| Middletown Medical Pc | |
|
111 Maltese Dr Middletown NY 10940-2115 | |
| (845) 342-4774 | |
| (845) 818-7555 |
| Full Name | Middletown Medical Pc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 111 Maltese Dr, Middletown, New York |
| Authorized Official Name and Position | Rajan Gulati (CEO) |
| Authorized Official Contact | 8453424774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middletown Medical Pc 111 Maltese Dr Middletown NY 10940-2115 Ph: (845) 342-4774 | Middletown Medical Pc 111 Maltese Dr Middletown NY 10940-2115 Ph: (845) 342-4774 |
| NPI Number | 1902855828 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 2567464308 |
|---|---|
| Medicare Enrollment ID | O20070208000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902855828 | NPI | - | NPPES |
| 00884280 | Medicaid | NY |
| Provider Name | Stuart Tashman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760469779 PECOS PAC ID: 7214840875 Enrollment ID: I20031110000445 |
| Provider Name | Sharon Valencia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356336184 PECOS PAC ID: 6204737844 Enrollment ID: I20040116000688 |
| Provider Name | Jennifer J Wilken |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376587519 PECOS PAC ID: 4789585852 Enrollment ID: I20040120000925 |
| Provider Name | Diane S. Pine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730169830 PECOS PAC ID: 1456253566 Enrollment ID: I20040121000117 |
| Provider Name | Joseph Racanelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639194921 PECOS PAC ID: 8426941675 Enrollment ID: I20040205000171 |
| Provider Name | Maurice Haberman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275564353 PECOS PAC ID: 3577459098 Enrollment ID: I20040223000934 |
| Provider Name | Stephen Michael Daly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265450845 PECOS PAC ID: 1456253368 Enrollment ID: I20040319001376 |
| Provider Name | Thomas Yuen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992867055 PECOS PAC ID: 8426949124 Enrollment ID: I20040323000284 |
| Provider Name | Maria A Karimi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558362392 PECOS PAC ID: 0840182044 Enrollment ID: I20040324001829 |
| Provider Name | Joseph A Puma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982604914 PECOS PAC ID: 2062318355 Enrollment ID: I20040329000184 |
| Provider Name | Murray David Schwalb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851368468 PECOS PAC ID: 5597757054 Enrollment ID: I20040402000515 |
| Provider Name | Noah Reiss |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1720061336 PECOS PAC ID: 0840283958 Enrollment ID: I20040405001739 |
| Provider Name | Ayman Z Matta |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841288388 PECOS PAC ID: 8820082639 Enrollment ID: I20040414000166 |
| Provider Name | Francis A Durso |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609848431 PECOS PAC ID: 7911992896 Enrollment ID: I20040419001533 |
| Provider Name | David Y. Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912906546 PECOS PAC ID: 3971599234 Enrollment ID: I20040422000232 |
| Provider Name | Robert Magrill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801860788 PECOS PAC ID: 2163418237 Enrollment ID: I20040423000163 |
| Provider Name | Mark H Goldberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932288966 PECOS PAC ID: 2860489200 Enrollment ID: I20040428000631 |
| Provider Name | Elliott T Friedman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578519740 PECOS PAC ID: 0143201640 Enrollment ID: I20040529000031 |
| Provider Name | Lisa Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336165471 PECOS PAC ID: 6305829896 Enrollment ID: I20040607001444 |
| Provider Name | Bonnie V Seecharran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891796645 PECOS PAC ID: 2264415298 Enrollment ID: I20040610001324 |
| Provider Name | Adel Abadir |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760407068 PECOS PAC ID: 4880670546 Enrollment ID: I20040624001697 |
| Provider Name | Michele Marie Greco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871561076 PECOS PAC ID: 3173503489 Enrollment ID: I20040726000434 |
| Provider Name | Bradley D Wiener |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033110895 PECOS PAC ID: 8224018585 Enrollment ID: I20040726000799 |
| Provider Name | John Podeszwa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841291697 PECOS PAC ID: 7618940859 Enrollment ID: I20040825001703 |
| Provider Name | Rajeev Sindhwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346285145 PECOS PAC ID: 8820066640 Enrollment ID: I20040920001024 |
| Provider Name | Victor Todisco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801829015 PECOS PAC ID: 8224099197 Enrollment ID: I20041023000237 |
| Provider Name | Kyoung S Kim |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699864959 PECOS PAC ID: 0840268371 Enrollment ID: I20041026001227 |
| Provider Name | Tracey G Toback |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346249133 PECOS PAC ID: 2668434168 Enrollment ID: I20041029000828 |
| Provider Name | Ravi Ramaswamy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922118215 PECOS PAC ID: 2163487398 Enrollment ID: I20041129000875 |
