| Infectious Diseases North Pc | |
|
181 Franklin Ave Nutley NJ 07110-3820 | |
| (973) 667-8117 | |
| Not Available |
| Full Name | Infectious Diseases North Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 181 Franklin Ave, Nutley, New Jersey |
| Authorized Official Name and Position | Majid Sasanpour (PRESIDENT) |
| Authorized Official Contact | 2012469172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases North Pc 181 Franklin Ave Nutley NJ 07110-3820 Ph: (973) 667-8117 | Infectious Diseases North Pc 181 Franklin Ave Nutley NJ 07110-3820 Ph: (973) 667-8117 |
| NPI Number | 1477811602 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 3173787918 |
|---|---|
| Medicare Enrollment ID | O20120607000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477811602 | NPI | - | NPPES |
| 9131400 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Peter L Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801944921 PECOS PAC ID: 1456334762 Enrollment ID: I20040609000170 |
| Provider Name | Majid Sasanpour |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679677918 PECOS PAC ID: 5496726572 Enrollment ID: I20040803000629 |
| Provider Name | Olena Stepanyuk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861690380 PECOS PAC ID: 7113114828 Enrollment ID: I20101207001031 |
| Provider Name | Farinaz Tabatabai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871981761 PECOS PAC ID: 9032435631 Enrollment ID: I20161208000350 |
| Provider Name | Amy D Levin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295096337 PECOS PAC ID: 5496903585 Enrollment ID: I20171121002916 |
Divine Grace Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Bloomfield Ave, Nutley, NJ 07110 Phone: 973-235-1772 Fax: 973-235-1774 | |
Dr Anthony M Pastena Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Franklin Ave, Nutley, NJ 07110 Phone: 973-542-0384 Fax: 973-542-1172 | |
Michael F. Durante, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-8640 | |
James V Agresti Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Franklin Ave, Ste 201, Nutley, NJ 07110 Phone: 973-284-0777 | |
Maryann Alessio Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 349 Passaic Ave, Nutley, NJ 07110 Phone: 973-667-8889 Fax: 973-667-5665 | |
Itserga Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Franklin Ave, Suite#201, Nutley, NJ 07110 Phone: 973-284-0777 Fax: 973-284-1530 |