| Excelcare Medical Associates, Pa | |
|
718 Teaneck Rd Teaneck NJ 07666-4245 | |
| (201) 833-3000 | |
| Not Available |
| Full Name | Excelcare Medical Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 718 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Patricia Beniquez Pacheco (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2018333599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelcare Medical Associates, Pa 3 University Plz Ste 205 Hackensack NJ 07601-6208 Ph: (201) 833-3599 | Excelcare Medical Associates, Pa 718 Teaneck Rd Teaneck NJ 07666-4245 Ph: (201) 833-3000 |
| NPI Number | 1992736300 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 4284647868 |
|---|---|
| Medicare Enrollment ID | O20060727000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992736300 | NPI | - | NPPES |
| 0888966 | Medicaid | NJ |
| Provider Name | Soo G Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679508048 PECOS PAC ID: 9830002047 Enrollment ID: I20031112000368 |
| Provider Name | Joseph A Lozito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821120692 PECOS PAC ID: 2567366453 Enrollment ID: I20031125000139 |
| Provider Name | Michelle Reisner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942267158 PECOS PAC ID: 7012800915 Enrollment ID: I20040204000927 |
| Provider Name | Vasantha K Kondamudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144238924 PECOS PAC ID: 9931098498 Enrollment ID: I20040312000688 |
| Provider Name | Juan Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568556520 PECOS PAC ID: 9739071085 Enrollment ID: I20040330000109 |
| Provider Name | Radu Codel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821082827 PECOS PAC ID: 9830081108 Enrollment ID: I20040330000257 |
| Provider Name | German H Costa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639254634 PECOS PAC ID: 7810980265 Enrollment ID: I20040403000182 |
| Provider Name | Ellen Levan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710960927 PECOS PAC ID: 6507755055 Enrollment ID: I20040408000054 |
| Provider Name | Conrado A Boja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255399408 PECOS PAC ID: 4880680859 Enrollment ID: I20040423000965 |
| Provider Name | John Masso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780820308 PECOS PAC ID: 3072595123 Enrollment ID: I20040603000173 |
| Provider Name | Ebrahim Saleh Issa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578524864 PECOS PAC ID: 6608858691 Enrollment ID: I20040603000640 |
| Provider Name | Mauricio Velasco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508848979 PECOS PAC ID: 2961487988 Enrollment ID: I20040623000013 |
| Provider Name | Stephen B Sherer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730156829 PECOS PAC ID: 9537139084 Enrollment ID: I20040730000548 |
| Provider Name | Gilberto F Gastell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942200472 PECOS PAC ID: 6800869157 Enrollment ID: I20040816001018 |
| Provider Name | Umesh Katdare |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447255898 PECOS PAC ID: 2264400142 Enrollment ID: I20040918000171 |
| Provider Name | Raul O Parra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871689968 PECOS PAC ID: 6103810353 Enrollment ID: I20040920000737 |
| Provider Name | Peter E Kagan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932281219 PECOS PAC ID: 5092784330 Enrollment ID: I20041001001025 |
| Provider Name | Paul C Krisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588608525 PECOS PAC ID: 0042273062 Enrollment ID: I20041116000351 |
| Provider Name | Judith A Kutzleb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437112042 PECOS PAC ID: 9638134067 Enrollment ID: I20041126000017 |
| Provider Name | Felix G Dailey-sterling |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194720540 PECOS PAC ID: 0547226193 Enrollment ID: I20041206000278 |
| Provider Name | Ehab F Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942395108 PECOS PAC ID: 2365408507 Enrollment ID: I20041208001032 |
| Provider Name | Ralph J Cifaldi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508965344 PECOS PAC ID: 3476502238 Enrollment ID: I20050119000329 |
| Provider Name | Ronald A Rigolosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760595888 PECOS PAC ID: 4486603172 Enrollment ID: I20050120000220 |
| Provider Name | Carla A Germinario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356362180 PECOS PAC ID: 4284683756 Enrollment ID: I20050121000719 |
| Provider Name | Theresa M Impeduglia |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336189786 PECOS PAC ID: 6800849373 Enrollment ID: I20050224000204 |
| Provider Name | Henry Fernandez - Cos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881698157 PECOS PAC ID: 2163460452 Enrollment ID: I20050418001101 |
| Provider Name | Deborah A Lozito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134251945 PECOS PAC ID: 6901849843 Enrollment ID: I20050602000332 |
