| Cogent Healthcare Of New Jersey, Pc | |
|
30 Prospect Ave Hackensack NJ 07601-1914 | |
| (615) 371-5765 | |
| (888) 241-1404 |
| Full Name | Cogent Healthcare Of New Jersey, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 Prospect Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Ami M Shah (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 6153715765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of New Jersey, Pc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 371-5765 | Cogent Healthcare Of New Jersey, Pc 30 Prospect Ave Hackensack NJ 07601-1914 Ph: (615) 371-5765 |
| NPI Number | 1629304290 |
|---|---|
| Provider Enumeration Date | 11/02/2009 |
| Last Update Date | 02/09/2010 |
| Medicare PECOS PAC ID | 6608918867 |
|---|---|
| Medicare Enrollment ID | O20100126000691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629304290 | NPI | - | NPPES |
| 0217344 | Medicaid | NJ |
| Provider Name | Jaime Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770504573 PECOS PAC ID: 7012815988 Enrollment ID: I20031230000262 |
| Provider Name | Amit Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861431041 PECOS PAC ID: 7719975754 Enrollment ID: I20040506000240 |
| Provider Name | Kesavarao Mittapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043258023 PECOS PAC ID: 4284613522 Enrollment ID: I20040720000804 |
| Provider Name | Anita C Vaughn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578503942 PECOS PAC ID: 3870564289 Enrollment ID: I20040802000132 |
| Provider Name | Yihong H Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629072046 PECOS PAC ID: 7911969746 Enrollment ID: I20041103000135 |
| Provider Name | Chithra Balasingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457307878 PECOS PAC ID: 3274597893 Enrollment ID: I20041115000171 |
| Provider Name | Leah Kopelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417915422 PECOS PAC ID: 9638066426 Enrollment ID: I20060320000308 |
| Provider Name | Madhu Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417975194 PECOS PAC ID: 8628074481 Enrollment ID: I20061018000526 |
| Provider Name | Laurie S Nahum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558361295 PECOS PAC ID: 8123112190 Enrollment ID: I20070921000042 |
| Provider Name | Andrey Silkov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598922981 PECOS PAC ID: 7416019419 Enrollment ID: I20081230000195 |
| Provider Name | Jennifer Golding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326226259 PECOS PAC ID: 1052477940 Enrollment ID: I20090302000057 |
| Provider Name | Mariette I Amadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093977019 PECOS PAC ID: 9234284993 Enrollment ID: I20090901000387 |
| Provider Name | Ahmed Seman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942538715 PECOS PAC ID: 9830226133 Enrollment ID: I20100419000230 |
| Provider Name | Novlette Edwards-hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336467745 PECOS PAC ID: 4183754310 Enrollment ID: I20100614000691 |
| Provider Name | Daniel J Dalessandro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740237296 PECOS PAC ID: 1153395892 Enrollment ID: I20101108000855 |
| Provider Name | Luz S Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679507073 PECOS PAC ID: 1850589839 Enrollment ID: I20101216000889 |
| Provider Name | Jianfeng Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295972735 PECOS PAC ID: 3274686753 Enrollment ID: I20110110000171 |
| Provider Name | Amit Malhotra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982869525 PECOS PAC ID: 9830267681 Enrollment ID: I20110113000587 |
| Provider Name | Venkatabharathi Velam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407046295 PECOS PAC ID: 3274672852 Enrollment ID: I20110114000710 |
| Provider Name | Marvin B Azares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811206451 PECOS PAC ID: 6800075789 Enrollment ID: I20110125000050 |
| Provider Name | Deepali Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356521587 PECOS PAC ID: 5092868315 Enrollment ID: I20110127000242 |
| Provider Name | Nadine N Clermont |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598995375 PECOS PAC ID: 7012190598 Enrollment ID: I20110321000768 |
| Provider Name | Jodi Galesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356575104 PECOS PAC ID: 4789856600 Enrollment ID: I20111018000554 |
| Provider Name | Muhammad Hanif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487792503 PECOS PAC ID: 6901997030 Enrollment ID: I20120130000258 |
| Provider Name | Monica Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904962 PECOS PAC ID: 9537258710 Enrollment ID: I20120330000131 |
| Provider Name | Kevin Gershuny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023341047 PECOS PAC ID: 0446415715 Enrollment ID: I20120712000142 |
| Provider Name | Derek G Lyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679721112 PECOS PAC ID: 6305093006 Enrollment ID: I20120831000543 |
| Provider Name | Jean Eddy Larose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750529012 PECOS PAC ID: 0042483919 Enrollment ID: I20121112000182 |
| Provider Name | Yatin Patil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982881124 PECOS PAC ID: 6608061270 Enrollment ID: I20130521000148 |