| Provider Name | Cynthia Gilmour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932297579 PECOS PAC ID: 0446216394 Enrollment ID: I20041202000938 |
| Provider Name | David D Lowenkron |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063402261 PECOS PAC ID: 0648236406 Enrollment ID: I20041203000702 |
| Provider Name | Julian T Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609863364 PECOS PAC ID: 4183681695 Enrollment ID: I20041216000460 |
| Provider Name | Gary C Garfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700881349 PECOS PAC ID: 0749248862 Enrollment ID: I20041221000600 |
| Provider Name | Michael E Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134137631 PECOS PAC ID: 1557329414 Enrollment ID: I20041222000714 |
| Provider Name | Jeffrey R Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053398925 PECOS PAC ID: 9032167655 Enrollment ID: I20050110000900 |
| Provider Name | Vijayalakshmi Rampam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386645133 PECOS PAC ID: 8628027364 Enrollment ID: I20050119001016 |
| Provider Name | Marius Ilario |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720024995 PECOS PAC ID: 4385694207 Enrollment ID: I20050128000254 |
| Provider Name | Barry S Hyman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689669160 PECOS PAC ID: 6406807585 Enrollment ID: I20050207000217 |
| Provider Name | Goddard Lainjo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326048224 PECOS PAC ID: 0648217091 Enrollment ID: I20050418000013 |
| Provider Name | Steven C Weinstein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497796684 PECOS PAC ID: 4486692670 Enrollment ID: I20050419000686 |
| Provider Name | Sheldon D Leidner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649275280 PECOS PAC ID: 4486692068 Enrollment ID: I20050422001220 |
| Provider Name | Krishna Dixit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437239068 PECOS PAC ID: 1951340637 Enrollment ID: I20050502001090 |
| Provider Name | Linda Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215961693 PECOS PAC ID: 2860438454 Enrollment ID: I20050705001013 |
| Provider Name | John F Ferguson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841245560 PECOS PAC ID: 3072543123 Enrollment ID: I20050817001138 |
| Provider Name | Tejas Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750347126 PECOS PAC ID: 1355374703 Enrollment ID: I20050915000584 |
| Provider Name | Alisha M Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083616544 PECOS PAC ID: 9638191950 Enrollment ID: I20060103000289 |
| Provider Name | Kolo N Ediale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780684738 PECOS PAC ID: 5799708780 Enrollment ID: I20060104001027 |
| Provider Name | Dhirajlal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548241763 PECOS PAC ID: 0547279598 Enrollment ID: I20060419000422 |
| Provider Name | Ratna A Sabnis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144286907 PECOS PAC ID: 1153309612 Enrollment ID: I20060427000573 |
| Provider Name | Douglas R Fletcher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740236090 PECOS PAC ID: 9638180391 Enrollment ID: I20060509000495 |
| Provider Name | Elena Kaznatcheeva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366482101 PECOS PAC ID: 3476565094 Enrollment ID: I20060626000060 |
| Provider Name | Robert P Mantica |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760483234 PECOS PAC ID: 1850394446 Enrollment ID: I20060822000066 |
| Provider Name | Jeanne M Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346250339 PECOS PAC ID: 0941205405 Enrollment ID: I20060916000023 |
| Provider Name | Ramesh K Damacharla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750316824 PECOS PAC ID: 6800891367 Enrollment ID: I20060916000068 |
| Provider Name | Rajan Gulati |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275534000 PECOS PAC ID: 9638115884 Enrollment ID: I20060923000048 |
| Provider Name | Mary Ellen Connors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699736413 PECOS PAC ID: 0547267205 Enrollment ID: I20061023000461 |
| Provider Name | Alice J Looney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942288261 PECOS PAC ID: 2961409313 Enrollment ID: I20061027000501 |
| Provider Name | Imran Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043216948 PECOS PAC ID: 6305843822 Enrollment ID: I20061109000385 |
| Provider Name | Steven M Winograd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811972870 PECOS PAC ID: 8022903210 Enrollment ID: I20070202000535 |
| Provider Name | Harvinder K Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497749022 PECOS PAC ID: 1355443045 Enrollment ID: I20070227000428 |
| Provider Name | Jonathan R Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417952052 PECOS PAC ID: 1355447996 Enrollment ID: I20070427000578 |
| Provider Name | Boris Novik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164552014 PECOS PAC ID: 5991805640 Enrollment ID: I20070712000247 |
| Provider Name | Francie F Sales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679561328 PECOS PAC ID: 0941207187 Enrollment ID: I20070723000814 |
