| Mm Jc Breathing Center Family Ltd Partnership | |
|
192 Harrison Avenue Jersey City NJ 07304-1906 | |
| (201) 333-5363 | |
| (201) 333-4710 |
| Full Name | Mm Jc Breathing Center Family Ltd Partnership |
|---|---|
| Speciality | Internal Medicine |
| Location | 192 Harrison Avenue, Jersey City, New Jersey |
| Authorized Official Name and Position | Mazhar Elamir (OWNER) |
| Authorized Official Contact | 2013335363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mm Jc Breathing Center Family Ltd Partnership 192 Harrison Avenue Jersey City NJ 07304-1906 Ph: (201) 333-5363 | Mm Jc Breathing Center Family Ltd Partnership 192 Harrison Avenue Jersey City NJ 07304-1906 Ph: (201) 333-5363 |
| NPI Number | 1235365354 |
|---|---|
| Provider Enumeration Date | 06/03/2009 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 6406905850 |
|---|---|
| Medicare Enrollment ID | O20090514000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235365354 | NPI | - | NPPES |
| 1265008 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA04785700 (New Jersey) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 25MA04785700 (New Jersey) | Secondary |
| Provider Name | Rakesh K Passi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275550915 PECOS PAC ID: 3577467869 Enrollment ID: I20031119000793 |
| Provider Name | Anthony F Tramontana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639114093 PECOS PAC ID: 9032174107 Enrollment ID: I20041130001013 |
| Provider Name | Feng Tao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285621748 PECOS PAC ID: 2961433099 Enrollment ID: I20050829000149 |
| Provider Name | Natasha R Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184757817 PECOS PAC ID: 6103995519 Enrollment ID: I20080527000140 |
| Provider Name | Mazhar E Elamir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972527950 PECOS PAC ID: 0143379586 Enrollment ID: I20090514000361 |
| Provider Name | Ramzan M Zakir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659579274 PECOS PAC ID: 0840343109 Enrollment ID: I20090804000305 |
| Provider Name | Seongae Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528273075 PECOS PAC ID: 5092853200 Enrollment ID: I20091109000534 |
| Provider Name | Mireille Saint Juste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093149403 PECOS PAC ID: 4385962059 Enrollment ID: I20150408001856 |
| Provider Name | Ranjiv Saini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578670220 PECOS PAC ID: 7315967353 Enrollment ID: I20170621000055 |
| Provider Name | Yasmine Mazhar Elamir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467807438 PECOS PAC ID: 7315374022 Enrollment ID: I20200219000015 |
| Provider Name | Tamara Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205306966 PECOS PAC ID: 2264846161 Enrollment ID: I20210204003116 |
| Provider Name | Elaine I Buno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225796436 PECOS PAC ID: 7113304213 Enrollment ID: I20220511000679 |
| Provider Name | William P Grist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407385271 PECOS PAC ID: 0941678056 Enrollment ID: I20221122000042 |
| Provider Name | Basil Elamir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528697315 PECOS PAC ID: 8527413194 Enrollment ID: I20231017002772 |
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