| Meridian Medical Group - Specialty Care, Pc | |
|
15 Exchange Pl Ste 503 Jersey City NJ 07302-3914 | |
| (888) 663-6331 | |
| (415) 252-7176 |
| Full Name | Meridian Medical Group - Specialty Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Exchange Pl Ste 503, Jersey City, New Jersey |
| Authorized Official Name and Position | Daniel Varga (PRESIDENT) |
| Authorized Official Contact | 2016947924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Medical Group - Specialty Care, Pc Po Box 95000-8923 Philadelphia PA 19195-0001 Ph: () - | Meridian Medical Group - Specialty Care, Pc 15 Exchange Pl Ste 503 Jersey City NJ 07302-3914 Ph: (888) 663-6331 |
| NPI Number | 1275362105 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 12/12/2024 |
| Medicare PECOS PAC ID | 6507962206 |
|---|---|
| Medicare Enrollment ID | O20070425000673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275362105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shaddy K Younan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881665693 PECOS PAC ID: 6507763349 Enrollment ID: I20031218000449 |
| Provider Name | Kivarkis Y Younan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568442648 PECOS PAC ID: 6800793894 Enrollment ID: I20031219000031 |
| Provider Name | Michael E Keelan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316026933 PECOS PAC ID: 2062311996 Enrollment ID: I20040108000641 |
| Provider Name | Josephine Filardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174602858 PECOS PAC ID: 7719886662 Enrollment ID: I20040108000738 |
| Provider Name | Deborah Saez-lacy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245319888 PECOS PAC ID: 0042119901 Enrollment ID: I20040108000764 |
| Provider Name | Todd Y Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396733812 PECOS PAC ID: 2567365711 Enrollment ID: I20040127000976 |
| Provider Name | Steven A Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609882554 PECOS PAC ID: 3678469079 Enrollment ID: I20040224000202 |
| Provider Name | Usha Niranjan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396733077 PECOS PAC ID: 8325936214 Enrollment ID: I20040310001150 |
| Provider Name | Jeffrey C Hager |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992706030 PECOS PAC ID: 8628068335 Enrollment ID: I20040524001264 |
| Provider Name | Michael Piscopiello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326000464 PECOS PAC ID: 8325021645 Enrollment ID: I20040609000284 |
| Provider Name | David H Moskowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063492411 PECOS PAC ID: 6305820804 Enrollment ID: I20040614000990 |
| Provider Name | Bokran Won |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023049194 PECOS PAC ID: 1557345634 Enrollment ID: I20040616000402 |
| Provider Name | Steven Goldberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487688537 PECOS PAC ID: 9234116518 Enrollment ID: I20040706000188 |
| Provider Name | Jorge F Corzo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497741367 PECOS PAC ID: 3577533280 Enrollment ID: I20040729000970 |
| Provider Name | Scott R Cluley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568434157 PECOS PAC ID: 7618963778 Enrollment ID: I20040730000023 |
| Provider Name | Frank J Sharp |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861465338 PECOS PAC ID: 1254327315 Enrollment ID: I20040730000040 |
| Provider Name | Susan Pacana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497700389 PECOS PAC ID: 1355314931 Enrollment ID: I20040813000285 |
| Provider Name | Paul K Chung |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669525093 PECOS PAC ID: 1759355886 Enrollment ID: I20040824000517 |
| Provider Name | Frederic Dewil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790711810 PECOS PAC ID: 1355317306 Enrollment ID: I20040909001235 |
| Provider Name | Steven Koerner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558434308 PECOS PAC ID: 7315906211 Enrollment ID: I20041006001257 |
| Provider Name | Peter A Rienzo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033166285 PECOS PAC ID: 1052371739 Enrollment ID: I20041018000109 |
| Provider Name | Harendra Mehta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104824028 PECOS PAC ID: 6507827870 Enrollment ID: I20041020000553 |
| Provider Name | Nina K Regevik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548347446 PECOS PAC ID: 4789645508 Enrollment ID: I20041025000360 |
| Provider Name | Khalid M Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023001252 PECOS PAC ID: 6305809807 Enrollment ID: I20041105000541 |
| Provider Name | Ajit Desai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609818640 PECOS PAC ID: 8022071554 Enrollment ID: I20041105000723 |
| Provider Name | Michael P Delrosario |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427158831 PECOS PAC ID: 9931162898 Enrollment ID: I20041111000017 |
| Provider Name | Nasir Mahmood Ahmad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598730186 PECOS PAC ID: 5395659650 Enrollment ID: I20041124000462 |
| Provider Name | Brian T Gottesman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306874615 PECOS PAC ID: 9436116670 Enrollment ID: I20041220000300 |
| Provider Name | Monte B Pellmar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700940954 PECOS PAC ID: 4587613963 Enrollment ID: I20050113000196 |
| Provider Name | Christine M Landes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710990023 PECOS PAC ID: 0143275875 Enrollment ID: I20050316000105 |
| Provider Name | Louis Steven Zukerman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326015306 PECOS PAC ID: 8628015336 Enrollment ID: I20050414000332 |
