| Patient Care Associates, Llc | |
|
500 Grand Ave Englewood NJ 07631-4967 | |
| (201) 567-8090 | |
| (201) 567-8091 |
| Full Name | Patient Care Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Elizabeth Lawton (ASSOCIATE DIRECTOR OF ADMINISTRATIO) |
| Authorized Official Contact | 2018439390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Care Associates, Llc 500 Grand Ave Englewood NJ 07631-4967 Ph: (201) 567-8090 | Patient Care Associates, Llc 500 Grand Ave Englewood NJ 07631-4967 Ph: (201) 567-8090 |
| NPI Number | 1275639387 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 12/12/2007 |
| Medicare PECOS PAC ID | 5698867885 |
|---|---|
| Medicare Enrollment ID | O20070817000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275639387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PENDING (New Jersey) | Primary |
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