| Hudson MD Group | |
|
464 Hudson Ter Ste 201 Englewood Cliffs NJ 07632-2917 | |
| (201) 503-0828 | |
| Not Available |
| Full Name | Hudson MD Group |
|---|---|
| Speciality | Family Medicine |
| Location | 464 Hudson Ter Ste 201, Englewood Cliffs, New Jersey |
| Authorized Official Name and Position | Rajavelu Dharmaraj (ACCOUNTS MANAGER) |
| Authorized Official Contact | 2036485087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson MD Group 464 Hudson Ter Ste 201 Englewood Cliffs NJ 07632-2917 | Hudson MD Group 464 Hudson Ter Ste 201 Englewood Cliffs NJ 07632-2917 Ph: (201) 503-0828 |
| NPI Number | 1497301998 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 08/12/2019 |
| Medicare PECOS PAC ID | 6103240478 |
|---|---|
| Medicare Enrollment ID | O20200720001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497301998 | NPI | - | NPPES |
| Provider Name | Elsie Koh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1679548234 PECOS PAC ID: 6305745324 Enrollment ID: I20040108000069 |
| Provider Name | Ludmila Gudz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386747806 PECOS PAC ID: 4385535749 Enrollment ID: I20040324000436 |
| Provider Name | Vito Mazzoccoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518936053 PECOS PAC ID: 1759373426 Enrollment ID: I20040401000985 |
| Provider Name | Roman Kosiborod |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831192079 PECOS PAC ID: 5991798118 Enrollment ID: I20040405001075 |
| Provider Name | Brenda Y Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255406443 PECOS PAC ID: 8527052133 Enrollment ID: I20040414000988 |
| Provider Name | Aliona Rudys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720057540 PECOS PAC ID: 1850388869 Enrollment ID: I20040429001141 |
| Provider Name | Vitaly Fishbein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467410381 PECOS PAC ID: 8921098757 Enrollment ID: I20040514000133 |
| Provider Name | Bikramjit Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033156591 PECOS PAC ID: 3577450782 Enrollment ID: I20040519000471 |
| Provider Name | Jack L Baldassare |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225070121 PECOS PAC ID: 5890777205 Enrollment ID: I20040601001399 |
| Provider Name | Hui Guo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154595692 PECOS PAC ID: 0143203505 Enrollment ID: I20040608001067 |
| Provider Name | John H Won |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477630440 PECOS PAC ID: 5597741686 Enrollment ID: I20040710000064 |
| Provider Name | Somaya M Abboud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326089004 PECOS PAC ID: 5294714317 Enrollment ID: I20040714000291 |
| Provider Name | Preet M.S. Randhawa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801816251 PECOS PAC ID: 7214903400 Enrollment ID: I20040908001612 |
| Provider Name | Tamer Behman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730257619 PECOS PAC ID: 0042270720 Enrollment ID: I20041018000036 |
| Provider Name | Samuel a Preschel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063561413 PECOS PAC ID: 4688635220 Enrollment ID: I20041026000834 |
| Provider Name | Jasjit Walia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477573814 PECOS PAC ID: 6406841402 Enrollment ID: I20041111000051 |
| Provider Name | Boqing Chen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1649291410 PECOS PAC ID: 1951351121 Enrollment ID: I20050125000996 |
| Provider Name | Alexander Gudz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346280336 PECOS PAC ID: 3173576840 Enrollment ID: I20050223000363 |
| Provider Name | Liliya Yanovskaya |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851329411 PECOS PAC ID: 1557317138 Enrollment ID: I20050328000042 |
| Provider Name | Stefano M Stella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033114475 PECOS PAC ID: 2365484888 Enrollment ID: I20050525000452 |
| Provider Name | Wonil Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588753842 PECOS PAC ID: 5395787618 Enrollment ID: I20050526000662 |
| Provider Name | Yoonjoo Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598841942 PECOS PAC ID: 1456393776 Enrollment ID: I20050526000697 |
| Provider Name | Vishal V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093781957 PECOS PAC ID: 4587607924 Enrollment ID: I20050613000372 |
| Provider Name | Allen L Lempel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578672390 PECOS PAC ID: 8628016565 Enrollment ID: I20050617000179 |
