| Peter Caride Md Llc | |
|
9226 Kennedy Blvd Suite A North Bergen NJ 07047-5312 | |
| (201) 869-9500 | |
| (201) 869-9501 |
| Full Name | Peter Caride Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9226 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Peter Caride (OWNER) |
| Authorized Official Contact | 2018699500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Caride Md Llc 9226 Kennedy Blvd Suite A North Bergen NJ 07047-5312 Ph: (201) 869-9500 | Peter Caride Md Llc 9226 Kennedy Blvd Suite A North Bergen NJ 07047-5312 Ph: (201) 869-9500 |
| NPI Number | 1932219573 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 09/14/2007 |
| Medicare PECOS PAC ID | 2163514712 |
|---|---|
| Medicare Enrollment ID | O20070827000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932219573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 25MA06275200 (New Jersey) | Primary |
| Provider Name | Michelle Mingqi Ye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265504062 PECOS PAC ID: 9234127713 Enrollment ID: I20040504000349 |
| Provider Name | Peter Caride |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689784381 PECOS PAC ID: 6002886462 Enrollment ID: I20040731000086 |
| Provider Name | Michael A Gistrak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396793972 PECOS PAC ID: 3870665318 Enrollment ID: I20080628000069 |
| Provider Name | Scott Merlin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124244009 PECOS PAC ID: 2163560897 Enrollment ID: I20091117000348 |
| Provider Name | Barry M Benisch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033291109 PECOS PAC ID: 7416095476 Enrollment ID: I20100304000748 |
| Provider Name | John Sotiriadis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659578664 PECOS PAC ID: 4385771013 Enrollment ID: I20100428000667 |
| Provider Name | Tatiana Shtilbans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942442942 PECOS PAC ID: 2365732344 Enrollment ID: I20160602002494 |
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