| Id Care Llc | |
|
105 Raider Blvd Suite 101 Hillsborough NJ 08844-1528 | |
| (908) 281-0221 | |
| (908) 281-0890 |
| Full Name | Id Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Raider Blvd, Hillsborough, New Jersey |
| Authorized Official Name and Position | Ronald Nahass (SHAREHOLDER) |
| Authorized Official Contact | 9082810221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Care Llc 105 Raider Blvd Suite 101 Hillsborough NJ 08844-1528 Ph: (908) 281-0221 | Id Care Llc 105 Raider Blvd Suite 101 Hillsborough NJ 08844-1528 Ph: (908) 281-0221 |
| NPI Number | 1639146277 |
|---|---|
| Provider Enumeration Date | 03/02/2006 |
| Last Update Date | 01/16/2024 |
| Medicare PECOS PAC ID | 7719959998 |
|---|---|
| Medicare Enrollment ID | O20101208000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639146277 | NPI | - | NPPES |
| 4619501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (New Jersey) | Primary |
| Provider Name | Stephen J Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184690190 PECOS PAC ID: 6709864804 Enrollment ID: I20040903000122 |
| Provider Name | Anamika K Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700892494 PECOS PAC ID: 6709853435 Enrollment ID: I20040913001110 |
| Provider Name | Joseph Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689640625 PECOS PAC ID: 5698744498 Enrollment ID: I20040929000026 |
| Provider Name | Madhavi Ponnapalli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821068495 PECOS PAC ID: 2466473186 Enrollment ID: I20051209000257 |
| Provider Name | Ajay N Mathur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053357947 PECOS PAC ID: 0547263659 Enrollment ID: I20060810000193 |
| Provider Name | Andrew Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619904216 PECOS PAC ID: 9032112156 Enrollment ID: I20060810000261 |
| Provider Name | Jerry Sheen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851344915 PECOS PAC ID: 1355346115 Enrollment ID: I20060929000052 |
| Provider Name | Rachna Gupta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134132475 PECOS PAC ID: 0446250070 Enrollment ID: I20070105000151 |
| Provider Name | Donald T Allegra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659347649 PECOS PAC ID: 5991725053 Enrollment ID: I20070228000424 |
| Provider Name | Edward J Mcmanus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871569996 PECOS PAC ID: 1355361411 Enrollment ID: I20070228000437 |
| Provider Name | Nazar Raoof |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194742098 PECOS PAC ID: 1254435134 Enrollment ID: I20070403000026 |
| Provider Name | Luzviminda M Dorsett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508902008 PECOS PAC ID: 5193821817 Enrollment ID: I20070426000091 |
| Provider Name | Tahir Farooq |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376759100 PECOS PAC ID: 0446343743 Enrollment ID: I20070831000415 |
| Provider Name | Fazila Aslam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316139561 PECOS PAC ID: 3870680788 Enrollment ID: I20071024000435 |
| Provider Name | Rohit Bhalla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962604819 PECOS PAC ID: 1456449552 Enrollment ID: I20071126000399 |
| Provider Name | Rebecca A Marsh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285773606 PECOS PAC ID: 6709969330 Enrollment ID: I20080206000026 |
| Provider Name | Cindy L Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528247954 PECOS PAC ID: 3678644481 Enrollment ID: I20080623000464 |
| Provider Name | Natalia Raoof |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871761403 PECOS PAC ID: 1153497763 Enrollment ID: I20080905000262 |
| Provider Name | Deborah A Sperling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457372344 PECOS PAC ID: 5193886828 Enrollment ID: I20081212000320 |
| Provider Name | John R Middleton |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891852489 PECOS PAC ID: 4981760345 Enrollment ID: I20090310000258 |
| Provider Name | Suja Mathai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356518187 PECOS PAC ID: 7012064454 Enrollment ID: I20090422000080 |
| Provider Name | Rosario B Manalo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255328936 PECOS PAC ID: 4183602071 Enrollment ID: I20090824000439 |
| Provider Name | Ellen J Hirsh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992771976 PECOS PAC ID: 0446270508 Enrollment ID: I20090924000011 |
| Provider Name | Ronald G Nahass |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023084928 PECOS PAC ID: 3173543238 Enrollment ID: I20090924000028 |
| Provider Name | Sukrut Dwivedi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003082660 PECOS PAC ID: 6901943703 Enrollment ID: I20091028000109 |
| Provider Name | David Herman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326014390 PECOS PAC ID: 9537189691 Enrollment ID: I20100428000216 |
| Provider Name | Richard E Krieger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184648347 PECOS PAC ID: 5890825012 Enrollment ID: I20100615000678 |
| Provider Name | Lisa Pittarelli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730155771 PECOS PAC ID: 4587794466 Enrollment ID: I20100621000257 |
