| Plover Inpatient Services Llc | |
|
1 Bay Ave Montclair NJ 07042-4837 | |
| (973) 429-6000 | |
| Not Available |
| Full Name | Plover Inpatient Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Bay Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Karen Vaughn (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plover Inpatient Services Llc Po Box 38024 Philadelphia PA 19101-0706 Ph: () - | Plover Inpatient Services Llc 1 Bay Ave Montclair NJ 07042-4837 Ph: (973) 429-6000 |
| NPI Number | 1134534688 |
|---|---|
| Provider Enumeration Date | 06/24/2014 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 1355561663 |
|---|---|
| Medicare Enrollment ID | O20141009001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134534688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pinakin C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083634455 PECOS PAC ID: 7719877885 Enrollment ID: I20040319001361 |
| Provider Name | Rupa Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831118819 PECOS PAC ID: 3779564927 Enrollment ID: I20040525001154 |
| Provider Name | Robert Eugene Colella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073574869 PECOS PAC ID: 2264413319 Enrollment ID: I20040526000162 |
| Provider Name | Jaina Vallarta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497851448 PECOS PAC ID: 3577525708 Enrollment ID: I20041101000135 |
| Provider Name | Valerie R Allusson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154386688 PECOS PAC ID: 0547284119 Enrollment ID: I20060124000081 |
| Provider Name | Andrew L Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033153689 PECOS PAC ID: 2961425780 Enrollment ID: I20060213000009 |
| Provider Name | Amee B Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063570299 PECOS PAC ID: 7719084284 Enrollment ID: I20070517000161 |
| Provider Name | Laurie S Nahum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558361295 PECOS PAC ID: 8123112190 Enrollment ID: I20070921000042 |
| Provider Name | Kelley Toffoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790965549 PECOS PAC ID: 3072603141 Enrollment ID: I20071213000525 |
| Provider Name | Mary S Kisswany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356506166 PECOS PAC ID: 7214003086 Enrollment ID: I20080902000057 |
| Provider Name | Sundararajan Selvaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891956207 PECOS PAC ID: 7113099912 Enrollment ID: I20090422000494 |
| Provider Name | Michael L Blake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417111493 PECOS PAC ID: 9638215577 Enrollment ID: I20091007000627 |
| Provider Name | Elizabeth Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043540495 PECOS PAC ID: 9931238292 Enrollment ID: I20100525000291 |
| Provider Name | Purviben Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295049039 PECOS PAC ID: 2264628940 Enrollment ID: I20101119000690 |
| Provider Name | Brendan Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629222781 PECOS PAC ID: 9830367614 Enrollment ID: I20110721000544 |
| Provider Name | Miguel Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578724746 PECOS PAC ID: 1254504848 Enrollment ID: I20111026000583 |
| Provider Name | Daniel Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881658250 PECOS PAC ID: 5597705525 Enrollment ID: I20111107000661 |
| Provider Name | Irfana Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750660924 PECOS PAC ID: 6608040811 Enrollment ID: I20111129000025 |
| Provider Name | Mekhala Mathure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588942668 PECOS PAC ID: 3274770029 Enrollment ID: I20130515000022 |
| Provider Name | Mohamed M. Bakr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215273818 PECOS PAC ID: 2264673698 Enrollment ID: I20130729000402 |
| Provider Name | Jason A. Nehmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780920645 PECOS PAC ID: 0648414706 Enrollment ID: I20130912000055 |
| Provider Name | Vishal S Mahabir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043532286 PECOS PAC ID: 8123154663 Enrollment ID: I20130919000686 |
| Provider Name | Sharon Ventura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417392127 PECOS PAC ID: 9234364589 Enrollment ID: I20131023000405 |
| Provider Name | Francine Schuster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518380963 PECOS PAC ID: 6608009444 Enrollment ID: I20140502000266 |
| Provider Name | Shahzad Zia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023314408 PECOS PAC ID: 5799909438 Enrollment ID: I20140619000105 |
| Provider Name | Roveena N Goveas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487895363 PECOS PAC ID: 3870761364 Enrollment ID: I20140714002008 |
| Provider Name | Tarek Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114125234 PECOS PAC ID: 2466506472 Enrollment ID: I20140825002350 |
| Provider Name | Anuj V Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306012638 PECOS PAC ID: 8921296187 Enrollment ID: I20141223000725 |
| Provider Name | Bijal Shah Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306839097 PECOS PAC ID: 8921014127 Enrollment ID: I20150319000296 |