| Provider Name | John Holup |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326010125 PECOS PAC ID: 2264416486 Enrollment ID: I20070811000105 |
| Provider Name | Chris Donikyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144411380 PECOS PAC ID: 8022104397 Enrollment ID: I20071017000932 |
| Provider Name | Vicki A Rogove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255483988 PECOS PAC ID: 6002998275 Enrollment ID: I20080126000070 |
| Provider Name | Laura J Ronen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619167822 PECOS PAC ID: 6103900741 Enrollment ID: I20080221000154 |
| Provider Name | Viorel Boborodea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225240682 PECOS PAC ID: 1658380290 Enrollment ID: I20080414000354 |
| Provider Name | John F Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629038534 PECOS PAC ID: 5890865034 Enrollment ID: I20080530000635 |
| Provider Name | Florence Jean-louis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013943547 PECOS PAC ID: 3072516574 Enrollment ID: I20080618000803 |
| Provider Name | Michael E Hoffman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164697611 PECOS PAC ID: 1658442249 Enrollment ID: I20080625000768 |
| Provider Name | Uri Napchan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710045844 PECOS PAC ID: 4981770013 Enrollment ID: I20080913000107 |
| Provider Name | Bikramjit Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548425028 PECOS PAC ID: 0547337156 Enrollment ID: I20080924000266 |
| Provider Name | Jennifer Reich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720064256 PECOS PAC ID: 3072533652 Enrollment ID: I20080925000206 |
| Provider Name | Cynthia Maggio-silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164672127 PECOS PAC ID: 2163581653 Enrollment ID: I20081113000129 |
| Provider Name | Reena Narula |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538364906 PECOS PAC ID: 0345301800 Enrollment ID: I20081203000399 |
| Provider Name | James J Carroll |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467666982 PECOS PAC ID: 7214092923 Enrollment ID: I20090212000446 |
| Provider Name | Kelly J Herrera |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285678425 PECOS PAC ID: 3971652694 Enrollment ID: I20090528000351 |
| Provider Name | Robin G Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295775823 PECOS PAC ID: 4880744796 Enrollment ID: I20090616000315 |
| Provider Name | Adam L Moskowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679652036 PECOS PAC ID: 3971655010 Enrollment ID: I20090721000098 |
| Provider Name | Jagruti P Gohel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295906832 PECOS PAC ID: 4981756905 Enrollment ID: I20090722000070 |
| Provider Name | Rosa Atkinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861573966 PECOS PAC ID: 3274686969 Enrollment ID: I20090728000494 |
| Provider Name | Glen Kay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689650830 PECOS PAC ID: 6608921531 Enrollment ID: I20090828000429 |
| Provider Name | Mandes R Kates |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104800234 PECOS PAC ID: 1557437795 Enrollment ID: I20091009000002 |
| Provider Name | Daryl D Mcclendon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568795359 PECOS PAC ID: 8729126099 Enrollment ID: I20091105000599 |
| Provider Name | Elizabeth Mcsweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699790352 PECOS PAC ID: 3870632102 Enrollment ID: I20091130000344 |
| Provider Name | Kevin Soe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326239716 PECOS PAC ID: 1153461017 Enrollment ID: I20091228000399 |
| Provider Name | David B Schwalb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528045416 PECOS PAC ID: 4082759279 Enrollment ID: I20100226000062 |
| Provider Name | Donald S Roth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699750281 PECOS PAC ID: 2961547153 Enrollment ID: I20100226000103 |
| Provider Name | Christine S Quinlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023297983 PECOS PAC ID: 6901941277 Enrollment ID: I20100311000321 |
| Provider Name | Maryann Park |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942201793 PECOS PAC ID: 0648305482 Enrollment ID: I20100318000000 |
| Provider Name | Hoon J Park |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235135542 PECOS PAC ID: 7517092059 Enrollment ID: I20100323000116 |
| Provider Name | Alexander Gapay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942201777 PECOS PAC ID: 8921075045 Enrollment ID: I20100422000892 |
| Provider Name | Concetto S Rametta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821061581 PECOS PAC ID: 2062549082 Enrollment ID: I20100423000142 |
| Provider Name | Keith W Cartmill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245480474 PECOS PAC ID: 1850421389 Enrollment ID: I20100610000266 |
| Provider Name | Maria Noa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427380138 PECOS PAC ID: 6709916976 Enrollment ID: I20100615000179 |
| Provider Name | Jay Doshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255596649 PECOS PAC ID: 5496889529 Enrollment ID: I20100811000739 |
| Provider Name | Anthony J Martini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912986456 PECOS PAC ID: 1355466707 Enrollment ID: I20100909000238 |