| Provider Name | Edith Sonnenberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740452903 PECOS PAC ID: 7719051440 Enrollment ID: I20100715000288 |
| Provider Name | Danya Wenzler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154511244 PECOS PAC ID: 9234221185 Enrollment ID: I20100910000805 |
| Provider Name | Nancy Dreher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770894982 PECOS PAC ID: 7719002971 Enrollment ID: I20100913000513 |
| Provider Name | Syed A Husain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326054008 PECOS PAC ID: 7719002369 Enrollment ID: I20100920000399 |
| Provider Name | Damanpreet Ubhi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346410560 PECOS PAC ID: 8022133578 Enrollment ID: I20100921000533 |
| Provider Name | Robert Segal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265408264 PECOS PAC ID: 3072533132 Enrollment ID: I20100921000572 |
| Provider Name | Meena Seenivasan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255308185 PECOS PAC ID: 0840315313 Enrollment ID: I20100921000829 |
| Provider Name | Shelly Roseff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750357877 PECOS PAC ID: 2264452325 Enrollment ID: I20100921000871 |
| Provider Name | Marsha Kallich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053381624 PECOS PAC ID: 0840482709 Enrollment ID: I20101011000474 |
| Provider Name | Barry Dashefsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003980467 PECOS PAC ID: 6406041029 Enrollment ID: I20101109000995 |
| Provider Name | Ira Gurland |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730159476 PECOS PAC ID: 5395937254 Enrollment ID: I20101111001000 |
| Provider Name | Richard Snepar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881664522 PECOS PAC ID: 5193849172 Enrollment ID: I20110221000173 |
| Provider Name | Bhojeewattie S Soobryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215176409 PECOS PAC ID: 0244412161 Enrollment ID: I20110314000222 |
| Provider Name | Kathleen H Seneca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093018798 PECOS PAC ID: 5496932048 Enrollment ID: I20110607000698 |
| Provider Name | Najah Doka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598929416 PECOS PAC ID: 3870761653 Enrollment ID: I20110721000614 |
| Provider Name | Sally Deeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952688079 PECOS PAC ID: 2062687015 Enrollment ID: I20111202000630 |
| Provider Name | Henry Redel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750608642 PECOS PAC ID: 9335303148 Enrollment ID: I20120607000131 |
| Provider Name | Angela M Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184917437 PECOS PAC ID: 0143476184 Enrollment ID: I20120808000069 |
| Provider Name | Samantha A Rotondo Venet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699013011 PECOS PAC ID: 8325284854 Enrollment ID: I20130429000280 |
| Provider Name | Apurva Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831414440 PECOS PAC ID: 3476793175 Enrollment ID: I20130701000110 |
| Provider Name | Rena Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154508927 PECOS PAC ID: 3870667025 Enrollment ID: I20130905000519 |
| Provider Name | Avani M Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669817433 PECOS PAC ID: 2860620028 Enrollment ID: I20140115000114 |
| Provider Name | Liza M Marmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609208511 PECOS PAC ID: 0840420774 Enrollment ID: I20140430000677 |
| Provider Name | Justine Renee Krougliak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932526399 PECOS PAC ID: 5294950044 Enrollment ID: I20140710001554 |
| Provider Name | Patricia Vokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760813125 PECOS PAC ID: 2264658665 Enrollment ID: I20140721001308 |
| Provider Name | Kaitlyn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083034946 PECOS PAC ID: 8325264203 Enrollment ID: I20140730000621 |
| Provider Name | Mohamed Hasham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982985594 PECOS PAC ID: 8527232420 Enrollment ID: I20140821000521 |
| Provider Name | Mehul Kumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376951004 PECOS PAC ID: 0749503159 Enrollment ID: I20141216000537 |
| Provider Name | Robin Maestripieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932205192 PECOS PAC ID: 2860717261 Enrollment ID: I20150205001952 |
| Provider Name | Elizabeth Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649662552 PECOS PAC ID: 4789903451 Enrollment ID: I20150430000803 |
| Provider Name | Sarbjit Sandhu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760708093 PECOS PAC ID: 3274844790 Enrollment ID: I20150624001064 |
| Provider Name | Nancy J Seyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205224383 PECOS PAC ID: 2163738139 Enrollment ID: I20151013002146 |
| Provider Name | Inna Belenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285006718 PECOS PAC ID: 5395045041 Enrollment ID: I20151202000146 |
| Provider Name | Meghan H Degraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134555378 PECOS PAC ID: 4688802317 Enrollment ID: I20151217000148 |
| Provider Name | Joanna Lance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750548947 PECOS PAC ID: 5799961124 Enrollment ID: I20160414000657 |
