| Hudson Premier Medical Pc | |
|
55 Meadowlands Pkwy Secaucus NJ 07094-2977 | |
| (201) 325-6744 | |
| Not Available |
| Full Name | Hudson Premier Medical Pc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 55 Meadowlands Pkwy, Secaucus, New Jersey |
| Authorized Official Name and Position | Nizar Kifaieh (PRESIDENT) |
| Authorized Official Contact | 2013923100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Premier Medical Pc Po Box 825403 Philadelphia PA 19182-5403 Ph: () - | Hudson Premier Medical Pc 55 Meadowlands Pkwy Secaucus NJ 07094-2977 Ph: (201) 325-6744 |
| NPI Number | 1548809221 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 4688095367 |
|---|---|
| Medicare Enrollment ID | O20200604002360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548809221 | NPI | - | NPPES |
| Provider Name | Mandeep Oberoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922158542 PECOS PAC ID: 7517854862 Enrollment ID: I20040302000148 |
| Provider Name | Larry Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164421491 PECOS PAC ID: 1355238247 Enrollment ID: I20040430000062 |
| Provider Name | Christopher Okechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275528143 PECOS PAC ID: 9931167111 Enrollment ID: I20041221000278 |
| Provider Name | Lee V Leak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396737763 PECOS PAC ID: 8123079100 Enrollment ID: I20050208000037 |
| Provider Name | Michael E Omoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922037746 PECOS PAC ID: 9739132226 Enrollment ID: I20050224000402 |
| Provider Name | Osama M Moshet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225021975 PECOS PAC ID: 3678526951 Enrollment ID: I20050228000020 |
| Provider Name | John H Rundback |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255367280 PECOS PAC ID: 7618967019 Enrollment ID: I20060120000216 |
| Provider Name | Samuel A Banigo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063503555 PECOS PAC ID: 8921013194 Enrollment ID: I20060412000248 |
| Provider Name | Santiago M Enriquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790722429 PECOS PAC ID: 2365532736 Enrollment ID: I20080822000003 |
| Provider Name | Larry A Wolk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437143237 PECOS PAC ID: 5799763116 Enrollment ID: I20081014000088 |
| Provider Name | Valeria Kleshchelskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417907171 PECOS PAC ID: 2062474711 Enrollment ID: I20081219000387 |
| Provider Name | Shreni N Zinzuwadia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629233275 PECOS PAC ID: 7517022312 Enrollment ID: I20090211000261 |
| Provider Name | Kevin C Herman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619107703 PECOS PAC ID: 4082750591 Enrollment ID: I20091013000609 |
| Provider Name | Mohammed N Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659599256 PECOS PAC ID: 9931245867 Enrollment ID: I20100428000287 |
| Provider Name | Patricia M Pamy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710116421 PECOS PAC ID: 9234285008 Enrollment ID: I20101018001245 |
| Provider Name | Raafat Barsoom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750525432 PECOS PAC ID: 3375739212 Enrollment ID: I20101118000259 |
| Provider Name | Jianfeng Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295972735 PECOS PAC ID: 3274686753 Enrollment ID: I20110110000171 |
| Provider Name | Alexander Sarenac |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366736241 PECOS PAC ID: 6406024884 Enrollment ID: I20110801000061 |
| Provider Name | Stephen Robert Vanpelt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306103635 PECOS PAC ID: 4385800325 Enrollment ID: I20120719000442 |
| Provider Name | Arunasree Dubbaka Rajaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558515213 PECOS PAC ID: 2062678766 Enrollment ID: I20120725000199 |
| Provider Name | Petr Tsenovoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558507178 PECOS PAC ID: 8022274513 Enrollment ID: I20120727000548 |
| Provider Name | Jamie Baux-johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760705719 PECOS PAC ID: 1658540331 Enrollment ID: I20121217000074 |
| Provider Name | Sandeep K Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225314966 PECOS PAC ID: 9133448269 Enrollment ID: I20150512000920 |
