| Optum Medical Care Of New Jersey Pc | |
|
1 Harmon Plz Fl 10 Secaucus NJ 07094-2803 | |
| (201) 636-7233 | |
| (201) 552-2358 |
| Full Name | Optum Medical Care Of New Jersey Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 1 Harmon Plz Fl 10, Secaucus, New Jersey |
| Authorized Official Name and Position | Gaurang Brahmbhatt (CMO) |
| Authorized Official Contact | 2016367233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Medical Care Of New Jersey Pc 1 Harmon Plz Fl 10 Secaucus NJ 07094-2803 Ph: (201) 636-7233 | Optum Medical Care Of New Jersey Pc 1 Harmon Plz Fl 10 Secaucus NJ 07094-2803 Ph: (201) 636-7233 |
| NPI Number | 1578665048 |
|---|---|
| Provider Enumeration Date | 09/03/2006 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 3072650290 |
|---|---|
| Medicare Enrollment ID | O20091021000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578665048 | NPI | - | NPPES |
| 9088008 | Medicaid | NJ |
| Provider Name | Uma Duvvuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891756573 PECOS PAC ID: 4284546714 Enrollment ID: I20031104000117 |
| Provider Name | Chaula A Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215023841 PECOS PAC ID: 5991699928 Enrollment ID: I20040211000416 |
| Provider Name | Isaac J Dweck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881785343 PECOS PAC ID: 3678462561 Enrollment ID: I20040310001211 |
| Provider Name | Nader Moaven |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831293174 PECOS PAC ID: 5294727301 Enrollment ID: I20040331000110 |
| Provider Name | Nancy Cozzini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265512321 PECOS PAC ID: 4880688092 Enrollment ID: I20040412000767 |
| Provider Name | Julio H Urena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356302186 PECOS PAC ID: 7416941562 Enrollment ID: I20040412001100 |
| Provider Name | Michael A Renzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962491241 PECOS PAC ID: 2860395860 Enrollment ID: I20040421000188 |
| Provider Name | Issam Mouded |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629092218 PECOS PAC ID: 1759378839 Enrollment ID: I20040429000847 |
| Provider Name | Hiie M Gussak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689641292 PECOS PAC ID: 6901894807 Enrollment ID: I20040430001057 |
| Provider Name | Lookman Odejobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306888789 PECOS PAC ID: 1557350832 Enrollment ID: I20040511000983 |
| Provider Name | Jose Luis Sabogal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467424325 PECOS PAC ID: 7113909649 Enrollment ID: I20040607001022 |
| Provider Name | Gail H Auster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730114273 PECOS PAC ID: 2769464213 Enrollment ID: I20040607001073 |
| Provider Name | Stephen J Skokan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528042777 PECOS PAC ID: 6103803762 Enrollment ID: I20040701000601 |
| Provider Name | Daniel Akpalu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770676033 PECOS PAC ID: 7810975687 Enrollment ID: I20040708001136 |
| Provider Name | Sheremet Gashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114093564 PECOS PAC ID: 0547240665 Enrollment ID: I20040727000106 |
| Provider Name | Sheeba Ben |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518967959 PECOS PAC ID: 5193795722 Enrollment ID: I20040729001226 |
| Provider Name | William Furey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790822427 PECOS PAC ID: 6103893516 Enrollment ID: I20040915000328 |
| Provider Name | Umesh Katdare |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447255898 PECOS PAC ID: 2264400142 Enrollment ID: I20040918000171 |
| Provider Name | Anil Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932184728 PECOS PAC ID: 4082682711 Enrollment ID: I20040921000718 |
| Provider Name | Gregory M Meli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649338344 PECOS PAC ID: 6608844667 Enrollment ID: I20040927000043 |
| Provider Name | Jose O Santana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497750848 PECOS PAC ID: 1951364777 Enrollment ID: I20041111000564 |
| Provider Name | Michael Guma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376655407 PECOS PAC ID: 5890759245 Enrollment ID: I20041116000016 |
| Provider Name | Felix G Dailey-sterling |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194720540 PECOS PAC ID: 0547226193 Enrollment ID: I20041206000278 |
| Provider Name | Edward B Krisiloff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548359151 PECOS PAC ID: 6103882527 Enrollment ID: I20041208000001 |
| Provider Name | Ghassan Louis Wardeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255332789 PECOS PAC ID: 4082674585 Enrollment ID: I20041217000209 |
| Provider Name | Stephen Schneider |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912001033 PECOS PAC ID: 3779541883 Enrollment ID: I20041221000559 |
| Provider Name | Daniel W Simon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013997428 PECOS PAC ID: 8123086527 Enrollment ID: I20050103000284 |
| Provider Name | Vipan K Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871588988 PECOS PAC ID: 1658339940 Enrollment ID: I20050104000016 |
| Provider Name | William Y Hong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225077456 PECOS PAC ID: 6507848595 Enrollment ID: I20050113000810 |
| Provider Name | Frederick D Gangemi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356446108 PECOS PAC ID: 5193775161 Enrollment ID: I20050127000229 |
| Provider Name | Mark Lichtenberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457454266 PECOS PAC ID: 7810942612 Enrollment ID: I20050315000263 |
| Provider Name | Emerlinda C Imperio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477667798 PECOS PAC ID: 0648245001 Enrollment ID: I20050321000203 |
| Provider Name | Eyad Y Baghal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093763039 PECOS PAC ID: 5799722013 Enrollment ID: I20050408000369 |
| Provider Name | John C Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669482428 PECOS PAC ID: 5092753988 Enrollment ID: I20050421000100 |
| Provider Name | Thomas Salazer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205803152 PECOS PAC ID: 0648179879 Enrollment ID: I20050613000658 |
| Provider Name | David Levin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326015199 PECOS PAC ID: 7810896040 Enrollment ID: I20050616001079 |
| Provider Name | Vincent Guida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285677427 PECOS PAC ID: 4688619661 Enrollment ID: I20050621000326 |
| Provider Name | Christine M Gigliuto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952374266 PECOS PAC ID: 6002851748 Enrollment ID: I20050623000371 |
| Provider Name | Sajjad Hussain |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780672188 PECOS PAC ID: 7113961624 Enrollment ID: I20050706000816 |
| Provider Name | Joseph J Hickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639197239 PECOS PAC ID: 0941236244 Enrollment ID: I20050708000492 |
| Provider Name | Robert A Fogari |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952499006 PECOS PAC ID: 1254369614 Enrollment ID: I20050728000110 |
| Provider Name | Kalpana Dalal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235193954 PECOS PAC ID: 9830127166 Enrollment ID: I20050728000781 |
| Provider Name | Jon D Green |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245283563 PECOS PAC ID: 7517994841 Enrollment ID: I20050801001141 |
| Provider Name | Joel H Kurtz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205882578 PECOS PAC ID: 4385612589 Enrollment ID: I20050809000065 |
| Provider Name | Rosemarie Desantis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336112606 PECOS PAC ID: 5092744177 Enrollment ID: I20050809000605 |
| Provider Name | Robert S Spira |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902877525 PECOS PAC ID: 5597794008 Enrollment ID: I20050809000830 |
| Provider Name | Daniel J Brodoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164474854 PECOS PAC ID: 6901836824 Enrollment ID: I20050819000239 |
| Provider Name | Andrew E Burachinsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093757429 PECOS PAC ID: 4688605629 Enrollment ID: I20050830000017 |
| Provider Name | Michael Louis Amoroso |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1598794158 PECOS PAC ID: 5193639318 Enrollment ID: I20050907000291 |
