| Ocean Health Initiatives Inc | |
|
101 2nd St Lakewood NJ 08701-3324 | |
| (732) 363-6655 | |
| (732) 363-6656 |
| Full Name | Ocean Health Initiatives Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 2nd St, Lakewood, New Jersey |
| Authorized Official Name and Position | Theresa Berger (C.E.O.) |
| Authorized Official Contact | 7327191511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Health Initiatives Inc 3600 Route 66 Ste 400 Neptune NJ 07753-2645 Ph: (732) 363-6655 | Ocean Health Initiatives Inc 101 2nd St Lakewood NJ 08701-3324 Ph: (732) 363-6655 |
| NPI Number | 1043306574 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 2062405277 |
|---|---|
| Medicare Enrollment ID | O20040405001022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043306574 | NPI | - | NPPES |
| 0026590 | Medicaid | NJ | |
| 0249785 | Medicaid | NJ | |
| 0076244 | Medicaid | NJ |
| Provider Name | Todd Y Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396733812 PECOS PAC ID: 2567365711 Enrollment ID: I20040127000976 |
| Provider Name | Joseph Marino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962445072 PECOS PAC ID: 9830082080 Enrollment ID: I20040203000636 |
| Provider Name | David Altimore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609816750 PECOS PAC ID: 8628060589 Enrollment ID: I20040331001127 |
| Provider Name | Robert M Schaefer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972599595 PECOS PAC ID: 6406849199 Enrollment ID: I20040407000976 |
| Provider Name | Eileen Aversa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275582157 PECOS PAC ID: 7315929130 Enrollment ID: I20040604000723 |
| Provider Name | Scott Siegal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164416590 PECOS PAC ID: 9931184652 Enrollment ID: I20040618000599 |
| Provider Name | Kim Ubriaco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295876084 PECOS PAC ID: 3173598471 Enrollment ID: I20040831000381 |
| Provider Name | Brian T Gottesman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306874615 PECOS PAC ID: 9436116670 Enrollment ID: I20041220000300 |
| Provider Name | Paul Matta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427014380 PECOS PAC ID: 5890761035 Enrollment ID: I20050126000275 |
| Provider Name | Nicholas J Giorgianni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114953676 PECOS PAC ID: 4789637463 Enrollment ID: I20050222000685 |
| Provider Name | Vijaya Nimma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669573648 PECOS PAC ID: 9830113687 Enrollment ID: I20060119000232 |
| Provider Name | Thomas Theocharides |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528014412 PECOS PAC ID: 7810908019 Enrollment ID: I20060602000150 |
| Provider Name | Annette Rossetti-cartaxo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245288588 PECOS PAC ID: 0941212898 Enrollment ID: I20060615000188 |
| Provider Name | Chandravadan I Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881654168 PECOS PAC ID: 4789688516 Enrollment ID: I20060908000151 |
| Provider Name | Amir M Friedman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417907361 PECOS PAC ID: 3971549288 Enrollment ID: I20061122000078 |
| Provider Name | Pamela Brug |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710950639 PECOS PAC ID: 1355446444 Enrollment ID: I20070418000393 |
| Provider Name | Kala Shankar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942416763 PECOS PAC ID: 0840399754 Enrollment ID: I20070619000033 |
| Provider Name | Linda E Stanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376761262 PECOS PAC ID: 4284734476 Enrollment ID: I20070718000043 |
| Provider Name | Gilbert E Fleischer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104915354 PECOS PAC ID: 9133205966 Enrollment ID: I20080319000554 |
| Provider Name | Nwogo N Agbasi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740279744 PECOS PAC ID: 2264470517 Enrollment ID: I20080425000302 |
| Provider Name | Mark Marino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093759631 PECOS PAC ID: 6901985761 Enrollment ID: I20080505000473 |
| Provider Name | Kathleen M Porsch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659349124 PECOS PAC ID: 8820163702 Enrollment ID: I20080813000210 |
| Provider Name | Maria F O'donnell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366675258 PECOS PAC ID: 0446306112 Enrollment ID: I20090922000183 |
| Provider Name | Fritzi Tanner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326140013 PECOS PAC ID: 7113108614 Enrollment ID: I20110216000630 |
| Provider Name | Angela Scevola-dattoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417191651 PECOS PAC ID: 0840478368 Enrollment ID: I20110701000042 |
| Provider Name | Michael Sze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710914031 PECOS PAC ID: 5799722336 Enrollment ID: I20111129000532 |
| Provider Name | Maria C Rocktashel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568517449 PECOS PAC ID: 4789667197 Enrollment ID: I20120320000760 |
| Provider Name | Christy L Kanazik |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689808370 PECOS PAC ID: 4284897208 Enrollment ID: I20120531000140 |
