Holy Name Primary Care And Specialty Associates, Pc - Medicare Primary Care in Teaneck, NJ

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Holy Name Primary Care And Specialty Associates, Pc is a medicare enrolled primary clinic (Psychiatry & Neurology - Psychiatry) in Teaneck, New Jersey. The current practice location for Holy Name Primary Care And Specialty Associates, Pc is 718 Teaneck Rd, Teaneck, New Jersey. For appointments, you can reach them via phone at (201) 833-3000. The mailing address for Holy Name Primary Care And Specialty Associates, Pc is 3 University Plz Ste 205, Hackensack, New Jersey and phone number is () -.

Holy Name Primary Care And Specialty Associates, Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104256130. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (201) 833-3000.

Contact Information

Holy Name Primary Care And Specialty Associates, Pc
718 Teaneck Rd
Teaneck
NJ 07666-4245
(201) 833-3000
(201) 227-6207

Map and Direction


Primary Care Clinic Profile

Full NameHoly Name Primary Care And Specialty Associates, Pc
SpecialityPsychiatry & Neurology
Location718 Teaneck Rd, Teaneck, New Jersey
Authorized Official Name and PositionRonald White (MEDICAL DIRECTOR)
Authorized Official Contact2018333000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1104256130
Provider Enumeration Date11/12/2013
Last Update Date02/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4082847447
Medicare Enrollment IDO20140509000669

Medical Identifiers

Medical identifiers for Holy Name Primary Care And Specialty Associates, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104256130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Holy Name Primary Care And Specialty Associates, Pc acts as a billing entity for following providers:
Provider NameJudith A Kutzleb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437112042
PECOS PAC ID: 9638134067
Enrollment ID: I20041126000017
Provider NamePritesh Shah
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1114121175
PECOS PAC ID: 5991743932
Enrollment ID: I20050420001140
Provider NameMarie Karen O Ferrer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598793358
PECOS PAC ID: 3870533979
Enrollment ID: I20050509000466
Provider NameRichard N Righthand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093738031
PECOS PAC ID: 3870565468
Enrollment ID: I20051003000710
Provider NamePhilip Barba
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205994712
PECOS PAC ID: 2668437617
Enrollment ID: I20051216000046
Provider NameEdmundo R Sanglay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1740216142
PECOS PAC ID: 2365543030
Enrollment ID: I20070725000059
Provider NameThea Omega Dela Cuesta
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619187424
PECOS PAC ID: 9537194113
Enrollment ID: I20081223000392
Provider NameGemma T Pedraza-hetalia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952574956
PECOS PAC ID: 8820167141
Enrollment ID: I20090807000575
Provider NameJen F Lee
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1942244827
PECOS PAC ID: 8022098797
Enrollment ID: I20091204000098
Provider NameJonathan M Archer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1205879525
PECOS PAC ID: 1951381623
Enrollment ID: I20091204000193
Provider NameJohn M Owens
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1033153911
PECOS PAC ID: 2769462431
Enrollment ID: I20091204000215
Provider NameNicholas J Bevilacqua
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1487754131
PECOS PAC ID: 1254438625
Enrollment ID: I20100826000472
Provider NameMichael Denker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164417580
PECOS PAC ID: 0345212932
Enrollment ID: I20100924000196
Provider NamePeter W Coppola
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134116148
PECOS PAC ID: 8527030105
Enrollment ID: I20100924000388
Provider NameOhan Karatoprak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588757058
PECOS PAC ID: 9335111921
Enrollment ID: I20101108000128
Provider NamePeter Iannuzzi
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1467429324
PECOS PAC ID: 5698936839
Enrollment ID: I20120413000576
Provider NameSe Young Oh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053657411
PECOS PAC ID: 3779723341
Enrollment ID: I20130702000108
Provider NameJake P Zarah
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1356585681
PECOS PAC ID: 0042431660
Enrollment ID: I20141027000196
Provider NameChristine Pfisterer
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1245491455
PECOS PAC ID: 5193980027
Enrollment ID: I20150625000414
Provider NameDennis J Pfisterer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1669795498
PECOS PAC ID: 1951522473
Enrollment ID: I20150701000852
Provider NameRehan Shamim
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1730314485
PECOS PAC ID: 0941514822
Enrollment ID: I20150805009087
Provider NameStephanie C Mccarthy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043650955
PECOS PAC ID: 0244534584
Enrollment ID: I20160208001335
Provider NameMae Bell Fuchs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972974004
PECOS PAC ID: 5698064657
Enrollment ID: I20160513000903
Provider NameJoseph Siragusa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376957761
PECOS PAC ID: 6709154263
Enrollment ID: I20170807002946
Provider NameJohn B Fechter
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1770076580
PECOS PAC ID: 6406102441
Enrollment ID: I20180706000722
Provider NameAlex Cheng
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1275987836
PECOS PAC ID: 0648523910
Enrollment ID: I20200717001000
Provider NameTeja Karukonda
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1811308489
PECOS PAC ID: 8527388578
Enrollment ID: I20200731001779
Provider NameDaniel P Feghhi
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1629480959
PECOS PAC ID: 3870837404
Enrollment ID: I20200901002555
Provider NameGautam Bhasin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1861058372
PECOS PAC ID: 3476965112
Enrollment ID: I20201222000310
Provider NameMallory Carrano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609335769
PECOS PAC ID: 8628487204
Enrollment ID: I20210512000065
Provider NameJason Hymowitz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1912404237
PECOS PAC ID: 2567865827
Enrollment ID: I20210723001287
Provider NameDominika Lieberman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336812734
PECOS PAC ID: 2365846649
Enrollment ID: I20210809002321
Provider NameDiane Noah
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316973639
PECOS PAC ID: 0941206486
Enrollment ID: I20210830000578
Provider NameAriel Heller
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427554922
PECOS PAC ID: 5395128581
Enrollment ID: I20220822001121
Provider NameJoseph Rosenbaum
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1265876015
PECOS PAC ID: 5597065557
Enrollment ID: I20220921001412
Provider NameJeffrey Glenn Portnoy
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1396481271
PECOS PAC ID: 0547646952
Enrollment ID: I20221007000540
Provider NameKrishan Chirimunj
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396234969
PECOS PAC ID: 1658765029
Enrollment ID: I20230705001985
Provider NameLeonid I Begun
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396208815
PECOS PAC ID: 5193184075
Enrollment ID: I20230711000327

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.