| Provider Name | Nathaniel J Holmes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801868187 PECOS PAC ID: 5991747693 Enrollment ID: I20050524000058 |
| Provider Name | Charles P Fernicola |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063472694 PECOS PAC ID: 4981647120 Enrollment ID: I20050608000345 |
| Provider Name | Gara M Sommers |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508801432 PECOS PAC ID: 3375587850 Enrollment ID: I20050615000566 |
| Provider Name | Drew P Greeley |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518968932 PECOS PAC ID: 5799760724 Enrollment ID: I20050620000567 |
| Provider Name | Adriann S Schram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265419634 PECOS PAC ID: 6204871247 Enrollment ID: I20050621000806 |
| Provider Name | Anthony P Yudd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699751172 PECOS PAC ID: 9537195318 Enrollment ID: I20050713000231 |
| Provider Name | William D Ko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851496681 PECOS PAC ID: 0446286272 Enrollment ID: I20050713000691 |
| Provider Name | James N Heller |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972546083 PECOS PAC ID: 1759318264 Enrollment ID: I20050726000630 |
| Provider Name | Alejandro L Rodriguez |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609877786 PECOS PAC ID: 7416932447 Enrollment ID: I20050805000215 |
| Provider Name | Jocelyn Carlo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346235322 PECOS PAC ID: 1557399789 Enrollment ID: I20050808000682 |
| Provider Name | Louise M Dowling Krall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356409775 PECOS PAC ID: 2062441983 Enrollment ID: I20050810000770 |
| Provider Name | Patricia G Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316005093 PECOS PAC ID: 4789614405 Enrollment ID: I20050812000631 |
| Provider Name | Stephen J Windsor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902885122 PECOS PAC ID: 2264462431 Enrollment ID: I20050817000435 |
| Provider Name | Joseph E Cauda |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891771358 PECOS PAC ID: 3577593797 Enrollment ID: I20050817000821 |
| Provider Name | Rainier V Aquino |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396718862 PECOS PAC ID: 5991735128 Enrollment ID: I20050817000942 |
| Provider Name | Sung W Kwon |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891767497 PECOS PAC ID: 2365472321 Enrollment ID: I20050818000879 |
| Provider Name | Murray D Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306829924 PECOS PAC ID: 7012947971 Enrollment ID: I20050819000560 |
| Provider Name | Laura A Grygotis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609859610 PECOS PAC ID: 9133150949 Enrollment ID: I20050822000945 |
| Provider Name | Lina F Paster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770568628 PECOS PAC ID: 1254362734 Enrollment ID: I20050824000682 |
| Provider Name | Feza Sevket Tunc |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144208588 PECOS PAC ID: 0749211852 Enrollment ID: I20050829000771 |
| Provider Name | Grace M Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912989435 PECOS PAC ID: 5991738908 Enrollment ID: I20050912000203 |
| Provider Name | George J Saviano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295808889 PECOS PAC ID: 7214961952 Enrollment ID: I20050922000548 |
| Provider Name | Cristina C Ciorlian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730160862 PECOS PAC ID: 1456377241 Enrollment ID: I20051020000841 |
| Provider Name | Joanne V Chichetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861469033 PECOS PAC ID: 7517984214 Enrollment ID: I20051101000940 |
| Provider Name | Lawrence G Vanhorn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780631036 PECOS PAC ID: 8729007265 Enrollment ID: I20051115000121 |
| Provider Name | Christopher J Fabricant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275502072 PECOS PAC ID: 7810918950 Enrollment ID: I20051216000057 |
| Provider Name | Andrew N Blechman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841266921 PECOS PAC ID: 0446271589 Enrollment ID: I20051216000062 |
| Provider Name | Rebecca J Cipriano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396790135 PECOS PAC ID: 4587688379 Enrollment ID: I20060119000560 |
| Provider Name | Jonathan D Baum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760421978 PECOS PAC ID: 3375567175 Enrollment ID: I20060119000588 |
| Provider Name | Amy F Eschinger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396713418 PECOS PAC ID: 3971517251 Enrollment ID: I20060126000361 |
| Provider Name | Joseph Vaydovsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609800564 PECOS PAC ID: 5496760472 Enrollment ID: I20060216000101 |
| Provider Name | Noelle Aikman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821057522 PECOS PAC ID: 8426066739 Enrollment ID: I20060329000035 |
| Provider Name | Margaret S Levinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932253168 PECOS PAC ID: 2769586478 Enrollment ID: I20070404000503 |
| Provider Name | Owobamishola Adanma Shonowo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114966157 PECOS PAC ID: 0143126946 Enrollment ID: I20070418000345 |
| Provider Name | Madho K Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134111883 PECOS PAC ID: 3678678760 Enrollment ID: I20070418000363 |
| Provider Name | Pamela Brug |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710950639 PECOS PAC ID: 1355446444 Enrollment ID: I20070418000393 |