| Provider Name | David J Ogun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447350418 PECOS PAC ID: 7113961251 Enrollment ID: I20050620000209 |
| Provider Name | Inga Friedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376635417 PECOS PAC ID: 6507801321 Enrollment ID: I20050622001061 |
| Provider Name | Anjana R Chhabra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780624718 PECOS PAC ID: 0941245476 Enrollment ID: I20050624000132 |
| Provider Name | Robert S Spira |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902877525 PECOS PAC ID: 5597794008 Enrollment ID: I20050809000830 |
| Provider Name | Tamar B Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457460271 PECOS PAC ID: 0749212231 Enrollment ID: I20050906000666 |
| Provider Name | Haeyang Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285670059 PECOS PAC ID: 2264464601 Enrollment ID: I20050907000015 |
| Provider Name | Allen B Rubinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477669232 PECOS PAC ID: 5496787665 Enrollment ID: I20050908000608 |
| Provider Name | Sukhjender S Goraya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710931498 PECOS PAC ID: 5092747261 Enrollment ID: I20050908000642 |
| Provider Name | William a Digiacomo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184672172 PECOS PAC ID: 3173556545 Enrollment ID: I20050915000760 |
| Provider Name | Elena Dragun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467413583 PECOS PAC ID: 6305870858 Enrollment ID: I20050923000251 |
| Provider Name | David S Haacker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902879000 PECOS PAC ID: 4880628296 Enrollment ID: I20050926000118 |
| Provider Name | Chang W Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235152554 PECOS PAC ID: 5698708931 Enrollment ID: I20050926000614 |
| Provider Name | William S Digiacomo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982652970 PECOS PAC ID: 1658308770 Enrollment ID: I20050930000321 |
| Provider Name | Alan Plauka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316954589 PECOS PAC ID: 9537184726 Enrollment ID: I20051006000652 |
| Provider Name | Xiaoming Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679674816 PECOS PAC ID: 7517982556 Enrollment ID: I20051010000486 |
| Provider Name | Joseph R Depasquale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194796953 PECOS PAC ID: 3779512280 Enrollment ID: I20051019000693 |
| Provider Name | Natasha Fuksina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053398065 PECOS PAC ID: 7315932258 Enrollment ID: I20051227000012 |
| Provider Name | Jonathan I Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619077690 PECOS PAC ID: 7315960671 Enrollment ID: I20060112000590 |
| Provider Name | Sung Won Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144296492 PECOS PAC ID: 0648293878 Enrollment ID: I20060113000084 |
| Provider Name | John H Rundback |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255367280 PECOS PAC ID: 7618967019 Enrollment ID: I20060120000216 |
| Provider Name | Kamran Khazai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578667119 PECOS PAC ID: 4981505583 Enrollment ID: I20060308000137 |
| Provider Name | Kiran Rijhwani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457437121 PECOS PAC ID: 2769499649 Enrollment ID: I20060317000269 |
| Provider Name | Vincent P Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245284074 PECOS PAC ID: 6305854076 Enrollment ID: I20060323000032 |
| Provider Name | Barry Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285740787 PECOS PAC ID: 8426092388 Enrollment ID: I20070209000294 |
| Provider Name | Janet M Mendel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457495459 PECOS PAC ID: 3173611332 Enrollment ID: I20071121000534 |
| Provider Name | David W Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922144401 PECOS PAC ID: 5698855690 Enrollment ID: I20080103000315 |
| Provider Name | Anshu G Garg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043373715 PECOS PAC ID: 9537125158 Enrollment ID: I20080305000604 |
| Provider Name | Ljiljana Kovacevic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164605770 PECOS PAC ID: 5193801629 Enrollment ID: I20080325000321 |
| Provider Name | Jenny Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720016108 PECOS PAC ID: 5890874598 Enrollment ID: I20080507000033 |
| Provider Name | Ann D Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588829352 PECOS PAC ID: 3072688191 Enrollment ID: I20080823000048 |