| Provider Name | Juan Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497821250 PECOS PAC ID: 3779516547 Enrollment ID: I20050913000301 |
| Provider Name | Norma J Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912944968 PECOS PAC ID: 6507899689 Enrollment ID: I20050919000367 |
| Provider Name | Kaushik C Modi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700886132 PECOS PAC ID: 1850387549 Enrollment ID: I20050922000017 |
| Provider Name | Marwan Assaleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518066000 PECOS PAC ID: 4587698980 Enrollment ID: I20050926000051 |
| Provider Name | Shereelah Deen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649287756 PECOS PAC ID: 6709810104 Enrollment ID: I20050926000098 |
| Provider Name | Byung H Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386683092 PECOS PAC ID: 4880619121 Enrollment ID: I20051006000170 |
| Provider Name | Cornel Mircea |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316055973 PECOS PAC ID: 4486670791 Enrollment ID: I20051017000431 |
| Provider Name | Decca Mohammed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679536361 PECOS PAC ID: 5597781799 Enrollment ID: I20051019000052 |
| Provider Name | John R Waldron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154356343 PECOS PAC ID: 6709802770 Enrollment ID: I20051019000265 |
| Provider Name | Dina S Prus |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871565887 PECOS PAC ID: 1456378512 Enrollment ID: I20051027000836 |
| Provider Name | Melissa S Sinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316919996 PECOS PAC ID: 7719922509 Enrollment ID: I20051121000358 |
| Provider Name | Hormoz Ashtyani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982634952 PECOS PAC ID: 7517988355 Enrollment ID: I20051216000008 |
| Provider Name | Deborah Camiscoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255304663 PECOS PAC ID: 3779506910 Enrollment ID: I20060113000223 |
| Provider Name | Warren M Kraus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1902808991 PECOS PAC ID: 5597788307 Enrollment ID: I20060117000035 |
| Provider Name | Samih R Abbassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750380358 PECOS PAC ID: 3072537034 Enrollment ID: I20060118000337 |
| Provider Name | Samuel A Banigo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063503555 PECOS PAC ID: 8921013194 Enrollment ID: I20060412000248 |
| Provider Name | Krista H King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053372136 PECOS PAC ID: 9931118155 Enrollment ID: I20060418000081 |
| Provider Name | Peter C Roblejo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194772095 PECOS PAC ID: 3375558547 Enrollment ID: I20060605000214 |
| Provider Name | Matthew B Welch |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699762351 PECOS PAC ID: 1850395674 Enrollment ID: I20060911000372 |
| Provider Name | Heather L Robberson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902802739 PECOS PAC ID: 8628028487 Enrollment ID: I20061018000038 |
| Provider Name | Sacha Balmir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255438131 PECOS PAC ID: 2264431451 Enrollment ID: I20061218000139 |
| Provider Name | Sunil Asnani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669574281 PECOS PAC ID: 4688578198 Enrollment ID: I20070104000156 |
| Provider Name | Benny G Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851483754 PECOS PAC ID: 3577564640 Enrollment ID: I20070117000127 |
| Provider Name | Joseph Covelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780622944 PECOS PAC ID: 3971594169 Enrollment ID: I20070118000221 |
| Provider Name | Veronica V Pineda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487744223 PECOS PAC ID: 2264433747 Enrollment ID: I20070125000538 |
| Provider Name | Anju Mattoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114987351 PECOS PAC ID: 5193820330 Enrollment ID: I20070418000089 |
| Provider Name | Jeffrey M Jacobs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972582708 PECOS PAC ID: 9638191224 Enrollment ID: I20070426000605 |
| Provider Name | Eugene S Hrabarchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396704938 PECOS PAC ID: 2668434077 Enrollment ID: I20070427000373 |
| Provider Name | Agnieszka Palecki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205995248 PECOS PAC ID: 2668578964 Enrollment ID: I20070503000015 |
| Provider Name | Vincent A Tomasuolo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053317701 PECOS PAC ID: 0143328898 Enrollment ID: I20070605000091 |
| Provider Name | Rany Al Haj |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174649966 PECOS PAC ID: 8628063021 Enrollment ID: I20070629000501 |
| Provider Name | David Wells-roth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366576845 PECOS PAC ID: 5597866335 Enrollment ID: I20070724000622 |
| Provider Name | Pratibha A Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306867478 PECOS PAC ID: 4385735463 Enrollment ID: I20070803000020 |
| Provider Name | Eric J Abrams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124065974 PECOS PAC ID: 9638264351 Enrollment ID: I20070926000764 |
| Provider Name | Gagan D Beri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578785838 PECOS PAC ID: 9032011051 Enrollment ID: I20071221000093 |
| Provider Name | Lori M Kitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891781043 PECOS PAC ID: 1951215995 Enrollment ID: I20080221000324 |
| Provider Name | Elena Nirenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295955219 PECOS PAC ID: 6406930544 Enrollment ID: I20080227000528 |
| Provider Name | Emily Felzenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063684702 PECOS PAC ID: 5890872329 Enrollment ID: I20080409000034 |
| Provider Name | Daniel K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811193865 PECOS PAC ID: 9436236619 Enrollment ID: I20080412000008 |
| Provider Name | Irina Levin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477749182 PECOS PAC ID: 0244318715 Enrollment ID: I20080424000006 |
| Provider Name | Kavita Beri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548391832 PECOS PAC ID: 1557440393 Enrollment ID: I20080506000370 |
| Provider Name | Maureen P Glennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881712453 PECOS PAC ID: 9931278520 Enrollment ID: I20080522000234 |
| Provider Name | Tingliang Shen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972777894 PECOS PAC ID: 1759453681 Enrollment ID: I20080709000309 |
| Provider Name | Joseph A Buttigheri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952406670 PECOS PAC ID: 7315014073 Enrollment ID: I20080922000388 |
| Provider Name | Beata Meszaros |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811146004 PECOS PAC ID: 0244398089 Enrollment ID: I20081022000469 |
| Provider Name | Zaheer Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144429697 PECOS PAC ID: 5395803183 Enrollment ID: I20081023000120 |
| Provider Name | Khaula Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164698445 PECOS PAC ID: 6709945504 Enrollment ID: I20081110000001 |
| Provider Name | Valeria Kleshchelskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417907171 PECOS PAC ID: 2062474711 Enrollment ID: I20081219000387 |
| Provider Name | Andrey Silkov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598922981 PECOS PAC ID: 7416019419 Enrollment ID: I20081230000195 |
| Provider Name | Richard C Heimbuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033378351 PECOS PAC ID: 6901968908 Enrollment ID: I20081230000265 |
| Provider Name | Yasmine C Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245407071 PECOS PAC ID: 2466515283 Enrollment ID: I20090106000265 |
| Provider Name | Balwant Chhatwal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235210808 PECOS PAC ID: 6507929734 Enrollment ID: I20090113000895 |
| Provider Name | Randy Rowlands |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417156514 PECOS PAC ID: 2264596634 Enrollment ID: I20090129000386 |
| Provider Name | James J Holton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740215938 PECOS PAC ID: 2567524200 Enrollment ID: I20090129000481 |
| Provider Name | Wamiq Jadun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144336777 PECOS PAC ID: 6507922754 Enrollment ID: I20090313000058 |
