| Medwell Llc | |
|
33 Central Ave Midland Park NJ 07432 | |
| (201) 689-0800 | |
| (201) 689-0871 |
| Full Name | Medwell Llc |
|---|---|
| Speciality | General Practice |
| Location | 33 Central Ave, Midland Park, New Jersey |
| Authorized Official Name and Position | Manouchehr T Shahab (OWNER) |
| Authorized Official Contact | 2018191081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medwell Llc 33 Central Ave Midland Park NJ 07432 Ph: (201) 689-0800 | Medwell Llc 33 Central Ave Midland Park NJ 07432 Ph: (201) 689-0800 |
| NPI Number | 1659384360 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 11/12/2008 |
| Medicare PECOS PAC ID | 9931189776 |
|---|---|
| Medicare Enrollment ID | O20040722000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659384360 | NPI | - | NPPES |
| Provider Name | Hormoz Mohtashemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851304562 PECOS PAC ID: 0749255040 Enrollment ID: I20040831000363 |
| Provider Name | Tamer A Behman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730257619 PECOS PAC ID: 0042270720 Enrollment ID: I20041018000036 |
| Provider Name | Manouchehr T Shahab |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780697490 PECOS PAC ID: 9830113927 Enrollment ID: I20060117000142 |
| Provider Name | Igor Genkin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700802972 PECOS PAC ID: 6507803525 Enrollment ID: I20090114000238 |
| Provider Name | Jayson L Bajamunde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699918029 PECOS PAC ID: 3375692858 Enrollment ID: I20090513000430 |
| Provider Name | Cristina K Salazar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205068145 PECOS PAC ID: 3476693144 Enrollment ID: I20091211000095 |
| Provider Name | Ali R Mazandarani |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174536965 PECOS PAC ID: 8123008869 Enrollment ID: I20100907000993 |
| Provider Name | Masood A Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750392197 PECOS PAC ID: 0345421392 Enrollment ID: I20110223000754 |
| Provider Name | Salvatore T Tuzzeo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275697682 PECOS PAC ID: 8022295716 Enrollment ID: I20110607000047 |
| Provider Name | Claire Bloom Maquiling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366455073 PECOS PAC ID: 6709048598 Enrollment ID: I20120423000735 |
| Provider Name | Maria F Bajamunde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962772210 PECOS PAC ID: 4486816626 Enrollment ID: I20120503000578 |
| Provider Name | Michael Angelotto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538243563 PECOS PAC ID: 4385809656 Enrollment ID: I20120712000112 |
| Provider Name | John Dellorso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013952332 PECOS PAC ID: 7618916594 Enrollment ID: I20120820000090 |
| Provider Name | Steven Belt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700957479 PECOS PAC ID: 5799923579 Enrollment ID: I20130606000558 |
| Provider Name | Frances Gay E Clarete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164853685 PECOS PAC ID: 7810114105 Enrollment ID: I20140811000532 |
| Provider Name | Enrica G Secio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881832244 PECOS PAC ID: 0042363749 Enrollment ID: I20140916001124 |
| Provider Name | Dorothy Vanslyke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023407574 PECOS PAC ID: 8628398146 Enrollment ID: I20150526000914 |
| Provider Name | Hisham A Hashish |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285718817 PECOS PAC ID: 5395715809 Enrollment ID: I20150722005153 |
| Provider Name | Christopher Bonsignore |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902124340 PECOS PAC ID: 5496992851 Enrollment ID: I20181022002556 |
| Provider Name | Murtuza Tameem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851741284 PECOS PAC ID: 5799011714 Enrollment ID: I20190730000932 |
| Provider Name | Ali Sherzoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245265297 PECOS PAC ID: 0840283602 Enrollment ID: I20191010001130 |
| Provider Name | Alexander Esena |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871128785 PECOS PAC ID: 5890175764 Enrollment ID: I20220708003378 |
| Provider Name | Jessica J Taveras |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114507019 PECOS PAC ID: 8628447828 Enrollment ID: I20221209002538 |
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