| Hackensack Meridian Health Medical Group - Complex Care Pc | |
|
331 Newman Springs Rd Ste 220 Red Bank NJ 07701-5688 | |
| (732) 807-0800 | |
| (732) 922-0548 |
| Full Name | Hackensack Meridian Health Medical Group - Complex Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 331 Newman Springs Rd Ste 220, Red Bank, New Jersey |
| Authorized Official Name and Position | Daniel Varga (DIRECTOR) |
| Authorized Official Contact | 3278070800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackensack Meridian Health Medical Group - Complex Care Pc Po Box 95000-7720 Philadelphia PA 19195-0001 Ph: (732) 807-0800 | Hackensack Meridian Health Medical Group - Complex Care Pc 331 Newman Springs Rd Ste 220 Red Bank NJ 07701-5688 Ph: (732) 807-0800 |
| NPI Number | 1154379626 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 0446272298 |
|---|---|
| Medicare Enrollment ID | O20060109000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154379626 | NPI | - | NPPES |
| 0092410 | Medicaid | NJ |
| Provider Name | Hugo Franco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629022769 PECOS PAC ID: 9739093956 Enrollment ID: I20031113000009 |
| Provider Name | Adriana Cordal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629166780 PECOS PAC ID: 0244224418 Enrollment ID: I20040412000488 |
| Provider Name | Karen L Koscica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437184389 PECOS PAC ID: 4183610413 Enrollment ID: I20040422000773 |
| Provider Name | Eric Berger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508892282 PECOS PAC ID: 2567458557 Enrollment ID: I20040423001085 |
| Provider Name | Richard M Abramowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609856434 PECOS PAC ID: 1254321227 Enrollment ID: I20040513000470 |
| Provider Name | Heather H Grossman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093781387 PECOS PAC ID: 2567440043 Enrollment ID: I20040712000085 |
| Provider Name | Srividya Naganathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306805700 PECOS PAC ID: 4587631643 Enrollment ID: I20040916000876 |
| Provider Name | Shobha A Chottera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962579466 PECOS PAC ID: 5294703955 Enrollment ID: I20040921000091 |
| Provider Name | Essam-eldin Ellabbad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679510143 PECOS PAC ID: 6800888223 Enrollment ID: I20040921000954 |
| Provider Name | Richard I Sultan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295700359 PECOS PAC ID: 2567431281 Enrollment ID: I20040929000948 |
| Provider Name | Ellen L Conner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609867100 PECOS PAC ID: 9739141557 Enrollment ID: I20041103000129 |
| Provider Name | Marianne C Connelly-semenuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598718918 PECOS PAC ID: 9335104165 Enrollment ID: I20041122000386 |
| Provider Name | Charles K Dadzie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104882109 PECOS PAC ID: 4082679568 Enrollment ID: I20041203000057 |
| Provider Name | Meera Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407952302 PECOS PAC ID: 3971569062 Enrollment ID: I20041209000936 |
| Provider Name | Jennifer E Weiss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487608337 PECOS PAC ID: 5496712630 Enrollment ID: I20041220000337 |
| Provider Name | Nancy J. Durning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396934972 PECOS PAC ID: 7517925258 Enrollment ID: I20041228000317 |
| Provider Name | Nanditha Krishnamsetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174582746 PECOS PAC ID: 2466406699 Enrollment ID: I20050310000024 |
| Provider Name | Lawrence S Turtel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487725933 PECOS PAC ID: 3779539853 Enrollment ID: I20050323000121 |
| Provider Name | Chenoa Newbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083704373 PECOS PAC ID: 1052350386 Enrollment ID: I20050427000214 |
| Provider Name | Ilene B Pardon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750452355 PECOS PAC ID: 1759321672 Enrollment ID: I20050510000420 |
| Provider Name | Arunesh Mishra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750361671 PECOS PAC ID: 6709829799 Enrollment ID: I20050610000110 |
| Provider Name | Christian M Kaunzinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912976010 PECOS PAC ID: 8426092727 Enrollment ID: I20050617000104 |
| Provider Name | Michael P Carson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235180647 PECOS PAC ID: 6305882036 Enrollment ID: I20050705000510 |
| Provider Name | Xiaoyin Tang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437128568 PECOS PAC ID: 3577591957 Enrollment ID: I20050727000713 |
| Provider Name | Laura A Goode |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043263486 PECOS PAC ID: 2860421740 Enrollment ID: I20050810001192 |
| Provider Name | Annette Sinski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427090901 PECOS PAC ID: 4486683364 Enrollment ID: I20050810001206 |
| Provider Name | Meltem Karatas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467427963 PECOS PAC ID: 1850322637 Enrollment ID: I20050823000747 |
| Provider Name | Dana I Tarina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952375743 PECOS PAC ID: 3577595750 Enrollment ID: I20050908000690 |
| Provider Name | Cathleen M Ballance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760451488 PECOS PAC ID: 8729010384 Enrollment ID: I20050922000206 |
| Provider Name | Mayer R Ezer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417925538 PECOS PAC ID: 4587689518 Enrollment ID: I20051010000417 |
| Provider Name | Jennifer Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013935790 PECOS PAC ID: 3779502059 Enrollment ID: I20051116000180 |
| Provider Name | Lamberto A Tan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023022159 PECOS PAC ID: 2769401041 Enrollment ID: I20051116000533 |
| Provider Name | Robert G Stern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134272495 PECOS PAC ID: 6002835006 Enrollment ID: I20051118000686 |
