| Rutgers Health-rwj Family Medicine | |
|
1 Robert Wood Johnson Pl New Brunswick NJ 08901-1928 | |
| (732) 235-8993 | |
| Not Available |
| Full Name | Rutgers Health-rwj Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Robert Wood Johnson Pl, New Brunswick, New Jersey |
| Authorized Official Name and Position | Brenda Lawrence (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 7322356070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers Health-rwj Family Medicine 66 West Gilbert St Red Bank NJ 07701 Ph: (732) 212-0051 | Rutgers Health-rwj Family Medicine 1 Robert Wood Johnson Pl New Brunswick NJ 08901-1928 Ph: (732) 235-8993 |
| NPI Number | 1780766527 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 01/20/2021 |
| Medicare PECOS PAC ID | 9032174271 |
|---|---|
| Medicare Enrollment ID | O20041130000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780766527 | NPI | - | NPPES |
| 3013804 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alicia Dermer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316058852 PECOS PAC ID: 1759366933 Enrollment ID: I20040622000520 |
| Provider Name | Steven J Levin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780777235 PECOS PAC ID: 6103803655 Enrollment ID: I20040701001314 |
| Provider Name | Robert Eisenstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598796112 PECOS PAC ID: 8426038738 Enrollment ID: I20040726000446 |
| Provider Name | David E Swee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740367127 PECOS PAC ID: 2365410990 Enrollment ID: I20040922000208 |
| Provider Name | David F Howarth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750466439 PECOS PAC ID: 6800859547 Enrollment ID: I20041104000544 |
| Provider Name | Robert C Like |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306923008 PECOS PAC ID: 9335102078 Enrollment ID: I20041104000561 |
| Provider Name | Barbara J Mcgarry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952462186 PECOS PAC ID: 3779546411 Enrollment ID: I20041104000579 |
| Provider Name | Rajiv Arya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770659971 PECOS PAC ID: 8921043308 Enrollment ID: I20050627000247 |
| Provider Name | Patrick M Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649374000 PECOS PAC ID: 7214963404 Enrollment ID: I20050711000258 |
| Provider Name | Renee L Riggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760551998 PECOS PAC ID: 5496786063 Enrollment ID: I20050823000864 |
| Provider Name | Kenji P Fujita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154461655 PECOS PAC ID: 1557394574 Enrollment ID: I20050912000290 |
| Provider Name | Sonia G Laumbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841204104 PECOS PAC ID: 2365477049 Enrollment ID: I20060119000269 |
| Provider Name | Andrew Oconnor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245297803 PECOS PAC ID: 5395768675 Enrollment ID: I20060330000025 |
| Provider Name | Amy Church |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831191212 PECOS PAC ID: 1355345661 Enrollment ID: I20060829000164 |
| Provider Name | Janos M Jeges |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063421998 PECOS PAC ID: 3870523673 Enrollment ID: I20060919000163 |
| Provider Name | Chirag N Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982613741 PECOS PAC ID: 3870598733 Enrollment ID: I20060927000341 |
| Provider Name | Jonathan V Mccoy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255351318 PECOS PAC ID: 1456357748 Enrollment ID: I20061010000271 |
| Provider Name | Paula S Krauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841234028 PECOS PAC ID: 6002910965 Enrollment ID: I20070402000626 |
| Provider Name | Yue He Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669549903 PECOS PAC ID: 3870691447 Enrollment ID: I20070605000336 |
| Provider Name | Nadia Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487728861 PECOS PAC ID: 5496853897 Enrollment ID: I20070608000173 |
| Provider Name | Betty L Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952345753 PECOS PAC ID: 0547369795 Enrollment ID: I20070628000413 |
| Provider Name | Anthony Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902953268 PECOS PAC ID: 5092700633 Enrollment ID: I20071002000158 |
| Provider Name | Rhina A Acevedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396833943 PECOS PAC ID: 1759470073 Enrollment ID: I20071210000032 |
| Provider Name | Kinshasa C Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417157629 PECOS PAC ID: 7911084090 Enrollment ID: I20080415000016 |
| Provider Name | Xinye Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427248103 PECOS PAC ID: 2860570231 Enrollment ID: I20080425000153 |
| Provider Name | Donna Jeskey Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144275249 PECOS PAC ID: 2264501774 Enrollment ID: I20080522000519 |
