| Ocean County Family Care, P.a. | |
|
2290 W County Line Rd Jackson NJ 08527-2267 | |
| (732) 942-4455 | |
| (732) 942-4459 |
| Full Name | Ocean County Family Care, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2290 W County Line Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Joanne Mckeown (ADMINISTRATOR) |
| Authorized Official Contact | 7329424455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean County Family Care, P.a. 2290 W County Line Rd Jackson NJ 08527-2267 Ph: (732) 942-4455 | Ocean County Family Care, P.a. 2290 W County Line Rd Jackson NJ 08527-2267 Ph: (732) 942-4455 |
| NPI Number | 1821019787 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 01/29/2008 |
| Medicare PECOS PAC ID | 6800881673 |
|---|---|
| Medicare Enrollment ID | O20040420000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821019787 | NPI | - | NPPES |
| 7060807 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jay A Vida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831195601 PECOS PAC ID: 4981697117 Enrollment ID: I20040405001522 |
| Provider Name | Rudolph E Gronsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841249059 PECOS PAC ID: 9537184486 Enrollment ID: I20051010000628 |
| Provider Name | Joan Choper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154327971 PECOS PAC ID: 5395802722 Enrollment ID: I20090330000231 |
| Provider Name | Anna Dedona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194721902 PECOS PAC ID: 6507900065 Enrollment ID: I20100222000400 |
| Provider Name | Frederick Rothberg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033115738 PECOS PAC ID: 5193850709 Enrollment ID: I20100322000698 |
| Provider Name | Bassam Hasan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346246097 PECOS PAC ID: 9436286713 Enrollment ID: I20100419000041 |
| Provider Name | Susan Michelle Beltran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568894244 PECOS PAC ID: 9739323627 Enrollment ID: I20130916000085 |
| Provider Name | David E Konigsberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114178142 PECOS PAC ID: 5395975072 Enrollment ID: I20140225000359 |
| Provider Name | Elizabeth Ann Noller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154878296 PECOS PAC ID: 6608158548 Enrollment ID: I20170130000159 |
| Provider Name | Rebecca Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205394954 PECOS PAC ID: 2365777331 Enrollment ID: I20190712001265 |
| Provider Name | Stephanie Ann Papa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710536842 PECOS PAC ID: 0648602227 Enrollment ID: I20191120001334 |
| Provider Name | Shirielle T Avakian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861092009 PECOS PAC ID: 9335551324 Enrollment ID: I20201216000984 |
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