| Provider Name | Christopher J Fabricant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275502072 PECOS PAC ID: 7810918950 Enrollment ID: I20051216000057 |
| Provider Name | Joseph C Canterino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760471122 PECOS PAC ID: 0941222913 Enrollment ID: I20051220000073 |
| Provider Name | Edward Weich Liu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871587683 PECOS PAC ID: 5597787333 Enrollment ID: I20051221000451 |
| Provider Name | Nancy J Kruvant-gornish |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669441465 PECOS PAC ID: 6204858046 Enrollment ID: I20051221000468 |
| Provider Name | Jose M Fune |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043289184 PECOS PAC ID: 8325060171 Enrollment ID: I20051221000556 |
| Provider Name | Aswine K Bal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275502957 PECOS PAC ID: 1153344965 Enrollment ID: I20060107000011 |
| Provider Name | Santhosh Eapen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962464503 PECOS PAC ID: 0345262002 Enrollment ID: I20060110000010 |
| Provider Name | Alan Cabasso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710956438 PECOS PAC ID: 0042233868 Enrollment ID: I20060110001126 |
| Provider Name | Elliot Frank |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205805009 PECOS PAC ID: 6608899828 Enrollment ID: I20060113000015 |
| Provider Name | Denise Aloisio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780643296 PECOS PAC ID: 6204859028 Enrollment ID: I20060123000020 |
| Provider Name | Christopher T Trigani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093784779 PECOS PAC ID: 8022031848 Enrollment ID: I20060123000038 |
| Provider Name | David G Ramos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568437382 PECOS PAC ID: 3274547278 Enrollment ID: I20060130000271 |
| Provider Name | Ann S Ross |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063488997 PECOS PAC ID: 6406860436 Enrollment ID: I20060130000483 |
| Provider Name | Michael A Graff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649243684 PECOS PAC ID: 5092793182 Enrollment ID: I20060130000590 |
| Provider Name | Peter J Litwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154452712 PECOS PAC ID: 4789693946 Enrollment ID: I20060417000332 |
| Provider Name | Tony Juneja |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1871519215 PECOS PAC ID: 6002816931 Enrollment ID: I20061228000020 |
| Provider Name | Alexander Shifrin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346264116 PECOS PAC ID: 9133150337 Enrollment ID: I20070129000569 |
| Provider Name | Jason C Fisher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306860663 PECOS PAC ID: 3274635198 Enrollment ID: I20070223000507 |
| Provider Name | Marcos E Alfie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285691634 PECOS PAC ID: 7517069446 Enrollment ID: I20070223000552 |
| Provider Name | Dawn M Calderon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336189976 PECOS PAC ID: 8820192917 Enrollment ID: I20070329000336 |
| Provider Name | Kerry S Bergman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346211174 PECOS PAC ID: 2062516958 Enrollment ID: I20070403000117 |
| Provider Name | Elaine Moustafellos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962449207 PECOS PAC ID: 8123122868 Enrollment ID: I20070405000166 |
| Provider Name | Stacy J Doumas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447343678 PECOS PAC ID: 6103921572 Enrollment ID: I20070412000483 |
| Provider Name | Gayathri Sastry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659459949 PECOS PAC ID: 0143326660 Enrollment ID: I20070430000551 |
| Provider Name | Helena Karwowska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023173382 PECOS PAC ID: 9739286204 Enrollment ID: I20070517000247 |
| Provider Name | Sandra A Moharsky-cahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003985961 PECOS PAC ID: 4587765110 Enrollment ID: I20070725000703 |
| Provider Name | Margarita Smotkin-tangorra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477673341 PECOS PAC ID: 7618068305 Enrollment ID: I20070809000642 |
| Provider Name | Deborah R Alpert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124150834 PECOS PAC ID: 5496847618 Enrollment ID: I20070817000271 |
| Provider Name | Burton Appel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790731925 PECOS PAC ID: 2961595004 Enrollment ID: I20070906000408 |
| Provider Name | Katherine A Orellana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265643068 PECOS PAC ID: 4486741717 Enrollment ID: I20071102000002 |
| Provider Name | Anne G Roth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205025574 PECOS PAC ID: 2769571991 Enrollment ID: I20071211000231 |
| Provider Name | Rose M St Fleur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346264934 PECOS PAC ID: 7315029527 Enrollment ID: I20080128000231 |
| Provider Name | Judith M Slover Zipf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841369444 PECOS PAC ID: 4880770726 Enrollment ID: I20080318000659 |
| Provider Name | Tracie Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619185675 PECOS PAC ID: 8628160793 Enrollment ID: I20080319000078 |
| Provider Name | Francis L Cancellieri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285705053 PECOS PAC ID: 4284711060 Enrollment ID: I20080403000102 |
| Provider Name | Loretta M Ninivaggi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205905809 PECOS PAC ID: 3678651718 Enrollment ID: I20080415000498 |
| Provider Name | Scott W Smilen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811985518 PECOS PAC ID: 9638270945 Enrollment ID: I20080606000036 |
| Provider Name | Joan E Zaccardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740245661 PECOS PAC ID: 1951472703 Enrollment ID: I20080623000029 |
| Provider Name | Efe E Edhomeriegue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205808482 PECOS PAC ID: 3072685908 Enrollment ID: I20080709000272 |
| Provider Name | Wendy C Jeshion |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851338644 PECOS PAC ID: 7012080757 Enrollment ID: I20080714000580 |
