| Samaritan Medical Services, P.C. | |
|
1000 Montauk Hwy West Islip NY 11795-4927 | |
| (631) 376-4003 | |
| (631) 224-8560 |
| Full Name | Samaritan Medical Services, P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Montauk Hwy, West Islip, New York |
| Authorized Official Name and Position | Dave M Hannigan (PHYSICIANS BILLING MANAGER) |
| Authorized Official Contact | 6312248533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Medical Services, P.C. 1000 Montauk Hwy West Islip NY 11795-4927 Ph: (631) 376-4003 | Samaritan Medical Services, P.C. 1000 Montauk Hwy West Islip NY 11795-4927 Ph: (631) 376-4003 |
| NPI Number | 1124184544 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012016009 |
|---|---|
| Medicare Enrollment ID | O20070727000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124184544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Matthew Vetrano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174599815 PECOS PAC ID: 0547164428 Enrollment ID: I20031121000675 |
| Provider Name | Nicholas Strippoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669496402 PECOS PAC ID: 0345153391 Enrollment ID: I20031212000333 |
| Provider Name | Nazanin Rahmani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265456909 PECOS PAC ID: 2466357124 Enrollment ID: I20031222000283 |
| Provider Name | Joseph M Audiino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487620100 PECOS PAC ID: 5597667303 Enrollment ID: I20040122000882 |
| Provider Name | Julie Ann Pablo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134344948 PECOS PAC ID: 5890681332 Enrollment ID: I20040223001081 |
| Provider Name | Lisa R Badri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841330495 PECOS PAC ID: 9335030782 Enrollment ID: I20040324000028 |
| Provider Name | Andrew Nugent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083761993 PECOS PAC ID: 5294627568 Enrollment ID: I20040330000296 |
| Provider Name | Jalees Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215945811 PECOS PAC ID: 6002808854 Enrollment ID: I20040401000103 |
| Provider Name | Deborah Bordonaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770801599 PECOS PAC ID: 7113910431 Enrollment ID: I20040405000334 |
| Provider Name | Jose Ventura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972662146 PECOS PAC ID: 2062405863 Enrollment ID: I20040407000335 |
| Provider Name | Melissa C Galletta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508841248 PECOS PAC ID: 2567453848 Enrollment ID: I20040524001368 |
| Provider Name | Lisa a Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033178595 PECOS PAC ID: 7214919943 Enrollment ID: I20040604000870 |
| Provider Name | Joann G Montecalvo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134254436 PECOS PAC ID: 6709873920 Enrollment ID: I20040616000413 |
| Provider Name | Prem L Sagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144285479 PECOS PAC ID: 0446237093 Enrollment ID: I20040701001253 |
| Provider Name | Genine M Schwinge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053492017 PECOS PAC ID: 2264419449 Enrollment ID: I20040706000880 |
| Provider Name | Aimee T Goodwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356303259 PECOS PAC ID: 1456339316 Enrollment ID: I20040708000946 |
| Provider Name | Jennifer E Wang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245476605 PECOS PAC ID: 4880672286 Enrollment ID: I20040712001160 |
| Provider Name | Melisa a Piccinini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316166887 PECOS PAC ID: 6608855663 Enrollment ID: I20040714001352 |
| Provider Name | David Carlino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710905864 PECOS PAC ID: 5193796613 Enrollment ID: I20040805001133 |
| Provider Name | Joseph Fable |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003861550 PECOS PAC ID: 7113999301 Enrollment ID: I20040809000867 |
| Provider Name | Christopher Xikis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750437695 PECOS PAC ID: 5395717599 Enrollment ID: I20040809000893 |
| Provider Name | Nancy Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164640173 PECOS PAC ID: 0941272769 Enrollment ID: I20040811000626 |
| Provider Name | Cheryl Rothman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790845451 PECOS PAC ID: 4587637590 Enrollment ID: I20040818000045 |
| Provider Name | Lisa Danielle Abraham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043230139 PECOS PAC ID: 1951374826 Enrollment ID: I20040818000650 |
| Provider Name | James Morimando |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669451415 PECOS PAC ID: 0749254902 Enrollment ID: I20040824000002 |
| Provider Name | Dukerns Loremil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134152820 PECOS PAC ID: 4385611557 Enrollment ID: I20040916000177 |
| Provider Name | John R Gilbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487613949 PECOS PAC ID: 2860454311 Enrollment ID: I20041028000004 |
| Provider Name | Pedro Flores |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922140532 PECOS PAC ID: 9537122098 Enrollment ID: I20041105000990 |
| Provider Name | Patricia Anne Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295884690 PECOS PAC ID: 8325001134 Enrollment ID: I20041111000484 |
| Provider Name | Timothy P Ryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073536819 PECOS PAC ID: 3870558554 Enrollment ID: I20041122000792 |
| Provider Name | Patricia E Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962543827 PECOS PAC ID: 9638134901 Enrollment ID: I20041129000365 |
| Provider Name | Anthony F Sampino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306877105 PECOS PAC ID: 5193782985 Enrollment ID: I20041214000053 |
| Provider Name | Jennifer M Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871521302 PECOS PAC ID: 5496704504 Enrollment ID: I20050115000003 |
| Provider Name | Sidney Obas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124101944 PECOS PAC ID: 3375593791 Enrollment ID: I20050124000921 |
| Provider Name | Janine Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831153287 PECOS PAC ID: 8022069681 Enrollment ID: I20050201000881 |
| Provider Name | Kathleen Dunne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316094386 PECOS PAC ID: 5092760918 Enrollment ID: I20050314000834 |
| Provider Name | James P Shashaty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073500120 PECOS PAC ID: 9638125651 Enrollment ID: I20050323000539 |
| Provider Name | Penelope Mcnicholas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801830013 PECOS PAC ID: 6709832371 Enrollment ID: I20050326000042 |
| Provider Name | Maria a Zanetis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831246834 PECOS PAC ID: 4486600723 Enrollment ID: I20050329001383 |
| Provider Name | Gerard a Squittiere |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952408395 PECOS PAC ID: 2365480878 Enrollment ID: I20050425000186 |
| Provider Name | Alla Rus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417004318 PECOS PAC ID: 5890736649 Enrollment ID: I20050523000003 |
| Provider Name | Donald Weber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528082369 PECOS PAC ID: 8628011525 Enrollment ID: I20050602000002 |
| Provider Name | Nicholas Newman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386740827 PECOS PAC ID: 3072556646 Enrollment ID: I20050604000059 |
| Provider Name | Christopher S Kunz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750438669 PECOS PAC ID: 6901849033 Enrollment ID: I20050608001165 |
| Provider Name | Keith C Field |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710953435 PECOS PAC ID: 3870538267 Enrollment ID: I20050627000302 |
| Provider Name | Grazyna Kedzior |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457387193 PECOS PAC ID: 6103862602 Enrollment ID: I20050706001007 |
| Provider Name | James Storc |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891791919 PECOS PAC ID: 8628005097 Enrollment ID: I20050719000094 |
| Provider Name | Stacey Slovin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629090154 PECOS PAC ID: 7416982830 Enrollment ID: I20051004000694 |
| Provider Name | Avital Yagudaev |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164594156 PECOS PAC ID: 5294766226 Enrollment ID: I20051017001144 |
| Provider Name | Edwige Figaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902953730 PECOS PAC ID: 6800872318 Enrollment ID: I20051107001174 |
| Provider Name | Robert Pecoraro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619195831 PECOS PAC ID: 5991726317 Enrollment ID: I20051213000916 |
| Provider Name | Lillian C Burrafato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861421190 PECOS PAC ID: 2961424577 Enrollment ID: I20051223000262 |
| Provider Name | Steven Rosenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720017239 PECOS PAC ID: 0941223838 Enrollment ID: I20060105000913 |
| Provider Name | Marie Spano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285715169 PECOS PAC ID: 4284657511 Enrollment ID: I20060112000266 |
| Provider Name | Brendan M Oboyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932253044 PECOS PAC ID: 7618991340 Enrollment ID: I20060120000787 |
| Provider Name | Cheryl-ann Ubarra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487737227 PECOS PAC ID: 0042224156 Enrollment ID: I20060127000507 |
| Provider Name | Kathleen Foley Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770640641 PECOS PAC ID: 9931114360 Enrollment ID: I20060207000284 |
| Provider Name | Krishna Gujavarty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487663415 PECOS PAC ID: 2567477102 Enrollment ID: I20060217000369 |
| Provider Name | Dawn Marie Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376663849 PECOS PAC ID: 2163438284 Enrollment ID: I20060228000120 |
| Provider Name | Dorothy Mock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417985904 PECOS PAC ID: 4183630213 Enrollment ID: I20060228000191 |
| Provider Name | Cristina Wanek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992852727 PECOS PAC ID: 1456368562 Enrollment ID: I20060315000247 |
| Provider Name | Mark F Zender |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750317871 PECOS PAC ID: 8022025949 Enrollment ID: I20060316000471 |
| Provider Name | Michelle a Zahra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245295435 PECOS PAC ID: 3173531266 Enrollment ID: I20060331000174 |
| Provider Name | Dawn Picece |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821021395 PECOS PAC ID: 1951310168 Enrollment ID: I20060417000757 |
| Provider Name | Rose Direny-jean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821176884 PECOS PAC ID: 8729034947 Enrollment ID: I20060418000014 |
| Provider Name | Laurie Waters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023032760 PECOS PAC ID: 9032128103 Enrollment ID: I20060418000470 |
| Provider Name | John J Vullo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073542114 PECOS PAC ID: 8921018862 Enrollment ID: I20060421000475 |
| Provider Name | Edwin Valle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902926926 PECOS PAC ID: 3870503675 Enrollment ID: I20060424000529 |
| Provider Name | David B Berg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891747739 PECOS PAC ID: 7719997246 Enrollment ID: I20060428000184 |
| Provider Name | Yohanna a Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770511875 PECOS PAC ID: 9133130164 Enrollment ID: I20060505000363 |
| Provider Name | Sarah Liss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144275561 PECOS PAC ID: 2860404753 Enrollment ID: I20060614000104 |
| Provider Name | Lisa Perez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457303182 PECOS PAC ID: 4688686322 Enrollment ID: I20060622000017 |
| Provider Name | Vanessa J Milan-leal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194741983 PECOS PAC ID: 7416950738 Enrollment ID: I20060807000046 |
| Provider Name | Gia M Coffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902837172 PECOS PAC ID: 6204830672 Enrollment ID: I20060828000337 |
| Provider Name | Hanan Soliman-lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093749558 PECOS PAC ID: 5698779072 Enrollment ID: I20060828000407 |
| Provider Name | Colleen Coleman-spiciati |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659318947 PECOS PAC ID: 5496759722 Enrollment ID: I20060829000280 |
| Provider Name | Deborah L Crossman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588682736 PECOS PAC ID: 8527062454 Enrollment ID: I20060908000040 |
| Provider Name | Moira Mcdonnell-laraia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770597742 PECOS PAC ID: 8224033436 Enrollment ID: I20060921000552 |
| Provider Name | Jennifer Torpey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679680037 PECOS PAC ID: 5092711994 Enrollment ID: I20061017000493 |
| Provider Name | Teresa Manning-carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164446423 PECOS PAC ID: 6800894460 Enrollment ID: I20061116000110 |
| Provider Name | Patricia Buro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114947033 PECOS PAC ID: 7315999802 Enrollment ID: I20061128000069 |
