| Pai Participant 25 Pc | |
|
290 Red School Ln Phillipsburg NJ 08865-2276 | |
| (908) 859-2800 | |
| (908) 859-4532 |
| Full Name | Pai Participant 25 Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 290 Red School Ln, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Erin N Laird (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4104588713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pai Participant 25 Pc Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant 25 Pc 290 Red School Ln Phillipsburg NJ 08865-2276 Ph: (908) 859-2800 |
| NPI Number | 1568028314 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 08/10/2020 |
| Medicare PECOS PAC ID | 3072842442 |
|---|---|
| Medicare Enrollment ID | O20190910002368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568028314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jill Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295706158 PECOS PAC ID: 3274500491 Enrollment ID: I20040915001109 |
| Provider Name | Ana Gomes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750348900 PECOS PAC ID: 7012963432 Enrollment ID: I20050329000238 |
| Provider Name | Thaddeus M Aversa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417915968 PECOS PAC ID: 4284680604 Enrollment ID: I20050329000244 |
| Provider Name | Katharine M Garnier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114934932 PECOS PAC ID: 3476659798 Enrollment ID: I20070516000003 |
| Provider Name | Hima Parchuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386843332 PECOS PAC ID: 9638363542 Enrollment ID: I20101104000096 |
| Provider Name | Gary B Bernett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548204985 PECOS PAC ID: 4486559341 Enrollment ID: I20140116000158 |
| Provider Name | Dennie Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700174166 PECOS PAC ID: 2062631450 Enrollment ID: I20140917001379 |
| Provider Name | Elizabeth E Samuels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487082020 PECOS PAC ID: 8820383482 Enrollment ID: I20160822000360 |
| Provider Name | Anthony Oduje Isedeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445539 PECOS PAC ID: 2567688922 Enrollment ID: I20161128001366 |
| Provider Name | Tiana Sunshine Grieco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134461726 PECOS PAC ID: 8022240696 Enrollment ID: I20170119000403 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20200221002285 |
| Provider Name | Zahra Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20200511000266 |
| Provider Name | Richa Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518973882 PECOS PAC ID: 1759693237 Enrollment ID: I20200616001953 |
| Provider Name | Zakari Kwota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467806810 PECOS PAC ID: 8022359603 Enrollment ID: I20200617000112 |
| Provider Name | Susan Meller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538177316 PECOS PAC ID: 1052463569 Enrollment ID: I20200617000910 |
| Provider Name | Asra Oberoi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396936183 PECOS PAC ID: 8224013529 Enrollment ID: I20200617001522 |
| Provider Name | Jason Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962744573 PECOS PAC ID: 4082855440 Enrollment ID: I20200618002551 |
| Provider Name | Sultan S Niazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396048666 PECOS PAC ID: 0749458693 Enrollment ID: I20201111000351 |
| Provider Name | Grace Iyabo Komolafe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053790816 PECOS PAC ID: 6800140450 Enrollment ID: I20210913000049 |
| Provider Name | Farouk Talakshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233000 PECOS PAC ID: 4587956420 Enrollment ID: I20220127000643 |
| Provider Name | Mehrukh Mujeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225232804 PECOS PAC ID: 3678741196 Enrollment ID: I20220201002274 |
| Provider Name | Mehjabin I Parkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508068438 PECOS PAC ID: 6103901251 Enrollment ID: I20220202001485 |
| Provider Name | Natasha Pervez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487030615 PECOS PAC ID: 8628498029 Enrollment ID: I20230123000055 |
| Provider Name | Jarrod Nero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086296 PECOS PAC ID: 9032439187 Enrollment ID: I20230204000171 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230905000721 |
| Provider Name | Hollie Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578962106 PECOS PAC ID: 5799905584 Enrollment ID: I20231019000678 |
Post Acute Specialists New Jersey, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Red School Ln, Phillipsburg, NJ 08865 Phone: 800-411-6768 | |
St. Luke's Twin Rivers Warren Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy, Phillipsburg, NJ 08865 Phone: 484-526-4000 | |
Charles R Grubb Do Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 Baltimore St, Phillipsburg, NJ 08865 Phone: 908-454-8787 Fax: 908-454-1192 | |
Raghuveer Annam M.d.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 461 Corliss Ave, Phillipsburg, NJ 08865 Phone: 908-859-5872 Fax: 908-859-1747 | |
St. Luke's Warren Physician Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865 Phone: 908-454-6306 Fax: 908-454-2289 | |
Prakash Shah Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Roseberry St, Warren Hospital, Phillipsburg, NJ 08865 Phone: 610-258-4891 Fax: 610-258-4836 | |
St. Luke's Warren Physician Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Roseberry St, Phillipsburg, NJ 08865 Phone: 484-526-6643 Fax: 484-526-4658 |