| Summit Medical Group PA | |
|
1 Diamond Hill Rd Summit Medical Group Berkeley Heights NJ 07922-2104 | |
| (908) 273-4300 | |
| (908) 790-6524 |
| Full Name | Summit Medical Group PA |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Diamond Hill Rd, Berkeley Heights, New Jersey |
| Authorized Official Name and Position | Swahili Henry (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 9089880428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Medical Group PA 1 Diamond Hill Rd Summit Medical Group Berkeley Heights NJ 07922-2104 Ph: (908) 273-4300 | Summit Medical Group PA 1 Diamond Hill Rd Summit Medical Group Berkeley Heights NJ 07922-2104 Ph: (908) 273-4300 |
| NPI Number | 1942254347 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 10/10/2025 |
| Certification Date | 10/10/2025 |
| Medicare PECOS PAC ID | 5395642276 |
|---|---|
| Medicare Enrollment ID | O20031218000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942254347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| Provider Name | Jonathan Abrams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780663054 PECOS PAC ID: 9537071014 Enrollment ID: I20031103000635 |
| Provider Name | David D Bullek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417906439 PECOS PAC ID: 1355254632 Enrollment ID: I20031112000191 |
| Provider Name | Peter F Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609844828 PECOS PAC ID: 6507770773 Enrollment ID: I20031113000250 |
| Provider Name | Miguel J Giron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912927930 PECOS PAC ID: 1254235229 Enrollment ID: I20031121000163 |
| Provider Name | Jenifer C Harding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316054851 PECOS PAC ID: 3577467430 Enrollment ID: I20031121000590 |
| Provider Name | Marykate O Vaughn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174744973 PECOS PAC ID: 8123924370 Enrollment ID: I20031209000955 |
| Provider Name | Matthew Shahbandi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912969379 PECOS PAC ID: 9133029952 Enrollment ID: I20040109000374 |
| Provider Name | Joel S Mendelson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1477612950 PECOS PAC ID: 7618877606 Enrollment ID: I20040113000738 |
| Provider Name | Adam D Wagshul |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831164300 PECOS PAC ID: 4981505823 Enrollment ID: I20040115000191 |
| Provider Name | Christina M Lavner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497224331 PECOS PAC ID: 1254232192 Enrollment ID: I20040115000195 |
| Provider Name | James C Natalicchio |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265409205 PECOS PAC ID: 2567364664 Enrollment ID: I20040121000095 |
| Provider Name | Isabel Goldfaden |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1154416550 PECOS PAC ID: 7012810138 Enrollment ID: I20040128000196 |
| 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 | Vincent J Lanteri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528036670 PECOS PAC ID: 9739072315 Enrollment ID: I20040206000316 |
| Provider Name | Mitchell S Silverman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043378292 PECOS PAC ID: 1850284290 Enrollment ID: I20040207000369 |
| Provider Name | William Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922020924 PECOS PAC ID: 9638062011 Enrollment ID: I20040209000152 |
| Provider Name | Donato S Russo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427073311 PECOS PAC ID: 4688562341 Enrollment ID: I20040305000466 |
| Provider Name | Peter Colucio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184625287 PECOS PAC ID: 1355239914 Enrollment ID: I20040306000097 |
| Provider Name | Sergey Rome |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568431070 PECOS PAC ID: 5496643405 Enrollment ID: I20040310000098 |
| Provider Name | Evan S Fischer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1992714182 PECOS PAC ID: 9234028523 Enrollment ID: I20040315000034 |
| Provider Name | Michele T Gilsenan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821066283 PECOS PAC ID: 9133033244 Enrollment ID: I20040319000665 |
| Provider Name | Estelle V Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336168004 PECOS PAC ID: 0648265314 Enrollment ID: I20040420001050 |
| Provider Name | Steven Stein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275576084 PECOS PAC ID: 8921094483 Enrollment ID: I20040421001339 |
| Provider Name | Bader Pedemonte |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831282334 PECOS PAC ID: 9234125592 Enrollment ID: I20040422000242 |
| Provider Name | John MC Cormick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780621813 PECOS PAC ID: 0345237160 Enrollment ID: I20040426001053 |
| Provider Name | Manjushree Matadial |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568542686 PECOS PAC ID: 8729076047 Enrollment ID: I20040505000447 |
| Provider Name | Darren R Blumberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902813272 PECOS PAC ID: 3375533409 Enrollment ID: I20040512001167 |
| Provider Name | Scott F Gelman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316980006 PECOS PAC ID: 2769473669 Enrollment ID: I20040520000024 |
| Provider Name | Jie Zhou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154323491 PECOS PAC ID: 9436133774 Enrollment ID: I20040615001146 |
| Provider Name | Linda K Lee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225022619 PECOS PAC ID: 0345224440 Enrollment ID: I20040616000655 |
| Provider Name | Paul C Thur |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801895073 PECOS PAC ID: 3072598598 Enrollment ID: I20040621000221 |
| Provider Name | Sandy H Yeum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487762050 PECOS PAC ID: 2264417195 Enrollment ID: I20040623000884 |
| Provider Name | Ashish Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821027533 PECOS PAC ID: 9638155351 Enrollment ID: I20040624001398 |
| Provider Name | John Hallenbeck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033152277 PECOS PAC ID: 8123004322 Enrollment ID: I20040628001262 |
| Provider Name | Christine E Aquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134143928 PECOS PAC ID: 0042290157 Enrollment ID: I20040721000161 |
| Provider Name | Daniel Jintae Pyo |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720183999 PECOS PAC ID: 9739169897 Enrollment ID: I20040721000470 |
| Provider Name | Whitney L. Gaydos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871672659 PECOS PAC ID: 9234119009 Enrollment ID: I20040722000445 |
| Provider Name | Lisa M Coohill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417958521 PECOS PAC ID: 3173503711 Enrollment ID: I20040723000115 |
| Provider Name | Ian Brett Leber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306865092 PECOS PAC ID: 4880674134 Enrollment ID: I20040726000774 |
| Provider Name | Rogelio B Cheng |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124099247 PECOS PAC ID: 8123098100 Enrollment ID: I20040728000103 |
| Provider Name | Peter G Polos |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285634501 PECOS PAC ID: 2466422290 Enrollment ID: I20040729000328 |
| Provider Name | Richard T Paris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174523112 PECOS PAC ID: 9436120524 Enrollment ID: I20040803000676 |
| Provider Name | Steve Lequerica |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881689495 PECOS PAC ID: 5597736462 Enrollment ID: I20040804000381 |
| Provider Name | Christine a Bedrock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952339517 PECOS PAC ID: 5395716898 Enrollment ID: I20040805001027 |
| Provider Name | Konstantin Walmsley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730156456 PECOS PAC ID: 9335111681 Enrollment ID: I20040809000387 |
| Provider Name | Susan Lombardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255371258 PECOS PAC ID: 4486627841 Enrollment ID: I20040816000161 |
| Provider Name | Howard Arthur Rubinstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649210303 PECOS PAC ID: 5698748978 Enrollment ID: I20040816000411 |
| Provider Name | Jarad Fingerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376529966 PECOS PAC ID: 6901879766 Enrollment ID: I20040818001310 |
| Provider Name | Rohit M Oza |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205800091 PECOS PAC ID: 0547234114 Enrollment ID: I20040820000746 |
| Provider Name | Karen Melici |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114084282 PECOS PAC ID: 9537133541 Enrollment ID: I20040825000404 |
| Provider Name | Ronald Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215047386 PECOS PAC ID: 4183699556 Enrollment ID: I20040830000350 |
| Provider Name | Monib a Zirvi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457307464 PECOS PAC ID: 8224003421 Enrollment ID: I20040831001175 |
| Provider Name | Stephen P Mckenzie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457462913 PECOS PAC ID: 9436125325 Enrollment ID: I20040902000327 |
| Provider Name | Reza Momeni |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699762435 PECOS PAC ID: 1557337011 Enrollment ID: I20040907000400 |
| Provider Name | Rupa Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366555450 PECOS PAC ID: 1355317785 Enrollment ID: I20040908000349 |
| Provider Name | Lynn Ann Corrigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366526964 PECOS PAC ID: 2668448903 Enrollment ID: I20040908000482 |
| Provider Name | Valerie G Mclaughlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861448540 PECOS PAC ID: 2668449463 Enrollment ID: I20040913000288 |
| Provider Name | David K Brown |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568468825 PECOS PAC ID: 2264409424 Enrollment ID: I20040916000118 |
| Provider Name | Pompeo A. Lucciola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659318061 PECOS PAC ID: 0648248732 Enrollment ID: I20040916001250 |
| Provider Name | John N Franzese |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053390104 PECOS PAC ID: 2062480726 Enrollment ID: I20040923000048 |
| Provider Name | Dean P Boorujy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790745180 PECOS PAC ID: 9234108531 Enrollment ID: I20041001000737 |
| Provider Name | Sharon R Stoch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811092984 PECOS PAC ID: 2769442375 Enrollment ID: I20041018000392 |
| Provider Name | Vasudha G Chundru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184783490 PECOS PAC ID: 9931160785 Enrollment ID: I20041025000587 |
| Provider Name | Jon L Bass |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407857659 PECOS PAC ID: 4183686595 Enrollment ID: I20041028000543 |
| Provider Name | John M Dalena |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215944582 PECOS PAC ID: 3870555766 Enrollment ID: I20041102001075 |
| Provider Name | Yihong H Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629072046 PECOS PAC ID: 7911969746 Enrollment ID: I20041103000135 |
| Provider Name | Alfred a Bradley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760412886 PECOS PAC ID: 5294798575 Enrollment ID: I20041108000720 |
| Provider Name | Anthony Surace |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053348128 PECOS PAC ID: 7315900420 Enrollment ID: I20041110000060 |
| Provider Name | Jason Alejandro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043219348 PECOS PAC ID: 7719940642 Enrollment ID: I20041110001169 |
| Provider Name | Beena H Jani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255499109 PECOS PAC ID: 2062402738 Enrollment ID: I20041116000709 |
| Provider Name | Eric S Lieberman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275522252 PECOS PAC ID: 6204891096 Enrollment ID: I20041122000110 |
| Provider Name | Sonya J Youngren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821062076 PECOS PAC ID: 6800859331 Enrollment ID: I20041124000083 |
| Provider Name | Caecilia E Hostetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578621413 PECOS PAC ID: 4789649062 Enrollment ID: I20041129000472 |
| Provider Name | Jacqueline M Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508853441 PECOS PAC ID: 9436115037 Enrollment ID: I20041206000666 |
| Provider Name | Jeffrey L Segal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780652990 PECOS PAC ID: 3678539947 Enrollment ID: I20041208000472 |
| Provider Name | Mark Wiesen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053367912 PECOS PAC ID: 5092771352 Enrollment ID: I20041213000086 |
| Provider Name | Christine Milosis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790875193 PECOS PAC ID: 2769449255 Enrollment ID: I20041216000255 |
| Provider Name | Christopher Okechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275528143 PECOS PAC ID: 9931167111 Enrollment ID: I20041221000278 |
| Provider Name | Abram E Kirschenbaum |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1205861168 PECOS PAC ID: 8426016346 Enrollment ID: I20041223000284 |
| Provider Name | Susan a Angelicola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265593933 PECOS PAC ID: 1052379450 Enrollment ID: I20050103000272 |
| Provider Name | Gennaro J Marino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235197559 PECOS PAC ID: 7315995222 Enrollment ID: I20050110000271 |
| Provider Name | Celine C Lamdagan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063534097 PECOS PAC ID: 3678522687 Enrollment ID: I20050118000100 |
| Provider Name | Rakesh Kumar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558356287 PECOS PAC ID: 8527018340 Enrollment ID: I20050128000294 |
| Provider Name | Dahlia a Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538158928 PECOS PAC ID: 4486606647 Enrollment ID: I20050216000056 |
| Provider Name | Pejman Lavian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871565432 PECOS PAC ID: 5698767911 Enrollment ID: I20050216000295 |
| Provider Name | Brian C Katz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538261136 PECOS PAC ID: 2365419348 Enrollment ID: I20050222000760 |
| Provider Name | Jonathan Steinberg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194729822 PECOS PAC ID: 3678526316 Enrollment ID: I20050228000218 |
| Provider Name | Richard D Laudadio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386639185 PECOS PAC ID: 5395799183 Enrollment ID: I20050304000000 |
| Provider Name | Robert Stephe Boretz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992709760 PECOS PAC ID: 1557315348 Enrollment ID: I20050304000008 |
| Provider Name | Richard a Rosa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396739694 PECOS PAC ID: 8628971017 Enrollment ID: I20050308000768 |
| Provider Name | Michael Cisko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871536870 PECOS PAC ID: 0345295739 Enrollment ID: I20050318000231 |
| Provider Name | Alexander R Gnoy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336137827 PECOS PAC ID: 7810898475 Enrollment ID: I20050321000185 |
| Provider Name | Jose C. Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205808300 PECOS PAC ID: 4486600491 Enrollment ID: I20050323000514 |
| Provider Name | Marisa Baldassano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013965011 PECOS PAC ID: 0143276097 Enrollment ID: I20050324000092 |
| Provider Name | David Printz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912979691 PECOS PAC ID: 5597711275 Enrollment ID: I20050325000005 |
| Provider Name | Jeffrey Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235103870 PECOS PAC ID: 8224920129 Enrollment ID: I20050328000017 |
| Provider Name | Peter J Belcastro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689644361 PECOS PAC ID: 9931003464 Enrollment ID: I20050401000143 |
| Provider Name | Anne Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295732881 PECOS PAC ID: 2567419385 Enrollment ID: I20050405000078 |
| Provider Name | Anthony C Ingenito |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710940127 PECOS PAC ID: 9234114042 Enrollment ID: I20050408000241 |
| Provider Name | Tamara a Howard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255368007 PECOS PAC ID: 1557308673 Enrollment ID: I20050411000862 |
| Provider Name | Maria a Costea Misthos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295872976 PECOS PAC ID: 2466490479 Enrollment ID: I20050420000904 |
| Provider Name | Ruth L.K. Gold |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1740241074 PECOS PAC ID: 2163460601 Enrollment ID: I20050425000473 |
| Provider Name | Adam D Perzin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104879501 PECOS PAC ID: 9931185634 Enrollment ID: I20050502000129 |
| Provider Name | Leonid Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962460386 PECOS PAC ID: 6901845510 Enrollment ID: I20050503000075 |
| Provider Name | Dawn S Cohen Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083816227 PECOS PAC ID: 7517907942 Enrollment ID: I20050505000318 |
| Provider Name | James R Korman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790705325 PECOS PAC ID: 4486696101 Enrollment ID: I20050524000160 |
| Provider Name | Robert W Goldlust |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629021126 PECOS PAC ID: 7719963594 Enrollment ID: I20050525000924 |
| Provider Name | George Klafter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114929635 PECOS PAC ID: 3274575584 Enrollment ID: I20050526000587 |
| Provider Name | John J Imbesi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487654349 PECOS PAC ID: 2466494638 Enrollment ID: I20050527000011 |
| Provider Name | Maria L Cesari-redondo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558454959 PECOS PAC ID: 6002858917 Enrollment ID: I20050601000362 |
| Provider Name | Niel Santiago |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396807897 PECOS PAC ID: 7911940523 Enrollment ID: I20050606000205 |
| Provider Name | Roy E Naturman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639158041 PECOS PAC ID: 2961306493 Enrollment ID: I20050606000219 |
| Provider Name | Stuart D Shoengold |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689689275 PECOS PAC ID: 1052354362 Enrollment ID: I20050608000055 |
| Provider Name | Erol Ulker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083633283 PECOS PAC ID: 5395788608 Enrollment ID: I20050608000068 |
| Provider Name | Lev V Paley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487678587 PECOS PAC ID: 5395788434 Enrollment ID: I20050609000641 |
| Provider Name | William L Diehl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629068457 PECOS PAC ID: 7113962267 Enrollment ID: I20050621000068 |
| Provider Name | Giuseppe Marzella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194866194 PECOS PAC ID: 9133164023 Enrollment ID: I20050622000007 |
| Provider Name | Douglas M Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346212057 PECOS PAC ID: 9739128182 Enrollment ID: I20050623000544 |
| Provider Name | Richard O Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841287620 PECOS PAC ID: 3476592825 Enrollment ID: I20050623000845 |
| Provider Name | Dinesh K Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477659191 PECOS PAC ID: 1557306180 Enrollment ID: I20050624000075 |
| Provider Name | Cornelio J Porras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255386850 PECOS PAC ID: 5294770723 Enrollment ID: I20050624000138 |
| Provider Name | Joshua M Fiske |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508853458 PECOS PAC ID: 9133165350 Enrollment ID: I20050628001092 |