| Provider Name | Tommy K Ng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750345237 PECOS PAC ID: 0749385672 Enrollment ID: I20070420000286 |
| Provider Name | Melissa Weeks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063572709 PECOS PAC ID: 5395840177 Enrollment ID: I20070424000280 |
| Provider Name | Sara Jane Mcgee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437144409 PECOS PAC ID: 8123125937 Enrollment ID: I20070511000577 |
| Provider Name | Marina Rabkin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962527424 PECOS PAC ID: 3072611185 Enrollment ID: I20070612000779 |
| Provider Name | James S Brock |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477549954 PECOS PAC ID: 3375510118 Enrollment ID: I20070616000070 |
| Provider Name | David B Greenberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053413500 PECOS PAC ID: 9436259439 Enrollment ID: I20070705000045 |
| Provider Name | Ziad G Hanhan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841306149 PECOS PAC ID: 7214038819 Enrollment ID: I20070726000535 |
| Provider Name | Ginja M Morreale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700081536 PECOS PAC ID: 9335233071 Enrollment ID: I20070926000019 |
| Provider Name | Paul M Kostoulakos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982817326 PECOS PAC ID: 0345337994 Enrollment ID: I20071030000391 |
| Provider Name | Neeti V Misra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699967323 PECOS PAC ID: 1658468657 Enrollment ID: I20071107000401 |
| Provider Name | Zyad Younan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1114147220 PECOS PAC ID: 7517056351 Enrollment ID: I20071203000167 |
| Provider Name | Evan C Naylor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881805968 PECOS PAC ID: 8921184706 Enrollment ID: I20080319000184 |
| Provider Name | Wayne E Steinbeck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265534978 PECOS PAC ID: 7416033832 Enrollment ID: I20080326000461 |
| Provider Name | Michael J Levitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891979381 PECOS PAC ID: 0547347544 Enrollment ID: I20080401000479 |
| Provider Name | Debra E Camal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902833312 PECOS PAC ID: 6608946942 Enrollment ID: I20080529000600 |
| Provider Name | Sue Y Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194932350 PECOS PAC ID: 9335210442 Enrollment ID: I20080618000008 |
| Provider Name | Simon A Salerno |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962455303 PECOS PAC ID: 6800890435 Enrollment ID: I20080630000082 |
| Provider Name | Kathleen M Porsch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659349124 PECOS PAC ID: 8820163702 Enrollment ID: I20080813000210 |
| Provider Name | Kamlesh Manher Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811094204 PECOS PAC ID: 1951341650 Enrollment ID: I20080825000229 |
| Provider Name | Ellen Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710912480 PECOS PAC ID: 2860491321 Enrollment ID: I20080828000323 |
| Provider Name | Natalia Raoof |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871761403 PECOS PAC ID: 1153497763 Enrollment ID: I20080905000262 |
| Provider Name | Shabbar F Danish |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881757268 PECOS PAC ID: 6901961036 Enrollment ID: I20090224000406 |
| Provider Name | Parini Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073780854 PECOS PAC ID: 7315095619 Enrollment ID: I20090424000220 |
| Provider Name | Marnie Rosenthal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790733921 PECOS PAC ID: 7810046844 Enrollment ID: I20090522000190 |
| Provider Name | Erin D Carney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083882963 PECOS PAC ID: 8123199643 Enrollment ID: I20090528000226 |
| Provider Name | Garland Herron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497808752 PECOS PAC ID: 9739285545 Enrollment ID: I20090625000006 |
| Provider Name | Dana F Pratola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023252764 PECOS PAC ID: 3678624863 Enrollment ID: I20090629000458 |
| Provider Name | Jatin K Desani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689868440 PECOS PAC ID: 7113064551 Enrollment ID: I20091016000453 |
| Provider Name | Lauren Fischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366657181 PECOS PAC ID: 2668533787 Enrollment ID: I20091102000058 |
| Provider Name | William Maggio |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588623987 PECOS PAC ID: 7911801725 Enrollment ID: I20091222000115 |
| Provider Name | Dawn B Berman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780725424 PECOS PAC ID: 7113069030 Enrollment ID: I20100115000029 |
| Provider Name | Eric L Winarsky |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144303421 PECOS PAC ID: 3375686868 Enrollment ID: I20100205000373 |
| Provider Name | Deborah Caputo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013105634 PECOS PAC ID: 1355476201 Enrollment ID: I20100317000106 |
| Provider Name | Kirtikumar Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588790281 PECOS PAC ID: 0648325019 Enrollment ID: I20100420000295 |
| Provider Name | Tammy A Yanci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518941848 PECOS PAC ID: 2365572039 Enrollment ID: I20100608000256 |
| Provider Name | William Edward Reed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649343492 PECOS PAC ID: 8527000488 Enrollment ID: I20100902000921 |
| Provider Name | Graciano Avendano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104999705 PECOS PAC ID: 8022145796 Enrollment ID: I20101109001354 |
