| Robert Wood Johnson Physician Enterprise | |
|
3 Executive Drive Suite 400 Somerset NJ 08873 | |
| (732) 369-5994 | |
| (732) 369-5993 |
| Full Name | Robert Wood Johnson Physician Enterprise |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Executive Drive, Somerset, New Jersey |
| Authorized Official Name and Position | Joshua Bershad (PRESIDENT & CEO) |
| Authorized Official Contact | 7323695994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wood Johnson Physician Enterprise 3 Executive Drive Suite 400 Somerset NJ 08873 Ph: (732) 369-5994 | Robert Wood Johnson Physician Enterprise 3 Executive Drive Suite 400 Somerset NJ 08873 Ph: (732) 369-5994 |
| NPI Number | 1245587922 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 05/08/2017 |
| Medicare PECOS PAC ID | 5597917633 |
|---|---|
| Medicare Enrollment ID | O20121218000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245587922 | NPI | - | NPPES |
| 0319392 | Medicaid | NJ |
| Provider Name | Charles A Eisengart |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1063465342 PECOS PAC ID: 1052215225 Enrollment ID: I20031120000638 |
| Provider Name | Michael R Duch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962408856 PECOS PAC ID: 2264336130 Enrollment ID: I20031121000615 |
| Provider Name | George Tweddel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013928647 PECOS PAC ID: 2365340239 Enrollment ID: I20031230000275 |
| Provider Name | Srinivasa Rao Potluri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427088897 PECOS PAC ID: 4284527862 Enrollment ID: I20040206000217 |
| Provider Name | James B Hurwitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023087236 PECOS PAC ID: 0446151005 Enrollment ID: I20040207000115 |
| Provider Name | Anthony Altobelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003843905 PECOS PAC ID: 2163311978 Enrollment ID: I20040311000362 |
| Provider Name | Steve Weintraub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619033529 PECOS PAC ID: 6608862768 Enrollment ID: I20040423000071 |
| Provider Name | Lisa Tufankjian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912999749 PECOS PAC ID: 0042206880 Enrollment ID: I20040426000403 |
| Provider Name | Anthony J Catanese |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184682692 PECOS PAC ID: 6002806924 Enrollment ID: I20040513000903 |
| Provider Name | Iris R Mentle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922054022 PECOS PAC ID: 7214928696 Enrollment ID: I20040524000603 |
| Provider Name | Erwin Mermelstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538102843 PECOS PAC ID: 5890684013 Enrollment ID: I20040611000071 |
| Provider Name | Sue Ann Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215968862 PECOS PAC ID: 6507849429 Enrollment ID: I20040611000126 |
| Provider Name | Arthur H Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033287164 PECOS PAC ID: 2062497118 Enrollment ID: I20040622001220 |
| Provider Name | Laura A Micek-galinat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770583460 PECOS PAC ID: 4486632445 Enrollment ID: I20040708000072 |
| Provider Name | Elisabeth Spector |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598765638 PECOS PAC ID: 9638157696 Enrollment ID: I20040708000113 |
| Provider Name | Margaret Andrin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851345029 PECOS PAC ID: 9931188588 Enrollment ID: I20040716000692 |
| Provider Name | Gary Mouridy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427045202 PECOS PAC ID: 6507778230 Enrollment ID: I20040727000105 |
| Provider Name | Borys Slep |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255442661 PECOS PAC ID: 7012987233 Enrollment ID: I20040727000556 |
| Provider Name | David R Fischler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275622540 PECOS PAC ID: 9032182696 Enrollment ID: I20040813000080 |
| Provider Name | Danny Wang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619962578 PECOS PAC ID: 1456329903 Enrollment ID: I20040922000405 |
| Provider Name | Amy R Luster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518969294 PECOS PAC ID: 9032103932 Enrollment ID: I20041004000326 |
| Provider Name | Robert Van Volkenburgh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518034669 PECOS PAC ID: 3971567405 Enrollment ID: I20041216000521 |
| Provider Name | Roger C Haas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104965987 PECOS PAC ID: 0547218836 Enrollment ID: I20050113000280 |
