| Ms Comprehensive Care Center | |
|
718 Teaneck Rd Holy Name Hospital Teaneck NJ 07666-4245 | |
| (201) 837-0727 | |
| (201) 837-8504 |
| Full Name | Ms Comprehensive Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 718 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Patricia Beniquez Pacheco (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2018333599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Comprehensive Care Center 3 University Plz Ste 205 Hackensack NJ 07601-6208 Ph: (201) 833-3599 | Ms Comprehensive Care Center 718 Teaneck Rd Holy Name Hospital Teaneck NJ 07666-4245 Ph: (201) 837-0727 |
| NPI Number | 1740328608 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 2769478742 |
|---|---|
| Medicare Enrollment ID | O20040423001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740328608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mary Ann Picone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295888030 PECOS PAC ID: 4688701287 Enrollment ID: I20100429000564 |
| Provider Name | Stephen S Kamin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538182704 PECOS PAC ID: 4486849924 Enrollment ID: I20101110000944 |
| Provider Name | Lynette M Mendoza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023348596 PECOS PAC ID: 1850609421 Enrollment ID: I20171114002433 |
| Provider Name | Yulong Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013392919 PECOS PAC ID: 6709131675 Enrollment ID: I20180618000663 |
| Provider Name | Joseph I Petrsoric |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881937613 PECOS PAC ID: 3678829215 Enrollment ID: I20180711003665 |
| Provider Name | Dana Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639620958 PECOS PAC ID: 9436482627 Enrollment ID: I20190603001026 |
| Provider Name | Asya I Wallach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285051128 PECOS PAC ID: 3375877350 Enrollment ID: I20190625001936 |
| Provider Name | Andrea Faith Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629372842 PECOS PAC ID: 5597163410 Enrollment ID: I20211007000925 |
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