| Provider Name | William L Cieplinski |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306825815 PECOS PAC ID: 7113831298 Enrollment ID: I20101005000934 |
| Provider Name | Martin S Palmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982605580 PECOS PAC ID: 3274725106 Enrollment ID: I20101011000019 |
| Provider Name | Claire M Uebbing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598962268 PECOS PAC ID: 6507050952 Enrollment ID: I20101030000019 |
| Provider Name | Dhiren B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902845761 PECOS PAC ID: 2466462825 Enrollment ID: I20101115000467 |
| Provider Name | Anita Kaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639365463 PECOS PAC ID: 5294921557 Enrollment ID: I20101129000372 |
| Provider Name | Pratibha P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437141785 PECOS PAC ID: 5092902338 Enrollment ID: I20101213000196 |
| Provider Name | Yvonne C Newland Pagan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215029491 PECOS PAC ID: 7719952332 Enrollment ID: I20101222000814 |
| Provider Name | Douglas K Osofsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922139708 PECOS PAC ID: 3577751874 Enrollment ID: I20110103000120 |
| Provider Name | Luis Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760422232 PECOS PAC ID: 9739117110 Enrollment ID: I20110120000701 |
| Provider Name | Theodore Antonetz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083714554 PECOS PAC ID: 2769504182 Enrollment ID: I20110120000879 |
| Provider Name | Michael Lance Wodka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538149208 PECOS PAC ID: 9436272663 Enrollment ID: I20110122000053 |
| Provider Name | Daniel Perri |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1326012014 PECOS PAC ID: 4981886579 Enrollment ID: I20110302000818 |
| Provider Name | Raymond C Hui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699865618 PECOS PAC ID: 4486836459 Enrollment ID: I20110311000514 |
| Provider Name | Medhavini Londhe-nerkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780708735 PECOS PAC ID: 7113109075 Enrollment ID: I20110314000665 |
| Provider Name | Mukesh J Jhaveri |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1275526709 PECOS PAC ID: 6901088806 Enrollment ID: I20110315000101 |
| Provider Name | Rebecca Mammo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508062118 PECOS PAC ID: 5193638534 Enrollment ID: I20110315000583 |
| Provider Name | Stephanie Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093731358 PECOS PAC ID: 5991988743 Enrollment ID: I20110331000742 |
| Provider Name | Clifford Teich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316958259 PECOS PAC ID: 2961689880 Enrollment ID: I20110602000004 |
| Provider Name | Lawrence Cicchiello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740451152 PECOS PAC ID: 6800929969 Enrollment ID: I20110614000741 |
| Provider Name | Mikhail Itingen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528269388 PECOS PAC ID: 4082730395 Enrollment ID: I20110804000626 |
| Provider Name | Pamela Hao Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366541518 PECOS PAC ID: 1456457720 Enrollment ID: I20110810000377 |
| Provider Name | Radha Mikkilineni |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003842618 PECOS PAC ID: 2769448463 Enrollment ID: I20110818000204 |
| Provider Name | Matthew A Winkler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578842274 PECOS PAC ID: 4183891898 Enrollment ID: I20120120000666 |
| Provider Name | Kimberly Darrigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568762516 PECOS PAC ID: 5698932994 Enrollment ID: I20120127000766 |
| Provider Name | Stacy P Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407089212 PECOS PAC ID: 2860673712 Enrollment ID: I20120308000613 |
| Provider Name | Joseph Ezra Glaser |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1861772436 PECOS PAC ID: 0345405361 Enrollment ID: I20120626000011 |
| Provider Name | Christopher S Roman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558564310 PECOS PAC ID: 1850556754 Enrollment ID: I20120627000205 |
| Provider Name | Rehan J Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700078649 PECOS PAC ID: 8022264282 Enrollment ID: I20120803000722 |
| Provider Name | Arlette N Shvartzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922071851 PECOS PAC ID: 9739122508 Enrollment ID: I20121206000527 |
| Provider Name | Yingang Zheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346471786 PECOS PAC ID: 3173664265 Enrollment ID: I20130208000412 |
| Provider Name | Marina A Keller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194075549 PECOS PAC ID: 8820243843 Enrollment ID: I20130223000114 |
| Provider Name | Asad Mohammad |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609193754 PECOS PAC ID: 1456594019 Enrollment ID: I20130829000222 |
| Provider Name | Aradhna U Pal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144221995 PECOS PAC ID: 3476796707 Enrollment ID: I20130905000337 |
| Provider Name | Gena R Brower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194153387 PECOS PAC ID: 6608009303 Enrollment ID: I20140505000810 |