| Provider Name | Jennifer a Scarlotta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861561870 PECOS PAC ID: 0547261539 Enrollment ID: I20070117000352 |
| Provider Name | Daniel Agas Zaldivar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386672194 PECOS PAC ID: 0547280711 Enrollment ID: I20070210000017 |
| Provider Name | Mary Riker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265476758 PECOS PAC ID: 9931201829 Enrollment ID: I20070223000205 |
| Provider Name | Doreen M Eadie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417939653 PECOS PAC ID: 3072617554 Enrollment ID: I20070323000157 |
| Provider Name | Danielle E Didonna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487799102 PECOS PAC ID: 9537263652 Enrollment ID: I20070329000634 |
| Provider Name | Thomas Savarese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659406965 PECOS PAC ID: 3870690308 Enrollment ID: I20070517000651 |
| Provider Name | Pamela L Galante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326062035 PECOS PAC ID: 7012017510 Enrollment ID: I20070712000814 |
| Provider Name | Dennis L Kozik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417971730 PECOS PAC ID: 6709987852 Enrollment ID: I20070719000709 |
| Provider Name | Matthew S Bremer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386761344 PECOS PAC ID: 7315048063 Enrollment ID: I20070724000768 |
| Provider Name | Bridget Mcgarry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831225119 PECOS PAC ID: 2365537271 Enrollment ID: I20071005000663 |
| Provider Name | Frank a Acevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427273515 PECOS PAC ID: 3274620950 Enrollment ID: I20071026000521 |
| Provider Name | Josefino C Bugay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164505905 PECOS PAC ID: 7416045919 Enrollment ID: I20071116000519 |
| Provider Name | Heather M Mohrman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548480452 PECOS PAC ID: 2769570118 Enrollment ID: I20071119000160 |
| Provider Name | Toni-ann Bligh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649320474 PECOS PAC ID: 0749376481 Enrollment ID: I20071130000036 |
| Provider Name | Philip S Lowenstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275712226 PECOS PAC ID: 5193814655 Enrollment ID: I20071205000614 |
| Provider Name | Marie L Adrien |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972630960 PECOS PAC ID: 1557450806 Enrollment ID: I20071210000224 |
| Provider Name | Michele P Morrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134250061 PECOS PAC ID: 9133219900 Enrollment ID: I20071217000481 |
| Provider Name | Adam T Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851474696 PECOS PAC ID: 7113007261 Enrollment ID: I20080102000560 |
| Provider Name | Reine James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124106125 PECOS PAC ID: 5991885881 Enrollment ID: I20080104000251 |
| Provider Name | Mlak M Helmy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871678201 PECOS PAC ID: 4385724103 Enrollment ID: I20080107000631 |
| Provider Name | Uriel Yagudayev |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598864647 PECOS PAC ID: 4082794490 Enrollment ID: I20080110000092 |
| Provider Name | Vernon a Chin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487757316 PECOS PAC ID: 3476633843 Enrollment ID: I20080110000519 |
| Provider Name | Mabel Wong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578767562 PECOS PAC ID: 9234229527 Enrollment ID: I20080125000650 |
| Provider Name | Rosaria Barone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750568952 PECOS PAC ID: 9335223007 Enrollment ID: I20080220000299 |
| Provider Name | Robert Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174658736 PECOS PAC ID: 8123102795 Enrollment ID: I20080221000332 |
| Provider Name | Sherry Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275616617 PECOS PAC ID: 7012091689 Enrollment ID: I20080221000346 |
| Provider Name | Jennifer K Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103189 PECOS PAC ID: 4587748751 Enrollment ID: I20080226000861 |
| Provider Name | Thomas Eschmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609924158 PECOS PAC ID: 9537244355 Enrollment ID: I20080304000505 |
| Provider Name | Jennifer Kowalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598933947 PECOS PAC ID: 7618052853 Enrollment ID: I20080311000714 |
| Provider Name | Maria Ametrano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609057868 PECOS PAC ID: 5991880015 Enrollment ID: I20080312000624 |
| Provider Name | Shu Qiu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861664948 PECOS PAC ID: 3476638388 Enrollment ID: I20080317000184 |
| Provider Name | Darline Durand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912185455 PECOS PAC ID: 3375620172 Enrollment ID: I20080403000194 |
| Provider Name | Kymberly Harvell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235337023 PECOS PAC ID: 7719064526 Enrollment ID: I20080403000303 |
| Provider Name | Tina Minicozzi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972686715 PECOS PAC ID: 0749368447 Enrollment ID: I20080422000214 |
| Provider Name | Nicole Boeckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144493768 PECOS PAC ID: 0446339279 Enrollment ID: I20080506000315 |
| Provider Name | Manisha Bulsara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306015714 PECOS PAC ID: 1153400510 Enrollment ID: I20080509000464 |
| Provider Name | Corinna Mendis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467635169 PECOS PAC ID: 6901975077 Enrollment ID: I20080515000041 |
| Provider Name | Evelyn Morales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023139045 PECOS PAC ID: 2466521463 Enrollment ID: I20080516000325 |
| Provider Name | Tara Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427107531 PECOS PAC ID: 8820167554 Enrollment ID: I20080520000823 |
| Provider Name | Yennie M Armand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912171182 PECOS PAC ID: 0143399824 Enrollment ID: I20080521000295 |
| Provider Name | Alicia a Noto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265605505 PECOS PAC ID: 3274603543 Enrollment ID: I20080529000858 |
| Provider Name | Pamelia Barclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639340011 PECOS PAC ID: 9436220167 Enrollment ID: I20080624000126 |
| Provider Name | Stephen T Friedman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346381464 PECOS PAC ID: 5395816987 Enrollment ID: I20080625000755 |
| Provider Name | Christopher R Koch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780858951 PECOS PAC ID: 0446322879 Enrollment ID: I20080630000715 |
| Provider Name | Amy E Clarke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558545459 PECOS PAC ID: 3577635663 Enrollment ID: I20080707000657 |
| Provider Name | Samir Afzal Bute |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427217926 PECOS PAC ID: 8426121252 Enrollment ID: I20080726000002 |
| Provider Name | Samantha a Carofano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083731095 PECOS PAC ID: 4587738182 Enrollment ID: I20080730000705 |
| Provider Name | Jasmine Philip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407055148 PECOS PAC ID: 6305910498 Enrollment ID: I20080807000449 |
| Provider Name | Rakesh Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508942574 PECOS PAC ID: 9032283031 Enrollment ID: I20080809000070 |
| Provider Name | Michael J Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952578940 PECOS PAC ID: 2668547753 Enrollment ID: I20080825000574 |
| Provider Name | Sara J Rajan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205003290 PECOS PAC ID: 6709952831 Enrollment ID: I20080913000108 |
| Provider Name | Elcid a Dilodilo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114043080 PECOS PAC ID: 5193891273 Enrollment ID: I20080915000343 |
| Provider Name | Hamid D Noorollah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285689448 PECOS PAC ID: 7719053800 Enrollment ID: I20080915000456 |
| Provider Name | Cathleen R Schmidt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841320124 PECOS PAC ID: 4082781976 Enrollment ID: I20080918000147 |
| Provider Name | Christopher J Jerome |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750567798 PECOS PAC ID: 5294803409 Enrollment ID: I20081001000208 |
| Provider Name | Brenda M Santiago |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225029937 PECOS PAC ID: 2961570635 Enrollment ID: I20081008000113 |
| Provider Name | Janelle Lascala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568642387 PECOS PAC ID: 4486712767 Enrollment ID: I20081015000768 |
| Provider Name | Tami N Natale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881863165 PECOS PAC ID: 4981768801 Enrollment ID: I20090121000476 |
| Provider Name | Dana J Suarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629228903 PECOS PAC ID: 8224194378 Enrollment ID: I20090225000668 |
| Provider Name | Carole R Capparelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083790364 PECOS PAC ID: 0345306353 Enrollment ID: I20090226000566 |
| Provider Name | Rajiv K Narain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801058300 PECOS PAC ID: 2062578412 Enrollment ID: I20090310000183 |
| Provider Name | Margaret Wrzosek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518046556 PECOS PAC ID: 1254497662 Enrollment ID: I20090311000072 |
| Provider Name | Christine E Leavenworth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528141041 PECOS PAC ID: 5395801526 Enrollment ID: I20090312000614 |
| Provider Name | Karin a Antaky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760628234 PECOS PAC ID: 5395802334 Enrollment ID: I20090319000108 |
| Provider Name | Linda a Bastian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548318306 PECOS PAC ID: 5092872465 Enrollment ID: I20090330000550 |
| Provider Name | Nicole Massaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669627832 PECOS PAC ID: 9830255579 Enrollment ID: I20090413000139 |
| Provider Name | Craig Weschke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811147101 PECOS PAC ID: 3779631098 Enrollment ID: I20090424000435 |
| Provider Name | Steven K Lam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215051982 PECOS PAC ID: 6002964251 Enrollment ID: I20090428000472 |
| Provider Name | Matthew J Dimartino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780839282 PECOS PAC ID: 6204984461 Enrollment ID: I20090428000550 |
| Provider Name | Frank B Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508928177 PECOS PAC ID: 8123176260 Enrollment ID: I20090429000690 |
| Provider Name | Rosario C Carlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235398470 PECOS PAC ID: 0749330215 Enrollment ID: I20090604000480 |
| Provider Name | Steve B Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255501060 PECOS PAC ID: 5698825404 Enrollment ID: I20090616000434 |
| Provider Name | Kristy a Selvaggi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003034141 PECOS PAC ID: 1355492646 Enrollment ID: I20090626000172 |
| Provider Name | Christopher M Dandona |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093978082 PECOS PAC ID: 8426109620 Enrollment ID: I20090630000067 |
| Provider Name | Benedetta Prunella-lerch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740481928 PECOS PAC ID: 1254482359 Enrollment ID: I20090701000347 |
| Provider Name | Chiara Quaresimo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386879161 PECOS PAC ID: 1052462934 Enrollment ID: I20090707000013 |
| Provider Name | Marco Berrones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215017397 PECOS PAC ID: 6305998774 Enrollment ID: I20090715000598 |
| Provider Name | Zichariea Z Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225128069 PECOS PAC ID: 5698829554 Enrollment ID: I20090813000571 |
| Provider Name | Shorn Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366619868 PECOS PAC ID: 1557416112 Enrollment ID: I20090902000641 |
| Provider Name | Farzana Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841453057 PECOS PAC ID: 2769528819 Enrollment ID: I20091005000224 |
| Provider Name | Melissa J Bosco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326372459 PECOS PAC ID: 4880732502 Enrollment ID: I20091117000268 |
| Provider Name | Lynn Raimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164670238 PECOS PAC ID: 3173662418 Enrollment ID: I20091130000513 |
| Provider Name | Jessica F Walz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669544292 PECOS PAC ID: 5890782445 Enrollment ID: I20100108000059 |
| Provider Name | Emily M Mccann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104091529 PECOS PAC ID: 2062555980 Enrollment ID: I20100201000452 |
| Provider Name | Jean Kittelberger-joyce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538364013 PECOS PAC ID: 1153464086 Enrollment ID: I20100201000543 |
| Provider Name | Luisa Ferruggiari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982932653 PECOS PAC ID: 8224173448 Enrollment ID: I20100226000502 |
| Provider Name | Irene a Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083942908 PECOS PAC ID: 7214065408 Enrollment ID: I20100510000043 |
| Provider Name | Andromachi Picoula |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649471749 PECOS PAC ID: 1658409859 Enrollment ID: I20100510000085 |
