| St. Joseph's Healthcare, Inc. | |
|
703 Main St St. Joseph's Regional Medical Center Paterson NJ 07503-2621 | |
| (973) 754-2000 | |
| (973) 754-4574 |
| Full Name | St. Joseph's Healthcare, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 703 Main St, Paterson, New Jersey |
| Authorized Official Name and Position | Michael Alwell (CFO/ VP OF PHYSICIAN ENTERPRISE) |
| Authorized Official Contact | 9737542136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Joseph's Healthcare, Inc. 703 Main St St. Joseph's Regional Medical Center Paterson NJ 07503-2621 Ph: (973) 754-2000 | St. Joseph's Healthcare, Inc. 703 Main St St. Joseph's Regional Medical Center Paterson NJ 07503-2621 Ph: (973) 754-2000 |
| NPI Number | 1497791297 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 9739171984 |
|---|---|
| Medicare Enrollment ID | O20040330001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497791297 | NPI | - | NPPES |
| 3327809 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Colleen Fleischman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518939669 PECOS PAC ID: 9133023377 Enrollment ID: I20031120000481 |
| Provider Name | Joseph Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033117171 PECOS PAC ID: 5890697411 Enrollment ID: I20040123000788 |
| Provider Name | Michael P Esposito |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154390458 PECOS PAC ID: 4880587468 Enrollment ID: I20040206000237 |
| Provider Name | Mutahar Ahmed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760451827 PECOS PAC ID: 1456244045 Enrollment ID: I20040206000288 |
| Provider Name | Anthony R Forestine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609806645 PECOS PAC ID: 7517851462 Enrollment ID: I20040211000537 |
| Provider Name | Gennaro Rubino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194747725 PECOS PAC ID: 8123012101 Enrollment ID: I20040413000323 |
| Provider Name | Sam H Hessami |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831167162 PECOS PAC ID: 5890781645 Enrollment ID: I20040426000465 |
| Provider Name | Michael P Lewko |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730121799 PECOS PAC ID: 8628065398 Enrollment ID: I20040427000286 |
| Provider Name | Kevin J Mickey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538101662 PECOS PAC ID: 1355332081 Enrollment ID: I20040521000240 |
| Provider Name | William Debruin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457353757 PECOS PAC ID: 0749261089 Enrollment ID: I20040525000218 |
| Provider Name | Mohammad H Ramay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629024005 PECOS PAC ID: 7810979424 Enrollment ID: I20040607000139 |
| Provider Name | David I Goldberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669413324 PECOS PAC ID: 1759365695 Enrollment ID: I20040617000134 |
| Provider Name | Louis Arroyo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538114103 PECOS PAC ID: 0840274692 Enrollment ID: I20040617000915 |
| Provider Name | Robert G Lahita |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336275288 PECOS PAC ID: 6204813918 Enrollment ID: I20040701000138 |
| Provider Name | Alan J Sori |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790724342 PECOS PAC ID: 5193704237 Enrollment ID: I20040714000445 |
| Provider Name | Roger P Rossi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548281058 PECOS PAC ID: 4082524079 Enrollment ID: I20040804001105 |
| Provider Name | Joseph A Holahan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871534230 PECOS PAC ID: 8123092996 Enrollment ID: I20040826000019 |
| Provider Name | Roberto V Nachajon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518908268 PECOS PAC ID: 0345215992 Enrollment ID: I20040827000930 |
| Provider Name | Essam-eldin Ellabbad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679510143 PECOS PAC ID: 6800888223 Enrollment ID: I20040921000954 |
| Provider Name | Lan Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306828447 PECOS PAC ID: 1355301615 Enrollment ID: I20041012001161 |
| Provider Name | Manuel Moquete |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568564102 PECOS PAC ID: 4587575121 Enrollment ID: I20041019000793 |
| Provider Name | Slawomir M Kosinski |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184661597 PECOS PAC ID: 0749272177 Enrollment ID: I20041019000799 |
| Provider Name | Vincent A Graziano |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578554796 PECOS PAC ID: 7214848852 Enrollment ID: I20041019000845 |
| Provider Name | Yihong H Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629072046 PECOS PAC ID: 7911969746 Enrollment ID: I20041103000135 |
| Provider Name | Rafael R.v. Lucila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659318483 PECOS PAC ID: 3375509177 Enrollment ID: I20041206000208 |
| Provider Name | Otto Sabando |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821002817 PECOS PAC ID: 0941283634 Enrollment ID: I20050110000428 |
| Provider Name | Mahmoud M Eid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508968561 PECOS PAC ID: 6800844598 Enrollment ID: I20050111000755 |
| Provider Name | Jacques C Raymond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407855984 PECOS PAC ID: 4880645662 Enrollment ID: I20050209000578 |
| Provider Name | Manizheh Panah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780756049 PECOS PAC ID: 6507819786 Enrollment ID: I20050228000850 |
| Provider Name | Dimitris Zouzias |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366480527 PECOS PAC ID: 5395790174 Enrollment ID: I20050315000173 |
| Provider Name | Jill S Menell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831137876 PECOS PAC ID: 8123065646 Enrollment ID: I20050415000003 |
| Provider Name | Guity Fazelpoor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801829064 PECOS PAC ID: 5092757815 Enrollment ID: I20050523000656 |
| Provider Name | Bruce G Haffty |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033108782 PECOS PAC ID: 3476596545 Enrollment ID: I20050609000329 |
| Provider Name | Harold Altman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023061744 PECOS PAC ID: 9931145919 Enrollment ID: I20050629001053 |
| Provider Name | Fayez Shamoon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528053477 PECOS PAC ID: 1557307048 Enrollment ID: I20050706000929 |
| Provider Name | Laura R Bond |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407852726 PECOS PAC ID: 2668409038 Enrollment ID: I20050719000072 |
| Provider Name | Jose P Barba |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427072446 PECOS PAC ID: 0345277554 Enrollment ID: I20050720000020 |
| Provider Name | Stamatina Kaptain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124001110 PECOS PAC ID: 6800824194 Enrollment ID: I20050728000431 |
| Provider Name | Amy L Fisherman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811927288 PECOS PAC ID: 1759319650 Enrollment ID: I20050802000160 |
| Provider Name | Irina Tkach-chubay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598866550 PECOS PAC ID: 2163453853 Enrollment ID: I20050823000195 |
| Provider Name | Mourad M Ismail |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386686269 PECOS PAC ID: 3779516059 Enrollment ID: I20050916000733 |
| Provider Name | Andrew N De La Torre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184659823 PECOS PAC ID: 5395770275 Enrollment ID: I20050929000163 |
| Provider Name | Ilene S Matza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528005881 PECOS PAC ID: 1951335280 Enrollment ID: I20051004000276 |
| Provider Name | David P Bleeker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023195237 PECOS PAC ID: 8921024902 Enrollment ID: I20051019000338 |
