| Infectious Diseases Associates Of Northern New Jersey Llc | |
|
255 W Spring Valley Ave Ste 100 Maywood NJ 07607-1444 | |
| (201) 881-0107 | |
| Not Available |
| Full Name | Infectious Diseases Associates Of Northern New Jersey Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 W Spring Valley Ave Ste 100, Maywood, New Jersey |
| Authorized Official Name and Position | Han Nguyen (OWNER) |
| Authorized Official Contact | 9733032055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Associates Of Northern New Jersey Llc 255 W Spring Valley Ave Ste 100 Maywood NJ 07607-1444 Ph: (201) 881-0107 | Infectious Diseases Associates Of Northern New Jersey Llc 255 W Spring Valley Ave Ste 100 Maywood NJ 07607-1444 Ph: (201) 881-0107 |
| NPI Number | 1144476961 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 09/17/2018 |
| Medicare PECOS PAC ID | 9537227343 |
|---|---|
| Medicare Enrollment ID | O20081023000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144476961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MA08081600 (New Jersey) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | MA0181681 (New Jersey) | Secondary |
| Provider Name | Lopa Maharaja |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891971305 PECOS PAC ID: 0244398063 Enrollment ID: I20081023000386 |
| Provider Name | Han Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164606158 PECOS PAC ID: 3870651698 Enrollment ID: I20081023000411 |
| Provider Name | Anuja A Pradhan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528260064 PECOS PAC ID: 4880787167 Enrollment ID: I20140919000211 |
| Provider Name | Helen Meehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235652561 PECOS PAC ID: 4587937768 Enrollment ID: I20170911000865 |
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