| Provider Name | Mohammed A Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114938461 PECOS PAC ID: 2365448180 Enrollment ID: I20080820000007 |
| Provider Name | Jan B Wollack |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1447345608 PECOS PAC ID: 8628145612 Enrollment ID: I20080917000018 |
| Provider Name | Maria Agnes C Dawis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578565040 PECOS PAC ID: 2062570864 Enrollment ID: I20081023000273 |
| Provider Name | Nelly Gavalakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174577746 PECOS PAC ID: 2264595479 Enrollment ID: I20090114000732 |
| Provider Name | Clace C Cleaver-felice |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841445525 PECOS PAC ID: 8921163007 Enrollment ID: I20090225000046 |
| Provider Name | Elizabeth J Assing |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700095544 PECOS PAC ID: 7911063078 Enrollment ID: I20090226000048 |
| Provider Name | Matthew J Maccarrick |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245319615 PECOS PAC ID: 4880741644 Enrollment ID: I20090414000010 |
| Provider Name | Maria E Martins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255401733 PECOS PAC ID: 5395892897 Enrollment ID: I20090421000429 |
| Provider Name | Yukiko D Kimura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417900135 PECOS PAC ID: 3375693591 Enrollment ID: I20090610000255 |
| Provider Name | Cathleen A Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851598569 PECOS PAC ID: 7517018260 Enrollment ID: I20090619000484 |
| Provider Name | Jamie Marie Pinto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245457951 PECOS PAC ID: 8921159849 Enrollment ID: I20090706000240 |
| Provider Name | Adriana Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285606921 PECOS PAC ID: 5991856858 Enrollment ID: I20090706000593 |
| Provider Name | Suzanne Li |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295789147 PECOS PAC ID: 4880748466 Enrollment ID: I20090817000299 |
| Provider Name | Carmencita T Lanez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770643959 PECOS PAC ID: 1658426184 Enrollment ID: I20090903000739 |
| Provider Name | Jayshree Savla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598963456 PECOS PAC ID: 1951456128 Enrollment ID: I20090911000521 |
| Provider Name | Danielle E. Lann |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417116682 PECOS PAC ID: 8729124235 Enrollment ID: I20091013000699 |
| Provider Name | Samuel S Sostre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336355403 PECOS PAC ID: 3779619374 Enrollment ID: I20100408000205 |
| Provider Name | Mark Martens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447221510 PECOS PAC ID: 2769383942 Enrollment ID: I20100428000405 |
| Provider Name | Orna Alpert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164466769 PECOS PAC ID: 8921136029 Enrollment ID: I20100511000735 |
| Provider Name | Sivia K Lapidus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306161278 PECOS PAC ID: 0840322731 Enrollment ID: I20100712000538 |
| Provider Name | Alfred Gillio |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588602270 PECOS PAC ID: 4981898178 Enrollment ID: I20101102000178 |
| Provider Name | Noreen Quinlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740221720 PECOS PAC ID: 0446446215 Enrollment ID: I20101119000538 |
| Provider Name | Elizabeth Mammen-prasad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366411084 PECOS PAC ID: 8628264322 Enrollment ID: I20101119000962 |
| Provider Name | Rachel Heaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992751101 PECOS PAC ID: 4688860745 Enrollment ID: I20101201000630 |
| Provider Name | Sharon D'mello Hilton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639375157 PECOS PAC ID: 6103013065 Enrollment ID: I20101206000332 |
| Provider Name | Nader J Nakhleh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598963902 PECOS PAC ID: 0244429744 Enrollment ID: I20110114000327 |
| Provider Name | Tobechukwu Clouden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669603387 PECOS PAC ID: 3577748441 Enrollment ID: I20110420000148 |
| Provider Name | Francis Patterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477587749 PECOS PAC ID: 8729263454 Enrollment ID: I20110425000075 |
| Provider Name | Susan M Lage |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689784159 PECOS PAC ID: 7315034188 Enrollment ID: I20110603000094 |
| Provider Name | Anna M Kufelnicka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376847517 PECOS PAC ID: 1759568413 Enrollment ID: I20110606000425 |
| Provider Name | Ramon Solhkhah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245255702 PECOS PAC ID: 8426195033 Enrollment ID: I20110706000316 |
| Provider Name | Mary Beth Browne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285701094 PECOS PAC ID: 2163690314 Enrollment ID: I20110714000495 |
| Provider Name | Karim S Elsahwi |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1508909995 PECOS PAC ID: 4486746336 Enrollment ID: I20110915000469 |
| Provider Name | Beth Ann Loveridge-lenza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043404312 PECOS PAC ID: 1951573625 Enrollment ID: I20111003000278 |
| Provider Name | Ronald S Matteotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356546683 PECOS PAC ID: 9739238742 Enrollment ID: I20111018000322 |
| Provider Name | Kerry L. Kornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881708741 PECOS PAC ID: 2365617289 Enrollment ID: I20111205000506 |
| Provider Name | Andrew D Mcinnes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174718035 PECOS PAC ID: 3476728072 Enrollment ID: I20111209000357 |
| Provider Name | Diane M. Marchesani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780882225 PECOS PAC ID: 3577692888 Enrollment ID: I20111215000188 |
| Provider Name | Janti Chaaban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013169937 PECOS PAC ID: 8820264856 Enrollment ID: I20111222000062 |
