| Cooper Physician Offices, Pa | |
|
3 Cooper Plz Suite 215 Camden NJ 08103-1438 | |
| (856) 342-2439 | |
| (856) 966-0735 |
| Full Name | Cooper Physician Offices, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3 Cooper Plz, Camden, New Jersey |
| Authorized Official Name and Position | Anthony J. Mazzarelli (CHIEF MEDICAL OFFICE) |
| Authorized Official Contact | 8569687858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Physician Offices, Pa 1 Federal Street Sw-200 Camden NJ 08103-1155 Ph: (856) 356-4924 | Cooper Physician Offices, Pa 3 Cooper Plz Suite 215 Camden NJ 08103-1438 Ph: (856) 342-2439 |
| NPI Number | 1154369510 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 07/27/2016 |
| Medicare PECOS PAC ID | 2860396611 |
|---|---|
| Medicare Enrollment ID | O20031122000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154369510 | NPI | - | NPPES |
| 0736144001 | Other | AMERIHEALTH | |
| 0736144029 | Other | AMERIHEALTH | |
| 3946789 | Other | AETNA - 196 GROVE AVE, THOROFARE, NJ | |
| 475767 | Other | AETNA - 900 CENTENNIAL BLVD., VOORHEES, NJ | |
| 0736144000 | Other | AMERIHEALTH | |
| 0736144012 | Other | AMERIHEALTH | |
| 1153819 | Other | AETNA - 13 TOMLINSON ., MEDFORD, NJ | |
| 115506 | Other | AETNA - 3 COOPER PLAZA, SUITE 215 CAMDEN, NJ | |
| 3626248 | Other | AETNA - 1103 N. KINGS HWY, CHERRY HILL, NJ | |
| 6223605 | Medicaid | NJ | |
| 735993 | Other | AETNA - 1210 BRACE RD., CHERRY HIL, NJ | |
| 0736144003 | Other | AMERIHEALTH | |
| 482284 | Other | AETNA - 1103 NORTH KINGS HWY, CHERRY HILL, NJ | |
| 0736144002 | Other | AMERIHEALTH | |
| 0736144027 | Other | AMERIHEALTH | |
| 0736144004 | Other | AMERIHEALTH | |
| 0736144005 | Other | AMERIHEALTH | |
| 0736144013 | Other | AMERIHEALTH | |
| 0736144025 | Other | AMERIHEALTH | |
| 0736144028 | Other | AMERIHEALTH | |
| 288755 | Other | AETNA | |
| 478779 | Other | AETNA - 14 S BROADWAY ,GLOUCESTER, NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Rajesh Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417997115 PECOS PAC ID: 8426962283 Enrollment ID: I20031117000086 |
| Provider Name | Jeffrey Brenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558392217 PECOS PAC ID: 3971409756 Enrollment ID: I20031211000513 |
| Provider Name | Douglas J Hanes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225138910 PECOS PAC ID: 2860398583 Enrollment ID: I20031211000766 |
| Provider Name | Mangesh M Mungekar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144306069 PECOS PAC ID: 8820994544 Enrollment ID: I20031211000779 |
| Provider Name | James Q Atkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881671444 PECOS PAC ID: 2668373309 Enrollment ID: I20040116000100 |
| Provider Name | Jeffrey Alken |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861472342 PECOS PAC ID: 2668369737 Enrollment ID: I20040303001069 |
| Provider Name | Mark Angelo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144319682 PECOS PAC ID: 0244225530 Enrollment ID: I20040416000605 |
| Provider Name | David R Gerber |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861580219 PECOS PAC ID: 8224025226 Enrollment ID: I20040430000166 |
| Provider Name | Darryl B Floyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689676421 PECOS PAC ID: 1759371750 Enrollment ID: I20040513000083 |
| Provider Name | Marianne T Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598731424 PECOS PAC ID: 8224011689 Enrollment ID: I20040608001072 |
| Provider Name | Ashoke K Deb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124088760 PECOS PAC ID: 7719967173 Enrollment ID: I20040726000075 |
| Provider Name | Akshay S Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770563074 PECOS PAC ID: 7113997719 Enrollment ID: I20040730000064 |
| Provider Name | Eric Kupersmith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831271261 PECOS PAC ID: 4981676947 Enrollment ID: I20040810000832 |
| Provider Name | Glenn C Newell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841390150 PECOS PAC ID: 8820060809 Enrollment ID: I20040810000962 |
| Provider Name | Steven T Nguy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336249523 PECOS PAC ID: 7911979901 Enrollment ID: I20040810001053 |
| Provider Name | Meena R Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992801237 PECOS PAC ID: 1759353758 Enrollment ID: I20040810001126 |
| Provider Name | Sanjay Misra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528096948 PECOS PAC ID: 0840268983 Enrollment ID: I20040917000149 |
| Provider Name | Manish A Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326019175 PECOS PAC ID: 7911975412 Enrollment ID: I20040922000790 |
| Provider Name | Prathibha Potharlanka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295761690 PECOS PAC ID: 4587633862 Enrollment ID: I20041004000017 |
| Provider Name | Deepa N Velayadikot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437176880 PECOS PAC ID: 1850354333 Enrollment ID: I20041105000383 |
| Provider Name | Inciya Rangwalla-malickel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952491250 PECOS PAC ID: 9830153873 Enrollment ID: I20041118000557 |
| Provider Name | Asma Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225023682 PECOS PAC ID: 3678525912 Enrollment ID: I20050215000956 |
| Provider Name | Anuradha L Mookerjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902982820 PECOS PAC ID: 8527011998 Enrollment ID: I20050225000043 |
| Provider Name | Mark A Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043391618 PECOS PAC ID: 2961392493 Enrollment ID: I20050302000598 |
| Provider Name | Ahsan A Abdulghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881670891 PECOS PAC ID: 7517939432 Enrollment ID: I20050303000061 |
| Provider Name | Rosemarie A Leuzzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861574220 PECOS PAC ID: 2860442951 Enrollment ID: I20050405000043 |
| Provider Name | Anjali A Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225137797 PECOS PAC ID: 8921046855 Enrollment ID: I20050421000448 |
| Provider Name | Paul A Stone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932101664 PECOS PAC ID: 4688613896 Enrollment ID: I20050427000929 |
| Provider Name | Xiaodan Ye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700802212 PECOS PAC ID: 3476593351 Enrollment ID: I20050510000861 |
| Provider Name | Grace S Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730390717 PECOS PAC ID: 6901841998 Enrollment ID: I20050621000372 |
| Provider Name | Vijaykumar K Rajput |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588754881 PECOS PAC ID: 2062457054 Enrollment ID: I20050621000398 |
| Provider Name | Nancy H Beggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407945272 PECOS PAC ID: 3971548561 Enrollment ID: I20050623000828 |
| Provider Name | David D Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538130398 PECOS PAC ID: 9830143932 Enrollment ID: I20050712000548 |
| Provider Name | John A Kirby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164502126 PECOS PAC ID: 7810923760 Enrollment ID: I20050712000588 |
| Provider Name | Naeem M Amin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659326833 PECOS PAC ID: 9638169618 Enrollment ID: I20050726000377 |
| Provider Name | Katherine Ann Penberthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255420667 PECOS PAC ID: 4587692553 Enrollment ID: I20050808000427 |
| Provider Name | Alyssa R Angelino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861602070 PECOS PAC ID: 1153358841 Enrollment ID: I20050913000433 |
| Provider Name | Aney M Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275637720 PECOS PAC ID: 7315994811 Enrollment ID: I20050926000733 |
| Provider Name | Hazel A Nurse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619190089 PECOS PAC ID: 7618902131 Enrollment ID: I20051003000750 |
| Provider Name | Janel L Roseberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225173461 PECOS PAC ID: 8527093210 Enrollment ID: I20051004000754 |
| Provider Name | Vedam Gummadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427253624 PECOS PAC ID: 0042245474 Enrollment ID: I20051004000795 |
| Provider Name | Anthony Md Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235235524 PECOS PAC ID: 0244255289 Enrollment ID: I20051010000490 |
| Provider Name | Philip M George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851472070 PECOS PAC ID: 4789602756 Enrollment ID: I20051108000719 |
| Provider Name | Fateen Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811080641 PECOS PAC ID: 7416848676 Enrollment ID: I20051115000007 |