| Provider Name | Cary H Mantell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417971490 PECOS PAC ID: 6507815065 Enrollment ID: I20050121000678 |
| Provider Name | Ted Gutowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669476073 PECOS PAC ID: 4284684184 Enrollment ID: I20050128000081 |
| Provider Name | Jack H Dworkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619063963 PECOS PAC ID: 8921052028 Enrollment ID: I20050311000152 |
| Provider Name | Kevin Lukenda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467407759 PECOS PAC ID: 0446290555 Enrollment ID: I20050509000548 |
| Provider Name | Jeanne L Demoss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245263144 PECOS PAC ID: 1951342245 Enrollment ID: I20050517000743 |
| Provider Name | Sudha R Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174623508 PECOS PAC ID: 3072556216 Enrollment ID: I20050608000344 |
| Provider Name | Subhashini Anande Gowda |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1225058423 PECOS PAC ID: 6800830647 Enrollment ID: I20050614000067 |
| Provider Name | John N Chafos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871673830 PECOS PAC ID: 3870538663 Enrollment ID: I20050622000792 |
| Provider Name | Linda Compagnone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720059371 PECOS PAC ID: 0042255630 Enrollment ID: I20050623000856 |
| Provider Name | Thomas De Angelis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336220193 PECOS PAC ID: 8729018411 Enrollment ID: I20050812000414 |
| Provider Name | Dennis L Mcgill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215970470 PECOS PAC ID: 0648258533 Enrollment ID: I20050823000033 |
| Provider Name | Michael T Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790770642 PECOS PAC ID: 9931132404 Enrollment ID: I20050915000010 |
| Provider Name | Tiberiu Kovacs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780684506 PECOS PAC ID: 9739112228 Enrollment ID: I20050915000107 |
| Provider Name | Elizabeth A Balint |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265520555 PECOS PAC ID: 1557396769 Enrollment ID: I20050927000733 |
| Provider Name | Deborah A Lue |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669699823 PECOS PAC ID: 0941235261 Enrollment ID: I20051005000468 |
| Provider Name | Mary Molisso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477597698 PECOS PAC ID: 7911923230 Enrollment ID: I20051017000459 |
| Provider Name | Cynthia Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336191808 PECOS PAC ID: 2860419025 Enrollment ID: I20051027000062 |
| Provider Name | Henry H Goldstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700946225 PECOS PAC ID: 7315964509 Enrollment ID: I20051027000337 |
| Provider Name | Joanne V Chichetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861469033 PECOS PAC ID: 7517984214 Enrollment ID: I20051101000940 |
| Provider Name | David S Ward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215927058 PECOS PAC ID: 9335167311 Enrollment ID: I20051108000813 |
| Provider Name | William C Dalsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659315307 PECOS PAC ID: 0941288831 Enrollment ID: I20060411000067 |
| Provider Name | Robin S Lucas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841286697 PECOS PAC ID: 4587674973 Enrollment ID: I20060502000112 |
| Provider Name | Schubert Perotte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992752331 PECOS PAC ID: 4789697905 Enrollment ID: I20060711000010 |
| Provider Name | Robert S Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760581672 PECOS PAC ID: 6608874938 Enrollment ID: I20061121000565 |
| Provider Name | Kathleen Schupner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982609616 PECOS PAC ID: 2062412455 Enrollment ID: I20070109000369 |
| Provider Name | Ashish Awasthi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033146618 PECOS PAC ID: 1850392069 Enrollment ID: I20070130000479 |
| Provider Name | Judith Greif |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952500357 PECOS PAC ID: 6709963028 Enrollment ID: I20080410000087 |
| Provider Name | Randall C Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558445148 PECOS PAC ID: 9537239363 Enrollment ID: I20080604000687 |
| Provider Name | Christian Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427097674 PECOS PAC ID: 4284706474 Enrollment ID: I20080703000117 |
| Provider Name | Amit Kalra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467673467 PECOS PAC ID: 9234238684 Enrollment ID: I20080725000203 |