| Provider Name | Jessica A Scerbo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659607562 PECOS PAC ID: 8426229618 Enrollment ID: I20120216000120 |
| Provider Name | Keith Kuenzler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558477141 PECOS PAC ID: 6507026952 Enrollment ID: I20120322000430 |
| Provider Name | Shuvendu Sen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780860684 PECOS PAC ID: 3971682345 Enrollment ID: I20120416000595 |
| Provider Name | Tara M Lally |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760641344 PECOS PAC ID: 2062673908 Enrollment ID: I20120419000593 |
| Provider Name | Luciana Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821229170 PECOS PAC ID: 9234391715 Enrollment ID: I20120430000014 |
| Provider Name | Muhammad A Abbas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396955951 PECOS PAC ID: 1153513015 Enrollment ID: I20120727000602 |
| Provider Name | Carmelita G Mabanta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801879598 PECOS PAC ID: 8325024169 Enrollment ID: I20120824000598 |
| Provider Name | Ilana J. Torine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477660264 PECOS PAC ID: 1658538319 Enrollment ID: I20120828000108 |
| Provider Name | Ahmet Can |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518214626 PECOS PAC ID: 3971751504 Enrollment ID: I20120924000403 |
| Provider Name | Philip E Vincent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114243524 PECOS PAC ID: 4688821184 Enrollment ID: I20121023000629 |
| Provider Name | Sandra S Tomita |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356313258 PECOS PAC ID: 5799822631 Enrollment ID: I20130115000415 |
| Provider Name | Syed Tirmazi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073656419 PECOS PAC ID: 5597919589 Enrollment ID: I20130128000398 |
| Provider Name | Avanee Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578643052 PECOS PAC ID: 9830286038 Enrollment ID: I20130501000333 |
| Provider Name | Susan Anne Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871836916 PECOS PAC ID: 2163663089 Enrollment ID: I20130718000489 |
| Provider Name | Mark Lawrence Kayton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790760577 PECOS PAC ID: 7719941699 Enrollment ID: I20130812000436 |
| Provider Name | Michelle L. Sirak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548420136 PECOS PAC ID: 5294977575 Enrollment ID: I20130815000854 |
| Provider Name | Ewaen O Okao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528358652 PECOS PAC ID: 1658557780 Enrollment ID: I20130820000276 |
| Provider Name | Dzhamala Gilmandyar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609016815 PECOS PAC ID: 0345435764 Enrollment ID: I20130917000589 |
| Provider Name | Jasdeep S Hundal |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306125232 PECOS PAC ID: 0042454696 Enrollment ID: I20130920000335 |
| Provider Name | Marianna Nicoletta-gentile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841523800 PECOS PAC ID: 5092949156 Enrollment ID: I20131004000223 |
| Provider Name | Jennifer Jimenez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073789905 PECOS PAC ID: 3476788878 Enrollment ID: I20131019000090 |
| Provider Name | Kenan Osmanovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396996708 PECOS PAC ID: 4385875897 Enrollment ID: I20140326002023 |
| Provider Name | Sheveta Jain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588980361 PECOS PAC ID: 5799918033 Enrollment ID: I20140512001622 |
| Provider Name | Adam C Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013330018 PECOS PAC ID: 9436375763 Enrollment ID: I20140723001047 |
| Provider Name | Kristen S Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447559455 PECOS PAC ID: 3779700893 Enrollment ID: I20140814000364 |
| Provider Name | Melanie Hankewycz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851711667 PECOS PAC ID: 3577781723 Enrollment ID: I20140829000697 |
| Provider Name | Valeria M Di Stefano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457614679 PECOS PAC ID: 1052539012 Enrollment ID: I20140904001654 |
| Provider Name | Carlene Cord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114970530 PECOS PAC ID: 4183845837 Enrollment ID: I20141021002210 |
| Provider Name | Halyna Kuzyshyn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770854499 PECOS PAC ID: 6406078351 Enrollment ID: I20141110002330 |
| Provider Name | John Gibbs |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1063418176 PECOS PAC ID: 2668401373 Enrollment ID: I20141201000107 |
| Provider Name | Colleen M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255615274 PECOS PAC ID: 2769643154 Enrollment ID: I20141204001799 |
| Provider Name | Kristin M Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629313986 PECOS PAC ID: 1052633633 Enrollment ID: I20141210001263 |
| Provider Name | Fred D. Fumia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639149099 PECOS PAC ID: 4183525694 Enrollment ID: I20150206001444 |
| Provider Name | Nicole Caragian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780011239 PECOS PAC ID: 5395056279 Enrollment ID: I20150618001745 |
| Provider Name | Derek R Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396918876 PECOS PAC ID: 8123242666 Enrollment ID: I20150721001731 |
| Provider Name | Reena N Jethva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083857858 PECOS PAC ID: 2163578311 Enrollment ID: I20150727000307 |
| Provider Name | Rosily Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255716726 PECOS PAC ID: 2163737990 Enrollment ID: I20150821014394 |
| Provider Name | Katherine Beckwith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518100239 PECOS PAC ID: 2466606728 Enrollment ID: I20150915001004 |
| Provider Name | Kristen C Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689006272 PECOS PAC ID: 6103135975 Enrollment ID: I20151016001872 |
| Provider Name | Joshua Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548677974 PECOS PAC ID: 7719297407 Enrollment ID: I20151109002269 |