| Provider Name | Khaled A Hassan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437197837 PECOS PAC ID: 6709805690 Enrollment ID: I20051121000836 |
| Provider Name | Marjory Ellen Langer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750378451 PECOS PAC ID: 9931129004 Enrollment ID: I20051205000159 |
| Provider Name | Elizabeth E Sonnenblick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770539876 PECOS PAC ID: 0042233959 Enrollment ID: I20060109000776 |
| Provider Name | Peggy S Eicher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184666885 PECOS PAC ID: 7719900414 Enrollment ID: I20060110000043 |
| Provider Name | Roger P Kierce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740216605 PECOS PAC ID: 0941224166 Enrollment ID: I20060114000008 |
| Provider Name | Derick J Christian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972594364 PECOS PAC ID: 2466467212 Enrollment ID: I20060215000227 |
| Provider Name | Priscilla D Kaszubski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174561781 PECOS PAC ID: 6103832563 Enrollment ID: I20060223000033 |
| Provider Name | Deepak V Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447288378 PECOS PAC ID: 0941216519 Enrollment ID: I20060307000006 |
| Provider Name | Ann M Scanlon-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609817899 PECOS PAC ID: 9032124391 Enrollment ID: I20060310000051 |
| Provider Name | Leah Kopelan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417915422 PECOS PAC ID: 9638066426 Enrollment ID: I20060320000308 |
| Provider Name | Viju Vijaysadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538110754 PECOS PAC ID: 8022029453 Enrollment ID: I20060519000085 |
| Provider Name | Mitaec Suh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508813353 PECOS PAC ID: 0446254965 Enrollment ID: I20060925000027 |
| Provider Name | Ali A Zahran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992782940 PECOS PAC ID: 1759395205 Enrollment ID: I20061002000409 |
| Provider Name | Evangelos Christodoulou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942232517 PECOS PAC ID: 8123122280 Enrollment ID: I20070329000126 |
| Provider Name | Silvio Podda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366564460 PECOS PAC ID: 9335248376 Enrollment ID: I20070615000549 |
| Provider Name | Gregory G Lovallo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467515775 PECOS PAC ID: 1850490814 Enrollment ID: I20070616000022 |
| Provider Name | Alexis C Bobila |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245213271 PECOS PAC ID: 6204937840 Enrollment ID: I20070726000005 |
| Provider Name | Heather M Russell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437230133 PECOS PAC ID: 8426149402 Enrollment ID: I20070806000252 |
| Provider Name | Laurie S Nahum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558361295 PECOS PAC ID: 8123112190 Enrollment ID: I20070921000042 |
| Provider Name | Essam A Ahmed |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710969886 PECOS PAC ID: 7517067754 Enrollment ID: I20071017000832 |
| Provider Name | Mamatha R Gadarla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124167879 PECOS PAC ID: 1052419686 Enrollment ID: I20071112000529 |
| Provider Name | Maria Simone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467523100 PECOS PAC ID: 9335237973 Enrollment ID: I20071115000566 |
| Provider Name | Karen M Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093836272 PECOS PAC ID: 7113015322 Enrollment ID: I20071121000122 |
| Provider Name | Carmen R Mallamaci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457314346 PECOS PAC ID: 6507955879 Enrollment ID: I20071210000396 |
| Provider Name | William A Gluckman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336225424 PECOS PAC ID: 1355421264 Enrollment ID: I20080104000387 |
| Provider Name | Bindu C Khanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427004472 PECOS PAC ID: 2264515808 Enrollment ID: I20080206000095 |
| Provider Name | Yuliya Dementyeva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811192255 PECOS PAC ID: 4385728682 Enrollment ID: I20080226000273 |
| Provider Name | Michael Maroules |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134221062 PECOS PAC ID: 2062590540 Enrollment ID: I20080424000102 |
| Provider Name | Nieves Cuervo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669657508 PECOS PAC ID: 2062590367 Enrollment ID: I20080428000472 |
| Provider Name | Narmer F Galeano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528003985 PECOS PAC ID: 1951489251 Enrollment ID: I20080428000481 |
| Provider Name | Marcia Ribalta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588611719 PECOS PAC ID: 7911077318 Enrollment ID: I20080528000163 |
| Provider Name | Peter Tah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548254428 PECOS PAC ID: 6608947965 Enrollment ID: I20080616000029 |
| Provider Name | Kristy L Ziontz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629235502 PECOS PAC ID: 0345311528 Enrollment ID: I20080616000343 |
| Provider Name | Peter G Mcgovern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770674004 PECOS PAC ID: 9739144379 Enrollment ID: I20080620000057 |
| Provider Name | Jerome I Barr |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396914867 PECOS PAC ID: 4880767102 Enrollment ID: I20080721000280 |
| Provider Name | James P Leu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841453677 PECOS PAC ID: 3870667942 Enrollment ID: I20080807000303 |
| Provider Name | Michael Gorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326138728 PECOS PAC ID: 1052399615 Enrollment ID: I20080903000251 |
| Provider Name | Andrew N Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508030610 PECOS PAC ID: 7911074075 Enrollment ID: I20080916000380 |
| Provider Name | Stacey A Barnes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871765073 PECOS PAC ID: 2466529524 Enrollment ID: I20080916000383 |
| Provider Name | Alyce M Thomas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699958116 PECOS PAC ID: 6507926334 Enrollment ID: I20081124000177 |
| Provider Name | Amer Akmal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164405510 PECOS PAC ID: 1153420625 Enrollment ID: I20090107000264 |
| Provider Name | Satish R Tiyyagura |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1457501363 PECOS PAC ID: 9537223847 Enrollment ID: I20090202000340 |
| Provider Name | Maliha Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902067952 PECOS PAC ID: 8022174176 Enrollment ID: I20090226000010 |
| Provider Name | Ketaki Vaidhyanathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992904445 PECOS PAC ID: 0446309645 Enrollment ID: I20090519000058 |
| Provider Name | Helen E Amadasu Kest |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508803420 PECOS PAC ID: 6002843414 Enrollment ID: I20090528000552 |
| Provider Name | Karen Ann Keaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639258908 PECOS PAC ID: 3476602145 Enrollment ID: I20090529000217 |
| Provider Name | Steven Wayne Talbot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710183751 PECOS PAC ID: 2567512833 Enrollment ID: I20090611000210 |
| Provider Name | Marc A Bornstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245308576 PECOS PAC ID: 8426102005 Enrollment ID: I20090817000307 |
| Provider Name | Harvey Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932193521 PECOS PAC ID: 6305996547 Enrollment ID: I20090825000481 |
| Provider Name | Sourav Sen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417167693 PECOS PAC ID: 4284780537 Enrollment ID: I20090929000066 |
| Provider Name | Brian T Day |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164622270 PECOS PAC ID: 1951447796 Enrollment ID: I20091007000679 |
