| Safely Open Health | |
|
67 Apple St Tinton Falls NJ 07724-2636 | |
| (732) 314-7410 | |
| Not Available |
| Full Name | Safely Open Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 67 Apple St, Tinton Falls, New Jersey |
| Authorized Official Name and Position | Adil Manzoor (OWNER) |
| Authorized Official Contact | 7323147410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safely Open Health 67 Apple St Tinton Falls NJ 07724-2636 Ph: (732) 314-7410 | Safely Open Health 67 Apple St Tinton Falls NJ 07724-2636 Ph: (732) 314-7410 |
| NPI Number | 1578157962 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 09/14/2022 |
| Medicare PECOS PAC ID | 7810303773 |
|---|---|
| Medicare Enrollment ID | O20210302000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578157962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Diana Rose Larrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225460454 PECOS PAC ID: 3072809805 Enrollment ID: I20160906000096 |
| Provider Name | Adil Manzoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003200148 PECOS PAC ID: 0143580209 Enrollment ID: I20180209000977 |
| Provider Name | Shorouq Al-karaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043779788 PECOS PAC ID: 8022481829 Enrollment ID: I20230227000175 |
| Provider Name | Mukarram Razvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013303486 PECOS PAC ID: 7315277738 Enrollment ID: I20230717003580 |
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