Clover Home Care - Medicare Primary Care in Lyndhurst, NJ

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Clover Home Care is a medicare enrolled primary clinic (Internal Medicine - Geriatric Medicine) in Lyndhurst, New Jersey. The current practice location for Clover Home Care is 125 Chubb Ave, Suite 100-s, Lyndhurst, New Jersey. For appointments, you can reach them via phone at (201) 559-7600. The mailing address for Clover Home Care is 125 Chubb Ave Ste 100s, Lyndhurst, New Jersey.

Clover Home Care is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1972044923. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (201) 559-7600.

Contact Information

Clover Home Care
125 Chubb Ave
Suite 100-s
Lyndhurst
NJ 07071-3504
(201) 559-7600
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameClover Home Care
SpecialityInternal Medicine
Location125 Chubb Ave, Lyndhurst, New Jersey
Authorized Official Name and PositionKelly Fontana (DIRECTOR OF CLINICAL COMPLIANCE)
Authorized Official Contact6314579145
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clover Home Care
125 Chubb Ave Ste 100s
Lyndhurst
NJ 07071-3504
Clover Home Care
125 Chubb Ave
Suite 100-s
Lyndhurst
NJ 07071-3504

Ph: (201) 559-7600

NPI Details:

NPI Number1972044923
Provider Enumeration Date03/10/2017
Last Update Date10/12/2022
Certification Date10/12/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9931473139
Medicare Enrollment IDO20170927002286

