| Jefferson Community Physicians Of New Jersey | |
|
1 Union St Ste 101 Robbinsville NJ 08691-4219 | |
| (609) 890-6677 | |
| (609) 890-7292 |
| Full Name | Jefferson Community Physicians Of New Jersey |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Union St Ste 101, Robbinsville, New Jersey |
| Authorized Official Name and Position | Hristos Ristas (ASSOC. VP, HEALTH PLAN SERVICES) |
| Authorized Official Contact | 2159559298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Community Physicians Of New Jersey Po Box 828937 Philadelphia PA 19182-8937 Ph: () - | Jefferson Community Physicians Of New Jersey 1 Union St Ste 101 Robbinsville NJ 08691-4219 Ph: (609) 890-6677 |
| NPI Number | 1649636754 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 4981965324 |
|---|---|
| Medicare Enrollment ID | O20180228001438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649636754 | NPI | - | NPPES |
| Provider Name | Andrew H Shaer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477555498 PECOS PAC ID: 6800781410 Enrollment ID: I20040612000298 |
| Provider Name | Michael A Walder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255366340 PECOS PAC ID: 1254394877 Enrollment ID: I20041104001138 |
| Provider Name | Rim Al-bezem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629076625 PECOS PAC ID: 4385692284 Enrollment ID: I20050107000119 |
| Provider Name | Anil Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639177504 PECOS PAC ID: 9234155383 Enrollment ID: I20051019000016 |
| Provider Name | Willis E Godin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508944570 PECOS PAC ID: 8022111400 Enrollment ID: I20070306000455 |
| Provider Name | Andres Ferber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841213048 PECOS PAC ID: 3476504333 Enrollment ID: I20070827000109 |
| Provider Name | Ashwini Sharan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225055221 PECOS PAC ID: 1557313822 Enrollment ID: I20090727000627 |
| Provider Name | Henry K Siu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871777607 PECOS PAC ID: 0840487278 Enrollment ID: I20150904000516 |
| Provider Name | Eddy Garrido |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194712430 PECOS PAC ID: 7719920305 Enrollment ID: I20150909000790 |
| Provider Name | Hekmat Zarzour |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609001130 PECOS PAC ID: 3678724416 Enrollment ID: I20160808001751 |
| Provider Name | Mohamed Sfaxi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770569378 PECOS PAC ID: 0648273235 Enrollment ID: I20161214002314 |
| Provider Name | Charles Andrew Kistler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568728871 PECOS PAC ID: 8426280413 Enrollment ID: I20170201001033 |
| Provider Name | Lisa Tartaglino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134145923 PECOS PAC ID: 3870482557 Enrollment ID: I20180925000084 |
| Provider Name | Andrew Richard Dargan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700223013 PECOS PAC ID: 9032334057 Enrollment ID: I20190322000480 |
| Provider Name | Sommer L Pio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225250384 PECOS PAC ID: 7719133776 Enrollment ID: I20191212000047 |
| Provider Name | Anthony Limberakis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942267612 PECOS PAC ID: 8527149921 Enrollment ID: I20200211001583 |
| Provider Name | Christian Hoelscher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063855153 PECOS PAC ID: 8123241189 Enrollment ID: I20200723001290 |
| Provider Name | Richard Frank Schmidt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013350511 PECOS PAC ID: 9830322890 Enrollment ID: I20200819001144 |
| Provider Name | Patrick Okane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578596672 PECOS PAC ID: 4688563182 Enrollment ID: I20200915000162 |
| Provider Name | Paras Lakhani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750430633 PECOS PAC ID: 6406025279 Enrollment ID: I20200921000175 |
| Provider Name | Dinesh Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831169796 PECOS PAC ID: 9830099688 Enrollment ID: I20200923000035 |
| Provider Name | Aziz Nazha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508132382 PECOS PAC ID: 9830355619 Enrollment ID: I20220331001987 |
| Provider Name | Emma L Carsillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376289942 PECOS PAC ID: 5991185522 Enrollment ID: I20220629001269 |
| Provider Name | Sridhara Sastry Yaddanapudi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417270646 PECOS PAC ID: 6507172194 Enrollment ID: I20220706003147 |
| Provider Name | Ritam Ghosh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811342157 PECOS PAC ID: 7113217464 Enrollment ID: I20230731002935 |
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