| Provider Name | James R Bosscher |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265522627 PECOS PAC ID: 6406744648 Enrollment ID: I20151201000059 |
| Provider Name | Niyati Chiniwala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528219367 PECOS PAC ID: 8820266653 Enrollment ID: I20151217000141 |
| Provider Name | Natalie M Corlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578934725 PECOS PAC ID: 5597067157 Enrollment ID: I20160113002392 |
| Provider Name | Scott I Aydin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619101268 PECOS PAC ID: 1355510819 Enrollment ID: I20160324000939 |
| Provider Name | Brendan P Mccollum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942602123 PECOS PAC ID: 5698073658 Enrollment ID: I20160407002105 |
| Provider Name | Rehan Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457391310 PECOS PAC ID: 3072515618 Enrollment ID: I20160506000452 |
| Provider Name | Geralda Vilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407201627 PECOS PAC ID: 8325337710 Enrollment ID: I20160525002398 |
| Provider Name | Ghazalah Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346595915 PECOS PAC ID: 8224273685 Enrollment ID: I20160614002144 |
| Provider Name | Arif Asif |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598709941 PECOS PAC ID: 9638366230 Enrollment ID: I20160617000113 |
| Provider Name | Meghan Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306184023 PECOS PAC ID: 4284879982 Enrollment ID: I20160729000488 |
| Provider Name | Julie Topsis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902887219 PECOS PAC ID: 5698062875 Enrollment ID: I20161003001843 |
| Provider Name | Michael Sullivan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588827174 PECOS PAC ID: 0244547289 Enrollment ID: I20161019000086 |
| Provider Name | Payal Makadia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053639229 PECOS PAC ID: 7810276102 Enrollment ID: I20161109000064 |
| Provider Name | Kelly E Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205234903 PECOS PAC ID: 8123300175 Enrollment ID: I20170126002060 |
| Provider Name | Mohammad Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639559438 PECOS PAC ID: 3072881226 Enrollment ID: I20170724000971 |
| Provider Name | Robert S Petercsak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528590593 PECOS PAC ID: 1759652399 Enrollment ID: I20170801000882 |
| Provider Name | Mildred Kenney-lau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881759157 PECOS PAC ID: 1052683521 Enrollment ID: I20170817002174 |
| Provider Name | Krishna K Chalasani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427314202 PECOS PAC ID: 1456653864 Enrollment ID: I20170914000354 |
| Provider Name | Denise Ann Perrino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144742743 PECOS PAC ID: 4688949449 Enrollment ID: I20171004000467 |
| Provider Name | Jennifer Cheng |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699975037 PECOS PAC ID: 0143482091 Enrollment ID: I20171026001346 |
| Provider Name | Nina Stella Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154619500 PECOS PAC ID: 7012145857 Enrollment ID: I20171106001890 |
| Provider Name | Benjamin Samuel Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578812814 PECOS PAC ID: 6002199213 Enrollment ID: I20171113002546 |
| Provider Name | Christine M Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669901161 PECOS PAC ID: 7719243575 Enrollment ID: I20171121000722 |
| Provider Name | Ruben Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336353051 PECOS PAC ID: 3678862901 Enrollment ID: I20171227000839 |
| Provider Name | Verda J Hicks |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1407857881 PECOS PAC ID: 4981670411 Enrollment ID: I20171228000043 |
| Provider Name | Katharine Offer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154611754 PECOS PAC ID: 2062770761 Enrollment ID: I20180102001082 |
| Provider Name | Tamar Horowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154756211 PECOS PAC ID: 0749548352 Enrollment ID: I20180102002541 |
| Provider Name | Raquel Kristin Sanchez Ong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972862456 PECOS PAC ID: 8426317801 Enrollment ID: I20180110000272 |
| Provider Name | Alaukik Bhasin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831598788 PECOS PAC ID: 2961761309 Enrollment ID: I20180110003354 |
| Provider Name | Soemiwati W Holland |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740549864 PECOS PAC ID: 7719270131 Enrollment ID: I20180312001705 |
| Provider Name | Rosemary Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821295320 PECOS PAC ID: 2961620430 Enrollment ID: I20180326000890 |
| Provider Name | Sheba Syeda Asghar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780865758 PECOS PAC ID: 2567543150 Enrollment ID: I20180326002410 |
| Provider Name | Laura Natoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013421775 PECOS PAC ID: 3678835774 Enrollment ID: I20180402000100 |
| Provider Name | Katherine Grasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184093106 PECOS PAC ID: 1052675816 Enrollment ID: I20180502000290 |
| Provider Name | Adriana C Acosta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629421052 PECOS PAC ID: 0345505343 Enrollment ID: I20180522001622 |
| Provider Name | Sarah Anne Rawstron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154378990 PECOS PAC ID: 3375689474 Enrollment ID: I20180703000645 |
| Provider Name | Arman Mushtaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780190231 PECOS PAC ID: 3870840002 Enrollment ID: I20180719001321 |
| Provider Name | Perri Rena Donenfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457767626 PECOS PAC ID: 4880994748 Enrollment ID: I20180801001452 |
| Provider Name | Courtney Elizabeth Briamonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871704106 PECOS PAC ID: 9830448117 Enrollment ID: I20180820002176 |
| Provider Name | Ahmad M Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427391598 PECOS PAC ID: 6901155043 Enrollment ID: I20180822001484 |