| Provider Name | Kelly a Healy-kreis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184703761 PECOS PAC ID: 8527003748 Enrollment ID: I20050630000115 |
| Provider Name | Gary P Kaplan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962596015 PECOS PAC ID: 8123064961 Enrollment ID: I20050701000749 |
| Provider Name | Christopher M Boni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023111507 PECOS PAC ID: 3476589367 Enrollment ID: I20050712000843 |
| Provider Name | Carolyn J Horowitz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275512600 PECOS PAC ID: 8628064342 Enrollment ID: I20050713000052 |
| Provider Name | Emelito T Gonzales |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497709091 PECOS PAC ID: 7911898242 Enrollment ID: I20050713000060 |
| Provider Name | Raekeisha L. Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497934459 PECOS PAC ID: 6800822545 Enrollment ID: I20050713000807 |
| Provider Name | Carol L Kornmehl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164467924 PECOS PAC ID: 8921034679 Enrollment ID: I20050713000943 |
| Provider Name | Sharon Lee Axelrod |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1619031093 PECOS PAC ID: 9335175033 Enrollment ID: I20050714000096 |
| Provider Name | Andrew L Sperling |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598916678 PECOS PAC ID: 8325074917 Enrollment ID: I20050714000809 |
| Provider Name | Renuka Pillai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780634378 PECOS PAC ID: 4385670751 Enrollment ID: I20050718000372 |
| Provider Name | Mary T Oconnor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912920406 PECOS PAC ID: 7214964683 Enrollment ID: I20050719000063 |
| Provider Name | Shail N Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912979097 PECOS PAC ID: 4183651417 Enrollment ID: I20050719000619 |
| Provider Name | Joy Anderson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841221223 PECOS PAC ID: 4880621093 Enrollment ID: I20050720000027 |
| Provider Name | Jonathan Marc Levine |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356335558 PECOS PAC ID: 8022044676 Enrollment ID: I20050720000034 |
| Provider Name | Glen Gejerman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972565182 PECOS PAC ID: 4587649397 Enrollment ID: I20050720000120 |
| Provider Name | Andrew I Zablow |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477500528 PECOS PAC ID: 3274426846 Enrollment ID: I20050720000171 |
| Provider Name | Joseph Baron |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851572481 PECOS PAC ID: 5799712766 Enrollment ID: I20050721000043 |
| Provider Name | Robert Ivker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922133057 PECOS PAC ID: 0840227609 Enrollment ID: I20050722000738 |
| Provider Name | Daniel Hart |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548330061 PECOS PAC ID: 1759319148 Enrollment ID: I20050727000869 |
| Provider Name | Nelly Huppert |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003817875 PECOS PAC ID: 1557390739 Enrollment ID: I20050808000953 |
| Provider Name | David L Arbit |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497812788 PECOS PAC ID: 1951339548 Enrollment ID: I20050809000458 |
| Provider Name | Larysa Zaputowycz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275652208 PECOS PAC ID: 2264461342 Enrollment ID: I20050809000618 |
| Provider Name | Eliezer Aurelina Mordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003886516 PECOS PAC ID: 2163452087 Enrollment ID: I20050822000965 |
| Provider Name | Michael R Bernstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679530273 PECOS PAC ID: 8820074644 Enrollment ID: I20050826000186 |
| Provider Name | Gabor Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548351257 PECOS PAC ID: 3476584509 Enrollment ID: I20050829000166 |
| Provider Name | Neil D Sherman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487684551 PECOS PAC ID: 1557333580 Enrollment ID: I20050830000007 |
| Provider Name | Michael Rokhsar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578535597 PECOS PAC ID: 1052342094 Enrollment ID: I20050830000015 |
| Provider Name | John H Dokko |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003804550 PECOS PAC ID: 9638100191 Enrollment ID: I20050830000836 |
| Provider Name | Diana Addis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235241597 PECOS PAC ID: 7517996085 Enrollment ID: I20050831000122 |
| Provider Name | David a Abrutyn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679534903 PECOS PAC ID: 5698706430 Enrollment ID: I20050907000094 |
| Provider Name | Jennifer a Sherman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891755179 PECOS PAC ID: 3577591189 Enrollment ID: I20050909000243 |
| Provider Name | Andrew D Beamer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326049487 PECOS PAC ID: 1052350485 Enrollment ID: I20050912000329 |
| Provider Name | Francis P Prior |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518952324 PECOS PAC ID: 2567496235 Enrollment ID: I20050922000015 |
| Provider Name | Robert D Slama |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528030384 PECOS PAC ID: 1153355896 Enrollment ID: I20050922000526 |
| Provider Name | Tony George |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215916606 PECOS PAC ID: 6103859939 Enrollment ID: I20050923000043 |
| Provider Name | Niraj Ranjit Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659327922 PECOS PAC ID: 1456385905 Enrollment ID: I20050923000194 |
| Provider Name | Heather C Wargo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841261534 PECOS PAC ID: 3274519988 Enrollment ID: I20051004000382 |
| Provider Name | Catherine P Torres |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457306557 PECOS PAC ID: 8628003563 Enrollment ID: I20051006000083 |
| Provider Name | David Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437120961 PECOS PAC ID: 0547285728 Enrollment ID: I20051006000638 |
| Provider Name | Howard B Baum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558301176 PECOS PAC ID: 4082639075 Enrollment ID: I20051010000087 |
| Provider Name | Jeffrey F Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225007438 PECOS PAC ID: 2961427968 Enrollment ID: I20051010000223 |
| Provider Name | Robert John Cole |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043482342 PECOS PAC ID: 8022033539 Enrollment ID: I20051013000063 |
| Provider Name | David B Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184677494 PECOS PAC ID: 1850326448 Enrollment ID: I20051017000004 |
| Provider Name | Peter Hyans |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528060605 PECOS PAC ID: 5991606584 Enrollment ID: I20051017000173 |
| Provider Name | Joao a Lopes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043268378 PECOS PAC ID: 1557396140 Enrollment ID: I20051026000291 |
| Provider Name | Marie E Nevin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285718239 PECOS PAC ID: 5890609234 Enrollment ID: I20051027000422 |
| Provider Name | Howard S Blaustein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760470264 PECOS PAC ID: 6103843958 Enrollment ID: I20051101000010 |
| Provider Name | Hazar Michael |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144392242 PECOS PAC ID: 3173429602 Enrollment ID: I20051101000196 |
| Provider Name | Kerry S Lebenger |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982606471 PECOS PAC ID: 2365469111 Enrollment ID: I20051101001138 |
| Provider Name | Kamalakar R Vanam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386688968 PECOS PAC ID: 6103845789 Enrollment ID: I20051114000072 |
| Provider Name | Chang Kweon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023078730 PECOS PAC ID: 1557394384 Enrollment ID: I20051114000147 |
| Provider Name | Michael a Mitacchione |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043258569 PECOS PAC ID: 2769400555 Enrollment ID: I20051130000807 |
| Provider Name | Richard J Stabile |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588750673 PECOS PAC ID: 5092735381 Enrollment ID: I20051201000377 |
| Provider Name | Melissa D Sgroi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629166913 PECOS PAC ID: 5395766547 Enrollment ID: I20051230000020 |
| Provider Name | Robert P Wooton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821046681 PECOS PAC ID: 2163445305 Enrollment ID: I20060113000202 |
| Provider Name | Andrew L Siegel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144293499 PECOS PAC ID: 9830112085 Enrollment ID: I20060113000264 |
| Provider Name | Saleem Bacus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982647038 PECOS PAC ID: 0648295956 Enrollment ID: I20060206000809 |
| Provider Name | William a Ippolito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396723011 PECOS PAC ID: 8123033537 Enrollment ID: I20060207000183 |
| Provider Name | Mary E Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700984481 PECOS PAC ID: 2062427867 Enrollment ID: I20060215000685 |
| Provider Name | Priti a Rao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043242167 PECOS PAC ID: 4486660685 Enrollment ID: I20060224000554 |
| Provider Name | Bhupendra C Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639112352 PECOS PAC ID: 9436165685 Enrollment ID: I20060227000195 |
| Provider Name | Robert Charney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891736039 PECOS PAC ID: 7719995620 Enrollment ID: I20060403000651 |
| Provider Name | Gina Baird |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003879347 PECOS PAC ID: 5991714560 Enrollment ID: I20060410000151 |
| Provider Name | Marc H Rubman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457355927 PECOS PAC ID: 9032129671 Enrollment ID: I20060428000152 |
| Provider Name | Neelam Todi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427084268 PECOS PAC ID: 6901797679 Enrollment ID: I20060501000022 |
| Provider Name | Chad J Itzkovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063478014 PECOS PAC ID: 1951313006 Enrollment ID: I20060608000130 |
| Provider Name | Jeffrey Bauman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447240718 PECOS PAC ID: 8527070697 Enrollment ID: I20060609000004 |
| Provider Name | Timothy R Weimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447292495 PECOS PAC ID: 0840202529 Enrollment ID: I20060621000011 |
| Provider Name | Amy Walsh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396789756 PECOS PAC ID: 9436161155 Enrollment ID: I20060621000333 |
| Provider Name | Monica B Khalil |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740234491 PECOS PAC ID: 9234141714 Enrollment ID: I20060627000277 |
| Provider Name | Jill S Hup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356372080 PECOS PAC ID: 8921011016 Enrollment ID: I20060712000237 |
| Provider Name | Jennifer R Otlowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114954047 PECOS PAC ID: 8224041199 Enrollment ID: I20060718000221 |
| Provider Name | Edward E Eaton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699726422 PECOS PAC ID: 5799798567 Enrollment ID: I20060720000307 |
| Provider Name | Helen Simigiannis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366497265 PECOS PAC ID: 0446255707 Enrollment ID: I20060921000078 |
| Provider Name | Sivaram Rajan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073583746 PECOS PAC ID: 3779577309 Enrollment ID: I20060928000346 |
| Provider Name | Christine Masterson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871536813 PECOS PAC ID: 1850397936 Enrollment ID: I20061012000457 |
| Provider Name | Stefanie Knapp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376651257 PECOS PAC ID: 0749287282 Enrollment ID: I20061026000187 |
| Provider Name | Alexander P Vukasin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659392546 PECOS PAC ID: 6901803345 Enrollment ID: I20061027000447 |
| Provider Name | Barry R Rossman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811911761 PECOS PAC ID: 7810943891 Enrollment ID: I20061027000451 |
| Provider Name | Smruti a Parikh |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1477561249 PECOS PAC ID: 8224035290 Enrollment ID: I20061106000054 |
| Provider Name | Jeffrey M Becker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699720656 PECOS PAC ID: 1658357470 Enrollment ID: I20061114000456 |
| Provider Name | Marcella M Nachmann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265479547 PECOS PAC ID: 7315923018 Enrollment ID: I20061114000475 |
| Provider Name | David O Sussman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407898406 PECOS PAC ID: 1254317969 Enrollment ID: I20061114000500 |
| Provider Name | Troy Z Sukkarieh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003913815 PECOS PAC ID: 5597763870 Enrollment ID: I20061121000202 |
| Provider Name | Rajesh N Geria |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700864410 PECOS PAC ID: 0648201285 Enrollment ID: I20061121000289 |
| Provider Name | Michael E Bilenker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609974906 PECOS PAC ID: 2062410053 Enrollment ID: I20061130000145 |
| Provider Name | Rajen P Butani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811920465 PECOS PAC ID: 4385643451 Enrollment ID: I20061219000245 |
| Provider Name | Elizabeth a Kuehne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669568523 PECOS PAC ID: 1658371604 Enrollment ID: I20061222000147 |
| Provider Name | Jean E Readie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912011420 PECOS PAC ID: 9133129091 Enrollment ID: I20061228000214 |
| Provider Name | Patricia a Shorrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053355768 PECOS PAC ID: 1456351626 Enrollment ID: I20070111000563 |
| Provider Name | Randy B Ackerman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205893807 PECOS PAC ID: 4385620103 Enrollment ID: I20070119000058 |
| Provider Name | Evan B Krisch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588621189 PECOS PAC ID: 7012993702 Enrollment ID: I20070120000061 |
| Provider Name | Gary L Kohn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710954409 PECOS PAC ID: 7012918766 Enrollment ID: I20070123000317 |
| Provider Name | Shih Han Chow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245239466 PECOS PAC ID: 4789660564 Enrollment ID: I20070201000004 |
| Provider Name | Leonard Pastula |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093774978 PECOS PAC ID: 7618967266 Enrollment ID: I20070203000109 |
| Provider Name | Thomas G Cioce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386780310 PECOS PAC ID: 4688776628 Enrollment ID: I20070222000411 |
| Provider Name | Scott Pacific |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851370290 PECOS PAC ID: 5294639720 Enrollment ID: I20070222000554 |
| Provider Name | Valerie Skrelja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124106380 PECOS PAC ID: 2668574559 Enrollment ID: I20070223000208 |
| Provider Name | Siriade a Filipe Izaguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225107576 PECOS PAC ID: 6305949777 Enrollment ID: I20070306000322 |
| Provider Name | Avinash Kothavale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285672584 PECOS PAC ID: 0749226207 Enrollment ID: I20070319000128 |
| Provider Name | Susan L Simandl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831130079 PECOS PAC ID: 2668576315 Enrollment ID: I20070405000188 |
| Provider Name | Claude J Krause |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396768529 PECOS PAC ID: 0941304521 Enrollment ID: I20070410000003 |
| Provider Name | Ruth E Deitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114942836 PECOS PAC ID: 0244286102 Enrollment ID: I20070509000052 |
| Provider Name | Smita R Hiremath |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881812238 PECOS PAC ID: 3577669449 Enrollment ID: I20070509000616 |
| Provider Name | Erin G Ferber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366518870 PECOS PAC ID: 3375640451 Enrollment ID: I20070524000380 |
| Provider Name | Timothy J Dunne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225251242 PECOS PAC ID: 5395842272 Enrollment ID: I20070530000213 |
| Provider Name | Robert J Fogliani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518051838 PECOS PAC ID: 6608974597 Enrollment ID: I20070530000366 |
| Provider Name | Jennifer D Bailey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053304063 PECOS PAC ID: 9638277197 Enrollment ID: I20070606000428 |
| Provider Name | Ali N El Saheli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417075995 PECOS PAC ID: 4587762919 Enrollment ID: I20070608000464 |
| Provider Name | Gregory G Lovallo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467515775 PECOS PAC ID: 1850490814 Enrollment ID: I20070616000022 |
| Provider Name | Thomas J Molloy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154488591 PECOS PAC ID: 4486630993 Enrollment ID: I20070618000216 |
| Provider Name | Neil K Goyal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275559718 PECOS PAC ID: 9133123680 Enrollment ID: I20070629000250 |
| Provider Name | Alexander Kirshenbaum |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447306345 PECOS PAC ID: 4486755519 Enrollment ID: I20070719000485 |
| Provider Name | Derrick Wallace |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114900362 PECOS PAC ID: 4082657507 Enrollment ID: I20070720000242 |
| Provider Name | Matthew Garberina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659367100 PECOS PAC ID: 6002917812 Enrollment ID: I20070724000362 |
| Provider Name | James G Kanellakos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750499455 PECOS PAC ID: 0244241016 Enrollment ID: I20070725000282 |
| Provider Name | Chirag a Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790705820 PECOS PAC ID: 1951492271 Enrollment ID: I20070801000144 |
| Provider Name | Anthony M Pastena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659431195 PECOS PAC ID: 5092751859 Enrollment ID: I20070802000434 |
| Provider Name | Gordon a Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124192489 PECOS PAC ID: 3577517259 Enrollment ID: I20070809000649 |
| Provider Name | Elizabeth a Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154406494 PECOS PAC ID: 5698866176 Enrollment ID: I20070813000595 |
| Provider Name | Robert B Simon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992901052 PECOS PAC ID: 7416048855 Enrollment ID: I20070814000456 |
| Provider Name | Alexander a Christou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407992068 PECOS PAC ID: 9830281658 Enrollment ID: I20070824000547 |
| Provider Name | Jason P Garcia |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1114989829 PECOS PAC ID: 0941204226 Enrollment ID: I20070827000004 |
| Provider Name | Lauren Mcgarry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558466532 PECOS PAC ID: 8325131881 Enrollment ID: I20070829000841 |
| Provider Name | Meera Khedkar |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306973870 PECOS PAC ID: 9931144292 Enrollment ID: I20070830000529 |
| Provider Name | Komal D Naik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063617082 PECOS PAC ID: 3375636673 Enrollment ID: I20070831000393 |
| Provider Name | Ellen B Lunenfeld |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841402153 PECOS PAC ID: 5092808394 Enrollment ID: I20070831000402 |
| Provider Name | John Gregg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013118660 PECOS PAC ID: 9638262769 Enrollment ID: I20070906000363 |