| Provider Name | Sunita A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992950349 PECOS PAC ID: 6800953043 Enrollment ID: I20090316000304 |
| Provider Name | Islam Elfayoumi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063450591 PECOS PAC ID: 6406869460 Enrollment ID: I20090406000056 |
| Provider Name | Sean C Egan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164588711 PECOS PAC ID: 8224188594 Enrollment ID: I20090608000274 |
| Provider Name | Ramzan M Zakir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659579274 PECOS PAC ID: 0840343109 Enrollment ID: I20090804000305 |
| Provider Name | Marc J Berman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356563340 PECOS PAC ID: 7719051655 Enrollment ID: I20090922000472 |
| Provider Name | Nagarani Ramasubramaniam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861679904 PECOS PAC ID: 0345389482 Enrollment ID: I20091202000236 |
| Provider Name | Daniel A Elber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174538938 PECOS PAC ID: 0042359184 Enrollment ID: I20091202000270 |
| Provider Name | Prashant N Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497738876 PECOS PAC ID: 3476648197 Enrollment ID: I20091209000137 |
| Provider Name | Sushama Mody |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760682173 PECOS PAC ID: 0143362665 Enrollment ID: I20100121000758 |
| Provider Name | Laurence M Milgrim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255307989 PECOS PAC ID: 8325103062 Enrollment ID: I20100225000454 |
| Provider Name | Namita J Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255591905 PECOS PAC ID: 9234273459 Enrollment ID: I20100226000812 |
| Provider Name | Richard R Guma |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891812517 PECOS PAC ID: 8729123427 Enrollment ID: I20100305000470 |
| Provider Name | Zeyad Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730328634 PECOS PAC ID: 5193850303 Enrollment ID: I20100312000649 |
| Provider Name | Roger P Diruggiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457301699 PECOS PAC ID: 9335130723 Enrollment ID: I20100405000000 |
| Provider Name | Dawn S Straniero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518293570 PECOS PAC ID: 0042348666 Enrollment ID: I20100503000138 |
| Provider Name | Jaffar A Raza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326119637 PECOS PAC ID: 3375500135 Enrollment ID: I20100726000596 |
| Provider Name | Mark E Weinstein |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1528274040 PECOS PAC ID: 6305979485 Enrollment ID: I20100727000835 |
| Provider Name | Michael I Wiener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922091370 PECOS PAC ID: 4183799943 Enrollment ID: I20100827000245 |
| Provider Name | Arthur Issac Lester |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528028347 PECOS PAC ID: 5193918779 Enrollment ID: I20101015000740 |
| Provider Name | William A Sachs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588687065 PECOS PAC ID: 0840386298 Enrollment ID: I20101027000461 |
| Provider Name | Anthony N Sifonios |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598906984 PECOS PAC ID: 0345435210 Enrollment ID: I20101117001018 |
| Provider Name | Angela Marie Adelizzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356314751 PECOS PAC ID: 0648369389 Enrollment ID: I20101123000158 |
| Provider Name | Anne Connors |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578500278 PECOS PAC ID: 3173628476 Enrollment ID: I20101130000451 |
| Provider Name | Mark Irwin Sisskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922071505 PECOS PAC ID: 9537258272 Enrollment ID: I20101210000838 |
| Provider Name | Jeffrey M. Lipper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679512891 PECOS PAC ID: 3779565767 Enrollment ID: I20101217000399 |
| Provider Name | Mehesh K. Tekriwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801841226 PECOS PAC ID: 8426030412 Enrollment ID: I20101220000062 |
| Provider Name | Ashokvardhan R Veldanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780630764 PECOS PAC ID: 1658457437 Enrollment ID: I20101220000104 |
| Provider Name | Umberto Coletta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437218641 PECOS PAC ID: 7113115536 Enrollment ID: I20101229000041 |
| Provider Name | Elizabeth Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467788703 PECOS PAC ID: 2365631199 Enrollment ID: I20110111000100 |
| Provider Name | Robert M Klein |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235196452 PECOS PAC ID: 4284823873 Enrollment ID: I20110113000214 |
| Provider Name | Joel Musicant |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174576052 PECOS PAC ID: 2668651738 Enrollment ID: I20110120001065 |
| Provider Name | Ying Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689647240 PECOS PAC ID: 4082703723 Enrollment ID: I20110121000592 |
| Provider Name | Cathleen M Saros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003054552 PECOS PAC ID: 7012196041 Enrollment ID: I20110124000657 |
| Provider Name | Howard Neil Guss |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831162403 PECOS PAC ID: 1456309681 Enrollment ID: I20110210000116 |
| Provider Name | Lenny Ramirez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801909817 PECOS PAC ID: 1153347117 Enrollment ID: I20110302000560 |
| Provider Name | Donna Graziano Wilcox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437159027 PECOS PAC ID: 9133122120 Enrollment ID: I20110616000058 |
| Provider Name | Catvan Le |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457593477 PECOS PAC ID: 9537339429 Enrollment ID: I20110901000417 |
| Provider Name | Victor J. Mazza |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841358066 PECOS PAC ID: 5496925216 Enrollment ID: I20110902000094 |
| Provider Name | Bo K Shin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568769149 PECOS PAC ID: 1557532439 Enrollment ID: I20110926000671 |
| Provider Name | Nagalakshmi A. Shetty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710260039 PECOS PAC ID: 4981876778 Enrollment ID: I20111021000133 |
| Provider Name | Uthra Kodiyalam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770545501 PECOS PAC ID: 4789857210 Enrollment ID: I20111028000422 |
| Provider Name | Nabil I Dahrouj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720285331 PECOS PAC ID: 8527233394 Enrollment ID: I20111206000149 |
| Provider Name | Vikash Singh Panghaal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114241809 PECOS PAC ID: 7214053735 Enrollment ID: I20111215000865 |
| Provider Name | Gaurang R Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225204266 PECOS PAC ID: 8527234384 Enrollment ID: I20111228000131 |
| Provider Name | Elena R Jauregui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265429781 PECOS PAC ID: 0244406833 Enrollment ID: I20120103000576 |
| Provider Name | Vincent Ayako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699088161 PECOS PAC ID: 1759558349 Enrollment ID: I20120123000555 |
| Provider Name | Sholeh Kamalian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114952116 PECOS PAC ID: 5193732212 Enrollment ID: I20120123000639 |
| Provider Name | Ahmad Kazemi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588640874 PECOS PAC ID: 6608041454 Enrollment ID: I20120124000790 |
| Provider Name | Iyad Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730341322 PECOS PAC ID: 4587823463 Enrollment ID: I20120313000263 |
| Provider Name | Gowri Veeraraghavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619900883 PECOS PAC ID: 9234133273 Enrollment ID: I20120315000362 |
| Provider Name | Renata Weber |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790855815 PECOS PAC ID: 3678537016 Enrollment ID: I20120316000369 |
| Provider Name | Peter M Pasley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104840503 PECOS PAC ID: 1254384159 Enrollment ID: I20120409000578 |
| Provider Name | Wafa T Hmoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902112063 PECOS PAC ID: 4789846023 Enrollment ID: I20120502000175 |
| Provider Name | Harshpal Singh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437317567 PECOS PAC ID: 3072799394 Enrollment ID: I20120703000196 |
| Provider Name | Arunasree Dubbaka Rajaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558515213 PECOS PAC ID: 2062678766 Enrollment ID: I20120725000199 |