| Provider Name | Bhaveshkumar Garsondiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801302351 PECOS PAC ID: 0749539708 Enrollment ID: I20180823003160 |
| Provider Name | Anna Carmela Sagcal Gironella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497952022 PECOS PAC ID: 8628264926 Enrollment ID: I20181001002570 |
| Provider Name | Marina Khrizman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093058828 PECOS PAC ID: 0143527002 Enrollment ID: I20181015000017 |
| Provider Name | Gina M Radice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174962088 PECOS PAC ID: 1254684277 Enrollment ID: I20181022001069 |
| Provider Name | Corey M Sherlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790290187 PECOS PAC ID: 2163775453 Enrollment ID: I20181105000049 |
| Provider Name | Nitin Suresh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194082800 PECOS PAC ID: 6002113792 Enrollment ID: I20181105000302 |
| Provider Name | Catherine Cunningham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982009486 PECOS PAC ID: 2264786474 Enrollment ID: I20181106002570 |
| Provider Name | Jing Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578862082 PECOS PAC ID: 9133491517 Enrollment ID: I20190131000038 |
| Provider Name | Amruta A Bamanikar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841551462 PECOS PAC ID: 1254679764 Enrollment ID: I20190207002379 |
| Provider Name | Saba Afzal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508265620 PECOS PAC ID: 6800134685 Enrollment ID: I20190221001038 |
| Provider Name | Nicole A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063937761 PECOS PAC ID: 2062751050 Enrollment ID: I20190311000043 |
| Provider Name | Saira K Chaughtai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447604319 PECOS PAC ID: 0941543011 Enrollment ID: I20190514001248 |
| Provider Name | Harpreet Pall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487663670 PECOS PAC ID: 8426084088 Enrollment ID: I20190719001245 |
| Provider Name | Daniel Marc Weiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457725830 PECOS PAC ID: 8123355120 Enrollment ID: I20190814001640 |
| Provider Name | Tony Issac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043692890 PECOS PAC ID: 1355679887 Enrollment ID: I20190822000665 |
| Provider Name | Michael John Carroll |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114485919 PECOS PAC ID: 4183952237 Enrollment ID: I20190827002948 |
| Provider Name | Blair Faith Germain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073952644 PECOS PAC ID: 3072841162 Enrollment ID: I20190828000698 |
| Provider Name | Nora J Doty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902125271 PECOS PAC ID: 4284855404 Enrollment ID: I20190906002442 |
| Provider Name | Brittany Parlow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154778892 PECOS PAC ID: 2264762038 Enrollment ID: I20190920000020 |
| Provider Name | Patrick Kane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576117 PECOS PAC ID: 4688980469 Enrollment ID: I20190926001089 |
| Provider Name | Uzoamaka Vanessa Onyejiaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548688211 PECOS PAC ID: 6901136209 Enrollment ID: I20190930003134 |
| Provider Name | Jonathan Faro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467728337 PECOS PAC ID: 1759672785 Enrollment ID: I20191002000023 |
| Provider Name | Lauren Kaczka-weiss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497048912 PECOS PAC ID: 1052656352 Enrollment ID: I20191030002143 |
| Provider Name | Jessica Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700262714 PECOS PAC ID: 6507198090 Enrollment ID: I20191104000007 |
| Provider Name | Sara M Sochaczewsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679124127 PECOS PAC ID: 1658703285 Enrollment ID: I20191119002860 |
| Provider Name | Johannes L Zakrzewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558678615 PECOS PAC ID: 5395991988 Enrollment ID: I20191127001461 |
| Provider Name | Percy Malcon Leblanc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275924185 PECOS PAC ID: 8022442706 Enrollment ID: I20200106002040 |
| Provider Name | Guillermo Hidalgo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548207038 PECOS PAC ID: 7012810534 Enrollment ID: I20200108000781 |
| Provider Name | Nina Shah Solanki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982064176 PECOS PAC ID: 5092000778 Enrollment ID: I20200130001196 |
| Provider Name | Vedavani Tiruveedhula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760865497 PECOS PAC ID: 6406147321 Enrollment ID: I20200204000503 |
| Provider Name | Andrew Mitchell Silverman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205178787 PECOS PAC ID: 8224465547 Enrollment ID: I20200227000029 |
| Provider Name | Takashi Saito |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902292782 PECOS PAC ID: 1254769318 Enrollment ID: I20200324001089 |
| Provider Name | Suzanne Touch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144239534 PECOS PAC ID: 2860430071 Enrollment ID: I20200522000687 |
| Provider Name | Daniel Carrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366998510 PECOS PAC ID: 2062833536 Enrollment ID: I20200609002331 |
| Provider Name | Jun Tashiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780983460 PECOS PAC ID: 9133543432 Enrollment ID: I20200720003270 |
| Provider Name | Chee Tan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114185915 PECOS PAC ID: 9234379595 Enrollment ID: I20200818001496 |
| Provider Name | Usman Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639533276 PECOS PAC ID: 0244658102 Enrollment ID: I20200910000059 |
| Provider Name | Valdis Lelkes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427478270 PECOS PAC ID: 6507190022 Enrollment ID: I20201006000007 |
| Provider Name | Swapnil Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881127975 PECOS PAC ID: 0749600880 Enrollment ID: I20201012001555 |
| Provider Name | Zelda Ghersin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891100517 PECOS PAC ID: 1052679453 Enrollment ID: I20201104001819 |