| Provider Name | Rita Choueiry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326271289 PECOS PAC ID: 2264669829 Enrollment ID: I20150601000542 |
| Provider Name | Yasmin Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699932061 PECOS PAC ID: 1456544691 Enrollment ID: I20150624002325 |
| Provider Name | Sameh Girgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841315702 PECOS PAC ID: 3678627395 Enrollment ID: I20150630002386 |
| Provider Name | Anasuya S Brahmamdam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821226390 PECOS PAC ID: 3971767575 Enrollment ID: I20150702000483 |
| Provider Name | Quratulain Nafees |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356617542 PECOS PAC ID: 4789992538 Enrollment ID: I20150929001099 |
| Provider Name | Komali Tungaturty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619140324 PECOS PAC ID: 5092874719 Enrollment ID: I20151021003149 |
| Provider Name | Kasturi Etukuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912117300 PECOS PAC ID: 3870688609 Enrollment ID: I20151023001552 |
| Provider Name | Ketankumar R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659761948 PECOS PAC ID: 7113235011 Enrollment ID: I20160122000709 |
| Provider Name | Maged M Ghanem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306854948 PECOS PAC ID: 1850487232 Enrollment ID: I20160307000352 |
| Provider Name | Courtney Alyssa Chavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780040337 PECOS PAC ID: 2264739481 Enrollment ID: I20160401000546 |
| Provider Name | Laury Rosefort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942575253 PECOS PAC ID: 1052606746 Enrollment ID: I20160819000461 |
| Provider Name | Dhiren A Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548627102 PECOS PAC ID: 9638465834 Enrollment ID: I20160915000183 |
| Provider Name | Kristi L Kosarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114384328 PECOS PAC ID: 4284921214 Enrollment ID: I20160920000204 |
| Provider Name | Jacqueline Okemwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265864615 PECOS PAC ID: 4385932037 Enrollment ID: I20161012000910 |
| Provider Name | Jayant T Reddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730554965 PECOS PAC ID: 0042506990 Enrollment ID: I20161020001077 |
| Provider Name | Shoshana Bacon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457791428 PECOS PAC ID: 2163700378 Enrollment ID: I20161022000035 |
| Provider Name | Venkataranga Nallapareddygari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518257856 PECOS PAC ID: 8325299605 Enrollment ID: I20161104000115 |
| Provider Name | Abraham Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568703023 PECOS PAC ID: 5991086589 Enrollment ID: I20161219001312 |
| Provider Name | Taryn E Sievers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558713305 PECOS PAC ID: 0648547661 Enrollment ID: I20170523002045 |
| Provider Name | Jonathan K Mcnamara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568889814 PECOS PAC ID: 8729358429 Enrollment ID: I20170727002292 |
| Provider Name | Angela Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558877746 PECOS PAC ID: 4082974423 Enrollment ID: I20180205001148 |
| Provider Name | Albert A Morabia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790164887 PECOS PAC ID: 6406119288 Enrollment ID: I20180409000665 |
| Provider Name | Childebert St. Louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780845834 PECOS PAC ID: 0244354819 Enrollment ID: I20180509000766 |
| Provider Name | Svitlana Pominov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922494418 PECOS PAC ID: 2163777335 Enrollment ID: I20180613000012 |
| Provider Name | Jaimin Dudhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261544 PECOS PAC ID: 7618223470 Enrollment ID: I20180709002786 |
| Provider Name | Nadeem Wain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538555479 PECOS PAC ID: 5193023547 Enrollment ID: I20180801003714 |
| Provider Name | Prerakkumar J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225410152 PECOS PAC ID: 5193020956 Enrollment ID: I20180919000945 |
| Provider Name | Kareem Abed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770940843 PECOS PAC ID: 4789962945 Enrollment ID: I20190306001075 |
| Provider Name | Jaimee L Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912562562 PECOS PAC ID: 7315270972 Enrollment ID: I20190613001089 |
| Provider Name | Jeffrey A. Gindi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699898858 PECOS PAC ID: 9830131317 Enrollment ID: I20190702003503 |
| Provider Name | Hassan Javaid Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053773366 PECOS PAC ID: 6901134204 Enrollment ID: I20190824000084 |
| Provider Name | Aiza Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588117576 PECOS PAC ID: 5799013819 Enrollment ID: I20190827001661 |
| Provider Name | Ann Marie M Halada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871526517 PECOS PAC ID: 9032132030 Enrollment ID: I20190903000517 |