| Provider Name | Lisa a Mills |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215052287 PECOS PAC ID: 8820181894 Enrollment ID: I20070906000738 |
| Provider Name | Carol Martino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750581187 PECOS PAC ID: 6608969423 Enrollment ID: I20070910000436 |
| Provider Name | Vandana Singh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033321815 PECOS PAC ID: 8325132939 Enrollment ID: I20070913000219 |
| Provider Name | Kirsten Kolstad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558357038 PECOS PAC ID: 1052406527 Enrollment ID: I20070927000995 |
| Provider Name | Ralph C Napoli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487614467 PECOS PAC ID: 3577658764 Enrollment ID: I20071003000214 |
| Provider Name | Donglei Yan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720206907 PECOS PAC ID: 9436244209 Enrollment ID: I20071009000520 |
| Provider Name | Stephen M Kocaj |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275568446 PECOS PAC ID: 2769414853 Enrollment ID: I20071029000154 |
| Provider Name | Lynda Witcoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558433979 PECOS PAC ID: 6305933599 Enrollment ID: I20071105000448 |
| Provider Name | Harold Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659331221 PECOS PAC ID: 9537196316 Enrollment ID: I20071115000371 |
| Provider Name | Chantal D Gabriel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366584195 PECOS PAC ID: 2163328881 Enrollment ID: I20071205000186 |
| Provider Name | Nilaya B Bhawsar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265507461 PECOS PAC ID: 5395834824 Enrollment ID: I20071205000416 |
| Provider Name | Deborah J Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255336004 PECOS PAC ID: 7214943406 Enrollment ID: I20071205000538 |
| Provider Name | Valerie Rusko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235147190 PECOS PAC ID: 4486617735 Enrollment ID: I20080104000240 |
| Provider Name | Mary Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922292820 PECOS PAC ID: 3274614268 Enrollment ID: I20080116000132 |
| Provider Name | Matthew Zornitzer |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1972538999 PECOS PAC ID: 7911930722 Enrollment ID: I20080211000753 |
| Provider Name | Daniel H Levin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205850476 PECOS PAC ID: 1355425141 Enrollment ID: I20080304000210 |
| Provider Name | Jennifer L Kusant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174747083 PECOS PAC ID: 7315023413 Enrollment ID: I20080331000201 |
| Provider Name | Marina B Shaferman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033243811 PECOS PAC ID: 3476631334 Enrollment ID: I20080418000085 |
| Provider Name | Rikin J. Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588680359 PECOS PAC ID: 8325046451 Enrollment ID: I20080506000050 |
| Provider Name | Diana Wische |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992976047 PECOS PAC ID: 1658450069 Enrollment ID: I20080509000130 |
| Provider Name | Elizabeth Nikol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114190600 PECOS PAC ID: 2264501444 Enrollment ID: I20080514000012 |
| Provider Name | Donald a Leichter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053399303 PECOS PAC ID: 7416857396 Enrollment ID: I20080515000139 |
| Provider Name | Ara Meradian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184731705 PECOS PAC ID: 3577633189 Enrollment ID: I20080609000061 |
| Provider Name | Terrence Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306817077 PECOS PAC ID: 0446322929 Enrollment ID: I20080627000094 |
| Provider Name | Andrew J Bernstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346458833 PECOS PAC ID: 2466525175 Enrollment ID: I20080714000347 |
| Provider Name | Joseph M Follo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003874397 PECOS PAC ID: 1850464405 Enrollment ID: I20080716000045 |
| Provider Name | Michelle Rapacon Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164453049 PECOS PAC ID: 7810060373 Enrollment ID: I20080717000299 |
| Provider Name | Phyllis B Schaffer-cohen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982875936 PECOS PAC ID: 5496828345 Enrollment ID: I20080725000063 |
| Provider Name | Michael Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982875829 PECOS PAC ID: 9234202086 Enrollment ID: I20080728000004 |
| Provider Name | David Massengale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700065752 PECOS PAC ID: 8921172685 Enrollment ID: I20080730000280 |
| Provider Name | Liana M Spano-brennan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740466861 PECOS PAC ID: 0244304871 Enrollment ID: I20080731000089 |
| Provider Name | Amy M Toscano-zukor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821269341 PECOS PAC ID: 1951475409 Enrollment ID: I20080801000316 |
| Provider Name | Alexander Volvovsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013100098 PECOS PAC ID: 6901970276 Enrollment ID: I20080805000088 |
| Provider Name | Antonios Drivas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083787485 PECOS PAC ID: 5597720656 Enrollment ID: I20080805000130 |
| Provider Name | Liliana Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225251408 PECOS PAC ID: 0749354033 Enrollment ID: I20080805000272 |
| Provider Name | Nirali J Desai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336177344 PECOS PAC ID: 5294760138 Enrollment ID: I20080828000385 |
| Provider Name | Sheena J John |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275794794 PECOS PAC ID: 0840367900 Enrollment ID: I20080916000371 |
| Provider Name | Oluchi U Anosike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033323845 PECOS PAC ID: 0648347559 Enrollment ID: I20080918000328 |
| Provider Name | Alan Strumeyer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952325821 PECOS PAC ID: 2163432873 Enrollment ID: I20080923000096 |
| Provider Name | James a Saidi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194792820 PECOS PAC ID: 5991804338 Enrollment ID: I20080923000119 |
| Provider Name | Brett Opell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629173679 PECOS PAC ID: 7315014156 Enrollment ID: I20080923000147 |
| Provider Name | George a Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326145590 PECOS PAC ID: 9234025651 Enrollment ID: I20080925000235 |
| Provider Name | Justina May Deitz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699922880 PECOS PAC ID: 8123195484 Enrollment ID: I20080929000285 |
| Provider Name | Eric K Seaman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548266414 PECOS PAC ID: 7517034358 Enrollment ID: I20081003000025 |
| Provider Name | Larry a Wolk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437143237 PECOS PAC ID: 5799763116 Enrollment ID: I20081014000088 |
| Provider Name | Jennifer N Sivitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023096450 PECOS PAC ID: 1254499569 Enrollment ID: I20081015000095 |
| Provider Name | Ann Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164415865 PECOS PAC ID: 9335208404 Enrollment ID: I20081104000337 |
| Provider Name | Christopher M Zarro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730223298 PECOS PAC ID: 1153480223 Enrollment ID: I20081104000338 |
| Provider Name | Angelo R Racaniello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962442194 PECOS PAC ID: 6800958091 Enrollment ID: I20081223000070 |
| Provider Name | James Zinman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578591467 PECOS PAC ID: 5597827568 Enrollment ID: I20081230000007 |
| Provider Name | Sunil Mirchandani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811157381 PECOS PAC ID: 8820150816 Enrollment ID: I20081230000141 |
| Provider Name | Jeffrey Blitstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538367396 PECOS PAC ID: 1052407418 Enrollment ID: I20090106000109 |
| Provider Name | Mildred M. Bentler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689829582 PECOS PAC ID: 1052474178 Enrollment ID: I20090115000016 |
| Provider Name | Michael Ciccone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649294034 PECOS PAC ID: 9537223383 Enrollment ID: I20090123000147 |
| Provider Name | Burton a Schlecker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891710182 PECOS PAC ID: 7618970450 Enrollment ID: I20090206000566 |
| Provider Name | John Sanzone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699790980 PECOS PAC ID: 5890798631 Enrollment ID: I20090211000115 |
| Provider Name | Sharon Li |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508894874 PECOS PAC ID: 4880759455 Enrollment ID: I20090213000371 |
| Provider Name | Erika Berman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346405057 PECOS PAC ID: 8527123116 Enrollment ID: I20090214000014 |
| Provider Name | Erin T Davidson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366695678 PECOS PAC ID: 1658436134 Enrollment ID: I20090217000334 |
| Provider Name | Beth R Rosenblatt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043246952 PECOS PAC ID: 3072678341 Enrollment ID: I20090220000114 |
| Provider Name | Marc M Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609804418 PECOS PAC ID: 6305903105 Enrollment ID: I20090323000376 |
| Provider Name | Kennedy O Gabregiorgish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730149139 PECOS PAC ID: 6507877362 Enrollment ID: I20090330000192 |
| Provider Name | Simone Gila Gampel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730343153 PECOS PAC ID: 8729145057 Enrollment ID: I20090331000484 |
| Provider Name | Mary E Contiliano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851337265 PECOS PAC ID: 7315094687 Enrollment ID: I20090403000012 |
| Provider Name | Leonard Staller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720015183 PECOS PAC ID: 3173670452 Enrollment ID: I20090403000168 |
| Provider Name | Gary Pien |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1841404530 PECOS PAC ID: 6002985140 Enrollment ID: I20090424000281 |
| Provider Name | Thomas J Mueller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003029836 PECOS PAC ID: 1759439284 Enrollment ID: I20090511000317 |
| Provider Name | Leonid L Topper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851487193 PECOS PAC ID: 6507779469 Enrollment ID: I20090515000209 |
| Provider Name | Lisa V Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417085937 PECOS PAC ID: 8224187406 Enrollment ID: I20090518000507 |
| Provider Name | Shani L Lipset |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992752646 PECOS PAC ID: 8820017783 Enrollment ID: I20090519000106 |
| Provider Name | Farshad Abir |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1871542662 PECOS PAC ID: 9032121819 Enrollment ID: I20090521000307 |
| Provider Name | Rachana Purohit |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114163532 PECOS PAC ID: 7416006101 Enrollment ID: I20090529000263 |
| Provider Name | Shoshana Feiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508049867 PECOS PAC ID: 5092756395 Enrollment ID: I20090601000465 |
| Provider Name | Pamela H. Donetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780753079 PECOS PAC ID: 6204986755 Enrollment ID: I20090604000268 |
| Provider Name | Karen R Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770531873 PECOS PAC ID: 1254387384 Enrollment ID: I20090605000512 |
| Provider Name | Veronika Tversky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467412627 PECOS PAC ID: 1456443811 Enrollment ID: I20090608000027 |
| Provider Name | Joshua L Wein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346353422 PECOS PAC ID: 8325092687 Enrollment ID: I20090608000205 |
| Provider Name | Mark I Miller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144219791 PECOS PAC ID: 5092616672 Enrollment ID: I20090608000347 |
| Provider Name | Ray Ryan Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821241381 PECOS PAC ID: 6507916806 Enrollment ID: I20090608000568 |
| Provider Name | Sophie D Morse |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184787723 PECOS PAC ID: 3274683172 Enrollment ID: I20090616000272 |
| Provider Name | Kenneth Ring |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225025174 PECOS PAC ID: 7416858097 Enrollment ID: I20090617000596 |
| Provider Name | William L Terens |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013020189 PECOS PAC ID: 4789638040 Enrollment ID: I20090623000626 |
| Provider Name | Steve Lebovitch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396984944 PECOS PAC ID: 7315098290 Enrollment ID: I20090707000020 |
| Provider Name | John a Faccone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447259122 PECOS PAC ID: 4486706207 Enrollment ID: I20090709000038 |
| Provider Name | Seth G Jawetz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104010131 PECOS PAC ID: 6709938558 Enrollment ID: I20090709000223 |
| Provider Name | Rita Yeretsian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710184437 PECOS PAC ID: 4486707312 Enrollment ID: I20090724000469 |
| Provider Name | Steven Richards |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538168489 PECOS PAC ID: 9436050721 Enrollment ID: I20090728000137 |
| Provider Name | Jason D Schaechter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275793366 PECOS PAC ID: 0244383883 Enrollment ID: I20090730000035 |
| Provider Name | Naheed R Abbasi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487851390 PECOS PAC ID: 2062565526 Enrollment ID: I20090730000343 |
| Provider Name | Vaibhav Mangrulkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659542488 PECOS PAC ID: 7810040870 Enrollment ID: I20090810000024 |
| Provider Name | Kelly a Krueger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861663528 PECOS PAC ID: 2062566953 Enrollment ID: I20090811000679 |
| Provider Name | Valerie Mcaneny |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730135369 PECOS PAC ID: 0648324582 Enrollment ID: I20090812000412 |
| Provider Name | Miriam S Anannab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558439877 PECOS PAC ID: 7315091980 Enrollment ID: I20090817000213 |
| Provider Name | John M Simonetti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396850665 PECOS PAC ID: 9032263611 Enrollment ID: I20090817000340 |
| Provider Name | Alen R Tar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174762785 PECOS PAC ID: 6204980584 Enrollment ID: I20090820000741 |
| Provider Name | Kamaljeet Kalsi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649430950 PECOS PAC ID: 7113071358 Enrollment ID: I20090821000479 |
| Provider Name | Robin L Shore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689623670 PECOS PAC ID: 0648325142 Enrollment ID: I20090908000019 |
| Provider Name | Lynda Baron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851454862 PECOS PAC ID: 3779638135 Enrollment ID: I20090908000665 |
| Provider Name | Irene S Cho |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093910259 PECOS PAC ID: 8921153180 Enrollment ID: I20090911000437 |
| Provider Name | Rhonda M Walsh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477735280 PECOS PAC ID: 6002963238 Enrollment ID: I20090915000324 |
| Provider Name | Christopher Seymour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154436400 PECOS PAC ID: 7719033711 Enrollment ID: I20090916000322 |
| Provider Name | Angela Ylenia Giuffrida |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1457562548 PECOS PAC ID: 9830245471 Enrollment ID: I20090923000123 |
| Provider Name | Oscar Vazquez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063608875 PECOS PAC ID: 4688720154 Enrollment ID: I20090924000519 |
| Provider Name | Anita Singh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033347018 PECOS PAC ID: 7214073295 Enrollment ID: I20091005000611 |
| Provider Name | Natasa Ancevska-taneva |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275773434 PECOS PAC ID: 1759427503 Enrollment ID: I20091007000761 |
| Provider Name | Francis Diaz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932314382 PECOS PAC ID: 8224175914 Enrollment ID: I20091029000183 |
| Provider Name | Lisa F. Brodkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972561926 PECOS PAC ID: 6103964523 Enrollment ID: I20091105000047 |
| Provider Name | Pritish K Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144258872 PECOS PAC ID: 5890832620 Enrollment ID: I20091110000645 |
| Provider Name | Stephanie K Sapio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528296514 PECOS PAC ID: 5294874046 Enrollment ID: I20091208000254 |
| Provider Name | Martin M Goldstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831162189 PECOS PAC ID: 8729084165 Enrollment ID: I20091231000040 |
| Provider Name | Eric J Margolis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376545897 PECOS PAC ID: 3072654821 Enrollment ID: I20091231000083 |
| Provider Name | Thomas Y Chun |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407846827 PECOS PAC ID: 7810038676 Enrollment ID: I20091231000156 |
| Provider Name | Lisa E Hayes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972707164 PECOS PAC ID: 1658412598 Enrollment ID: I20100114000042 |
| Provider Name | Judith H Lang-knutsen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487804159 PECOS PAC ID: 1850434598 Enrollment ID: I20100203000820 |
| Provider Name | Linda Luisi Purdue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427129477 PECOS PAC ID: 6204994726 Enrollment ID: I20100317000136 |
| Provider Name | Stephen E Crane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073613998 PECOS PAC ID: 5395803811 Enrollment ID: I20100318000816 |
| Provider Name | Sam Kim |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740226950 PECOS PAC ID: 1254320906 Enrollment ID: I20100324001025 |
| Provider Name | Gary Karlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457334575 PECOS PAC ID: 0840276523 Enrollment ID: I20100325000056 |
| Provider Name | Christian E Ellison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306838305 PECOS PAC ID: 2961538319 Enrollment ID: I20100325000199 |
| Provider Name | Michelle M Thurlow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053544775 PECOS PAC ID: 7517093826 Enrollment ID: I20100325000811 |
| Provider Name | Kanan V Shridharani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639266729 PECOS PAC ID: 0648175232 Enrollment ID: I20100326000760 |
| Provider Name | Russell Freid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033195391 PECOS PAC ID: 2668458449 Enrollment ID: I20100407000412 |
| Provider Name | Avery S Katz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083600662 PECOS PAC ID: 5496768509 Enrollment ID: I20100413000106 |
| Provider Name | Allison P Gurey Wasserstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740302249 PECOS PAC ID: 1355478835 Enrollment ID: I20100415000549 |
| Provider Name | Haniyyah Hester-abdullah |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740513670 PECOS PAC ID: 2466589841 Enrollment ID: I20100415000673 |
| Provider Name | Joseph J Logan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841203775 PECOS PAC ID: 8325073935 Enrollment ID: I20100428000288 |
| Provider Name | Toros Kapoian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1083630628 PECOS PAC ID: 2567590185 Enrollment ID: I20100503000061 |
| Provider Name | Priyanka Nath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114185576 PECOS PAC ID: 3476616681 Enrollment ID: I20100503000121 |
