| Nemimed LLC | |
|
1400 Woodland Ave Plainfield NJ 07060-3362 | |
| (908) 753-1113 | |
| Not Available |
| Full Name | Nemimed LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1400 Woodland Ave, Plainfield, New Jersey |
| Authorized Official Name and Position | Michael Nemirovsky (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 3472671813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nemimed LLC 601 Surf Ave Apt 18g Brooklyn NY 11224-3421 Ph: (347) 267-1813 | Nemimed LLC 1400 Woodland Ave Plainfield NJ 07060-3362 Ph: (908) 753-1113 |
| NPI Number | 1770208639 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 6507304300 |
|---|---|
| Medicare Enrollment ID | O20240812001838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770208639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Michael Nemirovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619417177 PECOS PAC ID: 9638567159 Enrollment ID: I20211102000978 |
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