| Provider Name | Aleksandar Micevski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114172731 PECOS PAC ID: 5597801225 Enrollment ID: I20091009000007 |
| Provider Name | Christopher Simotas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932351137 PECOS PAC ID: 7214076660 Enrollment ID: I20091125000198 |
| Provider Name | Dov Gorshein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396897732 PECOS PAC ID: 9032259064 Enrollment ID: I20091222000572 |
| Provider Name | Erica R Schiffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013041631 PECOS PAC ID: 5597890996 Enrollment ID: I20100323000777 |
| Provider Name | Ciro G Randazzo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114116464 PECOS PAC ID: 7416009022 Enrollment ID: I20100430000304 |
| Provider Name | Jahir C Sama |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1063484996 PECOS PAC ID: 1658409362 Enrollment ID: I20100517000310 |
| Provider Name | Roberto A Solis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376650754 PECOS PAC ID: 9739219205 Enrollment ID: I20100609000709 |
| Provider Name | Samya Bayan Shafi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992813398 PECOS PAC ID: 3678604618 Enrollment ID: I20100708000407 |
| Provider Name | Juan Riestra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841255320 PECOS PAC ID: 9234263625 Enrollment ID: I20100820000622 |
| Provider Name | Mary A. Bonilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316999154 PECOS PAC ID: 1456544865 Enrollment ID: I20101018001229 |
| Provider Name | Michael Lange |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477591196 PECOS PAC ID: 9133313679 Enrollment ID: I20101028001427 |
| Provider Name | Mahesh Bikkina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205856002 PECOS PAC ID: 4981690336 Enrollment ID: I20101103000360 |
| Provider Name | Swati Jai Parekh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427087725 PECOS PAC ID: 8123213642 Enrollment ID: I20101110000638 |
| Provider Name | Rinet P Fernandes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104036680 PECOS PAC ID: 9638364706 Enrollment ID: I20101115000832 |
| Provider Name | Jianfeng Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295972735 PECOS PAC ID: 3274686753 Enrollment ID: I20110110000171 |
| Provider Name | Muhammad Anees Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295762516 PECOS PAC ID: 2769671304 Enrollment ID: I20110119001057 |
| Provider Name | Roberto Jodorkovsky |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457391880 PECOS PAC ID: 9032255096 Enrollment ID: I20110121001035 |
| Provider Name | Anand K Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912964875 PECOS PAC ID: 1759562911 Enrollment ID: I20110221000764 |
| Provider Name | Munzer M Arnouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841271939 PECOS PAC ID: 7214923564 Enrollment ID: I20110224000167 |
| Provider Name | Michael Ernest Fusaro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154407500 PECOS PAC ID: 1759567951 Enrollment ID: I20110524000823 |
| Provider Name | Dorothy Ozurumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962609909 PECOS PAC ID: 6103004114 Enrollment ID: I20110622000197 |
| Provider Name | Claudia Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023205135 PECOS PAC ID: 9931387529 Enrollment ID: I20110630000200 |
| Provider Name | Ali E Elsayed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871702977 PECOS PAC ID: 7113196585 Enrollment ID: I20110802000255 |
| Provider Name | Irmute Usiene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588862221 PECOS PAC ID: 1557530870 Enrollment ID: I20110803000053 |
| Provider Name | Cheryl B Panem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215972476 PECOS PAC ID: 8022031350 Enrollment ID: I20110906000231 |
| Provider Name | Keith A Christiansen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679724694 PECOS PAC ID: 5395917488 Enrollment ID: I20111014000203 |
| Provider Name | Carlos G Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376879031 PECOS PAC ID: 5890824429 Enrollment ID: I20111111000101 |
| Provider Name | Hartaj S Virk |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568626877 PECOS PAC ID: 0941474498 Enrollment ID: I20111117000604 |
| Provider Name | Walid J Baddoura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043253578 PECOS PAC ID: 5597930982 Enrollment ID: I20111214000033 |
| Provider Name | Robert V Madlinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023180544 PECOS PAC ID: 9335229145 Enrollment ID: I20120126000261 |
| Provider Name | Linda B Goldenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184846826 PECOS PAC ID: 5890952014 Enrollment ID: I20120131000270 |
| Provider Name | Sherry Yang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225076961 PECOS PAC ID: 7416052790 Enrollment ID: I20120215000594 |
| Provider Name | Daniel J Cerbone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073560520 PECOS PAC ID: 6608800701 Enrollment ID: I20120227000460 |
| Provider Name | Sanju Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003147976 PECOS PAC ID: 6800056862 Enrollment ID: I20120328000764 |
| Provider Name | Melissa H Warta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083660278 PECOS PAC ID: 0244490019 Enrollment ID: I20120402000517 |
| Provider Name | James Labagnara |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811934714 PECOS PAC ID: 3779646062 Enrollment ID: I20120625000095 |
| Provider Name | Robert R Tirado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558514836 PECOS PAC ID: 6002072113 Enrollment ID: I20120718000066 |
| Provider Name | Miguel A Carreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295023489 PECOS PAC ID: 9335396373 Enrollment ID: I20120828000103 |
| Provider Name | Thomas Christiano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487805800 PECOS PAC ID: 4789861444 Enrollment ID: I20120917000070 |
| Provider Name | Rehma Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992961502 PECOS PAC ID: 6406005735 Enrollment ID: I20121002000532 |
| Provider Name | Osama A Elsawy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962732115 PECOS PAC ID: 4981868874 Enrollment ID: I20121003000407 |
| Provider Name | Sook K Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538320536 PECOS PAC ID: 7012167778 Enrollment ID: I20121016000208 |
| Provider Name | Peter Balazs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891948303 PECOS PAC ID: 6800046772 Enrollment ID: I20121031000102 |
| Provider Name | Marianna Karounos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831356336 PECOS PAC ID: 9234317629 Enrollment ID: I20121220000331 |
| Provider Name | Michelle L Thorpe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956843 PECOS PAC ID: 4082868005 Enrollment ID: I20130129000080 |
| Provider Name | Mark A Ingram |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710040621 PECOS PAC ID: 7012994296 Enrollment ID: I20130219000184 |
| Provider Name | Adam H Hamawy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205015617 PECOS PAC ID: 1052589116 Enrollment ID: I20130312000444 |
| Provider Name | Carla M Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528296589 PECOS PAC ID: 7911142344 Enrollment ID: I20130405000336 |
| Provider Name | Marjory Desulme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821348764 PECOS PAC ID: 9234375767 Enrollment ID: I20130429000281 |
| Provider Name | Richard B Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205183993 PECOS PAC ID: 8921245424 Enrollment ID: I20130430000376 |
| Provider Name | Basilisa Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790023570 PECOS PAC ID: 4183861255 Enrollment ID: I20130508000545 |