| Provider Name | Jason P Womack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497875249 PECOS PAC ID: 9931276748 Enrollment ID: I20080920000031 |
| Provider Name | Kusum Punjabi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376708479 PECOS PAC ID: 7517035116 Enrollment ID: I20081009000477 |
| Provider Name | Fred A Kobylarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023110749 PECOS PAC ID: 0941362941 Enrollment ID: I20081230000215 |
| Provider Name | Grant Wei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083647457 PECOS PAC ID: 7719916139 Enrollment ID: I20090126000563 |
| Provider Name | Keith Reinsdorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174674170 PECOS PAC ID: 1052477056 Enrollment ID: I20090226000489 |
| Provider Name | Aaditya A Desai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053517268 PECOS PAC ID: 0244321719 Enrollment ID: I20090408000259 |
| Provider Name | Sajida H Mokhashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669658084 PECOS PAC ID: 0345397055 Enrollment ID: I20090416000055 |
| Provider Name | Meigra M Chin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154512135 PECOS PAC ID: 4880747690 Enrollment ID: I20090727000513 |
| Provider Name | Elizabeth C Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558357996 PECOS PAC ID: 3072694090 Enrollment ID: I20090807000147 |
| Provider Name | Edward D Amores |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093973109 PECOS PAC ID: 1153499660 Enrollment ID: I20090928000538 |
| Provider Name | Jeanne M Ferrante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659302941 PECOS PAC ID: 8820138167 Enrollment ID: I20091218000021 |
| Provider Name | Alfred F Tallia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043397441 PECOS PAC ID: 8628103645 Enrollment ID: I20100316000851 |
| Provider Name | Rohail Asrar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356596761 PECOS PAC ID: 9638204480 Enrollment ID: I20100318000019 |
| Provider Name | Karen W R Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376619908 PECOS PAC ID: 1557497104 Enrollment ID: I20100407000399 |
| Provider Name | John M Heath |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487731170 PECOS PAC ID: 7012044670 Enrollment ID: I20100430000005 |
| Provider Name | Elizabeth Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043540495 PECOS PAC ID: 9931238292 Enrollment ID: I20100525000291 |
| Provider Name | Bhavani D Vietla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831137215 PECOS PAC ID: 9537290242 Enrollment ID: I20100624000395 |
| Provider Name | Nana Langworthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669601688 PECOS PAC ID: 1759405707 Enrollment ID: I20100828000005 |
| Provider Name | Daniel S Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205895919 PECOS PAC ID: 6608840681 Enrollment ID: I20100902000619 |
| Provider Name | Karlene Dianne Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184720427 PECOS PAC ID: 7012927577 Enrollment ID: I20101123001059 |
| Provider Name | Chioma Echezona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063730695 PECOS PAC ID: 7113115460 Enrollment ID: I20101230000523 |
| Provider Name | Lauren C Hogshire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083871479 PECOS PAC ID: 6608055454 Enrollment ID: I20110125000997 |
| Provider Name | Philomena I Chinemelu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013222637 PECOS PAC ID: 8224218847 Enrollment ID: I20110214000556 |
| Provider Name | Grace Abad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710203450 PECOS PAC ID: 3274710637 Enrollment ID: I20110613000055 |
| Provider Name | Renukamba N Gubbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255363719 PECOS PAC ID: 7416852397 Enrollment ID: I20110614000096 |
| Provider Name | Sheraz U Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730333188 PECOS PAC ID: 5890965297 Enrollment ID: I20110822000441 |
| Provider Name | Colleen M. Donovan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639371016 PECOS PAC ID: 3870763816 Enrollment ID: I20110830000177 |
| Provider Name | John Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912976242 PECOS PAC ID: 7517962301 Enrollment ID: I20110831000564 |
| Provider Name | Daniel A Unachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326336116 PECOS PAC ID: 6608041165 Enrollment ID: I20111212000348 |
| Provider Name | Hilda G Sciortino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760781736 PECOS PAC ID: 1254507940 Enrollment ID: I20111230000091 |
| Provider Name | Elyssa L Thaler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962772665 PECOS PAC ID: 9234197807 Enrollment ID: I20120131000243 |