| Provider Name | Abbas a Shehadeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215900774 PECOS PAC ID: 4981779964 Enrollment ID: I20080827000037 |
| Provider Name | Chang B Son |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063493898 PECOS PAC ID: 1153360656 Enrollment ID: I20080830000000 |
| Provider Name | Gary I Gorodokin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619996774 PECOS PAC ID: 0840279287 Enrollment ID: I20090313000206 |
| Provider Name | Shaindel Amsel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629252358 PECOS PAC ID: 5597812768 Enrollment ID: I20090406000465 |
| Provider Name | Pan S Ko |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083851687 PECOS PAC ID: 5799832283 Enrollment ID: I20090421000293 |
| Provider Name | Maria G Koliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043276827 PECOS PAC ID: 1759439573 Enrollment ID: I20090506000070 |
| Provider Name | Sean C Egan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164588711 PECOS PAC ID: 8224188594 Enrollment ID: I20090608000274 |
| Provider Name | Maria Joyce R Bernabe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528203809 PECOS PAC ID: 6608928452 Enrollment ID: I20090709000235 |
| Provider Name | Binghua Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851547889 PECOS PAC ID: 9436201936 Enrollment ID: I20090714000642 |
| Provider Name | Jian Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376718569 PECOS PAC ID: 5294880811 Enrollment ID: I20090903000533 |
| Provider Name | Qingdi Geng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821237520 PECOS PAC ID: 4486709649 Enrollment ID: I20090911000422 |
| Provider Name | Kevin Herman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619107703 PECOS PAC ID: 4082750591 Enrollment ID: I20091013000609 |
| Provider Name | Nabila Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669452553 PECOS PAC ID: 9830230838 Enrollment ID: I20100113000582 |
| Provider Name | Rina Goldberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306954730 PECOS PAC ID: 2567457658 Enrollment ID: I20100426000009 |
| Provider Name | Mangala Nadkarni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134231863 PECOS PAC ID: 6305973298 Enrollment ID: I20100426000052 |
| Provider Name | Eric B Geller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780788992 PECOS PAC ID: 6002702768 Enrollment ID: I20100426000070 |
| Provider Name | Aviva Kupershtok-bojko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528162278 PECOS PAC ID: 4183751076 Enrollment ID: I20100426000105 |
| Provider Name | Shufang Feng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285686667 PECOS PAC ID: 1153408521 Enrollment ID: I20100924000157 |
| Provider Name | Ayesha H Ould Hammou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093767295 PECOS PAC ID: 8820114788 Enrollment ID: I20100928001246 |
| Provider Name | Wen Fan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457499543 PECOS PAC ID: 9638279359 Enrollment ID: I20100929001430 |
| Provider Name | Terrance Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053350389 PECOS PAC ID: 1254389091 Enrollment ID: I20110118001180 |
| Provider Name | Germaine M Camishion |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477578011 PECOS PAC ID: 1153501176 Enrollment ID: I20110209000122 |
| Provider Name | Janet E Nikolic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689825994 PECOS PAC ID: 3779766340 Enrollment ID: I20110321000502 |
| Provider Name | Joven P Dungo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386726230 PECOS PAC ID: 5991980575 Enrollment ID: I20110425000714 |
| Provider Name | Oscar Verzosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396844148 PECOS PAC ID: 3779768387 Enrollment ID: I20110426000259 |
| Provider Name | Kimberly a Dambra Cabry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881619302 PECOS PAC ID: 1456538453 Enrollment ID: I20110531000189 |
| Provider Name | Frederick Dominick Foti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972528495 PECOS PAC ID: 5193902658 Enrollment ID: I20110609000249 |
| Provider Name | Igor Sobol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992858112 PECOS PAC ID: 0648227702 Enrollment ID: I20110929000344 |
| Provider Name | Elion Jeffrey Krok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538468491 PECOS PAC ID: 2466624929 Enrollment ID: I20111006000215 |