| Provider Name | David L Principe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417985391 PECOS PAC ID: 8123265808 Enrollment ID: I20130517000006 |
| Provider Name | Kristine I Mascarinas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427288109 PECOS PAC ID: 1355581513 Enrollment ID: I20130711000263 |
| Provider Name | Nadra A Moulayes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821226242 PECOS PAC ID: 1951544659 Enrollment ID: I20130828000532 |
| Provider Name | Meetkumar T Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164680500 PECOS PAC ID: 0345428124 Enrollment ID: I20130910000750 |
| Provider Name | Gohar Petrosyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366753493 PECOS PAC ID: 8527293679 Enrollment ID: I20131028001090 |
| Provider Name | Oriana E Cornett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487977591 PECOS PAC ID: 0143457648 Enrollment ID: I20131207000011 |
| Provider Name | Punita Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073709457 PECOS PAC ID: 0042447583 Enrollment ID: I20131209000676 |
| Provider Name | Jeffrey J Kinyon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326268871 PECOS PAC ID: 3870676521 Enrollment ID: I20131223000944 |
| Provider Name | Swosty Tuladhar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437593035 PECOS PAC ID: 8022246461 Enrollment ID: I20140110001261 |
| Provider Name | Robert M Laurente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841502937 PECOS PAC ID: 4183852353 Enrollment ID: I20140115000361 |
| Provider Name | Kristen L Luttenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285060814 PECOS PAC ID: 7012145105 Enrollment ID: I20140117000727 |
| Provider Name | Beth Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710146865 PECOS PAC ID: 8022161835 Enrollment ID: I20140207000454 |
| Provider Name | Mokhtar El Deeb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780917989 PECOS PAC ID: 2264663285 Enrollment ID: I20140314001448 |
| Provider Name | Cynthia Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427397546 PECOS PAC ID: 9133350861 Enrollment ID: I20140324000151 |
| Provider Name | Robin Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437490059 PECOS PAC ID: 6507097086 Enrollment ID: I20140326001216 |
| Provider Name | Maria C Turizo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083836944 PECOS PAC ID: 0547492191 Enrollment ID: I20140414000041 |
| Provider Name | Salini K Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588092019 PECOS PAC ID: 1850514027 Enrollment ID: I20140516000885 |
| Provider Name | Samara Khatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366754152 PECOS PAC ID: 5193950210 Enrollment ID: I20140527001502 |
| Provider Name | Jennifer Patuto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518996784 PECOS PAC ID: 2264697655 Enrollment ID: I20140618001354 |
| Provider Name | Debra Cari Katz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376532457 PECOS PAC ID: 1850367467 Enrollment ID: I20140620000224 |
| Provider Name | Eric J Hwang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922312289 PECOS PAC ID: 2365667300 Enrollment ID: I20140707000772 |
| Provider Name | Dorothy M Stansfield-panzera |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285679613 PECOS PAC ID: 6901022821 Enrollment ID: I20140729001538 |
| Provider Name | Alissa R Kahn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598924011 PECOS PAC ID: 2860619269 Enrollment ID: I20140808000145 |
| Provider Name | Sari Breuer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649433830 PECOS PAC ID: 9537386859 Enrollment ID: I20140811001758 |
| Provider Name | Tarek Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114125234 PECOS PAC ID: 2466506472 Enrollment ID: I20140825002350 |
| Provider Name | Helen M Baluyot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164425625 PECOS PAC ID: 6800014846 Enrollment ID: I20140904000784 |
| Provider Name | Deniece T Boothe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881824548 PECOS PAC ID: 9234363243 Enrollment ID: I20140924001974 |
| Provider Name | Dennis Vega |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750571253 PECOS PAC ID: 2860660693 Enrollment ID: I20140929001089 |
| Provider Name | Alicia R Notkin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346428950 PECOS PAC ID: 8628142353 Enrollment ID: I20140930002372 |
| Provider Name | Katerina K Harwood |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861563249 PECOS PAC ID: 2961622261 Enrollment ID: I20141009000497 |
| Provider Name | Heather Marretta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851791545 PECOS PAC ID: 0345461125 Enrollment ID: I20141020001670 |
| Provider Name | Vibu K Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316340979 PECOS PAC ID: 8325269954 Enrollment ID: I20141024000998 |
| Provider Name | Monalisa Joseph |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578849345 PECOS PAC ID: 7911129879 Enrollment ID: I20141107001402 |
| Provider Name | Maria T Rivera-penera |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184671596 PECOS PAC ID: 3577599455 Enrollment ID: I20141120000966 |
| Provider Name | Kim A Luciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740284496 PECOS PAC ID: 1850613076 Enrollment ID: I20141125001203 |
| Provider Name | Mini Willphine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235538950 PECOS PAC ID: 9638491863 Enrollment ID: I20141125001406 |
| Provider Name | Shideh Doroudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427452465 PECOS PAC ID: 1153644109 Enrollment ID: I20141223000604 |
| Provider Name | Eileen J Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679983324 PECOS PAC ID: 9234452285 Enrollment ID: I20141223000624 |
| Provider Name | Heather Truchelut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912275504 PECOS PAC ID: 6103149000 Enrollment ID: I20141230000388 |
| Provider Name | Andi Qipo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164768461 PECOS PAC ID: 4789908286 Enrollment ID: I20150109000866 |
| Provider Name | Angela L Gunn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780641514 PECOS PAC ID: 4789909250 Enrollment ID: I20150205000358 |
| Provider Name | Mehandar Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790082550 PECOS PAC ID: 0941442560 Enrollment ID: I20150223001312 |
| Provider Name | Michael Silverberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417086729 PECOS PAC ID: 3971751926 Enrollment ID: I20150316001658 |
| Provider Name | Megan Wannamaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750643557 PECOS PAC ID: 7517284292 Enrollment ID: I20150317001188 |
| Provider Name | Jaya L Srinivasan-mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962648832 PECOS PAC ID: 3870810021 Enrollment ID: I20150326001808 |
| Provider Name | Megan E Kaminskyj |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982991618 PECOS PAC ID: 1850619719 Enrollment ID: I20150406001697 |
| Provider Name | Sandra Gibiezaite |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255651873 PECOS PAC ID: 8426205121 Enrollment ID: I20150511001680 |
| Provider Name | Neil Panchal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467710756 PECOS PAC ID: 2668792441 Enrollment ID: I20150519000542 |
| Provider Name | Jin S Suh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649299975 PECOS PAC ID: 7214989847 Enrollment ID: I20150608001355 |
| Provider Name | Toghrul Talishinskiy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386888477 PECOS PAC ID: 4183937998 Enrollment ID: I20150723007168 |
| Provider Name | Stephan Dorkhom |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578872776 PECOS PAC ID: 1052505237 Enrollment ID: I20150728005461 |