| Provider Name | Herbert C Conaway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649387283 PECOS PAC ID: 0840213377 Enrollment ID: I20060110000928 |
| Provider Name | Daniel J Hyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346335023 PECOS PAC ID: 2769405273 Enrollment ID: I20060111000356 |
| Provider Name | Alan Greenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326092180 PECOS PAC ID: 0345263851 Enrollment ID: I20060111000397 |
| Provider Name | Aliya W Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366473654 PECOS PAC ID: 5395769673 Enrollment ID: I20060125000822 |
| Provider Name | Esteban F Troyanovich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679590020 PECOS PAC ID: 9335154731 Enrollment ID: I20060207000067 |
| Provider Name | Mary J Monari-sparks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356324263 PECOS PAC ID: 3173530961 Enrollment ID: I20060320000704 |
| Provider Name | Juan S Utreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518906270 PECOS PAC ID: 4082622287 Enrollment ID: I20060330000045 |
| Provider Name | Dorrie Susan A Barrington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184679557 PECOS PAC ID: 7214834217 Enrollment ID: I20060810000404 |
| Provider Name | Raymond J Logue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376564716 PECOS PAC ID: 3173520764 Enrollment ID: I20061024000199 |
| Provider Name | Abu M Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316994437 PECOS PAC ID: 0648278457 Enrollment ID: I20061109000524 |
| Provider Name | Christina V Orate Dimapilis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508831330 PECOS PAC ID: 0941208565 Enrollment ID: I20061115000083 |
| Provider Name | Ami Sharad Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710900865 PECOS PAC ID: 6800836685 Enrollment ID: I20061116000036 |
| Provider Name | Brian P Gable |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336244672 PECOS PAC ID: 1658370531 Enrollment ID: I20061205000028 |
| Provider Name | Rania H Loutfi |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1265443618 PECOS PAC ID: 1153321195 Enrollment ID: I20061222000111 |
| Provider Name | Adarsh Arya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457323008 PECOS PAC ID: 8527035930 Enrollment ID: I20070111000082 |
| Provider Name | Rocco F Caveng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780603381 PECOS PAC ID: 9234231200 Enrollment ID: I20070313000172 |
| Provider Name | Susan C Coutinho Mcallister |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932120375 PECOS PAC ID: 8224134598 Enrollment ID: I20070502000511 |
| Provider Name | Kelly L Gilrain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669580395 PECOS PAC ID: 2163529504 Enrollment ID: I20070521000237 |
| Provider Name | Saadia Raza Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316921414 PECOS PAC ID: 5294728853 Enrollment ID: I20070703000214 |
| Provider Name | Kennedy U Ganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322165 PECOS PAC ID: 0547356149 Enrollment ID: I20071012000043 |
| Provider Name | Snehal V Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760509533 PECOS PAC ID: 0446346837 Enrollment ID: I20071017000103 |
| Provider Name | Behjath Jafry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043402456 PECOS PAC ID: 6608962501 Enrollment ID: I20071023000212 |
| Provider Name | Gayatri Borra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972676112 PECOS PAC ID: 5496842015 Enrollment ID: I20071030000130 |
| Provider Name | Tudor J Vlad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740469485 PECOS PAC ID: 5597847988 Enrollment ID: I20080124000022 |
| Provider Name | Nidhi Agrawal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245246982 PECOS PAC ID: 7113000852 Enrollment ID: I20080219000023 |
| Provider Name | Elaine C Paynter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780884080 PECOS PAC ID: 5496839797 Enrollment ID: I20080226000235 |
| Provider Name | Nimra H Rana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831392422 PECOS PAC ID: 7416032503 Enrollment ID: I20080313000397 |
| Provider Name | Thilagavathi Venkatachalam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124213442 PECOS PAC ID: 7315023751 Enrollment ID: I20080325000478 |
| Provider Name | Edward D Viner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609957026 PECOS PAC ID: 0143126573 Enrollment ID: I20080408000022 |
| Provider Name | Irina Levin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477749182 PECOS PAC ID: 0244318715 Enrollment ID: I20080424000006 |
| Provider Name | Mary Elizabeth Gaskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427235928 PECOS PAC ID: 3072691583 Enrollment ID: I20080424000358 |
| Provider Name | Jaymica Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235306952 PECOS PAC ID: 6406928118 Enrollment ID: I20080711000243 |
| Provider Name | Maria E Lauer-pfrommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831358639 PECOS PAC ID: 1951476696 Enrollment ID: I20080815000003 |
| Provider Name | Catherine M Gerety |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144425554 PECOS PAC ID: 0648338632 Enrollment ID: I20081020000493 |
| Provider Name | Elizabeth A Cerceo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902969561 PECOS PAC ID: 7214095892 Enrollment ID: I20081027000229 |
| Provider Name | Gita S Ponnappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699972398 PECOS PAC ID: 3274691639 Enrollment ID: I20081029000385 |
| Provider Name | Ronald Schiavone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225075096 PECOS PAC ID: 9638230477 Enrollment ID: I20081211000362 |
| Provider Name | Satyajeet Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437116829 PECOS PAC ID: 8527129246 Enrollment ID: I20081212000254 |
| Provider Name | Mahbubur R Siddique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013168467 PECOS PAC ID: 7113089780 Enrollment ID: I20081217000055 |
| Provider Name | Palanipriya Kalyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154570703 PECOS PAC ID: 7517029960 Enrollment ID: I20081219000189 |
| Provider Name | Gary Xavier Heck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316984180 PECOS PAC ID: 4688737620 Enrollment ID: I20090116000344 |
| Provider Name | Paul P Mcmackin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720249428 PECOS PAC ID: 7113083593 Enrollment ID: I20090310000404 |
| Provider Name | Alka Rajesh Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821207143 PECOS PAC ID: 4082764618 Enrollment ID: I20090602000583 |
| Provider Name | Nami Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366633612 PECOS PAC ID: 1759458847 Enrollment ID: I20090721000698 |
| Provider Name | Stephanie M Tonetta-stanker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588735963 PECOS PAC ID: 3678627619 Enrollment ID: I20090811000130 |
| Provider Name | Kara S Aplin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124063771 PECOS PAC ID: 9133122039 Enrollment ID: I20090814000569 |
| Provider Name | Ritesh B Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356575120 PECOS PAC ID: 1052465630 Enrollment ID: I20090817000317 |
| Provider Name | Ninon Matos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174757256 PECOS PAC ID: 2264586577 Enrollment ID: I20090821000138 |
| Provider Name | Monica Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447405972 PECOS PAC ID: 0244385086 Enrollment ID: I20090901000062 |
| Provider Name | Jennifer A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629203948 PECOS PAC ID: 4789720301 Enrollment ID: I20091012000278 |
| Provider Name | Michael R Malone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194916908 PECOS PAC ID: 8123165123 Enrollment ID: I20091023000352 |
| Provider Name | Sherry Singh Mohapatra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528020062 PECOS PAC ID: 6406743608 Enrollment ID: I20091221000014 |
| Provider Name | David Lewis Shklar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124040407 PECOS PAC ID: 7012985039 Enrollment ID: I20091223000381 |
| Provider Name | Dan Dragomir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427071091 PECOS PAC ID: 8628075041 Enrollment ID: I20100201000568 |
| Provider Name | Christopher Bolich |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1861592347 PECOS PAC ID: 7416091988 Enrollment ID: I20100222000525 |
| Provider Name | Jeffrey Howard Millstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396772281 PECOS PAC ID: 5991831968 Enrollment ID: I20100329000921 |
| Provider Name | Rosemarie Stag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447588611 PECOS PAC ID: 9234265752 Enrollment ID: I20100409000025 |