| Provider Name | Vaishali C Moghe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871538520 PECOS PAC ID: 5294771267 Enrollment ID: I20120604000096 |
| Provider Name | Jay V Wortzel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841327129 PECOS PAC ID: 5799940243 Enrollment ID: I20120706000376 |
| Provider Name | Judith Lorenzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558623181 PECOS PAC ID: 9032375076 Enrollment ID: I20120719000409 |
| Provider Name | Jacqueline Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477780021 PECOS PAC ID: 0244487346 Enrollment ID: I20120824000284 |
| Provider Name | Tabassum A Sabzwari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730418625 PECOS PAC ID: 9830340801 Enrollment ID: I20121126000041 |
| Provider Name | Regina B Glisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245576834 PECOS PAC ID: 7214175256 Enrollment ID: I20130603000206 |
| Provider Name | Terry K Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013257740 PECOS PAC ID: 7618948514 Enrollment ID: I20131127000628 |
| Provider Name | Sonia Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558525840 PECOS PAC ID: 4183854169 Enrollment ID: I20140313001919 |
| Provider Name | Regina K Frigiola |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154759843 PECOS PAC ID: 7113158155 Enrollment ID: I20140315000177 |
| Provider Name | Migdalia Z Bonilla Martir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689975690 PECOS PAC ID: 7113142217 Enrollment ID: I20140703001015 |
| Provider Name | Tarika White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841602232 PECOS PAC ID: 8224253893 Enrollment ID: I20140716000086 |
| Provider Name | Rodney Capiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174586333 PECOS PAC ID: 0446269849 Enrollment ID: I20140821001854 |
| Provider Name | Kim Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952448706 PECOS PAC ID: 0648498675 Enrollment ID: I20140904000351 |
| Provider Name | Cristina U Ignacio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053503532 PECOS PAC ID: 8628258605 Enrollment ID: I20140918000981 |
| Provider Name | Kaitlin Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851790992 PECOS PAC ID: 3173743911 Enrollment ID: I20140930001436 |
| Provider Name | Charisma Ann Temprosa Lanez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942637988 PECOS PAC ID: 5597985176 Enrollment ID: I20141002000674 |
| Provider Name | Temilola A Sopeju |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033406673 PECOS PAC ID: 3971723578 Enrollment ID: I20141002001401 |
| Provider Name | Michelle L Falk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194126037 PECOS PAC ID: 5294956181 Enrollment ID: I20141017000837 |
| Provider Name | Melissa Lopreiato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275874596 PECOS PAC ID: 0042532707 Enrollment ID: I20141208001423 |
| Provider Name | Helen Olairez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346640174 PECOS PAC ID: 1052636966 Enrollment ID: I20150218000957 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699016311 PECOS PAC ID: 9234458068 Enrollment ID: I20150429001653 |
| Provider Name | Rosily Philip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255716726 PECOS PAC ID: 2163737990 Enrollment ID: I20150821014394 |
| Provider Name | Owen R Mcfarlane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205190808 PECOS PAC ID: 6709193931 Enrollment ID: I20150921000282 |
| Provider Name | Allison L Cheney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205098118 PECOS PAC ID: 9537232608 Enrollment ID: I20151102001682 |
| Provider Name | Grace Tseng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457778896 PECOS PAC ID: 5597075655 Enrollment ID: I20151103000135 |
| Provider Name | Rebekah Valthaty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366758898 PECOS PAC ID: 8325358690 Enrollment ID: I20151117001858 |
| Provider Name | Julie Yoskowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578938494 PECOS PAC ID: 4587967500 Enrollment ID: I20160126001619 |
| Provider Name | Shagufta Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003059866 PECOS PAC ID: 6901959576 Enrollment ID: I20160427001681 |
| Provider Name | Lucyna Cozac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700273505 PECOS PAC ID: 6800186495 Enrollment ID: I20160610000652 |
| Provider Name | Justina D Mammeri |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134114101 PECOS PAC ID: 6901825991 Enrollment ID: I20160810002360 |
| Provider Name | Lynn Kaplarczuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942639281 PECOS PAC ID: 6709172794 Enrollment ID: I20160830002377 |
| Provider Name | Tracey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861941072 PECOS PAC ID: 1355623281 Enrollment ID: I20170128000090 |
| Provider Name | Stephanie Pistilli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306243241 PECOS PAC ID: 4486937067 Enrollment ID: I20170206000315 |
| Provider Name | Eldon Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609248665 PECOS PAC ID: 0941583454 Enrollment ID: I20170207002875 |
| Provider Name | Sally J Leeds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356686794 PECOS PAC ID: 2769637230 Enrollment ID: I20170306000782 |