| Provider Name | James P Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821164708 PECOS PAC ID: 6800839150 Enrollment ID: I20050607000989 |
| Provider Name | Jorge L Verea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164469540 PECOS PAC ID: 4284677352 Enrollment ID: I20050609000302 |
| Provider Name | Maria T Bitar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093756868 PECOS PAC ID: 6901849090 Enrollment ID: I20050609000509 |
| Provider Name | Shantha V Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235275488 PECOS PAC ID: 3870537210 Enrollment ID: I20050616000015 |
| Provider Name | Aurora C Andreescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912047754 PECOS PAC ID: 8426093378 Enrollment ID: I20050622000396 |
| Provider Name | Richard J Gallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144306317 PECOS PAC ID: 5799720322 Enrollment ID: I20050624000020 |
| Provider Name | Ignatios S Zairis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760519151 PECOS PAC ID: 2668409566 Enrollment ID: I20050722000154 |
| Provider Name | Michael L Schwarz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952349763 PECOS PAC ID: 1355379850 Enrollment ID: I20050810000380 |
| Provider Name | Richard I Andron |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811977762 PECOS PAC ID: 0749210144 Enrollment ID: I20050816000455 |
| Provider Name | Jonathan H Lee |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1639253354 PECOS PAC ID: 4880624451 Enrollment ID: I20050817000227 |
| Provider Name | Ananea Adamidis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235139957 PECOS PAC ID: 1759317704 Enrollment ID: I20050902000347 |
| Provider Name | Laura M Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326136417 PECOS PAC ID: 5991737330 Enrollment ID: I20050907000008 |
| Provider Name | Marc D Polimeni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861458499 PECOS PAC ID: 8224062229 Enrollment ID: I20050920000427 |
| Provider Name | Andrei A Terentiev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023045358 PECOS PAC ID: 6800821901 Enrollment ID: I20050928000025 |
| Provider Name | Soheila Vossough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144379504 PECOS PAC ID: 8527093814 Enrollment ID: I20051005000959 |
| Provider Name | Rhonda A Hagler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487666202 PECOS PAC ID: 8123043072 Enrollment ID: I20051010000653 |
| Provider Name | Michael D Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700830098 PECOS PAC ID: 5294752663 Enrollment ID: I20051026000267 |
| Provider Name | Nellie U Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104034107 PECOS PAC ID: 2567480338 Enrollment ID: I20051110000101 |
| Provider Name | Yadyra Rivera |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346272002 PECOS PAC ID: 5294775649 Enrollment ID: I20060907000088 |
| Provider Name | Maged Boutros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497785281 PECOS PAC ID: 7214931005 Enrollment ID: I20060911000083 |
| Provider Name | Nelson P Gramatica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316027642 PECOS PAC ID: 1658371166 Enrollment ID: I20070108000204 |
| Provider Name | Miriam M Benoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861504169 PECOS PAC ID: 8123120755 Enrollment ID: I20070228000059 |
| Provider Name | Robert Adair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457467862 PECOS PAC ID: 7214835842 Enrollment ID: I20070712000023 |
| Provider Name | James C Mendler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407818032 PECOS PAC ID: 2567556236 Enrollment ID: I20070926000250 |
| Provider Name | Asher C Goldstein |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1790725661 PECOS PAC ID: 9133159817 Enrollment ID: I20071110000147 |
| Provider Name | Angelo Mabasa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033305578 PECOS PAC ID: 5890871990 Enrollment ID: I20080331000174 |
| Provider Name | Debra Roditski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851350847 PECOS PAC ID: 0446339246 Enrollment ID: I20080506000020 |
| Provider Name | Chester C Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912177890 PECOS PAC ID: 0547332157 Enrollment ID: I20080626000209 |
| Provider Name | Erika M Brinkmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598832263 PECOS PAC ID: 2668405259 Enrollment ID: I20080807000241 |
| Provider Name | Richard B Tancer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588677629 PECOS PAC ID: 0042385114 Enrollment ID: I20080825000337 |
| Provider Name | Luis A Febus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407026248 PECOS PAC ID: 2062576978 Enrollment ID: I20090121000406 |
| Provider Name | Mario E. Pelletier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457310724 PECOS PAC ID: 1355408642 Enrollment ID: I20090401000447 |
