| Excel Family Care Llc | |
|
400 Us Highway 130 East Windsor NJ 08520-2792 | |
| (609) 301-0515 | |
| Not Available |
| Full Name | Excel Family Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Us Highway 130, East Windsor, New Jersey |
| Authorized Official Name and Position | Srilakshmi Subramanian (MANAGING MEMBER) |
| Authorized Official Contact | 7327546894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Family Care Llc 25 Maxwell Rd Monroe Township NJ 08831-2227 Ph: (732) 754-6894 | Excel Family Care Llc 400 Us Highway 130 East Windsor NJ 08520-2792 Ph: (609) 301-0515 |
| NPI Number | 1184098873 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/23/2015 |
| Medicare PECOS PAC ID | 6406158542 |
|---|---|
| Medicare Enrollment ID | O20160107000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184098873 | NPI | - | NPPES |
| 0288926 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA08794200 (New Jersey) | Primary |
| Provider Name | Srilakshmi Subramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013172170 PECOS PAC ID: 5597930073 Enrollment ID: I20111212000641 |
| Provider Name | Deanna Marie Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629703525 PECOS PAC ID: 9133591027 Enrollment ID: I20230201002700 |
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