| Provider Name | Lolita Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861497760 PECOS PAC ID: 2769640747 Enrollment ID: I20120222000329 |
| Provider Name | Kishan J Kapadia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154584043 PECOS PAC ID: 8123163250 Enrollment ID: I20120224000379 |
| Provider Name | Fran Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144337825 PECOS PAC ID: 5193882595 Enrollment ID: I20120411000277 |
| Provider Name | Lalaine Genuino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013221308 PECOS PAC ID: 7911168828 Enrollment ID: I20120419000354 |
| Provider Name | Dreamy James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649540477 PECOS PAC ID: 3173785904 Enrollment ID: I20120424000390 |
| Provider Name | Rory A Ulloque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407127343 PECOS PAC ID: 7517113749 Enrollment ID: I20120803000432 |
| Provider Name | Adrian A Marin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083876213 PECOS PAC ID: 2567618556 Enrollment ID: I20120807000465 |
| Provider Name | Komal G Bhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760619241 PECOS PAC ID: 1759530645 Enrollment ID: I20121010000023 |
| Provider Name | Shirley Yung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679554059 PECOS PAC ID: 9638209000 Enrollment ID: I20121128000095 |
| Provider Name | Sneha E Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265569602 PECOS PAC ID: 8426110255 Enrollment ID: I20121220000221 |
| Provider Name | Ibironke A Macaulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235426503 PECOS PAC ID: 9739343336 Enrollment ID: I20130107000073 |
| Provider Name | Ting-yu Jih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588951867 PECOS PAC ID: 6507010162 Enrollment ID: I20130206000500 |
| Provider Name | Jodelle Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659643831 PECOS PAC ID: 2567616154 Enrollment ID: I20130207000084 |
| Provider Name | Chinyere Obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346518149 PECOS PAC ID: 8022255652 Enrollment ID: I20130520000014 |
| Provider Name | Shelly A Clavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740524909 PECOS PAC ID: 5799923892 Enrollment ID: I20130531000362 |
| Provider Name | Irina V Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174891709 PECOS PAC ID: 2961640958 Enrollment ID: I20130604000055 |
| Provider Name | Maureen E Dallhoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740533082 PECOS PAC ID: 6709027519 Enrollment ID: I20130720000016 |
| Provider Name | Christopher J Bryczkowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992026348 PECOS PAC ID: 0648411835 Enrollment ID: I20130731000337 |
| Provider Name | Michael A Noll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174892178 PECOS PAC ID: 7113160672 Enrollment ID: I20130830000720 |
| Provider Name | Sonalis Bunin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306007372 PECOS PAC ID: 1557409646 Enrollment ID: I20130909000040 |
| Provider Name | Tanesha Bruce-owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194046029 PECOS PAC ID: 4981848108 Enrollment ID: I20130910000149 |
| Provider Name | Mafudia A Suaray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831414424 PECOS PAC ID: 3577707579 Enrollment ID: I20130912000659 |
| Provider Name | Zahidul H Mondal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427230218 PECOS PAC ID: 4880838796 Enrollment ID: I20130916000429 |
| Provider Name | Mildred B Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477991537 PECOS PAC ID: 1850535568 Enrollment ID: I20130919000481 |
| Provider Name | Dhenu G Solanki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376849893 PECOS PAC ID: 0143454165 Enrollment ID: I20131007001062 |
| Provider Name | Marissa J Stabile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487925509 PECOS PAC ID: 5890929780 Enrollment ID: I20131008001569 |
| Provider Name | Mini Jijo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760741714 PECOS PAC ID: 3971730938 Enrollment ID: I20131218001563 |
| Provider Name | Julie H Aseltta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124452248 PECOS PAC ID: 8224265129 Enrollment ID: I20131223000631 |
| Provider Name | Nalini P Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780019448 PECOS PAC ID: 0648407544 Enrollment ID: I20131223000814 |
| Provider Name | Crystal D Hardie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669809760 PECOS PAC ID: 1456588219 Enrollment ID: I20131226001118 |
| Provider Name | Walker Annor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275960726 PECOS PAC ID: 2668601410 Enrollment ID: I20140128000276 |
| Provider Name | Angela A Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629406913 PECOS PAC ID: 1850522335 Enrollment ID: I20140326001287 |