| Provider Name | Andrew D Koplik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346462165 PECOS PAC ID: 9931237294 Enrollment ID: I20100506000333 |
| Provider Name | Richard P Campo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609968676 PECOS PAC ID: 3971631045 Enrollment ID: I20100511000420 |
| Provider Name | David Skolnik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730207796 PECOS PAC ID: 3779611611 Enrollment ID: I20100513000365 |
| Provider Name | Michael Passafaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033326640 PECOS PAC ID: 1052407434 Enrollment ID: I20100518000557 |
| Provider Name | Roger S Klein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295756708 PECOS PAC ID: 2264333822 Enrollment ID: I20100519000169 |
| Provider Name | Ryan H P Kanach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598089864 PECOS PAC ID: 0244369908 Enrollment ID: I20100519000313 |
| Provider Name | Neil I Minikes |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629022835 PECOS PAC ID: 5799814323 Enrollment ID: I20100520000276 |
| Provider Name | Kenneth J Kopacz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205944709 PECOS PAC ID: 7719046887 Enrollment ID: I20100601000243 |
| Provider Name | Maryann Pladdys |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235282401 PECOS PAC ID: 5597895847 Enrollment ID: I20100611000682 |
| Provider Name | Lawrence R Desrochers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861437295 PECOS PAC ID: 3577467448 Enrollment ID: I20100624000610 |
| Provider Name | Kevin J Holzman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1790907657 PECOS PAC ID: 8224169503 Enrollment ID: I20100630000607 |
| Provider Name | Ramalakshmi K Nuthi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306007133 PECOS PAC ID: 3173684461 Enrollment ID: I20100708000767 |
| Provider Name | Andrew Halperin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669588232 PECOS PAC ID: 1658403662 Enrollment ID: I20100709000302 |
| Provider Name | Jennifer Gordon Reeder |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619905379 PECOS PAC ID: 9133122203 Enrollment ID: I20100716000330 |
| Provider Name | Winnie M Polen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851371330 PECOS PAC ID: 3779615273 Enrollment ID: I20100720000070 |
| Provider Name | Hari Nadiminti |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558520700 PECOS PAC ID: 6507998028 Enrollment ID: I20100720000265 |
| Provider Name | Douglas S Berkman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811154362 PECOS PAC ID: 0143353110 Enrollment ID: I20100728000917 |
| Provider Name | Salvatore Pepe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609809458 PECOS PAC ID: 3779616578 Enrollment ID: I20100730000430 |
| Provider Name | Frank Parisi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326058587 PECOS PAC ID: 3274666706 Enrollment ID: I20100804000107 |
| Provider Name | Sherif a Hassan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528279320 PECOS PAC ID: 9739213992 Enrollment ID: I20100810001012 |
| Provider Name | Bethany D Hamberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134315831 PECOS PAC ID: 0446334932 Enrollment ID: I20100811000224 |
| Provider Name | Robert a Linden |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932317633 PECOS PAC ID: 8426182932 Enrollment ID: I20100819000762 |
| Provider Name | Ronald F Francesco |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972591444 PECOS PAC ID: 4981627692 Enrollment ID: I20100819001061 |
| Provider Name | Marco Ucciferri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013989789 PECOS PAC ID: 9638203060 Enrollment ID: I20100819001117 |
| Provider Name | Daniel R Lowe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932373578 PECOS PAC ID: 0143399949 Enrollment ID: I20100827000605 |
| Provider Name | Benjamin Schneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548406465 PECOS PAC ID: 8820112857 Enrollment ID: I20100827000718 |
| Provider Name | Marc I Schwarzman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780627661 PECOS PAC ID: 4486779717 Enrollment ID: I20100910000010 |
| Provider Name | Harold Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396719688 PECOS PAC ID: 2163547092 Enrollment ID: I20100916000143 |
| Provider Name | Miles B Levin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477702124 PECOS PAC ID: 5698890457 Enrollment ID: I20100916000726 |
| Provider Name | Jonathan Resnick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497812796 PECOS PAC ID: 5496783086 Enrollment ID: I20100917000627 |
| Provider Name | Jack V Cappitelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851448492 PECOS PAC ID: 2567448079 Enrollment ID: I20100921000065 |
| Provider Name | Tony Distefano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851389373 PECOS PAC ID: 3173649498 Enrollment ID: I20100923001385 |
| Provider Name | Jeffrey B Danzig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689653909 PECOS PAC ID: 8426240813 Enrollment ID: I20101004000773 |
| Provider Name | Michael B Wax |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255306296 PECOS PAC ID: 6901098151 Enrollment ID: I20101007000209 |
| Provider Name | David Cooper |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649272501 PECOS PAC ID: 4183816234 Enrollment ID: I20101007000317 |
| Provider Name | Redentor S Mendiola |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710974654 PECOS PAC ID: 3072705144 Enrollment ID: I20101007000485 |
| Provider Name | Adam Barrison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669473328 PECOS PAC ID: 3678765740 Enrollment ID: I20101007000535 |
| Provider Name | Rajesh Rao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003842022 PECOS PAC ID: 2466644554 Enrollment ID: I20101007000720 |
| Provider Name | Craig H Feinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548258007 PECOS PAC ID: 2961694070 Enrollment ID: I20101007001027 |
| Provider Name | John R Matjucha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245326131 PECOS PAC ID: 8426240300 Enrollment ID: I20101011000610 |
| Provider Name | Jeffrey Lebenger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962404558 PECOS PAC ID: 5193764546 Enrollment ID: I20101012000212 |
| Provider Name | Hamsa Al-dulaimi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457446056 PECOS PAC ID: 3577755321 Enrollment ID: I20101012000448 |
| Provider Name | Steven W Papish |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811985997 PECOS PAC ID: 3971598772 Enrollment ID: I20101015001142 |
| Provider Name | Constance Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235192139 PECOS PAC ID: 0345433850 Enrollment ID: I20101015001189 |
| Provider Name | Ricardo M Camacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124029228 PECOS PAC ID: 5890988836 Enrollment ID: I20101021001293 |
| Provider Name | Charles P Ciolino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841393121 PECOS PAC ID: 0042369316 Enrollment ID: I20101022000089 |
| Provider Name | Marc M Morresi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760645030 PECOS PAC ID: 5799978680 Enrollment ID: I20101025000097 |
| Provider Name | David M Tamres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780682492 PECOS PAC ID: 8426241282 Enrollment ID: I20101025001100 |
| Provider Name | James R Matteson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497726830 PECOS PAC ID: 6406958859 Enrollment ID: I20101027000433 |
| Provider Name | Ross J Fox |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1689698128 PECOS PAC ID: 0941201222 Enrollment ID: I20101029000778 |
| Provider Name | David Blady |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053386144 PECOS PAC ID: 4789773318 Enrollment ID: I20101104001275 |
| Provider Name | Susan Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093704777 PECOS PAC ID: 6204021827 Enrollment ID: I20101109000896 |
| Provider Name | John J Vaccaro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083682017 PECOS PAC ID: 9234228867 Enrollment ID: I20101111000674 |
| Provider Name | Eric C Mirsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447247283 PECOS PAC ID: 0446151021 Enrollment ID: I20101116000051 |
| Provider Name | Lisa Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972590750 PECOS PAC ID: 2365637345 Enrollment ID: I20101116000972 |
| Provider Name | Alice B Gibbons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649268012 PECOS PAC ID: 1355537275 Enrollment ID: I20101118000011 |
| Provider Name | Laura S Zimmermann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407893530 PECOS PAC ID: 4385830249 Enrollment ID: I20101118000529 |
| Provider Name | James a Levey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316936669 PECOS PAC ID: 2769421114 Enrollment ID: I20101118000708 |
| Provider Name | David Forlander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528056090 PECOS PAC ID: 0345436911 Enrollment ID: I20101122000424 |
| Provider Name | Evangalia Tsomos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134178122 PECOS PAC ID: 6800082322 Enrollment ID: I20101123000951 |
| Provider Name | Abby L Saunders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811068042 PECOS PAC ID: 5597951020 Enrollment ID: I20101123001020 |
| Provider Name | Michael a Fuhrman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720077746 PECOS PAC ID: 0143361816 Enrollment ID: I20101124000007 |
| Provider Name | Margarie Meise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326012022 PECOS PAC ID: 0143416552 Enrollment ID: I20101124000845 |
| Provider Name | Marvin a Lipsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932198942 PECOS PAC ID: 8426959107 Enrollment ID: I20101203000627 |
| Provider Name | Marc Feder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255662284 PECOS PAC ID: 9931396389 Enrollment ID: I20101210000306 |
| Provider Name | Lauren E Kaplan-sagal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457463671 PECOS PAC ID: 6305033556 Enrollment ID: I20101214000559 |
| Provider Name | David a Gold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891704292 PECOS PAC ID: 0042212847 Enrollment ID: I20101214000845 |
| Provider Name | Fang Qian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558326769 PECOS PAC ID: 4688862543 Enrollment ID: I20101220001044 |
| Provider Name | Fiore J Devito |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679599609 PECOS PAC ID: 4789653965 Enrollment ID: I20101221001038 |
| Provider Name | Joseph G Cappadona |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265441679 PECOS PAC ID: 1951303759 Enrollment ID: I20101227000620 |
| Provider Name | Kara J Goldman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457666539 PECOS PAC ID: 8527256841 Enrollment ID: I20101230000183 |
| Provider Name | Julio C Diaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881682300 PECOS PAC ID: 8325236656 Enrollment ID: I20101230000350 |
| Provider Name | Jeffrey a Siegel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1427000728 PECOS PAC ID: 4284735887 Enrollment ID: I20110105000382 |
| Provider Name | Bernadette Parga |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124334719 PECOS PAC ID: 1850580994 Enrollment ID: I20110105000809 |
| Provider Name | Maureen Zampella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538168497 PECOS PAC ID: 9032308184 Enrollment ID: I20110105000947 |
| Provider Name | Gisele Lahens-dennis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912057209 PECOS PAC ID: 6800911413 Enrollment ID: I20110106000650 |
| Provider Name | Adam Kuehn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972608313 PECOS PAC ID: 1759570781 Enrollment ID: I20110106000664 |
| Provider Name | Alpeshkumar V Bavishi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790008787 PECOS PAC ID: 4385833037 Enrollment ID: I20110111000491 |
| Provider Name | Estela Wajcberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356599294 PECOS PAC ID: 6002005709 Enrollment ID: I20110112000077 |
| Provider Name | Beth Singer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033182514 PECOS PAC ID: 7719176155 Enrollment ID: I20110114000995 |
| Provider Name | Kimberly Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760552822 PECOS PAC ID: 7719176197 Enrollment ID: I20110118000036 |
| Provider Name | Ida a Miguelino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285614800 PECOS PAC ID: 5597954982 Enrollment ID: I20110118000120 |
| Provider Name | Jaime P Falvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558323162 PECOS PAC ID: 7315916087 Enrollment ID: I20110119000384 |
| Provider Name | Sue Jane Grosso Rivas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770563413 PECOS PAC ID: 1153500830 Enrollment ID: I20110127000111 |
| Provider Name | Deepali Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356521587 PECOS PAC ID: 5092868315 Enrollment ID: I20110127000242 |
| Provider Name | Christine K Aufderheide |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467762799 PECOS PAC ID: 1456531151 Enrollment ID: I20110214000256 |
| Provider Name | Daniel M Sansobrino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174726491 PECOS PAC ID: 2062693492 Enrollment ID: I20110218000120 |
| Provider Name | Michelle Tuzzolino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366600140 PECOS PAC ID: 6709951916 Enrollment ID: I20110302000163 |
| Provider Name | Stephanie a Guillaume |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891936589 PECOS PAC ID: 8921280462 Enrollment ID: I20110304000561 |
| Provider Name | Jory G Magidson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669449526 PECOS PAC ID: 5698878254 Enrollment ID: I20110308000792 |
| Provider Name | Jenny H. Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619024510 PECOS PAC ID: 0840218558 Enrollment ID: I20110311000179 |
| Provider Name | Jeffrey B Ginsburg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043204332 PECOS PAC ID: 9436200409 Enrollment ID: I20110315000897 |
| Provider Name | Kenneth a Remsen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881688166 PECOS PAC ID: 8527119593 Enrollment ID: I20110315000924 |
| Provider Name | Howard Taylor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932193117 PECOS PAC ID: 6709937774 Enrollment ID: I20110315000966 |
| Provider Name | Michela P Thorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790091015 PECOS PAC ID: 2365625779 Enrollment ID: I20110323000077 |
| Provider Name | Michael a Zozzaro |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659535433 PECOS PAC ID: 7315121605 Enrollment ID: I20110412000050 |
| Provider Name | Himanshu P Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578666764 PECOS PAC ID: 0244258234 Enrollment ID: I20110421000478 |
| Provider Name | Joseph P O Brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689618860 PECOS PAC ID: 0749380111 Enrollment ID: I20110517000848 |
| Provider Name | Cynthia Sneeden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184807067 PECOS PAC ID: 2466638721 Enrollment ID: I20110520000545 |
| Provider Name | Boris Reydel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457394124 PECOS PAC ID: 9638276132 Enrollment ID: I20110520000714 |
| Provider Name | Nicole Antoinette Henry-dindial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629174669 PECOS PAC ID: 3375729650 Enrollment ID: I20110523000097 |
| Provider Name | Steven B Weinfeld |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750348447 PECOS PAC ID: 2860586187 Enrollment ID: I20110523000692 |
| Provider Name | Brian H Schactman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942240551 PECOS PAC ID: 5294835666 Enrollment ID: I20110526000821 |
| Provider Name | Atara Schultz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912112731 PECOS PAC ID: 7113104050 Enrollment ID: I20110602000179 |
| Provider Name | Janeen Miraglia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891947412 PECOS PAC ID: 6002093788 Enrollment ID: I20110606000573 |
| Provider Name | Michael E Shirazi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1326289679 PECOS PAC ID: 6103003488 Enrollment ID: I20110614000657 |
| Provider Name | Donna Janine Adamoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104880871 PECOS PAC ID: 2567410889 Enrollment ID: I20110617000298 |
| Provider Name | Sarah a Dodge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235143504 PECOS PAC ID: 1254463771 Enrollment ID: I20110623000014 |
| Provider Name | Alexei Wedmid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134387343 PECOS PAC ID: 4486784642 Enrollment ID: I20110714000509 |
| Provider Name | Mark Chase |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699849711 PECOS PAC ID: 8325187354 Enrollment ID: I20110727000509 |
| Provider Name | Lauren M Kennish |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508069998 PECOS PAC ID: 9739358334 Enrollment ID: I20110817000274 |
| Provider Name | Amir Estephan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457673246 PECOS PAC ID: 7911176433 Enrollment ID: I20110817000540 |
| Provider Name | David C De Vinck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205095155 PECOS PAC ID: 8628112141 Enrollment ID: I20110822000382 |
| Provider Name | Rachael D Hartman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568636314 PECOS PAC ID: 0547430753 Enrollment ID: I20110825000672 |
| Provider Name | Petko P Mitev |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881981348 PECOS PAC ID: 1052582582 Enrollment ID: I20110914000145 |
| Provider Name | Mamta S Gill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407142367 PECOS PAC ID: 5991976938 Enrollment ID: I20110922000341 |
| Provider Name | Karin L Wolosz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215215868 PECOS PAC ID: 0042481053 Enrollment ID: I20110923000339 |
| Provider Name | Ronna S Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780826859 PECOS PAC ID: 1153592860 Enrollment ID: I20110928000614 |
| Provider Name | James M Lopes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861659476 PECOS PAC ID: 0941341846 Enrollment ID: I20111017000055 |
| Provider Name | Cyrus H. Nozad |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1457528655 PECOS PAC ID: 4587794672 Enrollment ID: I20111017000685 |
| Provider Name | Laura L Demaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174803209 PECOS PAC ID: 5395917140 Enrollment ID: I20111020000446 |
| Provider Name | Allyson J Feinstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154533065 PECOS PAC ID: 9931372463 Enrollment ID: I20111028000461 |
| Provider Name | Elizabeth L Ramos Genuino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699833533 PECOS PAC ID: 6002089083 Enrollment ID: I20111108000489 |
| Provider Name | Mark L Kavanagh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558514380 PECOS PAC ID: 3173686862 Enrollment ID: I20111109000041 |
| Provider Name | Michele Nitti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316008964 PECOS PAC ID: 6406021948 Enrollment ID: I20111212000165 |
| Provider Name | Carole F Lytle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205879814 PECOS PAC ID: 5698941672 Enrollment ID: I20111221000348 |
| Provider Name | Mary L Tubach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457669707 PECOS PAC ID: 4486836095 Enrollment ID: I20120105000298 |
| Provider Name | Lindy Bramblett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336472935 PECOS PAC ID: 1355489923 Enrollment ID: I20120109000033 |
