| Omneity Health Care | |
|
25 Main St Sparta NJ 07871-1937 | |
| (973) 729-9700 | |
| Not Available |
| Full Name | Omneity Health Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 25 Main St, Sparta, New Jersey |
| Authorized Official Name and Position | Joseph Anthony Liotta (PRESIDENT) |
| Authorized Official Contact | 9737299700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omneity Health Care Po Box 1002 Sparta NJ 07871-5002 Ph: () - | Omneity Health Care 25 Main St Sparta NJ 07871-1937 Ph: (973) 729-9700 |
| NPI Number | 1376772889 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 03/31/2015 |
| Medicare PECOS PAC ID | 0941480149 |
|---|---|
| Medicare Enrollment ID | O20110204000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376772889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07982300 (New Jersey) | Primary |
| Provider Name | Joseph A Liotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669404000 PECOS PAC ID: 2365442472 Enrollment ID: I20070112000260 |
| Provider Name | Deatte Gettinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891179917 PECOS PAC ID: 5991014854 Enrollment ID: I20151016001222 |
| Provider Name | Judith A Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157313 PECOS PAC ID: 0941549349 Enrollment ID: I20190301000978 |
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