| Provider Name | Adenike A Adesiyakan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215360227 PECOS PAC ID: 6204050966 Enrollment ID: I20140619000867 |
| Provider Name | Chinwe Mercy Izegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821408204 PECOS PAC ID: 9830315282 Enrollment ID: I20140722000341 |
| Provider Name | Syed R Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891922589 PECOS PAC ID: 7012154263 Enrollment ID: I20140818001165 |
| Provider Name | Sadia Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922366897 PECOS PAC ID: 2466671953 Enrollment ID: I20140916000347 |
| Provider Name | Shadi Zandieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326320870 PECOS PAC ID: 5890914030 Enrollment ID: I20140919001439 |
| Provider Name | Altaf T Rasool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053566257 PECOS PAC ID: 6002969086 Enrollment ID: I20140930001999 |
| Provider Name | Jo Ellen Danna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750792115 PECOS PAC ID: 6305068008 Enrollment ID: I20141113000827 |
| Provider Name | Swetha B Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316369820 PECOS PAC ID: 5597087981 Enrollment ID: I20141215001760 |
| Provider Name | Sophiamma A Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326437856 PECOS PAC ID: 4587984018 Enrollment ID: I20150522001015 |
| Provider Name | Shuang Hou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093101461 PECOS PAC ID: 9234450115 Enrollment ID: I20150603002407 |
| Provider Name | Joshua Bucher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700124765 PECOS PAC ID: 4688985237 Enrollment ID: I20150623002006 |
| Provider Name | Yasmin Bilal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699932061 PECOS PAC ID: 1456544691 Enrollment ID: I20150624002325 |
| Provider Name | Julie Sakaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952792871 PECOS PAC ID: 2264744333 Enrollment ID: I20150701002050 |
| Provider Name | Deannon Colon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093065542 PECOS PAC ID: 1759699671 Enrollment ID: I20150925002116 |
| Provider Name | Srie Widuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548525066 PECOS PAC ID: 5890004006 Enrollment ID: I20151029000066 |
| Provider Name | Sara A Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740519834 PECOS PAC ID: 7315240447 Enrollment ID: I20160125001208 |
| Provider Name | Estela Dimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406707 PECOS PAC ID: 3577869007 Enrollment ID: I20160309002952 |
| Provider Name | Archana Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427413475 PECOS PAC ID: 6103124029 Enrollment ID: I20160411000029 |
| Provider Name | Susan Meyeno Omoregie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926697 PECOS PAC ID: 6608165543 Enrollment ID: I20160517001687 |
| Provider Name | Catherine Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073872073 PECOS PAC ID: 6709195035 Enrollment ID: I20160712002394 |
| Provider Name | Laryssa A Patti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376909788 PECOS PAC ID: 3072805969 Enrollment ID: I20160713002469 |
| Provider Name | Jigar D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619318177 PECOS PAC ID: 3577856756 Enrollment ID: I20160726001034 |
| Provider Name | Jill Kropa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558628776 PECOS PAC ID: 5890927024 Enrollment ID: I20160818000131 |
| Provider Name | Steve Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568738268 PECOS PAC ID: 5890073373 Enrollment ID: I20161103002427 |
| Provider Name | Joshua Kra |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700185691 PECOS PAC ID: 4486976883 Enrollment ID: I20161117000136 |
| Provider Name | Kimi S Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205389772 PECOS PAC ID: 1456630029 Enrollment ID: I20161123000124 |
| Provider Name | Teresa Brown |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194117127 PECOS PAC ID: 5496035784 Enrollment ID: I20161202000245 |
| Provider Name | Carolyn C Catalano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912449331 PECOS PAC ID: 9739463803 Enrollment ID: I20170309001249 |
| Provider Name | William A Pleasant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063675627 PECOS PAC ID: 6507095874 Enrollment ID: I20170725002289 |
| Provider Name | Kaitlyn S Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447702642 PECOS PAC ID: 7315218500 Enrollment ID: I20170807001668 |
| Provider Name | Amanda L Dippold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699185462 PECOS PAC ID: 0446531073 Enrollment ID: I20170914000828 |
| Provider Name | Aleksandra S Novik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891217394 PECOS PAC ID: 8527339100 Enrollment ID: I20170919000585 |
