| Holy Name Primary Care And Specialty Associates, Pc | |
|
718 Teaneck Rd Teaneck NJ 07666-4245 | |
| (201) 833-3000 | |
| (201) 227-6207 |
| Full Name | Holy Name Primary Care And Specialty Associates, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 718 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Patricia Beniquez Pacheco (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2018333000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Name Primary Care And Specialty Associates, Pc 3 University Plz Ste 205 Hackensack NJ 07601-6208 Ph: () - | Holy Name Primary Care And Specialty Associates, Pc 718 Teaneck Rd Teaneck NJ 07666-4245 Ph: (201) 833-3000 |
| NPI Number | 1104256130 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 05/07/2025 |
| Medicare PECOS PAC ID | 4082847447 |
|---|---|
| Medicare Enrollment ID | O20140509000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104256130 | NPI | - | NPPES |
| Provider Name | Judith A Kutzleb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437112042 PECOS PAC ID: 9638134067 Enrollment ID: I20041126000017 |
| Provider Name | Pritesh Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114121175 PECOS PAC ID: 5991743932 Enrollment ID: I20050420001140 |
| Provider Name | Marie Karen O Ferrer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598793358 PECOS PAC ID: 3870533979 Enrollment ID: I20050509000466 |
| Provider Name | Richard N Righthand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093738031 PECOS PAC ID: 3870565468 Enrollment ID: I20051003000710 |
| Provider Name | Philip Barba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205994712 PECOS PAC ID: 2668437617 Enrollment ID: I20051216000046 |
| Provider Name | Edmundo R Sanglay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740216142 PECOS PAC ID: 2365543030 Enrollment ID: I20070725000059 |
| Provider Name | Marianne D Flores |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104902212 PECOS PAC ID: 0143310730 Enrollment ID: I20071219000761 |
| Provider Name | Thea Omega Dela Cuesta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619187424 PECOS PAC ID: 9537194113 Enrollment ID: I20081223000392 |
| Provider Name | Gemma T Pedraza-hetalia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952574956 PECOS PAC ID: 8820167141 Enrollment ID: I20090807000575 |
| Provider Name | Jen F Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942244827 PECOS PAC ID: 8022098797 Enrollment ID: I20091204000098 |
| Provider Name | Jonathan M Archer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205879525 PECOS PAC ID: 1951381623 Enrollment ID: I20091204000193 |
| Provider Name | John M Owens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033153911 PECOS PAC ID: 2769462431 Enrollment ID: I20091204000215 |
| Provider Name | Nicholas J Bevilacqua |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487754131 PECOS PAC ID: 1254438625 Enrollment ID: I20100826000472 |
| Provider Name | Michael Denker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164417580 PECOS PAC ID: 0345212932 Enrollment ID: I20100924000196 |
| Provider Name | Peter W Coppola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134116148 PECOS PAC ID: 8527030105 Enrollment ID: I20100924000388 |
| Provider Name | Ohan Karatoprak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588757058 PECOS PAC ID: 9335111921 Enrollment ID: I20101108000128 |
| Provider Name | Peter Iannuzzi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467429324 PECOS PAC ID: 5698936839 Enrollment ID: I20120413000576 |
| Provider Name | Se Young Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053657411 PECOS PAC ID: 3779723341 Enrollment ID: I20130702000108 |
| Provider Name | Jake P Zarah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356585681 PECOS PAC ID: 0042431660 Enrollment ID: I20141027000196 |
| Provider Name | Christine Pfisterer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245491455 PECOS PAC ID: 5193980027 Enrollment ID: I20150625000414 |
| Provider Name | Dennis J Pfisterer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669795498 PECOS PAC ID: 1951522473 Enrollment ID: I20150701000852 |
| Provider Name | Rehan Shamim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730314485 PECOS PAC ID: 0941514822 Enrollment ID: I20150805009087 |
| Provider Name | Stephanie C Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043650955 PECOS PAC ID: 0244534584 Enrollment ID: I20160208001335 |
| Provider Name | Mae Bell Fuchs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972974004 PECOS PAC ID: 5698064657 Enrollment ID: I20160513000903 |
| Provider Name | Joseph Siragusa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376957761 PECOS PAC ID: 6709154263 Enrollment ID: I20170807002946 |
| Provider Name | Christine A Defranco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194130260 PECOS PAC ID: 1355605270 Enrollment ID: I20180501001113 |
| Provider Name | John B Fechter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770076580 PECOS PAC ID: 6406102441 Enrollment ID: I20180706000722 |
| Provider Name | Alex Cheng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275987836 PECOS PAC ID: 0648523910 Enrollment ID: I20200717001000 |
| Provider Name | Teja Karukonda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811308489 PECOS PAC ID: 8527388578 Enrollment ID: I20200731001779 |
| Provider Name | Daniel P Feghhi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629480959 PECOS PAC ID: 3870837404 Enrollment ID: I20200901002555 |
| Provider Name | Gautam Bhasin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861058372 PECOS PAC ID: 3476965112 Enrollment ID: I20201222000310 |
| Provider Name | Mallory Carrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609335769 PECOS PAC ID: 8628487204 Enrollment ID: I20210512000065 |
| Provider Name | Jason Hymowitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912404237 PECOS PAC ID: 2567865827 Enrollment ID: I20210723001287 |
| Provider Name | Dominika Lieberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336812734 PECOS PAC ID: 2365846649 Enrollment ID: I20210809002321 |
| Provider Name | Diane Noah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316973639 PECOS PAC ID: 0941206486 Enrollment ID: I20210830000578 |
| Provider Name | Ariel M Heller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427554922 PECOS PAC ID: 5395128581 Enrollment ID: I20220822001121 |
| Provider Name | Joseph Rosenbaum |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1265876015 PECOS PAC ID: 5597065557 Enrollment ID: I20220921001412 |
| Provider Name | Jeffrey Glenn Portnoy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396481271 PECOS PAC ID: 0547646952 Enrollment ID: I20221007000540 |
| Provider Name | Krishan Chirimunj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396234969 PECOS PAC ID: 1658765029 Enrollment ID: I20230705001985 |
| Provider Name | Leonid I Begun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396208815 PECOS PAC ID: 5193184075 Enrollment ID: I20230711000327 |
| Provider Name | Steven Zhou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952862450 PECOS PAC ID: 4789118894 Enrollment ID: I20241112003840 |
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 |