| Provider Name | Petr Tsenovoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558507178 PECOS PAC ID: 8022274513 Enrollment ID: I20120727000548 |
| Provider Name | Brian P Feehan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457513319 PECOS PAC ID: 3375709645 Enrollment ID: I20120801000183 |
| Provider Name | Narine Azoyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801141023 PECOS PAC ID: 8527214485 Enrollment ID: I20120808000384 |
| Provider Name | Daniel S Fabius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073884680 PECOS PAC ID: 8123275500 Enrollment ID: I20120821000448 |
| Provider Name | Julie M Aliaga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144372889 PECOS PAC ID: 1355598038 Enrollment ID: I20120831000349 |
| Provider Name | Syed Sirajuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710114301 PECOS PAC ID: 8022267251 Enrollment ID: I20121004000036 |
| Provider Name | Jessy J Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437387586 PECOS PAC ID: 0143470658 Enrollment ID: I20121018000368 |
| Provider Name | Aarti Patel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598926651 PECOS PAC ID: 7618127960 Enrollment ID: I20121022000465 |
| Provider Name | Heather I Herbst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417207747 PECOS PAC ID: 4981854106 Enrollment ID: I20121025000083 |
| Provider Name | Omar Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609037670 PECOS PAC ID: 5092967133 Enrollment ID: I20121218000294 |
| Provider Name | Naimat Bokhari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235222522 PECOS PAC ID: 6204088347 Enrollment ID: I20121218000369 |
| Provider Name | Clara Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881822369 PECOS PAC ID: 0648422683 Enrollment ID: I20121220000189 |
| Provider Name | Nermine Doss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063509958 PECOS PAC ID: 4385896331 Enrollment ID: I20121220000305 |
| Provider Name | Craig Sorkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598025397 PECOS PAC ID: 5193978120 Enrollment ID: I20121226000325 |
| Provider Name | Yaira M Valdivieso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578746327 PECOS PAC ID: 9133372089 Enrollment ID: I20121231000283 |
| Provider Name | Edson Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417216888 PECOS PAC ID: 3870594393 Enrollment ID: I20130307000187 |
| Provider Name | Shalini K Sethi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861747438 PECOS PAC ID: 4789820077 Enrollment ID: I20130410000541 |
| Provider Name | Samir Zaina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699906354 PECOS PAC ID: 4183871981 Enrollment ID: I20130501000246 |
| Provider Name | Richard Seides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174717011 PECOS PAC ID: 8022255066 Enrollment ID: I20130510000046 |
| Provider Name | Elizabeth August |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841519204 PECOS PAC ID: 0749420719 Enrollment ID: I20130716000315 |
| Provider Name | Wilson Delgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275844516 PECOS PAC ID: 6800037714 Enrollment ID: I20130718000338 |
| Provider Name | Tahera Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316104466 PECOS PAC ID: 2567603400 Enrollment ID: I20130718000709 |
| Provider Name | Jessica Taubman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053630178 PECOS PAC ID: 9739320599 Enrollment ID: I20130722000285 |
| Provider Name | Mylene T Alberto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720321052 PECOS PAC ID: 6709028939 Enrollment ID: I20130816000627 |
| Provider Name | Terry K Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013257740 PECOS PAC ID: 7618948514 Enrollment ID: I20131127000628 |
| Provider Name | Shari Reitzen-bastidas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225173370 PECOS PAC ID: 1658421276 Enrollment ID: I20131223000029 |
| Provider Name | Ayesha S Mahmoud |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538185459 PECOS PAC ID: 6406816677 Enrollment ID: I20140123001133 |
| Provider Name | Joseph F Girone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366692253 PECOS PAC ID: 1658520176 Enrollment ID: I20140303000856 |
| Provider Name | Jun Z Shim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801222492 PECOS PAC ID: 9739310202 Enrollment ID: I20140326000745 |
| Provider Name | Nina Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013177112 PECOS PAC ID: 8628124807 Enrollment ID: I20140410001656 |
| Provider Name | Mayra D Chicaiza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376965616 PECOS PAC ID: 9234361817 Enrollment ID: I20140414001107 |
| Provider Name | Heather M Cohen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1760702773 PECOS PAC ID: 6709902893 Enrollment ID: I20140422001001 |
| Provider Name | Zoraida Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477724847 PECOS PAC ID: 0749413888 Enrollment ID: I20140425001132 |
| Provider Name | Etan Spira |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003011891 PECOS PAC ID: 4587858543 Enrollment ID: I20140813000143 |
| Provider Name | Mayra J Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033530753 PECOS PAC ID: 3173741832 Enrollment ID: I20140822000353 |
| Provider Name | Janki P Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457633638 PECOS PAC ID: 0042481087 Enrollment ID: I20140822001966 |
| Provider Name | Deborah M Bader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033535703 PECOS PAC ID: 1759500630 Enrollment ID: I20140909001243 |
| Provider Name | Leticia Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336293463 PECOS PAC ID: 2961621727 Enrollment ID: I20140910001268 |
| Provider Name | Beth Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578798617 PECOS PAC ID: 8123283017 Enrollment ID: I20140912000142 |
| Provider Name | Mona Aboulnaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902225832 PECOS PAC ID: 2466671029 Enrollment ID: I20140912000835 |
| Provider Name | Gulnara Rubinshteyn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770816688 PECOS PAC ID: 2062631633 Enrollment ID: I20140912001015 |
| Provider Name | Mohammad Abdeljawad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487917365 PECOS PAC ID: 1052530573 Enrollment ID: I20140916001287 |
| Provider Name | Ruchika Sethi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669897732 PECOS PAC ID: 8527287648 Enrollment ID: I20140922001739 |
| Provider Name | Palina Antonovich-blumenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205235397 PECOS PAC ID: 7810118965 Enrollment ID: I20141015000787 |
| Provider Name | Aneela A Kundnani-kriplani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932337169 PECOS PAC ID: 9638312093 Enrollment ID: I20141024000708 |
| Provider Name | Basil Abdeljaber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831354323 PECOS PAC ID: 9537339841 Enrollment ID: I20141216001035 |
| Provider Name | Angelica Sorisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770989519 PECOS PAC ID: 1658694948 Enrollment ID: I20141217001209 |
| Provider Name | Sarah Vranesich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114322385 PECOS PAC ID: 9830412857 Enrollment ID: I20141224001274 |
| Provider Name | Marie Shin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275824971 PECOS PAC ID: 3476793704 Enrollment ID: I20141224001344 |
| Provider Name | Stephanie Corpron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083015762 PECOS PAC ID: 1355664004 Enrollment ID: I20150105000160 |
| Provider Name | Urszula Bednarska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689080749 PECOS PAC ID: 2264756527 Enrollment ID: I20150115002123 |
| Provider Name | Ritu Anand |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255353512 PECOS PAC ID: 8729017033 Enrollment ID: I20150128001135 |
| Provider Name | Julie Bohack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902204274 PECOS PAC ID: 6709101108 Enrollment ID: I20150205001850 |
| Provider Name | Isaac Zaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114211190 PECOS PAC ID: 6103141056 Enrollment ID: I20150217001065 |
| Provider Name | Trupti Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427286145 PECOS PAC ID: 7416272315 Enrollment ID: I20150218000563 |
| Provider Name | Bernadette M Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881874428 PECOS PAC ID: 3072830454 Enrollment ID: I20150324000350 |
