 PECOS PAC ID: 5597022673 Enrollment ID: I20250422001551 |
| Provider Name | Mohanie Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992394597 PECOS PAC ID: 6709328636 Enrollment ID: I20250501000597 |
Montclair Adult Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Claremont Ave, Montclair, NJ 07042 Phone: 973-338-3300 Fax: 973-338-0400 | |
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George Harb Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Park St, Montclair, NJ 07042 Phone: 973-509-6567 | |
Harmonycares Complete Health Services Of New Jersey, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Valley Rd # 148, Montclair, NJ 07042 Phone: 973-707-3911 Fax: 201-918-4037 |