| Provider Name | Zar C Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114433141 PECOS PAC ID: 6406185347 Enrollment ID: I20190903000903 |
| Provider Name | Tabinda I Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316300759 PECOS PAC ID: 2769728047 Enrollment ID: I20190904001045 |
| Provider Name | Mai Abd Alqader |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487001848 PECOS PAC ID: 0749556959 Enrollment ID: I20190911000298 |
| Provider Name | Chaitali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841652286 PECOS PAC ID: 9436489382 Enrollment ID: I20190919002391 |
| Provider Name | Jordan M Kunish |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902251176 PECOS PAC ID: 7911236989 Enrollment ID: I20191030001517 |
| Provider Name | Shahjahan Nisar Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285736850 PECOS PAC ID: 9234237439 Enrollment ID: I20191030002057 |
| Provider Name | Nima Y Raminfar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932555927 PECOS PAC ID: 5193157303 Enrollment ID: I20191108001425 |
| Provider Name | Allison P Hitchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588909949 PECOS PAC ID: 7214157049 Enrollment ID: I20200113000342 |
| Provider Name | Ankita K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033573795 PECOS PAC ID: 0749616852 Enrollment ID: I20200210001653 |
| Provider Name | Jay P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497281737 PECOS PAC ID: 0446689731 Enrollment ID: I20200408001281 |
| Provider Name | Ranyelenu Efobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760763528 PECOS PAC ID: 0446681647 Enrollment ID: I20200501002155 |
| Provider Name | Anas Alrefaee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992238885 PECOS PAC ID: 3577994706 Enrollment ID: I20200504000323 |
| Provider Name | Dhruv A Vasant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194179333 PECOS PAC ID: 8325381239 Enrollment ID: I20200513003352 |
| Provider Name | Joe C Matias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575600 PECOS PAC ID: 1557332392 Enrollment ID: I20200518003112 |
| Provider Name | Qamar Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568993632 PECOS PAC ID: 2163843160 Enrollment ID: I20200529001361 |
| Provider Name | Benjamin Perrella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386179026 PECOS PAC ID: 9234550278 Enrollment ID: I20200601000041 |
| Provider Name | Ijaz A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710410881 PECOS PAC ID: 0941621817 Enrollment ID: I20200601001920 |
| Provider Name | Stephen Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154956555 PECOS PAC ID: 4587085303 Enrollment ID: I20200603002689 |
| Provider Name | Sherif Eltawansy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518308949 PECOS PAC ID: 3678861408 Enrollment ID: I20200708000589 |
| Provider Name | Dimple Chhatlani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306373485 PECOS PAC ID: 5799102646 Enrollment ID: I20200812001519 |
| Provider Name | George N Freg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598297541 PECOS PAC ID: 5294072310 Enrollment ID: I20200813001831 |
| Provider Name | Odianosen I Obadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902200835 PECOS PAC ID: 3375803265 Enrollment ID: I20200818001006 |
| Provider Name | Nicholas J Coan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104355197 PECOS PAC ID: 7618393935 Enrollment ID: I20200818001546 |
| Provider Name | Radha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598292831 PECOS PAC ID: 1355688284 Enrollment ID: I20200902000257 |
| Provider Name | Roshan R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427419761 PECOS PAC ID: 1254628324 Enrollment ID: I20200908000978 |
| Provider Name | Ann M Prejs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497365480 PECOS PAC ID: 3173941895 Enrollment ID: I20200914000030 |
| Provider Name | Ummi K Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750812764 PECOS PAC ID: 2668891771 Enrollment ID: I20200923000818 |
| Provider Name | Saad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639604648 PECOS PAC ID: 5294009635 Enrollment ID: I20201021000540 |
| Provider Name | Christopher B Nnaoma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164963476 PECOS PAC ID: 9032520283 Enrollment ID: I20201119002692 |
| Provider Name | Krysta Berkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750983169 PECOS PAC ID: 7012322829 Enrollment ID: I20210209000008 |
| Provider Name | Rebecca Np Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760098909 PECOS PAC ID: 9931515525 Enrollment ID: I20210305000822 |
| Provider Name | Kristen Rose Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598360851 PECOS PAC ID: 5698181824 Enrollment ID: I20210312000087 |
| Provider Name | Alexis Dial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649891920 PECOS PAC ID: 8820407034 Enrollment ID: I20210429000045 |
| Provider Name | Yash Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447790563 PECOS PAC ID: 0446669006 Enrollment ID: I20210511002368 |
