| Garden State Internists Llc | |
|
16 Thoreau Dr Freehold NJ 07728-4666 | |
| (732) 761-0221 | |
| (732) 780-1886 |
| Full Name | Garden State Internists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16 Thoreau Dr, Freehold, New Jersey |
| Authorized Official Name and Position | Manish Saini (OWNER) |
| Authorized Official Contact | 7327610221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Internists Llc 16 Thoreau Dr Freehold NJ 07728-4666 Ph: (732) 761-0221 | Garden State Internists Llc 16 Thoreau Dr Freehold NJ 07728-4666 Ph: (732) 761-0221 |
| NPI Number | 1790448850 |
|---|---|
| Provider Enumeration Date | 10/15/2021 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 6709265051 |
|---|---|
| Medicare Enrollment ID | O20220617000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790448850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manish S Saini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962478776 PECOS PAC ID: 3971542283 Enrollment ID: I20050427000023 |
| Provider Name | Mugurel S Cherciu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881747913 PECOS PAC ID: 6002003548 Enrollment ID: I20101209000542 |
| Provider Name | Tiffinny Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790930733 PECOS PAC ID: 2466644935 Enrollment ID: I20211202002714 |
| Provider Name | Jennifer Bannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760127930 PECOS PAC ID: 9931571171 Enrollment ID: I20230216000023 |
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