| Neptune Adult Medicine Llc | |
|
1812 Corlies Avenue Neptune NJ 07753 | |
| (732) 988-3336 | |
| (732) 776-8668 |
| Full Name | Neptune Adult Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1812 Corlies Avenue, Neptune, New Jersey |
| Authorized Official Name and Position | Kimberly Atienza (PHYSICIAN) |
| Authorized Official Contact | 7329883336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neptune Adult Medicine Llc 1812 Corlies Avenue Neptune NJ 07753 Ph: (732) 988-3336 | Neptune Adult Medicine Llc 1812 Corlies Avenue Neptune NJ 07753 Ph: (732) 988-3336 |
| NPI Number | 1144476771 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 03/19/2009 |
| Medicare PECOS PAC ID | 6002087053 |
|---|---|
| Medicare Enrollment ID | O20110922000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144476771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MA079626 (New Jersey) | Primary |
| 261QP2300X | Clinic/center - Primary Care | MA079626 (New Jersey) | Secondary |
| Provider Name | Kimberly Ann Atienza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881653848 PECOS PAC ID: 8426088212 Enrollment ID: I20050829000479 |
| Provider Name | Gregory A Cartnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710082094 PECOS PAC ID: 4385642677 Enrollment ID: I20061121000238 |
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