| Provider Name | Patrick Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235426263 PECOS PAC ID: 9335453695 Enrollment ID: I20150730011282 |
| Provider Name | Mukundha B Maneyapanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578827721 PECOS PAC ID: 2264747922 Enrollment ID: I20150811003866 |
| Provider Name | Maria Vasena Marengo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417201021 PECOS PAC ID: 2163737776 Enrollment ID: I20150811005698 |
| Provider Name | Hayde Bolanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588059711 PECOS PAC ID: 3476868860 Enrollment ID: I20150813011280 |
| Provider Name | Catherine Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992199434 PECOS PAC ID: 8921313339 Enrollment ID: I20150813011874 |
| Provider Name | Rajapriya Manickam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285938431 PECOS PAC ID: 1254501208 Enrollment ID: I20150814013231 |
| Provider Name | Susan Cronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881842730 PECOS PAC ID: 2365503141 Enrollment ID: I20150824001199 |
| Provider Name | Jacqueline Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578721999 PECOS PAC ID: 0143373456 Enrollment ID: I20150903002854 |
| Provider Name | Pamela Mukhatiyar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336301977 PECOS PAC ID: 1153589718 Enrollment ID: I20150904000753 |
| Provider Name | Jacob Mathew |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407160187 PECOS PAC ID: 5193032092 Enrollment ID: I20150909002085 |
| Provider Name | Anthony J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790048254 PECOS PAC ID: 9335456565 Enrollment ID: I20150921000285 |
| Provider Name | Dianelys Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407103500 PECOS PAC ID: 6406164326 Enrollment ID: I20150925002486 |
| Provider Name | Anish Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891012332 PECOS PAC ID: 5496902587 Enrollment ID: I20150930002818 |
| Provider Name | Purna Bindu Nandigam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457619421 PECOS PAC ID: 0749598951 Enrollment ID: I20151007001470 |
| Provider Name | Tia Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871997833 PECOS PAC ID: 3577872431 Enrollment ID: I20151016001031 |
| Provider Name | Maria Montalvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568864270 PECOS PAC ID: 9032428644 Enrollment ID: I20151022000563 |
| Provider Name | Lindsey A Tillack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285947911 PECOS PAC ID: 4587807052 Enrollment ID: I20151030001450 |
| Provider Name | Linda M Bowersox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215118773 PECOS PAC ID: 8628216355 Enrollment ID: I20151207001348 |
| Provider Name | Ruth L Lamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972624302 PECOS PAC ID: 3274726583 Enrollment ID: I20160126000076 |
| Provider Name | Michael Blechner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437485174 PECOS PAC ID: 3274837752 Enrollment ID: I20160203000825 |
| Provider Name | Nabil Siddiqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982996484 PECOS PAC ID: 1658684592 Enrollment ID: I20160211001240 |
| Provider Name | Hae Ok Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881068435 PECOS PAC ID: 2961707435 Enrollment ID: I20160222000156 |
| Provider Name | Nava Bak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073732103 PECOS PAC ID: 8628179785 Enrollment ID: I20160321000243 |
| Provider Name | Jordan M Yakoby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364375 PECOS PAC ID: 4587961834 Enrollment ID: I20160331000861 |
| Provider Name | Maria L Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821482639 PECOS PAC ID: 2264721984 Enrollment ID: I20160519002214 |
| Provider Name | Ryan C Mccloskey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467715417 PECOS PAC ID: 6204126972 Enrollment ID: I20160608001658 |
| Provider Name | Nirmal Trivedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841697109 PECOS PAC ID: 9335430263 Enrollment ID: I20160623000096 |
| Provider Name | Nicole M Conroy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508182452 PECOS PAC ID: 6406147305 Enrollment ID: I20160623002285 |
| Provider Name | Carlos Alberto Rueda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366490195 PECOS PAC ID: 6103807607 Enrollment ID: I20160701000920 |
| Provider Name | Jeffrey M Kornitzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932499266 PECOS PAC ID: 8628362720 Enrollment ID: I20160812000849 |
| Provider Name | Tawfiq J Karadsheh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629487707 PECOS PAC ID: 7113213695 Enrollment ID: I20160909000095 |
| Provider Name | Indrani Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275899015 PECOS PAC ID: 0941438444 Enrollment ID: I20161007001344 |
| Provider Name | Shahreen R Panarotto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184970139 PECOS PAC ID: 1254629991 Enrollment ID: I20161012000334 |
| Provider Name | Lara Hathout |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588005904 PECOS PAC ID: 2668760315 Enrollment ID: I20161012000859 |
| Provider Name | Qizhi Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760823355 PECOS PAC ID: 2062790348 Enrollment ID: I20161021000814 |
| Provider Name | Paul Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265879167 PECOS PAC ID: 8820376395 Enrollment ID: I20161103001810 |
| Provider Name | Mzingaye Moyo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093027245 PECOS PAC ID: 2062641467 Enrollment ID: I20161110000899 |
| Provider Name | Stefanie Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821320946 PECOS PAC ID: 1052690294 Enrollment ID: I20161111000095 |
| Provider Name | Desiree Ferrandiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669836334 PECOS PAC ID: 5799064804 Enrollment ID: I20161114000701 |
| Provider Name | Muhammad Siddiqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669549309 PECOS PAC ID: 9830478742 Enrollment ID: I20161117000691 |
| Provider Name | Basil S Taha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942667621 PECOS PAC ID: 5193004935 Enrollment ID: I20161117002333 |
| Provider Name | Mohammad Anisur Rahman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770591455 PECOS PAC ID: 3779539283 Enrollment ID: I20161122001836 |
| Provider Name | Anthony Oduje Isedeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445539 PECOS PAC ID: 2567688922 Enrollment ID: I20161128001366 |
| Provider Name | Michael R Agnelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548503451 PECOS PAC ID: 4082994843 Enrollment ID: I20161213001980 |
| Provider Name | Joanna Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740634252 PECOS PAC ID: 8325328073 Enrollment ID: I20161215000324 |
| Provider Name | Zakia Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982973731 PECOS PAC ID: 6800017500 Enrollment ID: I20161219000049 |
| Provider Name | Mohamad S Khalil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508263377 PECOS PAC ID: 6800176488 Enrollment ID: I20161219000827 |
| Provider Name | Benjamin H Rebein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265743967 PECOS PAC ID: 2264714658 Enrollment ID: I20170119001419 |
| Provider Name | Dina Galaktionova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316364144 PECOS PAC ID: 9133402720 Enrollment ID: I20170206000630 |
| Provider Name | Juan D Pedraza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093901050 PECOS PAC ID: 6901068279 Enrollment ID: I20170210001404 |
| Provider Name | Jennifer M Taylor |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1760838148 PECOS PAC ID: 2769766377 Enrollment ID: I20170227002157 |