| Provider Name | Ashley J Coleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306009709 PECOS PAC ID: 1557499225 Enrollment ID: I20100518000046 |
| Provider Name | Ravi Chhabra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881893030 PECOS PAC ID: 4082769211 Enrollment ID: I20100603000747 |
| Provider Name | Kimberly I Rozengarten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801087671 PECOS PAC ID: 3971635418 Enrollment ID: I20100719000310 |
| Provider Name | Allan J. Falescky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427161777 PECOS PAC ID: 6901947068 Enrollment ID: I20100826000270 |
| Provider Name | Jean-sebastien K Rachoin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174796213 PECOS PAC ID: 6608991401 Enrollment ID: I20100916001266 |
| Provider Name | Olga M Schweiker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437396280 PECOS PAC ID: 4486770724 Enrollment ID: I20100924000016 |
| Provider Name | Joseph G Gambale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851599120 PECOS PAC ID: 2668598855 Enrollment ID: I20100924000820 |
| Provider Name | Martin Scott Dawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609815836 PECOS PAC ID: 4688685126 Enrollment ID: I20101026000917 |
| Provider Name | Niranjan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043487978 PECOS PAC ID: 0648318873 Enrollment ID: I20101118000034 |
| Provider Name | Maxim V Sungurov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952397812 PECOS PAC ID: 3375432099 Enrollment ID: I20101123000030 |
| Provider Name | Francis Lopes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144318858 PECOS PAC ID: 0648468942 Enrollment ID: I20110103000155 |
| Provider Name | Vincent A Renzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760428494 PECOS PAC ID: 7810904877 Enrollment ID: I20110110000027 |
| Provider Name | Anna Headly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629178314 PECOS PAC ID: 6204017122 Enrollment ID: I20110225000482 |
| Provider Name | Bhavikaben Babaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912227414 PECOS PAC ID: 1355529363 Enrollment ID: I20110622000225 |
| Provider Name | Marian Pokuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861651093 PECOS PAC ID: 9234309634 Enrollment ID: I20110822000459 |
| Provider Name | Candice C Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972897775 PECOS PAC ID: 9638340235 Enrollment ID: I20110912000055 |
| Provider Name | Rachel N Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164707642 PECOS PAC ID: 6406021781 Enrollment ID: I20111215000098 |
| Provider Name | Carolyn M Keresztury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033495965 PECOS PAC ID: 7416123245 Enrollment ID: I20111229000083 |
| Provider Name | Muhammad Hanif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487792503 PECOS PAC ID: 6901997030 Enrollment ID: I20120130000258 |
| Provider Name | Diem N Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639465578 PECOS PAC ID: 9436316577 Enrollment ID: I20120201000765 |
| Provider Name | Jaclyn Detweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407125826 PECOS PAC ID: 0941461420 Enrollment ID: I20120410000188 |
| Provider Name | Samer Badr |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215191556 PECOS PAC ID: 0749441129 Enrollment ID: I20120411000536 |
| Provider Name | Sherry Kamal Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770750655 PECOS PAC ID: 6709047038 Enrollment ID: I20120413000448 |
| Provider Name | Anthony Angelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922381375 PECOS PAC ID: 3678735412 Enrollment ID: I20120424000452 |
| Provider Name | Chelo M Sipaco Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861647166 PECOS PAC ID: 5890958367 Enrollment ID: I20120521000012 |
| Provider Name | Ebele Edith Ufondu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003979048 PECOS PAC ID: 4880858356 Enrollment ID: I20120613000253 |
| Provider Name | Raquel Nahra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306039359 PECOS PAC ID: 3779658455 Enrollment ID: I20120619000310 |
| Provider Name | Adolfo E Prettelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205989241 PECOS PAC ID: 0749464527 Enrollment ID: I20120626000083 |
| Provider Name | Michael Stephen Kocinski |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1295798262 PECOS PAC ID: 7113920711 Enrollment ID: I20120627000092 |
| Provider Name | Jenny Melli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568690642 PECOS PAC ID: 2264688019 Enrollment ID: I20120809000450 |
| Provider Name | Jennifer R Roszkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265697528 PECOS PAC ID: 6901052356 Enrollment ID: I20120820000017 |
| Provider Name | Daniel S Fabius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073884680 PECOS PAC ID: 8123275500 Enrollment ID: I20120821000448 |
| Provider Name | Melissa B Mangold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699939561 PECOS PAC ID: 7618155839 Enrollment ID: I20121008000323 |
| Provider Name | Nina Siu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699022145 PECOS PAC ID: 1456500149 Enrollment ID: I20121015000128 |
| Provider Name | Catherine T Maturo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326068099 PECOS PAC ID: 5698810612 Enrollment ID: I20121022000008 |
| Provider Name | Wissam Sabri Zaeeter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801191408 PECOS PAC ID: 5092966887 Enrollment ID: I20121102000283 |
| Provider Name | Patricia L Mazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407149172 PECOS PAC ID: 2769453216 Enrollment ID: I20121119000101 |
| Provider Name | Joel S Steinberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477650638 PECOS PAC ID: 5092717900 Enrollment ID: I20121213000148 |
| Provider Name | Ibironke A Macaulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235426503 PECOS PAC ID: 9739343336 Enrollment ID: I20130107000073 |
| Provider Name | Iris Shihong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295979029 PECOS PAC ID: 7719150408 Enrollment ID: I20130131000069 |
| Provider Name | Wei L Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790018869 PECOS PAC ID: 6800032715 Enrollment ID: I20130422000012 |
| Provider Name | Stephanie Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619265279 PECOS PAC ID: 8123260205 Enrollment ID: I20130820000808 |
| Provider Name | Lisa Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942573795 PECOS PAC ID: 0547424491 Enrollment ID: I20130824000152 |
| Provider Name | Sammar Rasheed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669718631 PECOS PAC ID: 6709020563 Enrollment ID: I20130917000287 |
| Provider Name | Sameer Poddar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740591247 PECOS PAC ID: 8628212982 Enrollment ID: I20130926000649 |
| Provider Name | Cindy J Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538410527 PECOS PAC ID: 7810132008 Enrollment ID: I20131014000308 |
| Provider Name | Charlotte S Nussbaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841425196 PECOS PAC ID: 8426283938 Enrollment ID: I20131108000038 |
| Provider Name | Vincent Jay Vanston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851385744 PECOS PAC ID: 3274545363 Enrollment ID: I20131115000425 |
| Provider Name | Jean B Gue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831434257 PECOS PAC ID: 2264668250 Enrollment ID: I20131127000008 |
| Provider Name | Sadaf Ausaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548573439 PECOS PAC ID: 0648408070 Enrollment ID: I20140110000955 |
| Provider Name | Lin Zheng |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598095747 PECOS PAC ID: 1759573439 Enrollment ID: I20140113001055 |
| Provider Name | Jill K Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093065922 PECOS PAC ID: 2668603606 Enrollment ID: I20140315000209 |
| Provider Name | Rachel Popick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053653543 PECOS PAC ID: 9032341193 Enrollment ID: I20140404000235 |
| Provider Name | Muhammad S Uppal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144589730 PECOS PAC ID: 1254589021 Enrollment ID: I20140410001055 |
| Provider Name | Katarzyna A Andruchow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710304100 PECOS PAC ID: 8325261514 Enrollment ID: I20140515000395 |
| Provider Name | Krista D Lecompte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326479536 PECOS PAC ID: 5991928533 Enrollment ID: I20140528002099 |
| Provider Name | Dana D Byrne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598927121 PECOS PAC ID: 0547402927 Enrollment ID: I20140618001293 |
