| Harkaway LLC | |
|
1220 Tilton Rd Northfield NJ 08225-1809 | |
| (609) 377-5090 | |
| Not Available |
| Full Name | Harkaway LLC |
|---|---|
| Speciality | General Practice |
| Location | 1220 Tilton Rd, Northfield, New Jersey |
| Authorized Official Name and Position | Richard Harkaway (OWNER) |
| Authorized Official Contact | 6106597511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harkaway LLC 132 Country Club Dr Moorestown NJ 08057-3974 Ph: (609) 969-7651 | Harkaway LLC 1220 Tilton Rd Northfield NJ 08225-1809 Ph: (609) 377-5090 |
| NPI Number | 1447717962 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 0941542120 |
|---|---|
| Medicare Enrollment ID | O20190509000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447717962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Lori a Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518068519 PECOS PAC ID: 3678534351 Enrollment ID: I20041026000236 |
| Provider Name | Clare L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710162995 PECOS PAC ID: 1557444890 Enrollment ID: I20080211000375 |
| Provider Name | Kelley Tasca-fiorelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568933125 PECOS PAC ID: 8426398413 Enrollment ID: I20190329001535 |
| Provider Name | Yuliya Albu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740763788 PECOS PAC ID: 5698029221 Enrollment ID: I20201215002874 |
| Provider Name | Maribel Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154090439 PECOS PAC ID: 6608266606 Enrollment ID: I20211207000482 |
| Provider Name | Pinky Adda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447973144 PECOS PAC ID: 4183090061 Enrollment ID: I20221018000890 |
| Provider Name | Rosemary Mbam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477858397 PECOS PAC ID: 1052707577 Enrollment ID: I20230316000009 |
| Provider Name | Geralda Gelus-jules |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881950269 PECOS PAC ID: 8022463389 Enrollment ID: I20231006002227 |
| Provider Name | Deborah Niles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376569715 PECOS PAC ID: 3072744143 Enrollment ID: I20250123001047 |
| Provider Name | Okwuchi Adodo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922547090 PECOS PAC ID: 0840551404 Enrollment ID: I20260128001072 |
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