Medical Identifiers

Medical identifiers for Clover Home Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972044923NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine ()Secondary
207QH0002XFamily Medicine - Hospice And Palliative Medicine ()Secondary
207RG0300XInternal Medicine - Geriatric Medicine ()Primary
207RH0002XInternal Medicine - Hospice And Palliative Medicine ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clover Home Care acts as a billing entity for following providers:
Provider NameNicolle Tepedino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619015880
PECOS PAC ID: 3476530767
Enrollment ID: I20040706000221
Provider NameJenalyn B Canullas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881777100
PECOS PAC ID: 5496791790
Enrollment ID: I20050927000047
Provider NameJoselina E Goris-hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609821909
PECOS PAC ID: 2365500964
Enrollment ID: I20081027000481
Provider NameEdward C Hatton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558521971
PECOS PAC ID: 8426111469
Enrollment ID: I20090116000301
Provider NameNicole S Glover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811293319
PECOS PAC ID: 4385816982
Enrollment ID: I20111004000079
Provider NameYohanny C Sisco
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851679385
PECOS PAC ID: 9739351776
Enrollment ID: I20111017000317
Provider NameGwen Dodd Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427343482
PECOS PAC ID: 3072786862
Enrollment ID: I20111021000288
Provider NameMarie Y Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154670412
PECOS PAC ID: 2062661424
Enrollment ID: I20121001000158
Provider NameRichard Seides
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174717011
PECOS PAC ID: 8022255066
Enrollment ID: I20130510000046
Provider NameAriane M Mac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780921551
PECOS PAC ID: 4284865734
Enrollment ID: I20140821000981
Provider NameNatasha N Ashton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427491703
PECOS PAC ID: 2567789936
Enrollment ID: I20150324000164
Provider NameEbele Nneka Ilogu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023423134
PECOS PAC ID: 1759608763
Enrollment ID: I20150331001258
Provider NameMarissa Colthirst
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477957991
PECOS PAC ID: 4587982251
Enrollment ID: I20150408001742
Provider NameTashia R Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427451657
PECOS PAC ID: 3577882307
Enrollment ID: I20150429001456
Provider NameMelissa Sue Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124419726
PECOS PAC ID: 2961715156
Enrollment ID: I20150716002461
Provider NameNakesha K Mcpherson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790120335
PECOS PAC ID: 4082922950
Enrollment ID: I20150928001013
Provider NameWhitney Huston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790072411
PECOS PAC ID: 6103134945
Enrollment ID: I20150929000880
Provider NameRita N Aghanwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447627112
PECOS PAC ID: 8729388186
Enrollment ID: I20151208001139
Provider NameRobert Mateo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740671692
PECOS PAC ID: 7719292382
Enrollment ID: I20160201000365
Provider NameDarlene Brun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972997252
PECOS PAC ID: 2860783065
Enrollment ID: I20160620000096
Provider NameJessica Ji-won Son
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275851834
PECOS PAC ID: 2264729292
Enrollment ID: I20160920000227
Provider NameTitilola Olayemi Oloyede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669826053
PECOS PAC ID: 0648559955
Enrollment ID: I20161109000704
Provider NameYanitza Acevedo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902297716
PECOS PAC ID: 8527341734
Enrollment ID: I20170214002199
Provider NameFrances Ruzis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114365020
PECOS PAC ID: 4587954201
Enrollment ID: I20170301000075
Provider NameMallory N Bradley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063950152
PECOS PAC ID: 6103102025
Enrollment ID: I20170407000834
Provider NameNickesha L Ritchie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063953560
PECOS PAC ID: 7012294796
Enrollment ID: I20170505001322
Provider NameElizabeth Miranda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356870257
PECOS PAC ID: 4789954652
Enrollment ID: I20170726000278
Provider NameJapeth Demetria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386018497
PECOS PAC ID: 8426316761
Enrollment ID: I20171214002722
Provider NameOlanda Dreher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144530361
PECOS PAC ID: 5496014888
Enrollment ID: I20180110000914
Provider NameRita a Mctighe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720591712
PECOS PAC ID: 7618230616
Enrollment ID: I20180404000365
Provider NameHinda Lemdani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952646374
PECOS PAC ID: 0941422265
Enrollment ID: I20180606000220
Provider NameSimone Alicia Douge
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093133746
PECOS PAC ID: 1557610193
Enrollment ID: I20180815002408
Provider NameTracy L Anselmo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962980862
PECOS PAC ID: 7719221563
Enrollment ID: I20181204003863
Provider NameAurora Aranzazu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992271456
PECOS PAC ID: 9032457734
Enrollment ID: I20190205000439
Provider NameSusan Heather Lake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790255941
PECOS PAC ID: 4082953294
Enrollment ID: I20190306001848
Provider NameBinalben G Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487152120
PECOS PAC ID: 7416298120
Enrollment ID: I20190408000101
Provider NameKristin Tatulli
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699283390
PECOS PAC ID: 5092058495
Enrollment ID: I20190529001492
Provider NameSandy T Clemente
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811258122