| Provider Name | Dahlia Chalabi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578797007 PECOS PAC ID: 2567693930 Enrollment ID: I20160201002825 |
| Provider Name | Nava Bak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073732103 PECOS PAC ID: 8628179785 Enrollment ID: I20160321000243 |
| Provider Name | Salman Mamji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871960013 PECOS PAC ID: 9739458290 Enrollment ID: I20170627002223 |
| Provider Name | Santhana Sriradchatha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720433758 PECOS PAC ID: 5294070199 Enrollment ID: I20181221000066 |
| Provider Name | Ryan Nelson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962793620 PECOS PAC ID: 1951697762 Enrollment ID: I20190327000161 |
| Provider Name | Ronald Cally |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720478837 PECOS PAC ID: 8123369550 Enrollment ID: I20190411000585 |
| Provider Name | Ilya Parizh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619361995 PECOS PAC ID: 8123353992 Enrollment ID: I20190716002354 |
| Provider Name | Tobi Ogundare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906222 PECOS PAC ID: 3678809597 Enrollment ID: I20190730001436 |
| Provider Name | Nawar Al Obaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437511219 PECOS PAC ID: 6608103270 Enrollment ID: I20190806002075 |
| Provider Name | Kelly E Edebiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007581 PECOS PAC ID: 6103153663 Enrollment ID: I20190807001886 |
| Provider Name | Nadine A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679006563 PECOS PAC ID: 4385079094 Enrollment ID: I20200127000444 |
| Provider Name | Daniel G Funsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023471547 PECOS PAC ID: 2365789039 Enrollment ID: I20200205001417 |
| Provider Name | Jose Deschamps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003344920 PECOS PAC ID: 5193153278 Enrollment ID: I20200324001953 |
| Provider Name | Dennis Hoon Kwon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467865261 PECOS PAC ID: 7416246061 Enrollment ID: I20200819001363 |
| Provider Name | Michael Warhit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063821726 PECOS PAC ID: 6103166426 Enrollment ID: I20201116001063 |
| Provider Name | Jane Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356607865 PECOS PAC ID: 9335440650 Enrollment ID: I20210525001390 |
| Provider Name | Poonam Kothari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609375864 PECOS PAC ID: 8527481092 Enrollment ID: I20210603001724 |
| Provider Name | Ahmed F Abdulameer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295264166 PECOS PAC ID: 9830516137 Enrollment ID: I20210721001389 |
| Provider Name | Daniel Marc Eisman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740635036 PECOS PAC ID: 0840535472 Enrollment ID: I20220317002092 |
| Provider Name | Mir Raza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235593211 PECOS PAC ID: 4880920396 Enrollment ID: I20221007000022 |
| Provider Name | Mohammad Ali Mousavi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225398761 PECOS PAC ID: 0547587925 Enrollment ID: I20230126002096 |
| Provider Name | Asaph Cj Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346636891 PECOS PAC ID: 7517203961 Enrollment ID: I20230316002260 |
| Provider Name | Yarub Al-alousi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366085235 PECOS PAC ID: 4880056720 Enrollment ID: I20230809003593 |
North Hudson Community Action Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Meadowlands Pkwy Fl 2, Secaucus, NJ 07094 Phone: 201-210-0200 | |
Metabolic Health Medical Services, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 Blue Heron Dr, Secaucus, NJ 07094 Phone: 551-229-5083 | |
Robert W. Boyajian, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 Route 3 East Suite 203, Secaucus, NJ 07094 Phone: 201-865-3100 Fax: 201-865-8311 | |
Angel Lazo Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Meadowlands Pkwy Fl 3, Secaucus, NJ 07094 Phone: 201-978-7740 Fax: 201-392-3514 | |
Cherkasova Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-392-3588 Fax: 201-392-3514 | |
Care Station Medical Group, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-348-3636 Fax: 201-583-0713 | |
Medpro Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 Paterson Plank Rd, Suite 2d, Secaucus, NJ 07094 Phone: 201-216-3055 Fax: 201-499-0261 |