| Provider Name | William Lerner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417939810 PECOS PAC ID: 9133280159 Enrollment ID: I20101111000048 |
| Provider Name | Paula Canterino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548349145 PECOS PAC ID: 6204021603 Enrollment ID: I20101111000175 |
| Provider Name | Peter Mencel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609858455 PECOS PAC ID: 6406917426 Enrollment ID: I20101111000976 |
| Provider Name | Kenneth Treadwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659347086 PECOS PAC ID: 0244425155 Enrollment ID: I20101117000235 |
| Provider Name | Aasim Kazmi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770612111 PECOS PAC ID: 6608912720 Enrollment ID: I20101216000836 |
| Provider Name | Kathleen S Walsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851374045 PECOS PAC ID: 1052590841 Enrollment ID: I20110126000218 |
| Provider Name | Andrew H Boyarsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649349465 PECOS PAC ID: 7517146277 Enrollment ID: I20110126001082 |
| Provider Name | Margaret Lambert-woolley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528027984 PECOS PAC ID: 8820981335 Enrollment ID: I20110127001030 |
| Provider Name | Robert C Tomaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972586162 PECOS PAC ID: 5193904779 Enrollment ID: I20110128000143 |
| Provider Name | Rocco J Dipaola |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285692053 PECOS PAC ID: 0547158305 Enrollment ID: I20110228000720 |
| Provider Name | Sandra Escandon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114985942 PECOS PAC ID: 0648168401 Enrollment ID: I20110309000837 |
| Provider Name | Betty A Ditillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619958659 PECOS PAC ID: 8729261276 Enrollment ID: I20110322000433 |
| Provider Name | Arthur O Keefe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891765269 PECOS PAC ID: 1355382342 Enrollment ID: I20110401000306 |
| Provider Name | Rajinder Sharma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356357438 PECOS PAC ID: 9032394622 Enrollment ID: I20110426000034 |
| Provider Name | Aristotelis Vlahos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184694028 PECOS PAC ID: 5890736888 Enrollment ID: I20110502000042 |
| Provider Name | Dragana Jokic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700081163 PECOS PAC ID: 7618154758 Enrollment ID: I20110527000059 |
| Provider Name | Angela R Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558357640 PECOS PAC ID: 9032142823 Enrollment ID: I20110602000630 |
| Provider Name | David J Frank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174633648 PECOS PAC ID: 6406943273 Enrollment ID: I20110603000008 |
| Provider Name | Robert J Terranova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871538330 PECOS PAC ID: 5698952075 Enrollment ID: I20110613000408 |
| Provider Name | Alexander P Russoniello |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497847990 PECOS PAC ID: 2860418829 Enrollment ID: I20110728000500 |
| Provider Name | Dana B Jacoby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356311609 PECOS PAC ID: 7113196411 Enrollment ID: I20110802000740 |
| Provider Name | Meghan I. Rattigan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003116971 PECOS PAC ID: 2961671839 Enrollment ID: I20110810000215 |
| Provider Name | Joseph A Cipriano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346295979 PECOS PAC ID: 8224038682 Enrollment ID: I20111103000072 |
| Provider Name | Emma C Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740288406 PECOS PAC ID: 3173797768 Enrollment ID: I20111116000622 |
| Provider Name | Angela M Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245514793 PECOS PAC ID: 1658545983 Enrollment ID: I20111122000453 |
| Provider Name | Jesus Leandro G Almendral |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346408689 PECOS PAC ID: 1759435548 Enrollment ID: I20120202000083 |
| Provider Name | Susan L Gatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447581368 PECOS PAC ID: 0648439679 Enrollment ID: I20120312000580 |
| Provider Name | Donald A Cugini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225028640 PECOS PAC ID: 4587721105 Enrollment ID: I20120420000448 |
| Provider Name | Benjamin Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538448873 PECOS PAC ID: 6204091747 Enrollment ID: I20120706000311 |
| Provider Name | Mary Sedarous |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114187465 PECOS PAC ID: 0042476046 Enrollment ID: I20120719000048 |
| Provider Name | Jennifer Zaitz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205031911 PECOS PAC ID: 5395901656 Enrollment ID: I20120801000053 |
| Provider Name | Tricia L Morino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881831998 PECOS PAC ID: 7810143179 Enrollment ID: I20120802000328 |
| Provider Name | Stephanie M Depiano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750636239 PECOS PAC ID: 6507013901 Enrollment ID: I20120820000736 |
| Provider Name | Kristen Lore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063770568 PECOS PAC ID: 9032366836 Enrollment ID: I20120830000181 |
| Provider Name | Pamela S Schultz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720335037 PECOS PAC ID: 3072758192 Enrollment ID: I20130320000581 |
| Provider Name | David S Zukoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023089778 PECOS PAC ID: 8426295049 Enrollment ID: I20130518000009 |
| Provider Name | Diane Ditusa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225283278 PECOS PAC ID: 2365682317 Enrollment ID: I20130716000055 |