| Provider Name | Payam Benson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457539850 PECOS PAC ID: 5597912188 Enrollment ID: I20131211001982 |
| Provider Name | Jennifer Abitabilo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400074 PECOS PAC ID: 2062649064 Enrollment ID: I20131219001166 |
| Provider Name | Rubaba Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194913681 PECOS PAC ID: 6507911351 Enrollment ID: I20131227001246 |
| Provider Name | Rehan J Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700078649 PECOS PAC ID: 8022264282 Enrollment ID: I20140210001404 |
| Provider Name | Ned Okarter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457679037 PECOS PAC ID: 0345470894 Enrollment ID: I20140317000368 |
| Provider Name | Maryann E Brennan-spotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952749806 PECOS PAC ID: 8224261177 Enrollment ID: I20140430002048 |
| Provider Name | Shital K Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952698508 PECOS PAC ID: 7618114489 Enrollment ID: I20140711000823 |
| Provider Name | Syed R Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891922589 PECOS PAC ID: 7012154263 Enrollment ID: I20140818001165 |
| Provider Name | Tarek Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114125234 PECOS PAC ID: 2466506472 Enrollment ID: I20140825002350 |
| Provider Name | Yukiko Oe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992020069 PECOS PAC ID: 3779616404 Enrollment ID: I20140826000250 |
| Provider Name | Punit R Jariwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386060507 PECOS PAC ID: 1951520378 Enrollment ID: I20140917002328 |
| Provider Name | Altaf T Rasool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053566257 PECOS PAC ID: 6002969086 Enrollment ID: I20140930001999 |
| Provider Name | Muhammad F Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235402967 PECOS PAC ID: 7517187800 Enrollment ID: I20141009000409 |
| Provider Name | Renishkumar Viradiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487967493 PECOS PAC ID: 3274726088 Enrollment ID: I20141021000889 |
| Provider Name | Jungsik Yoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831487180 PECOS PAC ID: 3173745122 Enrollment ID: I20141107000614 |
| Provider Name | Marlene Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942603584 PECOS PAC ID: 4880910488 Enrollment ID: I20150225001589 |
| Provider Name | Abel E Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568711448 PECOS PAC ID: 8022337963 Enrollment ID: I20150428000267 |
| Provider Name | Yasmin Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699932061 PECOS PAC ID: 1456544691 Enrollment ID: I20150624002325 |
| Provider Name | Mihir Barvalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568723922 PECOS PAC ID: 2668784547 Enrollment ID: I20150707000706 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952429458 PECOS PAC ID: 2961716543 Enrollment ID: I20150728003974 |
| Provider Name | Norma Barros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639576549 PECOS PAC ID: 8820303829 Enrollment ID: I20150820010235 |
| Provider Name | Hussain M Manji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760747836 PECOS PAC ID: 4880901537 Enrollment ID: I20150914001828 |
| Provider Name | Virginie Elaine P Pernala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417334772 PECOS PAC ID: 7315254687 Enrollment ID: I20150918001020 |
| Provider Name | Anthony J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790048254 PECOS PAC ID: 9335456565 Enrollment ID: I20150921000285 |
| Provider Name | Quratulain Nafees |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356617542 PECOS PAC ID: 4789992538 Enrollment ID: I20150929001099 |
| Provider Name | Laura Maccone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952735847 PECOS PAC ID: 1254649007 Enrollment ID: I20150929001395 |
| Provider Name | Fausto G Lisung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245588102 PECOS PAC ID: 0749599637 Enrollment ID: I20151015001027 |
| Provider Name | Pavela Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770971954 PECOS PAC ID: 1951611631 Enrollment ID: I20151109002056 |
| Provider Name | Ronnie N Kallini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417389339 PECOS PAC ID: 3476853698 Enrollment ID: I20151119001897 |
| Provider Name | Angela Sefah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700013968 PECOS PAC ID: 5597949024 Enrollment ID: I20151207002039 |
| Provider Name | Brenda Dorcely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104182062 PECOS PAC ID: 7719289636 Enrollment ID: I20160111000505 |
| Provider Name | Minhui Xie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811217714 PECOS PAC ID: 4587883517 Enrollment ID: I20160218001690 |
| Provider Name | Tariq Mahmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619386414 PECOS PAC ID: 6204131634 Enrollment ID: I20160223002542 |
| Provider Name | Greta J Bayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780086991 PECOS PAC ID: 6608173349 Enrollment ID: I20160324000621 |
| Provider Name | Christine Judge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780040253 PECOS PAC ID: 5294034872 Enrollment ID: I20160503001761 |