| Provider Name | Borys E Trochym |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164466777 PECOS PAC ID: 6901844513 Enrollment ID: I20080812000028 |
| Provider Name | Jane M Sennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780622043 PECOS PAC ID: 2860304599 Enrollment ID: I20081030000551 |
| Provider Name | Michael Marchetti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609810241 PECOS PAC ID: 9335202712 Enrollment ID: I20090112000243 |
| Provider Name | Robert Mayson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104852219 PECOS PAC ID: 6901960954 Enrollment ID: I20090205000545 |
| Provider Name | Michael A Gould |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902825847 PECOS PAC ID: 4284791732 Enrollment ID: I20090327000036 |
| Provider Name | Priyanka Yadav |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1063633402 PECOS PAC ID: 5597816538 Enrollment ID: I20090702000122 |
| Provider Name | Lynne Montano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548498108 PECOS PAC ID: 1557414810 Enrollment ID: I20090804000233 |
| Provider Name | Ramzan M Zakir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659579274 PECOS PAC ID: 0840343109 Enrollment ID: I20090804000305 |
| Provider Name | Honesto M Poblete |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972761799 PECOS PAC ID: 3072651561 Enrollment ID: I20091103000278 |
| Provider Name | Marcella Frank |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083611255 PECOS PAC ID: 1759417009 Enrollment ID: I20100326000087 |
| Provider Name | Angela Elizabeth Lanfranchi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710066956 PECOS PAC ID: 4688669369 Enrollment ID: I20100422000388 |
| Provider Name | David A Berkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134224579 PECOS PAC ID: 1153458120 Enrollment ID: I20100422000777 |
| Provider Name | Robert A Panebianco |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134129232 PECOS PAC ID: 2264569839 Enrollment ID: I20100430000194 |
| Provider Name | James E Tovey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053315986 PECOS PAC ID: 1254428840 Enrollment ID: I20100820000683 |
| Provider Name | Nitin N Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831327675 PECOS PAC ID: 6709900731 Enrollment ID: I20100827000775 |
| Provider Name | Neel P Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952545691 PECOS PAC ID: 1052436524 Enrollment ID: I20100921000793 |
| Provider Name | Heather A Reenstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548265358 PECOS PAC ID: 8921290032 Enrollment ID: I20101007000948 |
| Provider Name | Donna Klitzman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295824563 PECOS PAC ID: 1759574692 Enrollment ID: I20101022001218 |
| Provider Name | Nihir B Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346332194 PECOS PAC ID: 9133184823 Enrollment ID: I20101030000004 |
| Provider Name | Jennifer M Tareco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184626327 PECOS PAC ID: 5193919223 Enrollment ID: I20101102000858 |
| Provider Name | Andrea Harangozo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982793253 PECOS PAC ID: 3678768298 Enrollment ID: I20101109000880 |
| Provider Name | Chunguang Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093862138 PECOS PAC ID: 3173719002 Enrollment ID: I20101118000148 |
| Provider Name | Keith A Harmon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396776910 PECOS PAC ID: 2466545835 Enrollment ID: I20101119000669 |
| Provider Name | Joel M Fischer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619997749 PECOS PAC ID: 9739272105 Enrollment ID: I20101122000240 |
| Provider Name | Dory B Altmann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114954005 PECOS PAC ID: 2264522739 Enrollment ID: I20101203000053 |
| Provider Name | David H Schaer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205892809 PECOS PAC ID: 0143119362 Enrollment ID: I20101203000095 |
| Provider Name | Marc A Scheiner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1245268077 PECOS PAC ID: 8628168192 Enrollment ID: I20101203000287 |
| Provider Name | Dwayne W Siu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073549135 PECOS PAC ID: 9335038561 Enrollment ID: I20101203000364 |
| Provider Name | Scott R Strauss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811986391 PECOS PAC ID: 9931396983 Enrollment ID: I20101203000497 |