| Provider Name | Michele Bergamotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598200545 PECOS PAC ID: 0648557652 Enrollment ID: I20170501000068 |
| Provider Name | Therese E Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497291504 PECOS PAC ID: 2961779988 Enrollment ID: I20170523002237 |
| Provider Name | Mary Donna Cruz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922305952 PECOS PAC ID: 5092973750 Enrollment ID: I20170609000571 |
| Provider Name | Nadia R Hamdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073063368 PECOS PAC ID: 1254609217 Enrollment ID: I20170615000131 |
| Provider Name | Nisha Ohri |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902164288 PECOS PAC ID: 4284907981 Enrollment ID: I20170831000605 |
| Provider Name | Ronald D Ennis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780668400 PECOS PAC ID: 5597714949 Enrollment ID: I20170908001615 |
| Provider Name | Olubunmi Adeoye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588935548 PECOS PAC ID: 8224286356 Enrollment ID: I20170914003217 |
| Provider Name | Elizabeth Kiselak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912296195 PECOS PAC ID: 3779857446 Enrollment ID: I20170919001417 |
| Provider Name | Lesli S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992178883 PECOS PAC ID: 6709150196 Enrollment ID: I20170925000310 |
| Provider Name | Mario C Colletti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043449671 PECOS PAC ID: 3678723012 Enrollment ID: I20171003006841 |
| Provider Name | Scott R Wessner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972899607 PECOS PAC ID: 7618242058 Enrollment ID: I20171010003558 |
| Provider Name | Sami Abdulmassih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760777270 PECOS PAC ID: 9436424876 Enrollment ID: I20171010003570 |
| Provider Name | William C Woolbright |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407155161 PECOS PAC ID: 0941576250 Enrollment ID: I20171031002345 |
| Provider Name | Cassandra Isca Val |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174064349 PECOS PAC ID: 4981972288 Enrollment ID: I20171108001854 |
| Provider Name | Franz Yanagawa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851619084 PECOS PAC ID: 9335360015 Enrollment ID: I20171110001526 |
| Provider Name | Moh'd Hazem K Azzam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902185135 PECOS PAC ID: 4284805433 Enrollment ID: I20171227002221 |
| Provider Name | Joseph J Bove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972943652 PECOS PAC ID: 3173881893 Enrollment ID: I20171228002697 |
| Provider Name | Adam C Kenney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083956114 PECOS PAC ID: 0446518187 Enrollment ID: I20171229000813 |
| Provider Name | Shivani Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760761159 PECOS PAC ID: 3678834165 Enrollment ID: I20180226000356 |
| Provider Name | Sandra M Kellum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669881397 PECOS PAC ID: 5991066342 Enrollment ID: I20180227000425 |
| Provider Name | Nilka Y Figueroa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497083091 PECOS PAC ID: 5496903403 Enrollment ID: I20180313000421 |
| Provider Name | Bishoy F Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538507389 PECOS PAC ID: 6103189808 Enrollment ID: I20180411000513 |
| Provider Name | Maryann Maximos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942405659 PECOS PAC ID: 0941436661 Enrollment ID: I20180504002015 |
| Provider Name | Meredith M Brandon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902172265 PECOS PAC ID: 7012271588 Enrollment ID: I20180509000790 |
| Provider Name | Catherine M Lubliner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952053 PECOS PAC ID: 3476818485 Enrollment ID: I20180522001961 |
| Provider Name | Debra L Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235411968 PECOS PAC ID: 9739434606 Enrollment ID: I20180618000533 |
| Provider Name | Bing Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306238100 PECOS PAC ID: 7214282755 Enrollment ID: I20180625000811 |
| Provider Name | Judith Bonjour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769348 PECOS PAC ID: 3577818947 Enrollment ID: I20180626002975 |
| Provider Name | Christine Leroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538542949 PECOS PAC ID: 1254687700 Enrollment ID: I20180713000506 |
| Provider Name | Marybeth Cunniff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366950446 PECOS PAC ID: 9638428378 Enrollment ID: I20180814001912 |
| Provider Name | Kristen Pena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164806097 PECOS PAC ID: 2163772872 Enrollment ID: I20180830000097 |
| Provider Name | Chirag Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093196206 PECOS PAC ID: 9234480963 Enrollment ID: I20180919003246 |
| Provider Name | Abir Rahman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043620040 PECOS PAC ID: 4385946193 Enrollment ID: I20180927001710 |
| Provider Name | Zainab Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275883456 PECOS PAC ID: 9234480229 Enrollment ID: I20181002001293 |
| Provider Name | Gautam Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356728869 PECOS PAC ID: 8921359654 Enrollment ID: I20181004002186 |
| Provider Name | John M Danks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023308772 PECOS PAC ID: 4981957594 Enrollment ID: I20181030000180 |
| Provider Name | Alice Chu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346416997 PECOS PAC ID: 2567530926 Enrollment ID: I20181114003040 |
| Provider Name | Moayyad R Alziadat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699182717 PECOS PAC ID: 6406100742 Enrollment ID: I20181126002917 |
| Provider Name | Tri Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578058749 PECOS PAC ID: 5294089561 Enrollment ID: I20181127000155 |
| Provider Name | Ryan J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235667858 PECOS PAC ID: 7618235128 Enrollment ID: I20181129001135 |
| Provider Name | Luis Cerda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780944702 PECOS PAC ID: 5799021002 Enrollment ID: I20190108001276 |
| Provider Name | Caroline Szpalski |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114379864 PECOS PAC ID: 5799021606 Enrollment ID: I20190115000668 |
| Provider Name | Shivanck Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376815647 PECOS PAC ID: 6002037371 Enrollment ID: I20190131000075 |
| Provider Name | Matthew Ostroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982131405 PECOS PAC ID: 9436497674 Enrollment ID: I20190213000512 |
| Provider Name | Edwin Cabassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841225026 PECOS PAC ID: 5496940033 Enrollment ID: I20190307001553 |
| Provider Name | Nicole M Marshall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932228855 PECOS PAC ID: 4981943941 Enrollment ID: I20190308002046 |
| Provider Name | Miguel Angel Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033689526 PECOS PAC ID: 2668712506 Enrollment ID: I20190313000038 |
| Provider Name | Marianne E Cavanaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821568817 PECOS PAC ID: 3375885361 Enrollment ID: I20190423000834 |
| Provider Name | Maria Alvarez-ballway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750508149 PECOS PAC ID: 9638411648 Enrollment ID: I20190423001259 |
| Provider Name | Emilia M Wawszczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700249703 PECOS PAC ID: 5597007294 Enrollment ID: I20190430000129 |
| Provider Name | Haris A Kalatoudis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144587502 PECOS PAC ID: 0941510739 Enrollment ID: I20190502002173 |
