| Promed Preferred Nj P.c. | |
|
277 Route 70 Ste 231 Toms River NJ 08755-1569 | |
| (844) 776-6332 | |
| Not Available |
| Full Name | Promed Preferred Nj P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 277 Route 70 Ste 231, Toms River, New Jersey |
| Authorized Official Name and Position | Lev Grinman (PRESIDENT) |
| Authorized Official Contact | 6154993165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Nj P.c. 4 Legends Cir Melville NY 11747-5302 Ph: (844) 776-6332 | Promed Preferred Nj P.c. 277 Route 70 Ste 231 Toms River NJ 08755-1569 Ph: (844) 776-6332 |
| NPI Number | 1578327722 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 07/09/2024 |
| Medicare PECOS PAC ID | 0547701070 |
|---|---|
| Medicare Enrollment ID | O20240924001162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578327722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hannah Twumwaa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164994521 PECOS PAC ID: 4789919630 Enrollment ID: I20190715001436 |
| Provider Name | Chana Chapler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013501105 PECOS PAC ID: 6406262575 Enrollment ID: I20210316000352 |
| Provider Name | Salome Quirmolue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689389843 PECOS PAC ID: 2769837293 Enrollment ID: I20231018001751 |
| Provider Name | Matisyahu Dear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861260481 PECOS PAC ID: 9032553482 Enrollment ID: I20240214000711 |
| Provider Name | Andrea Hidalgo Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821853326 PECOS PAC ID: 9133564883 Enrollment ID: I20240304002728 |
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