| Provider Name | Marina Sobol |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841344694 PECOS PAC ID: 1557318615 Enrollment ID: I20111012000045 |
| Provider Name | Lorena Eguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023395902 PECOS PAC ID: 9638346745 Enrollment ID: I20120426000210 |
| Provider Name | Andy Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972820330 PECOS PAC ID: 6901048461 Enrollment ID: I20130813000094 |
| Provider Name | Ricardo Antonio Gomez-vasquez. |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801053715 PECOS PAC ID: 7113042219 Enrollment ID: I20130917000128 |
| Provider Name | Felix Yovanny Ortega |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720348295 PECOS PAC ID: 7719129147 Enrollment ID: I20140113000908 |
| Provider Name | Etan Spira |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003011891 PECOS PAC ID: 4587858543 Enrollment ID: I20140813000143 |
| Provider Name | Addi Suleiman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518262088 PECOS PAC ID: 2769796440 Enrollment ID: I20150810000741 |
| Provider Name | Gautam K Visveswaran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528293354 PECOS PAC ID: 4385880590 Enrollment ID: I20151102000898 |
| Provider Name | Jorane Bonheur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043669245 PECOS PAC ID: 4981997376 Enrollment ID: I20160722000410 |
| Provider Name | Brittany Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952755605 PECOS PAC ID: 6002101540 Enrollment ID: I20160824000037 |
| Provider Name | Shoshana Komendant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104297985 PECOS PAC ID: 5092097139 Enrollment ID: I20170124002982 |
| Provider Name | Ann Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225571557 PECOS PAC ID: 4183725443 Enrollment ID: I20170215000534 |
| Provider Name | Rebecca Sheinfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720523509 PECOS PAC ID: 7810271640 Enrollment ID: I20170223000104 |
| Provider Name | Annette Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295271831 PECOS PAC ID: 4880961135 Enrollment ID: I20170517001661 |
| Provider Name | Kishore Kanduri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740226281 PECOS PAC ID: 6305833757 Enrollment ID: I20170531000796 |
| Provider Name | Abhishek Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427463058 PECOS PAC ID: 5698072452 Enrollment ID: I20170907000212 |
| Provider Name | Cheryl Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639695422 PECOS PAC ID: 9234405556 Enrollment ID: I20171031002712 |
| Provider Name | Hyewon an |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407243843 PECOS PAC ID: 2466769997 Enrollment ID: I20171220002855 |
| Provider Name | Garry Shtofmakher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962897363 PECOS PAC ID: 0749545762 Enrollment ID: I20180522002526 |
| Provider Name | Andrew Donguk Nam |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407291867 PECOS PAC ID: 5597015149 Enrollment ID: I20180904000135 |
| Provider Name | Ali Elfandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669816336 PECOS PAC ID: 5991059479 Enrollment ID: I20181120001077 |
| Provider Name | Ryan Nelson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962793620 PECOS PAC ID: 1951697762 Enrollment ID: I20190327000161 |
| Provider Name | Sara Sung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184105512 PECOS PAC ID: 9638411408 Enrollment ID: I20190425002830 |
| Provider Name | Suyon Yim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922564749 PECOS PAC ID: 3476886896 Enrollment ID: I20190617002708 |
| Provider Name | Chaya R Weisenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073071916 PECOS PAC ID: 3173853470 Enrollment ID: I20190930003177 |
| Provider Name | James Pang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790279446 PECOS PAC ID: 6406187921 Enrollment ID: I20191015002547 |
| Provider Name | Aliza S Alter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457794257 PECOS PAC ID: 2062744790 Enrollment ID: I20191030002317 |
| Provider Name | Qiujie Jiang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316357486 PECOS PAC ID: 0345540464 Enrollment ID: I20191111002799 |
| Provider Name | Ro Mi Seo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659742336 PECOS PAC ID: 1759670300 Enrollment ID: I20191112001313 |
| Provider Name | Belen F Assemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923995 PECOS PAC ID: 0648604181 Enrollment ID: I20191217000075 |
