| Jencare Neighborhood Medical New Market, Llc | |
|
48 Newmarket Sq Newport News VA 23605-2721 | |
| (757) 825-8030 | |
| Not Available |
| Full Name | Jencare Neighborhood Medical New Market, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 48 Newmarket Sq, Newport News, Virginia |
| Authorized Official Name and Position | Mary Chen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3058314722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jencare Neighborhood Medical New Market, Llc 1395 Nw 167th St Miami Gardens FL 33169-5742 Ph: (305) 628-6117 | Jencare Neighborhood Medical New Market, Llc 48 Newmarket Sq Newport News VA 23605-2721 Ph: (757) 825-8030 |
| NPI Number | 1568756948 |
|---|---|
| Provider Enumeration Date | 06/03/2011 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 2860652823 |
|---|---|
| Medicare Enrollment ID | O20120328000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568756948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Secondary |
| Provider Name | Daniel M Jannuzzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518924950 PECOS PAC ID: 9537105267 Enrollment ID: I20050705000562 |
| Provider Name | Sophie Parker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760416796 PECOS PAC ID: 8426075078 Enrollment ID: I20051102000202 |
| Provider Name | Maryam M Nowroozi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306807201 PECOS PAC ID: 3274555149 Enrollment ID: I20051221000030 |
| Provider Name | Daniel F Mccarter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932278561 PECOS PAC ID: 0143238642 Enrollment ID: I20060324000355 |
| Provider Name | Luanne K Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760466759 PECOS PAC ID: 9133184856 Enrollment ID: I20070123000226 |
| Provider Name | Sabra M Bellovin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902943301 PECOS PAC ID: 4981709300 Enrollment ID: I20070413000222 |
| Provider Name | Luther L Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285705228 PECOS PAC ID: 5294831467 Enrollment ID: I20070503000659 |
| Provider Name | Lisa Price Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063488807 PECOS PAC ID: 6204924996 Enrollment ID: I20071113000786 |
| Provider Name | Ruby M Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194925545 PECOS PAC ID: 9032273149 Enrollment ID: I20090203000701 |
| Provider Name | Minhtam Thai |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659519429 PECOS PAC ID: 9133279433 Enrollment ID: I20090608000575 |
| Provider Name | Samamtha Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033340377 PECOS PAC ID: 9436297645 Enrollment ID: I20091109000559 |
| Provider Name | Imtiaz Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013078286 PECOS PAC ID: 6103968367 Enrollment ID: I20100126000642 |
| Provider Name | Prakash G Ettigi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326057597 PECOS PAC ID: 1456253863 Enrollment ID: I20111027000696 |
| Provider Name | Folashade O Alade |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578731600 PECOS PAC ID: 8325125164 Enrollment ID: I20120319000389 |
| Provider Name | Tamice Rachonne Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508029471 PECOS PAC ID: 6507027752 Enrollment ID: I20120413000655 |
| Provider Name | Ian Persaud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770761793 PECOS PAC ID: 7618112186 Enrollment ID: I20130404000284 |
| Provider Name | Candice Shirlen Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376864496 PECOS PAC ID: 8022255991 Enrollment ID: I20131015000027 |
| Provider Name | Laurie Salerno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508829706 PECOS PAC ID: 4082788575 Enrollment ID: I20140922001253 |
| Provider Name | Rasheed A Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952531485 PECOS PAC ID: 1850539222 Enrollment ID: I20141103002540 |
| Provider Name | Regina D Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437160546 PECOS PAC ID: 1456673110 Enrollment ID: I20141208001256 |
| Provider Name | Chang O Son |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396016838 PECOS PAC ID: 0941424519 Enrollment ID: I20141211001267 |
| Provider Name | Sailaja Dandamudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679869036 PECOS PAC ID: 5890946503 Enrollment ID: I20151015002177 |
| Provider Name | Paola M Palomino Guillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962703652 PECOS PAC ID: 6002074614 Enrollment ID: I20160216000411 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20160516001507 |
| Provider Name | Danielle Leigh Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376095489 PECOS PAC ID: 2365725140 Enrollment ID: I20170202001332 |
| Provider Name | Obianuju Amadi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538419759 PECOS PAC ID: 0244513414 Enrollment ID: I20170214000391 |
| Provider Name | Maryann Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184167900 PECOS PAC ID: 2961785183 Enrollment ID: I20170214002402 |
| Provider Name | Sailaja Kalidasu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861805756 PECOS PAC ID: 4587948328 Enrollment ID: I20170223000364 |
| Provider Name | Kashmal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952718520 PECOS PAC ID: 1658644679 Enrollment ID: I20170913001193 |
| Provider Name | Wallisa T Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992990238 PECOS PAC ID: 7618021502 Enrollment ID: I20170918002301 |
| Provider Name | Deanna Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598103129 PECOS PAC ID: 6800152760 Enrollment ID: I20171108002670 |
| Provider Name | Belinda Ocampo Escanio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679624704 PECOS PAC ID: 0547454498 Enrollment ID: I20180119001923 |
| Provider Name | Ashly Nicole Hardin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710220132 PECOS PAC ID: 4183910367 Enrollment ID: I20180626001164 |
| Provider Name | Mahboobeh Memarsadeghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336554468 PECOS PAC ID: 5193071934 Enrollment ID: I20180709002239 |
| Provider Name | Zainab Jalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427430834 PECOS PAC ID: 4981917044 Enrollment ID: I20181002000003 |
| Provider Name | Shubha Lakshmi Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831537729 PECOS PAC ID: 6002038940 Enrollment ID: I20181205000620 |
| Provider Name | Rikitha Menezes |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1447632559 PECOS PAC ID: 7113260100 Enrollment ID: I20190514002736 |
| Provider Name | Olisamemka I Achike |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558702159 PECOS PAC ID: 4981998770 Enrollment ID: I20190521000019 |
| Provider Name | Cheryll Nicolette Cash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326276452 PECOS PAC ID: 4587886668 Enrollment ID: I20190916001966 |
| Provider Name | Nikitha Paluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467804237 PECOS PAC ID: 7113260597 Enrollment ID: I20200416001723 |
| Provider Name | Danita Joye Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285906743 PECOS PAC ID: 4789098567 Enrollment ID: I20210208000972 |
Maryview Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12720 Mcmanus Blvd Ste 313, Newport News, VA 23602 Phone: 757-947-3190 Fax: 757-947-3195 | |
Riverside Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Bruton Ave, Newport News, VA 23601 Phone: 757-594-4111 Fax: 757-594-4115 | |
Peninsula Institute For Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1033 28th St, 2nd Floor, Newport News, VA 23607 Phone: 757-591-0643 Fax: 757-591-0682 | |
Four Crowne Legacy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6147 Jefferson Ave Ofc 2, Newport News, VA 23605 Phone: 757-504-2191 | |
Riverside Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Bldg. 3 Suite 4a, Newport News, VA 23606 Phone: 757-534-5509 Fax: 757-534-6096 | |
Riverside Hospital Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 856 J Clyde Morris Blvd, Suite A, Newport News, VA 23601 Phone: 757-594-4006 Fax: 757-534-5190 | |
Emed Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Thimble Shoals Blvd, Suite 200, Newport News, VA 23606 Phone: 757-240-5580 Fax: 757-240-5578 |