| Provider Name | Clenton Coleman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730379025 PECOS PAC ID: 6204924525 Enrollment ID: I20090715000085 |
| Provider Name | Steven J Welish |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639147325 PECOS PAC ID: 2860472628 Enrollment ID: I20091230000260 |
| Provider Name | Safwat Shaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144246042 PECOS PAC ID: 3870634926 Enrollment ID: I20100112000011 |
| Provider Name | David G. Butler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316068448 PECOS PAC ID: 4880751619 Enrollment ID: I20100216000366 |
| Provider Name | Hazel Brana-leon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750515227 PECOS PAC ID: 1254467731 Enrollment ID: I20100414000288 |
| Provider Name | Christina Seo |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730384686 PECOS PAC ID: 0143314617 Enrollment ID: I20100422000412 |
| Provider Name | Ronald A White |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154393056 PECOS PAC ID: 6608903646 Enrollment ID: I20100624000020 |
| Provider Name | Jaffar A Raza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326119637 PECOS PAC ID: 3375500135 Enrollment ID: I20100726000596 |
| Provider Name | Morris A Tilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851363964 PECOS PAC ID: 9335273556 Enrollment ID: I20100810000561 |
| Provider Name | Albert Tartini |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346240298 PECOS PAC ID: 5294634424 Enrollment ID: I20101012000057 |
| Provider Name | Roberto Singer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982604864 PECOS PAC ID: 9830098060 Enrollment ID: I20101012000104 |
| Provider Name | Alexander M Vitievsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447250303 PECOS PAC ID: 4486553617 Enrollment ID: I20101012000163 |
| Provider Name | Ari S Eckman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386859585 PECOS PAC ID: 5991882953 Enrollment ID: I20101026001196 |
| Provider Name | Richard J Rosenbluth |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1871552349 PECOS PAC ID: 0345225157 Enrollment ID: I20101116000073 |
| Provider Name | Anna Shoshilos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427025980 PECOS PAC ID: 6406042902 Enrollment ID: I20101123000742 |
| Provider Name | Mohammad F. Padela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700855772 PECOS PAC ID: 6901920917 Enrollment ID: I20110225000126 |
| Provider Name | Arun Nangia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194794099 PECOS PAC ID: 7719001726 Enrollment ID: I20110301000241 |
| Provider Name | Raimonda Goldman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639482581 PECOS PAC ID: 0143406199 Enrollment ID: I20110510000047 |
| Provider Name | Richard Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225110570 PECOS PAC ID: 3577626142 Enrollment ID: I20110511000049 |
| Provider Name | Albert Siu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063668895 PECOS PAC ID: 6204998594 Enrollment ID: I20110831000052 |
| Provider Name | Doris Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457584179 PECOS PAC ID: 4284805417 Enrollment ID: I20110920000791 |
| Provider Name | Hee K Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174559280 PECOS PAC ID: 8628042330 Enrollment ID: I20111028000412 |
| Provider Name | Kimberly Fallon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477674737 PECOS PAC ID: 6507923331 Enrollment ID: I20111121000803 |
| Provider Name | Lucy T. Tovmasian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679808562 PECOS PAC ID: 4789850645 Enrollment ID: I20111228000032 |
| Provider Name | Nancy A Fremed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710292396 PECOS PAC ID: 9638346570 Enrollment ID: I20120118000465 |
| Provider Name | Christopher A Englert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134240138 PECOS PAC ID: 5799842522 Enrollment ID: I20120120000279 |
| Provider Name | Jane F Hoskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194738195 PECOS PAC ID: 5294750295 Enrollment ID: I20120127000550 |
| Provider Name | Pattyann Romanik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881963114 PECOS PAC ID: 0648438028 Enrollment ID: I20120215000549 |
| Provider Name | Andrew Fruhschien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841575552 PECOS PAC ID: 8729247523 Enrollment ID: I20120314000764 |
| Provider Name | Sarah A Bornstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316210081 PECOS PAC ID: 6901068055 Enrollment ID: I20120507000396 |
| Provider Name | Diane C Triolo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710166228 PECOS PAC ID: 1052575347 Enrollment ID: I20120618000535 |
| Provider Name | Paul Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356310692 PECOS PAC ID: 8628224987 Enrollment ID: I20120802000334 |
| Provider Name | Thomas A Kreibich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700089166 PECOS PAC ID: 6507014628 Enrollment ID: I20120914000543 |
