| Py Medical Services Of Nj Llc | |
|
65 Jay St Newark NJ 07103-3235 | |
| (718) 709-0940 | |
| Not Available |
| Full Name | Py Medical Services Of Nj Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 65 Jay St, Newark, New Jersey |
| Authorized Official Name and Position | Peyman Younesi (OWNER) |
| Authorized Official Contact | 7187090940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Py Medical Services Of Nj Llc 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 | Py Medical Services Of Nj Llc 65 Jay St Newark NJ 07103-3235 Ph: (718) 709-0940 |
| NPI Number | 1942912381 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 03/15/2023 |
| Medicare PECOS PAC ID | 6901276922 |
|---|---|
| Medicare Enrollment ID | O20230106002325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942912381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Pamela Rose-deandrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114177045 PECOS PAC ID: 7113080904 Enrollment ID: I20090105000435 |
| Provider Name | Lynn R Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477604205 PECOS PAC ID: 4789873316 Enrollment ID: I20110112000511 |
| Provider Name | Susan Meyeno Omoregie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926697 PECOS PAC ID: 6608165543 Enrollment ID: I20160517001687 |
| Provider Name | Danielle Trenelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558803676 PECOS PAC ID: 2769734268 Enrollment ID: I20181011000447 |
| Provider Name | Judith A Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157313 PECOS PAC ID: 0941549349 Enrollment ID: I20190301000978 |
| Provider Name | Adam Saalfelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871052910 PECOS PAC ID: 8325372782 Enrollment ID: I20190619001275 |
| Provider Name | Allyssa Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679926539 PECOS PAC ID: 1355773417 Enrollment ID: I20191112002291 |
| Provider Name | Jacqueline Ko Chiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881169985 PECOS PAC ID: 3577998210 Enrollment ID: I20200127001384 |
| Provider Name | Nieves Fenix-mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912497611 PECOS PAC ID: 8426474776 Enrollment ID: I20200817002954 |
| Provider Name | Marifel B Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902473226 PECOS PAC ID: 8224432638 Enrollment ID: I20210806002338 |
| Provider Name | Michelle F Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194308353 PECOS PAC ID: 9133523202 Enrollment ID: I20210811002843 |
| Provider Name | Peyman Eli Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20211208000113 |
| Provider Name | Lisa Knisley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114261054 PECOS PAC ID: 5294968590 Enrollment ID: I20220107000330 |
| Provider Name | Ramandeep Kaur Gulati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750035747 PECOS PAC ID: 3779977525 Enrollment ID: I20220222000755 |
| Provider Name | Bridget Kusi-agyapong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699326579 PECOS PAC ID: 0840684437 Enrollment ID: I20220224001581 |
| Provider Name | Natacha Jharahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275151961 PECOS PAC ID: 5890161699 Enrollment ID: I20221019002365 |
| Provider Name | Edwine L Exume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467175323 PECOS PAC ID: 4486024353 Enrollment ID: I20230110003209 |
| Provider Name | Minou Xie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063809366 PECOS PAC ID: 5294047528 Enrollment ID: I20230120000219 |
| Provider Name | Janet Christiana Ofori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295947620 PECOS PAC ID: 9739552126 Enrollment ID: I20230306002206 |
| Provider Name | Chinwe Emerah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485871 PECOS PAC ID: 4183976269 Enrollment ID: I20230516001149 |
| Provider Name | Ibrahima T Diallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651714 PECOS PAC ID: 4880057280 Enrollment ID: I20230901001151 |
| Provider Name | Chinasa Chudi-attah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477246007 PECOS PAC ID: 2567826266 Enrollment ID: I20230914000028 |
| Provider Name | Stella Monday Wangai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740892496 PECOS PAC ID: 5193162527 Enrollment ID: I20240321001314 |
| Provider Name | Edna Lyn Lyn Corpuz-esconde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477283158 PECOS PAC ID: 8325414907 Enrollment ID: I20240513003338 |
| Provider Name | Thomas O Alaeto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144061672 PECOS PAC ID: 0547791949 Enrollment ID: I20241009000197 |
| Provider Name | Jessica Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922836659 PECOS PAC ID: 7315485380 Enrollment ID: I20250305001482 |
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