| Provider Name | Satyam A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265691471 PECOS PAC ID: 9436212677 Enrollment ID: I20140718000774 |
| Provider Name | Kevin R Emmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356752562 PECOS PAC ID: 0143447573 Enrollment ID: I20140808000761 |
| Provider Name | Amanda A Valvano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023249331 PECOS PAC ID: 2961620711 Enrollment ID: I20140820001857 |
| Provider Name | Fern Elyse Kopp Mulberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699077909 PECOS PAC ID: 8628206075 Enrollment ID: I20140904000975 |
| Provider Name | Bibbin P George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780971028 PECOS PAC ID: 5092934489 Enrollment ID: I20140917001275 |
| Provider Name | Farhan A Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437572468 PECOS PAC ID: 5294955290 Enrollment ID: I20140925000389 |
| Provider Name | Afaf Anter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003237769 PECOS PAC ID: 8426278276 Enrollment ID: I20140930001555 |
| Provider Name | Lorraine O Salieb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881986263 PECOS PAC ID: 0244452613 Enrollment ID: I20141119002337 |
| Provider Name | Jasneet Gandehok |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922307248 PECOS PAC ID: 7517189871 Enrollment ID: I20141121000443 |
| Provider Name | Myanh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235495276 PECOS PAC ID: 5193972461 Enrollment ID: I20141216001719 |
| Provider Name | Doreen Nestler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548604945 PECOS PAC ID: 6305162082 Enrollment ID: I20150225000626 |
| Provider Name | Jennifer Holian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366796799 PECOS PAC ID: 3274786496 Enrollment ID: I20150317000037 |
| Provider Name | Diana Kolman-taddeo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982866646 PECOS PAC ID: 7214102821 Enrollment ID: I20150506000126 |
| Provider Name | Bryan Todd Fromkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124412598 PECOS PAC ID: 8224357470 Enrollment ID: I20150511000249 |
| Provider Name | Vivek S Ramanathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427353630 PECOS PAC ID: 3971775149 Enrollment ID: I20150629001267 |
| Provider Name | Samuel Solomon Hardy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1851714141 PECOS PAC ID: 9335452259 Enrollment ID: I20150722003504 |
| Provider Name | Nicole Terrigno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679985097 PECOS PAC ID: 6406169127 Enrollment ID: I20150723007669 |
| Provider Name | Michael Edwards Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245632058 PECOS PAC ID: 5395058028 Enrollment ID: I20150723008052 |
| Provider Name | Jinyu Lu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679834428 PECOS PAC ID: 8325352586 Enrollment ID: I20150731015256 |
| Provider Name | Zoheb Fazal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538578489 PECOS PAC ID: 0941515175 Enrollment ID: I20150818004476 |
| Provider Name | Saurabh Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942563994 PECOS PAC ID: 6204142078 Enrollment ID: I20150825004727 |
| Provider Name | Kendall M Blair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508116773 PECOS PAC ID: 7416263900 Enrollment ID: I20150828001072 |
| Provider Name | Nathaniel F Gabriel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104217488 PECOS PAC ID: 6204142201 Enrollment ID: I20150908000940 |
| Provider Name | Okebugwu Kamalu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053720847 PECOS PAC ID: 5991014847 Enrollment ID: I20151016000671 |
| Provider Name | Uzoma Chinyere Oranu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780943589 PECOS PAC ID: 4981913548 Enrollment ID: I20151021001932 |
| Provider Name | Corina Pereira Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962881300 PECOS PAC ID: 6800105420 Enrollment ID: I20151022001156 |
| Provider Name | Michelle Minock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730573825 PECOS PAC ID: 2365751518 Enrollment ID: I20151029000395 |
| Provider Name | Allen Clowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386624427 PECOS PAC ID: 0941309256 Enrollment ID: I20160111000154 |
| Provider Name | Anne Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003287236 PECOS PAC ID: 5597069187 Enrollment ID: I20160202000502 |
| Provider Name | Gina L Christaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083084727 PECOS PAC ID: 9335446335 Enrollment ID: I20160317002009 |
| Provider Name | Shilpa Chaudhari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083952493 PECOS PAC ID: 4981921624 Enrollment ID: I20160324000228 |
| Provider Name | Glenys Z Merette De La Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770802944 PECOS PAC ID: 6800052895 Enrollment ID: I20160406000502 |
| Provider Name | Anupama Voodarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588857320 PECOS PAC ID: 6608947510 Enrollment ID: I20160429000029 |
| Provider Name | Bradley Foster Bender |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013356237 PECOS PAC ID: 0446540561 Enrollment ID: I20160602000493 |
| Provider Name | Maher Al Safadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083053235 PECOS PAC ID: 2769788439 Enrollment ID: I20160613002248 |
| Provider Name | Jennifer B Entrekin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619369378 PECOS PAC ID: 2769701259 Enrollment ID: I20160628002546 |
| Provider Name | Charlton Olayemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831580497 PECOS PAC ID: 5799079919 Enrollment ID: I20160811000844 |
| Provider Name | Navjot Singh Grewal |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1245646231 PECOS PAC ID: 5395039358 Enrollment ID: I20160815000406 |
| Provider Name | Daniel Robert Foxx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487001558 PECOS PAC ID: 3971898685 Enrollment ID: I20160819001126 |
| Provider Name | Alexandra Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134483076 PECOS PAC ID: 0446571616 Enrollment ID: I20160823000151 |
| Provider Name | Krysta Marie Contino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740695782 PECOS PAC ID: 9133414527 Enrollment ID: I20160824001965 |
| Provider Name | Effat Jabeen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871901082 PECOS PAC ID: 6002101037 Enrollment ID: I20160830000079 |
| Provider Name | Lara Roseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225484702 PECOS PAC ID: 1254627292 Enrollment ID: I20160831000817 |
| Provider Name | Akshar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548678246 PECOS PAC ID: 2567758121 Enrollment ID: I20160907002309 |
| Provider Name | Sriharshan Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972948016 PECOS PAC ID: 9133415631 Enrollment ID: I20160909000723 |
| Provider Name | Camille Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811293921 PECOS PAC ID: 6406142777 Enrollment ID: I20160913001332 |
| Provider Name | Alyson M Stahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124365333 PECOS PAC ID: 7517111784 Enrollment ID: I20160916002092 |
| Provider Name | Monika Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114368974 PECOS PAC ID: 6507153541 Enrollment ID: I20160920000638 |
| Provider Name | Monil Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649619826 PECOS PAC ID: 2769779719 Enrollment ID: I20160920000718 |
| Provider Name | Kajal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881021509 PECOS PAC ID: 7618264680 Enrollment ID: I20160920001393 |
| Provider Name | Faith Marie Young |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760400451 PECOS PAC ID: 3274597380 Enrollment ID: I20161018002010 |
| Provider Name | Rajiv Arapurakal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437568318 PECOS PAC ID: 2769760016 Enrollment ID: I20161020002346 |
| Provider Name | Amber Majid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912344078 PECOS PAC ID: 3072892454 Enrollment ID: I20161108002038 |
| Provider Name | Ginalyn A Poblete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356673511 PECOS PAC ID: 3870873250 Enrollment ID: I20161130001085 |
| Provider Name | Colleen M Di Luigi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649724816 PECOS PAC ID: 3476833575 Enrollment ID: I20161207000944 |
| Provider Name | Theresa M Pileggi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366713323 PECOS PAC ID: 5496062408 Enrollment ID: I20161214000292 |
| Provider Name | Rachel Degtyarev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205371770 PECOS PAC ID: 2163707001 Enrollment ID: I20170316000839 |