| Provider Name | Maria F Reyes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770758534 PECOS PAC ID: 9638392608 Enrollment ID: I20140520000390 |
| Provider Name | Aaron E Hagge-greenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952666877 PECOS PAC ID: 9537383708 Enrollment ID: I20140609000575 |
| Provider Name | Philip Green |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275675027 PECOS PAC ID: 0840328910 Enrollment ID: I20140731002246 |
| Provider Name | Michael Steven Shapiro |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184888968 PECOS PAC ID: 0547489387 Enrollment ID: I20140910000692 |
| Provider Name | Thomas M Dinardo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316230758 PECOS PAC ID: 3779702758 Enrollment ID: I20140924001807 |
| Provider Name | Constantin Friedman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609191055 PECOS PAC ID: 4981824554 Enrollment ID: I20141002000212 |
| Provider Name | Michelle G Appelbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598767097 PECOS PAC ID: 0143440438 Enrollment ID: I20141009000126 |
| Provider Name | Catherine M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053611715 PECOS PAC ID: 2769607837 Enrollment ID: I20141017001634 |
| Provider Name | Arpine Saribekyan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902125511 PECOS PAC ID: 0345461299 Enrollment ID: I20141020000414 |
| Provider Name | Wendy Faith Whittick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952361941 PECOS PAC ID: 0345143905 Enrollment ID: I20150109001443 |
| Provider Name | Elizabeth M Corcoran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477789451 PECOS PAC ID: 7416271887 Enrollment ID: I20150114000543 |
| Provider Name | Rongshan Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750335667 PECOS PAC ID: 5799747739 Enrollment ID: I20150323001567 |
| Provider Name | Melissa Leigh Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396137618 PECOS PAC ID: 4789901695 Enrollment ID: I20150401002548 |
| Provider Name | Rachel M Moscicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063828440 PECOS PAC ID: 0840518171 Enrollment ID: I20150416000396 |
| Provider Name | Jennifer Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740676352 PECOS PAC ID: 4981925229 Enrollment ID: I20150611001676 |
| Provider Name | Vijay Pampana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699167767 PECOS PAC ID: 8628389939 Enrollment ID: I20150612000535 |
| Provider Name | Jessica Constant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831583913 PECOS PAC ID: 7618280736 Enrollment ID: I20150720000624 |
| Provider Name | Isha Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922345008 PECOS PAC ID: 0840500633 Enrollment ID: I20151106000821 |
| Provider Name | Michelle C Galligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205217338 PECOS PAC ID: 5799085809 Enrollment ID: I20151121000208 |
| Provider Name | Prajith Mepparambath |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710233952 PECOS PAC ID: 7315247467 Enrollment ID: I20151123000951 |
| Provider Name | Debra L Dresden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336177070 PECOS PAC ID: 8325082456 Enrollment ID: I20151207001827 |
| Provider Name | Amy B Berretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497110696 PECOS PAC ID: 1052617925 Enrollment ID: I20160303000596 |
| Provider Name | Michael O'brien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215257100 PECOS PAC ID: 8820387194 Enrollment ID: I20160510002407 |
| Provider Name | Jonathan G Guterman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720285349 PECOS PAC ID: 6608091061 Enrollment ID: I20160622001405 |
| Provider Name | Danielle C Belser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497066187 PECOS PAC ID: 9436371457 Enrollment ID: I20160623001629 |
| Provider Name | Rupa Kumari Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386887198 PECOS PAC ID: 0244531762 Enrollment ID: I20160720001991 |
| Provider Name | Amisha J Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841433075 PECOS PAC ID: 3971896143 Enrollment ID: I20160726000900 |
| Provider Name | Leena Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952854028 PECOS PAC ID: 6800181967 Enrollment ID: I20160829001156 |
| Provider Name | Esther S Arguello Perez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598039091 PECOS PAC ID: 5991083586 Enrollment ID: I20161102001892 |
| Provider Name | Tara N Spruill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497205868 PECOS PAC ID: 7315227352 Enrollment ID: I20161208000141 |
| Provider Name | Robert C Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619412012 PECOS PAC ID: 4789969833 Enrollment ID: I20170403000367 |
| Provider Name | Samantha Dawn Surace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518234111 PECOS PAC ID: 7214213149 Enrollment ID: I20170407001180 |
| Provider Name | Naomi C Nakai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124564018 PECOS PAC ID: 0840577748 Enrollment ID: I20170502001381 |
| Provider Name | Christian A Otto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679942841 PECOS PAC ID: 1557661063 Enrollment ID: I20170512000830 |