| Provider Name | Melanie Rouse Valentin Torres |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366721698 PECOS PAC ID: 2860786241 Enrollment ID: I20160808001791 |
| Provider Name | Stephanie E Szylar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033568290 PECOS PAC ID: 2961796230 Enrollment ID: I20160809002026 |
| Provider Name | Lindsay Elizabeth Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003362195 PECOS PAC ID: 7911295803 Enrollment ID: I20161010000143 |
| Provider Name | Neha Mistry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497110563 PECOS PAC ID: 0345529368 Enrollment ID: I20161116000063 |
| Provider Name | Maureen Molin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346789906 PECOS PAC ID: 6406131309 Enrollment ID: I20170315002053 |
| Provider Name | Theodore Ioannis Markou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043576309 PECOS PAC ID: 0042587487 Enrollment ID: I20170606002084 |
| Provider Name | Sandra Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093260416 PECOS PAC ID: 1951675842 Enrollment ID: I20170915000822 |
| Provider Name | Sarosh Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366799199 PECOS PAC ID: 5890052682 Enrollment ID: I20171204001530 |
| Provider Name | Desere T Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598204570 PECOS PAC ID: 0749548105 Enrollment ID: I20171213001889 |
| Provider Name | Heather Marie Hogh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063929149 PECOS PAC ID: 7719246446 Enrollment ID: I20180125001362 |
| Provider Name | Beth Leiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518465475 PECOS PAC ID: 4284996752 Enrollment ID: I20180321000253 |
| Provider Name | Marissa Danielle Rago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023510245 PECOS PAC ID: 4385907922 Enrollment ID: I20180413000994 |
| Provider Name | Syed A Zaidi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215943907 PECOS PAC ID: 2769542786 Enrollment ID: I20180426000415 |
| Provider Name | Danielle Innamorato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326551102 PECOS PAC ID: 8426312901 Enrollment ID: I20180509001476 |
| Provider Name | Maria Socorro B De Maio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609399278 PECOS PAC ID: 7810243854 Enrollment ID: I20180706000262 |
| Provider Name | Ali Durino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003390766 PECOS PAC ID: 6305180761 Enrollment ID: I20181212000662 |
| Provider Name | Avril A Keldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942636725 PECOS PAC ID: 7012253263 Enrollment ID: I20190109002835 |
| Provider Name | Jane Afremova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154889301 PECOS PAC ID: 1759616220 Enrollment ID: I20190708000025 |
| Provider Name | Rachel H Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801458674 PECOS PAC ID: 3375879281 Enrollment ID: I20190731000817 |
| Provider Name | Darlene Weckesser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538650502 PECOS PAC ID: 1658608120 Enrollment ID: I20190806002583 |
| Provider Name | Shweta Mehra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487202503 PECOS PAC ID: 5395179923 Enrollment ID: I20200107001590 |
| Provider Name | Ronnie Frances Funke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528618006 PECOS PAC ID: 6608202239 Enrollment ID: I20200130001175 |
| Provider Name | Cassendra Lormil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053959387 PECOS PAC ID: 3173950763 Enrollment ID: I20200220000434 |
| Provider Name | Elizalde Legarda Villaruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124651203 PECOS PAC ID: 4789005711 Enrollment ID: I20200529002732 |
| Provider Name | Francisco Alberto De Jesus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508279613 PECOS PAC ID: 2163846163 Enrollment ID: I20200723001787 |
| Provider Name | Samantha Ann Brocato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982243606 PECOS PAC ID: 1254757586 Enrollment ID: I20200818001587 |
| Provider Name | Madhvi Rana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285825885 PECOS PAC ID: 4789723859 Enrollment ID: I20201007001590 |
| Provider Name | Zia Ahmed Zaidi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831704956 PECOS PAC ID: 9335569003 Enrollment ID: I20201019001406 |
| Provider Name | Flora Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669001368 PECOS PAC ID: 5698185932 Enrollment ID: I20201028000411 |
| Provider Name | Tejal Mehta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174787956 PECOS PAC ID: 3173656352 Enrollment ID: I20201231001760 |
| Provider Name | Joshny Benny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518560077 PECOS PAC ID: 0345656195 Enrollment ID: I20210303001042 |
| Provider Name | Aliya Fayazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265038723 PECOS PAC ID: 9234542879 Enrollment ID: I20210308000956 |
| Provider Name | Dana Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649863119 PECOS PAC ID: 2567870553 Enrollment ID: I20210412001314 |
| Provider Name | Marsha Teklewolde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992381008 PECOS PAC ID: 7618385477 Enrollment ID: I20210415000154 |
