| Impact Health New Jersey Pc | |
|
255 Nottingham Rd Morganville NJ 07751-9518 | |
| (203) 497-3861 | |
| (203) 424-1467 |
| Full Name | Impact Health New Jersey Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 255 Nottingham Rd, Morganville, New Jersey |
| Authorized Official Name and Position | Garumuni Desilva (MD) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Health New Jersey Pc 240 Indian River Rd Ste C Orange CT 06477-3649 Ph: (203) 497-3861 | Impact Health New Jersey Pc 255 Nottingham Rd Morganville NJ 07751-9518 Ph: (203) 497-3861 |
| NPI Number | 1487399689 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 08/31/2023 |
| Medicare PECOS PAC ID | 5294110862 |
|---|---|
| Medicare Enrollment ID | O20220917000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487399689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Barbara Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275736951 PECOS PAC ID: 0648280719 Enrollment ID: I20060503000728 |
| Provider Name | Kerri L Boemio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427715267 PECOS PAC ID: 2769859586 Enrollment ID: I20221108003173 |
| Provider Name | Jennifer N Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629593744 PECOS PAC ID: 0547534745 Enrollment ID: I20230209001638 |
| Provider Name | Michelle O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275015224 PECOS PAC ID: 4284063157 Enrollment ID: I20230210000789 |
| Provider Name | Jillian Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124543632 PECOS PAC ID: 4981979903 Enrollment ID: I20230210001525 |
| Provider Name | Carissa M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20230217000153 |
| Provider Name | Marie Paule Heylen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891042644 PECOS PAC ID: 5698925253 Enrollment ID: I20230217002799 |
| Provider Name | Brooke Fortenberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700415379 PECOS PAC ID: 7517397672 Enrollment ID: I20230301000452 |
| Provider Name | Mary I Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841857752 PECOS PAC ID: 6709113962 Enrollment ID: I20230927003103 |
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Seos Medical Professional Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Nathan Dr, Morganville, NJ 07751 Phone: 718-913-4433 | |
Advanced Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 186 County Road 520 Ste 1, Morganville, NJ 07751 Phone: 732-851-4955 Fax: 509-362-9699 | |
Anoushey Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 Corso Reale, Morganville, NJ 07751 Phone: 605-370-2143 | |
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