| Provider Name | Yvette L Rooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548209521 PECOS PAC ID: 1254510548 Enrollment ID: I20171003004170 |
| Provider Name | Maria Espinar Ho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306253083 PECOS PAC ID: 4284900960 Enrollment ID: I20171024003474 |
| Provider Name | Orooj Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841605623 PECOS PAC ID: 4688930209 Enrollment ID: I20171114001896 |
| Provider Name | Joshua C Oderanti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114441102 PECOS PAC ID: 6002172590 Enrollment ID: I20171116001845 |
| Provider Name | Rabia Akhtar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184030959 PECOS PAC ID: 0042577710 Enrollment ID: I20171205002463 |
| Provider Name | Betsy J Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487885430 PECOS PAC ID: 7315124807 Enrollment ID: I20171218002467 |
| Provider Name | Mehreen Maqsood-latif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619381696 PECOS PAC ID: 9436418217 Enrollment ID: I20180124002617 |
| Provider Name | Alex J Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639515737 PECOS PAC ID: 2860752706 Enrollment ID: I20180214000796 |
| Provider Name | Madhuri Gadiyaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356492433 PECOS PAC ID: 4183727605 Enrollment ID: I20180216000977 |
| Provider Name | Jamie L Owsiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952818015 PECOS PAC ID: 6608137906 Enrollment ID: I20180301001598 |
| Provider Name | Anna Sliwowska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972921351 PECOS PAC ID: 0941562540 Enrollment ID: I20180320000242 |
| Provider Name | Amanda S Esposito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922492917 PECOS PAC ID: 3072876085 Enrollment ID: I20180404000873 |
| Provider Name | Priya P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982016515 PECOS PAC ID: 8628332707 Enrollment ID: I20180426002207 |
| Provider Name | Michael R Mirza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184043267 PECOS PAC ID: 9234494311 Enrollment ID: I20180518001248 |
| Provider Name | Jennifer E Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801183793 PECOS PAC ID: 1850646381 Enrollment ID: I20180625000375 |
| Provider Name | David Cohen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720248131 PECOS PAC ID: 3678752672 Enrollment ID: I20180628002552 |
| Provider Name | Kenneth Chan Lee So |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528448461 PECOS PAC ID: 0345597068 Enrollment ID: I20180725003242 |
| Provider Name | Roman Groisberg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235404450 PECOS PAC ID: 5799081642 Enrollment ID: I20180806001800 |
| Provider Name | Kattly Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396103941 PECOS PAC ID: 0446548010 Enrollment ID: I20180911002241 |
| Provider Name | Bina Brandkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891273124 PECOS PAC ID: 1658622394 Enrollment ID: I20180919003455 |
| Provider Name | Ora Domovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427444256 PECOS PAC ID: 0345592267 Enrollment ID: I20181004000083 |
| Provider Name | Jason A Krystofiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679991145 PECOS PAC ID: 6204188584 Enrollment ID: I20181015003010 |
| Provider Name | Rita Itondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649530403 PECOS PAC ID: 2668726407 Enrollment ID: I20181114003263 |
| Provider Name | Pooja Pulijaal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053799643 PECOS PAC ID: 1456691104 Enrollment ID: I20190318000472 |
| Provider Name | Janelle Elisabeth Billig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841532223 PECOS PAC ID: 7012235419 Enrollment ID: I20190606001269 |
| Provider Name | Daniel A Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497266480 PECOS PAC ID: 6709112196 Enrollment ID: I20190723002022 |
| Provider Name | Darria Marcella Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831627355 PECOS PAC ID: 8628304797 Enrollment ID: I20190726001314 |
| Provider Name | Jesper Aurup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932561578 PECOS PAC ID: 8729372354 Enrollment ID: I20190814000959 |
| Provider Name | Mary Elias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265992416 PECOS PAC ID: 0143558049 Enrollment ID: I20190829002008 |
| Provider Name | Mansi Ramesh Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548689763 PECOS PAC ID: 3577786375 Enrollment ID: I20190906001923 |
| Provider Name | Marjan Salehi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811549470 PECOS PAC ID: 2365772670 Enrollment ID: I20191001000238 |