| Provider Name | Joanne Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336312271 PECOS PAC ID: 7214171412 Enrollment ID: I20130909000732 |
| Provider Name | Reema A Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346546462 PECOS PAC ID: 4385879600 Enrollment ID: I20131022001724 |
| Provider Name | Jenifer Mcewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093144321 PECOS PAC ID: 5294965752 Enrollment ID: I20140228000738 |
| Provider Name | Leslie Diann Meneguzzo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982932067 PECOS PAC ID: 7012052665 Enrollment ID: I20140304001123 |
| Provider Name | Denis G D Angelo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326025842 PECOS PAC ID: 9032197157 Enrollment ID: I20140312000107 |
| Provider Name | Elizabeth M Ebner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427203272 PECOS PAC ID: 7719101195 Enrollment ID: I20140605001672 |
| Provider Name | David B Duncan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053364430 PECOS PAC ID: 0840294377 Enrollment ID: I20140811000151 |
| Provider Name | Melissa A Reynon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447572474 PECOS PAC ID: 3375761174 Enrollment ID: I20140820000024 |
| Provider Name | Mohamed Hasham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982985594 PECOS PAC ID: 8527232420 Enrollment ID: I20140821000521 |
| Provider Name | Rodney Capiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174586333 PECOS PAC ID: 0446269849 Enrollment ID: I20140821001854 |
| Provider Name | Catherine Campo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255586962 PECOS PAC ID: 0941428502 Enrollment ID: I20140825000832 |
| Provider Name | Sulay Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386075224 PECOS PAC ID: 0547489155 Enrollment ID: I20140915000099 |
| Provider Name | Nina Bhatia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295960706 PECOS PAC ID: 4385794171 Enrollment ID: I20140919000165 |
| Provider Name | Dennis Vega |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750571253 PECOS PAC ID: 2860660693 Enrollment ID: I20140929001089 |
| Provider Name | Henry Park |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427219807 PECOS PAC ID: 4880814532 Enrollment ID: I20141001002122 |
| Provider Name | Thomas Bauer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679551717 PECOS PAC ID: 1658350921 Enrollment ID: I20141016000981 |
| Provider Name | Charles Warwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306250071 PECOS PAC ID: 3678794260 Enrollment ID: I20141023002073 |
| Provider Name | Chetan Anand |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649246760 PECOS PAC ID: 3779543236 Enrollment ID: I20141126001542 |
| Provider Name | Madhurima Anne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326287624 PECOS PAC ID: 9335382209 Enrollment ID: I20141219001764 |
| Provider Name | Cheryl L. Goodlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235534900 PECOS PAC ID: 8729301296 Enrollment ID: I20150108002062 |
| Provider Name | Marlene Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942603584 PECOS PAC ID: 4880910488 Enrollment ID: I20150225001589 |
| Provider Name | Yanill Hernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801101472 PECOS PAC ID: 8729308499 Enrollment ID: I20150520000826 |
| Provider Name | Melissa L Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154718393 PECOS PAC ID: 4880905074 Enrollment ID: I20150615000811 |
| Provider Name | Suzette S Catong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013343201 PECOS PAC ID: 9830401074 Enrollment ID: I20150701000928 |
| Provider Name | Habib Khan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437393063 PECOS PAC ID: 2365756095 Enrollment ID: I20150807014986 |
| Provider Name | Mohamad S Ani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134517121 PECOS PAC ID: 6901112630 Enrollment ID: I20150826001144 |
| Provider Name | Blair R. Gumnic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043657059 PECOS PAC ID: 3375850738 Enrollment ID: I20150916003365 |
| Provider Name | Kristen C Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689006272 PECOS PAC ID: 6103135975 Enrollment ID: I20151016001872 |
| Provider Name | Jonathan L Turkish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851446272 PECOS PAC ID: 2567772031 Enrollment ID: I20151112002279 |
| Provider Name | Javier Soares Velez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275854747 PECOS PAC ID: 7012217045 Enrollment ID: I20151124001409 |
| Provider Name | Devon Orzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013194927 PECOS PAC ID: 1658440235 Enrollment ID: I20151130000059 |
| Provider Name | Laura M Mazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538599766 PECOS PAC ID: 2365743945 Enrollment ID: I20151228000712 |
| Provider Name | Beth A Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235488594 PECOS PAC ID: 9133423742 Enrollment ID: I20160202001215 |
| Provider Name | Yolanda Tammaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598927477 PECOS PAC ID: 8729238001 Enrollment ID: I20160222001969 |
| Provider Name | Jordan M Yakoby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364375 PECOS PAC ID: 4587961834 Enrollment ID: I20160331000861 |
| Provider Name | Melisa Telemaque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346611894 PECOS PAC ID: 8426367681 Enrollment ID: I20160415001031 |
| Provider Name | Neelam Gidwaney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538320551 PECOS PAC ID: 6406154830 Enrollment ID: I20160418001839 |