| Provider Name | Neil J Russo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235290966 PECOS PAC ID: 4486811460 Enrollment ID: I20120202000311 |
| Provider Name | Christopher Schaefer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679780407 PECOS PAC ID: 4981689049 Enrollment ID: I20120305000032 |
| Provider Name | Ravi Rajan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831135078 PECOS PAC ID: 6305980442 Enrollment ID: I20120305000060 |
| Provider Name | Vijay Seelall |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821219171 PECOS PAC ID: 0749363430 Enrollment ID: I20120306000136 |
| Provider Name | Manisha B Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770644502 PECOS PAC ID: 9133388416 Enrollment ID: I20120306000317 |
| Provider Name | Patrick O'hara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699051292 PECOS PAC ID: 5890954408 Enrollment ID: I20120316000283 |
| Provider Name | Tammy J Hamilton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720148349 PECOS PAC ID: 5890955694 Enrollment ID: I20120409000231 |
| Provider Name | Jesse Wilt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386723328 PECOS PAC ID: 1355475864 Enrollment ID: I20120419000442 |
| Provider Name | Nancy L Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255521795 PECOS PAC ID: 8224290614 Enrollment ID: I20120501000503 |
| Provider Name | Sarah a Bornstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316210081 PECOS PAC ID: 6901068055 Enrollment ID: I20120507000396 |
| Provider Name | Andrea Walter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457330417 PECOS PAC ID: 9335134535 Enrollment ID: I20120601000040 |
| Provider Name | Dhruti M Soundar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558635284 PECOS PAC ID: 4981867967 Enrollment ID: I20120601000163 |
| Provider Name | Erin Pojanowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396004396 PECOS PAC ID: 7911161864 Enrollment ID: I20120606000141 |
| Provider Name | Michael S Lasser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578782223 PECOS PAC ID: 6103094693 Enrollment ID: I20120606000537 |
| Provider Name | Justin a Mendoza |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316101389 PECOS PAC ID: 6103080635 Enrollment ID: I20120614000126 |
| Provider Name | Richard D Rhim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154588937 PECOS PAC ID: 1052488087 Enrollment ID: I20120618000460 |
| Provider Name | Yong Min Kwon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528186384 PECOS PAC ID: 2769532936 Enrollment ID: I20120620000325 |
| Provider Name | Waseem a Bhatti |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578779310 PECOS PAC ID: 6507020708 Enrollment ID: I20120620000389 |
| Provider Name | Deep Trivedi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750394771 PECOS PAC ID: 5597929612 Enrollment ID: I20120620000780 |
| Provider Name | Lowell E Gurey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558519918 PECOS PAC ID: 1254595325 Enrollment ID: I20120621000411 |
| Provider Name | Vasthi C Wilson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760548556 PECOS PAC ID: 3678648128 Enrollment ID: I20120625000401 |
| Provider Name | Isaac Galandauer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356543276 PECOS PAC ID: 6901985712 Enrollment ID: I20120627000548 |
| Provider Name | Sunita a Borkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083989107 PECOS PAC ID: 2062677396 Enrollment ID: I20120711000331 |
| Provider Name | Diane K Kwak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598025777 PECOS PAC ID: 5092970293 Enrollment ID: I20120712000593 |
| Provider Name | Adria L Fishkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568649580 PECOS PAC ID: 6002072683 Enrollment ID: I20120726000051 |
| Provider Name | Garth M Turner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689870933 PECOS PAC ID: 8022274547 Enrollment ID: I20120726000623 |
| Provider Name | Jose D Ibarbia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881857902 PECOS PAC ID: 8729234547 Enrollment ID: I20120810000372 |
| Provider Name | Renu Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235494485 PECOS PAC ID: 8729234455 Enrollment ID: I20120810000611 |
| Provider Name | Thomas Christiano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487805800 PECOS PAC ID: 4789861444 Enrollment ID: I20120917000070 |
| Provider Name | Rebecca E Sandler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831394527 PECOS PAC ID: 1456500347 Enrollment ID: I20121010000064 |
| Provider Name | Doh Yoon Cha |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568605061 PECOS PAC ID: 2163692583 Enrollment ID: I20121031000418 |
| Provider Name | Anna Latorre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730445750 PECOS PAC ID: 8426209008 Enrollment ID: I20121107000356 |
| Provider Name | Timothy D Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104129204 PECOS PAC ID: 4486838612 Enrollment ID: I20121204000434 |
| Provider Name | Yilda L Mayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922244169 PECOS PAC ID: 8921250598 Enrollment ID: I20121205000228 |
| Provider Name | Erin E Mccrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093017030 PECOS PAC ID: 3274785381 Enrollment ID: I20121218000055 |
| Provider Name | Leslie a Killeen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043465776 PECOS PAC ID: 3971756982 Enrollment ID: I20121226000137 |
| Provider Name | Christina Vassallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265795181 PECOS PAC ID: 6608029533 Enrollment ID: I20121231000152 |
| Provider Name | Michael a Zielinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053662403 PECOS PAC ID: 0749433233 Enrollment ID: I20130111000405 |
| Provider Name | Shayamala Baskaran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710132659 PECOS PAC ID: 9032391990 Enrollment ID: I20130125000214 |
| Provider Name | Anne Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346443058 PECOS PAC ID: 8628136629 Enrollment ID: I20130213000231 |
| Provider Name | Michelle S Joseph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396095204 PECOS PAC ID: 4284888413 Enrollment ID: I20130215000393 |
| Provider Name | Rajendra S Singh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548410525 PECOS PAC ID: 9234325218 Enrollment ID: I20130221000433 |
| Provider Name | Joseph H Thornton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184793556 PECOS PAC ID: 1153576970 Enrollment ID: I20130228000468 |
| Provider Name | Lauren a Buchsbaum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386839348 PECOS PAC ID: 2163667221 Enrollment ID: I20130321000120 |
| Provider Name | Nicole D Garcia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124293865 PECOS PAC ID: 8820234602 Enrollment ID: I20130424000167 |
| Provider Name | Bernice Adu Amankwa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356543300 PECOS PAC ID: 1951572205 Enrollment ID: I20130429000221 |
| Provider Name | Ami a Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932238540 PECOS PAC ID: 6608013073 Enrollment ID: I20130503000114 |
| Provider Name | Kavita Sabnani-nagella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871523910 PECOS PAC ID: 7315184355 Enrollment ID: I20130510000021 |
| Provider Name | Kimberly Cali |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184978066 PECOS PAC ID: 8820240492 Enrollment ID: I20130517000433 |
| Provider Name | Jennifer Igbokwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124043930 PECOS PAC ID: 0042206195 Enrollment ID: I20130523000033 |
| Provider Name | Tania a Afonso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417210394 PECOS PAC ID: 8325298359 Enrollment ID: I20130524000015 |
| Provider Name | Sanjay S Kasturi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285832600 PECOS PAC ID: 5092971895 Enrollment ID: I20130530000550 |
| Provider Name | Alon Terry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942464128 PECOS PAC ID: 1850530437 Enrollment ID: I20130611000385 |
| Provider Name | Genghis E Niver |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578747739 PECOS PAC ID: 6608016456 Enrollment ID: I20130628000288 |
| Provider Name | Mary R Yap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770826034 PECOS PAC ID: 8820238272 Enrollment ID: I20130708000233 |
| Provider Name | Julia Medford-natanzon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124367784 PECOS PAC ID: 8224278270 Enrollment ID: I20130716000108 |
| Provider Name | Stephanie J Cummings |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548598063 PECOS PAC ID: 8426290347 Enrollment ID: I20130806000306 |
| Provider Name | Heather L Schoenberger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629016985 PECOS PAC ID: 7012976020 Enrollment ID: I20130814000340 |
| Provider Name | Adeep B Thumar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245425495 PECOS PAC ID: 0749422053 Enrollment ID: I20130816000309 |
| Provider Name | Adeena M Kra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669818449 PECOS PAC ID: 3870736465 Enrollment ID: I20130829000642 |
| Provider Name | Daniel B Schmid |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386844660 PECOS PAC ID: 0941443543 Enrollment ID: I20130829000674 |
| Provider Name | David H Burstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164681524 PECOS PAC ID: 5698931186 Enrollment ID: I20130903000509 |
| Provider Name | Amanda Graziano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841538790 PECOS PAC ID: 0042454266 Enrollment ID: I20130910000175 |
| Provider Name | Zubin M Bamboat |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1891821567 PECOS PAC ID: 5294979423 Enrollment ID: I20130910000229 |
| Provider Name | Nickolas D Juliano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114192101 PECOS PAC ID: 0143112722 Enrollment ID: I20130913000645 |
| Provider Name | Adam Thaler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386887461 PECOS PAC ID: 1759525637 Enrollment ID: I20130916000042 |
| Provider Name | Michael T Benke |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649432261 PECOS PAC ID: 9931359239 Enrollment ID: I20130916000193 |
| Provider Name | Hamed Bazargan Lari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437384062 PECOS PAC ID: 8729234315 Enrollment ID: I20130918000397 |
| Provider Name | Matthew S Hall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356509319 PECOS PAC ID: 6002050606 Enrollment ID: I20130923000144 |
| Provider Name | Eric M Black |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982863338 PECOS PAC ID: 4486811700 Enrollment ID: I20130923000185 |
| Provider Name | Thomas K John |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104021427 PECOS PAC ID: 1153556535 Enrollment ID: I20131022000146 |
| Provider Name | Edith Szabo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003853318 PECOS PAC ID: 4284662552 Enrollment ID: I20131031000457 |
| Provider Name | Debra J Margulies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134177918 PECOS PAC ID: 4284633660 Enrollment ID: I20131104000281 |
| Provider Name | Afshan Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578802591 PECOS PAC ID: 0244466944 Enrollment ID: I20131203000710 |
| Provider Name | Sadana Balachandar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528262359 PECOS PAC ID: 5294981700 Enrollment ID: I20131206000996 |
| Provider Name | Stephanie P Adam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447459292 PECOS PAC ID: 1355537507 Enrollment ID: I20131223000375 |
| Provider Name | Swosty Tuladhar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437593035 PECOS PAC ID: 8022246461 Enrollment ID: I20140110001261 |
| Provider Name | Hilary J Khademi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730516758 PECOS PAC ID: 1557599909 Enrollment ID: I20140111000022 |
| Provider Name | Nader N Habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598977753 PECOS PAC ID: 3577639269 Enrollment ID: I20140217000477 |
| Provider Name | Anthony N Falco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275963076 PECOS PAC ID: 2860622677 Enrollment ID: I20140222000394 |
| Provider Name | Lisa J Dunn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902959737 PECOS PAC ID: 7719115567 Enrollment ID: I20140319000160 |
| Provider Name | Marc Slavin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770812737 PECOS PAC ID: 7012148786 Enrollment ID: I20140321000513 |
| Provider Name | Jaclyn Leitner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780861724 PECOS PAC ID: 9537390075 Enrollment ID: I20140325001993 |
| Provider Name | Jaclyn F Wiener |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295053056 PECOS PAC ID: 1658515564 Enrollment ID: I20140421000169 |
| Provider Name | Pearl D Chua Eoan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922068543 PECOS PAC ID: 2163655754 Enrollment ID: I20140506001753 |
| Provider Name | Dan C Oana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396705406 PECOS PAC ID: 9931332434 Enrollment ID: I20140508000569 |
| Provider Name | Carl F Koch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164843561 PECOS PAC ID: 0547493884 Enrollment ID: I20140512001483 |
| Provider Name | Danielle Pittore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215273784 PECOS PAC ID: 0648494757 Enrollment ID: I20140611001358 |
| Provider Name | James M Maginnis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023447968 PECOS PAC ID: 0345473096 Enrollment ID: I20140616000182 |
| Provider Name | Amit C Chitalia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417280579 PECOS PAC ID: 9931357431 Enrollment ID: I20140625001038 |
| Provider Name | Rizwana T Khokhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508828567 PECOS PAC ID: 3779708086 Enrollment ID: I20140630001312 |
| Provider Name | Anthony V Carrozza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629269543 PECOS PAC ID: 6406945633 Enrollment ID: I20140716001999 |
| Provider Name | Rohit I Nijhawan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316237159 PECOS PAC ID: 5092931675 Enrollment ID: I20140717002055 |
| Provider Name | Karol Quiroga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245668599 PECOS PAC ID: 5294964342 Enrollment ID: I20140718001411 |
| Provider Name | Amit S Tibb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811914856 PECOS PAC ID: 3779688890 Enrollment ID: I20140723000100 |
| Provider Name | John Suh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588975379 PECOS PAC ID: 6901022128 Enrollment ID: I20140724001449 |
| Provider Name | Christopher Felicano Daroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386930378 PECOS PAC ID: 7517182546 Enrollment ID: I20140804001946 |
| Provider Name | Amanda M Starling |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487959904 PECOS PAC ID: 8527285097 Enrollment ID: I20140806001170 |
| Provider Name | Huimiao Jiang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477782811 PECOS PAC ID: 4486871910 Enrollment ID: I20140807000295 |
| Provider Name | Saritha Kartan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1427376870 PECOS PAC ID: 9335366731 Enrollment ID: I20140808000074 |
| Provider Name | Kristen M Eleftheriou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265847651 PECOS PAC ID: 8729205059 Enrollment ID: I20140811001995 |
| Provider Name | Philip J Dorsey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215179452 PECOS PAC ID: 0244457273 Enrollment ID: I20140814000988 |
| Provider Name | Amy M Dietz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952533481 PECOS PAC ID: 3678703964 Enrollment ID: I20140820000235 |
| Provider Name | Yun Yan Zheng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093097172 PECOS PAC ID: 7517100225 Enrollment ID: I20140902001720 |
| Provider Name | Fathima Y Sahulhameed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205249679 PECOS PAC ID: 4880813468 Enrollment ID: I20140912001265 |
| Provider Name | Victoria C Desantos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891061065 PECOS PAC ID: 3274752829 Enrollment ID: I20140915001485 |
| Provider Name | Emad Rizkala |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255637146 PECOS PAC ID: 3173795630 Enrollment ID: I20140915001608 |
| Provider Name | Arbaz Samad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831346683 PECOS PAC ID: 8224257746 Enrollment ID: I20140916001342 |
| Provider Name | Giant Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699933044 PECOS PAC ID: 7517186885 Enrollment ID: I20140918001153 |
| Provider Name | Jaymes a Testa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043627185 PECOS PAC ID: 3274752498 Enrollment ID: I20140919000905 |
| Provider Name | Rachel C Ochs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568624864 PECOS PAC ID: 3476772427 Enrollment ID: I20140924000757 |
| Provider Name | Kathryn C Piotti |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255566493 PECOS PAC ID: 4486873445 Enrollment ID: I20140924001110 |
| Provider Name | Carol B Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770843898 PECOS PAC ID: 7012163645 Enrollment ID: I20140929001517 |
| Provider Name | Lisa George |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184763690 PECOS PAC ID: 1052531571 Enrollment ID: I20141006001247 |
| Provider Name | Evangelos E Eleftheriou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295143337 PECOS PAC ID: 7315167665 Enrollment ID: I20141008001625 |
| Provider Name | Scott G Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609825033 PECOS PAC ID: 8729163282 Enrollment ID: I20141014001250 |
| Provider Name | Deeksha Mehta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366618605 PECOS PAC ID: 2567683667 Enrollment ID: I20141014001391 |
| Provider Name | Carl G Punla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770894495 PECOS PAC ID: 1658511472 Enrollment ID: I20141022001404 |
| Provider Name | Cara D Jacobs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811305410 PECOS PAC ID: 2163643651 Enrollment ID: I20141027001566 |
| Provider Name | Keren Bakal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760657878 PECOS PAC ID: 2466646914 Enrollment ID: I20141106001730 |
| Provider Name | Marianne C Cleary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134535123 PECOS PAC ID: 2264654813 Enrollment ID: I20141114000612 |
| Provider Name | Donna C Briody |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467611814 PECOS PAC ID: 8921220484 Enrollment ID: I20141118000428 |
| Provider Name | Michelle C Cajulis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265425342 PECOS PAC ID: 5395874515 Enrollment ID: I20141118000825 |
| Provider Name | Elisabeth Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033157508 PECOS PAC ID: 6204158405 Enrollment ID: I20141125000554 |
| Provider Name | Yu-lan Mary Ying |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205091527 PECOS PAC ID: 7113071606 Enrollment ID: I20141201001012 |
| Provider Name | Eric Y Huang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952320962 PECOS PAC ID: 8729163985 Enrollment ID: I20141203001300 |
| Provider Name | Ana Cristina Laureano |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740544279 PECOS PAC ID: 5799007613 Enrollment ID: I20141204000844 |
| Provider Name | Karen a Dias-martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407914542 PECOS PAC ID: 7113249954 Enrollment ID: I20141204001779 |