| Provider Name | Jideofor F Aniukwu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063728947 PECOS PAC ID: 0345543302 Enrollment ID: I20190503000434 |
| Provider Name | Anthony Doss |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750775987 PECOS PAC ID: 0941542310 Enrollment ID: I20190506000066 |
| Provider Name | Christine Karounos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407312002 PECOS PAC ID: 9032452370 Enrollment ID: I20190530000356 |
| Provider Name | Amy Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477964393 PECOS PAC ID: 0840523692 Enrollment ID: I20190610002022 |
| Provider Name | Zaib Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255711875 PECOS PAC ID: 2769716596 Enrollment ID: I20190627000787 |
| Provider Name | Tobi Ogundare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376906222 PECOS PAC ID: 3678809597 Enrollment ID: I20190730001436 |
| Provider Name | Lani B Mendelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356721195 PECOS PAC ID: 1254667058 Enrollment ID: I20190801000312 |
| Provider Name | Nawar Al Obaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437511219 PECOS PAC ID: 6608103270 Enrollment ID: I20190806002075 |
| Provider Name | Kelly E Edebiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386007581 PECOS PAC ID: 6103153663 Enrollment ID: I20190807001886 |
| Provider Name | Irving Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306226139 PECOS PAC ID: 2365779766 Enrollment ID: I20190807003768 |
| Provider Name | Konstantinos Leou |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306269493 PECOS PAC ID: 1658617857 Enrollment ID: I20190812000967 |
| Provider Name | Paige Meredith Silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003052929 PECOS PAC ID: 6002143096 Enrollment ID: I20190814001352 |
| Provider Name | Christen Caloway |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134562143 PECOS PAC ID: 7416259148 Enrollment ID: I20190815000036 |
| Provider Name | Reshma Paresh Maniar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366839599 PECOS PAC ID: 1052649449 Enrollment ID: I20190822003452 |
| Provider Name | Ian Rabinowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649836867 PECOS PAC ID: 8426387283 Enrollment ID: I20190904002684 |
| Provider Name | Eric Steinberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447541768 PECOS PAC ID: 5890912844 Enrollment ID: I20190905001721 |
| Provider Name | Abdalla Mohamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174079990 PECOS PAC ID: 2163751389 Enrollment ID: I20190912001069 |
| Provider Name | Tamara Belkin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871612853 PECOS PAC ID: 1759667611 Enrollment ID: I20190912001913 |
| Provider Name | Oluwaseun O Akangbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891146452 PECOS PAC ID: 5496084576 Enrollment ID: I20190916001551 |
| Provider Name | Mediha Ibrahim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962639849 PECOS PAC ID: 2769799956 Enrollment ID: I20190926001080 |
| Provider Name | Pegah Aalami-harandi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740654441 PECOS PAC ID: 9234469768 Enrollment ID: I20190926001877 |
| Provider Name | Christopher William Meaden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194110759 PECOS PAC ID: 1254662125 Enrollment ID: I20191007002371 |
| Provider Name | Damilola Akinola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124492384 PECOS PAC ID: 0446581300 Enrollment ID: I20191008003276 |
| Provider Name | Ruhin Yuridullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114370749 PECOS PAC ID: 2860723517 Enrollment ID: I20191009003528 |
| Provider Name | Sarah A Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669843892 PECOS PAC ID: 7911330162 Enrollment ID: I20191203000592 |
| Provider Name | Jennifer H Chuang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053557504 PECOS PAC ID: 3173772423 Enrollment ID: I20200113000735 |
| Provider Name | Denisa Stojakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689210346 PECOS PAC ID: 4789019845 Enrollment ID: I20200117000785 |
| Provider Name | Maushmi Tribhovan Savjani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861802704 PECOS PAC ID: 8325304959 Enrollment ID: I20200129001402 |
| Provider Name | Flordeliz Buensuceso Panem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770603722 PECOS PAC ID: 1951324284 Enrollment ID: I20200206001334 |
| Provider Name | Kellie Atlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972834703 PECOS PAC ID: 9931234671 Enrollment ID: I20200212000006 |
| Provider Name | Lovan Vanclin Oloko-nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750926689 PECOS PAC ID: 3577990167 Enrollment ID: I20200220000709 |
| Provider Name | Simi Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962733550 PECOS PAC ID: 0941458137 Enrollment ID: I20200221002611 |
| Provider Name | Perliza Diocos Emde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127948 PECOS PAC ID: 4082042379 Enrollment ID: I20200320000181 |
| Provider Name | Miguel Adrian Reyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851829113 PECOS PAC ID: 2961831425 Enrollment ID: I20200403001368 |
| Provider Name | Violeta Zileska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841838893 PECOS PAC ID: 6204265689 Enrollment ID: I20200406002770 |
| Provider Name | Haiyan Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871044180 PECOS PAC ID: 5395095772 Enrollment ID: I20200513002572 |
| Provider Name | Ashkan Hamzelou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912353830 PECOS PAC ID: 2567884844 Enrollment ID: I20200615000416 |
| Provider Name | Moutaz Ghrewati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568982189 PECOS PAC ID: 8224450531 Enrollment ID: I20200615001937 |
| Provider Name | Ronald Lis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205987021 PECOS PAC ID: 6002898103 Enrollment ID: I20200619000005 |
| Provider Name | Anas N Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942736475 PECOS PAC ID: 7719222330 Enrollment ID: I20200624003121 |
| Provider Name | Christina Beck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679004949 PECOS PAC ID: 4587901103 Enrollment ID: I20200629000050 |
| Provider Name | Yana Cavanagh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104189844 PECOS PAC ID: 7012339575 Enrollment ID: I20200630000492 |
| Provider Name | Farhan Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699295501 PECOS PAC ID: 6305269838 Enrollment ID: I20200701000035 |
| Provider Name | Maria Esther Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497394605 PECOS PAC ID: 0941624381 Enrollment ID: I20200720000318 |
| Provider Name | Shirley S Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951186 PECOS PAC ID: 9830513555 Enrollment ID: I20200728000547 |
| Provider Name | Jodi Hadeed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649711433 PECOS PAC ID: 9335566579 Enrollment ID: I20200902000772 |
| Provider Name | Darine I Androwis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669902458 PECOS PAC ID: 2961820683 Enrollment ID: I20200914000089 |
| Provider Name | Raul E Vasquez Duran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366971244 PECOS PAC ID: 4385063494 Enrollment ID: I20200923000864 |
| Provider Name | Janki V Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336661610 PECOS PAC ID: 1456771435 Enrollment ID: I20201013000705 |
| Provider Name | Juli Palatty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215544176 PECOS PAC ID: 7012327612 Enrollment ID: I20201111000591 |
| Provider Name | Sameh Scander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811427198 PECOS PAC ID: 2668883836 Enrollment ID: I20201118002444 |