| Provider Name | Paulina Sieczkowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184168049 PECOS PAC ID: 1557646429 Enrollment ID: I20170316001951 |
| Provider Name | Claudia M Teh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992554 PECOS PAC ID: 2062799158 Enrollment ID: I20170427000123 |
| Provider Name | Taibat Gbadamosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144772542 PECOS PAC ID: 8628355393 Enrollment ID: I20170505000935 |
| Provider Name | Christine K Kosmides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346580867 PECOS PAC ID: 5092092692 Enrollment ID: I20170509001772 |
| Provider Name | Robin L Aniboli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366976045 PECOS PAC ID: 3375810393 Enrollment ID: I20170523002056 |
| Provider Name | Jennifer Gobencion |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760849426 PECOS PAC ID: 0244508927 Enrollment ID: I20170621002493 |
| Provider Name | Guilaine Gabriel-percinthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255889580 PECOS PAC ID: 0446529796 Enrollment ID: I20170630000749 |
| Provider Name | Michael J Mclarnon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205005477 PECOS PAC ID: 9638248941 Enrollment ID: I20170905001899 |
| Provider Name | Robert Hildebrandt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811410277 PECOS PAC ID: 7810260270 Enrollment ID: I20170906002340 |
| Provider Name | Ana Kolodko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760906648 PECOS PAC ID: 3173897592 Enrollment ID: I20170925001633 |
| Provider Name | Ernestina S Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376064915 PECOS PAC ID: 5698031334 Enrollment ID: I20171113001419 |
| Provider Name | Kyauna Sharae Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659534477 PECOS PAC ID: 2163679515 Enrollment ID: I20171207002924 |
| Provider Name | Chiamaka Ilonzo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750729406 PECOS PAC ID: 8123386786 Enrollment ID: I20180103001879 |
| Provider Name | Neha Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851706196 PECOS PAC ID: 2769741446 Enrollment ID: I20180126000337 |
| Provider Name | Kendie Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922512946 PECOS PAC ID: 5698035087 Enrollment ID: I20180202001375 |
| Provider Name | Angela Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558877746 PECOS PAC ID: 4082974423 Enrollment ID: I20180205001148 |
| Provider Name | Kristen Landfried |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225574999 PECOS PAC ID: 5294095345 Enrollment ID: I20180209000741 |
| Provider Name | Andrew J Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609382670 PECOS PAC ID: 9638439540 Enrollment ID: I20180213002868 |
| Provider Name | Carol Z Pulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386158079 PECOS PAC ID: 7315208089 Enrollment ID: I20180221002157 |
| Provider Name | Molly B Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407307903 PECOS PAC ID: 4789946617 Enrollment ID: I20180313000738 |
| Provider Name | Joshua Raj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447705959 PECOS PAC ID: 3779846654 Enrollment ID: I20180405001096 |
| Provider Name | Jessy J King Nabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992207898 PECOS PAC ID: 5294081071 Enrollment ID: I20180710000135 |
| Provider Name | Kate L Hulbert |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518452457 PECOS PAC ID: 5890047609 Enrollment ID: I20181005001258 |
| Provider Name | Eduardo Haynes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558709154 PECOS PAC ID: 5799037339 Enrollment ID: I20181010001415 |
| Provider Name | Michelle A Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700218286 PECOS PAC ID: 6608129515 Enrollment ID: I20181023001872 |
| Provider Name | Karpukkarasi Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568726768 PECOS PAC ID: 6103131396 Enrollment ID: I20190103000090 |
| Provider Name | Beata Reshetar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386065266 PECOS PAC ID: 5193062909 Enrollment ID: I20190131001620 |
| Provider Name | Ashley Schiraldi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831661396 PECOS PAC ID: 5799023305 Enrollment ID: I20190206001646 |
| Provider Name | Gianna V Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275026601 PECOS PAC ID: 8426396649 Enrollment ID: I20190214000168 |
| Provider Name | Usman Khan Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053774844 PECOS PAC ID: 8426395849 Enrollment ID: I20190305000124 |
| Provider Name | Nicole Garbe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083178750 PECOS PAC ID: 5294075776 Enrollment ID: I20190320000224 |
| Provider Name | Polina Sasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114480910 PECOS PAC ID: 6800120874 Enrollment ID: I20190625001615 |
| Provider Name | Melissa A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528523867 PECOS PAC ID: 1658606439 Enrollment ID: I20190716002937 |
| Provider Name | Emily Renee Bunyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982266722 PECOS PAC ID: 9436488376 Enrollment ID: I20190903000749 |