| Provider Name | Eun Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700140217 PECOS PAC ID: 1658522651 Enrollment ID: I20121126000396 |
| Provider Name | Janet L Mantel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669718276 PECOS PAC ID: 2365694361 Enrollment ID: I20121219000454 |
| Provider Name | Marion Y Bobb-mckoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184709206 PECOS PAC ID: 8628167301 Enrollment ID: I20130610000243 |
| Provider Name | Marina Bloshteyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801144811 PECOS PAC ID: 3274772058 Enrollment ID: I20130627000334 |
| Provider Name | Marissa Oller Cramsie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528209541 PECOS PAC ID: 0547400269 Enrollment ID: I20130701000265 |
| Provider Name | Palak J Oza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770725327 PECOS PAC ID: 9830324128 Enrollment ID: I20131022001019 |
| Provider Name | Francis J Murdaco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962574962 PECOS PAC ID: 2062311400 Enrollment ID: I20131211000947 |
| Provider Name | Kiran M Joshi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215001698 PECOS PAC ID: 7012144363 Enrollment ID: I20131212001740 |
| Provider Name | Alla Roitman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699093054 PECOS PAC ID: 9133359391 Enrollment ID: I20140308000361 |
| Provider Name | Marjorie Gayanilo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700022027 PECOS PAC ID: 4688809742 Enrollment ID: I20140319000157 |
| Provider Name | Janet T Lazieh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730145707 PECOS PAC ID: 7517182694 Enrollment ID: I20140703000504 |
| Provider Name | Sharyn N Lewin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1083862247 PECOS PAC ID: 8921151515 Enrollment ID: I20140806001629 |
| Provider Name | Acenet Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588078240 PECOS PAC ID: 4284852492 Enrollment ID: I20140902000307 |
| Provider Name | Diego Loaiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033526413 PECOS PAC ID: 1456570118 Enrollment ID: I20140912000519 |
| Provider Name | Mona Aboulnaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902225832 PECOS PAC ID: 2466671029 Enrollment ID: I20140912000835 |
| Provider Name | Igor Kofman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780845180 PECOS PAC ID: 4284853631 Enrollment ID: I20140917000085 |
| Provider Name | Roman S Prager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568789634 PECOS PAC ID: 0143464024 Enrollment ID: I20140919000141 |
| Provider Name | Jean O Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588974448 PECOS PAC ID: 4880811512 Enrollment ID: I20141216000479 |
| Provider Name | Michael Nazmy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881844736 PECOS PAC ID: 1951570654 Enrollment ID: I20150312002033 |
| Provider Name | Michele Acito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770971996 PECOS PAC ID: 2163741638 Enrollment ID: I20150505001045 |
| Provider Name | Sheryl Slonim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104214881 PECOS PAC ID: 5193045128 Enrollment ID: I20150514002289 |
| Provider Name | Erina Khadka Kunwar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043568488 PECOS PAC ID: 6800116112 Enrollment ID: I20150527001651 |
| Provider Name | Jesvin Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043600117 PECOS PAC ID: 0042521452 Enrollment ID: I20150625001013 |
| Provider Name | Hussain M Manji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760747836 PECOS PAC ID: 4880901537 Enrollment ID: I20150914001828 |
| Provider Name | Dorene G Veliky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750792636 PECOS PAC ID: 0840507067 Enrollment ID: I20150921000116 |
| Provider Name | Neelangani Desoyza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538366976 PECOS PAC ID: 2264600931 Enrollment ID: I20151207000157 |
| Provider Name | Matthew Stephen Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871755009 PECOS PAC ID: 9335319482 Enrollment ID: I20151231001647 |
| Provider Name | Kimberly Anne H Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780846915 PECOS PAC ID: 0648448811 Enrollment ID: I20160119002433 |
| Provider Name | Elvin Akturk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871804773 PECOS PAC ID: 3779886437 Enrollment ID: I20160129001517 |
| Provider Name | Stephanie C Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043650955 PECOS PAC ID: 0244534584 Enrollment ID: I20160208001335 |
| Provider Name | Michele Amundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578882981 PECOS PAC ID: 6709054331 Enrollment ID: I20160318000089 |
| Provider Name | Cheryl M Pachella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891158408 PECOS PAC ID: 4688963986 Enrollment ID: I20160510000268 |
