| Integrated Patient Solutions Mid-atlantic, Pc | |
|
800 Kinderkamack Rd Ofc 121 Oradell NJ 07649-1534 | |
| (347) 252-9771 | |
| Not Available |
| Full Name | Integrated Patient Solutions Mid-atlantic, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Kinderkamack Rd Ofc 121, Oradell, New Jersey |
| Authorized Official Name and Position | Allie Silver (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9804434852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Patient Solutions Mid-atlantic, Pc 1125 17th St Ste 1000 Denver CO 80202-2043 Ph: (720) 204-5760 | Integrated Patient Solutions Mid-atlantic, Pc 800 Kinderkamack Rd Ofc 121 Oradell NJ 07649-1534 Ph: (347) 252-9771 |
| NPI Number | 1578275137 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 08/15/2025 |
| Medicare PECOS PAC ID | 1052776309 |
|---|---|
| Medicare Enrollment ID | O20230420002462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578275137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Muhammad Sohaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679972905 PECOS PAC ID: 3476861337 Enrollment ID: I20150928000484 |
| Provider Name | Arielle K Ferdinand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312899 PECOS PAC ID: 5799026100 Enrollment ID: I20190412000719 |
| Provider Name | Matthew J Kerr |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659029585 PECOS PAC ID: 3476930371 Enrollment ID: I20220728000062 |
| Provider Name | Farhad Modarai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497098610 PECOS PAC ID: 8224310289 Enrollment ID: I20230420002649 |
| Provider Name | Anteo Pashaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386026193 PECOS PAC ID: 3678886512 Enrollment ID: I20240417001858 |
| Provider Name | Lyndsey Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922625300 PECOS PAC ID: 0648706317 Enrollment ID: I20241206001258 |
| Provider Name | Larissa A Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952709982 PECOS PAC ID: 3577881150 Enrollment ID: I20250407001931 |
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