| Provider Name | Edward G Seiter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811076284 PECOS PAC ID: 7214065457 Enrollment ID: I20100510000616 |
| Provider Name | Kristen Blydenburgh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871816595 PECOS PAC ID: 8628108131 Enrollment ID: I20100610000075 |
| Provider Name | Michael Hu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063734614 PECOS PAC ID: 0547390726 Enrollment ID: I20100615000244 |
| Provider Name | Richard J Klein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205903978 PECOS PAC ID: 9931239001 Enrollment ID: I20100616000470 |
| Provider Name | Marisa Luvera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477786739 PECOS PAC ID: 2163553082 Enrollment ID: I20100621000837 |
| Provider Name | Yanick Moyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245389550 PECOS PAC ID: 0244355865 Enrollment ID: I20100920000048 |
| Provider Name | John a Beattie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063510394 PECOS PAC ID: 1850417734 Enrollment ID: I20100928001480 |
| Provider Name | Jenora Randolph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962642769 PECOS PAC ID: 4486846110 Enrollment ID: I20101013000140 |
| Provider Name | Mitchell S Elsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942336185 PECOS PAC ID: 8325232515 Enrollment ID: I20101102000198 |
| Provider Name | Mark C Pillitteri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679677082 PECOS PAC ID: 4284828062 Enrollment ID: I20101105000509 |
| Provider Name | Marylou Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013987379 PECOS PAC ID: 9032205521 Enrollment ID: I20101108000260 |
| Provider Name | Ariana Zaza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639486434 PECOS PAC ID: 6800083668 Enrollment ID: I20101207000429 |
| Provider Name | Maria Mcrobb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811043946 PECOS PAC ID: 8628266392 Enrollment ID: I20101222000019 |
| Provider Name | Jennifer Titterton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720100076 PECOS PAC ID: 1355539594 Enrollment ID: I20110103000647 |
| Provider Name | Susan Rose Squillace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598994881 PECOS PAC ID: 0042409922 Enrollment ID: I20110107000154 |
| Provider Name | John a Cavagnaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164567376 PECOS PAC ID: 5799974689 Enrollment ID: I20110107000269 |
| Provider Name | Mark G Mokotoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295883049 PECOS PAC ID: 9830388537 Enrollment ID: I20110112000053 |
| Provider Name | Tim Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598813339 PECOS PAC ID: 0042409625 Enrollment ID: I20110113000143 |
| Provider Name | Yvonne Hardoon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356501001 PECOS PAC ID: 3971792581 Enrollment ID: I20110113000380 |
| Provider Name | Olufemi Olusegun Ogunjana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962703611 PECOS PAC ID: 3375732753 Enrollment ID: I20110118000020 |
| Provider Name | Marina Kats |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447569066 PECOS PAC ID: 3779762984 Enrollment ID: I20110120000290 |
| Provider Name | Jeffrey Wanerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235230004 PECOS PAC ID: 5890867329 Enrollment ID: I20110124001003 |
| Provider Name | Jacqueline G Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104051549 PECOS PAC ID: 1557540135 Enrollment ID: I20110128000138 |
| Provider Name | Cary S Stanton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205961505 PECOS PAC ID: 6800077066 Enrollment ID: I20110221000700 |
| Provider Name | Novlet Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710288089 PECOS PAC ID: 0244412021 Enrollment ID: I20110316000062 |
| Provider Name | Daryl K Hartley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578873535 PECOS PAC ID: 5698957496 Enrollment ID: I20110316000203 |
| Provider Name | Janelle S Gentile |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245419993 PECOS PAC ID: 0840473567 Enrollment ID: I20110317000703 |
| Provider Name | Maryjanine Hausle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902115603 PECOS PAC ID: 2365625001 Enrollment ID: I20110317000872 |
| Provider Name | Kristin a Kissinger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285946236 PECOS PAC ID: 3274716824 Enrollment ID: I20110321000324 |
| Provider Name | Jennifer Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053579524 PECOS PAC ID: 3476736679 Enrollment ID: I20110325000275 |
| Provider Name | Edward T Weick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114193976 PECOS PAC ID: 3870777469 Enrollment ID: I20110406000016 |
| Provider Name | Lorraine Quirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861702003 PECOS PAC ID: 4486838968 Enrollment ID: I20110407000177 |
| Provider Name | Marissa Mccarron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689804593 PECOS PAC ID: 8123203056 Enrollment ID: I20110419000780 |
| Provider Name | Ivanna Sorych |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154637841 PECOS PAC ID: 0547446429 Enrollment ID: I20110510000437 |
| Provider Name | Beth Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134434129 PECOS PAC ID: 9931385119 Enrollment ID: I20110602000562 |
| Provider Name | Robert S Dankner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104122308 PECOS PAC ID: 3274710769 Enrollment ID: I20110609000646 |
| Provider Name | Margaret Amodemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265527501 PECOS PAC ID: 3173700663 Enrollment ID: I20110609000660 |
| Provider Name | Donna Falk Carter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083755375 PECOS PAC ID: 2062699317 Enrollment ID: I20110614000334 |
| Provider Name | Jane Perillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184884462 PECOS PAC ID: 9436216652 Enrollment ID: I20110718000307 |
| Provider Name | Charles Lambert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124336607 PECOS PAC ID: 2062681281 Enrollment ID: I20110804000416 |
| Provider Name | Laura M Katz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659664357 PECOS PAC ID: 1254501075 Enrollment ID: I20110902000045 |
| Provider Name | Claudia S Mendes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760778708 PECOS PAC ID: 5890966295 Enrollment ID: I20110915000133 |
| Provider Name | Nicholas F Martella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891028965 PECOS PAC ID: 4789855982 Enrollment ID: I20110920000464 |
| Provider Name | Iram Ahsanuddin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972734812 PECOS PAC ID: 9335310465 Enrollment ID: I20110922000117 |
| Provider Name | Brian M Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508156753 PECOS PAC ID: 4183895055 Enrollment ID: I20110926000560 |
| Provider Name | Elizabeth Callahan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578855565 PECOS PAC ID: 1658543319 Enrollment ID: I20111003000180 |
| Provider Name | Jodi S Ronquillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942453212 PECOS PAC ID: 7416006002 Enrollment ID: I20111025000030 |
| Provider Name | Heather M Calendrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528253101 PECOS PAC ID: 9032382718 Enrollment ID: I20111025000043 |
| Provider Name | Catherine Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164673216 PECOS PAC ID: 8729251418 Enrollment ID: I20111025000086 |
| Provider Name | Lynn a Estelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639330194 PECOS PAC ID: 7315110467 Enrollment ID: I20111104000534 |
| Provider Name | Eileen M O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811278641 PECOS PAC ID: 0345413316 Enrollment ID: I20111108000377 |
| Provider Name | Nina Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366724932 PECOS PAC ID: 2567635485 Enrollment ID: I20111109000236 |
| Provider Name | Suzanne Angelillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760777668 PECOS PAC ID: 1052585841 Enrollment ID: I20111111000647 |
| Provider Name | Amber Gerena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699060319 PECOS PAC ID: 2567637606 Enrollment ID: I20111219000516 |
| Provider Name | Garry S Ritter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699842278 PECOS PAC ID: 1153597760 Enrollment ID: I20120104000020 |
| Provider Name | Sherrie K Warshavsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053431072 PECOS PAC ID: 3072652650 Enrollment ID: I20120110000379 |
| Provider Name | Rick a Rabba |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093083875 PECOS PAC ID: 8426217654 Enrollment ID: I20120308000069 |
| Provider Name | Jessica Piccoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669748943 PECOS PAC ID: 9335308931 Enrollment ID: I20120316000179 |
| Provider Name | Tabatha Poole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205104429 PECOS PAC ID: 4486814431 Enrollment ID: I20120328000696 |
| Provider Name | Lynette George |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346572492 PECOS PAC ID: 8921268673 Enrollment ID: I20120404000556 |
| Provider Name | Amanda Mirchel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891061321 PECOS PAC ID: 2567624166 Enrollment ID: I20120426000544 |
| Provider Name | Courtney E Englert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790095453 PECOS PAC ID: 1153583497 Enrollment ID: I20120502000156 |
| Provider Name | Christopher Yagliyan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902112345 PECOS PAC ID: 5193988632 Enrollment ID: I20120522000723 |
| Provider Name | Cindy Hu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437455235 PECOS PAC ID: 5193988202 Enrollment ID: I20120529000279 |
| Provider Name | Zuhal Aubel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619249976 PECOS PAC ID: 2062675127 Enrollment ID: I20120530000159 |
| Provider Name | Jessica Dubarry Hare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801127436 PECOS PAC ID: 0749445385 Enrollment ID: I20120703000572 |
| Provider Name | Daniel Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316210131 PECOS PAC ID: 1850548660 Enrollment ID: I20120830000289 |
| Provider Name | Amalia Kovoros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306178397 PECOS PAC ID: 6507013125 Enrollment ID: I20120904000173 |
| Provider Name | Reanell Gasaway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073899225 PECOS PAC ID: 9133370109 Enrollment ID: I20121126000007 |
| Provider Name | Madaline Safrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235494451 PECOS PAC ID: 2466603386 Enrollment ID: I20121126000643 |
| Provider Name | Maureen F Nofi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083868004 PECOS PAC ID: 2365694072 Enrollment ID: I20121204000032 |
| Provider Name | Yvonne M Moran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538417316 PECOS PAC ID: 4981856531 Enrollment ID: I20121206000388 |
| Provider Name | Kinga I Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891045571 PECOS PAC ID: 7113179508 Enrollment ID: I20121211000316 |
| Provider Name | Tricia Norma Cato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225388051 PECOS PAC ID: 6507018801 Enrollment ID: I20121213000263 |
| Provider Name | Justin L Fink |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568714665 PECOS PAC ID: 7214181882 Enrollment ID: I20130206000615 |
| Provider Name | Jennifer L Regan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306198569 PECOS PAC ID: 3173778164 Enrollment ID: I20130222000388 |
| Provider Name | Patricia M Roehrig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831443332 PECOS PAC ID: 1153576855 Enrollment ID: I20130304000191 |
| Provider Name | Bryan C Lovejoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992062509 PECOS PAC ID: 0244485746 Enrollment ID: I20130307000438 |
| Provider Name | Barbara a Lowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598028102 PECOS PAC ID: 3375788359 Enrollment ID: I20130321000455 |
| Provider Name | Nicole Ferrantelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912158809 PECOS PAC ID: 4587726443 Enrollment ID: I20130411000066 |
| Provider Name | Stephanie Bonura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326383282 PECOS PAC ID: 5799922035 Enrollment ID: I20130506000398 |
| Provider Name | Sunjit S Jaspal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548569783 PECOS PAC ID: 7012154966 Enrollment ID: I20130513000463 |
| Provider Name | Marissa L Joyce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437495629 PECOS PAC ID: 5698912582 Enrollment ID: I20130514000149 |
| Provider Name | Kimsue Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437405735 PECOS PAC ID: 4688814692 Enrollment ID: I20130715000460 |
| Provider Name | Hardik a Gandhi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831437375 PECOS PAC ID: 6507006574 Enrollment ID: I20130716000387 |
| Provider Name | Kristine Szczepanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720335730 PECOS PAC ID: 7618110941 Enrollment ID: I20130905000255 |
| Provider Name | Daniel T Owens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811230444 PECOS PAC ID: 0244474344 Enrollment ID: I20130911000230 |