| Provider Name | Tamara L Baldesweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730625674 PECOS PAC ID: 0446528707 Enrollment ID: I20170612000169 |
| Provider Name | Surendra Kumar Chutani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477753275 PECOS PAC ID: 2163505579 Enrollment ID: I20170801002246 |
| Provider Name | Tej Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689725301 PECOS PAC ID: 6305972209 Enrollment ID: I20170802001240 |
| Provider Name | Ashlee E Geier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811363393 PECOS PAC ID: 9133420730 Enrollment ID: I20170815000224 |
| Provider Name | Simone L Odonovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861932717 PECOS PAC ID: 0244502813 Enrollment ID: I20170816002107 |
| Provider Name | Kelly Rolison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780107698 PECOS PAC ID: 8426322827 Enrollment ID: I20170925000741 |
| Provider Name | Rishi Bajaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003081985 PECOS PAC ID: 0547331555 Enrollment ID: I20170925002353 |
| Provider Name | Dorothy A Gioia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013433176 PECOS PAC ID: 0547536625 Enrollment ID: I20171017001994 |
| Provider Name | Amika Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336406644 PECOS PAC ID: 0042523532 Enrollment ID: I20171027000670 |
| Provider Name | Cristopher J Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841718780 PECOS PAC ID: 1850667239 Enrollment ID: I20171031000349 |
| Provider Name | Erin M Tondini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043715394 PECOS PAC ID: 9537423280 Enrollment ID: I20180503001495 |
| Provider Name | Joseph A Ilasi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740312818 PECOS PAC ID: 2769628452 Enrollment ID: I20180627001360 |
| Provider Name | Zack S Emery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336526805 PECOS PAC ID: 5799032363 Enrollment ID: I20180727002554 |
| Provider Name | Angela A Marcelino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811256464 PECOS PAC ID: 0042568933 Enrollment ID: I20180809000788 |
| Provider Name | Cynthia Delavalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730666900 PECOS PAC ID: 1850641671 Enrollment ID: I20180829000498 |
| Provider Name | Padma Raghavan Pillai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992148878 PECOS PAC ID: 2264786433 Enrollment ID: I20181107002177 |
| Provider Name | Zelina Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386124469 PECOS PAC ID: 2062766447 Enrollment ID: I20181121002666 |
| Provider Name | Marion C Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528543998 PECOS PAC ID: 2062756950 Enrollment ID: I20181204001196 |
| Provider Name | Mary M Kallmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245705607 PECOS PAC ID: 7315281003 Enrollment ID: I20181206002363 |
| Provider Name | Scott Moroney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336526151 PECOS PAC ID: 1052655651 Enrollment ID: I20181210000642 |
| Provider Name | Ruth E Demetros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245709237 PECOS PAC ID: 6507103850 Enrollment ID: I20190124003502 |
| Provider Name | Rogia M Rosemberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861964801 PECOS PAC ID: 0345589735 Enrollment ID: I20190301000719 |
| Provider Name | Angela R Kroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427529353 PECOS PAC ID: 6800136136 Enrollment ID: I20190322000439 |
| Provider Name | Michele Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114482833 PECOS PAC ID: 1052651387 Enrollment ID: I20190322000532 |
| Provider Name | Wendy Ognek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356812069 PECOS PAC ID: 2668713983 Enrollment ID: I20190412001976 |
| Provider Name | Eustacier K Spencer-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538669270 PECOS PAC ID: 0840533964 Enrollment ID: I20190513001660 |
| Provider Name | Angelo R Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164962312 PECOS PAC ID: 8729315239 Enrollment ID: I20190806004035 |
| Provider Name | Brijesh Bharat Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902171168 PECOS PAC ID: 0749537207 Enrollment ID: I20190807000734 |
| Provider Name | Regina Ahorlu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700020963 PECOS PAC ID: 3072840164 Enrollment ID: I20190813000645 |
| Provider Name | Elizabeth M Jahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174178222 PECOS PAC ID: 5890026900 Enrollment ID: I20191003001916 |
| Provider Name | Andrew T Overton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558903690 PECOS PAC ID: 9537491469 Enrollment ID: I20191028000073 |
| Provider Name | Elvira Sahmanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801447313 PECOS PAC ID: 2567895931 Enrollment ID: I20191126001674 |
| Provider Name | Christine Straessle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194378554 PECOS PAC ID: 7911330642 Enrollment ID: I20191210002289 |
| Provider Name | Eric Paolilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326521741 PECOS PAC ID: 9638503246 Enrollment ID: I20200107000236 |