| Provider Name | Abigail S Whetstone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437599610 PECOS PAC ID: 8628360781 Enrollment ID: I20160711000452 |
| Provider Name | Kevin Thomas Gioia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053578831 PECOS PAC ID: 8325260664 Enrollment ID: I20160809001274 |
| Provider Name | Lisa Sussman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679686786 PECOS PAC ID: 2062707623 Enrollment ID: I20160822000175 |
| Provider Name | Vladimir Klinov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194764076 PECOS PAC ID: 6800181496 Enrollment ID: I20160822001162 |
| Provider Name | Paulina Sedutto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679735005 PECOS PAC ID: 3870881527 Enrollment ID: I20161012000741 |
| Provider Name | Veronique M Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700240397 PECOS PAC ID: 2365730801 Enrollment ID: I20161015000160 |
| Provider Name | Lydia Mcguigan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326334517 PECOS PAC ID: 4587942446 Enrollment ID: I20161027000409 |
| Provider Name | Leisha Jackucewicz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205378452 PECOS PAC ID: 8224310180 Enrollment ID: I20170130000929 |
| Provider Name | Mary Ellen Reavey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497113237 PECOS PAC ID: 1951685916 Enrollment ID: I20170313000089 |
| Provider Name | Joanne Ferrer Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396100020 PECOS PAC ID: 2961786926 Enrollment ID: I20170522002741 |
| Provider Name | Sandra C Nagy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093269813 PECOS PAC ID: 8820366677 Enrollment ID: I20170620000211 |
| Provider Name | Suzanne Frasca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124003355 PECOS PAC ID: 2264450030 Enrollment ID: I20170627000196 |
| Provider Name | Tina Tredici |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740358746 PECOS PAC ID: 3971607540 Enrollment ID: I20170628000699 |
| Provider Name | Stephanie L Adamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851826143 PECOS PAC ID: 8820369085 Enrollment ID: I20170807000261 |
| Provider Name | Evgeniya Sokolovskaya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306164918 PECOS PAC ID: 4486926300 Enrollment ID: I20170828000358 |
| Provider Name | Lesli S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992178883 PECOS PAC ID: 6709150196 Enrollment ID: I20170925000310 |
| Provider Name | Rebecca L Barnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497276695 PECOS PAC ID: 0042585093 Enrollment ID: I20171002002103 |
| Provider Name | Laurie A Kane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093894297 PECOS PAC ID: 8123011756 Enrollment ID: I20171020000359 |
| Provider Name | Bridget Anne Tracy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366670473 PECOS PAC ID: 6901030998 Enrollment ID: I20171024003425 |
| Provider Name | David C Leopold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023082518 PECOS PAC ID: 1456329515 Enrollment ID: I20171027002593 |
| Provider Name | Ruth Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790224087 PECOS PAC ID: 6406112119 Enrollment ID: I20171114001072 |
| Provider Name | Vincent J Froncek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396136487 PECOS PAC ID: 9133486624 Enrollment ID: I20171208002359 |
| Provider Name | Nicole Maccini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659899706 PECOS PAC ID: 7113285289 Enrollment ID: I20171219000337 |
| Provider Name | Angela Mary Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235157819 PECOS PAC ID: 6406866086 Enrollment ID: I20171220000518 |
| Provider Name | Francis J Schanne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427152511 PECOS PAC ID: 1850322439 Enrollment ID: I20180108001226 |
| Provider Name | Yevgeniy Latyshev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225342439 PECOS PAC ID: 2769616390 Enrollment ID: I20180222001397 |
| Provider Name | Mary K Brighton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588172829 PECOS PAC ID: 8628330545 Enrollment ID: I20180313000186 |
| Provider Name | Marissa A Winters |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255839908 PECOS PAC ID: 5799047395 Enrollment ID: I20180320000146 |
| Provider Name | Rhonda L Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437664430 PECOS PAC ID: 3971865205 Enrollment ID: I20180326000418 |
| Provider Name | Keith Philip Pasichow |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366754517 PECOS PAC ID: 9739470584 Enrollment ID: I20180403002340 |
| Provider Name | Victoria Finnegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578805297 PECOS PAC ID: 4688812977 Enrollment ID: I20180418000961 |
| Provider Name | Kristen Renee Beer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053722140 PECOS PAC ID: 3375769250 Enrollment ID: I20180504000859 |
| Provider Name | Katelyn Daniel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487141412 PECOS PAC ID: 0648534206 Enrollment ID: I20180507001147 |
| Provider Name | Dawn Michelle Calabrese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720587017 PECOS PAC ID: 8123383601 Enrollment ID: I20180604002483 |
| Provider Name | Hinda Lemdani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952646374 PECOS PAC ID: 0941422265 Enrollment ID: I20180606000220 |
| Provider Name | Kristen Leigh Aland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871904482 PECOS PAC ID: 7315164035 Enrollment ID: I20180717003078 |
| Provider Name | Vikalp Jain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073747705 PECOS PAC ID: 7315162062 Enrollment ID: I20180910001612 |