| Provider Name | Veronique Camille |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407039613 PECOS PAC ID: 6901040583 Enrollment ID: I20130920000704 |
| Provider Name | Erica L Avvento |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487904165 PECOS PAC ID: 5890939151 Enrollment ID: I20130926000668 |
| Provider Name | Stephanie D Albano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578997169 PECOS PAC ID: 1355576216 Enrollment ID: I20131030001139 |
| Provider Name | Erick G Ruales |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710311352 PECOS PAC ID: 9931334893 Enrollment ID: I20131030001314 |
| Provider Name | Allison Sampson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255525556 PECOS PAC ID: 3870688773 Enrollment ID: I20131112000227 |
| Provider Name | Mushtaq Nabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386660017 PECOS PAC ID: 4688749229 Enrollment ID: I20131202001212 |
| Provider Name | Kristen N Gallway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255684619 PECOS PAC ID: 2961639521 Enrollment ID: I20131206000036 |
| Provider Name | Kris Pizarro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396173571 PECOS PAC ID: 9234367772 Enrollment ID: I20140108001384 |
| Provider Name | Kathleen V Ehlers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578802435 PECOS PAC ID: 4789812645 Enrollment ID: I20140123000027 |
| Provider Name | Mary Patricia Marvel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386071439 PECOS PAC ID: 3779712070 Enrollment ID: I20140207001245 |
| Provider Name | Janelle C Harrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255665915 PECOS PAC ID: 7214169838 Enrollment ID: I20140415000199 |
| Provider Name | James L Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902236706 PECOS PAC ID: 1153544473 Enrollment ID: I20140514000217 |
| Provider Name | Rusty T Dreksler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780008045 PECOS PAC ID: 2163645284 Enrollment ID: I20140519000865 |
| Provider Name | Joseph V Pepe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811217466 PECOS PAC ID: 4688897549 Enrollment ID: I20140521001544 |
| Provider Name | Meghan a Giraldi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720413610 PECOS PAC ID: 4880817410 Enrollment ID: I20140528001746 |
| Provider Name | Kathleen T Mclaughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467776955 PECOS PAC ID: 9638393341 Enrollment ID: I20140620000462 |
| Provider Name | Kristen N Esposito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568891547 PECOS PAC ID: 3274758511 Enrollment ID: I20140701000197 |
| Provider Name | Zarin S Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972933489 PECOS PAC ID: 4981821642 Enrollment ID: I20140805000203 |
| Provider Name | Ya- Ching C Bonura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356512800 PECOS PAC ID: 0345489944 Enrollment ID: I20140818002043 |
| Provider Name | Tency Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881030146 PECOS PAC ID: 6709003577 Enrollment ID: I20140819001556 |
| Provider Name | Zareen Parvez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790886646 PECOS PAC ID: 3870711476 Enrollment ID: I20140822002009 |
| Provider Name | Vanessa L Augeri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275850919 PECOS PAC ID: 4587847991 Enrollment ID: I20140904002126 |
| Provider Name | Lisa N Burke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790187714 PECOS PAC ID: 3274753082 Enrollment ID: I20140930000289 |
| Provider Name | Laura Falkowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588975023 PECOS PAC ID: 6406077593 Enrollment ID: I20141014000926 |
| Provider Name | Dawn Focazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164765491 PECOS PAC ID: 0143441782 Enrollment ID: I20141023000045 |
| Provider Name | Craig R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073918041 PECOS PAC ID: 9830413376 Enrollment ID: I20150112000022 |
| Provider Name | Linda E Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568862969 PECOS PAC ID: 7416272810 Enrollment ID: I20150205001896 |
| Provider Name | Melissa E Bramante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295002335 PECOS PAC ID: 4587989744 Enrollment ID: I20150210000859 |
| Provider Name | Katherine Olofson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093113698 PECOS PAC ID: 6800111519 Enrollment ID: I20150220000377 |
| Provider Name | Anand Kumar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053650929 PECOS PAC ID: 1850536764 Enrollment ID: I20150313001022 |
| Provider Name | Karyn Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922363910 PECOS PAC ID: 3971820457 Enrollment ID: I20150320001373 |
| Provider Name | Tracey Bennardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194063594 PECOS PAC ID: 1254658503 Enrollment ID: I20150325000675 |
| Provider Name | Kimberly Sanford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043632615 PECOS PAC ID: 0244557346 Enrollment ID: I20150331000254 |
| Provider Name | Richard Ralph Leston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447650163 PECOS PAC ID: 1658698642 Enrollment ID: I20150401001333 |
| Provider Name | Philip a Kruseman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902208671 PECOS PAC ID: 2668799594 Enrollment ID: I20150402000634 |
| Provider Name | Ariel R Kase |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386079796 PECOS PAC ID: 2365761004 Enrollment ID: I20150501000655 |
| Provider Name | Princess L Martinez - Bangay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922490796 PECOS PAC ID: 3779802129 Enrollment ID: I20150506000955 |
| Provider Name | Jennifer W Murga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922497221 PECOS PAC ID: 4385955376 Enrollment ID: I20150617001274 |
| Provider Name | Marina Yusupova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568882306 PECOS PAC ID: 7416268172 Enrollment ID: I20150622001712 |
| Provider Name | Hanna Benden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619245024 PECOS PAC ID: 8325352537 Enrollment ID: I20150731016875 |
| Provider Name | Keith William Brennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659668580 PECOS PAC ID: 7719128974 Enrollment ID: I20150810000489 |
| Provider Name | Susan S Day |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225376494 PECOS PAC ID: 1355656067 Enrollment ID: I20150810002135 |
| Provider Name | Lisa M Jantzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770896409 PECOS PAC ID: 0143115964 Enrollment ID: I20150826001869 |
| Provider Name | Lisa Persico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114315975 PECOS PAC ID: 5698081784 Enrollment ID: I20150903002622 |
| Provider Name | Erin K Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225416969 PECOS PAC ID: 4789990771 Enrollment ID: I20150908000420 |
| Provider Name | Elizabeth Kate Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518348028 PECOS PAC ID: 3274840020 Enrollment ID: I20150911000806 |
| Provider Name | Jonathan M Garing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902215320 PECOS PAC ID: 3577873579 Enrollment ID: I20151103002320 |
| Provider Name | Alexandra Spadaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316317522 PECOS PAC ID: 6709186182 Enrollment ID: I20151208002008 |
| Provider Name | Yolanda Williams-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982902987 PECOS PAC ID: 7012218738 Enrollment ID: I20151222000467 |
| Provider Name | Alyse Moyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194117705 PECOS PAC ID: 6709180128 Enrollment ID: I20160205000431 |
| Provider Name | Ezra O Gillego |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407061393 PECOS PAC ID: 2961708847 Enrollment ID: I20160303001003 |
| Provider Name | Jonathan N Kelvas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942674759 PECOS PAC ID: 6608173356 Enrollment ID: I20160324000975 |
| Provider Name | Gianluca Naccarato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396080834 PECOS PAC ID: 9537466651 Enrollment ID: I20160404001870 |
| Provider Name | Maria A. Difiore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427358563 PECOS PAC ID: 5294033999 Enrollment ID: I20160413001322 |
| Provider Name | Kelly Ann Handel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598125585 PECOS PAC ID: 6002106382 Enrollment ID: I20160526002465 |
| Provider Name | Kristen Vidreiro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245697382 PECOS PAC ID: 2466742218 Enrollment ID: I20160607000362 |
| Provider Name | Aiesha Aziz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407257058 PECOS PAC ID: 7214236876 Enrollment ID: I20160607001991 |
| Provider Name | Jessica Irizarry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770814865 PECOS PAC ID: 8729112370 Enrollment ID: I20160608000180 |
| Provider Name | Kaitlin Athena Kalogeras |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609219898 PECOS PAC ID: 8729208194 Enrollment ID: I20160613000513 |
| Provider Name | Coleen Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730542721 PECOS PAC ID: 5597057372 Enrollment ID: I20160714002372 |
| Provider Name | Ellen Salone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457675837 PECOS PAC ID: 7315115466 Enrollment ID: I20160715001464 |
| Provider Name | Marina Anosov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093005266 PECOS PAC ID: 8820381346 Enrollment ID: I20160721000690 |
| Provider Name | Roshini Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649418062 PECOS PAC ID: 1456575588 Enrollment ID: I20160722000131 |
| Provider Name | Megan a Vulpi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831581677 PECOS PAC ID: 9032404140 Enrollment ID: I20160827000226 |
| Provider Name | Garrett S Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043668833 PECOS PAC ID: 4284929324 Enrollment ID: I20160829000449 |
| Provider Name | Soley Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619304219 PECOS PAC ID: 0547555633 Enrollment ID: I20160829002057 |
| Provider Name | Laura J Sheridan-kelchner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265796536 PECOS PAC ID: 8921395872 Enrollment ID: I20160921001468 |
| Provider Name | James M Bantel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003262213 PECOS PAC ID: 8921395484 Enrollment ID: I20160927001191 |
| Provider Name | John W Olbeter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124493259 PECOS PAC ID: 0941597108 Enrollment ID: I20161003001163 |
| Provider Name | Petra S Sealy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487846630 PECOS PAC ID: 1850486671 Enrollment ID: I20161004000476 |
| Provider Name | Jillian L Barnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770943466 PECOS PAC ID: 7517255664 Enrollment ID: I20161005002770 |
| Provider Name | Patrick F Greger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609232883 PECOS PAC ID: 0547558405 Enrollment ID: I20161007001364 |
| Provider Name | Danielle Ruggiero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649640855 PECOS PAC ID: 9133417926 Enrollment ID: I20161011001739 |
| Provider Name | Anthony M Quintana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619340486 PECOS PAC ID: 8628366382 Enrollment ID: I20161012001021 |
| Provider Name | Dana Giangrande |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467839969 PECOS PAC ID: 4385932003 Enrollment ID: I20161013000398 |
| Provider Name | Bhupinderjit Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225490956 PECOS PAC ID: 5092003665 Enrollment ID: I20161013002379 |
| Provider Name | Michele Farber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982878492 PECOS PAC ID: 4183912785 Enrollment ID: I20161014000801 |
| Provider Name | Shennel L Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811396674 PECOS PAC ID: 7214225770 Enrollment ID: I20161017000648 |
| Provider Name | Shannon Tisson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831557875 PECOS PAC ID: 3971881194 Enrollment ID: I20161024000192 |
| Provider Name | Julia Pierre-louis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538556279 PECOS PAC ID: 7012295249 Enrollment ID: I20161024000351 |
| Provider Name | Heather Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942679261 PECOS PAC ID: 3779861919 Enrollment ID: I20161024000647 |
| Provider Name | Melissa Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497112296 PECOS PAC ID: 6406134105 Enrollment ID: I20161101000832 |
| Provider Name | Nycole J Finn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588908016 PECOS PAC ID: 9234456195 Enrollment ID: I20161107000922 |
| Provider Name | Froylan Moreno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376097345 PECOS PAC ID: 4284913245 Enrollment ID: I20161115000405 |
| Provider Name | Jenson K Eapen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285021766 PECOS PAC ID: 5092094789 Enrollment ID: I20161121002168 |
| Provider Name | Catherine Stinsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124574355 PECOS PAC ID: 6305125014 Enrollment ID: I20161122000023 |
| Provider Name | Sabrina E Martini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396196499 PECOS PAC ID: 6204116791 Enrollment ID: I20161129000251 |