| Provider Name | Shiva C Mehta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013310267 PECOS PAC ID: 8921321225 Enrollment ID: I20141217001640 |
| Provider Name | Carol a Diparisi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497155584 PECOS PAC ID: 0547583783 Enrollment ID: I20141219001589 |
| Provider Name | Sarah Vranesich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114322385 PECOS PAC ID: 9830412857 Enrollment ID: I20141224001274 |
| Provider Name | Mary Christina Friesz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790833929 PECOS PAC ID: 2567434004 Enrollment ID: I20141230000586 |
| Provider Name | Scott H Hanan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487649372 PECOS PAC ID: 2961451182 Enrollment ID: I20150113000413 |
| Provider Name | Hillary S Grennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477982221 PECOS PAC ID: 4486978376 Enrollment ID: I20150126000178 |
| Provider Name | Katherine Zatta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083012983 PECOS PAC ID: 5193040400 Enrollment ID: I20150209000916 |
| Provider Name | Jeannine Sopko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942615638 PECOS PAC ID: 1557686730 Enrollment ID: I20150210001559 |
| Provider Name | Sweeti Mehra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871586735 PECOS PAC ID: 0749210672 Enrollment ID: I20150227001061 |
| Provider Name | Mustafa Imran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528268026 PECOS PAC ID: 4082764782 Enrollment ID: I20150302000635 |
| Provider Name | William H Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821012196 PECOS PAC ID: 6507802758 Enrollment ID: I20150302001388 |
| Provider Name | Julie Schehr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114325628 PECOS PAC ID: 6709102569 Enrollment ID: I20150313001495 |
| Provider Name | Amanda C Burd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801285242 PECOS PAC ID: 3577880657 Enrollment ID: I20150330001580 |
| Provider Name | Jacqueline M Wyka Mahajan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609268168 PECOS PAC ID: 2466771464 Enrollment ID: I20150424000492 |
| Provider Name | Kristin a Duva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487652897 PECOS PAC ID: 4284521626 Enrollment ID: I20150519001115 |
| Provider Name | Safirah Chantill Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114310430 PECOS PAC ID: 6305166505 Enrollment ID: I20150528001990 |
| Provider Name | Shai Shoshani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609195726 PECOS PAC ID: 2163743469 Enrollment ID: I20150611000365 |
| Provider Name | Stacy L Kolbusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598190985 PECOS PAC ID: 4385956457 Enrollment ID: I20150701002299 |
| Provider Name | Yaser R Hussein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902124126 PECOS PAC ID: 3577780915 Enrollment ID: I20150707001075 |
| Provider Name | Neelam R Sood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114329273 PECOS PAC ID: 9931411519 Enrollment ID: I20150710000605 |
| Provider Name | Steven M Faschan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922374081 PECOS PAC ID: 9335452440 Enrollment ID: I20150720000369 |
| Provider Name | Kyle J Gimbel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669788816 PECOS PAC ID: 5092902544 Enrollment ID: I20150729006723 |
| Provider Name | Jeanine M Kozich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649437385 PECOS PAC ID: 4082928163 Enrollment ID: I20150803001838 |
| Provider Name | Christopher Wright |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790003267 PECOS PAC ID: 6709190739 Enrollment ID: I20150804003906 |
| Provider Name | Elan S Diamond |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659530608 PECOS PAC ID: 8022262252 Enrollment ID: I20150805008953 |
| Provider Name | Andre D Ross |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376960468 PECOS PAC ID: 2264747435 Enrollment ID: I20150817002510 |
| Provider Name | Jeffrey S Saperstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316057250 PECOS PAC ID: 7315253804 Enrollment ID: I20150828001093 |
| Provider Name | Carol M Eisenstat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669761037 PECOS PAC ID: 0143536185 Enrollment ID: I20150904001661 |
| Provider Name | Akwasi a Boateng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144541996 PECOS PAC ID: 6608005483 Enrollment ID: I20150910000512 |
| Provider Name | Quintina Benson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760526149 PECOS PAC ID: 2365595063 Enrollment ID: I20150915003129 |
| Provider Name | Gary Mazer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538337381 PECOS PAC ID: 1355415746 Enrollment ID: I20150916002237 |
| Provider Name | Daniel Frogel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063664548 PECOS PAC ID: 1052462025 Enrollment ID: I20150916002939 |
| Provider Name | Jean M Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538540778 PECOS PAC ID: 3476861451 Enrollment ID: I20150925000396 |
| Provider Name | Andrew Parziale |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346638350 PECOS PAC ID: 7810205606 Enrollment ID: I20150928001873 |
| Provider Name | Tushar Kapoor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265672646 PECOS PAC ID: 4284770538 Enrollment ID: I20151001001079 |
| Provider Name | Konika Bose |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336470228 PECOS PAC ID: 8426172081 Enrollment ID: I20151006000112 |
| Provider Name | Kalyn Cedrowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093183345 PECOS PAC ID: 7416266283 Enrollment ID: I20151016001707 |
| Provider Name | Jamie Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396995320 PECOS PAC ID: 9739495854 Enrollment ID: I20151020000403 |
| Provider Name | Nikolay D Dimov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033588041 PECOS PAC ID: 0143539478 Enrollment ID: I20151027001910 |
| Provider Name | Gregory Pinkowsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699932137 PECOS PAC ID: 3870816622 Enrollment ID: I20151113000409 |
| Provider Name | Erin K Amalfitano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114303716 PECOS PAC ID: 8527378967 Enrollment ID: I20151113002057 |
| Provider Name | Frederick K Shieh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801918917 PECOS PAC ID: 0648434761 Enrollment ID: I20151209000170 |
| Provider Name | Jake E Ritt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1710297965 PECOS PAC ID: 4385869619 Enrollment ID: I20151209000486 |
| Provider Name | Barrington a Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649642166 PECOS PAC ID: 2567763477 Enrollment ID: I20151218001075 |
| Provider Name | Sanford T Reikes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467456384 PECOS PAC ID: 0345347118 Enrollment ID: I20160105000455 |
| Provider Name | Calvin Natanzon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548405129 PECOS PAC ID: 4880826098 Enrollment ID: I20160119001110 |
| Provider Name | Yan Kharkover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912261272 PECOS PAC ID: 9234376922 Enrollment ID: I20160120000920 |
| Provider Name | Divya Rajasekaran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891074944 PECOS PAC ID: 5890099428 Enrollment ID: I20160202001860 |
| Provider Name | Peter J Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164664967 PECOS PAC ID: 4082918917 Enrollment ID: I20160212000753 |
| Provider Name | Carissa Meyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831324227 PECOS PAC ID: 6800191669 Enrollment ID: I20160217000222 |
| Provider Name | Abiy M Tessema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962769737 PECOS PAC ID: 7315242930 Enrollment ID: I20160219000718 |
| Provider Name | Linda J Parisi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952447252 PECOS PAC ID: 5193020691 Enrollment ID: I20160222000959 |
| Provider Name | Mary Elaine Carrillo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356722268 PECOS PAC ID: 3476858994 Enrollment ID: I20160222001571 |
| Provider Name | Dianne Gali |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386029577 PECOS PAC ID: 1951606268 Enrollment ID: I20160224002448 |
| Provider Name | Patrick E Lemasters |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952535403 PECOS PAC ID: 4183841315 Enrollment ID: I20160307000049 |
| Provider Name | Karen T Balonze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023360203 PECOS PAC ID: 7911203674 Enrollment ID: I20160308000129 |
| Provider Name | William Ding |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982845608 PECOS PAC ID: 4284898412 Enrollment ID: I20160316001095 |
| Provider Name | Alyssa E Granholm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851756647 PECOS PAC ID: 4880990894 Enrollment ID: I20160316001879 |
| Provider Name | Michelle Donohoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891159760 PECOS PAC ID: 3870882657 Enrollment ID: I20160518000537 |
| Provider Name | Marie J Pablo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093732075 PECOS PAC ID: 5799074282 Enrollment ID: I20160524000095 |
| Provider Name | Robert K Altman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588788814 PECOS PAC ID: 9234220906 Enrollment ID: I20160603000128 |
| Provider Name | Julie G Laurente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750645180 PECOS PAC ID: 8527358373 Enrollment ID: I20160607000462 |
| Provider Name | Jennifer H Rath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679629315 PECOS PAC ID: 1951472091 Enrollment ID: I20160615000481 |
| Provider Name | Hitika Y Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952762239 PECOS PAC ID: 2567753668 Enrollment ID: I20160621001165 |
| Provider Name | Monica C Chung |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750679528 PECOS PAC ID: 5395968085 Enrollment ID: I20160712001358 |
| Provider Name | Marissa G. Ferrazzo-weller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780943001 PECOS PAC ID: 2567619463 Enrollment ID: I20160713001717 |
| Provider Name | Silpa Gadiraju |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003105750 PECOS PAC ID: 9830322452 Enrollment ID: I20160804000445 |
| Provider Name | Mark Mann |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225291123 PECOS PAC ID: 2961620042 Enrollment ID: I20160805000245 |
| Provider Name | Amanda M Doucette |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255694949 PECOS PAC ID: 6204083090 Enrollment ID: I20160811001253 |
| Provider Name | Marissa Maddalena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689023400 PECOS PAC ID: 5890089932 Enrollment ID: I20160811001801 |
| Provider Name | Jeffrey M Okun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063730794 PECOS PAC ID: 8628364726 Enrollment ID: I20160915000243 |
| Provider Name | Dara B Facciani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245352707 PECOS PAC ID: 1355638255 Enrollment ID: I20160920002835 |
| Provider Name | Marianna Shimelfarb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275842452 PECOS PAC ID: 8921246372 Enrollment ID: I20160922001153 |
| Provider Name | Jennifer C Sasso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962958959 PECOS PAC ID: 9931496486 Enrollment ID: I20160927001124 |
| Provider Name | Erin P. Groover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346796489 PECOS PAC ID: 7113215195 Enrollment ID: I20161006000820 |
| Provider Name | Christopher D Andrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609118298 PECOS PAC ID: 2567760291 Enrollment ID: I20161027001123 |
| Provider Name | Joshua Curran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538476304 PECOS PAC ID: 2163701582 Enrollment ID: I20161108000134 |
| Provider Name | Jack Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821218843 PECOS PAC ID: 7719075118 Enrollment ID: I20161108002096 |
| Provider Name | Nicole Durie Falanga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306190012 PECOS PAC ID: 6406092535 Enrollment ID: I20161122001279 |
| Provider Name | Anthony U Lockhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477935252 PECOS PAC ID: 3870802358 Enrollment ID: I20161205001770 |
| Provider Name | Breanna Salazar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063968063 PECOS PAC ID: 3870873490 Enrollment ID: I20161216000952 |
| Provider Name | Zankhana M Patel Batra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750642211 PECOS PAC ID: 5597047274 Enrollment ID: I20170113001132 |
| Provider Name | Craig D Landzinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598216616 PECOS PAC ID: 3870875438 Enrollment ID: I20170117001200 |
| Provider Name | Diana Shushana Kirschenbaum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124404470 PECOS PAC ID: 9234411497 Enrollment ID: I20170123002754 |
| Provider Name | Douglas Brylka |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114181963 PECOS PAC ID: 0042335077 Enrollment ID: I20170125000555 |
| Provider Name | Kathryn E Witczak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881138576 PECOS PAC ID: 0840573929 Enrollment ID: I20170215002455 |
| Provider Name | Alyssa a Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588110746 PECOS PAC ID: 7012291644 Enrollment ID: I20170228000380 |
| Provider Name | Janis Sell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316922990 PECOS PAC ID: 6901801026 Enrollment ID: I20170301000113 |
| Provider Name | Hosi Padamadan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396708657 PECOS PAC ID: 5698735520 Enrollment ID: I20170316001211 |
| Provider Name | Justine Klein |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609310051 PECOS PAC ID: 2860777448 Enrollment ID: I20170322000795 |
| Provider Name | Rachel Gentile |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720526932 PECOS PAC ID: 4688950157 Enrollment ID: I20170418000607 |
| Provider Name | Alyce T Bishai |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093253239 PECOS PAC ID: 6406133099 Enrollment ID: I20170509001027 |
| Provider Name | Adrienne Serafin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730513474 PECOS PAC ID: 3678850997 Enrollment ID: I20170515000905 |
| Provider Name | Sheena Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548711690 PECOS PAC ID: 5193002459 Enrollment ID: I20170516000227 |
| Provider Name | Adesuwa Ruby Okesanya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194982579 PECOS PAC ID: 9032241658 Enrollment ID: I20170518001749 |
| Provider Name | Allison Hood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639503139 PECOS PAC ID: 1456628536 Enrollment ID: I20170519001328 |
| Provider Name | Meagan Lugo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184161903 PECOS PAC ID: 8022385871 Enrollment ID: I20170525002341 |
| Provider Name | Alon Y Mass |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447511191 PECOS PAC ID: 2062780174 Enrollment ID: I20170614000947 |
| Provider Name | Vinnie Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992970578 PECOS PAC ID: 8224207964 Enrollment ID: I20170706001225 |
| Provider Name | Nicole B Phin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760918262 PECOS PAC ID: 0042589004 Enrollment ID: I20170706002205 |
| Provider Name | Robyn Glessner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831547637 PECOS PAC ID: 1658640255 Enrollment ID: I20170712002982 |
| Provider Name | David Schreiber |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467656017 PECOS PAC ID: 0042405623 Enrollment ID: I20170717001731 |
| Provider Name | Veronica L Salas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528507456 PECOS PAC ID: 0244500650 Enrollment ID: I20170718001885 |
| Provider Name | Chun Tu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811316060 PECOS PAC ID: 8123398583 Enrollment ID: I20170719000018 |
| Provider Name | Bartosz Adam Walczyszyn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376833723 PECOS PAC ID: 3274803523 Enrollment ID: I20170720000139 |
| Provider Name | Matthew Gabriel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063932259 PECOS PAC ID: 9133499262 Enrollment ID: I20170724001552 |
| Provider Name | Todd E Markowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407896731 PECOS PAC ID: 2769585066 Enrollment ID: I20170726003645 |
| Provider Name | Edwin K Kang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598292815 PECOS PAC ID: 7517238868 Enrollment ID: I20170803003266 |
| Provider Name | Brian Freed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073951554 PECOS PAC ID: 0941571251 Enrollment ID: I20170804001597 |
| Provider Name | Veronica P Pomasin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598293557 PECOS PAC ID: 4688945850 Enrollment ID: I20170807000850 |
| Provider Name | Matthew Pagano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447540661 PECOS PAC ID: 9032481874 Enrollment ID: I20170815000112 |
| Provider Name | Marvin Lessig |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144309030 PECOS PAC ID: 6709917248 Enrollment ID: I20170816000265 |
| Provider Name | Jenny Disko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861615395 PECOS PAC ID: 6002188554 Enrollment ID: I20170818001311 |
| Provider Name | Andrea Hubschmann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952643355 PECOS PAC ID: 8628340601 Enrollment ID: I20170825002182 |
| Provider Name | Mina Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568704054 PECOS PAC ID: 2466724398 Enrollment ID: I20170828000474 |
| Provider Name | Heather Greenberg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407121684 PECOS PAC ID: 3678845500 Enrollment ID: I20170828000800 |
| Provider Name | Arianna Muraca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861912396 PECOS PAC ID: 1951674613 Enrollment ID: I20170831003047 |
| Provider Name | Rimple K Mody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639606197 PECOS PAC ID: 6709150733 Enrollment ID: I20170914002243 |
| Provider Name | Tess Jacob |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679838163 PECOS PAC ID: 2466726815 Enrollment ID: I20170922002114 |
| Provider Name | Zein K Nakhoda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235558479 PECOS PAC ID: 9335439017 Enrollment ID: I20170925002187 |
| Provider Name | Pouja Ahuja |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306273669 PECOS PAC ID: 0042584229 Enrollment ID: I20170927001116 |
| Provider Name | Loan Hoang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720405798 PECOS PAC ID: 8820363807 Enrollment ID: I20170929002990 |
| Provider Name | Thomas Ferrick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003332164 PECOS PAC ID: 9436424454 Enrollment ID: I20171002000887 |
| Provider Name | Anna V Rozentul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790978955 PECOS PAC ID: 6305032541 Enrollment ID: I20171006001579 |
| Provider Name | Melissa Gagescu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447637087 PECOS PAC ID: 2062787658 Enrollment ID: I20171007000110 |
| Provider Name | Marianna Strakhan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144489022 PECOS PAC ID: 9133303431 Enrollment ID: I20171011001335 |
| Provider Name | Cristina G O Rourke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891758900 PECOS PAC ID: 1759395627 Enrollment ID: I20171011001413 |
| Provider Name | Akira Yamamoto |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669769386 PECOS PAC ID: 6800030594 Enrollment ID: I20171013001957 |
