| Promed Preferred Md Professional Corporation | |
|
277 Route 70 Ste 231 Toms River NJ 08755-1569 | |
| (615) 499-3165 | |
| Not Available |
| Full Name | Promed Preferred Md Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 277 Route 70 Ste 231, Toms River, New Jersey |
| Authorized Official Name and Position | Lev Grinman (PHYSICIAN) |
| 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 Md Professional Corporation 4 Legends Cir Melville NY 11747-5302 Ph: (615) 499-3165 | Promed Preferred Md Professional Corporation 277 Route 70 Ste 231 Toms River NJ 08755-1569 Ph: (615) 499-3165 |
| NPI Number | 1831934868 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Medicare PECOS PAC ID | 3577003110 |
|---|---|
| Medicare Enrollment ID | O20240910000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831934868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hannah Mainstain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942857917 PECOS PAC ID: 9032542907 Enrollment ID: I20191206001096 |
| Provider Name | Esther Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235888496 PECOS PAC ID: 2466849963 Enrollment ID: I20220503000001 |
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