| Provider Name | David a Zelman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346526829 PECOS PAC ID: 4688890460 Enrollment ID: I20191218000922 |
| Provider Name | Cecilia Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063979946 PECOS PAC ID: 5890121388 Enrollment ID: I20200131000501 |
| Provider Name | Gabrielle Marie Kokich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891271656 PECOS PAC ID: 0244667319 Enrollment ID: I20200302001777 |
| Provider Name | John S Kang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427459734 PECOS PAC ID: 3375964844 Enrollment ID: I20200624001479 |
| Provider Name | Israel Cofsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164953303 PECOS PAC ID: 0446528343 Enrollment ID: I20200629003337 |
| Provider Name | Denisse Mejia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972996833 PECOS PAC ID: 0941626535 Enrollment ID: I20200727003024 |
| Provider Name | Jimmy Hanna |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1740635986 PECOS PAC ID: 3072947472 Enrollment ID: I20200803000172 |
| Provider Name | Joungran Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851830491 PECOS PAC ID: 0840576880 Enrollment ID: I20200810002577 |
| Provider Name | Dennis Kwon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467865261 PECOS PAC ID: 7416246061 Enrollment ID: I20200819001363 |
| Provider Name | Geeeun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598006553 PECOS PAC ID: 1254759780 Enrollment ID: I20200916000617 |
| Provider Name | Stacia Royes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033755962 PECOS PAC ID: 4486074556 Enrollment ID: I20201013000024 |
| Provider Name | Jocelyn Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659803278 PECOS PAC ID: 5799197976 Enrollment ID: I20201211000819 |
| Provider Name | Lauretta Chigboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417591488 PECOS PAC ID: 0042626681 Enrollment ID: I20210308000190 |
| Provider Name | Yasmin Rafiuddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134711492 PECOS PAC ID: 3577971282 Enrollment ID: I20210419001625 |
| Provider Name | Youssef Botros |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487068094 PECOS PAC ID: 6800205519 Enrollment ID: I20210511000215 |
| Provider Name | Abdulhadi Quadri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811981913 PECOS PAC ID: 3274598115 Enrollment ID: I20210608003827 |
| Provider Name | Sidrah Mahmud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265859144 PECOS PAC ID: 4183980808 Enrollment ID: I20210707003305 |
| Provider Name | Jennifer Cho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033265491 PECOS PAC ID: 1850421744 Enrollment ID: I20210713000639 |
| Provider Name | Neal M Carlin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245626670 PECOS PAC ID: 6608128244 Enrollment ID: I20210805002828 |
| Provider Name | Isaac I Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467954701 PECOS PAC ID: 7416352331 Enrollment ID: I20210816002257 |
| Provider Name | Eunsol Cho Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619541158 PECOS PAC ID: 0345645602 Enrollment ID: I20210825000011 |
| Provider Name | Dhiraj K Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205502556 PECOS PAC ID: 7911305016 Enrollment ID: I20211004001847 |
| Provider Name | Ahsan Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447665658 PECOS PAC ID: 8527480276 Enrollment ID: I20211110000738 |
| Provider Name | Batsheva Teichman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588339865 PECOS PAC ID: 5597154351 Enrollment ID: I20211116002768 |
| Provider Name | Yonah Grossman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811430804 PECOS PAC ID: 5890186993 Enrollment ID: I20211228001994 |
| Provider Name | Ines Simoes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417615048 PECOS PAC ID: 7214320779 Enrollment ID: I20220204000039 |
| Provider Name | Mary Katharine M Emerel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174943021 PECOS PAC ID: 6901227123 Enrollment ID: I20220531001246 |
| Provider Name | Eunice Jeongin Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932766474 PECOS PAC ID: 4981089109 Enrollment ID: I20220923000687 |
| Provider Name | Sarah Tropper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982327680 PECOS PAC ID: 1153787312 Enrollment ID: I20230515001959 |