| Provider Name | Mohammed Nasser Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336593649 PECOS PAC ID: 1850636556 Enrollment ID: I20210520000442 |
| Provider Name | Meghavi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013440247 PECOS PAC ID: 6901145739 Enrollment ID: I20210623002180 |
| Provider Name | Islam Salah Elkherpitawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043707268 PECOS PAC ID: 4981005972 Enrollment ID: I20210629000101 |
| Provider Name | Anthony W Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235645821 PECOS PAC ID: 8729489588 Enrollment ID: I20210630002275 |
| Provider Name | Khushboo K Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902396237 PECOS PAC ID: 0345642096 Enrollment ID: I20210716002577 |
| Provider Name | Ruwaidah Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851895262 PECOS PAC ID: 9133523947 Enrollment ID: I20210802000641 |
| Provider Name | Tunda Izza Mwenge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750695235 PECOS PAC ID: 7416351549 Enrollment ID: I20210811001040 |
| Provider Name | Daniel Mark Shenouda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043702426 PECOS PAC ID: 1951705862 Enrollment ID: I20210813000986 |
| Provider Name | Susanna Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366956757 PECOS PAC ID: 6204195704 Enrollment ID: I20210827000661 |
| Provider Name | Okasha B Naqvi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427638147 PECOS PAC ID: 1052716081 Enrollment ID: I20210830000225 |
| Provider Name | Aditi K Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801384193 PECOS PAC ID: 3375941370 Enrollment ID: I20211005003057 |
| Provider Name | Esperanza Talamayan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659040616 PECOS PAC ID: 7416347695 Enrollment ID: I20211201002946 |
| Provider Name | Albino Copca Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750875050 PECOS PAC ID: 1951793637 Enrollment ID: I20220111000007 |
| Provider Name | Shameca Nichelle Trotman-mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942968789 PECOS PAC ID: 6709279235 Enrollment ID: I20220207000309 |
| Provider Name | Asrar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588016372 PECOS PAC ID: 2466746615 Enrollment ID: I20220212000001 |
| Provider Name | Anaise E Mathurin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881355899 PECOS PAC ID: 9739572843 Enrollment ID: I20220214002404 |
| Provider Name | Khalid Jumean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811302128 PECOS PAC ID: 1355612359 Enrollment ID: I20220218001702 |
| Provider Name | Joshian Estevez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962934679 PECOS PAC ID: 5698012656 Enrollment ID: I20220302001044 |
| Provider Name | Patricia L Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053397570 PECOS PAC ID: 6507820032 Enrollment ID: I20220520002343 |
| Provider Name | Olusola R Akintola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316688468 PECOS PAC ID: 0749669455 Enrollment ID: I20220625000356 |
| Provider Name | Omar Al-turk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922560838 PECOS PAC ID: 2567841273 Enrollment ID: I20220625000371 |
| Provider Name | Erika M Mulreed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295496651 PECOS PAC ID: 6709265440 Enrollment ID: I20220627000744 |
| Provider Name | Hani Naser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003377052 PECOS PAC ID: 6002296068 Enrollment ID: I20220707003403 |
| Provider Name | Safa Qays Albustani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285195313 PECOS PAC ID: 9638550718 Enrollment ID: I20220720003156 |
| Provider Name | Joshua Shinoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760986293 PECOS PAC ID: 4880009372 Enrollment ID: I20220810003946 |
| Provider Name | Anantha Devineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649655408 PECOS PAC ID: 8921395013 Enrollment ID: I20221026001057 |
| Provider Name | Praveen Venigalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528352598 PECOS PAC ID: 6103125232 Enrollment ID: I20221027001924 |
| Provider Name | Wael Farid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720205511 PECOS PAC ID: 1355434630 Enrollment ID: I20221028000009 |
| Provider Name | Manuela Noriega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821557695 PECOS PAC ID: 3476935602 Enrollment ID: I20221031000617 |
| Provider Name | Abbas Alshami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336600378 PECOS PAC ID: 5092182535 Enrollment ID: I20221114000051 |
| Provider Name | Fahim Imtiaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174084933 PECOS PAC ID: 7517291941 Enrollment ID: I20221126000166 |
| Provider Name | Sharon Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437619574 PECOS PAC ID: 3072982289 Enrollment ID: I20221210000372 |
| Provider Name | Angela Arnold-ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713191 PECOS PAC ID: 0941588693 Enrollment ID: I20221216000407 |
| Provider Name | Paavan Dilip Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922455237 PECOS PAC ID: 8325333842 Enrollment ID: I20230208003150 |