| Provider Name | Claudia Herreros |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558851915 PECOS PAC ID: 6709291792 Enrollment ID: I20210225002101 |
| Provider Name | Angela Beltre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649742669 PECOS PAC ID: 9739595687 Enrollment ID: I20210302000030 |
| Provider Name | Trixie Kioko-kamps |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336750413 PECOS PAC ID: 7012326077 Enrollment ID: I20210505000003 |
| Provider Name | Mohammed Nasser Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336593649 PECOS PAC ID: 1850636556 Enrollment ID: I20210520000442 |
| Provider Name | Mubashir Shabil Billah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235587478 PECOS PAC ID: 1557760519 Enrollment ID: I20210524001684 |
| Provider Name | Eliezl R Andaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588242374 PECOS PAC ID: 6204235781 Enrollment ID: I20210603001824 |
| Provider Name | Kristie Spindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770157471 PECOS PAC ID: 9931503620 Enrollment ID: I20210803000589 |
| Provider Name | Sherri C Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801464466 PECOS PAC ID: 3072917590 Enrollment ID: I20210805002354 |
| Provider Name | Bijal S Sheth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013400175 PECOS PAC ID: 6507260965 Enrollment ID: I20210806000663 |
| Provider Name | Ivan Jakimovski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043703135 PECOS PAC ID: 3375948326 Enrollment ID: I20210830000833 |
| Provider Name | Sohail Qayyum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164735650 PECOS PAC ID: 1153567755 Enrollment ID: I20210913003209 |
| Provider Name | Ali Ghomi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639196520 PECOS PAC ID: 0648166777 Enrollment ID: I20210916000166 |
| Provider Name | John Michael Norko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992191605 PECOS PAC ID: 8123330511 Enrollment ID: I20210920002192 |
| Provider Name | Eugene James Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447678768 PECOS PAC ID: 6608110556 Enrollment ID: I20211028002950 |
| Provider Name | Michelle Szerling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629684048 PECOS PAC ID: 0446648950 Enrollment ID: I20211102000611 |
| Provider Name | Mohamed Elagami |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417440439 PECOS PAC ID: 1557750437 Enrollment ID: I20211115002118 |
| Provider Name | Gary Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255670790 PECOS PAC ID: 7214230325 Enrollment ID: I20211123001390 |
| Provider Name | Vadim Goldshteyn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609016773 PECOS PAC ID: 3971656513 Enrollment ID: I20211123001776 |
| Provider Name | Naveen R Parva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073005328 PECOS PAC ID: 6507256393 Enrollment ID: I20211210000008 |
| Provider Name | Kalliopi S Nissirios |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073927679 PECOS PAC ID: 5092051474 Enrollment ID: I20211217000105 |
| Provider Name | Sidra Sohail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205326568 PECOS PAC ID: 4385980085 Enrollment ID: I20211223000458 |
| Provider Name | Katherine Judy Guth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770934218 PECOS PAC ID: 0749671865 Enrollment ID: I20211229000156 |
| Provider Name | Mina Banoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235624974 PECOS PAC ID: 6204227994 Enrollment ID: I20220107001179 |
| Provider Name | Sahar Ilyas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477050300 PECOS PAC ID: 4385036870 Enrollment ID: I20220112002705 |
| Provider Name | Kimberly Dejesus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063008431 PECOS PAC ID: 1153715412 Enrollment ID: I20220302001533 |
| Provider Name | Kruthika Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891176913 PECOS PAC ID: 2365741964 Enrollment ID: I20220331002967 |
| Provider Name | Ida Molavi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730663907 PECOS PAC ID: 8921430281 Enrollment ID: I20220414001338 |
| Provider Name | Angelo Antonio Sica |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710467592 PECOS PAC ID: 8426445701 Enrollment ID: I20220505001133 |
| Provider Name | Neha J Dadhania |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861887424 PECOS PAC ID: 4880931641 Enrollment ID: I20220506000460 |
| Provider Name | Suey Lyn Wong-urena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205329372 PECOS PAC ID: 5193102838 Enrollment ID: I20220518000928 |
| Provider Name | Shajla Ajas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598241747 PECOS PAC ID: 9537547500 Enrollment ID: I20220602002233 |
| Provider Name | Raymond Shih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068060 PECOS PAC ID: 6002156742 Enrollment ID: I20220603000006 |
| Provider Name | Natalia Levytska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255726022 PECOS PAC ID: 5799085015 Enrollment ID: I20220606000580 |
| Provider Name | Kirsten Manzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114685013 PECOS PAC ID: 7810375557 Enrollment ID: I20220608000938 |
| Provider Name | John Palu-regan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1629337118 PECOS PAC ID: 5294156345 Enrollment ID: I20220805002599 |
| Provider Name | Namrata Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285086637 PECOS PAC ID: 2668854548 Enrollment ID: I20220809003205 |
| Provider Name | Joshua M Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629555065 PECOS PAC ID: 8729328422 Enrollment ID: I20220810003100 |
| Provider Name | Sade Diahann Frazier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184128126 PECOS PAC ID: 4486055803 Enrollment ID: I20220830001339 |
| Provider Name | Natalia Karpova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174850564 PECOS PAC ID: 7911371885 Enrollment ID: I20230315001967 |
| Provider Name | Michael Lamacchia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528109394 PECOS PAC ID: 3577929900 Enrollment ID: I20230510000112 |
| Provider Name | Lourdes Aguayo-figueroa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376718551 PECOS PAC ID: 8426415951 Enrollment ID: I20230526002487 |
| Provider Name | Emad A Eisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366725749 PECOS PAC ID: 9830338995 Enrollment ID: I20230825003541 |
| Provider Name | Hillel Ephros |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1346254752 PECOS PAC ID: 5294187894 Enrollment ID: I20240119000263 |
| Provider Name | Carmen Valentin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649887811 PECOS PAC ID: 5193145449 Enrollment ID: I20250306000156 |
| Provider Name | Lorraine Raagas Formanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063183036 PECOS PAC ID: 6204353626 Enrollment ID: I20250508003596 |
Challenge Program Of New Jersey Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Market St, Suite 200, Paterson, NJ 07505 Phone: 973-345-9100 Fax: 973-345-9110 | |
Community Health Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Straight St Ste 2c, Paterson, NJ 07503 Phone: 862-657-5500 Fax: 862-657-5501 | |
Omar T Cockey Dmd Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-779-6183 Fax: 973-779-6183 | |
Family Care Of New Jersey Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1042 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 | |
Vance Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Paterson Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Clinton St, Paterson, NJ 07522 Phone: 973-790-6594 Fax: 973-790-7703 | |
Fidelis Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1042 Main St, Paterson, NJ 07503 Phone: 973-510-2444 Fax: 973-278-2818 |