| Provider Name | Melaku Tesfaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245659028 PECOS PAC ID: 3375834450 Enrollment ID: I20160621000408 |
| Provider Name | Tawfiq J Karadsheh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629487707 PECOS PAC ID: 7113213695 Enrollment ID: I20160909000095 |
| Provider Name | Dennis P Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967424 PECOS PAC ID: 4486940962 Enrollment ID: I20160909000118 |
| Provider Name | Durga Sunitha Posina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437492931 PECOS PAC ID: 2860788288 Enrollment ID: I20160912001844 |
| Provider Name | Bankim Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790151116 PECOS PAC ID: 5496908261 Enrollment ID: I20160914001767 |
| Provider Name | Borislav Kheyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538590161 PECOS PAC ID: 5496042319 Enrollment ID: I20160921000313 |
| Provider Name | Indrani Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275899015 PECOS PAC ID: 0941438444 Enrollment ID: I20161007001344 |
| Provider Name | Igbagboyemi Temidayo Olatunde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053752105 PECOS PAC ID: 1951689298 Enrollment ID: I20161020002263 |
| Provider Name | Qizhi Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760823355 PECOS PAC ID: 2062790348 Enrollment ID: I20161021000814 |
| Provider Name | Paul Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265879167 PECOS PAC ID: 8820376395 Enrollment ID: I20161103001810 |
| Provider Name | Mzingaye Moyo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093027245 PECOS PAC ID: 2062641467 Enrollment ID: I20161110000899 |
| Provider Name | Hemant R Kade |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841539541 PECOS PAC ID: 6709012479 Enrollment ID: I20161111001552 |
| Provider Name | Joshua Kra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700185691 PECOS PAC ID: 4486976883 Enrollment ID: I20161117000136 |
| Provider Name | Nishant Y Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700294535 PECOS PAC ID: 6305125964 Enrollment ID: I20161122002007 |
| Provider Name | Arpine Avagyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598189789 PECOS PAC ID: 7214217728 Enrollment ID: I20161129000961 |
| Provider Name | Michael R Agnelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548503451 PECOS PAC ID: 4082994843 Enrollment ID: I20161213001980 |
| Provider Name | Priyanka Batchu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649638586 PECOS PAC ID: 6608158100 Enrollment ID: I20170118000567 |
| Provider Name | Saiham Shahabuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295078145 PECOS PAC ID: 0345520961 Enrollment ID: I20170317000475 |
| Provider Name | Firas Qaqa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659786606 PECOS PAC ID: 8224308010 Enrollment ID: I20170727001155 |
| Provider Name | Nazia Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598128415 PECOS PAC ID: 1052683653 Enrollment ID: I20170816003606 |
| Provider Name | Steven S Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982021309 PECOS PAC ID: 9032483268 Enrollment ID: I20170926003816 |
| Provider Name | Yelena Shubina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659663508 PECOS PAC ID: 1355512849 Enrollment ID: I20171003004875 |
| Provider Name | Emmanuel Isang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215347174 PECOS PAC ID: 6103191432 Enrollment ID: I20171012000502 |
| Provider Name | Jilcy Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194145698 PECOS PAC ID: 3375847643 Enrollment ID: I20171114001247 |
| Provider Name | Jason A Korcak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285878942 PECOS PAC ID: 6709937121 Enrollment ID: I20171120001365 |
| Provider Name | Sarosh Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366799199 PECOS PAC ID: 5890052682 Enrollment ID: I20171204001530 |
| Provider Name | Ismadelyne Antoine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417185612 PECOS PAC ID: 8426203704 Enrollment ID: I20180306000990 |
| Provider Name | Rakesh Mahali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730492877 PECOS PAC ID: 3577792670 Enrollment ID: I20180426002769 |
| Provider Name | Jessy Paul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790179265 PECOS PAC ID: 2365757507 Enrollment ID: I20180511001256 |
| Provider Name | Najeeb U Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467757195 PECOS PAC ID: 4789861592 Enrollment ID: I20180514000643 |
| Provider Name | Reetuparna Bhattacharjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700269461 PECOS PAC ID: 0547556839 Enrollment ID: I20180518001209 |
| Provider Name | Bing Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306238100 PECOS PAC ID: 7214282755 Enrollment ID: I20180625000811 |
| Provider Name | Rohanjit S Sidhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417370958 PECOS PAC ID: 5597057638 Enrollment ID: I20180803000263 |
| Provider Name | Jiyoung Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336527555 PECOS PAC ID: 4789935495 Enrollment ID: I20180919002428 |
| Provider Name | Chirag Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093196206 PECOS PAC ID: 9234480963 Enrollment ID: I20180919003246 |