PECOS PAC ID: 5193025229
Enrollment ID: I20190627002208
Provider NameKathryn Dore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548826464
PECOS PAC ID: 1254662430
Enrollment ID: I20191021000870
Provider NameDyshauna Simmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508412271
PECOS PAC ID: 6507198801
Enrollment ID: I20191105001863
Provider NameCynthia Wesloske
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447802509
PECOS PAC ID: 5496188252
Enrollment ID: I20191209002002
Provider NameRhoda W Kimani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003450958
PECOS PAC ID: 4082048350
Enrollment ID: I20191218002841
Provider NameCecilia T Urquico
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013966548
PECOS PAC ID: 4789751041
Enrollment ID: I20191226000313
Provider NameKathleen M Restivo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568476372
PECOS PAC ID: 3274569538
Enrollment ID: I20200123000030
Provider NameSharee O Watkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700425220
PECOS PAC ID: 1951738657
Enrollment ID: I20200218002825
Provider NameMiorky Peraza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851922975
PECOS PAC ID: 3971933854
Enrollment ID: I20200416000784
Provider NameJanelle N Martindale
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932549227
PECOS PAC ID: 0648511121
Enrollment ID: I20200722000212
Provider NameVictor Ukwu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588018345
PECOS PAC ID: 8921410911
Enrollment ID: I20201216000720
Provider NameYasmin Rafiuddin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134711492
PECOS PAC ID: 3577971282
Enrollment ID: I20210419001625
Provider NameSarah M Ems
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699433466
PECOS PAC ID: 0547652877
Enrollment ID: I20220119001602
Provider NameShaleeza Rafiuddin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639687940
PECOS PAC ID: 7618364290
Enrollment ID: I20220429000084
Provider NameAlexandra Jean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811654031
PECOS PAC ID: 0749660165
Enrollment ID: I20220701001286
Provider NameBarbara Raymond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164046355
PECOS PAC ID: 4789049461
Enrollment ID: I20230502002697
Provider NameGonzalo Olivares Maldonado
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326300807
PECOS PAC ID: 1052606233
Enrollment ID: I20230808001986
Provider NameGeralda Gelus-jules
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881950269
PECOS PAC ID: 8022463389
Enrollment ID: I20231006002227
Provider NameChristina Pierre-noel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053098921
PECOS PAC ID: 3274980248
Enrollment ID: I20231113002473
Provider NameTolulope Abimbola Adekanla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043087638
PECOS PAC ID: 3971945304
Enrollment ID: I20240530001313
Provider NameVictoria Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689080160
PECOS PAC ID: 2365765302
Enrollment ID: I20240920003648
Provider NameKarintha Holifield
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649422627
PECOS PAC ID: 1052699568
Enrollment ID: I20240930000552
Provider NameDamanjeet Chaubey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821019746
PECOS PAC ID: 7810058393
Enrollment ID: I20241122002855
Provider NameAlexandra J Renelus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245731751
PECOS PAC ID: 0749526747
Enrollment ID: I20241122003822
Provider NameBeatrice a Ochieng
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821718818
PECOS PAC ID: 1355877788
Enrollment ID: I20241210000207
Provider NameYana Warshawsky
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1609697937
PECOS PAC ID: 5193252807
Enrollment ID: I20241219000869
Provider NameNathalie Ortiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477974509
PECOS PAC ID: 0345526711
Enrollment ID: I20250611001503
Provider NamePadama Misra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750133039
PECOS PAC ID: 4688013642
Enrollment ID: I20250707001746
Provider NameTatiana Carmona
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063932499
PECOS PAC ID: 8628583226
Enrollment ID: I20250714001594
Provider NameLindsay Abrams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710560966
PECOS PAC ID: 0345755989
Enrollment ID: I20250714002306
Provider NamePhung My Ly
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215365739
PECOS PAC ID: 8325543713
Enrollment ID: I20250925004431
Provider NameMichelle Scully
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073327938
PECOS PAC ID: 5597260877
Enrollment ID: I20250926001112
Provider NameTheresa a Monachello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376312413
PECOS PAC ID: 1759729783
Enrollment ID: I20251017001025
Provider NameChristina Heo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518569482
PECOS PAC ID: 2466809025
Enrollment ID: I20251203000224

Reviews and Comments

Other Primary Care Clinics in Lyndhurst, NJ

First Care Medical Group, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 750 Valley Brook Ave, Lyndhurst, NJ 07071
Phone: 201-896-0900    Fax: 201-896-2726
Gisele Castelluber PA
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 477 Stuyvesant Ave, Lyndhurst, NJ 07071
Phone: 201-933-2333    Fax: 201-933-3885
Sunny Telehealth
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 70 Ridge Rd, Lyndhurst, NJ 07071
Phone: 201-504-1400    
Yvhh Limited Liability Company
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 402 Forest Ave, Lyndhurst, NJ 07071
Phone: 201-699-2008    Fax: 973-322-8072
Park Avenue Medical Associates, P.A.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 30 Park Ave, Suite 202, Lyndhurst, NJ 07071
Phone: 201-438-5900    
Metropolitan Pain Consultants, LLC
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 256 Stuyvesant Ave Ste A, Lyndhurst, NJ 07071
Phone: 201-729-0001    Fax: 201-729-0006

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.