| Clinical Health Care Associates Of New Jersey, Pc | |
|
250 King Of Prussia Rd 4th Floor Radnor PA 19087-5220 | |
| (215) 893-6200 | |
| Not Available |
| Full Name | Clinical Health Care Associates Of New Jersey, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 King Of Prussia Rd, Radnor, Pennsylvania |
| Authorized Official Name and Position | Ronald Barg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6109021720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Health Care Associates Of New Jersey, Pc 1840 South St Tuttleman Building Philadelphia PA 19146-7411 Ph: (215) 893-6200 | Clinical Health Care Associates Of New Jersey, Pc 250 King Of Prussia Rd 4th Floor Radnor PA 19087-5220 Ph: (215) 893-6200 |
| NPI Number | 1437326683 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 09/23/2008 |
| Medicare PECOS PAC ID | 0749180198 |
|---|---|
| Medicare Enrollment ID | O20140716002424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437326683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | (Pennsylvania) | Secondary |
| Provider Name | Gregory Mayro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306031208 PECOS PAC ID: 2567558851 Enrollment ID: I20071018000043 |
| Provider Name | Megan T Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477749307 PECOS PAC ID: 0547343196 Enrollment ID: I20080206000185 |
| Provider Name | Elizabeth Ann Marandola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578727285 PECOS PAC ID: 3678647146 Enrollment ID: I20080731000492 |
| Provider Name | Marcia Halpern |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275556789 PECOS PAC ID: 2062576036 Enrollment ID: I20090206000031 |
| Provider Name | Eliot M Wallack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750385449 PECOS PAC ID: 9931264678 Enrollment ID: I20090213000037 |
| Provider Name | Neha Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447314349 PECOS PAC ID: 4880745165 Enrollment ID: I20090626000092 |
| Provider Name | Amrita Kochhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831334176 PECOS PAC ID: 1153473582 Enrollment ID: I20090716000256 |
| Provider Name | Linsey Sara Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154742955 PECOS PAC ID: 9830329846 Enrollment ID: I20140312001767 |
| Provider Name | Monika Z Kumanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568773042 PECOS PAC ID: 7911125190 Enrollment ID: I20140829001573 |
| Provider Name | Ronda Broady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558381012 PECOS PAC ID: 0345303020 Enrollment ID: I20151021002168 |
| Provider Name | Curtis L Nolt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639462393 PECOS PAC ID: 2163643362 Enrollment ID: I20160121002147 |
| Provider Name | Hilary Rose Ugras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083099840 PECOS PAC ID: 9234436858 Enrollment ID: I20160328000333 |
| Provider Name | Nadia Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467890053 PECOS PAC ID: 7214220201 Enrollment ID: I20160728001341 |
| Provider Name | Jerold Mikszewski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215927736 PECOS PAC ID: 6800898156 Enrollment ID: I20160929001138 |
| Provider Name | Jing Huang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1275972069 PECOS PAC ID: 3779851373 Enrollment ID: I20170623000877 |
| Provider Name | Penden Mahautmr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326442542 PECOS PAC ID: 6709180052 Enrollment ID: I20170718000107 |
| Provider Name | Kenneth M Rosenstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376792606 PECOS PAC ID: 8123284379 Enrollment ID: I20170721000193 |
| Provider Name | Daniel G Becker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316975220 PECOS PAC ID: 6305947441 Enrollment ID: I20170721000305 |
| Provider Name | Susan Prescott Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134654361 PECOS PAC ID: 1759656101 Enrollment ID: I20171011000532 |
| Provider Name | Brandeis K Brockman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114289402 PECOS PAC ID: 6800180860 Enrollment ID: I20180307001638 |
| Provider Name | Richard Joseph Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417958661 PECOS PAC ID: 6709067101 Enrollment ID: I20180730001547 |
| Provider Name | Amy Kathleen Forrestel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841638202 PECOS PAC ID: 7012268154 Enrollment ID: I20180928000520 |
| Provider Name | Kirkland N Lozada |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245659911 PECOS PAC ID: 7719288471 Enrollment ID: I20190604002022 |
| Provider Name | Luke Young Joong Kim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396158069 PECOS PAC ID: 5991082745 Enrollment ID: I20190903000557 |
| Provider Name | Elias Akl |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1104176106 PECOS PAC ID: 4082838982 Enrollment ID: I20200716002179 |
| Provider Name | Susan Matesanz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588009724 PECOS PAC ID: 3072932847 Enrollment ID: I20200928001938 |
| Provider Name | Richard Sterling |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184712895 PECOS PAC ID: 7113180506 Enrollment ID: I20210121000072 |
| Provider Name | Alyssa Molfese |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831614957 PECOS PAC ID: 6507299781 Enrollment ID: I20211220000066 |
| Provider Name | Neha Sirohi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1689084816 PECOS PAC ID: 6103116546 Enrollment ID: I20220215000237 |
| Provider Name | Krysten Melissa Sears |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255860102 PECOS PAC ID: 7416341953 Enrollment ID: I20220228001612 |
| Provider Name | Anni Wong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396276911 PECOS PAC ID: 9234475203 Enrollment ID: I20220805002422 |
| Provider Name | Shie Kantor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124749338 PECOS PAC ID: 4587024963 Enrollment ID: I20230717002923 |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-5600 | |
Trustees Of The Univ Of Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Clinical Health Care Associates Of New Jersey Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, 4th Floor, Radnor, PA 19087 Phone: 610-902-1738 | |
Trustees Of The Univ Of Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 Fax: 610-902-2040 | |
Trustees Of The University Of Pennsylvania Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 Fax: 610-902-2040 |