| 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 | Bhavna Patel (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 Po Box 17103 Belfast ME 04915-4066 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 | 10/20/2016 |
| 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 | Jamie Ann T De Bouno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396989083 PECOS PAC ID: 4385794890 Enrollment ID: I20090603000616 |
| Provider Name | Jennifer A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629203948 PECOS PAC ID: 4789720301 Enrollment ID: I20091012000278 |
| 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 | Michael Ernesto Calderone |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376907071 PECOS PAC ID: 8820327406 Enrollment ID: I20200619000010 |
| Provider Name | Angela Christine Hatzantonis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538767660 PECOS PAC ID: 8921419227 Enrollment ID: I20201117002402 |
| 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 |
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