| Provider Name | Gautam Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356728869 PECOS PAC ID: 8921359654 Enrollment ID: I20181004002186 |
| Provider Name | Reginald Bonnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326532938 PECOS PAC ID: 4688926926 Enrollment ID: I20181015001317 |
| Provider Name | Anthony Vecchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477935229 PECOS PAC ID: 2062765001 Enrollment ID: I20181022002137 |
| Provider Name | Madeeha Shahzadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487056008 PECOS PAC ID: 7012271216 Enrollment ID: I20181101000350 |
| Provider Name | Katrina L San Juan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067985 PECOS PAC ID: 0648515502 Enrollment ID: I20181220001677 |
| Provider Name | Tobi Ogundare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906222 PECOS PAC ID: 3678809597 Enrollment ID: I20190730001436 |
| Provider Name | Kelly E Edebiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007581 PECOS PAC ID: 6103153663 Enrollment ID: I20190807001886 |
| Provider Name | Alexander Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215310925 PECOS PAC ID: 8921352097 Enrollment ID: I20190923001993 |
| Provider Name | Ruhin Yuridullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114370749 PECOS PAC ID: 2860723517 Enrollment ID: I20191009003528 |
| Provider Name | Avishkar Sabharwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750696787 PECOS PAC ID: 2466784921 Enrollment ID: I20191101001581 |
| Provider Name | Livinus Adibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588046494 PECOS PAC ID: 3870845787 Enrollment ID: I20191205002515 |
| Provider Name | Omer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235387119 PECOS PAC ID: 5294999116 Enrollment ID: I20191226002076 |
| Provider Name | Navneet Marwaha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275591836 PECOS PAC ID: 2062448962 Enrollment ID: I20200121000196 |
| Provider Name | Joseph D Eckstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760661409 PECOS PAC ID: 0446348734 Enrollment ID: I20200415001439 |
| Provider Name | Temitayo Akinsode Ogundipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053775148 PECOS PAC ID: 7012246887 Enrollment ID: I20200429002178 |
| Provider Name | Jordan D Nugent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902224645 PECOS PAC ID: 3274853189 Enrollment ID: I20200504000532 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20200616002183 |
| Provider Name | Mukti J Patel-prineas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083932990 PECOS PAC ID: 0840439840 Enrollment ID: I20200728003212 |
| Provider Name | Oscar Cisneros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023545498 PECOS PAC ID: 7315364403 Enrollment ID: I20200903002386 |
| Provider Name | Janki Vihang Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336661610 PECOS PAC ID: 1456771435 Enrollment ID: I20201013000705 |
| Provider Name | Marcelle George Haleem Meseeha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689013021 PECOS PAC ID: 6709185234 Enrollment ID: I20221125000435 |
| Provider Name | Kenosa Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967838 PECOS PAC ID: 7315239779 Enrollment ID: I20230222003170 |
| Provider Name | David Gunnerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588602106 PECOS PAC ID: 3577535053 Enrollment ID: I20230315000370 |
| Provider Name | Cecile S. Muehrcke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053353318 PECOS PAC ID: 3072427392 Enrollment ID: I20230322003210 |
| Provider Name | Donnielle Lynn Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073620530 PECOS PAC ID: 6800810375 Enrollment ID: I20230323000531 |
| Provider Name | Fidelis Obukowho Ojevwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124468293 PECOS PAC ID: 7810283843 Enrollment ID: I20230323001082 |
| Provider Name | Chantal Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740274760 PECOS PAC ID: 6204807696 Enrollment ID: I20230324001818 |
| Provider Name | Iren Ortiz Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295140846 PECOS PAC ID: 7012274038 Enrollment ID: I20230825001699 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230905000721 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20231004000799 |
Hackensack Digestive Disease Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 1st St, Hackensack, NJ 07601 Phone: 201-488-3003 Fax: 201-488-6911 | |
Mms Healthcare Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 Main St Fl 4, Hackensack, NJ 07601 Phone: 201-996-9035 | |
Nj Docs Progressive Medical Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Hudson St Ste 301, Hackensack, NJ 07601 Phone: 201-641-2125 Fax: 212-888-6024 | |
David P. Bleeker Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Essex St, Suite 401, Hackensack, NJ 07601 Phone: 201-487-1711 Fax: 201-487-3377 | |
Vault Medical Services Of New Jersey Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Essex St Ste 406, Hackensack, NJ 07601 Phone: 929-388-1551 | |
Mina Shaker Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Summit Ave, Hackensack, NJ 07601 Phone: 201-343-6360 | |
North Jersey Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Summit Ave, Hackensack, NJ 07601 Phone: 201-342-0066 Fax: 201-342-0079 |