| Provider Name | Saiham Shahabuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295078145 PECOS PAC ID: 0345520961 Enrollment ID: I20170317000475 |
| Provider Name | Megan Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437696655 PECOS PAC ID: 9436435559 Enrollment ID: I20170404000584 |
| Provider Name | Dawn Specht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497299242 PECOS PAC ID: 2668758822 Enrollment ID: I20170425000040 |
| Provider Name | Janeen Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497296925 PECOS PAC ID: 4183901051 Enrollment ID: I20170502000153 |
| Provider Name | Afsheen Masood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548666373 PECOS PAC ID: 1658658984 Enrollment ID: I20170515001053 |
| Provider Name | John Mcgeehan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366426181 PECOS PAC ID: 5698661759 Enrollment ID: I20170608000486 |
| Provider Name | Sarah Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811933559 PECOS PAC ID: 4789680075 Enrollment ID: I20170608002049 |
| Provider Name | Reena Pramood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649431263 PECOS PAC ID: 9830384940 Enrollment ID: I20170718000682 |
| Provider Name | Amanda Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306374426 PECOS PAC ID: 2961773890 Enrollment ID: I20170810001289 |
| Provider Name | Agnes Adarkwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982012639 PECOS PAC ID: 3678844560 Enrollment ID: I20170811000095 |
| Provider Name | Iris Hagans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669888129 PECOS PAC ID: 1153693957 Enrollment ID: I20170814001932 |
| Provider Name | Lu Fan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548687742 PECOS PAC ID: 4880966654 Enrollment ID: I20170815001436 |
| Provider Name | Grace H Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245494210 PECOS PAC ID: 3476825258 Enrollment ID: I20170815002177 |
| Provider Name | William E Oberdorf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437569431 PECOS PAC ID: 2264705045 Enrollment ID: I20170829003772 |
| Provider Name | Cecilia Fix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679991806 PECOS PAC ID: 5092088773 Enrollment ID: I20170830003752 |
| Provider Name | Cecile King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114361748 PECOS PAC ID: 7517180359 Enrollment ID: I20170901000069 |
| Provider Name | Lawrence Matthews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407264294 PECOS PAC ID: 3678847183 Enrollment ID: I20170922000096 |
| Provider Name | Andre C Gabriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043630833 PECOS PAC ID: 4688949464 Enrollment ID: I20171004001247 |
| Provider Name | Andrew James Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144667247 PECOS PAC ID: 7911200670 Enrollment ID: I20171011000374 |
| Provider Name | Vinay Motu Palli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558776336 PECOS PAC ID: 8628344801 Enrollment ID: I20171017001628 |
| Provider Name | Himabindu M Lanka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780964825 PECOS PAC ID: 9234447145 Enrollment ID: I20171019002796 |
| Provider Name | Ashok R. Mandala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629275342 PECOS PAC ID: 0840350328 Enrollment ID: I20171023000392 |
| Provider Name | Mirette Salib |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124435698 PECOS PAC ID: 4082970363 Enrollment ID: I20171102003442 |
| Provider Name | Priten C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831530237 PECOS PAC ID: 5294002861 Enrollment ID: I20171204000226 |
| Provider Name | Kathryn Battle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306384409 PECOS PAC ID: 5395716294 Enrollment ID: I20171219000084 |
| Provider Name | Ashley V Weinmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700215332 PECOS PAC ID: 4486884954 Enrollment ID: I20171219001368 |
| Provider Name | Anastasia Jean Bullock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619480795 PECOS PAC ID: 4688932437 Enrollment ID: I20171227002216 |
| Provider Name | Kimberly Ann Leotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336443324 PECOS PAC ID: 1456535459 Enrollment ID: I20180126000410 |
| Provider Name | Jayme Robin Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396049003 PECOS PAC ID: 7012211683 Enrollment ID: I20180221001028 |
| Provider Name | Kasey N Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689048316 PECOS PAC ID: 6901107523 Enrollment ID: I20180320001295 |
| Provider Name | Kambiz Reza Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679758437 PECOS PAC ID: 9032277868 Enrollment ID: I20180328001866 |
| Provider Name | Muhammad A Pervez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245578632 PECOS PAC ID: 5597907055 Enrollment ID: I20180413001901 |
| Provider Name | Tara Marie Mcgrory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326540733 PECOS PAC ID: 0042575078 Enrollment ID: I20180522002937 |
| Provider Name | Kenneth Chan Lee So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528448461 PECOS PAC ID: 0345597068 Enrollment ID: I20180725003242 |
| Provider Name | Daniel Scott Wilen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154702363 PECOS PAC ID: 6305193046 Enrollment ID: I20180726000263 |
| Provider Name | Nicholas Calvin Calder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477937217 PECOS PAC ID: 5991052649 Enrollment ID: I20180726000444 |
| Provider Name | James Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013391457 PECOS PAC ID: 8729336961 Enrollment ID: I20180806000869 |
| Provider Name | Aditya Bakhshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538544366 PECOS PAC ID: 6507115862 Enrollment ID: I20180820001589 |
| Provider Name | Emily Melissa Sussman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407239064 PECOS PAC ID: 7315296613 Enrollment ID: I20180820003467 |
| Provider Name | Dana A Albinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790180834 PECOS PAC ID: 0840512646 Enrollment ID: I20180821003400 |
| Provider Name | Rachel J Masel-miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659764025 PECOS PAC ID: 8022393560 Enrollment ID: I20180822002086 |
| Provider Name | Rachel Susan Nash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679983951 PECOS PAC ID: 5193944569 Enrollment ID: I20180822002405 |
| Provider Name | Adip Pillai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841685088 PECOS PAC ID: 7315296142 Enrollment ID: I20180828000111 |
| Provider Name | Jane Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326585654 PECOS PAC ID: 2365727450 Enrollment ID: I20180830003010 |
| Provider Name | Parminder Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811481609 PECOS PAC ID: 9739439258 Enrollment ID: I20180904003430 |
| Provider Name | Christopher Jude Bazergui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710365432 PECOS PAC ID: 2668723347 Enrollment ID: I20180919001019 |
| Provider Name | Karen Heard Cushing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720421217 PECOS PAC ID: 4183859424 Enrollment ID: I20181106000787 |
| Provider Name | Yasmin Khawja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407116452 PECOS PAC ID: 7416173208 Enrollment ID: I20181106001811 |
| Provider Name | Stephanie M Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437520319 PECOS PAC ID: 5698029825 Enrollment ID: I20181107000414 |
| Provider Name | Ola Ihuoma Ibekwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386029080 PECOS PAC ID: 8325392145 Enrollment ID: I20181114002298 |
| Provider Name | Vadim Divilov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841678422 PECOS PAC ID: 1759630577 Enrollment ID: I20181231000122 |
| Provider Name | Melissa C Hetzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942778592 PECOS PAC ID: 3476890138 Enrollment ID: I20190204001255 |
| Provider Name | Katherine Rose Cosimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851870885 PECOS PAC ID: 3375882947 Enrollment ID: I20190226000505 |
| Provider Name | Navjot Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609284397 PECOS PAC ID: 4385930676 Enrollment ID: I20190226002758 |
| Provider Name | Novia Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356738835 PECOS PAC ID: 5698014165 Enrollment ID: I20190227001627 |
| Provider Name | Aung M Aye |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609297522 PECOS PAC ID: 5597071175 Enrollment ID: I20190429001118 |
| Provider Name | Adam Saalfelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871052910 PECOS PAC ID: 8325372782 Enrollment ID: I20190619001275 |