| Provider Name | Douglas A Hutt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457440729 PECOS PAC ID: 5092604405 Enrollment ID: I20101213000984 |
| Provider Name | Michael Klele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861512030 PECOS PAC ID: 4688722291 Enrollment ID: I20101220000037 |
| Provider Name | Dhiren S Dave |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023290533 PECOS PAC ID: 1557411352 Enrollment ID: I20101222000208 |
| Provider Name | Fay O Bizub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609067057 PECOS PAC ID: 7618166133 Enrollment ID: I20110113000652 |
| Provider Name | Christopher Crean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588699409 PECOS PAC ID: 0840293866 Enrollment ID: I20110204000886 |
| Provider Name | Tricia Todisco Gilbert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720177090 PECOS PAC ID: 4284814955 Enrollment ID: I20110212000015 |
| Provider Name | Chandreshwar N Shahi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063412484 PECOS PAC ID: 9830179993 Enrollment ID: I20110216000773 |
| Provider Name | John Werber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417275520 PECOS PAC ID: 2062696859 Enrollment ID: I20110401000336 |
| Provider Name | L D Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326066812 PECOS PAC ID: 2062460017 Enrollment ID: I20110414000293 |
| Provider Name | Sheldon J Kukafka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982600607 PECOS PAC ID: 6901081215 Enrollment ID: I20110502000721 |
| Provider Name | Sharan S Mahal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851363360 PECOS PAC ID: 0840197380 Enrollment ID: I20110603000481 |
| Provider Name | Anjali Bhandarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700879954 PECOS PAC ID: 1557355831 Enrollment ID: I20120106000798 |
| Provider Name | John Kripsak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275576910 PECOS PAC ID: 6507824034 Enrollment ID: I20120111000015 |
| Provider Name | John L. Dorazio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205832904 PECOS PAC ID: 3274700463 Enrollment ID: I20120111000184 |
| Provider Name | Clifford Daniel Gladstone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548266265 PECOS PAC ID: 3072780279 Enrollment ID: I20120111000213 |
| Provider Name | Anand U Kulkarni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063418655 PECOS PAC ID: 0547437758 Enrollment ID: I20120111000314 |
| Provider Name | Robert H Lustig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457394652 PECOS PAC ID: 0143288670 Enrollment ID: I20120126000478 |
| Provider Name | Jack A. Stroh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356347066 PECOS PAC ID: 2365619665 Enrollment ID: I20120126000497 |
| Provider Name | Jan J Cardinale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578830592 PECOS PAC ID: 9830351600 Enrollment ID: I20120425000018 |
| Provider Name | Rangadham Nagarakanti |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1790836252 PECOS PAC ID: 5092738765 Enrollment ID: I20120615000422 |
| Provider Name | Divya Menon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730327834 PECOS PAC ID: 9436305661 Enrollment ID: I20120803000424 |
| Provider Name | Richard Piech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629160361 PECOS PAC ID: 8729238183 Enrollment ID: I20121019000255 |
| Provider Name | Danielle Minett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184944746 PECOS PAC ID: 8022256809 Enrollment ID: I20130606000468 |
| Provider Name | Mildred B Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477991537 PECOS PAC ID: 1850535568 Enrollment ID: I20130919000481 |
| Provider Name | Alpesh Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043478118 PECOS PAC ID: 4789712589 Enrollment ID: I20130926000093 |
| Provider Name | Pravien K Khanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497932149 PECOS PAC ID: 3375770670 Enrollment ID: I20131212000052 |
| Provider Name | Lori Schaer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578767091 PECOS PAC ID: 9638309099 Enrollment ID: I20140304000597 |
| Provider Name | Liza M Marmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609208511 PECOS PAC ID: 0840420774 Enrollment ID: I20140430000677 |
| Provider Name | Janice Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124379573 PECOS PAC ID: 1456575752 Enrollment ID: I20140606000091 |
| Provider Name | Anna Lim-kates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326476367 PECOS PAC ID: 7214157601 Enrollment ID: I20141007001555 |