| Provider Name | Gina Rommel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386018547 PECOS PAC ID: 3476833856 Enrollment ID: I20161130001242 |
| Provider Name | Samantha Yakubov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649724576 PECOS PAC ID: 6800176165 Enrollment ID: I20161205000513 |
| Provider Name | Princy Paulson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265858377 PECOS PAC ID: 9830479013 Enrollment ID: I20161205001466 |
| Provider Name | Jaspreet Kaur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881139129 PECOS PAC ID: 5496037707 Enrollment ID: I20170123000254 |
| Provider Name | Hsin-ju Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174987697 PECOS PAC ID: 7113209156 Enrollment ID: I20170126001663 |
| Provider Name | Amy Liu Jeong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467909564 PECOS PAC ID: 5395027130 Enrollment ID: I20170131001002 |
| Provider Name | Rachael E Elio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891155511 PECOS PAC ID: 7012290174 Enrollment ID: I20170215001508 |
| Provider Name | Yeshda S Kumar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902276074 PECOS PAC ID: 6406130335 Enrollment ID: I20170221001851 |
| Provider Name | Jennifer Pantoliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295277572 PECOS PAC ID: 3173807583 Enrollment ID: I20170303000309 |
| Provider Name | Daniel J Finn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841732450 PECOS PAC ID: 8325323272 Enrollment ID: I20170316000977 |
| Provider Name | Lauren P Otero Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306102199 PECOS PAC ID: 4688959406 Enrollment ID: I20170317001539 |
| Provider Name | Sherry a Reill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457601403 PECOS PAC ID: 7719286897 Enrollment ID: I20170324001613 |
| Provider Name | Astride Henry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568866044 PECOS PAC ID: 3476838814 Enrollment ID: I20170327000724 |
| Provider Name | Deepanwita Saha |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417199910 PECOS PAC ID: 8325323686 Enrollment ID: I20170329000308 |
| Provider Name | Fauzia Razzaque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528519501 PECOS PAC ID: 9638454887 Enrollment ID: I20170330001024 |
| Provider Name | Sarah M Landsman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083151690 PECOS PAC ID: 8820375926 Enrollment ID: I20170508001446 |
| Provider Name | Alina Agnello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487025581 PECOS PAC ID: 5193002723 Enrollment ID: I20170508001567 |
| Provider Name | Nicole Kurz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619023454 PECOS PAC ID: 7416234059 Enrollment ID: I20170508001777 |
| Provider Name | Ryan S Fuellbier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477093383 PECOS PAC ID: 3072880368 Enrollment ID: I20170516001750 |
| Provider Name | Felicia a Breihof-mendoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164855300 PECOS PAC ID: 7416177290 Enrollment ID: I20170530000437 |
| Provider Name | Jordan C Michiel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114466216 PECOS PAC ID: 8820365240 Enrollment ID: I20170606000863 |
| Provider Name | Kettely Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194277491 PECOS PAC ID: 9032487301 Enrollment ID: I20170612000350 |
| Provider Name | Nadesha Muniz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649504598 PECOS PAC ID: 9830469535 Enrollment ID: I20170727002223 |
| Provider Name | Elina Gavrilova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174726095 PECOS PAC ID: 2860763174 Enrollment ID: I20170804001575 |
| Provider Name | Justin J Szpilka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932645132 PECOS PAC ID: 6709157886 Enrollment ID: I20170808002107 |
| Provider Name | Gita Zhulovchinova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033646641 PECOS PAC ID: 7911278817 Enrollment ID: I20170811000664 |
| Provider Name | Jenna M Razeq |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164969333 PECOS PAC ID: 7719258540 Enrollment ID: I20170811002206 |
| Provider Name | Steven P Savery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780069617 PECOS PAC ID: 7719293307 Enrollment ID: I20170829000010 |
| Provider Name | Sisly Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235677089 PECOS PAC ID: 6406129386 Enrollment ID: I20170829003428 |
| Provider Name | Vidya Meppurath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477005742 PECOS PAC ID: 8123391968 Enrollment ID: I20170830001596 |
| Provider Name | Blessy C Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117653 PECOS PAC ID: 2961775960 Enrollment ID: I20170913000259 |
| Provider Name | Kinga Ramos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982126629 PECOS PAC ID: 2860766094 Enrollment ID: I20170926003785 |
| Provider Name | Jacqueline Belizar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619351889 PECOS PAC ID: 7911293386 Enrollment ID: I20170927002952 |
| Provider Name | Victoria a Gangale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033660766 PECOS PAC ID: 0345522322 Enrollment ID: I20171002002835 |
| Provider Name | Melissa Jo Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902352776 PECOS PAC ID: 1153696604 Enrollment ID: I20171009002781 |
| Provider Name | Stephan K Salvia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396263281 PECOS PAC ID: 2062787286 Enrollment ID: I20171013000790 |
| Provider Name | Katelynn Adella O'keefe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265987309 PECOS PAC ID: 0042586109 Enrollment ID: I20171018000993 |
| Provider Name | Mujda Hachil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962828509 PECOS PAC ID: 7517224900 Enrollment ID: I20171120000462 |
| Provider Name | Lani Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942727797 PECOS PAC ID: 3577820968 Enrollment ID: I20171120000649 |
| Provider Name | Ahmad Halimi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750892345 PECOS PAC ID: 7012274434 Enrollment ID: I20171120001624 |
| Provider Name | Melanie a Quintal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063922912 PECOS PAC ID: 1254698335 Enrollment ID: I20171128000364 |
| Provider Name | Lysandra Leah Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790239945 PECOS PAC ID: 9032476114 Enrollment ID: I20171128000514 |
| Provider Name | Kristen Noel Dileo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992214035 PECOS PAC ID: 3971860487 Enrollment ID: I20171207002038 |
| Provider Name | Dane T Wissing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255707733 PECOS PAC ID: 7517225097 Enrollment ID: I20171212000585 |
| Provider Name | Catherine M Audus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346790755 PECOS PAC ID: 6608134275 Enrollment ID: I20180103002839 |
| Provider Name | Thomas Michael Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043720394 PECOS PAC ID: 8123387834 Enrollment ID: I20180125000560 |
| Provider Name | Barbara Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012874 PECOS PAC ID: 5092075861 Enrollment ID: I20180216001180 |
| Provider Name | Joseph P Dinatale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538679048 PECOS PAC ID: 1456612753 Enrollment ID: I20180301001460 |
| Provider Name | Imran Shahzad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750651980 PECOS PAC ID: 5890911887 Enrollment ID: I20180302000362 |
| Provider Name | Nicole Elizabeth Cruz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255650107 PECOS PAC ID: 4284869926 Enrollment ID: I20180305001831 |
| Provider Name | Hillary Deguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023460219 PECOS PAC ID: 3779868690 Enrollment ID: I20180306002365 |
| Provider Name | Kristen Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356893127 PECOS PAC ID: 6103187174 Enrollment ID: I20180308000796 |
| Provider Name | Jessica L Amaya Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144737164 PECOS PAC ID: 0042572620 Enrollment ID: I20180319002132 |
| Provider Name | Debora Johnston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730691486 PECOS PAC ID: 4587926001 Enrollment ID: I20180321002473 |
| Provider Name | Tracey M Anthony |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043760150 PECOS PAC ID: 4284915323 Enrollment ID: I20180323000122 |
| Provider Name | Noelle E Fairchild |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366952582 PECOS PAC ID: 2163785072 Enrollment ID: I20180405002472 |
| Provider Name | David Montalbano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609378850 PECOS PAC ID: 0840553483 Enrollment ID: I20180413000914 |
| Provider Name | Stephen Nardi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396243648 PECOS PAC ID: 2466715958 Enrollment ID: I20180416001228 |
| Provider Name | Asha Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215432851 PECOS PAC ID: 5698039626 Enrollment ID: I20180427002145 |
| Provider Name | Charishma Sudhan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598217796 PECOS PAC ID: 0244514693 Enrollment ID: I20180430001284 |
| Provider Name | Michelle Mihonet Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205235678 PECOS PAC ID: 5496019234 Enrollment ID: I20180503000801 |
| Provider Name | Yun Qian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861940975 PECOS PAC ID: 9931463775 Enrollment ID: I20180503000820 |
| Provider Name | Anzhelika Khafizova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558562124 PECOS PAC ID: 5496019010 Enrollment ID: I20180508001320 |
| Provider Name | Erica Sosnowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376096198 PECOS PAC ID: 4981968419 Enrollment ID: I20180508002002 |
| Provider Name | Jacqueline K Anto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790057644 PECOS PAC ID: 1951666023 Enrollment ID: I20180521002928 |
| Provider Name | Deandra Renee Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023563707 PECOS PAC ID: 6002171840 Enrollment ID: I20180529002585 |
| Provider Name | Gary Bouchard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457505083 PECOS PAC ID: 8426313107 Enrollment ID: I20180530001064 |
| Provider Name | Natalia Lukanina-wu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609326487 PECOS PAC ID: 3173802683 Enrollment ID: I20180622001669 |
| Provider Name | Ann Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053702209 PECOS PAC ID: 7911252341 Enrollment ID: I20180626001101 |
| Provider Name | Afreen Sultana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932696341 PECOS PAC ID: 1254689490 Enrollment ID: I20180806000492 |
| Provider Name | Brandon Lawrence Burns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497279145 PECOS PAC ID: 5799033502 Enrollment ID: I20180809004543 |
| Provider Name | Michael Harkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013496629 PECOS PAC ID: 9537411848 Enrollment ID: I20181016000959 |
| Provider Name | Michelle a Worrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447676044 PECOS PAC ID: 5092939934 Enrollment ID: I20181128003205 |
| Provider Name | Ian Michael Goldin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053896035 PECOS PAC ID: 3870837792 Enrollment ID: I20181204002219 |
| Provider Name | Priti Bhushan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326514589 PECOS PAC ID: 6608111000 Enrollment ID: I20181212002667 |
| Provider Name | Alexa Prevost |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811398449 PECOS PAC ID: 7012266711 Enrollment ID: I20181231000021 |
| Provider Name | Samantha Gentile |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962998690 PECOS PAC ID: 3971848540 Enrollment ID: I20181231001408 |
| Provider Name | John Scott Vasquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568839884 PECOS PAC ID: 8426393976 Enrollment ID: I20190102002977 |
| Provider Name | Bliss Nicole Lanzelotti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114499787 PECOS PAC ID: 5597003038 Enrollment ID: I20190208000481 |
| Provider Name | Qasim Majid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720562796 PECOS PAC ID: 7618215013 Enrollment ID: I20190211000552 |
| Provider Name | Christopher Hart Rubino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871069484 PECOS PAC ID: 8022356278 Enrollment ID: I20190213000996 |
| Provider Name | Dayna Glatzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134596810 PECOS PAC ID: 4789923491 Enrollment ID: I20190225001116 |
| Provider Name | Tecshana Nicola Blackwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124550983 PECOS PAC ID: 3779856075 Enrollment ID: I20190313002026 |
| Provider Name | Nicole M Gardocki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720551229 PECOS PAC ID: 8123368719 Enrollment ID: I20190318002539 |
| Provider Name | Judyta Glover |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063987428 PECOS PAC ID: 4082954227 Enrollment ID: I20190325002676 |
| Provider Name | Konstantinos P Ververis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285866038 PECOS PAC ID: 0749458412 Enrollment ID: I20190328001498 |
| Provider Name | Keith Michael Burger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235200510 PECOS PAC ID: 0749520765 Enrollment ID: I20190328002181 |