| Provider Name | Kinjal Solanki |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417311358 PECOS PAC ID: 9234474586 Enrollment ID: I20210430000493 |
| Provider Name | Andrea Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013549906 PECOS PAC ID: 7012316284 Enrollment ID: I20210520003038 |
| Provider Name | Sarah Flannery |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902260003 PECOS PAC ID: 2567701188 Enrollment ID: I20210621000400 |
| Provider Name | Taylor Santora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083387708 PECOS PAC ID: 9537564711 Enrollment ID: I20210826000865 |
| Provider Name | Patricia Anne Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669057055 PECOS PAC ID: 0547651358 Enrollment ID: I20220104002688 |
| Provider Name | Abraham Wei |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003270372 PECOS PAC ID: 4486946258 Enrollment ID: I20220131001482 |
| Provider Name | Nathalie Beredo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831856129 PECOS PAC ID: 4385038900 Enrollment ID: I20220224002619 |
| Provider Name | Eloise Joelyn Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306594809 PECOS PAC ID: 6406242635 Enrollment ID: I20220414002641 |
| Provider Name | Elzbieta Joanna Kaczmarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720738289 PECOS PAC ID: 1850778887 Enrollment ID: I20220513000272 |
| Provider Name | Jancy Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215672167 PECOS PAC ID: 2163801150 Enrollment ID: I20220622001442 |
| Provider Name | Ashley Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700525987 PECOS PAC ID: 9537540885 Enrollment ID: I20220718001235 |
| Provider Name | Mario Caldararo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558724997 PECOS PAC ID: 6305144734 Enrollment ID: I20220817003981 |
| Provider Name | Jacqueline Marie Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609589662 PECOS PAC ID: 0244601169 Enrollment ID: I20230131002938 |
| Provider Name | Amy Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851005581 PECOS PAC ID: 2769854892 Enrollment ID: I20230217001501 |
| Provider Name | Chauncey Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598450058 PECOS PAC ID: 6709242803 Enrollment ID: I20230516001079 |
| Provider Name | Pavan Kumar Yalamanchili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366933566 PECOS PAC ID: 6507224235 Enrollment ID: I20230628000175 |
| Provider Name | Hashmi Rafeek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134372659 PECOS PAC ID: 4385796077 Enrollment ID: I20230726001222 |
| Provider Name | Nikita Ekhelikar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790279156 PECOS PAC ID: 6800257338 Enrollment ID: I20230801001638 |
| Provider Name | Alexandra Marie Allanigue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649962648 PECOS PAC ID: 7416319132 Enrollment ID: I20230814000058 |
| Provider Name | Melissa Halbeisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770265571 PECOS PAC ID: 6901260926 Enrollment ID: I20230910000024 |
| Provider Name | Lauren Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265111975 PECOS PAC ID: 2668836081 Enrollment ID: I20230918002758 |
| Provider Name | Naveena Adiparambath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952017386 PECOS PAC ID: 7911352372 Enrollment ID: I20231005000768 |
| Provider Name | Alice Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982661807 PECOS PAC ID: 7911902770 Enrollment ID: I20231009000382 |
| Provider Name | Shruti Pandya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861191660 PECOS PAC ID: 6305295643 Enrollment ID: I20231212000668 |
| Provider Name | Keila Ivonne Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093595514 PECOS PAC ID: 3971954892 Enrollment ID: I20240104003420 |
| Provider Name | Danielle Camposa Lipnickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366214603 PECOS PAC ID: 6406207356 Enrollment ID: I20240104004425 |
| Provider Name | Jessica Carolina Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457125148 PECOS PAC ID: 0840634911 Enrollment ID: I20240216000509 |
Melissa Selke Md - Princeton Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Amwell Rd, Ste 405, Hillsborough, NJ 08844 Phone: 908-281-1199 Fax: 908-281-4311 | |
Hillsborough Eye Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Route 206 Unit 36, Hillsborough, NJ 08844 Phone: 908-359-7200 | |
Hillsborough Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 491 Amwell Road, Suite 200, Hillsborough, NJ 08844 Phone: 908-428-4840 Fax: 908-281-0336 | |
Alatae Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Amwell Rd, Bldg 5 Suite 501, Hillsborough, NJ 08844 Phone: 908-281-1077 Fax: 908-281-1081 | |
Somerset Health Center Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 Amwell Rd, Ste 6, Hillsborough, NJ 08844 Phone: 908-359-1775 Fax: 908-359-2068 | |
Care First Nj Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Raker Ct, Hillsborough, NJ 08844 Phone: 732-406-8548 | |
Kathleen Hickey, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Highway 206, Suite 101, Hillsborough, NJ 08844 Phone: 908-281-6771 Fax: 908-281-6439 |