| Centrastate Medical Associates Pc | |
|
901 W Main St Freehold NJ 07728-2537 | |
| (732) 431-2000 | |
| Not Available |
| Full Name | Centrastate Medical Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 901 W Main St, Freehold, New Jersey |
| Authorized Official Name and Position | Howard Stein (PRESIDENT) |
| Authorized Official Contact | 7324312000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centrastate Medical Associates Pc 901 W Main St Freehold NJ 07728-2537 Ph: (732) 431-2000 | Centrastate Medical Associates Pc 901 W Main St Freehold NJ 07728-2537 Ph: (732) 431-2000 |
| NPI Number | 1346476793 |
|---|---|
| Provider Enumeration Date | 05/29/2009 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 6608922554 |
|---|---|
| Medicare Enrollment ID | O20090918000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346476793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA03422700 (New Jersey) | Primary |
| Provider Name | Mary T Martucci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568478915 PECOS PAC ID: 8325090699 Enrollment ID: I20050215000377 |
| Provider Name | Aileen C Estavillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558413617 PECOS PAC ID: 7911945266 Enrollment ID: I20050419000200 |
| Provider Name | Orlando F Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043270382 PECOS PAC ID: 6204870132 Enrollment ID: I20050613000397 |
| Provider Name | Paul Luparello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053465112 PECOS PAC ID: 3173568078 Enrollment ID: I20050622000066 |
| Provider Name | Philip J Angello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083601934 PECOS PAC ID: 5193750370 Enrollment ID: I20050927001408 |
| Provider Name | Shira A Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497799209 PECOS PAC ID: 9436152220 Enrollment ID: I20060817000002 |
| Provider Name | Joshua Raymond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396751483 PECOS PAC ID: 7012915176 Enrollment ID: I20061128000165 |
| Provider Name | Robert Pedowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851346985 PECOS PAC ID: 0042219024 Enrollment ID: I20061221000056 |
| Provider Name | Vasko K Gulevski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528011517 PECOS PAC ID: 0840203758 Enrollment ID: I20071029000402 |
| Provider Name | Paul Kostoulakos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982817326 PECOS PAC ID: 0345337994 Enrollment ID: I20071030000391 |
| Provider Name | Anne Marie Mercadante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467636712 PECOS PAC ID: 0749367167 Enrollment ID: I20080410000054 |
| Provider Name | Lorraine A Riker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386618700 PECOS PAC ID: 2769561216 Enrollment ID: I20080508000488 |
| Provider Name | Ilyasah Byfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841478187 PECOS PAC ID: 3173699295 Enrollment ID: I20080913000003 |
| Provider Name | Richa Gopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235266867 PECOS PAC ID: 0749374593 Enrollment ID: I20090325000214 |
| Provider Name | James Engelman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528002110 PECOS PAC ID: 2365470804 Enrollment ID: I20101012000088 |
| Provider Name | Sabine T Paul-yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417278805 PECOS PAC ID: 4789878430 Enrollment ID: I20101027000581 |
| Provider Name | Soumya Chakrapani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902041999 PECOS PAC ID: 3072709237 Enrollment ID: I20101130000666 |
| Provider Name | Paola Caeiro Raguseo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770743866 PECOS PAC ID: 9537348396 Enrollment ID: I20110125001084 |
| Provider Name | Christopher K Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275508392 PECOS PAC ID: 8921288986 Enrollment ID: I20110208000534 |
| Provider Name | Edward D Stoner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467427450 PECOS PAC ID: 5597945154 Enrollment ID: I20110215000043 |
| Provider Name | Nancy C Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043300577 PECOS PAC ID: 3072797844 Enrollment ID: I20110404000411 |
| Provider Name | Amos Katz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952411340 PECOS PAC ID: 3779670542 Enrollment ID: I20110603000171 |
| Provider Name | Bhavikaben Babaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912227414 PECOS PAC ID: 1355529363 Enrollment ID: I20110622000225 |
| Provider Name | Christopher Skeehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831164318 PECOS PAC ID: 0042491110 Enrollment ID: I20110708000089 |
| Provider Name | Kevin Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124285176 PECOS PAC ID: 5890963763 Enrollment ID: I20110720000077 |
| Provider Name | Leslie William Sojka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477609634 PECOS PAC ID: 2062419013 Enrollment ID: I20111206000492 |
| Provider Name | Anita K Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467611376 PECOS PAC ID: 7315181310 Enrollment ID: I20130912000622 |
| Provider Name | Kendria Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174835839 PECOS PAC ID: 7618165762 Enrollment ID: I20140123000299 |
| Provider Name | Sutharsanam Veerappan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972568780 PECOS PAC ID: 7113158627 Enrollment ID: I20140326001975 |
| Provider Name | Anna C Arcaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992141626 PECOS PAC ID: 0143451666 Enrollment ID: I20140326002203 |
| Provider Name | Mitesh G Kathrotia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154612430 PECOS PAC ID: 6901044882 Enrollment ID: I20140910001522 |
| Provider Name | Cristina U Ignacio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053503532 PECOS PAC ID: 8628258605 Enrollment ID: I20140918000981 |
| Provider Name | Charisma Lanez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942637988 PECOS PAC ID: 5597985176 Enrollment ID: I20141002000674 |
| Provider Name | Jocelyn Gerges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821416538 PECOS PAC ID: 8729387923 Enrollment ID: I20170908001698 |
| Provider Name | Jaclyn M Guliano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225445737 PECOS PAC ID: 0941574974 Enrollment ID: I20170914002423 |
| Provider Name | Kasey Leung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316417264 PECOS PAC ID: 6002142916 Enrollment ID: I20190731000823 |
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