| Provider Name | Stacey-ann Grenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679018444 PECOS PAC ID: 8123369188 Enrollment ID: I20190401002277 |
| Provider Name | Andrea Martinez Villalobos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003280041 PECOS PAC ID: 6709155294 Enrollment ID: I20190403000960 |
| Provider Name | Danielle Knuppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891269288 PECOS PAC ID: 4981945474 Enrollment ID: I20190410001713 |
| Provider Name | Athena White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316495187 PECOS PAC ID: 1759622962 Enrollment ID: I20190416000637 |
| Provider Name | Prince Danso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346719820 PECOS PAC ID: 6608119508 Enrollment ID: I20190516001339 |
| Provider Name | Latoya Alafia Bucknor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790241032 PECOS PAC ID: 8921341355 Enrollment ID: I20190528001213 |
| Provider Name | Heather Turney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417421124 PECOS PAC ID: 7113250291 Enrollment ID: I20190604002402 |
| Provider Name | Ai-mei Chen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649743485 PECOS PAC ID: 8325372766 Enrollment ID: I20190619000700 |
| Provider Name | Lee Grayson Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659863462 PECOS PAC ID: 3678808078 Enrollment ID: I20190708001413 |
| Provider Name | Michael D Kolb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013418540 PECOS PAC ID: 2567797152 Enrollment ID: I20190718003106 |
| Provider Name | Naomi S Kothary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750811352 PECOS PAC ID: 4688900111 Enrollment ID: I20190722003087 |
| Provider Name | Vivian Yeap |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255993853 PECOS PAC ID: 7214265370 Enrollment ID: I20190827003650 |
| Provider Name | Samantha Palladino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225693807 PECOS PAC ID: 0143558163 Enrollment ID: I20190828002238 |
| Provider Name | Kayley Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992278980 PECOS PAC ID: 1759610223 Enrollment ID: I20190909001973 |
| Provider Name | Brandon Lazarus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992272694 PECOS PAC ID: 1456680800 Enrollment ID: I20190910001375 |
| Provider Name | Roberta Palmeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104470053 PECOS PAC ID: 8820329857 Enrollment ID: I20191007000272 |
| Provider Name | Julie a Woodstock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972152593 PECOS PAC ID: 5395077895 Enrollment ID: I20191104000518 |
| Provider Name | Jennifer Weston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154545895 PECOS PAC ID: 4385076579 Enrollment ID: I20191108000807 |
| Provider Name | Aileen Yaeger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942844386 PECOS PAC ID: 2163854050 Enrollment ID: I20191114001561 |
| Provider Name | Christina M Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083900484 PECOS PAC ID: 1456783190 Enrollment ID: I20191118001687 |
| Provider Name | Danamarie Tedesco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689239758 PECOS PAC ID: 9638501158 Enrollment ID: I20191120003211 |
| Provider Name | Melissa Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164084331 PECOS PAC ID: 0143653568 Enrollment ID: I20191125002678 |
| Provider Name | Stephanie Bollhofer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205486842 PECOS PAC ID: 0143653287 Enrollment ID: I20191204001313 |
| Provider Name | Domenica Rappa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255677480 PECOS PAC ID: 4688008006 Enrollment ID: I20191218000648 |
| Provider Name | Eunice J Valmond Stuppard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306145917 PECOS PAC ID: 3476722745 Enrollment ID: I20200106000092 |
| Provider Name | Kelly Ann Calcasola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861044612 PECOS PAC ID: 9436584638 Enrollment ID: I20200116001105 |
| Provider Name | Teresamarie Governale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922668870 PECOS PAC ID: 8820423817 Enrollment ID: I20200122000624 |
| Provider Name | Merin Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649748328 PECOS PAC ID: 7911332713 Enrollment ID: I20200125000133 |
| Provider Name | Surekha Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902039753 PECOS PAC ID: 1355608217 Enrollment ID: I20200130000372 |
| Provider Name | Thomas Banks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609412741 PECOS PAC ID: 7810323482 Enrollment ID: I20200130002847 |
| Provider Name | Kaitlin a Monteith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629611322 PECOS PAC ID: 1254767627 Enrollment ID: I20200203001014 |
| Provider Name | Jennifer Casilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679128904 PECOS PAC ID: 5395171557 Enrollment ID: I20200206000943 |
| Provider Name | Bessy N Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609427665 PECOS PAC ID: 9133555048 Enrollment ID: I20200212000334 |
| Provider Name | Ozlem Kasap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164061248 PECOS PAC ID: 0244666048 Enrollment ID: I20200213001638 |
| Provider Name | David M Kochnower |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922654938 PECOS PAC ID: 9436586567 Enrollment ID: I20200229000050 |
| Provider Name | Laura Grace Krukowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871127027 PECOS PAC ID: 7012345861 Enrollment ID: I20200310001953 |
| Provider Name | Jessica Maria Kiernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942845193 PECOS PAC ID: 1355779083 Enrollment ID: I20200312000160 |
| Provider Name | Christopher Watts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447801444 PECOS PAC ID: 0244668366 Enrollment ID: I20200323002988 |
| Provider Name | Gianna M Tomassetti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326695347 PECOS PAC ID: 0648608604 Enrollment ID: I20200325002127 |
| Provider Name | Jonathan Akilov |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700410701 PECOS PAC ID: 3971932625 Enrollment ID: I20200401002484 |
| Provider Name | Punam Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518591015 PECOS PAC ID: 9830528231 Enrollment ID: I20200407000247 |
| Provider Name | Sreeja Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730715269 PECOS PAC ID: 0648600155 Enrollment ID: I20200424001229 |
| Provider Name | Ryan Christensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932497997 PECOS PAC ID: 1052633104 Enrollment ID: I20200512002846 |
| Provider Name | Kay M Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972732790 PECOS PAC ID: 6800941956 Enrollment ID: I20200526001266 |
| Provider Name | Heather Bosco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649766494 PECOS PAC ID: 0042569188 Enrollment ID: I20200528001989 |
| Provider Name | Noelle Durfee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003219221 PECOS PAC ID: 3971724741 Enrollment ID: I20200604000262 |
| Provider Name | Carly Cavagnaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457912172 PECOS PAC ID: 8426472408 Enrollment ID: I20200723001161 |
| Provider Name | Jessica Lindsey Kiernan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417590399 PECOS PAC ID: 4385069012 Enrollment ID: I20200729000363 |
| Provider Name | Clarissa Lynn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790069300 PECOS PAC ID: 7618395799 Enrollment ID: I20200922002896 |
| Provider Name | Allison Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306467592 PECOS PAC ID: 3375962434 Enrollment ID: I20200923001900 |
| Provider Name | Jamie N Hannigan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376097568 PECOS PAC ID: 7113346081 Enrollment ID: I20200925000719 |
| Provider Name | Michele Ahlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063037869 PECOS PAC ID: 7315366622 Enrollment ID: I20201005002752 |
| Provider Name | Marissa Lomonaco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679138754 PECOS PAC ID: 3870913759 Enrollment ID: I20201014002144 |
| Provider Name | Patrick L Byrnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942777024 PECOS PAC ID: 3476973256 Enrollment ID: I20201015003150 |
| Provider Name | Brittany Marie Silipo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972099422 PECOS PAC ID: 3274871819 Enrollment ID: I20201019002219 |
| Provider Name | Anna Mertens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619143666 PECOS PAC ID: 3577731454 Enrollment ID: I20201030001157 |
| Provider Name | Timothy James Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285265645 PECOS PAC ID: 9830509645 Enrollment ID: I20201106000717 |
| Provider Name | Olivia Paige Omage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700499779 PECOS PAC ID: 1153731898 Enrollment ID: I20201107000033 |
| Provider Name | Rigoberto Ventura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063030757 PECOS PAC ID: 4587074281 Enrollment ID: I20201109002292 |
| Provider Name | Ridaa Idriss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396201315 PECOS PAC ID: 2567872963 Enrollment ID: I20201112002629 |
| Provider Name | Allison L Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710509062 PECOS PAC ID: 4880005057 Enrollment ID: I20201118002248 |
| Provider Name | Yaakov Hacker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831601137 PECOS PAC ID: 5294149803 Enrollment ID: I20210121002884 |
| Provider Name | Melissa a Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699309575 PECOS PAC ID: 5092129478 Enrollment ID: I20210126001370 |
| Provider Name | Britney a Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316552342 PECOS PAC ID: 5799199063 Enrollment ID: I20210127002386 |
| Provider Name | Silvana Sclafani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376142224 PECOS PAC ID: 3870907140 Enrollment ID: I20210127002424 |
| Provider Name | Jarrett Stiles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023626702 PECOS PAC ID: 3375958366 Enrollment ID: I20210225001946 |
| Provider Name | Virghinya Ridwan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508484858 PECOS PAC ID: 0446665368 Enrollment ID: I20210226000104 |
| Provider Name | Mary V Rizzo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881212660 PECOS PAC ID: 3577978436 Enrollment ID: I20210226001848 |
| Provider Name | Madeleine Ann Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205442100 PECOS PAC ID: 6305252214 Enrollment ID: I20210301001553 |
| Provider Name | Raymond Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376038695 PECOS PAC ID: 0547676272 Enrollment ID: I20210304000890 |
| Provider Name | Danielle Devivo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841895042 PECOS PAC ID: 9638585268 Enrollment ID: I20210305002350 |
| Provider Name | Brianna N Fuessler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568004018 PECOS PAC ID: 4486060936 Enrollment ID: I20210308001080 |
| Provider Name | Sabrina Lynn Schembeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861094302 PECOS PAC ID: 6305252644 Enrollment ID: I20210310002326 |
| Provider Name | Bryan M Pardee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265070593 PECOS PAC ID: 6406263326 Enrollment ID: I20210322000301 |
| Provider Name | Thomas F Florez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154955086 PECOS PAC ID: 5991112724 Enrollment ID: I20210323002614 |
| Provider Name | Kristal M Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942829411 PECOS PAC ID: 5799192324 Enrollment ID: I20210329000221 |
| Provider Name | Albert Julius Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912520990 PECOS PAC ID: 4688081177 Enrollment ID: I20210330000793 |
| Provider Name | Alison Freedman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306431127 PECOS PAC ID: 9739596230 Enrollment ID: I20210330000976 |
| Provider Name | Alexandria Brooke Skurka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033706528 PECOS PAC ID: 8729487038 Enrollment ID: I20210518002437 |
| Provider Name | Kesha Pantry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386225001 PECOS PAC ID: 9931508975 Enrollment ID: I20210525001919 |
| Provider Name | Anthony Boccasini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265010656 PECOS PAC ID: 2769881531 Enrollment ID: I20210527000969 |
| Provider Name | James Forster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053993527 PECOS PAC ID: 9234538653 Enrollment ID: I20210604000217 |
| Provider Name | Nicole Dellaporta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164928941 PECOS PAC ID: 0840690095 Enrollment ID: I20210610000651 |
| Provider Name | Melinda Chen Chiu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194319301 PECOS PAC ID: 3072913151 Enrollment ID: I20210610002182 |
| Provider Name | Nicole Amanda Waxner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871110692 PECOS PAC ID: 1153722335 Enrollment ID: I20210624003423 |
| Provider Name | Darlene Carol Steigman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346807237 PECOS PAC ID: 3476954272 Enrollment ID: I20210630003751 |
| Provider Name | Lisle Duplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720689052 PECOS PAC ID: 8224430285 Enrollment ID: I20210713002813 |
