| Excelcare Alliance, LLC | |
|
76 S State St Vineland NJ 08360-4851 | |
| (856) 205-1112 | |
| (856) 205-1114 |
| Full Name | Excelcare Alliance, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 76 S State St, Vineland, New Jersey |
| Authorized Official Name and Position | Raghuraj Tomar (PRESIDENT) |
| Authorized Official Contact | 8562051112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelcare Alliance, LLC 76 S State St Vineland NJ 08360-4851 Ph: (856) 205-1112 | Excelcare Alliance, LLC 76 S State St Vineland NJ 08360-4851 Ph: (856) 205-1112 |
| NPI Number | 1891090510 |
|---|---|
| Provider Enumeration Date | 01/12/2011 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 0941470082 |
|---|---|
| Medicare Enrollment ID | O20110830000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891090510 | NPI | - | NPPES |
| 0261165 | Medicaid | NJ |
| Provider Name | Rajesh Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417997115 PECOS PAC ID: 8426962283 Enrollment ID: I20031117000086 |
| Provider Name | Eric D Gates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164689857 PECOS PAC ID: 3072410513 Enrollment ID: I20040109000127 |
| Provider Name | Naeem M Amin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659326833 PECOS PAC ID: 9638169618 Enrollment ID: I20050726000377 |
| Provider Name | Ilyas Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497761589 PECOS PAC ID: 6406874270 Enrollment ID: I20051110000073 |
| Provider Name | N Venugopal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093883316 PECOS PAC ID: 6002830296 Enrollment ID: I20060113000713 |
| Provider Name | Hasmukhbhai D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891756789 PECOS PAC ID: 4486678513 Enrollment ID: I20060117000411 |
| Provider Name | Raghuraj S Tomar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467412858 PECOS PAC ID: 5698799765 Enrollment ID: I20060120000313 |
| Provider Name | Daniel D Manske |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356389860 PECOS PAC ID: 1951314186 Enrollment ID: I20060711000106 |
| Provider Name | Wasique a Narvel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578501615 PECOS PAC ID: 0042214306 Enrollment ID: I20060830000013 |
| Provider Name | Rekha Sehgal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629019955 PECOS PAC ID: 5092710186 Enrollment ID: I20060925000017 |
| Provider Name | William M Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558368357 PECOS PAC ID: 0840383063 Enrollment ID: I20070905000011 |
| Provider Name | Elis De Priori |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598712861 PECOS PAC ID: 0749373660 Enrollment ID: I20070910000396 |
| Provider Name | George a Dendrinos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982776118 PECOS PAC ID: 4880743830 Enrollment ID: I20090521000195 |
| Provider Name | Jennifer a Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629203948 PECOS PAC ID: 4789720301 Enrollment ID: I20091012000278 |
| Provider Name | Manuel S Cunanan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144474636 PECOS PAC ID: 2860544277 Enrollment ID: I20100505000541 |
| Provider Name | Alan Bruce Cohen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265461842 PECOS PAC ID: 8820049679 Enrollment ID: I20100812000453 |
| Provider Name | Sanjay K Bhendwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770519944 PECOS PAC ID: 0446201297 Enrollment ID: I20100812000602 |
| Provider Name | Michael K Dovnarsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891729372 PECOS PAC ID: 4082665831 Enrollment ID: I20101029000837 |
| Provider Name | Kiritkumar a Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396813614 PECOS PAC ID: 4981899234 Enrollment ID: I20101111001205 |
| Provider Name | Vinay Nakhate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386767697 PECOS PAC ID: 1456452010 Enrollment ID: I20101227000460 |
| Provider Name | Justyna Obara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174768048 PECOS PAC ID: 8022297720 Enrollment ID: I20110127000316 |
| Provider Name | Archna Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235107301 PECOS PAC ID: 7810140654 Enrollment ID: I20130104000031 |
| Provider Name | Jeffrey M Belancio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639443492 PECOS PAC ID: 4183862220 Enrollment ID: I20130530000553 |
| Provider Name | Olabode O Ogidan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124096383 PECOS PAC ID: 1557596400 Enrollment ID: I20131030001062 |
| Provider Name | Jignasa R Chikani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447529045 PECOS PAC ID: 2163648288 Enrollment ID: I20140728000172 |
| Provider Name | Bhavna K Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205867876 PECOS PAC ID: 9931114782 Enrollment ID: I20140904000230 |
| Provider Name | Adam J Zucconi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770837833 PECOS PAC ID: 0840513859 Enrollment ID: I20141224000799 |
| Provider Name | Katherine L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457736720 PECOS PAC ID: 5991007239 Enrollment ID: I20160105000112 |
| Provider Name | Shontae R Moody |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952730970 PECOS PAC ID: 7719116912 Enrollment ID: I20160216001907 |
| Provider Name | Reanna Gibbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497128920 PECOS PAC ID: 5193009389 Enrollment ID: I20170308000167 |
| Provider Name | Amanda White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013064203 PECOS PAC ID: 3577638659 Enrollment ID: I20180328001892 |
| Provider Name | Nicole Shiko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376107839 PECOS PAC ID: 8921333287 Enrollment ID: I20190710000769 |
| Provider Name | Michael Ernesto Calderone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376907071 PECOS PAC ID: 8820327406 Enrollment ID: I20200619000010 |
| Provider Name | Vyacheslav Pastukh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968182 PECOS PAC ID: 4486065570 Enrollment ID: I20201120001643 |
| Provider Name | Gwendolyn Ann Lupton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497388508 PECOS PAC ID: 0941617385 Enrollment ID: I20210331000458 |
| Provider Name | Elizabeth M Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396339107 PECOS PAC ID: 4789093923 Enrollment ID: I20210429001669 |
| Provider Name | Vrunda R Dalal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487141594 PECOS PAC ID: 9638573512 Enrollment ID: I20210816000289 |
| Provider Name | Alina Bejaran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174103527 PECOS PAC ID: 1254723372 Enrollment ID: I20220124001418 |
| Provider Name | Benjamin N Askin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285195370 PECOS PAC ID: 1850789660 Enrollment ID: I20220712001913 |
| Provider Name | Ashley Kristine Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801569603 PECOS PAC ID: 3971972332 Enrollment ID: I20221207002459 |
| Provider Name | Miranda Alexandra Turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225794928 PECOS PAC ID: 1557735388 Enrollment ID: I20230318000122 |
| Provider Name | Rachel Elizabeth Zwiebel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700442209 PECOS PAC ID: 8224417639 Enrollment ID: I20230918003869 |
| Provider Name | Kristine Ann Banas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588441802 PECOS PAC ID: 9830537802 Enrollment ID: I20240410000475 |
| Provider Name | Heather Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811733314 PECOS PAC ID: 0941748685 Enrollment ID: I20240813003254 |
| Provider Name | Kimberly E Stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295626083 PECOS PAC ID: 6305322975 Enrollment ID: I20260113004036 |
Digestive Health Center of South Jersey LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 W Sherman Ave, Vineland, NJ 08360 Phone: 856-691-1400 Fax: 856-691-7117 |
Advanced Medical Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 S West Ave, Vineland, NJ 08360 Phone: 856-696-9697 Fax: 856-691-0440 |
Completecare Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 484 S Brewster Rd, Vineland, NJ 08361 Phone: 856-691-3300 Fax: 856-794-7183 |
Wasique Narvel, MD, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-696-2232 Fax: 856-696-7850 |
Completecare Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 785 W Sherman Ave, Vineland, NJ 08360 Phone: 856-451-4700 Fax: 856-575-0818 |
Vineland Medical Associates PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-696-0108 Fax: 856-691-1106 |