| Provider Name | Mae Bell Fuchs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972974004 PECOS PAC ID: 5698064657 Enrollment ID: I20160513000903 |
| Provider Name | Ari Berger |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336383298 PECOS PAC ID: 2961637137 Enrollment ID: I20160518000359 |
| Provider Name | Sohee Bidol-lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427012731 PECOS PAC ID: 7113903063 Enrollment ID: I20160714000412 |
| Provider Name | Gerald Portman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316239833 PECOS PAC ID: 7618260522 Enrollment ID: I20160728002204 |
| Provider Name | Paula Barcia Pena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477812980 PECOS PAC ID: 1658667050 Enrollment ID: I20160912001250 |
| Provider Name | Zankhana Raval |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164679296 PECOS PAC ID: 4981911583 Enrollment ID: I20160927002528 |
| Provider Name | Zsamae C Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194186304 PECOS PAC ID: 1557659273 Enrollment ID: I20161013000427 |
| Provider Name | Sung Kwon |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1447458484 PECOS PAC ID: 5294013124 Enrollment ID: I20161028000180 |
| Provider Name | Shonda Marcia Corbett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336140029 PECOS PAC ID: 6204823289 Enrollment ID: I20161109000091 |
| Provider Name | Joanna Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740634252 PECOS PAC ID: 8325328073 Enrollment ID: I20161215000324 |
| Provider Name | Veronica Roupenian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518410349 PECOS PAC ID: 3476835877 Enrollment ID: I20170119001736 |
| Provider Name | Carol Maye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659720878 PECOS PAC ID: 4880978741 Enrollment ID: I20170222000190 |
| Provider Name | Sruti K Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750600888 PECOS PAC ID: 3476830563 Enrollment ID: I20170427000326 |
| Provider Name | Dayra Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316579 PECOS PAC ID: 3274810072 Enrollment ID: I20170504000480 |
| Provider Name | Salman Mamji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871960013 PECOS PAC ID: 9739458290 Enrollment ID: I20170627002223 |
| Provider Name | Maria B Schiavone Forlenza |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790927465 PECOS PAC ID: 1153691415 Enrollment ID: I20170719000422 |
| Provider Name | Ryan E Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568816403 PECOS PAC ID: 4183994361 Enrollment ID: I20170720001515 |
| Provider Name | Seyed Mohsen Ghanefar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245530294 PECOS PAC ID: 4981836640 Enrollment ID: I20170725000033 |
| Provider Name | Firas Qaqa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659786606 PECOS PAC ID: 8224308010 Enrollment ID: I20170727001155 |
| Provider Name | Omar E Bellorin-marin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083939433 PECOS PAC ID: 6204124316 Enrollment ID: I20170727002214 |
| Provider Name | Michael Boja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811254980 PECOS PAC ID: 4789993957 Enrollment ID: I20170829000573 |
| Provider Name | Julie Hedlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659740769 PECOS PAC ID: 5597038455 Enrollment ID: I20170829002304 |
| Provider Name | Kaitlin N Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376066571 PECOS PAC ID: 3779859202 Enrollment ID: I20171027000043 |
| Provider Name | Gabrielle J Mulderrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568910610 PECOS PAC ID: 8628335825 Enrollment ID: I20171127000115 |
| Provider Name | Tarashon Broomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285187708 PECOS PAC ID: 8224396544 Enrollment ID: I20171214001863 |
| Provider Name | Japeth Demetria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386018497 PECOS PAC ID: 8426316761 Enrollment ID: I20171214002722 |
| Provider Name | Jasmine Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336457480 PECOS PAC ID: 4385902188 Enrollment ID: I20171228001312 |
| Provider Name | Jackeline Tomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184143505 PECOS PAC ID: 2961760665 Enrollment ID: I20180102001130 |
| Provider Name | Michael Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205203155 PECOS PAC ID: 8820358179 Enrollment ID: I20180205002242 |
| Provider Name | Regina K Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710421102 PECOS PAC ID: 8729349295 Enrollment ID: I20180223001701 |
| Provider Name | Divya Shanbhogue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235505595 PECOS PAC ID: 4082991898 Enrollment ID: I20180312001004 |
| Provider Name | Michael A Williams Healy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003311127 PECOS PAC ID: 7618230061 Enrollment ID: I20180417001352 |
| Provider Name | David Shaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396130365 PECOS PAC ID: 0143585174 Enrollment ID: I20180523000133 |