| Provider Name | Kelly M Spehalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063062941 PECOS PAC ID: 6204260862 Enrollment ID: I20200107002611 |
| Provider Name | Sandra Binkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225688799 PECOS PAC ID: 0648605162 Enrollment ID: I20200110000587 |
| Provider Name | Dahlia Banerji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003103367 PECOS PAC ID: 4486926656 Enrollment ID: I20200225001044 |
| Provider Name | Lori Musorrafiti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992239180 PECOS PAC ID: 0143642322 Enrollment ID: I20200616002103 |
| Provider Name | Rizwan A Dudekula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619383718 PECOS PAC ID: 7113254467 Enrollment ID: I20200902000354 |
| Provider Name | Subrata Kar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821262742 PECOS PAC ID: 9133273212 Enrollment ID: I20200924002939 |
| Provider Name | Emily Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558905224 PECOS PAC ID: 4587098611 Enrollment ID: I20201102000959 |
| Provider Name | Manju Joe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962004457 PECOS PAC ID: 8820403728 Enrollment ID: I20210225002892 |
| Provider Name | Merlin Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700231586 PECOS PAC ID: 8022424746 Enrollment ID: I20210304000382 |
| Provider Name | Susan A Pepe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447586763 PECOS PAC ID: 0042359549 Enrollment ID: I20210408001275 |
| Provider Name | Isabella Camacho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053917211 PECOS PAC ID: 1850700154 Enrollment ID: I20210517000646 |
| Provider Name | Sonya Abra Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134893811 PECOS PAC ID: 0244635399 Enrollment ID: I20210827000348 |
| Provider Name | Munther Alshalabi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033770508 PECOS PAC ID: 9537498423 Enrollment ID: I20210927000317 |
| Provider Name | Kimberly Sheldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285301465 PECOS PAC ID: 0547668964 Enrollment ID: I20211014001860 |
| Provider Name | Jody F Loihle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841952264 PECOS PAC ID: 7517356991 Enrollment ID: I20211105002438 |
| Provider Name | Danielle Marie Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487294898 PECOS PAC ID: 5799174256 Enrollment ID: I20211123000700 |
| Provider Name | Emma M Bodeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447924055 PECOS PAC ID: 4880084615 Enrollment ID: I20211209000595 |
| Provider Name | Billi-jo Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679197974 PECOS PAC ID: 8224420526 Enrollment ID: I20220119000277 |
| Provider Name | Mouhamed El-khayat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790436525 PECOS PAC ID: 9537553318 Enrollment ID: I20220221000387 |
| Provider Name | Matthew J Staback |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649791518 PECOS PAC ID: 5092193003 Enrollment ID: I20220603000774 |
| Provider Name | Carlos E De Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952884637 PECOS PAC ID: 3375975097 Enrollment ID: I20220803001149 |
| Provider Name | Kaitlyn Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497311856 PECOS PAC ID: 9537542402 Enrollment ID: I20220810003344 |
| Provider Name | Parthy R Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346735396 PECOS PAC ID: 9830434042 Enrollment ID: I20220824000413 |
| Provider Name | Brittany J Mauro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902531627 PECOS PAC ID: 4688058191 Enrollment ID: I20220901001841 |
| Provider Name | Gina A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659776896 PECOS PAC ID: 9032593165 Enrollment ID: I20220908001734 |
| Provider Name | Matthew H Koennecke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134760416 PECOS PAC ID: 2860878006 Enrollment ID: I20220926002731 |
| Provider Name | Imad Abushahin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275013609 PECOS PAC ID: 4789082967 Enrollment ID: I20221021001666 |
| Provider Name | Crystal L Harter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700512118 PECOS PAC ID: 1355717893 Enrollment ID: I20221025000413 |
| Provider Name | Jessica Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831811777 PECOS PAC ID: 4789051467 Enrollment ID: I20221109002510 |
| Provider Name | Cassandra L Traynor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962168633 PECOS PAC ID: 3779952171 Enrollment ID: I20221207000310 |
| Provider Name | Benjamin C Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609503325 PECOS PAC ID: 9739559865 Enrollment ID: I20230105001260 |
| Provider Name | Alicia R Natalizio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073227765 PECOS PAC ID: 5597137760 Enrollment ID: I20230216001462 |
| Provider Name | Veronica Lupian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730895798 PECOS PAC ID: 0244603835 Enrollment ID: I20230301002298 |
| Provider Name | Barbara L Hearle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417037722 PECOS PAC ID: 0345344099 Enrollment ID: I20230501000486 |
| Provider Name | Kandice L Haughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124721030 PECOS PAC ID: 1153787981 Enrollment ID: I20230519001317 |
