| Essentiamd | |
|
587 Westminster Ave Ofc Elizabeth NJ 07208-2206 | |
| (973) 483-6800 | |
| (201) 645-3787 |
| Full Name | Essentiamd |
|---|---|
| Speciality | Internal Medicine |
| Location | 587 Westminster Ave Ofc, Elizabeth, New Jersey |
| Authorized Official Name and Position | Flavia Annette De La Cruz (CEO) |
| Authorized Official Contact | 9734836800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentiamd 48 Verbickas Dr Woodland Park NJ 07424-3720 Ph: (973) 483-6800 | Essentiamd 587 Westminster Ave Ofc Elizabeth NJ 07208-2206 Ph: (973) 483-6800 |
| NPI Number | 1184025595 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184025595 | NPI | - | NPPES |
| 0309826 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08833900 (New Jersey) | Primary |
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