| Provider Name | Andrew Malanga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932563186 PECOS PAC ID: 8921395377 Enrollment ID: I20201110000004 |
| Provider Name | Katherine Armstrong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194145623 PECOS PAC ID: 1153669858 Enrollment ID: I20201124000284 |
| Provider Name | Heather Appelbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548331945 PECOS PAC ID: 6507770419 Enrollment ID: I20201124000672 |
| Provider Name | Kateryna Gaidamaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992285639 PECOS PAC ID: 0749691590 Enrollment ID: I20201130001217 |
| Provider Name | Vanessa Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992099105 PECOS PAC ID: 5698106953 Enrollment ID: I20201203000793 |
| Provider Name | Maryjoy Marzan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255938361 PECOS PAC ID: 1951713239 Enrollment ID: I20201210000317 |
| Provider Name | Winmin Htut |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477969566 PECOS PAC ID: 9335430180 Enrollment ID: I20201217002395 |
| Provider Name | Mark Borowsky |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1871570044 PECOS PAC ID: 1951363001 Enrollment ID: I20210126003561 |
| Provider Name | Victoriya Staab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104064971 PECOS PAC ID: 0244645927 Enrollment ID: I20210210000189 |
| Provider Name | Kristin Ann Kozakowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396060596 PECOS PAC ID: 2365679479 Enrollment ID: I20210211000795 |
| Provider Name | Dawn Ann Gerdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861647778 PECOS PAC ID: 3476968058 Enrollment ID: I20210211002281 |
| Provider Name | Mark Saxton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831193416 PECOS PAC ID: 2466402466 Enrollment ID: I20210215000619 |
| Provider Name | Aylin Bilgutay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770859787 PECOS PAC ID: 7517372063 Enrollment ID: I20210216002049 |
| Provider Name | Thomas Schumann Vates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447258637 PECOS PAC ID: 7416050661 Enrollment ID: I20210217000036 |
| Provider Name | Chinenyenwa A Onyemaechi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20210218000933 |
| Provider Name | Zana Dobroshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962513689 PECOS PAC ID: 9335169234 Enrollment ID: I20210218001444 |
| Provider Name | Cynthia M Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013501873 PECOS PAC ID: 7012323280 Enrollment ID: I20210312001433 |
| Provider Name | Nickolas Dawlabani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386820215 PECOS PAC ID: 9133264583 Enrollment ID: I20210413000000 |
| Provider Name | Lacey Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588255947 PECOS PAC ID: 3476952953 Enrollment ID: I20210603001848 |
| Provider Name | Hadassa Leader |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093910416 PECOS PAC ID: 4880719228 Enrollment ID: I20210720004172 |
| Provider Name | Nicole Marcantuono |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598968521 PECOS PAC ID: 7719133685 Enrollment ID: I20210723001841 |
| Provider Name | Mariawy Riollano Cruz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609253079 PECOS PAC ID: 2668716945 Enrollment ID: I20210811000082 |
| Provider Name | Ashaki Soyini Ayoola Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114372166 PECOS PAC ID: 5193129104 Enrollment ID: I20210812000403 |
| Provider Name | Adam J Sagot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154707495 PECOS PAC ID: 7719382126 Enrollment ID: I20210824001232 |
| Provider Name | Eronmwon Okoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093293839 PECOS PAC ID: 8224433651 Enrollment ID: I20210824001901 |
| Provider Name | Usha Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972699171 PECOS PAC ID: 3072508159 Enrollment ID: I20210827000787 |
| Provider Name | Lena E Gottesman-katz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609260181 PECOS PAC ID: 9234476748 Enrollment ID: I20210901001848 |
| Provider Name | Parthu Kumar Avvaru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366857351 PECOS PAC ID: 6709283849 Enrollment ID: I20210916001424 |
| Provider Name | Erinn Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205200649 PECOS PAC ID: 3375940893 Enrollment ID: I20210927002381 |
| Provider Name | Kevin Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003195751 PECOS PAC ID: 2668786443 Enrollment ID: I20210927003336 |
| Provider Name | Pallabi Guha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669853586 PECOS PAC ID: 2961754197 Enrollment ID: I20211007000044 |
| Provider Name | Laura Young Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972861318 PECOS PAC ID: 8426206673 Enrollment ID: I20211110000918 |
| Provider Name | Jo Rieben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710041637 PECOS PAC ID: 6709985674 Enrollment ID: I20211124001555 |
| Provider Name | Kristine Galizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396412078 PECOS PAC ID: 9830589282 Enrollment ID: I20211130000095 |
| Provider Name | James Sherer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407389505 PECOS PAC ID: 2769876002 Enrollment ID: I20220302000727 |
| Provider Name | Mary O'malley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649498742 PECOS PAC ID: 2961698238 Enrollment ID: I20220323000985 |
| Provider Name | Christina Carrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477199842 PECOS PAC ID: 6800281940 Enrollment ID: I20220328000966 |
| Provider Name | Monika Soujanya Akula |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154783678 PECOS PAC ID: 8729474853 Enrollment ID: I20220329002649 |
| Provider Name | Ihab Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083876809 PECOS PAC ID: 9638308240 Enrollment ID: I20220420002103 |
| Provider Name | Tazeen Azfar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376906511 PECOS PAC ID: 3375881535 Enrollment ID: I20220427002753 |
| Provider Name | Ayesha Adil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700310653 PECOS PAC ID: 8628465051 Enrollment ID: I20220503001437 |