| Provider Name | Satishkiran Reddy Kedika |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225321250 PECOS PAC ID: 0446538631 Enrollment ID: I20181005000721 |
| Provider Name | Jamie Leigh Deuchler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205328101 PECOS PAC ID: 1557613866 Enrollment ID: I20181016000855 |
| Provider Name | Elizabeth A. Costanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508357922 PECOS PAC ID: 2961755863 Enrollment ID: I20181023001425 |
| Provider Name | Dana L Dolce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548329865 PECOS PAC ID: 0143221911 Enrollment ID: I20190228000556 |
| Provider Name | Ruchi D Bhatt |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265773865 PECOS PAC ID: 6002155892 Enrollment ID: I20190626000158 |
| Provider Name | Erin Elizabeth Curcio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164890190 PECOS PAC ID: 0547597239 Enrollment ID: I20190802001417 |
| Provider Name | Annmarie Mcdade |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447812698 PECOS PAC ID: 5092042515 Enrollment ID: I20190807000226 |
| Provider Name | Yogendra R Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922086933 PECOS PAC ID: 6709925589 Enrollment ID: I20190909002681 |
| Provider Name | Yeva Mui Fernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629332663 PECOS PAC ID: 6709154941 Enrollment ID: I20190916000007 |
| Provider Name | Theresa Ann Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902316565 PECOS PAC ID: 4587904560 Enrollment ID: I20191030001878 |
| Provider Name | Allison P Hitchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588909949 PECOS PAC ID: 7214157049 Enrollment ID: I20200113000342 |
| Provider Name | Svetlana L. Krasnova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265079990 PECOS PAC ID: 4486089158 Enrollment ID: I20200128000141 |
| Provider Name | Shwetha Shrivatsa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699000158 PECOS PAC ID: 6800023771 Enrollment ID: I20200130000390 |
| Provider Name | Stephanie Krausser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326671264 PECOS PAC ID: 0143658815 Enrollment ID: I20200311000409 |
| Provider Name | Joe C Matias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575600 PECOS PAC ID: 1557332392 Enrollment ID: I20200518003112 |
| Provider Name | Stephanie Scianni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245680016 PECOS PAC ID: 7416372610 Enrollment ID: I20200805001765 |
| Provider Name | Stacey Rodgers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144577438 PECOS PAC ID: 5496174971 Enrollment ID: I20201001003366 |
| Provider Name | Michelle Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598373375 PECOS PAC ID: 8022428820 Enrollment ID: I20201106000191 |
| Provider Name | Julie Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093321077 PECOS PAC ID: 7315359221 Enrollment ID: I20201217002947 |
| Provider Name | Kathleen Finch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063000313 PECOS PAC ID: 6406260421 Enrollment ID: I20210202001435 |
| Provider Name | Mary Cathleen Van Der Net |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659974186 PECOS PAC ID: 0143634139 Enrollment ID: I20210203000694 |
| Provider Name | Krysta Berkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750983169 PECOS PAC ID: 7012322829 Enrollment ID: I20210209000008 |
| Provider Name | Kimberly Anne Egarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639532385 PECOS PAC ID: 0547556102 Enrollment ID: I20210419000024 |
| Provider Name | Harriet Borofsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033162912 PECOS PAC ID: 6901979657 Enrollment ID: I20210428002286 |
| Provider Name | Jennifer Johansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942758859 PECOS PAC ID: 7517376098 Enrollment ID: I20210513001244 |
| Provider Name | Corey Ann Albanese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841885746 PECOS PAC ID: 5496154700 Enrollment ID: I20210518002675 |
| Provider Name | Lacey Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588255947 PECOS PAC ID: 3476952953 Enrollment ID: I20210603001848 |
| Provider Name | Ellen Anne Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811519499 PECOS PAC ID: 3971903360 Enrollment ID: I20210607000313 |
| Provider Name | Carlos Silva Correia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598179178 PECOS PAC ID: 4789004953 Enrollment ID: I20210616000621 |
| Provider Name | Lauren Esme Tennyson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821350315 PECOS PAC ID: 1658787601 Enrollment ID: I20210628002001 |
| Provider Name | Joshua Bramson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902937105 PECOS PAC ID: 8820349913 Enrollment ID: I20210629002642 |
| Provider Name | Ryan Tourtellot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134482375 PECOS PAC ID: 7618370339 Enrollment ID: I20210719002507 |
| Provider Name | Nicole Marcantuono |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598968521 PECOS PAC ID: 7719133685 Enrollment ID: I20210723001841 |
| Provider Name | Barbara B Lutz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255526489 PECOS PAC ID: 8022411099 Enrollment ID: I20210728002082 |
| Provider Name | William Weeks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205367109 PECOS PAC ID: 3577969245 Enrollment ID: I20210903000492 |
| Provider Name | Patricia Mezzina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275126591 PECOS PAC ID: 8527464130 Enrollment ID: I20210908000270 |
