| Root Health Primary Care | |
|
115 Route 46 W Bldg F Mountain Lakes NJ 07046-1668 | |
| (862) 832-2353 | |
| Not Available |
| Full Name | Root Health Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Route 46 W Bldg F, Mountain Lakes, New Jersey |
| Authorized Official Name and Position | Kristen Denaro (FOUNDER, APN) |
| Authorized Official Contact | 8628322353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Health Primary Care 17 Sanders Rd Rockaway NJ 07866-2008 Ph: (973) 222-7636 | Root Health Primary Care 115 Route 46 W Bldg F Mountain Lakes NJ 07046-1668 Ph: (862) 832-2353 |
| NPI Number | 1467271049 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 02/10/2025 |
| Medicare PECOS PAC ID | 7618406117 |
|---|---|
| Medicare Enrollment ID | O20250129001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467271049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kristen M Denaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518447549 PECOS PAC ID: 6406100965 Enrollment ID: I20181120000329 |
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