| Provider Name | Mercy Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235533639 PECOS PAC ID: 0648597872 Enrollment ID: I20150326001313 |
| Provider Name | Rosario Calero-bai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851334361 PECOS PAC ID: 0749508489 Enrollment ID: I20150409001464 |
| Provider Name | Fehintola O Ogunsakin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134526759 PECOS PAC ID: 8921326174 Enrollment ID: I20150420000104 |
| Provider Name | Lisa Brzezinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245622976 PECOS PAC ID: 5092033076 Enrollment ID: I20150423002071 |
| Provider Name | Vivek V Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144456484 PECOS PAC ID: 1456670629 Enrollment ID: I20150511000808 |
| Provider Name | Sandeep K Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225314966 PECOS PAC ID: 9133448269 Enrollment ID: I20150512000920 |
| Provider Name | Mary Jo Donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003217480 PECOS PAC ID: 1658684048 Enrollment ID: I20150714001544 |
| Provider Name | Sayani Niyogi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295092096 PECOS PAC ID: 8729391016 Enrollment ID: I20150715001495 |
| Provider Name | Kelly A Byrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932589470 PECOS PAC ID: 6002129251 Enrollment ID: I20150717001057 |
| Provider Name | Mary Busto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093193112 PECOS PAC ID: 7315250032 Enrollment ID: I20150723007648 |
| Provider Name | Bahar Hadjiesmaeiloo |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1548585292 PECOS PAC ID: 2163649716 Enrollment ID: I20150723008674 |
| Provider Name | Harry L South |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780817205 PECOS PAC ID: 0648416719 Enrollment ID: I20150727002844 |
| Provider Name | Irida Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568843894 PECOS PAC ID: 6406161165 Enrollment ID: I20150811003683 |
| Provider Name | Lorrie Vece |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770585689 PECOS PAC ID: 5294040960 Enrollment ID: I20150811004073 |
| Provider Name | Catherine Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992199434 PECOS PAC ID: 8921313339 Enrollment ID: I20150813011874 |
| Provider Name | Shrinidi Mani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417215823 PECOS PAC ID: 5496061293 Enrollment ID: I20150824002105 |
| Provider Name | Tanya Blanch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730383530 PECOS PAC ID: 1557556297 Enrollment ID: I20150901000073 |
| Provider Name | Ronny M Chadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700950565 PECOS PAC ID: 7719977867 Enrollment ID: I20151012002349 |
| Provider Name | Amari M White |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205196359 PECOS PAC ID: 9133438526 Enrollment ID: I20151026002586 |
| Provider Name | Muhammad A Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164500823 PECOS PAC ID: 7416980016 Enrollment ID: I20151104001870 |
| Provider Name | Michael Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275881054 PECOS PAC ID: 6608176177 Enrollment ID: I20151207000317 |
| Provider Name | Sayeed B Aziz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609810589 PECOS PAC ID: 2860454378 Enrollment ID: I20151221000375 |
| Provider Name | Anca Tomsa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336203801 PECOS PAC ID: 5193954733 Enrollment ID: I20151222000182 |
| Provider Name | Agnieszka Golabek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346628567 PECOS PAC ID: 0547561011 Enrollment ID: I20151229001598 |
| Provider Name | Mabel E Trigoura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972976132 PECOS PAC ID: 9638471964 Enrollment ID: I20160104002261 |
| Provider Name | Ketankumar R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659761948 PECOS PAC ID: 7113235011 Enrollment ID: I20160122000709 |
| Provider Name | Adel Nammour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720387731 PECOS PAC ID: 5799088530 Enrollment ID: I20160128000434 |
| Provider Name | Naitik D Sheth |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134417587 PECOS PAC ID: 3072810522 Enrollment ID: I20160328001612 |
| Provider Name | Sarah Park |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1568884617 PECOS PAC ID: 9234438003 Enrollment ID: I20160428001565 |
| Provider Name | Kristina Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407293863 PECOS PAC ID: 6305162728 Enrollment ID: I20160512000668 |
| Provider Name | Tanjim Sultana |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427314996 PECOS PAC ID: 2365731254 Enrollment ID: I20160517000067 |
| Provider Name | Sergio Racanati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386037935 PECOS PAC ID: 8426348152 Enrollment ID: I20160608000779 |
| Provider Name | Pooja Tandon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922377258 PECOS PAC ID: 4688969868 Enrollment ID: I20160826001512 |
| Provider Name | Sameer Dhalla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417121898 PECOS PAC ID: 1557507936 Enrollment ID: I20160906000501 |
| Provider Name | Dennis P Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967424 PECOS PAC ID: 4486940962 Enrollment ID: I20160909000118 |
| Provider Name | Bankim Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790151116 PECOS PAC ID: 5496908261 Enrollment ID: I20160914001767 |
| Provider Name | Leena R Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851655765 PECOS PAC ID: 1254628944 Enrollment ID: I20160923000547 |
| Provider Name | Sana Trovato |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487997482 PECOS PAC ID: 0446547921 Enrollment ID: I20160927002082 |
| Provider Name | Kindra J Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447601703 PECOS PAC ID: 5294023115 Enrollment ID: I20161010001126 |
| Provider Name | Maria Kristen Arce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578910279 PECOS PAC ID: 1153601687 Enrollment ID: I20161129001823 |
| Provider Name | Mauricio De Melo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467825562 PECOS PAC ID: 4486935749 Enrollment ID: I20161228000026 |
| Provider Name | Niren Jasutkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134447493 PECOS PAC ID: 1951683465 Enrollment ID: I20170118001130 |
| Provider Name | Gabrielle Kulik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356708812 PECOS PAC ID: 7517249584 Enrollment ID: I20170127000062 |
| Provider Name | Paul Woroch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083081392 PECOS PAC ID: 8325324445 Enrollment ID: I20170404000659 |
| Provider Name | Hersh Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164760484 PECOS PAC ID: 2769607779 Enrollment ID: I20170419000273 |
| Provider Name | Syed I Rahmatullah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366883670 PECOS PAC ID: 3476789256 Enrollment ID: I20170426000090 |
| Provider Name | Bulland Zaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215377684 PECOS PAC ID: 7113161944 Enrollment ID: I20170524001894 |
| Provider Name | Sharon Colgate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265971014 PECOS PAC ID: 2264700327 Enrollment ID: I20170613001657 |
| Provider Name | Nadia R Hamdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073063368 PECOS PAC ID: 1254609217 Enrollment ID: I20170615000131 |
| Provider Name | Ali Husain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790073419 PECOS PAC ID: 8426326422 Enrollment ID: I20170615002016 |
| Provider Name | Salman Mamji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871960013 PECOS PAC ID: 9739458290 Enrollment ID: I20170627002223 |
| Provider Name | Michele Javadpoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124422951 PECOS PAC ID: 0648264531 Enrollment ID: I20170718000541 |
| Provider Name | Seyed Mohsen Ghanefar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245530294 PECOS PAC ID: 4981836640 Enrollment ID: I20170725000033 |
| Provider Name | Firas Qaqa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659786606 PECOS PAC ID: 8224308010 Enrollment ID: I20170727001155 |
| Provider Name | Julie Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073871356 PECOS PAC ID: 2961636287 Enrollment ID: I20170815002760 |
| Provider Name | Varun Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164669511 PECOS PAC ID: 1658517602 Enrollment ID: I20170911001322 |