| Provider Name | Mina Shaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770977852 PECOS PAC ID: 0547525412 Enrollment ID: I20180523002084 |
| Provider Name | Irmina Tanion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466931 PECOS PAC ID: 6507113370 Enrollment ID: I20180725001114 |
| Provider Name | Nicole Rengifo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104366699 PECOS PAC ID: 7416291596 Enrollment ID: I20181129002802 |
| Provider Name | Jeanne M Pollio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306365515 PECOS PAC ID: 9133486517 Enrollment ID: I20181219002913 |
| Provider Name | Margaret D Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861864316 PECOS PAC ID: 5698010353 Enrollment ID: I20181227001796 |
| Provider Name | Shirley Carlos-cu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497151476 PECOS PAC ID: 7719226372 Enrollment ID: I20190227000900 |
| Provider Name | Krysten Wondrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508324575 PECOS PAC ID: 3173856168 Enrollment ID: I20190606000238 |
| Provider Name | Jennifer Ann Marion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568932275 PECOS PAC ID: 3274861919 Enrollment ID: I20190820001476 |
| Provider Name | Hassan Javaid Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053773366 PECOS PAC ID: 6901134204 Enrollment ID: I20190824000084 |
| Provider Name | Sorleny Restrepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548802630 PECOS PAC ID: 1658326426 Enrollment ID: I20191231002177 |
| Provider Name | Deborah Bessen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730481839 PECOS PAC ID: 1254766751 Enrollment ID: I20200109002935 |
| Provider Name | Jonathan Manuel Dominguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376923755 PECOS PAC ID: 4688914765 Enrollment ID: I20200113000028 |
| Provider Name | Rodger O. A. Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861789745 PECOS PAC ID: 6406144419 Enrollment ID: I20200130001754 |
| Provider Name | Jean Beaudy Guerrier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184041121 PECOS PAC ID: 9234357286 Enrollment ID: I20200212000084 |
| Provider Name | Shahana Quadir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922560572 PECOS PAC ID: 3870920051 Enrollment ID: I20200228000061 |
| Provider Name | Juliette C Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811475627 PECOS PAC ID: 7719314806 Enrollment ID: I20200302002596 |
| Provider Name | Stephanie A Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194902692 PECOS PAC ID: 9032547096 Enrollment ID: I20200325001996 |
| Provider Name | James Nels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760647366 PECOS PAC ID: 2264613611 Enrollment ID: I20200401000918 |
| Provider Name | Laurie A Cucco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932768330 PECOS PAC ID: 4183056880 Enrollment ID: I20200506002323 |
| Provider Name | Jason C Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457771917 PECOS PAC ID: 2961700711 Enrollment ID: I20200619000077 |
| Provider Name | Vikram Joshua Premkumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104245521 PECOS PAC ID: 0749576072 Enrollment ID: I20200713003000 |
| Provider Name | Maria Esther Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497394605 PECOS PAC ID: 0941624381 Enrollment ID: I20200720000318 |
| Provider Name | Diana D Hearn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558748129 PECOS PAC ID: 7719224278 Enrollment ID: I20200925000627 |
| Provider Name | Kimberly A Miletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386266179 PECOS PAC ID: 1153740758 Enrollment ID: I20201001000638 |
| Provider Name | Eliezer Portnoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891140083 PECOS PAC ID: 5496174807 Enrollment ID: I20201005002361 |
| Provider Name | Suheily Tise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164874566 PECOS PAC ID: 3577975952 Enrollment ID: I20201208002181 |
| Provider Name | Janine M Marti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568918852 PECOS PAC ID: 7618389768 Enrollment ID: I20201214001027 |
| Provider Name | Eulalia Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093352510 PECOS PAC ID: 2567875107 Enrollment ID: I20201229000101 |
| Provider Name | Tracee Yablon-brenner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033732664 PECOS PAC ID: 8426461682 Enrollment ID: I20210106003008 |
| Provider Name | Erica Kessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477118933 PECOS PAC ID: 0042625634 Enrollment ID: I20210211002587 |
| Provider Name | Ruth M Adelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760620454 PECOS PAC ID: 7517024235 Enrollment ID: I20210323002667 |
| Provider Name | Mariell E Dominguez German |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447785985 PECOS PAC ID: 9739596396 Enrollment ID: I20210326000034 |