| Provider Name | Diane Amelia Ramos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700446762 PECOS PAC ID: 1254662521 Enrollment ID: I20191017001929 |
| Provider Name | Michelle Eisenhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558910984 PECOS PAC ID: 1355774779 Enrollment ID: I20191125002566 |
| Provider Name | Joanna D Dalton Ayoung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639468531 PECOS PAC ID: 8123306925 Enrollment ID: I20191211002813 |
| Provider Name | Christopher Marengo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992949390 PECOS PAC ID: 3375695588 Enrollment ID: I20191223000831 |
| Provider Name | Arielle Cheifetz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770125122 PECOS PAC ID: 2769816750 Enrollment ID: I20191227002208 |
| Provider Name | Richard Chudacoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740275064 PECOS PAC ID: 4688631385 Enrollment ID: I20200113000420 |
| Provider Name | Michael J Yeager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396795829 PECOS PAC ID: 5991718066 Enrollment ID: I20200311001335 |
| Provider Name | Sally A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518588243 PECOS PAC ID: 2163840034 Enrollment ID: I20200910000326 |
| Provider Name | Ume Farwa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033365952 PECOS PAC ID: 8022179464 Enrollment ID: I20201123000104 |
| Provider Name | Praise Augustus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154724268 PECOS PAC ID: 0446509111 Enrollment ID: I20201221000063 |
| Provider Name | Chana Chapler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013501105 PECOS PAC ID: 6406262575 Enrollment ID: I20210316000352 |
| Provider Name | Jessica Sorrentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316539240 PECOS PAC ID: 3173932100 Enrollment ID: I20210504001847 |
| Provider Name | Andrea Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013549906 PECOS PAC ID: 7012316284 Enrollment ID: I20210520003038 |
| Provider Name | Eileen Janora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003434739 PECOS PAC ID: 4981006947 Enrollment ID: I20210713002725 |
| Provider Name | Mark Krivoshik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669409306 PECOS PAC ID: 2365441102 Enrollment ID: I20210921003327 |
| Provider Name | Giavonna M Hirtes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295381838 PECOS PAC ID: 4183015803 Enrollment ID: I20220106000914 |
| Provider Name | Neeharika Kasuganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265812689 PECOS PAC ID: 9830509892 Enrollment ID: I20220125000681 |
| Provider Name | Andrea Lindley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992451587 PECOS PAC ID: 7618363821 Enrollment ID: I20220414001602 |
| Provider Name | Naseem Obaydou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306416615 PECOS PAC ID: 9032515101 Enrollment ID: I20220601000922 |
| Provider Name | Mary White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538865779 PECOS PAC ID: 8224403217 Enrollment ID: I20230404002939 |
| Provider Name | Veronica Jeanne Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114019247 PECOS PAC ID: 6305941998 Enrollment ID: I20230527000033 |
| Provider Name | Amelia Desteno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689365496 PECOS PAC ID: 0749648160 Enrollment ID: I20230616001329 |
| Provider Name | Ifeoma J Oguagha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679263511 PECOS PAC ID: 8426419052 Enrollment ID: I20230731000918 |
| Provider Name | Darnelle Gillot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972283224 PECOS PAC ID: 5698139798 Enrollment ID: I20230907002846 |
| Provider Name | Jenna Riccatelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962176560 PECOS PAC ID: 4284089343 Enrollment ID: I20231010000050 |
| Provider Name | Kristen Reso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720854565 PECOS PAC ID: 5092166280 Enrollment ID: I20240112000338 |
| Provider Name | Suzanne S Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558138651 PECOS PAC ID: 3375987704 Enrollment ID: I20240214000095 |
| Provider Name | Carol M Mcintosh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538176870 PECOS PAC ID: 9830295997 Enrollment ID: I20240620000739 |
| Provider Name | Manuel Castillo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972256584 PECOS PAC ID: 9133651037 Enrollment ID: I20241016004148 |
Mini Mine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Melville Ave, Lakewood, NJ 08701 Phone: 732-886-8113 | |
Slenderfy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Madison Ave, Lakewood, NJ 08701 Phone: 732-664-4624 | |
Happy Vitals Remote Health Jc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1700 Avenue Of The States, Suite 101, Lakewood, NJ 08701 Phone: 310-230-5984 Fax: 310-421-4898 | |
Cassada Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Highway 70, Lakewood, NJ 08701 Phone: 732-886-6002 | |
First Aide Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 E Harvard St, Lakewood, NJ 08701 Phone: 347-920-7834 | |
Kimball Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 River Ave, Lakewood, NJ 08701 Phone: 732-363-1900 Fax: 732-942-4422 |