| Provider Name | Brianne M Smolenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346647807 PECOS PAC ID: 8123308384 Enrollment ID: I20170918001664 |
| Provider Name | Frank Evans |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952681199 PECOS PAC ID: 6608140231 Enrollment ID: I20170921000008 |
| Provider Name | Lloyd A Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114320942 PECOS PAC ID: 2668747502 Enrollment ID: I20171011001067 |
| Provider Name | Cristina G O Rourke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891758900 PECOS PAC ID: 1759395627 Enrollment ID: I20171011001413 |
| Provider Name | Ruta Bondarenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639414436 PECOS PAC ID: 5395010565 Enrollment ID: I20171014000020 |
| Provider Name | Hela Barhoush |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801153127 PECOS PAC ID: 9133357601 Enrollment ID: I20171023002526 |
| Provider Name | Debora La Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871023168 PECOS PAC ID: 9537435169 Enrollment ID: I20171025002328 |
| Provider Name | Keith R Dixon |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1982606810 PECOS PAC ID: 3375574411 Enrollment ID: I20171031002019 |
| Provider Name | Veronica Dasilva |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700196383 PECOS PAC ID: 0143586214 Enrollment ID: I20171106000906 |
| Provider Name | Adam Atoot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265844872 PECOS PAC ID: 5698031219 Enrollment ID: I20171114001872 |
| Provider Name | Nydia Karina Hernandez Santana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114349164 PECOS PAC ID: 2264702265 Enrollment ID: I20171122000762 |
| Provider Name | Eman Zedan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861929101 PECOS PAC ID: 2769749811 Enrollment ID: I20171128003729 |
| Provider Name | Sharon Y Pagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134646854 PECOS PAC ID: 5395002901 Enrollment ID: I20171206000844 |
| Provider Name | Grace S Candelario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144253725 PECOS PAC ID: 2860433307 Enrollment ID: I20171207000714 |
| Provider Name | Samantha Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477075497 PECOS PAC ID: 3476811639 Enrollment ID: I20171215000832 |
| Provider Name | Ayman Abdelwahab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851383178 PECOS PAC ID: 7012936909 Enrollment ID: I20171220000863 |
| Provider Name | Jessica Barbosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710433701 PECOS PAC ID: 2365700127 Enrollment ID: I20171227002483 |
| Provider Name | Marisa Elaine Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689104614 PECOS PAC ID: 1254690886 Enrollment ID: I20180105000335 |
| Provider Name | Annie Zeb |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023454618 PECOS PAC ID: 7618265141 Enrollment ID: I20180122001552 |
| Provider Name | Kelly Marie Cavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205385077 PECOS PAC ID: 3870853435 Enrollment ID: I20180131000643 |
| Provider Name | Beomseok Oh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194197921 PECOS PAC ID: 0749540094 Enrollment ID: I20180205002203 |
| Provider Name | Elizabeth Mathew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265819569 PECOS PAC ID: 2668732843 Enrollment ID: I20180208000090 |
| Provider Name | Selina Boadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780924761 PECOS PAC ID: 7719248459 Enrollment ID: I20180221000875 |
| Provider Name | Yevgeniy Latyshev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225342439 PECOS PAC ID: 2769616390 Enrollment ID: I20180222001397 |
| Provider Name | Jayvinth Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013356518 PECOS PAC ID: 9830332998 Enrollment ID: I20180406002152 |
| Provider Name | Mely Mary Mathew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457667792 PECOS PAC ID: 7618111766 Enrollment ID: I20180416000491 |
| Provider Name | Victoria Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578064770 PECOS PAC ID: 3779847306 Enrollment ID: I20180508001612 |
| Provider Name | Najeeb U Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467757195 PECOS PAC ID: 4789861592 Enrollment ID: I20180514000643 |
| Provider Name | Mary Nakhla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659784247 PECOS PAC ID: 9032480934 Enrollment ID: I20180612000351 |
| Provider Name | Justin Brackenrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669852729 PECOS PAC ID: 4981959053 Enrollment ID: I20180613000495 |
| Provider Name | Brett P Bielory |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437592946 PECOS PAC ID: 9537436951 Enrollment ID: I20180618000122 |
| Provider Name | Hal Sitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376958108 PECOS PAC ID: 0244585164 Enrollment ID: I20180618003078 |
| Provider Name | Reny Rachel Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790285567 PECOS PAC ID: 5991050304 Enrollment ID: I20180626000372 |
| Provider Name | Jennifer Winborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992151526 PECOS PAC ID: 3375809940 Enrollment ID: I20180627000180 |
| Provider Name | Francis O Onwochei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225404650 PECOS PAC ID: 7719258037 Enrollment ID: I20180702001307 |
| Provider Name | Sho Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225577661 PECOS PAC ID: 8527314566 Enrollment ID: I20180706000022 |
| Provider Name | Liss E Speziale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992239487 PECOS PAC ID: 3375899933 Enrollment ID: I20180712000152 |
| Provider Name | Shruti A Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992187082 PECOS PAC ID: 1850648379 Enrollment ID: I20180716000842 |
| Provider Name | Scott T Freiberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669851515 PECOS PAC ID: 5294082988 Enrollment ID: I20180726001940 |
| Provider Name | Nadeem Wain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538555479 PECOS PAC ID: 5193023547 Enrollment ID: I20180801003714 |
| Provider Name | Hyman L Kirschenbaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063405900 PECOS PAC ID: 3577460302 Enrollment ID: I20180829002553 |
| Provider Name | Marina Girgis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972916526 PECOS PAC ID: 9830449966 Enrollment ID: I20180911000818 |
| Provider Name | Steven Trisker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124514534 PECOS PAC ID: 0941552913 Enrollment ID: I20181003001066 |
| Provider Name | Dae Sik Alex Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376959700 PECOS PAC ID: 5395097034 Enrollment ID: I20181009000636 |
| Provider Name | Esther Neff Mermelstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114448776 PECOS PAC ID: 1759633373 Enrollment ID: I20181010000633 |
| Provider Name | Rezin Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851807085 PECOS PAC ID: 9335491422 Enrollment ID: I20181018001124 |
| Provider Name | Rebecca Lynn Martz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164818134 PECOS PAC ID: 5496066912 Enrollment ID: I20181024000900 |
| Provider Name | Shyam Vadlapatla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942578158 PECOS PAC ID: 1052530367 Enrollment ID: I20181029000129 |
| Provider Name | Jossie Marie Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487148995 PECOS PAC ID: 8123371309 Enrollment ID: I20181106000700 |
| Provider Name | Doris L Platero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912488735 PECOS PAC ID: 6507110442 Enrollment ID: I20181113001976 |
| Provider Name | Anastasia A Krosnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629552245 PECOS PAC ID: 6709130032 Enrollment ID: I20181126001526 |
| Provider Name | Heidi Rojas Cabrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003247578 PECOS PAC ID: 6709189004 Enrollment ID: I20181128001287 |
| Provider Name | Leah G Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861987000 PECOS PAC ID: 6305180779 Enrollment ID: I20181212001121 |
| Provider Name | Kristen Bridges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649565748 PECOS PAC ID: 6305181181 Enrollment ID: I20181226000294 |
| Provider Name | Annabel Agcopra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013364769 PECOS PAC ID: 6800134248 Enrollment ID: I20190211002487 |