| Provider Name | Jenica Rusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972184323 PECOS PAC ID: 6406259753 Enrollment ID: I20210723000778 |
| Provider Name | Rosemary Ritter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740859800 PECOS PAC ID: 8224432448 Enrollment ID: I20210811000221 |
| Provider Name | Jasmine Isaac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184142515 PECOS PAC ID: 3173882974 Enrollment ID: I20210902002232 |
| Provider Name | Jacqueline Aurora Marino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952075764 PECOS PAC ID: 9830595099 Enrollment ID: I20210914000643 |
| Provider Name | Olivia Pauline Einig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346913969 PECOS PAC ID: 1254738198 Enrollment ID: I20210921000520 |
| Provider Name | Stephanie Nauth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700415346 PECOS PAC ID: 2062819519 Enrollment ID: I20210925000048 |
| Provider Name | Annelise Slack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831868157 PECOS PAC ID: 4789082157 Enrollment ID: I20211015000768 |
| Provider Name | Sophia Tse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225608920 PECOS PAC ID: 8022407279 Enrollment ID: I20211110001043 |
| Provider Name | Jenna Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245800069 PECOS PAC ID: 1254720246 Enrollment ID: I20211112001189 |
| Provider Name | Shaun Patrick O'connell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912530916 PECOS PAC ID: 7810387115 Enrollment ID: I20211130002431 |
| Provider Name | Lauren Knocker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437788197 PECOS PAC ID: 5395135131 Enrollment ID: I20211209001214 |
| Provider Name | Jan Aisha James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255783015 PECOS PAC ID: 2961893219 Enrollment ID: I20211222000756 |
| Provider Name | Nicholas Manikis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811566631 PECOS PAC ID: 4981096591 Enrollment ID: I20220111001762 |
| Provider Name | Melba Paulose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578222972 PECOS PAC ID: 5294127478 Enrollment ID: I20220120000850 |
| Provider Name | Charisse Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902568454 PECOS PAC ID: 8426440587 Enrollment ID: I20220121001757 |
| Provider Name | Laurie a Scheuermann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720203276 PECOS PAC ID: 3274925367 Enrollment ID: I20220124000388 |
| Provider Name | Fraida Streiter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154099539 PECOS PAC ID: 6608268792 Enrollment ID: I20220124000519 |
| Provider Name | Erica Hartmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558931089 PECOS PAC ID: 9931591039 Enrollment ID: I20220124000667 |
| Provider Name | Michael Franics Kildare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205507837 PECOS PAC ID: 0143503136 Enrollment ID: I20220129000088 |
| Provider Name | Fazia Allihussain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437818192 PECOS PAC ID: 9638562440 Enrollment ID: I20220131000358 |
| Provider Name | Michael Corrado |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508538257 PECOS PAC ID: 7618360470 Enrollment ID: I20220131002472 |
| Provider Name | Daniel Herchenrader |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366059099 PECOS PAC ID: 5092108076 Enrollment ID: I20220216000362 |
| Provider Name | France Jasmin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053916619 PECOS PAC ID: 2668866948 Enrollment ID: I20220302002099 |
| Provider Name | Brianna Baldwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407436710 PECOS PAC ID: 1557755865 Enrollment ID: I20220303000198 |
| Provider Name | Winnie Deng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053064816 PECOS PAC ID: 6800281494 Enrollment ID: I20220317001302 |
| Provider Name | Darcy Mcredmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326614488 PECOS PAC ID: 4688069024 Enrollment ID: I20220321002437 |
| Provider Name | Alicia M Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104584622 PECOS PAC ID: 7012302144 Enrollment ID: I20220328000466 |
| Provider Name | Stephanie Guarin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528739554 PECOS PAC ID: 0547656936 Enrollment ID: I20220412001958 |
| Provider Name | Maureen Molin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346789906 PECOS PAC ID: 6406131309 Enrollment ID: I20220511002180 |
| Provider Name | Devyn Morin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932874443 PECOS PAC ID: 1456739002 Enrollment ID: I20220609002370 |
| Provider Name | Hooman Arya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396499828 PECOS PAC ID: 3476946328 Enrollment ID: I20220610000987 |
| Provider Name | Amy Vath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093350548 PECOS PAC ID: 4284013525 Enrollment ID: I20220616002664 |
| Provider Name | Paul Dillon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730848979 PECOS PAC ID: 0244619583 Enrollment ID: I20220616002845 |
| Provider Name | Allison Kornahrnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013660588 PECOS PAC ID: 5698154862 Enrollment ID: I20220617000977 |
| Provider Name | Emily Mongan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598420754 PECOS PAC ID: 7214316421 Enrollment ID: I20220617002116 |
| Provider Name | Ranvir Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487312617 PECOS PAC ID: 0749669885 Enrollment ID: I20220621002705 |
| Provider Name | Steven Mathew Gill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912640152 PECOS PAC ID: 2668852112 Enrollment ID: I20220630001761 |
| Provider Name | Richard Dalling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932865227 PECOS PAC ID: 3072993104 Enrollment ID: I20220707001968 |
| Provider Name | Kyoung Hee Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386396323 PECOS PAC ID: 9638551096 Enrollment ID: I20220801002724 |
| Provider Name | Edwin Koo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700538956 PECOS PAC ID: 6709260060 Enrollment ID: I20220906001003 |
| Provider Name | Michael Picchiello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881369395 PECOS PAC ID: 2860876125 Enrollment ID: I20220906001110 |
| Provider Name | Meaghan E Brennan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700538204 PECOS PAC ID: 9830573104 Enrollment ID: I20220906001236 |
| Provider Name | Martin Levy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457011462 PECOS PAC ID: 5294119491 Enrollment ID: I20220912000208 |
| Provider Name | Erin E Delaney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750021895 PECOS PAC ID: 0840676748 Enrollment ID: I20220929002586 |
| Provider Name | Antonella Vigliotti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750037602 PECOS PAC ID: 2264818160 Enrollment ID: I20220929002758 |
| Provider Name | Maria Angelica Sandoval |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023757788 PECOS PAC ID: 6507242401 Enrollment ID: I20220929002924 |
| Provider Name | Puja Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386212892 PECOS PAC ID: 1850777699 Enrollment ID: I20221003001798 |
| Provider Name | Brenna Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912667494 PECOS PAC ID: 7113303959 Enrollment ID: I20221003001827 |
| Provider Name | Yancey Mccoury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629702964 PECOS PAC ID: 3173909819 Enrollment ID: I20221003002009 |
| Provider Name | Matthew Pike |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164183380 PECOS PAC ID: 5799161444 Enrollment ID: I20221003002605 |
| Provider Name | Marianna Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689395477 PECOS PAC ID: 9032595574 Enrollment ID: I20221006000668 |
| Provider Name | Alyssa Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679240063 PECOS PAC ID: 7719363050 Enrollment ID: I20221010002793 |
| Provider Name | Peter Roth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619601028 PECOS PAC ID: 9830565191 Enrollment ID: I20221012001477 |
| Provider Name | Gaetano Innamorato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770229270 PECOS PAC ID: 9739555004 Enrollment ID: I20221012001965 |
| Provider Name | Joseph PA Singer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760118335 PECOS PAC ID: 0941676704 Enrollment ID: I20221019000970 |
| Provider Name | Kathleen M Spillane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366109712 PECOS PAC ID: 6800262247 Enrollment ID: I20221026001279 |
| Provider Name | Bindhu Pappachen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871137125 PECOS PAC ID: 8921476730 Enrollment ID: I20221129003002 |
| Provider Name | Jeraldine Giusto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518685999 PECOS PAC ID: 2961871520 Enrollment ID: I20221205000375 |
| Provider Name | Kerri Greenrose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023737350 PECOS PAC ID: 4284004540 Enrollment ID: I20221230001878 |
| Provider Name | Danielle Bari Reffsin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205563194 PECOS PAC ID: 5991175036 Enrollment ID: I20230105001434 |
| Provider Name | Sarah Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811638588 PECOS PAC ID: 8426428574 Enrollment ID: I20230105001966 |
| Provider Name | Daniel Renda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689391435 PECOS PAC ID: 9638549587 Enrollment ID: I20230110002163 |
| Provider Name | Joseph Fallacaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659945350 PECOS PAC ID: 1759751571 Enrollment ID: I20230111002877 |
| Provider Name | Tara Korwan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689395071 PECOS PAC ID: 7012387830 Enrollment ID: I20230111002924 |
| Provider Name | Jonathan Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841916137 PECOS PAC ID: 3072984707 Enrollment ID: I20230117002020 |
| Provider Name | Lisa Mohabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225759863 PECOS PAC ID: 6002287778 Enrollment ID: I20230118000457 |
| Provider Name | Shannon Walsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942934336 PECOS PAC ID: 0547631152 Enrollment ID: I20230118002108 |
| Provider Name | Haley a Ketcham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174280903 PECOS PAC ID: 1456722073 Enrollment ID: I20230118002558 |
| Provider Name | Casey Hasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639891641 PECOS PAC ID: 0648641720 Enrollment ID: I20230127002082 |
| Provider Name | Thomas Rodler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982356150 PECOS PAC ID: 7214308279 Enrollment ID: I20230130002150 |
| Provider Name | Danielle Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922722305 PECOS PAC ID: 6103297197 Enrollment ID: I20230131000919 |
| Provider Name | Alexandria Apuzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124795943 PECOS PAC ID: 6002288727 Enrollment ID: I20230207000194 |
| Provider Name | Gurdeep Lal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124775820 PECOS PAC ID: 0345612008 Enrollment ID: I20230207002167 |
| Provider Name | Brittany Lemire |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083341960 PECOS PAC ID: 2062884729 Enrollment ID: I20230207002222 |
| Provider Name | Daniela Winter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699491407 PECOS PAC ID: 3678945987 Enrollment ID: I20230215001301 |
| Provider Name | Joshua Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376268839 PECOS PAC ID: 1254704612 Enrollment ID: I20230306001037 |
| Provider Name | Andrew Mauro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629710496 PECOS PAC ID: 8325411671 Enrollment ID: I20230307001798 |
| Provider Name | Carlos La Cotera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720702830 PECOS PAC ID: 5991178279 Enrollment ID: I20230307003086 |
| Provider Name | Michael Cibelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285397182 PECOS PAC ID: 7113391541 Enrollment ID: I20230324002301 |
| Provider Name | Jacqueline Margareten |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760073811 PECOS PAC ID: 8123493574 Enrollment ID: I20230417002211 |
| Provider Name | Mark Szigeti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447965579 PECOS PAC ID: 9638534928 Enrollment ID: I20230419002727 |
| Provider Name | Deniz Asiker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154969293 PECOS PAC ID: 5193121424 Enrollment ID: I20230427000744 |
| Provider Name | Erica a Austen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679297212 PECOS PAC ID: 6901261346 Enrollment ID: I20230508001786 |
| Provider Name | Ramy George Geris Massoud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700586757 PECOS PAC ID: 1254797533 Enrollment ID: I20230510003099 |
| Provider Name | Kara Mockler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649974833 PECOS PAC ID: 2567828114 Enrollment ID: I20230524000383 |
| Provider Name | Yan Zhu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124724224 PECOS PAC ID: 0446617419 Enrollment ID: I20230606003258 |
| Provider Name | Shawna-lee Feanny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376795245 PECOS PAC ID: 0042677833 Enrollment ID: I20230609001805 |