| Provider Name | Naiya Amin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750809125 PECOS PAC ID: 8123359460 Enrollment ID: I20191017000818 |
| Provider Name | Arjun K Theertham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679956981 PECOS PAC ID: 4981983160 Enrollment ID: I20191104000996 |
| Provider Name | Sonia Thoonkuzhy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962052464 PECOS PAC ID: 1951733955 Enrollment ID: I20191113000972 |
| Provider Name | Yjie Llagas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386285955 PECOS PAC ID: 8325472244 Enrollment ID: I20200102000346 |
| Provider Name | Natalia Diaz Bistany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825035 PECOS PAC ID: 1557795374 Enrollment ID: I20200102000892 |
| Provider Name | Amir Hossain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619450210 PECOS PAC ID: 8820423247 Enrollment ID: I20200113002337 |
| Provider Name | Nancy Simoes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548803034 PECOS PAC ID: 8426483314 Enrollment ID: I20200123001095 |
| Provider Name | Prateek Gulhati |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023350105 PECOS PAC ID: 6406102813 Enrollment ID: I20200131000192 |
| Provider Name | Katie Marie Sanghvi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477843217 PECOS PAC ID: 8022240779 Enrollment ID: I20200304001836 |
| Provider Name | Arunateja Chennareddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518528538 PECOS PAC ID: 5294163978 Enrollment ID: I20200311001048 |
| Provider Name | Ikenna Erinne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790170645 PECOS PAC ID: 3779881198 Enrollment ID: I20200324000005 |
| Provider Name | Erin E Malloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801305420 PECOS PAC ID: 3678822509 Enrollment ID: I20200325000768 |
| Provider Name | Denise Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497070445 PECOS PAC ID: 8325371826 Enrollment ID: I20200409001829 |
| Provider Name | Vincent Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538791504 PECOS PAC ID: 9638509367 Enrollment ID: I20200421002577 |
| Provider Name | Jeremy P Johns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326598897 PECOS PAC ID: 4688004047 Enrollment ID: I20200427000704 |
| Provider Name | Sandhya Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790312338 PECOS PAC ID: 2860823861 Enrollment ID: I20200507000114 |
| Provider Name | Daniel Michael Polvino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871082347 PECOS PAC ID: 6103257084 Enrollment ID: I20200508001342 |
| Provider Name | Michael Robert Jong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386059913 PECOS PAC ID: 1355650110 Enrollment ID: I20200514000029 |
| Provider Name | Alisa Reznikov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205288784 PECOS PAC ID: 0941621460 Enrollment ID: I20200609000139 |
| Provider Name | Brittany L Gladney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518353143 PECOS PAC ID: 6204171069 Enrollment ID: I20200626000800 |
| Provider Name | Bonifacio Tanchingco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114498367 PECOS PAC ID: 8527482454 Enrollment ID: I20200723002982 |
| Provider Name | Jai J Bhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962931550 PECOS PAC ID: 4486999745 Enrollment ID: I20200727000350 |
| Provider Name | Juyeon Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003349473 PECOS PAC ID: 8325463060 Enrollment ID: I20200729000943 |
| Provider Name | Asif Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568996627 PECOS PAC ID: 9234476599 Enrollment ID: I20200827000357 |
| Provider Name | Alison Del Duca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215547427 PECOS PAC ID: 8628498052 Enrollment ID: I20201023000037 |
Hyacinth Foundation A New Jersey Nonprofit Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 George St, Suite 203, New Brunswick, NJ 08901 Phone: 732-246-0204 Fax: 732-246-4137 | |
Bhavna Sandhu Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-828-3000 | |
Sudha Kolli Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Livingston Ave, New Brunswick, NJ 08901 Phone: 732-249-2044 Fax: 732-249-6225 | |
Ravinder Sharma, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Livingston Ave, New Brunswick, NJ 08901 Phone: 732-745-1100 Fax: 732-247-9015 | |
Rutgers Health-rwj Electrophysiology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Paterson St, Suite 5200, New Brunswick, NJ 08901 Phone: 732-235-7130 | |
Rutgers Health-rwj Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 George St, 1st Floor, New Brunswick, NJ 08901 Phone: 732-235-8993 Fax: 732-246-7317 | |
Umdnj-robert Wood Johnson Medical School, Family Medicine Residency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 George St, New Brunswick, NJ 08901 Phone: 732-235-8993 |