| Provider Name | Khyati Vijay Bhayani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407385081 PECOS PAC ID: 7113290420 Enrollment ID: I20190221000004 |
| Provider Name | Margaret L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811363088 PECOS PAC ID: 3375852221 Enrollment ID: I20190222000803 |
| Provider Name | Abraham Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275619611 PECOS PAC ID: 3072852763 Enrollment ID: I20190225000134 |
| Provider Name | Shirley Carlos-cu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497151476 PECOS PAC ID: 7719226372 Enrollment ID: I20190227000900 |
| Provider Name | Heena Rathod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932528189 PECOS PAC ID: 2264708148 Enrollment ID: I20190306000042 |
| Provider Name | Edwin Cabassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841225026 PECOS PAC ID: 5496940033 Enrollment ID: I20190307001553 |
| Provider Name | Denise J Force |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067522 PECOS PAC ID: 2961742853 Enrollment ID: I20190312001894 |
| Provider Name | Irwin Zachary Benzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841586914 PECOS PAC ID: 3072806330 Enrollment ID: I20190312003517 |
| Provider Name | Anis Bhatty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285668871 PECOS PAC ID: 6204176159 Enrollment ID: I20190313000439 |
| Provider Name | Basil Bruno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164509444 PECOS PAC ID: 8123311537 Enrollment ID: I20190314000029 |
| Provider Name | Jessica Gau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699969659 PECOS PAC ID: 8527308600 Enrollment ID: I20190328000185 |
| Provider Name | Virginia Azzariti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023109485 PECOS PAC ID: 5395086961 Enrollment ID: I20190409000034 |
| Provider Name | Ronald Cally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720478837 PECOS PAC ID: 8123369550 Enrollment ID: I20190411000585 |
| Provider Name | Arielle Ferdinand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700312899 PECOS PAC ID: 5799026100 Enrollment ID: I20190412000719 |
| Provider Name | Jaclyn Ulzheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730644873 PECOS PAC ID: 2860734332 Enrollment ID: I20190502001479 |
| Provider Name | Mittal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093229619 PECOS PAC ID: 1850673591 Enrollment ID: I20190510001496 |
| Provider Name | Mashenda Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144415050 PECOS PAC ID: 6608119409 Enrollment ID: I20190520000094 |
| Provider Name | Ammar Haikal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205248184 PECOS PAC ID: 0749585933 Enrollment ID: I20190603000182 |
| Provider Name | Paul Rothenberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912240227 PECOS PAC ID: 0345573457 Enrollment ID: I20190605000079 |
| Provider Name | Navjot Khinda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932454998 PECOS PAC ID: 5294011052 Enrollment ID: I20190605000713 |
| Provider Name | Chana Unger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366858383 PECOS PAC ID: 2961736350 Enrollment ID: I20190618002319 |
| Provider Name | Tracey Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043780802 PECOS PAC ID: 2860726825 Enrollment ID: I20190625001346 |
| Provider Name | Susannah Bochner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144662198 PECOS PAC ID: 6305145616 Enrollment ID: I20190723000185 |
| Provider Name | Susan Beth Maisey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467687210 PECOS PAC ID: 0244566297 Enrollment ID: I20190729001786 |
| Provider Name | Nawar Al Obaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437511219 PECOS PAC ID: 6608103270 Enrollment ID: I20190806002075 |
| Provider Name | Kelly E Edebiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007581 PECOS PAC ID: 6103153663 Enrollment ID: I20190807001886 |
| Provider Name | Gary N Panagiotakis |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1881000743 PECOS PAC ID: 6901144104 Enrollment ID: I20190916002420 |
| Provider Name | Sara M Sochaczewsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679124127 PECOS PAC ID: 1658703285 Enrollment ID: I20191119002860 |
| Provider Name | Mera Belle G Dumalag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730665704 PECOS PAC ID: 4284066812 Enrollment ID: I20191119002906 |
| Provider Name | Kathryn M Michelotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295380228 PECOS PAC ID: 1052744265 Enrollment ID: I20191202001849 |
| Provider Name | Joel Steckelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205803350 PECOS PAC ID: 3072946060 Enrollment ID: I20191205000617 |
| Provider Name | Elizabeth Ann Fortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467093096 PECOS PAC ID: 1052745270 Enrollment ID: I20191223000042 |
| Provider Name | Basel Baghal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356703409 PECOS PAC ID: 6406281716 Enrollment ID: I20200115000337 |
| Provider Name | Gargi Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1740727411 PECOS PAC ID: 9133466568 Enrollment ID: I20200130001104 |
| Provider Name | Claudio Fojanesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548624091 PECOS PAC ID: 9638505167 Enrollment ID: I20200131002315 |
| Provider Name | Nooshin Hosseini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558655696 PECOS PAC ID: 0547491946 Enrollment ID: I20200304001888 |
| Provider Name | Melanie Lynn Manger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629616404 PECOS PAC ID: 3577991835 Enrollment ID: I20200319002136 |
| Provider Name | Sandra Jeanne Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962951616 PECOS PAC ID: 5496183659 Enrollment ID: I20200323000040 |
| Provider Name | Geraldine Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114435864 PECOS PAC ID: 9638509318 Enrollment ID: I20200421000024 |
| Provider Name | Yilenny Dejesus Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154892941 PECOS PAC ID: 9830520840 Enrollment ID: I20200507000297 |
| Provider Name | Meghan Kerrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952934796 PECOS PAC ID: 4082045547 Enrollment ID: I20200518000075 |
| Provider Name | Shweta Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407326275 PECOS PAC ID: 5193156545 Enrollment ID: I20200519001133 |
| Provider Name | Betsy Jean-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336677640 PECOS PAC ID: 2668803032 Enrollment ID: I20200519002146 |
| Provider Name | Jonathan Scott Blizzard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922548106 PECOS PAC ID: 9335410216 Enrollment ID: I20200624002170 |
| Provider Name | Arush Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730448440 PECOS PAC ID: 3870725773 Enrollment ID: I20200630001889 |
| Provider Name | Sara Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528682309 PECOS PAC ID: 2567885403 Enrollment ID: I20200709003753 |
| Provider Name | Garen M Ream |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194188565 PECOS PAC ID: 8729332093 Enrollment ID: I20200810000213 |
| Provider Name | Mohammad U Khubaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477084440 PECOS PAC ID: 3173941952 Enrollment ID: I20200910001051 |
| Provider Name | Felix Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356952105 PECOS PAC ID: 8820409055 Enrollment ID: I20201119001611 |
| Provider Name | Joshua Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346893476 PECOS PAC ID: 5991118820 Enrollment ID: I20210113001442 |
| Provider Name | Maria A Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750982732 PECOS PAC ID: 7719393107 Enrollment ID: I20210310000190 |
| Provider Name | Vania Lorvanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386259018 PECOS PAC ID: 2264840131 Enrollment ID: I20210413001865 |
| Provider Name | Gerald J Durivage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023486644 PECOS PAC ID: 8820307879 Enrollment ID: I20210512000117 |
| Provider Name | Junior Espinal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356929863 PECOS PAC ID: 9032528633 Enrollment ID: I20210512000640 |
| Provider Name | Sarah M Abbassi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306209671 PECOS PAC ID: 0648670927 Enrollment ID: I20210608001098 |
| Provider Name | Suneetha Jasty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881957090 PECOS PAC ID: 8426368440 Enrollment ID: I20210609003040 |