| Provider Name | Kathryn Kohananoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306563762 PECOS PAC ID: 4587022884 Enrollment ID: I20230619001656 |
| Provider Name | Francesca Prudente |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396444253 PECOS PAC ID: 6901265917 Enrollment ID: I20230710001485 |
| Provider Name | Briana Meehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629739792 PECOS PAC ID: 7214397504 Enrollment ID: I20230718003262 |
| Provider Name | Holly Matrazzo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104521517 PECOS PAC ID: 4981065976 Enrollment ID: I20230808000367 |
| Provider Name | Kristen Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326741604 PECOS PAC ID: 8820459811 Enrollment ID: I20230808000715 |
| Provider Name | Peyton Rufo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497496343 PECOS PAC ID: 7810359890 Enrollment ID: I20230809000654 |
| Provider Name | Megan Yaeger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043920374 PECOS PAC ID: 8224490313 Enrollment ID: I20230822002272 |
| Provider Name | Mark C Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649959487 PECOS PAC ID: 3072977651 Enrollment ID: I20230914003896 |
| Provider Name | Brian Sheridan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619679180 PECOS PAC ID: 6103270236 Enrollment ID: I20230923000068 |
| Provider Name | Jennifer Ann Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922651231 PECOS PAC ID: 1951757715 Enrollment ID: I20231031000468 |
| Provider Name | William Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568155182 PECOS PAC ID: 0840646469 Enrollment ID: I20231102000103 |
| Provider Name | Antonella Termini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245919208 PECOS PAC ID: 1850747494 Enrollment ID: I20231102000863 |
| Provider Name | Brandon Parker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780363416 PECOS PAC ID: 1355798901 Enrollment ID: I20231103002209 |
| Provider Name | Janessa Vail |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720764665 PECOS PAC ID: 2062869589 Enrollment ID: I20231106001186 |
| Provider Name | Nicole Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629753975 PECOS PAC ID: 6002263530 Enrollment ID: I20231106001499 |
| Provider Name | Marissa Blaine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568248854 PECOS PAC ID: 1951759430 Enrollment ID: I20231212002575 |
| Provider Name | Michael Orlando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770355828 PECOS PAC ID: 8426408089 Enrollment ID: I20231221002746 |
| Provider Name | Alix Leger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356037873 PECOS PAC ID: 5991156648 Enrollment ID: I20240108003922 |
| Provider Name | Kaila M Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144904566 PECOS PAC ID: 2365893930 Enrollment ID: I20240108004655 |
| Provider Name | Corinne Beyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184102246 PECOS PAC ID: 2769833342 Enrollment ID: I20240108005268 |
| Provider Name | Nora Hartrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962275594 PECOS PAC ID: 8022452275 Enrollment ID: I20240215003958 |
| Provider Name | Leticia Nazaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619137452 PECOS PAC ID: 8628208089 Enrollment ID: I20240219000475 |
| Provider Name | Marta Turco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760168777 PECOS PAC ID: 1355785296 Enrollment ID: I20240219001691 |
| Provider Name | Sabrina Torchon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841907383 PECOS PAC ID: 9830533553 Enrollment ID: I20240221000492 |
| Provider Name | Ryan Bernhardt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164178547 PECOS PAC ID: 2163800723 Enrollment ID: I20240305000429 |
| Provider Name | Megan Noia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487415105 PECOS PAC ID: 6204273857 Enrollment ID: I20240319002413 |
| Provider Name | Jenna Frisolone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477175826 PECOS PAC ID: 3173999174 Enrollment ID: I20240319002651 |
| Provider Name | Jill Nagorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669009890 PECOS PAC ID: 3678910197 Enrollment ID: I20240320000864 |
| Provider Name | Emily Wichard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942935234 PECOS PAC ID: 2668819004 Enrollment ID: I20240321001658 |
| Provider Name | Karanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568087781 PECOS PAC ID: 2567809437 Enrollment ID: I20240327002257 |
| Provider Name | Jessica James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629856000 PECOS PAC ID: 5092153445 Enrollment ID: I20240403003787 |
| Provider Name | Gabriela Velez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740909233 PECOS PAC ID: 0244679546 Enrollment ID: I20240419001157 |
| Provider Name | Marie Roantree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306609060 PECOS PAC ID: 6800236704 Enrollment ID: I20240425001436 |
| Provider Name | Anisa Nayl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679049571 PECOS PAC ID: 4284096074 Enrollment ID: I20240425001680 |
| Provider Name | Melissa Mariconda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497523849 PECOS PAC ID: 0244670800 Enrollment ID: I20240430000507 |
| Provider Name | Amanda Formato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356814842 PECOS PAC ID: 5395175350 Enrollment ID: I20240430002807 |
| Provider Name | Jessica Soltan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154105955 PECOS PAC ID: 1153762794 Enrollment ID: I20240514000136 |
| Provider Name | Richard Menjivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841816303 PECOS PAC ID: 6002257540 Enrollment ID: I20240515000174 |
| Provider Name | Loy Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497164958 PECOS PAC ID: 9032550587 Enrollment ID: I20240515000454 |
| Provider Name | Madeleine Gaffney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407634454 PECOS PAC ID: 7416493432 Enrollment ID: I20240725002295 |
| Provider Name | Christiana Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245003391 PECOS PAC ID: 6709323819 Enrollment ID: I20240807002434 |
| Provider Name | Jessica Brutus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801634399 PECOS PAC ID: 3476094434 Enrollment ID: I20240918002810 |
| Provider Name | David Fraser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679311054 PECOS PAC ID: 0648711929 Enrollment ID: I20240926002448 |
| Provider Name | Noelle Harvey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629816202 PECOS PAC ID: 4688105935 Enrollment ID: I20240927000884 |
| Provider Name | Gina Guido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730919838 PECOS PAC ID: 2365976776 Enrollment ID: I20241107002493 |
| Provider Name | Samantha Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982435392 PECOS PAC ID: 8325572746 Enrollment ID: I20241107003160 |
| Provider Name | Erin Foley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215768411 PECOS PAC ID: 7214461649 Enrollment ID: I20241107003356 |
| Provider Name | Diana Duarte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568289015 PECOS PAC ID: 0840724803 Enrollment ID: I20241113002154 |
| Provider Name | Barbara Pepe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790527208 PECOS PAC ID: 5991231573 Enrollment ID: I20241205002585 |
| Provider Name | Jaclyn Romano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114630019 PECOS PAC ID: 9436670684 Enrollment ID: I20250305000671 |
| Provider Name | Melissa Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699513242 PECOS PAC ID: 3274054432 Enrollment ID: I20250305001078 |
| Provider Name | Kerri Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922831759 PECOS PAC ID: 2668997842 Enrollment ID: I20250421001493 |
| Provider Name | Lauren Montano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033946603 PECOS PAC ID: 6204351422 Enrollment ID: I20250421002436 |
| Provider Name | Jessica Raux |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871923524 PECOS PAC ID: 8921231911 Enrollment ID: I20250425001208 |
| Provider Name | Stephanie Goldfarb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568297190 PECOS PAC ID: 3779009345 Enrollment ID: I20250428000324 |
| Provider Name | Gabrielle Diprima |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083441422 PECOS PAC ID: 9032637178 Enrollment ID: I20250513001924 |
| Provider Name | Rose Core |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962236935 PECOS PAC ID: 3274044458 Enrollment ID: I20250616000529 |
| Provider Name | Habeebat Lawal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528399367 PECOS PAC ID: 9032620216 Enrollment ID: I20250616000665 |
| Provider Name | Kelly Kalamaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740061050 PECOS PAC ID: 3274046313 Enrollment ID: I20250701003228 |
| Provider Name | Dalia Eldeeb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881429140 PECOS PAC ID: 4183137037 Enrollment ID: I20250702003062 |
| Provider Name | Tyler Sutton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154033645 PECOS PAC ID: 5698288546 Enrollment ID: I20250702003184 |
| Provider Name | Hamza Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558199794 PECOS PAC ID: 4183139835 Enrollment ID: I20250714000245 |
| Provider Name | Anna Cronin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215765466 PECOS PAC ID: 4981119641 Enrollment ID: I20250714000340 |
| Provider Name | Amanda Koukos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619791605 PECOS PAC ID: 6800301565 Enrollment ID: I20250714000474 |
| Provider Name | Kristen Murray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144056649 PECOS PAC ID: 4385150846 Enrollment ID: I20250722001118 |
| Provider Name | Janice Wilson-miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477201192 PECOS PAC ID: 5698282903 Enrollment ID: I20250730001496 |
| Provider Name | Kelly Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225846728 PECOS PAC ID: 9133636467 Enrollment ID: I20250730001795 |
| Provider Name | Paul Venturi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740018258 PECOS PAC ID: 1951895804 Enrollment ID: I20251209002489 |
| Provider Name | Bella Coan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821894767 PECOS PAC ID: 6204320039 Enrollment ID: I20251210000315 |
| Provider Name | Kristen Carman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336985068 PECOS PAC ID: 8729572565 Enrollment ID: I20251210000686 |
| Provider Name | Eric Jiang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891524500 PECOS PAC ID: 2163916859 Enrollment ID: I20251210002257 |
| Provider Name | Kristen Dobkowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972319192 PECOS PAC ID: 6103311204 Enrollment ID: I20251216003448 |
| Provider Name | Michael Cresson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144751934 PECOS PAC ID: 8224523337 Enrollment ID: I20251216003872 |
| Provider Name | Brittany Klinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396515367 PECOS PAC ID: 2961997085 Enrollment ID: I20251216004167 |
| Provider Name | Ashley Witcomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750127841 PECOS PAC ID: 6709371198 Enrollment ID: I20251223002112 |
| Provider Name | Olivia E Mancilla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467842427 PECOS PAC ID: 7416377445 Enrollment ID: I20260307000104 |
| Provider Name | Brandon Wolfson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346111580 PECOS PAC ID: 9638651607 Enrollment ID: I20260307000140 |
| Provider Name | Andrew Deriggi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508681339 PECOS PAC ID: 8022584168 Enrollment ID: I20260416002751 |
| Provider Name | Elijah Saint Furcy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245110832 PECOS PAC ID: 8820564974 Enrollment ID: I20260416002951 |
| Provider Name | Kerrion Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811790926 PECOS PAC ID: 5193292571 Enrollment ID: I20260422002928 |
| Provider Name | Valeria Velez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053201343 PECOS PAC ID: 2365912847 Enrollment ID: I20260526002221 |
| Provider Name | Alfred Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487441754 PECOS PAC ID: 6204306509 Enrollment ID: I20260528001048 |
| Provider Name | Filip Konieczny |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831902006 PECOS PAC ID: 3274004080 Enrollment ID: I20260602003885 |
Onal Medical PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Montauk Hwy, Suite 2, West Islip, NY 11795 Phone: 631-482-8824 Fax: 631-482-8827 |
Sumeet K. Anand M.D., P.c Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Montauk Hwy, Suite 2-2, West Islip, NY 11795 Phone: 631-647-9100 Fax: 631-647-9099 |
Suffolk Internal Medicine Assoc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Montauk Hwy, Suite S, West Islip, NY 11795 Phone: 631-587-7733 |
Atlantic SC LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1145 Montauk Hwy, West Islip, NY 11795 Phone: 631-743-1145 |
Mitchell I. Weinstein, D.O., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 Montauk Hwy Ste 2, West Islip, NY 11795 Phone: 631-321-3840 Fax: 631-321-3842 |
Samaritan Pediatric Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 |