| Provider Name | Kaitlyn Bender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164192027 PECOS PAC ID: 4284032210 Enrollment ID: I20211006000584 |
| Provider Name | Thomas Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437190576 PECOS PAC ID: 0941197982 Enrollment ID: I20211012000252 |
| Provider Name | Maria Tessinari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811569718 PECOS PAC ID: 2860890274 Enrollment ID: I20211014001592 |
| Provider Name | Latrese Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336818749 PECOS PAC ID: 2961890249 Enrollment ID: I20211020000447 |
| Provider Name | Lisa Medora Blomgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003587056 PECOS PAC ID: 5294123980 Enrollment ID: I20211029000857 |
| Provider Name | Tiffinny Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790930733 PECOS PAC ID: 2466644935 Enrollment ID: I20211202002714 |
| Provider Name | Deborah Demarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952950792 PECOS PAC ID: 1153711759 Enrollment ID: I20211213002325 |
| Provider Name | Michelle N Montalvo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871259697 PECOS PAC ID: 6608266200 Enrollment ID: I20211213002341 |
| Provider Name | Kruthika Shanmugam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811349822 PECOS PAC ID: 8921385865 Enrollment ID: I20220303002801 |
| Provider Name | Hoda K Elzawahry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972791002 PECOS PAC ID: 4183751241 Enrollment ID: I20220304000677 |
| Provider Name | Srivadee Oravivattanakul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306097084 PECOS PAC ID: 4385862333 Enrollment ID: I20220311001346 |
| Provider Name | Heather Horton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861754657 PECOS PAC ID: 0244476901 Enrollment ID: I20220315002519 |
| Provider Name | Roshani Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396912572 PECOS PAC ID: 4486725108 Enrollment ID: I20220317000908 |
| Provider Name | Sushma Manda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558524603 PECOS PAC ID: 7113051392 Enrollment ID: I20220328000652 |
| Provider Name | Lana Zhovtis Ryerson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831344308 PECOS PAC ID: 1456516103 Enrollment ID: I20220607000107 |
| Provider Name | Christina Mccourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851022354 PECOS PAC ID: 5193107704 Enrollment ID: I20220728003372 |
| Provider Name | Manthan Pandya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174009849 PECOS PAC ID: 7618359720 Enrollment ID: I20220805003052 |
| Provider Name | Nicholas J Russo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679005649 PECOS PAC ID: 3375880917 Enrollment ID: I20220813000830 |
| Provider Name | Ephrem Teklemariam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821452590 PECOS PAC ID: 4880016013 Enrollment ID: I20220815000451 |
| Provider Name | Kerry A Sheehan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1508360124 PECOS PAC ID: 7113300500 Enrollment ID: I20220817003220 |
| Provider Name | Lyndsay Deluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558020693 PECOS PAC ID: 3577946797 Enrollment ID: I20220819001672 |
| Provider Name | Aamir Malik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346681681 PECOS PAC ID: 9436442761 Enrollment ID: I20220910000048 |
| Provider Name | Michael Caparelli |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689051252 PECOS PAC ID: 3779993597 Enrollment ID: I20220912002269 |
| Provider Name | Arun Antony |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386899235 PECOS PAC ID: 8224274113 Enrollment ID: I20220912003051 |
| Provider Name | Joseph Eli Bouganim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588169437 PECOS PAC ID: 4385029966 Enrollment ID: I20220919000014 |
| Provider Name | Edwar A Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982196168 PECOS PAC ID: 3577810399 Enrollment ID: I20220921003225 |
| Provider Name | Ghasan S Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093004939 PECOS PAC ID: 2365751013 Enrollment ID: I20220929000268 |
| Provider Name | Tracey Juron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588196075 PECOS PAC ID: 4789923442 Enrollment ID: I20220930001727 |
| Provider Name | Nitesh Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326467408 PECOS PAC ID: 7315346665 Enrollment ID: I20221012000011 |
| Provider Name | Leo Neil Ligon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679104400 PECOS PAC ID: 5597137141 Enrollment ID: I20230208002850 |
Dr Mangia Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Washington Street, Jersey City, NJ 07302 Phone: 201-521-1100 | |
Monarch Medical Professionals Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Route 440 Ste 33, Jersey City, NJ 07304 Phone: 201-435-4558 Fax: 201-435-4588 | |
Hudson Internal Medicine Of Jersey City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 John F Kennedy Blvd, Jersey City, NJ 07305 Phone: 201-432-5222 Fax: 204-432-2503 | |
Ayra Primary Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Journal Square Plaza, Suite 502, Jersey City, NJ 07306 Phone: 201-763-7521 Fax: 201-763-7393 | |
Srha Med Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Town Square Pl Ste 1238, Jersey City, NJ 07310 Phone: 732-476-4942 | |
Premise Health Of New Jersey Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Hudson St Fl 30, Jersey City, NJ 07302 Phone: 201-942-2200 Fax: 201-685-6702 | |
Michelle Reisner, M.d., L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Jewett Ave, Jersey City, NJ 07304 Phone: 201-332-3354 Fax: 201-536-9047 |