| Provider Name | Shorouq Al-karaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043779788 PECOS PAC ID: 8022481829 Enrollment ID: I20230227000175 |
| Provider Name | Vanessa A Olender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396459509 PECOS PAC ID: 5294108510 Enrollment ID: I20230307000599 |
| Provider Name | Sebastian Puig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295154706 PECOS PAC ID: 1254552292 Enrollment ID: I20230327000867 |
| Provider Name | Lauren Barone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295432714 PECOS PAC ID: 8820453913 Enrollment ID: I20230425000066 |
| Provider Name | Theresa Cunzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942915582 PECOS PAC ID: 4486019544 Enrollment ID: I20230426000108 |
| Provider Name | Rachel Headden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528785490 PECOS PAC ID: 5597120535 Enrollment ID: I20230427000432 |
| Provider Name | Priya Yogesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316501547 PECOS PAC ID: 8325403215 Enrollment ID: I20230427003059 |
| Provider Name | Myint Thin Oo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023647153 PECOS PAC ID: 8729444849 Enrollment ID: I20230516001900 |
| Provider Name | Thandar Aye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437771599 PECOS PAC ID: 1456718980 Enrollment ID: I20230526002410 |
| Provider Name | Victoria Durojaiye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699394304 PECOS PAC ID: 1355708777 Enrollment ID: I20230530003395 |
| Provider Name | Saadul Akbar Mallam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164058103 PECOS PAC ID: 4981062320 Enrollment ID: I20230616002698 |
| Provider Name | Barakat Mohamed Elshaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740809532 PECOS PAC ID: 1658739941 Enrollment ID: I20230619000797 |
| Provider Name | Zachary T Einwechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235767476 PECOS PAC ID: 7618393778 Enrollment ID: I20230620003124 |
| Provider Name | Sarah Elmedani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538798590 PECOS PAC ID: 3476911124 Enrollment ID: I20230628000707 |
| Provider Name | Maria C Laurenza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376233452 PECOS PAC ID: 9638538036 Enrollment ID: I20230703001527 |
| Provider Name | Mukarram Razvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013303486 PECOS PAC ID: 7315277738 Enrollment ID: I20230717003580 |
| Provider Name | Kyrillos Aba Nob Rezkalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912560558 PECOS PAC ID: 7416318837 Enrollment ID: I20230802000728 |
| Provider Name | Kristophe Mikhail, Anthony Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114546918 PECOS PAC ID: 5890156913 Enrollment ID: I20230804001080 |
| Provider Name | Ennis Alsaadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558990861 PECOS PAC ID: 7810358835 Enrollment ID: I20230807001574 |
| Provider Name | Michael Okojie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598207060 PECOS PAC ID: 8224492269 Enrollment ID: I20230911000474 |
| Provider Name | Daniel Hyun Kil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417377730 PECOS PAC ID: 9133480494 Enrollment ID: I20230915000010 |
| Provider Name | Nirav Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215547567 PECOS PAC ID: 1658726096 Enrollment ID: I20231004004086 |
| Provider Name | Srijana Poudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235768284 PECOS PAC ID: 8426403031 Enrollment ID: I20231017000077 |
| Provider Name | Mandeep Singh Chandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225691165 PECOS PAC ID: 5294180790 Enrollment ID: I20231018000467 |
| Provider Name | Hasnan Moavia Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134748205 PECOS PAC ID: 0648693259 Enrollment ID: I20231019001915 |
| Provider Name | Kristin Carole Tomko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609364926 PECOS PAC ID: 6204186612 Enrollment ID: I20231024001496 |
| Provider Name | Kyle Wiseman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619506821 PECOS PAC ID: 1658728787 Enrollment ID: I20231113000562 |
Montclair Adult Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Claremont Ave, Montclair, NJ 07042 Phone: 973-338-3300 Fax: 973-338-0400 | |
Ponzio Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Pine St, Suite 10, Montclair, NJ 07042 Phone: 973-783-0073 Fax: 973-783-4010 | |
Anupama Adlakha Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Roosevelt Pl Ste B1, Montclair, NJ 07042 Phone: 973-337-5939 Fax: 973-707-7253 | |
Cope Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-783-6655 Fax: 973-783-1658 | |
Frome Physcial Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Grove St, Montclair, NJ 07042 Phone: 973-509-8464 Fax: 815-301-2780 | |
Superior Physical Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Orange Rd, Montclair, NJ 07042 Phone: 973-783-3606 Fax: 973-839-3653 | |
Highland Physician Services, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Avenue, Montclair, NJ 07042 Phone: 973-429-6000 |