| Professional Associates Of Jackson Llc | |
|
2105 W County Line Rd Suite 4 Jackson NJ 08527-2301 | |
| (732) 367-7575 | |
| (732) 364-0600 |
| Full Name | Professional Associates Of Jackson Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2105 W County Line Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Mukesh Shah (PHYSICIAN) |
| Authorized Official Contact | 7323677575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Associates Of Jackson Llc 2105 W County Line Rd Suite 4 Jackson NJ 08527-2301 Ph: (732) 367-7575 | Professional Associates Of Jackson Llc 2105 W County Line Rd Suite 4 Jackson NJ 08527-2301 Ph: (732) 367-7575 |
| NPI Number | 1760546352 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 01/28/2013 |
| Medicare PECOS PAC ID | 1658260328 |
|---|---|
| Medicare Enrollment ID | O20040311000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760546352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437120920 PECOS PAC ID: 0941114177 Enrollment ID: I20031113000094 |
| Provider Name | Mukesh Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801867395 PECOS PAC ID: 7911896600 Enrollment ID: I20040311001147 |
| Provider Name | Rocco Anthony Giliberti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013970086 PECOS PAC ID: 9739366923 Enrollment ID: I20110616000317 |
| Provider Name | Manjinder Sahi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942757646 PECOS PAC ID: 5496029738 Enrollment ID: I20170925003001 |
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