| Provider Name | Tisa Saha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104201102 PECOS PAC ID: 8022411669 Enrollment ID: I20230705002800 |
| Provider Name | Elizabeth Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821235987 PECOS PAC ID: 4385017185 Enrollment ID: I20230719002879 |
| Provider Name | Steve Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073133765 PECOS PAC ID: 0042631384 Enrollment ID: I20230831001838 |
| Provider Name | Lee A Hubbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699438572 PECOS PAC ID: 3274989793 Enrollment ID: I20231019001640 |
| Provider Name | Donyelle Echevarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790253730 PECOS PAC ID: 1254787526 Enrollment ID: I20231023001110 |
| Provider Name | Sagari Murali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053957902 PECOS PAC ID: 0941637565 Enrollment ID: I20231027002786 |
| Provider Name | Diane B Serdah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518691062 PECOS PAC ID: 9335596964 Enrollment ID: I20231103001240 |
| Provider Name | Sarah Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821762121 PECOS PAC ID: 1557754157 Enrollment ID: I20231115002592 |
| Provider Name | Evan C Hampel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982489274 PECOS PAC ID: 2163873076 Enrollment ID: I20240104003007 |
| Provider Name | Nishanth Girija Kumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548643752 PECOS PAC ID: 2163714148 Enrollment ID: I20240118001804 |
| Provider Name | Jeffrey W Glassheim |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174685721 PECOS PAC ID: 6901832955 Enrollment ID: I20240412003007 |
| Provider Name | Jessica Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568235331 PECOS PAC ID: 3476995614 Enrollment ID: I20240520003369 |
| Provider Name | Diana Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194471326 PECOS PAC ID: 2567804917 Enrollment ID: I20240530001868 |
| Provider Name | Melissa Wixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255190401 PECOS PAC ID: 2062954316 Enrollment ID: I20240603001523 |
| Provider Name | Ayushi Dixit |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285097626 PECOS PAC ID: 6305185950 Enrollment ID: I20240719001773 |
| Provider Name | Juliana E Cotler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336999747 PECOS PAC ID: 6709322019 Enrollment ID: I20240723003107 |
| Provider Name | Lavern A Glave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568768216 PECOS PAC ID: 1557508991 Enrollment ID: I20240815003437 |
| Provider Name | Tara Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174298129 PECOS PAC ID: 9032658182 Enrollment ID: I20240903002934 |
| Provider Name | Michele R Even |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013143023 PECOS PAC ID: 5597817056 Enrollment ID: I20240917002080 |
| Provider Name | Terence W Hughes |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1053307421 PECOS PAC ID: 8628069762 Enrollment ID: I20240926001789 |
| Provider Name | Emilie R Doran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851151575 PECOS PAC ID: 7416480702 Enrollment ID: I20241024003241 |
| Provider Name | Jennifer L Ostrander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780402990 PECOS PAC ID: 4688108756 Enrollment ID: I20241112002190 |
| Provider Name | Ryan Williams Bigelsen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326531203 PECOS PAC ID: 0244680395 Enrollment ID: I20241126001694 |
| Provider Name | Greg B. Marrinan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942295506 PECOS PAC ID: 8729118328 Enrollment ID: I20241203002338 |
| Provider Name | Kenneth M Zinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609861285 PECOS PAC ID: 7719015155 Enrollment ID: I20241204002212 |
| Provider Name | Sarah Lyla Steenbergen Rosasco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881980084 PECOS PAC ID: 7012200546 Enrollment ID: I20241204002493 |
| Provider Name | Pingal Anilbhai Desai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629399829 PECOS PAC ID: 4789816745 Enrollment ID: I20241231000778 |
| Provider Name | Tedhar E Setton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316478464 PECOS PAC ID: 1052686987 Enrollment ID: I20250116001024 |
Jane V. Eason, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Orange Regional Medical Center, 60 Prospect Ave, Middletown, NY 10940 Phone: 845-343-2424 | |
Independent Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Orchard St, Middletown, NY 10940 Phone: 845-381-5331 Fax: 731-201-5499 | |
Jenny Q. Lu, M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Crystal Run Rd Ste 105, Middletown, NY 10941 Phone: 845-692-3542 Fax: 845-692-6939 | |
Gleneida Medical Care,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 453 Route 211 E, Middletown, NY 10940 Phone: 845-344-4040 Fax: 845-228-5485 | |
Garnet Health Doctors Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7139 | |
Crystal Run Medical Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 236 Crystal Run Rd, Suite 2, Middletown, NY 10941 Phone: 845-692-3100 Fax: 845-692-2402 | |
Orange Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Dunning Rd, Middletown, NY 10940 Phone: 845-956-1222 |