| Medassist Nj Ii | |
|
419 E County Line Rd Lakewood NJ 08701-1426 | |
| (917) 882-4536 | |
| Not Available |
| Full Name | Medassist Nj Ii |
|---|---|
| Speciality | Family Medicine |
| Location | 419 E County Line Rd, Lakewood, New Jersey |
| Authorized Official Name and Position | Yehdua Schneider (MANAGER) |
| Authorized Official Contact | 9178824536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medassist Nj Ii 419 E County Line Rd Lakewood NJ 08701-1426 Ph: () - | Medassist Nj Ii 419 E County Line Rd Lakewood NJ 08701-1426 Ph: (917) 882-4536 |
| NPI Number | 1336928407 |
|---|---|
| Provider Enumeration Date | 09/27/2023 |
| Last Update Date | 09/27/2023 |
| Medicare PECOS PAC ID | 1557717428 |
|---|---|
| Medicare Enrollment ID | O20231029000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336928407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry M Baquiran |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093863508 PECOS PAC ID: 7214991942 Enrollment ID: I20041112000861 |
| Provider Name | Prianca A Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922361229 PECOS PAC ID: 1355633405 Enrollment ID: I20170206001568 |
| Provider Name | Josephine Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114407210 PECOS PAC ID: 7719226356 Enrollment ID: I20190227000027 |
| Provider Name | Hosam Atoom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336593706 PECOS PAC ID: 4284069535 Enrollment ID: I20210621003508 |
| Provider Name | Yael Spinat Miller |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1417959057 PECOS PAC ID: 5294122958 Enrollment ID: I20220427001443 |
| Provider Name | Mesum H Moosavi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841630191 PECOS PAC ID: 4789045873 Enrollment ID: I20230807000044 |
| Provider Name | Daria Nowosielecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922880897 PECOS PAC ID: 7214387828 Enrollment ID: I20231222000540 |
| Provider Name | Kayla Otworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770137580 PECOS PAC ID: 8820328545 Enrollment ID: I20231227000013 |
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