| Provider Name | Maureen L Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972178721 PECOS PAC ID: 7113327222 Enrollment ID: I20210610003205 |
| Provider Name | Rachel Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215247309 PECOS PAC ID: 6103229331 Enrollment ID: I20210727000330 |
| Provider Name | Grace Haechung Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083000962 PECOS PAC ID: 0345569158 Enrollment ID: I20210729002223 |
| Provider Name | Alejandro Jose Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538693080 PECOS PAC ID: 1850714395 Enrollment ID: I20210802000453 |
| Provider Name | Bhavik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811475171 PECOS PAC ID: 9537565684 Enrollment ID: I20210915000903 |
| Provider Name | Charmi G Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861988388 PECOS PAC ID: 7911240023 Enrollment ID: I20210916000484 |
| Provider Name | Saira Zafar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1871029199 PECOS PAC ID: 6800294984 Enrollment ID: I20211004001098 |
| Provider Name | Djavlon A Khakimov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285139261 PECOS PAC ID: 1153729132 Enrollment ID: I20211005002230 |
| Provider Name | Varun Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528558558 PECOS PAC ID: 9638422421 Enrollment ID: I20211012002190 |
| Provider Name | Ginette Illuzzi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740787092 PECOS PAC ID: 5193115293 Enrollment ID: I20211203001836 |
| Provider Name | Juliette Othilia Flam Yoffe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285084905 PECOS PAC ID: 9335530716 Enrollment ID: I20211217002046 |
| Provider Name | Deepa Rasendu Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992200406 PECOS PAC ID: 6709277833 Enrollment ID: I20211229000386 |
| Provider Name | Juan Alvaro Escobar Quintanilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699444109 PECOS PAC ID: 0345633376 Enrollment ID: I20220215000924 |
| Provider Name | Jeffrey Dynof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649948589 PECOS PAC ID: 0042603037 Enrollment ID: I20220216000566 |
| Provider Name | Evelyn J Brito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023530250 PECOS PAC ID: 1759777618 Enrollment ID: I20220404000005 |
| Provider Name | Milena Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205419322 PECOS PAC ID: 8921494360 Enrollment ID: I20220412000002 |
| Provider Name | Lara Farhat |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1023352770 PECOS PAC ID: 9133525637 Enrollment ID: I20220412002434 |
| Provider Name | Delilah Mahase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588325468 PECOS PAC ID: 7416343678 Enrollment ID: I20220415001026 |
| Provider Name | Mario Cordaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285764506 PECOS PAC ID: 7618938861 Enrollment ID: I20220506001389 |
| Provider Name | Mary Anne Dirige |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750902268 PECOS PAC ID: 7719366335 Enrollment ID: I20220628000556 |
| Provider Name | Aqsa Tariq Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427518828 PECOS PAC ID: 9638559982 Enrollment ID: I20220705002820 |
| Provider Name | Yuliya Afinogenova |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932588498 PECOS PAC ID: 2365754058 Enrollment ID: I20220707000606 |
| Provider Name | Evan Orosz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487049797 PECOS PAC ID: 2365825239 Enrollment ID: I20220810003331 |
| Provider Name | Marc Hertz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083660971 PECOS PAC ID: 9537061858 Enrollment ID: I20220826003014 |
| Provider Name | Elisabeth Marie Mason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548722564 PECOS PAC ID: 2062897911 Enrollment ID: I20220914000530 |
| Provider Name | Jennifer Menell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427002435 PECOS PAC ID: 0446280085 Enrollment ID: I20220914001418 |
| Provider Name | Joseph Rosenbaum |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1265876015 PECOS PAC ID: 5597065557 Enrollment ID: I20220921001412 |
| Provider Name | Ghadeer Hasan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811427685 PECOS PAC ID: 9436535663 Enrollment ID: I20220926002151 |
| Provider Name | Richard Jiao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144547233 PECOS PAC ID: 7719156900 Enrollment ID: I20221017000336 |
| Provider Name | John Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407872914 PECOS PAC ID: 5698750016 Enrollment ID: I20221031002236 |
| Provider Name | Christopher Hauglid |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437656360 PECOS PAC ID: 2466799028 Enrollment ID: I20221107000027 |
| Provider Name | Jasmin Harounian |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1033643861 PECOS PAC ID: 8426394776 Enrollment ID: I20221107002167 |
| Provider Name | Mira Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700448776 PECOS PAC ID: 2860869799 Enrollment ID: I20221107002420 |
| Provider Name | Lesli Lecompte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538421540 PECOS PAC ID: 9830345396 Enrollment ID: I20221207003103 |
| Provider Name | Matthew Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639335292 PECOS PAC ID: 4789717851 Enrollment ID: I20230126001111 |
| Provider Name | Jenika Karcich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093101628 PECOS PAC ID: 1951648708 Enrollment ID: I20230131002507 |
| Provider Name | Nandan Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568797553 PECOS PAC ID: 8628252921 Enrollment ID: I20230206003155 |
| Provider Name | Kelli Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649989690 PECOS PAC ID: 7810360427 Enrollment ID: I20230302000036 |
| Provider Name | Joseph Aloise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275528564 PECOS PAC ID: 4981517158 Enrollment ID: I20230328001202 |
| Provider Name | Yuliya Jhanwar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689988628 PECOS PAC ID: 1850560566 Enrollment ID: I20230519000047 |
| Provider Name | Sandra Santiago |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114098555 PECOS PAC ID: 8325142821 Enrollment ID: I20230630000012 |
| Provider Name | Dylan T Brech |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952924714 PECOS PAC ID: 6800242793 Enrollment ID: I20231030000968 |
| Provider Name | Garrett Dejesus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104192301 PECOS PAC ID: 6608145776 Enrollment ID: I20231109002615 |
| Provider Name | Oren Feder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972037729 PECOS PAC ID: 6608114137 Enrollment ID: I20231214002875 |
| Provider Name | Tausif A. Chughtai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841815859 PECOS PAC ID: 5092166157 Enrollment ID: I20240112002840 |
| Provider Name | Laura Cristina Andreias |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699122697 PECOS PAC ID: 0648621730 Enrollment ID: I20240112003861 |
| Provider Name | Ida Kenna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508192907 PECOS PAC ID: 3476897919 Enrollment ID: I20240128000024 |
| Provider Name | Andrea Davila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528680741 PECOS PAC ID: 0547685919 Enrollment ID: I20240221000108 |
| Provider Name | Kristal Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225893688 PECOS PAC ID: 2860838190 Enrollment ID: I20240308003368 |
North Hudson Community Action Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Meadowlands Pkwy Fl 2, Secaucus, NJ 07094 Phone: 201-210-0200 | |
Virtual Care Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 Paterson Plank Rd Fl 1, Secaucus, NJ 07094 Phone: 973-370-2860 | |
Robert W. Boyajian, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 255 Route 3 East Suite 203, Secaucus, NJ 07094 Phone: 201-865-3100 Fax: 201-865-8311 | |
Angel Lazo Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Meadowlands Pkwy Fl 3, Secaucus, NJ 07094 Phone: 201-978-7740 Fax: 201-392-3514 | |
Cherkasova Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-392-3588 Fax: 201-392-3514 | |
Care Station Medical Group, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Meadowlands Pkwy, Secaucus, NJ 07094 Phone: 201-348-3636 Fax: 201-583-0713 | |
Medpro Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 Paterson Plank Rd, Suite 2d, Secaucus, NJ 07094 Phone: 201-216-3055 Fax: 201-499-0261 |