| Garden State Specialty Care, Llc | |
|
1418 New Rd Ste 2 Northfield NJ 08225-1179 | |
| (609) 796-2119 | |
| Not Available |
| Full Name | Garden State Specialty Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1418 New Rd Ste 2, Northfield, New Jersey |
| Authorized Official Name and Position | Ayeza Mohsin (OWNER) |
| Authorized Official Contact | 0979621196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Specialty Care, Llc 1418 New Rd Ste 2 Northfield NJ 08225-1179 Ph: (609) 642-2663 | Garden State Specialty Care, Llc 1418 New Rd Ste 2 Northfield NJ 08225-1179 Ph: (609) 796-2119 |
| NPI Number | 1851825947 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 07/02/2025 |
| Medicare PECOS PAC ID | 4385912492 |
|---|---|
| Medicare Enrollment ID | O20170614000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851825947 | NPI | - | NPPES |
| Provider Name | Mary Katharine Drennen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538103437 PECOS PAC ID: 7911809124 Enrollment ID: I20040127000097 |
| Provider Name | Matthew James Finnegan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003845223 PECOS PAC ID: 2668454109 Enrollment ID: I20041013001018 |
| Provider Name | Regina M Mazzuca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154404796 PECOS PAC ID: 1658397849 Enrollment ID: I20051018000015 |
| Provider Name | Lisa A Dructor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245296169 PECOS PAC ID: 0840353124 Enrollment ID: I20090113000355 |
| Provider Name | Cheryl S Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518149202 PECOS PAC ID: 0648456053 Enrollment ID: I20110519000731 |
| Provider Name | Athanasios G Papastamelos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821051277 PECOS PAC ID: 0648206680 Enrollment ID: I20110609000670 |
| Provider Name | Judith L Genova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477616498 PECOS PAC ID: 9032378419 Enrollment ID: I20120307000764 |
| Provider Name | Julia Lee Bornmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275957466 PECOS PAC ID: 3072745405 Enrollment ID: I20140416002115 |
| Provider Name | Diane Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063753473 PECOS PAC ID: 6608187257 Enrollment ID: I20150831000728 |
| Provider Name | Robert James Beto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346309267 PECOS PAC ID: 5890735021 Enrollment ID: I20170113000101 |
| Provider Name | Samantha Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578085072 PECOS PAC ID: 4284907049 Enrollment ID: I20170830002674 |
| Provider Name | Beth Anne Addis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952826612 PECOS PAC ID: 5092089003 Enrollment ID: I20170914001174 |
| Provider Name | Kelley Tasca-fiorelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568933125 PECOS PAC ID: 8426398413 Enrollment ID: I20190329001535 |
| Provider Name | Megan C Daltwas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346995081 PECOS PAC ID: 7315333622 Enrollment ID: I20220413000056 |
| Provider Name | Orsalia Palapanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861254690 PECOS PAC ID: 4587003546 Enrollment ID: I20240423004261 |
| Provider Name | Gina Haber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154160414 PECOS PAC ID: 5799227344 Enrollment ID: I20240611001061 |
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