| Provider Name | Donna Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023262128 PECOS PAC ID: 0345390316 Enrollment ID: I20190625003509 |
| Provider Name | Neena Rachel Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619113404 PECOS PAC ID: 3375731763 Enrollment ID: I20190627001823 |
| Provider Name | Megan Manno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831553072 PECOS PAC ID: 3577897230 Enrollment ID: I20190628002160 |
| Provider Name | Akhil Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598110199 PECOS PAC ID: 5698001279 Enrollment ID: I20190722000178 |
| Provider Name | Roozbeh Ghavami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730541103 PECOS PAC ID: 0143556829 Enrollment ID: I20190802000207 |
| Provider Name | Prateek Luthra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609289404 PECOS PAC ID: 3274860796 Enrollment ID: I20190807000224 |
| Provider Name | Cynthia L Glickman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275982258 PECOS PAC ID: 5799012167 Enrollment ID: I20190807002589 |
| Provider Name | Philip Joseph Fizur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730743600 PECOS PAC ID: 1951638212 Enrollment ID: I20190808002343 |
| Provider Name | Tyler Webb Mcmillan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407202492 PECOS PAC ID: 2668763723 Enrollment ID: I20190809000483 |
| Provider Name | Sunil Ramaswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376906347 PECOS PAC ID: 3577857598 Enrollment ID: I20190809001826 |
| Provider Name | Niharika Sanjeev Sathe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255780599 PECOS PAC ID: 6002143849 Enrollment ID: I20190816000149 |
| Provider Name | Laurie Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154678456 PECOS PAC ID: 4587958863 Enrollment ID: I20190816003043 |
| Provider Name | Danielle Chimento |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528412285 PECOS PAC ID: 7214265057 Enrollment ID: I20190819000629 |
| Provider Name | Heaton David Kath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295184463 PECOS PAC ID: 1850629163 Enrollment ID: I20190824000461 |
| Provider Name | Natallia Breibart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487009114 PECOS PAC ID: 9436487741 Enrollment ID: I20190826000005 |
| Provider Name | Paul I Cowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619358892 PECOS PAC ID: 4385921931 Enrollment ID: I20190826000037 |
| Provider Name | Dominic A De Angelo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730549205 PECOS PAC ID: 5991080343 Enrollment ID: I20190826000058 |
| Provider Name | Kathryn Lien Haroldson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831544493 PECOS PAC ID: 7315237997 Enrollment ID: I20190828000911 |
| Provider Name | Eugenia Wede Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124531900 PECOS PAC ID: 0941563001 Enrollment ID: I20190905000609 |
| Provider Name | Melissa Pluguez Moldavskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659858900 PECOS PAC ID: 7911236591 Enrollment ID: I20190906001286 |
| Provider Name | Isha Marina Di Bartolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205298940 PECOS PAC ID: 1355670738 Enrollment ID: I20190910002767 |
| Provider Name | Mai Abd Alqader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487001848 PECOS PAC ID: 0749556959 Enrollment ID: I20190911000298 |
| Provider Name | Charles Jiao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023404126 PECOS PAC ID: 1759679715 Enrollment ID: I20190923001576 |
| Provider Name | Jillian Ashley Norton Jones |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1669887493 PECOS PAC ID: 6305118092 Enrollment ID: I20191003000468 |
| Provider Name | Shannon Hope Harrington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306290978 PECOS PAC ID: 2567793847 Enrollment ID: I20191017002242 |
| Provider Name | Franziska F Jovin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649243247 PECOS PAC ID: 6800920315 Enrollment ID: I20191030001576 |
| Provider Name | Jasmeet Kaur Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881048676 PECOS PAC ID: 5890027502 Enrollment ID: I20191030001760 |
| Provider Name | Elizbeth Leilani Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023261112 PECOS PAC ID: 8022132554 Enrollment ID: I20200113000775 |
| Provider Name | Stephanie Bayruns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992151732 PECOS PAC ID: 2163712530 Enrollment ID: I20200213001629 |
| Provider Name | Naitik Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255771606 PECOS PAC ID: 1850674490 Enrollment ID: I20200220000585 |
| Provider Name | Kevin D Mello |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477866150 PECOS PAC ID: 9234372103 Enrollment ID: I20200305002034 |
| Provider Name | Leena Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629319777 PECOS PAC ID: 8426291220 Enrollment ID: I20200323000386 |
| Provider Name | Nicole Sara Speechley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710510201 PECOS PAC ID: 3375972953 Enrollment ID: I20200402000635 |
| Provider Name | Jennifer L Davoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326682311 PECOS PAC ID: 4082044110 Enrollment ID: I20200414000025 |
| Provider Name | Maria Lakernick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891324380 PECOS PAC ID: 5799116596 Enrollment ID: I20200512000440 |
| Provider Name | Caitlin Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679100028 PECOS PAC ID: 4486076536 Enrollment ID: I20200619000255 |
| Provider Name | Suzette Melanie Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427670272 PECOS PAC ID: 7618399551 Enrollment ID: I20200622002003 |
| Provider Name | Chelo Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689205411 PECOS PAC ID: 2365864824 Enrollment ID: I20200630000578 |
| Provider Name | Fahim Hasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891221578 PECOS PAC ID: 9739502568 Enrollment ID: I20200713000282 |
| Provider Name | Ayobamidele Saheed Balogun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457871832 PECOS PAC ID: 8527481332 Enrollment ID: I20200713002686 |
| Provider Name | Miguel Deleon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306376264 PECOS PAC ID: 1456774041 Enrollment ID: I20200715001733 |
| Provider Name | Andrew Gregory Ajemian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255851317 PECOS PAC ID: 9436573029 Enrollment ID: I20200715001849 |
| Provider Name | Alexandra Vrancik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740702083 PECOS PAC ID: 8426472531 Enrollment ID: I20200722002641 |
| Provider Name | Marlena Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457871063 PECOS PAC ID: 2264856087 Enrollment ID: I20200727000057 |
| Provider Name | Thomas John Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952822595 PECOS PAC ID: 7517381346 Enrollment ID: I20200727000426 |
| Provider Name | Vede James Ramdass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780107482 PECOS PAC ID: 0648696401 Enrollment ID: I20200811003870 |
| Provider Name | Kristen Marotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881125698 PECOS PAC ID: 4587902408 Enrollment ID: I20200812000315 |
| Provider Name | Kristen Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659812642 PECOS PAC ID: 9830515477 Enrollment ID: I20200813001890 |
| Provider Name | Samantha Pop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801326400 PECOS PAC ID: 6002188299 Enrollment ID: I20200817000024 |
| Provider Name | Amy Scholl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487184503 PECOS PAC ID: 6507127727 Enrollment ID: I20200902000197 |
| Provider Name | Vaishali Dinesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255854717 PECOS PAC ID: 1052739000 Enrollment ID: I20200908003154 |
| Provider Name | Sean Matchett |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1295261287 PECOS PAC ID: 1254695729 Enrollment ID: I20200909000576 |
| Provider Name | Ashley Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174917140 PECOS PAC ID: 2567880792 Enrollment ID: I20200921000081 |
| Provider Name | Pratik S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033626403 PECOS PAC ID: 1052730157 Enrollment ID: I20200923000379 |
| Provider Name | Caitlin Lagrotte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164046462 PECOS PAC ID: 8325468192 Enrollment ID: I20201015002853 |
| Provider Name | Jibran Saeed Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902337496 PECOS PAC ID: 9638440720 Enrollment ID: I20201104000009 |