| Provider Name | Rivka Fligman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912668179 PECOS PAC ID: 2466819834 Enrollment ID: I20230531002284 |
| Provider Name | Shira Wurzburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043964125 PECOS PAC ID: 2961860820 Enrollment ID: I20230626000186 |
| Provider Name | Christine Villamayor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710633201 PECOS PAC ID: 4880057892 Enrollment ID: I20230823004002 |
| Provider Name | Tina Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639799919 PECOS PAC ID: 9032577101 Enrollment ID: I20240102000004 |
| Provider Name | Robert NP Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780187096 PECOS PAC ID: 5193171601 Enrollment ID: I20240429002547 |
| Provider Name | Hyesim Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689156689 PECOS PAC ID: 4688014145 Enrollment ID: I20240501000303 |
| Provider Name | Sandhya Bassin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831650555 PECOS PAC ID: 0042650210 Enrollment ID: I20240505000062 |
| Provider Name | Shani Siegfried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457134272 PECOS PAC ID: 0244684579 Enrollment ID: I20240506000348 |
| Provider Name | Angela Buontempo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861441461 PECOS PAC ID: 7911183975 Enrollment ID: I20240521000688 |
| Provider Name | Eugene Ko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770536849 PECOS PAC ID: 7810942455 Enrollment ID: I20240605001639 |
| Provider Name | Shivani Desai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326729542 PECOS PAC ID: 1557803525 Enrollment ID: I20240605002177 |
| Provider Name | Hyunchu Kim Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033508551 PECOS PAC ID: 8921325119 Enrollment ID: I20250107003284 |
| Provider Name | Ka Yeon Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578985040 PECOS PAC ID: 2961793385 Enrollment ID: I20250519002857 |
| Provider Name | Soon Juhng |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538984836 PECOS PAC ID: 0244744829 Enrollment ID: I20250707002725 |
| Provider Name | Janki Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669129839 PECOS PAC ID: 1254846256 Enrollment ID: I20250716004290 |
| Provider Name | Kwon Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376064097 PECOS PAC ID: 2668897752 Enrollment ID: I20250730004821 |
| Provider Name | Ujjwal Rastogi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699169904 PECOS PAC ID: 9335487438 Enrollment ID: I20250805002154 |
| Provider Name | May Wah Choy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760629323 PECOS PAC ID: 7517271752 Enrollment ID: I20250822000896 |
| Provider Name | Selin Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710877782 PECOS PAC ID: 1153827043 Enrollment ID: I20250930002830 |
| Provider Name | Sandra Zavala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376346478 PECOS PAC ID: 2466941745 Enrollment ID: I20251028001072 |
| Provider Name | Wai Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942177100 PECOS PAC ID: 4688169014 Enrollment ID: I20251223000795 |
| Provider Name | Sabina Pasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649159666 PECOS PAC ID: 3072082817 Enrollment ID: I20260520004767 |
| Provider Name | Nasha Boateng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982842555 PECOS PAC ID: 9234609025 Enrollment ID: I20260521002063 |
| Provider Name | Nehali Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285445858 PECOS PAC ID: 9739652058 Enrollment ID: I20260626003172 |
P & I Gastroenterology PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Sylvan Ave, Suite 103, Englewood Cliffs, NJ 07632 Phone: 718-321-3210 Fax: 718-321-1004 |
Northern Valley Id, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Sylvan Ave Ste 108, Englewood Cliffs, NJ 07632 Phone: 201-408-5314 |
New Jersey Medical Group, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 464 Hudson Ter, Suite 201, Englewood Cliffs, NJ 07632 Phone: 201-503-0828 Fax: 201-503-0848 |
Chang W. Lee, M.D., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 464 Hudson Ter, Suite 100, Englewood Cliffs, NJ 07632 Phone: 201-541-6800 |
PT Medical Center, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Sylvan Ave Ste 111, Englewood Cliffs, NJ 07632 Phone: 201-568-8500 Fax: 201-568-8518 |
Ann Kim MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44 Sylvan Ave, Suite 2d, Englewood Cliffs, NJ 07632 Phone: 201-585-0957 Fax: 201-585-0944 |