| Provider Name | Sameh M Abdelaal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770855652 PECOS PAC ID: 7113149493 Enrollment ID: I20141121000959 |
| Provider Name | Aline Georges Daou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730258070 PECOS PAC ID: 0547224651 Enrollment ID: I20150423001805 |
| Provider Name | Olga Wiley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184994253 PECOS PAC ID: 9830331438 Enrollment ID: I20150604001931 |
| Provider Name | Adrienne B Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730521790 PECOS PAC ID: 8527379338 Enrollment ID: I20150622000248 |
| Provider Name | Terri C Jordan Cissorsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538552989 PECOS PAC ID: 5597077693 Enrollment ID: I20150702000333 |
| Provider Name | Jeanne E Girardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588055156 PECOS PAC ID: 9537472725 Enrollment ID: I20150716002355 |
| Provider Name | Ashish Shukla |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366674889 PECOS PAC ID: 1254646334 Enrollment ID: I20150819006393 |
| Provider Name | Cindy J Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538343108 PECOS PAC ID: 0143345975 Enrollment ID: I20150831000323 |
| Provider Name | William E Mannino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609273481 PECOS PAC ID: 6800100140 Enrollment ID: I20150908002167 |
| Provider Name | Jonathan G Tardos |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1235391038 PECOS PAC ID: 4284851924 Enrollment ID: I20151006001451 |
| Provider Name | Sheetal Bhandari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205093168 PECOS PAC ID: 1355598806 Enrollment ID: I20160111001671 |
| Provider Name | Karon Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740669795 PECOS PAC ID: 4385948686 Enrollment ID: I20160208000189 |
| Provider Name | Sarah B Campeas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376962829 PECOS PAC ID: 2961707294 Enrollment ID: I20160225000175 |
| Provider Name | Ann Marie Rizkalla |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053372722 PECOS PAC ID: 0143526095 Enrollment ID: I20160303000154 |
| Provider Name | Sarah A Liao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124420930 PECOS PAC ID: 9133445448 Enrollment ID: I20160527000487 |
| Provider Name | Colleen Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548635394 PECOS PAC ID: 1355632944 Enrollment ID: I20160629002157 |
| Provider Name | Ian James Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396176533 PECOS PAC ID: 4688966013 Enrollment ID: I20160706000295 |
| Provider Name | Eileen Gorsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518369297 PECOS PAC ID: 9537476163 Enrollment ID: I20160930000079 |
| Provider Name | Amanda Francis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679833727 PECOS PAC ID: 6901194828 Enrollment ID: I20161010001184 |
| Provider Name | Maryana Tselniker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871993154 PECOS PAC ID: 6608154885 Enrollment ID: I20161021001167 |
| Provider Name | Gail Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639204043 PECOS PAC ID: 6608042353 Enrollment ID: I20170105001615 |
| Provider Name | Elie Goldenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063432680 PECOS PAC ID: 9234165242 Enrollment ID: I20170412000399 |
| Provider Name | Brandon S Oberweis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669798419 PECOS PAC ID: 7911297882 Enrollment ID: I20170803001356 |
| Provider Name | Mary Mchugh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972865541 PECOS PAC ID: 7214209196 Enrollment ID: I20170828002781 |
| Provider Name | Ammar Al Akshar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447660022 PECOS PAC ID: 4284909631 Enrollment ID: I20171011000074 |
| Provider Name | Mitul Kanzaria |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639499023 PECOS PAC ID: 5496997744 Enrollment ID: I20171011003344 |
| Provider Name | Kim K Choma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528164191 PECOS PAC ID: 4486910718 Enrollment ID: I20171102000616 |
| Provider Name | Ankur Sethi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013172329 PECOS PAC ID: 6608064019 Enrollment ID: I20180515001882 |
| Provider Name | Amina Saqib |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144578311 PECOS PAC ID: 0840575171 Enrollment ID: I20180628001919 |