| Provider Name | Gbemisola J Alli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336667237 PECOS PAC ID: 8224304357 Enrollment ID: I20171018000163 |
| Provider Name | Santiago Wer Arrivillaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083049282 PECOS PAC ID: 4385910660 Enrollment ID: I20171101001925 |
| Provider Name | Danielle T Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982127056 PECOS PAC ID: 8628334729 Enrollment ID: I20171106002013 |
| Provider Name | Victoria R Bueschen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609399427 PECOS PAC ID: 8820354962 Enrollment ID: I20171107000484 |
| Provider Name | Ana Maria Pimentel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528516663 PECOS PAC ID: 3577829472 Enrollment ID: I20171109000639 |
| Provider Name | Joseph Nachef |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396143301 PECOS PAC ID: 2961768635 Enrollment ID: I20171113003035 |
| Provider Name | Allen Samuel Prober |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891083150 PECOS PAC ID: 1254639081 Enrollment ID: I20171116000111 |
| Provider Name | Christopher D Batchelor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417215468 PECOS PAC ID: 2163661828 Enrollment ID: I20171202000048 |
| Provider Name | Elena Skomorovsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679847495 PECOS PAC ID: 2163651738 Enrollment ID: I20171204001638 |
| Provider Name | Patricia Anne Hutchinson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891776548 PECOS PAC ID: 4284821836 Enrollment ID: I20171219001671 |
| Provider Name | Claire H Handler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023456480 PECOS PAC ID: 6800154808 Enrollment ID: I20171221000336 |
| Provider Name | Paul Michael Girardi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265845473 PECOS PAC ID: 9830458322 Enrollment ID: I20180108002357 |
| Provider Name | Mackenzie Paige Rayfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598286718 PECOS PAC ID: 3678832730 Enrollment ID: I20180117002172 |
| Provider Name | Danielle Elena Blutstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396267035 PECOS PAC ID: 2466711205 Enrollment ID: I20180124000333 |
| Provider Name | Rowland Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356630172 PECOS PAC ID: 0244458222 Enrollment ID: I20180125000863 |
| Provider Name | Naquisha L Knights |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366741647 PECOS PAC ID: 6305023383 Enrollment ID: I20180126000893 |
| Provider Name | Bradley C Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790197101 PECOS PAC ID: 0042570772 Enrollment ID: I20180129000675 |
| Provider Name | Penelope Mcnicholas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801830013 PECOS PAC ID: 6709832371 Enrollment ID: I20180130002070 |
| Provider Name | Katie Swiezbin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336653369 PECOS PAC ID: 2961762539 Enrollment ID: I20180131001120 |
| Provider Name | Lauren Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851804389 PECOS PAC ID: 4385904648 Enrollment ID: I20180205002807 |
| Provider Name | Abel John Cherian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184651655 PECOS PAC ID: 6204880982 Enrollment ID: I20180228002434 |
| Provider Name | Sultan Mahmood Babar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962768895 PECOS PAC ID: 9032405535 Enrollment ID: I20180305001276 |
| Provider Name | Kwame a Ohemeng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649445362 PECOS PAC ID: 5890832224 Enrollment ID: I20180306000047 |
| Provider Name | Mary Elisabeth Harris |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669601910 PECOS PAC ID: 3577609544 Enrollment ID: I20180316000511 |
| Provider Name | Maria Evelyn Rodriguez-zierer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801829239 PECOS PAC ID: 2668734724 Enrollment ID: I20180329001809 |
| Provider Name | Phyllis Gerber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538673926 PECOS PAC ID: 4981966983 Enrollment ID: I20180402000425 |
| Provider Name | Kate Elizabeth Schilling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669759338 PECOS PAC ID: 9739356676 Enrollment ID: I20180405000067 |
| Provider Name | Chandana Pande |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831509413 PECOS PAC ID: 5294098315 Enrollment ID: I20180424000654 |
| Provider Name | Natalie T Koziupa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255836227 PECOS PAC ID: 5395008445 Enrollment ID: I20180424001664 |
| Provider Name | Danit V Brahver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952661514 PECOS PAC ID: 4789993072 Enrollment ID: I20180425002715 |
| Provider Name | Arnold Henry Rabinowitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497771455 PECOS PAC ID: 8729342548 Enrollment ID: I20180503000115 |
| Provider Name | Dawn Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730687393 PECOS PAC ID: 1153685854 Enrollment ID: I20180504001237 |
| Provider Name | Arvind Srinivasan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316947997 PECOS PAC ID: 5698876217 Enrollment ID: I20180523000490 |
| Provider Name | V Christopher Inzerillo |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578546735 PECOS PAC ID: 3072556562 Enrollment ID: I20180529000943 |
| Provider Name | Andrew Wayne Beharrie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952361982 PECOS PAC ID: 8022043678 Enrollment ID: I20180529001646 |
| Provider Name | Lucy Tasharofi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205087202 PECOS PAC ID: 9931464542 Enrollment ID: I20180601001135 |
| Provider Name | Shayna Marissa Chevinsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598263253 PECOS PAC ID: 1759636632 Enrollment ID: I20180618001365 |
| Provider Name | Ramy Saleh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265844054 PECOS PAC ID: 3971858333 Enrollment ID: I20180626002851 |
| Provider Name | Maryna Kuznetsov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023375474 PECOS PAC ID: 7113273434 Enrollment ID: I20180628002388 |
| Provider Name | Daniel William Kistner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962993675 PECOS PAC ID: 9638425275 Enrollment ID: I20180711003403 |
| Provider Name | Mital Patel Cohen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619119583 PECOS PAC ID: 3375781412 Enrollment ID: I20180712002404 |
| Provider Name | Brian Eric Weiss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790046324 PECOS PAC ID: 0446557524 Enrollment ID: I20180716001061 |
| Provider Name | Bryan W Frank |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861945941 PECOS PAC ID: 9931487840 Enrollment ID: I20180717001221 |
| Provider Name | Sascha G Dougan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184120222 PECOS PAC ID: 0345597548 Enrollment ID: I20180719000216 |
| Provider Name | Priscilla Miguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114307105 PECOS PAC ID: 3779830716 Enrollment ID: I20180720002270 |
| Provider Name | Joseph Christopher Demarco |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528329158 PECOS PAC ID: 8224315700 Enrollment ID: I20180725000296 |
| Provider Name | Julia Shelkey Pavelic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053654533 PECOS PAC ID: 2769730308 Enrollment ID: I20180730002526 |
| Provider Name | Martin Thomas Pavelic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770825267 PECOS PAC ID: 5092063636 Enrollment ID: I20180730002705 |
| Provider Name | Kelly Tong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336584135 PECOS PAC ID: 3476841933 Enrollment ID: I20180731003233 |
| Provider Name | Craig Feibusch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215356068 PECOS PAC ID: 5395011647 Enrollment ID: I20180807000167 |
| Provider Name | Zhanna Ivanov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578945416 PECOS PAC ID: 7517215338 Enrollment ID: I20180809004980 |
| Provider Name | Neha M Gowali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538592084 PECOS PAC ID: 1850663410 Enrollment ID: I20180828001495 |
| Provider Name | Katherine M Gallagher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164781068 PECOS PAC ID: 6406088053 Enrollment ID: I20180831001266 |
| Provider Name | Michelle M Jorgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245760990 PECOS PAC ID: 5597015891 Enrollment ID: I20180907000467 |
| Provider Name | Femie Joji |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164965190 PECOS PAC ID: 3375893696 Enrollment ID: I20180907001660 |
| Provider Name | Marina Girgis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972916526 PECOS PAC ID: 9830449966 Enrollment ID: I20180911000818 |
| Provider Name | Dunay Barsbay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013396977 PECOS PAC ID: 8729339668 Enrollment ID: I20180917000940 |
| Provider Name | Jamie Tam Moy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134514912 PECOS PAC ID: 8224389168 Enrollment ID: I20180917001102 |
| Provider Name | Joseph Said |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1902171002 PECOS PAC ID: 5294086153 Enrollment ID: I20180917001611 |
| Provider Name | Tara A. Bronsnick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1447678313 PECOS PAC ID: 8022369818 Enrollment ID: I20180918001208 |
| Provider Name | Kimberly Ann Barnum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730573007 PECOS PAC ID: 8628329489 Enrollment ID: I20180918004314 |
| Provider Name | Serena Ann Byrd |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831450071 PECOS PAC ID: 3870895352 Enrollment ID: I20180919002895 |
| Provider Name | Ameer Nizam Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356751838 PECOS PAC ID: 1658678446 Enrollment ID: I20180920002572 |
| Provider Name | William R Stanaback |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962998427 PECOS PAC ID: 7214288760 Enrollment ID: I20180921000750 |
| Provider Name | Priyank Khandelwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225347727 PECOS PAC ID: 2668762881 Enrollment ID: I20180921002325 |
| Provider Name | Jain Joseph |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265745111 PECOS PAC ID: 4789935180 Enrollment ID: I20180925000933 |
| Provider Name | Melissa Eve Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457833006 PECOS PAC ID: 4183975204 Enrollment ID: I20180927003026 |
| Provider Name | Aryeh Keehn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083992234 PECOS PAC ID: 3678843570 Enrollment ID: I20181003002707 |
| Provider Name | Viktoriia Kobliuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871082933 PECOS PAC ID: 1557613288 Enrollment ID: I20181009000223 |
| Provider Name | Rezin Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851807085 PECOS PAC ID: 9335491422 Enrollment ID: I20181018001124 |
| Provider Name | Nicholas Angione |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225510340 PECOS PAC ID: 2264785252 Enrollment ID: I20181020000493 |
| Provider Name | Mary Magdalene N Mozia-cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093207284 PECOS PAC ID: 9234482068 Enrollment ID: I20181025000048 |
| Provider Name | Christopher a Cioffi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568955367 PECOS PAC ID: 5799038188 Enrollment ID: I20181101001832 |
| Provider Name | Richard J Steinwandtner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568983104 PECOS PAC ID: 1557615812 Enrollment ID: I20181126003745 |
| Provider Name | Sayed Rohani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083097554 PECOS PAC ID: 7315299914 Enrollment ID: I20181127001604 |
| Provider Name | Chikara Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073098950 PECOS PAC ID: 3476897513 Enrollment ID: I20181130001334 |
| Provider Name | John Perkoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487175923 PECOS PAC ID: 5092059147 Enrollment ID: I20181130001847 |
| Provider Name | Ani Veleva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366918294 PECOS PAC ID: 3971847716 Enrollment ID: I20181204003526 |
| Provider Name | Alice Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891180956 PECOS PAC ID: 8729339759 Enrollment ID: I20181211000352 |
| Provider Name | Sara Rahimi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861927345 PECOS PAC ID: 8921343112 Enrollment ID: I20181217000896 |
| Provider Name | Frank J Liggio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194790535 PECOS PAC ID: 3971848193 Enrollment ID: I20181217001876 |
| Provider Name | Angeline Mapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750795597 PECOS PAC ID: 4789964628 Enrollment ID: I20181218000499 |
| Provider Name | Patrycja Quackenbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437414117 PECOS PAC ID: 4284931239 Enrollment ID: I20181227002399 |
| Provider Name | Karen E Pandola-dilolle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477035715 PECOS PAC ID: 8820334113 Enrollment ID: I20190108000370 |
| Provider Name | Maria Gatoulis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215239124 PECOS PAC ID: 8527304633 Enrollment ID: I20190110002257 |
| Provider Name | Leigh a Buenvenida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528570314 PECOS PAC ID: 4981940962 Enrollment ID: I20190111001832 |
| Provider Name | Pankaj K Agarwalla |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386965523 PECOS PAC ID: 2062433733 Enrollment ID: I20190123003879 |
| Provider Name | Jennifer Motley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508206905 PECOS PAC ID: 9739303363 Enrollment ID: I20190131000026 |
| Provider Name | Huaxu Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275500480 PECOS PAC ID: 6103847397 Enrollment ID: I20190228000715 |
| Provider Name | Gordana Katava |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285944652 PECOS PAC ID: 6507122660 Enrollment ID: I20190228001558 |
| Provider Name | Bhaskara Rao Changala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699289983 PECOS PAC ID: 2365782885 Enrollment ID: I20190320001846 |
| Provider Name | Kevin James Matlon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417415951 PECOS PAC ID: 3375883556 Enrollment ID: I20190326001597 |
| Provider Name | Deborah a Lardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760458426 PECOS PAC ID: 0345279220 Enrollment ID: I20190327000889 |
| Provider Name | Janelle M Aquino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336639004 PECOS PAC ID: 2668712738 Enrollment ID: I20190327002859 |
| Provider Name | Joanna O Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477980233 PECOS PAC ID: 0143561860 Enrollment ID: I20190408000478 |
| Provider Name | Joanne Naamo Owsiak |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619243417 PECOS PAC ID: 4385946557 Enrollment ID: I20190408000810 |
| Provider Name | Kim M Gately |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316404080 PECOS PAC ID: 8224379961 Enrollment ID: I20190408001054 |
| Provider Name | Charles Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295295913 PECOS PAC ID: 9234470881 Enrollment ID: I20190408001892 |
| Provider Name | Jennifer T Buckbinder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992197065 PECOS PAC ID: 5597006775 Enrollment ID: I20190417000076 |
| Provider Name | Oscar Moya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801362025 PECOS PAC ID: 3870834948 Enrollment ID: I20190418001049 |
| Provider Name | Anita Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649739947 PECOS PAC ID: 8426390394 Enrollment ID: I20190424000965 |
| Provider Name | Michelle Ciesla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740752526 PECOS PAC ID: 1456693001 Enrollment ID: I20190430002140 |
| Provider Name | Rene T White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205379260 PECOS PAC ID: 5799027025 Enrollment ID: I20190507000181 |
| Provider Name | Rebecca Friess |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1487098588 PECOS PAC ID: 9537447784 Enrollment ID: I20190514000092 |
| Provider Name | Matthew Thomas Mccarthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962793521 PECOS PAC ID: 1153613468 Enrollment ID: I20190516002229 |
| Provider Name | Charles Castellano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396845632 PECOS PAC ID: 2264486158 Enrollment ID: I20190606001707 |
| Provider Name | Neelima Atyam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750717245 PECOS PAC ID: 0749564193 Enrollment ID: I20190610001747 |
| Provider Name | Michael Benson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952720369 PECOS PAC ID: 4981937398 Enrollment ID: I20190617001937 |
| Provider Name | Heather Marie Robbie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174083893 PECOS PAC ID: 9537493713 Enrollment ID: I20190621000075 |
| Provider Name | Paula Maria Guerra |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720101835 PECOS PAC ID: 3375833528 Enrollment ID: I20190715001468 |
| Provider Name | Jessica Ann Natale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386120780 PECOS PAC ID: 7810223203 Enrollment ID: I20190723001906 |
| Provider Name | Lauren Rosenblum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841648714 PECOS PAC ID: 3072849470 Enrollment ID: I20190723002251 |
| Provider Name | Ellen Mcnamara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528496635 PECOS PAC ID: 3971839374 Enrollment ID: I20190723002293 |
| Provider Name | Wenjing Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1508051012 PECOS PAC ID: 4789762394 Enrollment ID: I20190724001172 |
| Provider Name | Salvador Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326352006 PECOS PAC ID: 6901028794 Enrollment ID: I20190729002660 |
| Provider Name | Ahmad F Mahmoud |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134532708 PECOS PAC ID: 5092041798 Enrollment ID: I20190801001060 |
| Provider Name | Dennis Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881956050 PECOS PAC ID: 0446586119 Enrollment ID: I20190802000016 |
| Provider Name | Marla Hidalgo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164866547 PECOS PAC ID: 0143580415 Enrollment ID: I20190802001285 |
| Provider Name | Angel E De Dios Quintero |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558780312 PECOS PAC ID: 7517294903 Enrollment ID: I20190807003414 |
| Provider Name | Akanksha Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144663352 PECOS PAC ID: 3577797695 Enrollment ID: I20190812003877 |
| Provider Name | Carlos Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255624896 PECOS PAC ID: 2466671433 Enrollment ID: I20190813000144 |
| Provider Name | Christine White Cumarasamy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003158106 PECOS PAC ID: 7618222811 Enrollment ID: I20190813001413 |
| Provider Name | Betsy Mathew Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437449691 PECOS PAC ID: 5395067151 Enrollment ID: I20190821000866 |
| Provider Name | Katherine Amato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376103432 PECOS PAC ID: 9133457278 Enrollment ID: I20190827002653 |
| Provider Name | Timmy Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669907739 PECOS PAC ID: 7810225976 Enrollment ID: I20190827003332 |
| Provider Name | Alex M Arnouk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609295666 PECOS PAC ID: 2668717315 Enrollment ID: I20190903000014 |
| Provider Name | Ann Marie M Halada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871526517 PECOS PAC ID: 9032132030 Enrollment ID: I20190903000517 |