| Provider Name | Erin A Paul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922397421 PECOS PAC ID: 3577832344 Enrollment ID: I20210330002562 |
| Provider Name | Laura Elia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265683411 PECOS PAC ID: 6507265790 Enrollment ID: I20210519003041 |
| Provider Name | Maureen L Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972178721 PECOS PAC ID: 7113327222 Enrollment ID: I20210610003205 |
| Provider Name | Ruben J Barrera Vera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548610611 PECOS PAC ID: 3375963416 Enrollment ID: I20210623002065 |
| Provider Name | Jose E Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588060586 PECOS PAC ID: 9638457583 Enrollment ID: I20210628000531 |
| Provider Name | Maya Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346830635 PECOS PAC ID: 7911308903 Enrollment ID: I20210628003635 |
| Provider Name | Jose Enrique Valdor Marin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225614274 PECOS PAC ID: 2365844941 Enrollment ID: I20210706002880 |
| Provider Name | Caridad Manuela Iparraguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700383924 PECOS PAC ID: 1658773171 Enrollment ID: I20210707000604 |
| Provider Name | Tamara Aviles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710409172 PECOS PAC ID: 5890197776 Enrollment ID: I20210714003781 |
| Provider Name | Vibha Manhar Joshi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699182113 PECOS PAC ID: 3072870963 Enrollment ID: I20210720004165 |
| Provider Name | Elena Palau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487079844 PECOS PAC ID: 2466746128 Enrollment ID: I20210721001117 |
| Provider Name | Nathan Reuben Teich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174901110 PECOS PAC ID: 7911300397 Enrollment ID: I20210722001306 |
| Provider Name | Ewa M Slaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407420581 PECOS PAC ID: 9739582131 Enrollment ID: I20210722002255 |
| Provider Name | Rubina Kapoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730685116 PECOS PAC ID: 5890043350 Enrollment ID: I20210726003402 |
| Provider Name | Isaac I Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467954701 PECOS PAC ID: 7416352331 Enrollment ID: I20210816002257 |
| Provider Name | Javier Omar Gomez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548617590 PECOS PAC ID: 0840695144 Enrollment ID: I20210825001447 |
| Provider Name | Sanah Parvez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659766418 PECOS PAC ID: 5799181228 Enrollment ID: I20210909001064 |
| Provider Name | Lisa Marie Koumoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700482866 PECOS PAC ID: 9335545573 Enrollment ID: I20210914000017 |
| Provider Name | Jeffrey D Sohn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033598453 PECOS PAC ID: 2860898053 Enrollment ID: I20210914001900 |
| Provider Name | Lane R Kocovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912579996 PECOS PAC ID: 3274930946 Enrollment ID: I20210922002206 |
| Provider Name | Cristina Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386313070 PECOS PAC ID: 4385042902 Enrollment ID: I20211013000811 |
| Provider Name | Alexandra S Renzi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770960817 PECOS PAC ID: 4385998632 Enrollment ID: I20211103000020 |
| Provider Name | Abbey Lynn Cocuzza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316611254 PECOS PAC ID: 2365831955 Enrollment ID: I20211122000503 |
| Provider Name | Pamela Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073284774 PECOS PAC ID: 8426448911 Enrollment ID: I20211123001992 |
| Provider Name | Trixia Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962168963 PECOS PAC ID: 5698160182 Enrollment ID: I20220321000199 |
| Provider Name | Zandra Cheng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841299708 PECOS PAC ID: 3375523962 Enrollment ID: I20220329002622 |
| Provider Name | Jose Antonio Badia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740926161 PECOS PAC ID: 1951782747 Enrollment ID: I20220726001370 |
| Provider Name | Elkhatim Mohammed Elaies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891269676 PECOS PAC ID: 4688056211 Enrollment ID: I20220729000202 |
| Provider Name | Naom Nyamoita Mongare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184399644 PECOS PAC ID: 0042693202 Enrollment ID: I20220822000058 |
| Provider Name | Youngjae Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215566799 PECOS PAC ID: 9032592035 Enrollment ID: I20220823002929 |
| Provider Name | Jae Hee Cho |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962814343 PECOS PAC ID: 2769781483 Enrollment ID: I20220903000004 |
| Provider Name | Eunice Jeongin Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932766474 PECOS PAC ID: 4981089109 Enrollment ID: I20220923000687 |
| Provider Name | Hosam T Hmoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013478908 PECOS PAC ID: 2860824141 Enrollment ID: I20221007000497 |