| Provider Name | Gladwin Kemunto Omare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609481308 PECOS PAC ID: 8123439130 Enrollment ID: I20201124000419 |
| Provider Name | Alfred Samura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316470958 PECOS PAC ID: 7911318795 Enrollment ID: I20201130002037 |
| Provider Name | William Michael Skelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285235077 PECOS PAC ID: 8022429695 Enrollment ID: I20201203000578 |
| Provider Name | Pranav V Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093177594 PECOS PAC ID: 2466750997 Enrollment ID: I20201209000043 |
| Provider Name | Sirly Jeevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962636779 PECOS PAC ID: 0446305759 Enrollment ID: I20201209000861 |
| Provider Name | Michael Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396037313 PECOS PAC ID: 6507005444 Enrollment ID: I20201211000420 |
| Provider Name | Carlisa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184256182 PECOS PAC ID: 4587091988 Enrollment ID: I20210111000876 |
| Provider Name | Rachel Teresa Digalbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982200010 PECOS PAC ID: 7911310859 Enrollment ID: I20210113001818 |
| Provider Name | Daisy Velez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417414400 PECOS PAC ID: 2365855020 Enrollment ID: I20210119002692 |
| Provider Name | Hammad Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013506583 PECOS PAC ID: 6305251828 Enrollment ID: I20210216000883 |
| Provider Name | Amna Shaikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558784371 PECOS PAC ID: 3577871987 Enrollment ID: I20210413000360 |
| Provider Name | Zachary Klock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639602576 PECOS PAC ID: 0840569893 Enrollment ID: I20210709002874 |
| Provider Name | Tammy T Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780188417 PECOS PAC ID: 0941549422 Enrollment ID: I20210712001427 |
| Provider Name | Christopher David Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184104911 PECOS PAC ID: 8820491293 Enrollment ID: I20210722001273 |
| Provider Name | Sameena Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356845507 PECOS PAC ID: 6608279005 Enrollment ID: I20210722002442 |
| Provider Name | Nika Filatova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437644176 PECOS PAC ID: 0446653729 Enrollment ID: I20210723001863 |
| Provider Name | Gopi Faldu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164926697 PECOS PAC ID: 9234461799 Enrollment ID: I20210727000565 |
| Provider Name | Parth Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093212144 PECOS PAC ID: 9032461843 Enrollment ID: I20210727000879 |
| Provider Name | Joseph Arthur Grogg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942797857 PECOS PAC ID: 1658626288 Enrollment ID: I20210729002449 |
| Provider Name | Gregory Hilditch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033697834 PECOS PAC ID: 8921401720 Enrollment ID: I20210729004060 |
| Provider Name | Ian Gleaner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598257354 PECOS PAC ID: 9537414537 Enrollment ID: I20210803000105 |
| Provider Name | Emma White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457889529 PECOS PAC ID: 1254609092 Enrollment ID: I20210804001650 |
| Provider Name | Nosisa Siziba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851965214 PECOS PAC ID: 4688078934 Enrollment ID: I20210809001195 |
| Provider Name | Matthew Thomas Springer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144727561 PECOS PAC ID: 9931504776 Enrollment ID: I20210817003499 |
| Provider Name | Justin K Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962822593 PECOS PAC ID: 6608170683 Enrollment ID: I20210818001963 |
| Provider Name | Yogita Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316366826 PECOS PAC ID: 0244515955 Enrollment ID: I20210824000745 |
| Provider Name | Daniel Ricketti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538653548 PECOS PAC ID: 4183029358 Enrollment ID: I20210826000430 |
| Provider Name | Gabrielle Hassinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659866523 PECOS PAC ID: 0446655518 Enrollment ID: I20210827001154 |
| Provider Name | Manav Bandlamudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538656616 PECOS PAC ID: 9133525652 Enrollment ID: I20210909000698 |
| Provider Name | Jessica Shoukry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205338415 PECOS PAC ID: 2769739689 Enrollment ID: I20210915002798 |
| Provider Name | Fawaz Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942793187 PECOS PAC ID: 9335546431 Enrollment ID: I20210915003577 |
| Provider Name | Se-eun Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932302379 PECOS PAC ID: 0648465450 Enrollment ID: I20210916001555 |
| Provider Name | Dana Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871171900 PECOS PAC ID: 0941608186 Enrollment ID: I20211001001949 |
| Provider Name | Bruce Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952668824 PECOS PAC ID: 5395058929 Enrollment ID: I20211018000007 |
| Provider Name | Alexa Michelle Hays |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801466297 PECOS PAC ID: 2163810094 Enrollment ID: I20211027000181 |
| Provider Name | Nikhil Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669979811 PECOS PAC ID: 3870981541 Enrollment ID: I20211029000172 |
| Provider Name | Joanitta Manu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437653664 PECOS PAC ID: 8123417094 Enrollment ID: I20211115001955 |
| Provider Name | Han Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437679800 PECOS PAC ID: 5496144263 Enrollment ID: I20211117000005 |
| Provider Name | Rhea Farquhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427548841 PECOS PAC ID: 5698165769 Enrollment ID: I20211203000597 |
| Provider Name | Francis Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881353449 PECOS PAC ID: 4688066269 Enrollment ID: I20220111000433 |
| Provider Name | Chand C Marvania |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500372 PECOS PAC ID: 2062804511 Enrollment ID: I20220113001738 |
| Provider Name | Angie Treacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548778483 PECOS PAC ID: 2668736729 Enrollment ID: I20220323000374 |
| Provider Name | Jennifer Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700471562 PECOS PAC ID: 4486041233 Enrollment ID: I20220425002059 |
| Provider Name | Ayo Oguntoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922530880 PECOS PAC ID: 1951798891 Enrollment ID: I20220426000668 |
| Provider Name | Nicholas R Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396270393 PECOS PAC ID: 9032488820 Enrollment ID: I20220426001294 |
| Provider Name | Anthony Rizk Tanious |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780146647 PECOS PAC ID: 3173901568 Enrollment ID: I20220525000972 |
| Provider Name | Bethany Milano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063097897 PECOS PAC ID: 6800274150 Enrollment ID: I20220527001989 |
| Provider Name | Nicole Delcore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225793276 PECOS PAC ID: 6204214240 Enrollment ID: I20220603001991 |
| Provider Name | Ivan Richard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164783205 PECOS PAC ID: 8628320348 Enrollment ID: I20220715002262 |
| Provider Name | Ali Haydar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720648223 PECOS PAC ID: 1658607189 Enrollment ID: I20220728002257 |
| Provider Name | Gabriela J Contino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689170508 PECOS PAC ID: 1759625395 Enrollment ID: I20220803001383 |
| Provider Name | Jaanki Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558824789 PECOS PAC ID: 4587046750 Enrollment ID: I20220804001078 |
| Provider Name | Dhruv Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194285981 PECOS PAC ID: 4486036407 Enrollment ID: I20220808000135 |
| Provider Name | Christopher Daniel Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164083002 PECOS PAC ID: 7012390974 Enrollment ID: I20220810002784 |
| Provider Name | Mary Kraemer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1568450468 PECOS PAC ID: 7416939855 Enrollment ID: I20220810003220 |
| Provider Name | Olena Fleury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164985032 PECOS PAC ID: 8224411020 Enrollment ID: I20220811000960 |
| Provider Name | Partia Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568023034 PECOS PAC ID: 3375926058 Enrollment ID: I20220812001013 |
| Provider Name | Victor Pomary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902469141 PECOS PAC ID: 8123401700 Enrollment ID: I20220815001256 |