| Provider Name | Angelo Antonio Sica |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710467592 PECOS PAC ID: 8426445701 Enrollment ID: I20220505001133 |
| Provider Name | Samir Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609260058 PECOS PAC ID: 7810233384 Enrollment ID: I20220510001589 |
| Provider Name | Meenakshi Vimalananda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235272378 PECOS PAC ID: 0446301816 Enrollment ID: I20220516000482 |
| Provider Name | Nidhi Goel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609075167 PECOS PAC ID: 2264610104 Enrollment ID: I20220517002898 |
| Provider Name | Pamela Alejandra Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801530985 PECOS PAC ID: 8527446129 Enrollment ID: I20220610001075 |
| Provider Name | Joseph Nicholas Heaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629539762 PECOS PAC ID: 6103205638 Enrollment ID: I20220614000565 |
| Provider Name | Melanie Dabakis Degliuomini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992168256 PECOS PAC ID: 7911386354 Enrollment ID: I20220615002047 |
| Provider Name | Michelle O Tortorelli |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295474435 PECOS PAC ID: 3779962733 Enrollment ID: I20220622000253 |
| Provider Name | Alexandra Khanyutin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225458607 PECOS PAC ID: 3274889944 Enrollment ID: I20220623000445 |
| Provider Name | Christine Camacho-bydume |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801154265 PECOS PAC ID: 4880014240 Enrollment ID: I20220628000562 |
| Provider Name | Robert Maresh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821159484 PECOS PAC ID: 8224273396 Enrollment ID: I20220704000277 |
| Provider Name | Jennifer E Powel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972997088 PECOS PAC ID: 0648504886 Enrollment ID: I20220712000644 |
| Provider Name | Andrew Xavier Parada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639690464 PECOS PAC ID: 7012398001 Enrollment ID: I20220721003933 |
| Provider Name | Ashley Haggerty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639331028 PECOS PAC ID: 9537469994 Enrollment ID: I20220805003020 |
| Provider Name | Gregory Tiesi |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1942464003 PECOS PAC ID: 7315239811 Enrollment ID: I20220808003514 |
| Provider Name | Bruce Patsner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497775753 PECOS PAC ID: 9931252095 Enrollment ID: I20220817001355 |
| Provider Name | Andrew T Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174029565 PECOS PAC ID: 3779967997 Enrollment ID: I20220907000672 |
| Provider Name | Hussain Muhammad Abdullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033646583 PECOS PAC ID: 8921483983 Enrollment ID: I20220913000351 |
| Provider Name | Margaret Mcguire |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093872509 PECOS PAC ID: 4385912799 Enrollment ID: I20220920000841 |
| Provider Name | Thomas Frank Priolo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063918522 PECOS PAC ID: 5991180283 Enrollment ID: I20220922003406 |
| Provider Name | Katherine Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356879977 PECOS PAC ID: 3072980093 Enrollment ID: I20221104000592 |
| Provider Name | Suhas Ganguli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669862462 PECOS PAC ID: 2466700323 Enrollment ID: I20221128000194 |
| Provider Name | Samreen Munir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871978114 PECOS PAC ID: 7810299518 Enrollment ID: I20221208003178 |
| Provider Name | Rachel Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396464822 PECOS PAC ID: 3375912538 Enrollment ID: I20221209000892 |
| Provider Name | Christine Anne Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649908559 PECOS PAC ID: 3375913064 Enrollment ID: I20221220002905 |
| Provider Name | Farah Deshmukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457855926 PECOS PAC ID: 5294106068 Enrollment ID: I20230117000683 |
| Provider Name | Katharine Lange |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154612463 PECOS PAC ID: 6103191168 Enrollment ID: I20230227000669 |
| Provider Name | Madeline Toohey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447964598 PECOS PAC ID: 9032576905 Enrollment ID: I20230608000351 |
| Provider Name | Kerri Elmendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275241853 PECOS PAC ID: 8123485026 Enrollment ID: I20230608001205 |
| Provider Name | Diana Marcela Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962764266 PECOS PAC ID: 1951768787 Enrollment ID: I20230608002960 |
| Provider Name | Barbara Spitzer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851699979 PECOS PAC ID: 1658691324 Enrollment ID: I20230705000726 |
| Provider Name | Carly Md Rothman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689101149 PECOS PAC ID: 3375888761 Enrollment ID: I20230928004249 |
| Provider Name | Inna Novak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952431249 PECOS PAC ID: 9032256003 Enrollment ID: I20231129002033 |
| Provider Name | Kirin Suri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942292230 PECOS PAC ID: 9931152261 Enrollment ID: I20240222000969 |
Dominick A. Grosso, D.o. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Globe Ct, Red Bank, NJ 07701 Phone: 732-219-0110 Fax: 732-212-8818 | |
Cpc Behavioral Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Highway 35, Red Bank, NJ 07701 Phone: 732-842-2000 | |
Lanza's Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 240 Maple Ave, Red Bank, NJ 07701 Phone: 732-576-1600 | |
Hackensack Meridian Health Medical Group - Primary Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701 Phone: 732-807-0800 Fax: 327-922-0548 | |
Red Bank Gastroenterology Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Broad St, Red Bank, NJ 07701 Phone: 732-842-4294 Fax: 732-530-1497 | |
Harmonia Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 E Front St Ste 300, Red Bank, NJ 07701 Phone: 732-510-0460 |