| Provider Name | Juliana Caceres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053958579 PECOS PAC ID: 2062849433 Enrollment ID: I20221022000296 |
| Provider Name | Miriam Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376047894 PECOS PAC ID: 7113356437 Enrollment ID: I20221128002656 |
| Provider Name | Burcu Erdil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255967436 PECOS PAC ID: 0143699835 Enrollment ID: I20221220002264 |
| Provider Name | Krystel Theresse Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144947094 PECOS PAC ID: 5193195006 Enrollment ID: I20230110000660 |
| Provider Name | Daenielle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386394286 PECOS PAC ID: 9537539465 Enrollment ID: I20230110001214 |
| Provider Name | Jocelyn Angela Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801509062 PECOS PAC ID: 5092188706 Enrollment ID: I20230228001835 |
| Provider Name | Andrea Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598197212 PECOS PAC ID: 5496111718 Enrollment ID: I20230511002179 |
| Provider Name | Jorge Agustin Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871289520 PECOS PAC ID: 3577929512 Enrollment ID: I20230518000233 |
| Provider Name | George Miller |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1356549877 PECOS PAC ID: 7113059833 Enrollment ID: I20230616000010 |
| Provider Name | Alexis Krasas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811611841 PECOS PAC ID: 4183083991 Enrollment ID: I20230711001558 |
| Provider Name | Misbah Yehya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851880967 PECOS PAC ID: 3577925643 Enrollment ID: I20230822001442 |
| Provider Name | David Schuster |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972009488 PECOS PAC ID: 3870833775 Enrollment ID: I20230825002992 |
| Provider Name | Natalie O'leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841989704 PECOS PAC ID: 4284097882 Enrollment ID: I20230830001237 |
| Provider Name | Yael Ben Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063125532 PECOS PAC ID: 4486018918 Enrollment ID: I20230915002306 |
| Provider Name | Ngoc Luong Thai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114993748 PECOS PAC ID: 7416948476 Enrollment ID: I20231011001769 |
| Provider Name | Sherry-ann Dawn Munroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487348637 PECOS PAC ID: 9830544659 Enrollment ID: I20231016000464 |
| Provider Name | Angelica Matteo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316506371 PECOS PAC ID: 7113372780 Enrollment ID: I20231017002544 |
| Provider Name | Myriah Di Petrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225817844 PECOS PAC ID: 5698121572 Enrollment ID: I20231030000541 |
| Provider Name | Christina Marie Onorato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407635907 PECOS PAC ID: 6901253137 Enrollment ID: I20231109003063 |
| Provider Name | Bibiancy Gutierrez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780973875 PECOS PAC ID: 5092024133 Enrollment ID: I20231113001092 |
| Provider Name | Gina Marie Coupe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629198940 PECOS PAC ID: 5294185658 Enrollment ID: I20231227001664 |
| Provider Name | Tracey Arnauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053183699 PECOS PAC ID: 4789035189 Enrollment ID: I20240110002625 |
| Provider Name | Olabisi Shade Akinmorin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164297123 PECOS PAC ID: 1153773296 Enrollment ID: I20240115000418 |
| Provider Name | Jason Kanos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326049859 PECOS PAC ID: 9537231295 Enrollment ID: I20240126001511 |
| Provider Name | Victoria Christina Costales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902033236 PECOS PAC ID: 4284858119 Enrollment ID: I20240213000578 |
| Provider Name | Courtney Elizabeth Lozano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902926785 PECOS PAC ID: 2163866898 Enrollment ID: I20240221000650 |
Omega Weight Loss Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Cedar Ln, Teaneck, NJ 07666 Phone: 347-268-0114 | |
Diabetes, Endocrinology, Metabolism, Specialities, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Palisade Ave, Teaneck, NJ 07666 Phone: 201-836-5655 Fax: 201-836-3571 | |
Internal Medicine, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 Cedar Ln, Teaneck, NJ 07666 Phone: 201-836-4248 Fax: 201-836-5420 | |
Door To Door Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 814 Barbara Dr, Teaneck, NJ 07666 Phone: 201-981-9436 | |
Salus Med Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 121 Cedar Ln, Suite2b, Teaneck, NJ 07666 Phone: 732-485-6874 | |
Aspen Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 197 Cedar Ln, Teaneck, NJ 07666 Phone: 201-928-0200 Fax: 201-928-0820 | |
Holy Name Primary Care And Specialty Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-3000 Fax: 201-227-6207 |