| Provider Name | Ziqian Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053971507 PECOS PAC ID: 0840673448 Enrollment ID: I20220815001798 |
| Provider Name | Richard T Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275190571 PECOS PAC ID: 2365774601 Enrollment ID: I20220815002027 |
| Provider Name | Samuel Masur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144712878 PECOS PAC ID: 5496000507 Enrollment ID: I20220901000447 |
| Provider Name | Angela K Chang |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336632181 PECOS PAC ID: 1153678628 Enrollment ID: I20220908002984 |
| Provider Name | Sandhya Ashokkumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457913402 PECOS PAC ID: 6406230572 Enrollment ID: I20220908003184 |
| Provider Name | Katherine Dipastina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790344257 PECOS PAC ID: 8426384975 Enrollment ID: I20220920000547 |
| Provider Name | Alisa Peet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023005949 PECOS PAC ID: 0547150575 Enrollment ID: I20221003002251 |
| Provider Name | Jonathan Edelstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932762077 PECOS PAC ID: 6507232857 Enrollment ID: I20221012001280 |
| Provider Name | Donald No |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053730242 PECOS PAC ID: 6103145511 Enrollment ID: I20221017002990 |
| Provider Name | Lauren M Spaciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184016081 PECOS PAC ID: 9537472238 Enrollment ID: I20221019000583 |
| Provider Name | Nikia Rahemtulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730630898 PECOS PAC ID: 1456633437 Enrollment ID: I20221031001648 |
| Provider Name | Bali Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316409634 PECOS PAC ID: 5890163133 Enrollment ID: I20221117002946 |
| Provider Name | Monal Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770044463 PECOS PAC ID: 6800264060 Enrollment ID: I20221118000365 |
| Provider Name | Sofia Dar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124587993 PECOS PAC ID: 0042544827 Enrollment ID: I20221121000665 |
| Provider Name | Tiffany Haer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235859117 PECOS PAC ID: 3577932128 Enrollment ID: I20221205000037 |
| Provider Name | Brittany Allison Haage |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437726940 PECOS PAC ID: 3173994514 Enrollment ID: I20230124000627 |
| Provider Name | Rosemarie E Maitland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861100349 PECOS PAC ID: 6608240296 Enrollment ID: I20230322001435 |
| Provider Name | Stephanie Dianna Tyell Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750094397 PECOS PAC ID: 2365730900 Enrollment ID: I20230629002416 |
| Provider Name | Irfan Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922627280 PECOS PAC ID: 9234598400 Enrollment ID: I20230713001552 |
| Provider Name | John Lapadula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811203342 PECOS PAC ID: 0042445405 Enrollment ID: I20230731001130 |
| Provider Name | Trishna Acherjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417501669 PECOS PAC ID: 5294116117 Enrollment ID: I20230802003134 |
| Provider Name | Alan Xing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285253815 PECOS PAC ID: 0749602662 Enrollment ID: I20230812000142 |
| Provider Name | Jane Atallah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558983189 PECOS PAC ID: 6002279684 Enrollment ID: I20230830000393 |
| Provider Name | Prarthi Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821626409 PECOS PAC ID: 4880057488 Enrollment ID: I20230830001372 |
| Provider Name | Ahmed Naeem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922669803 PECOS PAC ID: 5597128991 Enrollment ID: I20230901001272 |
| Provider Name | Brisha Best |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104455542 PECOS PAC ID: 8729405683 Enrollment ID: I20230929001887 |
| Provider Name | Myriam S Cruz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780212480 PECOS PAC ID: 7416302880 Enrollment ID: I20231005001036 |
| Provider Name | O'neil Chaudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699396275 PECOS PAC ID: 4385099613 Enrollment ID: I20231006000569 |
| Provider Name | Ashvin Vijayakumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659782464 PECOS PAC ID: 8921338096 Enrollment ID: I20231017000981 |
| Provider Name | Julia Zorko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598392474 PECOS PAC ID: 0840615936 Enrollment ID: I20231018001399 |
| Provider Name | Akosua Akyaa Osei Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144900465 PECOS PAC ID: 8527414036 Enrollment ID: I20231019001173 |
| Provider Name | Kristianne Amurao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225650856 PECOS PAC ID: 7517380397 Enrollment ID: I20231019003622 |
| Provider Name | Izaz Kazmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477181634 PECOS PAC ID: 7416303748 Enrollment ID: I20231024000174 |
| Provider Name | Jessica Pierobon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093121618 PECOS PAC ID: 1456578772 Enrollment ID: I20231024003543 |
| Provider Name | Fendy Md Jn Pierre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134501232 PECOS PAC ID: 0446505929 Enrollment ID: I20231026002092 |
| Provider Name | Hafiz M Hassan Shoukat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881128411 PECOS PAC ID: 4385060342 Enrollment ID: I20231026002382 |
| Provider Name | Hely Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346744604 PECOS PAC ID: 5991055352 Enrollment ID: I20231026002680 |
| Provider Name | Stephanie Mangwi Ndifor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720615750 PECOS PAC ID: 0840646899 Enrollment ID: I20231026002724 |
| Provider Name | Tirth S Talati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225665748 PECOS PAC ID: 4587010285 Enrollment ID: I20231101002604 |
| Provider Name | Ryan Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730702143 PECOS PAC ID: 4880015510 Enrollment ID: I20231102003258 |
| Provider Name | Sabrina R Gordon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861020125 PECOS PAC ID: 8820445034 Enrollment ID: I20231109002085 |
| Provider Name | Sarah R Fishman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417737677 PECOS PAC ID: 9133576085 Enrollment ID: I20231114002680 |
| Provider Name | Ka Yi Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326508680 PECOS PAC ID: 6507192481 Enrollment ID: I20231208002259 |
| Provider Name | Zachariah Fishoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366957102 PECOS PAC ID: 8426318940 Enrollment ID: I20231212001188 |
| Provider Name | Adriana Marciales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194141663 PECOS PAC ID: 2961706312 Enrollment ID: I20231215001237 |
| Provider Name | Stephnie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922738236 PECOS PAC ID: 6800253998 Enrollment ID: I20231222002358 |
| Provider Name | Michelle Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952024838 PECOS PAC ID: 1254709025 Enrollment ID: I20231227002065 |
| Provider Name | Heather J Kagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720576580 PECOS PAC ID: 3274882014 Enrollment ID: I20240117002773 |
| Provider Name | Michael Cooper |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700266939 PECOS PAC ID: 5698005221 Enrollment ID: I20240216002143 |
| Provider Name | Corey Doremus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851154264 PECOS PAC ID: 7618311424 Enrollment ID: I20240220004716 |
| Provider Name | Tariq Halasa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043754039 PECOS PAC ID: 8729482757 Enrollment ID: I20240307002912 |
Cooper Physician Offices Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Cooper Plz, Suite 215, Camden, NJ 08103 Phone: 856-342-2439 Fax: 856-966-0735 | |
Ololmc Internal Medicine Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Haddon Ave, Internal Medicine, Camden, NJ 08103 Phone: 856-757-3500 | |
Camcare Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 813 Ferry Ave, Camden, NJ 08104 Phone: 856-602-4012 | |
Northeast Pain Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Market St. #1c, Camden, NJ 08102 Phone: 973-558-2732 | |
Cooper Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3156 River Rd, Camden, NJ 08105 Phone: 856-963-0126 Fax: 856-365-0279 | |
Project H.o.p.e., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1514 Federal St, Camden, NJ 08105 Phone: 856-541-6092 Fax: 856-541-6097 | |
Project H.o.p.e., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Liberty St, Camden, NJ 08104 Phone: 856-541-6092 Fax: 856-541-6097 |