| Passion Care Center | |
|
187 Fayette Street Perth Amboy NJ 08861 | |
| (732) 410-7102 | |
| (732) 400-8503 |
| Full Name | Passion Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 187 Fayette Street, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Eliezer Santiago (PROGRMA ADMINISTRATOR) |
| Authorized Official Contact | 7324107102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passion Care Center 187 Fayette Street Perth Amboy NJ 08861 Ph: (732) 410-7102 | Passion Care Center 187 Fayette Street Perth Amboy NJ 08861 Ph: (732) 410-7102 |
| NPI Number | 1326477027 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 01/17/2019 |
| Medicare PECOS PAC ID | 3173861341 |
|---|---|
| Medicare Enrollment ID | O20190213001712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326477027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 2000575 (New Jersey) | Primary |
| Provider Name | Kassandra Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831729011 PECOS PAC ID: 7911498472 Enrollment ID: I20251113000386 |
Rodolfo Maldonado MD LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 86 New Brunswick Ave, Perth Amboy, NJ 08861 Phone: 732-826-2220 |
Dr. Pankaj Shirolawala MD Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 609 Amboy Ave Ste 101, Perth Amboy, NJ 08861 Phone: 732-442-2211 Fax: 732-326-0517 |
Metrodoc Healthcare LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Convery Blvd Ste 14, Perth Amboy, NJ 08861 Phone: 973-310-7000 |
Jewish Renaissance Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Hobart St, Perth Amboy, NJ 08861 Phone: 732-376-6615 |
Northeast Healthcare Associates, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Market St, Perth Amboy, NJ 08861 Phone: 770-874-1122 Fax: 770-792-7893 |
Ortega Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 474 Amboy Ave Lowr Level, Perth Amboy, NJ 08861 Phone: 732-498-0111 Fax: 732-358-0805 |