| Provider Name | Zhanna Ivanov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578945416 PECOS PAC ID: 7517215338 Enrollment ID: I20180809004980 |
| Provider Name | Fisayo O Tunde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881195881 PECOS PAC ID: 5395096580 Enrollment ID: I20180927001343 |
| Provider Name | Sabrena Butcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912126103 PECOS PAC ID: 3678810710 Enrollment ID: I20190128000607 |
| Provider Name | Rajendrakumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265792444 PECOS PAC ID: 0042476525 Enrollment ID: I20190321000015 |
| Provider Name | Cristina Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346711017 PECOS PAC ID: 9234467499 Enrollment ID: I20190826002682 |
| Provider Name | Matthew Parisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801270095 PECOS PAC ID: 0749511087 Enrollment ID: I20191017000491 |
| Provider Name | Naiya Amin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750809125 PECOS PAC ID: 8123359460 Enrollment ID: I20191017000818 |
| Provider Name | Sonia Thoonkuzhy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962052464 PECOS PAC ID: 1951733955 Enrollment ID: I20191113000972 |
| Provider Name | Natalia Diaz Bistany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825035 PECOS PAC ID: 1557795374 Enrollment ID: I20200102000892 |
| Provider Name | Alicia Kevette Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609424043 PECOS PAC ID: 6507291424 Enrollment ID: I20200122001987 |
| Provider Name | Melina R Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380952 PECOS PAC ID: 8921433756 Enrollment ID: I20200124000037 |
| Provider Name | Kunali Dalal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770712234 PECOS PAC ID: 6305069014 Enrollment ID: I20200220000009 |
| Provider Name | Jamie Brenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194357848 PECOS PAC ID: 2264860865 Enrollment ID: I20200313000995 |
| Provider Name | Delphine Tang |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588009195 PECOS PAC ID: 4082032495 Enrollment ID: I20200917000941 |
| Provider Name | Aditi Shrivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699139410 PECOS PAC ID: 6305245432 Enrollment ID: I20210524000029 |
| Provider Name | Darya Olekhnovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497367817 PECOS PAC ID: 6204239007 Enrollment ID: I20210729004050 |
| Provider Name | Asha Mahajan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750776027 PECOS PAC ID: 3375808785 Enrollment ID: I20210804000233 |
| Provider Name | Aref Daouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811376734 PECOS PAC ID: 3678810629 Enrollment ID: I20220812001452 |
| Provider Name | Maryam Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407231012 PECOS PAC ID: 8224308796 Enrollment ID: I20220912002359 |
| Provider Name | Geraldine Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013501394 PECOS PAC ID: 6901275429 Enrollment ID: I20221206000070 |
| Provider Name | Stefanie Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710451059 PECOS PAC ID: 5496093312 Enrollment ID: I20230110002045 |
| Provider Name | Adam Matthew Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164193827 PECOS PAC ID: 3375599251 Enrollment ID: I20230131003160 |
| Provider Name | Rinku Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588289128 PECOS PAC ID: 0840614079 Enrollment ID: I20230217002298 |
| Provider Name | Christina Genualdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255056271 PECOS PAC ID: 8628442878 Enrollment ID: I20230330000061 |
| Provider Name | Alison Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760182802 PECOS PAC ID: 0749648863 Enrollment ID: I20230622001411 |
| Provider Name | Mohamad Soud |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003278292 PECOS PAC ID: 4587023312 Enrollment ID: I20230711002454 |
| Provider Name | Simy Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184325938 PECOS PAC ID: 0143683359 Enrollment ID: I20230905002935 |
| Provider Name | Emily Patricia Hiltner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932636206 PECOS PAC ID: 9931554185 Enrollment ID: I20231009002397 |
| Provider Name | Rashesh Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376999367 PECOS PAC ID: 1254622475 Enrollment ID: I20240213004105 |
| Provider Name | Lisa Grace Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376316505 PECOS PAC ID: 3274979992 Enrollment ID: I20240315001523 |
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