| Provider Name | Solimar Victoria Colon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194386318 PECOS PAC ID: 7618206590 Enrollment ID: I20190903002192 |
| Provider Name | Richard Anthony Marino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538241187 PECOS PAC ID: 5698727667 Enrollment ID: I20190911000596 |
| Provider Name | Hillary Ozella Harwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790272219 PECOS PAC ID: 5294099974 Enrollment ID: I20190918002143 |
| Provider Name | Gilchris O Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457712374 PECOS PAC ID: 5890046049 Enrollment ID: I20190923003018 |
| Provider Name | Michael R Bayless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750713616 PECOS PAC ID: 8729318944 Enrollment ID: I20191001000771 |
| Provider Name | Jodie Lee Kunkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982264248 PECOS PAC ID: 3971834987 Enrollment ID: I20191004002775 |
| Provider Name | Saad Jamal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639552201 PECOS PAC ID: 3274881206 Enrollment ID: I20191023001477 |
| Provider Name | Lalitha Anand |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285948380 PECOS PAC ID: 1850546086 Enrollment ID: I20191024000062 |
| Provider Name | Shital P Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427374594 PECOS PAC ID: 4981829058 Enrollment ID: I20191024003370 |
| Provider Name | Maryann M Parayil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225491434 PECOS PAC ID: 7719269190 Enrollment ID: I20191028000056 |
| Provider Name | Alexis Johnson-maxim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083952097 PECOS PAC ID: 8921330671 Enrollment ID: I20191029002957 |
| Provider Name | Ayelet E Gaon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083170005 PECOS PAC ID: 8123350782 Enrollment ID: I20191031000518 |
| Provider Name | Noeen Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023391950 PECOS PAC ID: 5597939157 Enrollment ID: I20191031001053 |
| Provider Name | Smitha Tresan Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205488061 PECOS PAC ID: 8921330200 Enrollment ID: I20191106001821 |
| Provider Name | John Tyler Indrikovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710536222 PECOS PAC ID: 6507298791 Enrollment ID: I20191108000616 |
| Provider Name | Maria Gabriela Chancay |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1215355060 PECOS PAC ID: 7315288719 Enrollment ID: I20191112002577 |
| Provider Name | Dana B Schonberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639498249 PECOS PAC ID: 0143346155 Enrollment ID: I20191114000303 |
| Provider Name | Josefina Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073786737 PECOS PAC ID: 5193957728 Enrollment ID: I20191114000483 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437565405 PECOS PAC ID: 1759713324 Enrollment ID: I20191120000712 |
| Provider Name | Alison Nicole Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346663531 PECOS PAC ID: 4082906813 Enrollment ID: I20191126000166 |
| Provider Name | Michael Angelo Reniva |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457834160 PECOS PAC ID: 5597199455 Enrollment ID: I20191231000628 |
| Provider Name | Atara Hagler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740830413 PECOS PAC ID: 7719311349 Enrollment ID: I20200107001335 |
| Provider Name | Adam Z Matysiak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073684486 PECOS PAC ID: 6901868447 Enrollment ID: I20200110000236 |
| Provider Name | Julie Lynn Scarano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588999478 PECOS PAC ID: 3173958691 Enrollment ID: I20200110000705 |
| Provider Name | Michael Glenn Lewis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295901726 PECOS PAC ID: 1254766983 Enrollment ID: I20200127001135 |
| Provider Name | Nicole Hendrix |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336275429 PECOS PAC ID: 7416919618 Enrollment ID: I20200130001696 |
| Provider Name | David Gersten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639419492 PECOS PAC ID: 9638316334 Enrollment ID: I20200203000101 |
| Provider Name | Richard Theodore Kutnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770620908 PECOS PAC ID: 0648394700 Enrollment ID: I20200220001313 |
| Provider Name | Bolanle Akingboye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376646364 PECOS PAC ID: 2567618416 Enrollment ID: I20200306000154 |
| Provider Name | Kevin S Avichal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174040539 PECOS PAC ID: 5092143305 Enrollment ID: I20200320000935 |
| Provider Name | Courtney Maricic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568017903 PECOS PAC ID: 2668801465 Enrollment ID: I20200330003210 |
| Provider Name | Stephanie Warren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699863100 PECOS PAC ID: 3274540562 Enrollment ID: I20200403000123 |
| Provider Name | Zoe Abrams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205358538 PECOS PAC ID: 8224396007 Enrollment ID: I20200515000465 |
| Provider Name | Castro Bali |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508096405 PECOS PAC ID: 6608093083 Enrollment ID: I20200528002410 |
| Provider Name | Matthew Barlow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194265934 PECOS PAC ID: 6002237039 Enrollment ID: I20200529003000 |
| Provider Name | Janae Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801250345 PECOS PAC ID: 1456773811 Enrollment ID: I20200612001802 |
| Provider Name | Manisha Bhojwani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073989000 PECOS PAC ID: 9638488505 Enrollment ID: I20200624001911 |
| Provider Name | Olga Galper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922419472 PECOS PAC ID: 1557633690 Enrollment ID: I20200624002306 |
| Provider Name | Michael Soliman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740442482 PECOS PAC ID: 6507047412 Enrollment ID: I20200624003300 |
| Provider Name | Parth Narendra Shukla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962933200 PECOS PAC ID: 8123440872 Enrollment ID: I20200625001095 |
| Provider Name | Stefania Jovanovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801195474 PECOS PAC ID: 9234373382 Enrollment ID: I20200701002350 |
| Provider Name | Rachel Saeboe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427618172 PECOS PAC ID: 8921421942 Enrollment ID: I20200709002472 |
| Provider Name | Charles Brandon Farmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699198127 PECOS PAC ID: 4587955562 Enrollment ID: I20200710000717 |
| Provider Name | Pooja Virmani |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1881038339 PECOS PAC ID: 6002239878 Enrollment ID: I20200713001290 |
| Provider Name | Jacqueline a Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962897843 PECOS PAC ID: 6305269994 Enrollment ID: I20200715001648 |
| Provider Name | Joanna Neubauer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356362479 PECOS PAC ID: 7012930274 Enrollment ID: I20200728001276 |
| Provider Name | Sharath Bellary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740695725 PECOS PAC ID: 7416372776 Enrollment ID: I20200803002809 |
| Provider Name | Arthur Carminucci |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083957674 PECOS PAC ID: 3274958442 Enrollment ID: I20200805000373 |
| Provider Name | Erica Weitzner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154715415 PECOS PAC ID: 8224453386 Enrollment ID: I20200806000922 |
| Provider Name | Matthew Amarante |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811230089 PECOS PAC ID: 5890030837 Enrollment ID: I20200807000224 |
| Provider Name | Jheanell a Charles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942585328 PECOS PAC ID: 9638596430 Enrollment ID: I20200825000962 |
| Provider Name | Michelle L Navarra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245595248 PECOS PAC ID: 3476707324 Enrollment ID: I20200910001782 |
| Provider Name | Chirag G Gordhan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881089654 PECOS PAC ID: 7517385230 Enrollment ID: I20200914000053 |
| Provider Name | Christine a Fink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215358080 PECOS PAC ID: 4688891732 Enrollment ID: I20200914000127 |
| Provider Name | Fahmena Islam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912527094 PECOS PAC ID: 3173941309 Enrollment ID: I20200918002604 |
| Provider Name | Sheel a Chokshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689100794 PECOS PAC ID: 2365710381 Enrollment ID: I20200929003035 |
| Provider Name | Mohammad W Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255863452 PECOS PAC ID: 6507285848 Enrollment ID: I20201006001027 |
| Provider Name | Daniel a Quintin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952918401 PECOS PAC ID: 1254751498 Enrollment ID: I20201009000164 |
| Provider Name | Tami Kavanaght Shapiro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881614899 PECOS PAC ID: 4082628201 Enrollment ID: I20201020000219 |
| Provider Name | Bryan Christopher Connaughton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326674219 PECOS PAC ID: 2365862976 Enrollment ID: I20201021000923 |
| Provider Name | Anand Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437577939 PECOS PAC ID: 2668708710 Enrollment ID: I20201110000455 |
| Provider Name | Collin R Creange |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245675743 PECOS PAC ID: 0749510378 Enrollment ID: I20201110001331 |
| Provider Name | Jillian M Marano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710265947 PECOS PAC ID: 5698945558 Enrollment ID: I20201113001783 |
| Provider Name | Ankur Modi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639466634 PECOS PAC ID: 9436371986 Enrollment ID: I20201124002997 |
| Provider Name | Charles Marc Ekstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689930141 PECOS PAC ID: 7618269838 Enrollment ID: I20201201003108 |
| Provider Name | Olivia Dudley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437756350 PECOS PAC ID: 7810308301 Enrollment ID: I20201207000406 |
| Provider Name | Phylicia Baird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982947750 PECOS PAC ID: 6901190164 Enrollment ID: I20201218000672 |
| Provider Name | Ava Huchun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073546438 PECOS PAC ID: 5395741102 Enrollment ID: I20201221000821 |
| Provider Name | Kendal Hanger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952832636 PECOS PAC ID: 7315359122 Enrollment ID: I20201221001624 |
| Provider Name | Ambka Sabiki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962781716 PECOS PAC ID: 5294053310 Enrollment ID: I20201222000053 |
| Provider Name | Neha Rana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659716397 PECOS PAC ID: 2163845439 Enrollment ID: I20210120000045 |
| Provider Name | Gina Marie Munkacsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407450075 PECOS PAC ID: 8820402076 Enrollment ID: I20210128002713 |
| Provider Name | Paola Reveco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700249547 PECOS PAC ID: 3779998265 Enrollment ID: I20210216000167 |
| Provider Name | Amber Gussoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639561749 PECOS PAC ID: 9234438821 Enrollment ID: I20210216001314 |
| Provider Name | Dana H Hartung |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124419635 PECOS PAC ID: 4082932652 Enrollment ID: I20210310002192 |
| Provider Name | Deena Adimoolam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619110228 PECOS PAC ID: 1850607342 Enrollment ID: I20210317000662 |
| Provider Name | Ali Tabarroki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952794489 PECOS PAC ID: 5395065049 Enrollment ID: I20210331002814 |
| Provider Name | Rachel Mendelsohn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376021030 PECOS PAC ID: 6305199712 Enrollment ID: I20210407001152 |
| Provider Name | Joshua Kopytko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912441916 PECOS PAC ID: 9739462136 Enrollment ID: I20210409000009 |
| Provider Name | Sameelah Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356744221 PECOS PAC ID: 6709101058 Enrollment ID: I20210421002694 |
| Provider Name | Christina Ebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952996464 PECOS PAC ID: 6709295884 Enrollment ID: I20210430000401 |
| Provider Name | Nicholas Joseph Moylan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255933800 PECOS PAC ID: 7315356409 Enrollment ID: I20210430001026 |
| Provider Name | Magdalena Purchla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629663786 PECOS PAC ID: 4082023999 Enrollment ID: I20210505002426 |
| Provider Name | Mubashir Shabil Billah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235587478 PECOS PAC ID: 1557760519 Enrollment ID: I20210524001684 |
| Provider Name | Christina St. Hillaire |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558976886 PECOS PAC ID: 7416357868 Enrollment ID: I20210607002932 |
| Provider Name | Elizabeth Cook |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1275551517 PECOS PAC ID: 6800970427 Enrollment ID: I20210608000009 |
| Provider Name | Alyssa Joyce Balz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093329781 PECOS PAC ID: 8921409913 Enrollment ID: I20210628003611 |
| Provider Name | Andrew Thomas Wong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568725901 PECOS PAC ID: 6305134297 Enrollment ID: I20210719002952 |
| Provider Name | Jacqueline Hewitt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922682087 PECOS PAC ID: 8426451089 Enrollment ID: I20210720004147 |
| Provider Name | Daniel Roling |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285659425 PECOS PAC ID: 9436285939 Enrollment ID: I20210721000940 |
| Provider Name | Randy Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700099504 PECOS PAC ID: 9133295991 Enrollment ID: I20210802000279 |
| Provider Name | Evan Conquest |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265946057 PECOS PAC ID: 4486058195 Enrollment ID: I20210803001454 |
| Provider Name | Susanna Bomfim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295392108 PECOS PAC ID: 7113321621 Enrollment ID: I20210805001639 |
| Provider Name | Le Ha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760864433 PECOS PAC ID: 9638417645 Enrollment ID: I20210813000123 |
| Provider Name | Piotr Sowa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144663592 PECOS PAC ID: 5890928519 Enrollment ID: I20210813000424 |
| Provider Name | Jennifer Marie Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750657375 PECOS PAC ID: 4385048271 Enrollment ID: I20210816000714 |
| Provider Name | Aashiki Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528563871 PECOS PAC ID: 3779988118 Enrollment ID: I20210823001687 |
| Provider Name | Crystina Golino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699340992 PECOS PAC ID: 9133524465 Enrollment ID: I20210824002291 |
| Provider Name | Jennifer Lynn Caldarone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447829023 PECOS PAC ID: 0042615213 Enrollment ID: I20210826000596 |
| Provider Name | Jenna Presto |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134654221 PECOS PAC ID: 7719256585 Enrollment ID: I20210826001021 |
| Provider Name | Julia Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396234944 PECOS PAC ID: 3678978871 Enrollment ID: I20210826001551 |
| Provider Name | Christina Jade Mazza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720658404 PECOS PAC ID: 8224434022 Enrollment ID: I20210902000641 |
| Provider Name | Janine Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861985301 PECOS PAC ID: 1951708940 Enrollment ID: I20210917000457 |
| Provider Name | Aneri Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962085514 PECOS PAC ID: 7618374505 Enrollment ID: I20210920001850 |
| Provider Name | Neeti Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366896524 PECOS PAC ID: 1355637075 Enrollment ID: I20210922000231 |
| Provider Name | Manisha Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760744155 PECOS PAC ID: 1355564006 Enrollment ID: I20210922002236 |
| Provider Name | Alyssa Cheng |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457026890 PECOS PAC ID: 9739586397 Enrollment ID: I20210923002499 |
| Provider Name | Conor Blanco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770978025 PECOS PAC ID: 1456758903 Enrollment ID: I20210924003069 |
| Provider Name | Amanda Gloria Borrelli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780171512 PECOS PAC ID: 3274930755 Enrollment ID: I20210927000859 |
| Provider Name | Amanda P Siegel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225534357 PECOS PAC ID: 0244574572 Enrollment ID: I20210927002235 |
| Provider Name | Michael Bosco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285209015 PECOS PAC ID: 6103223623 Enrollment ID: I20210927002347 |
| Provider Name | Erica Gennaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215424833 PECOS PAC ID: 4183021397 Enrollment ID: I20210929003740 |
| Provider Name | Chidimma Nwaogwugwu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063984938 PECOS PAC ID: 7911305198 Enrollment ID: I20211004000943 |
| Provider Name | Jordan Werner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790196707 PECOS PAC ID: 6507118163 Enrollment ID: I20211006002038 |
| Provider Name | Tran to |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386319481 PECOS PAC ID: 0042618936 Enrollment ID: I20211006003602 |
| Provider Name | Alexa Bacino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922671452 PECOS PAC ID: 3870991607 Enrollment ID: I20211008002117 |
| Provider Name | Nikole Bobadilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790045110 PECOS PAC ID: 0547555310 Enrollment ID: I20211011002409 |
| Provider Name | David a Solomon |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1881080190 PECOS PAC ID: 0143566489 Enrollment ID: I20211013000336 |
| Provider Name | Evan Kovac |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912327594 PECOS PAC ID: 4183841935 Enrollment ID: I20211013000754 |
| Provider Name | Andrew T Homlish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710653399 PECOS PAC ID: 9537567821 Enrollment ID: I20211019000149 |
| Provider Name | Johanna R. Kaufman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053775205 PECOS PAC ID: 3678961919 Enrollment ID: I20211019002387 |
| Provider Name | Reintine Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740784636 PECOS PAC ID: 2860829256 Enrollment ID: I20211020000876 |
| Provider Name | Charles Cooper |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1235557695 PECOS PAC ID: 9931445657 Enrollment ID: I20211020000893 |
| Provider Name | Amishav Yehuda Bresler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326402645 PECOS PAC ID: 5991193120 Enrollment ID: I20211020003175 |
| Provider Name | Anjali Chand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992295091 PECOS PAC ID: 9335537406 Enrollment ID: I20211021001675 |
| Provider Name | Heather Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659974152 PECOS PAC ID: 3274921218 Enrollment ID: I20211025002977 |
| Provider Name | Irina Gershman |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1750819470 PECOS PAC ID: 2466840350 Enrollment ID: I20211026001897 |
| Provider Name | Rochelle Nagales Nagamos |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952798837 PECOS PAC ID: 9234475195 Enrollment ID: I20211112000060 |
| Provider Name | Suni Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265652101 PECOS PAC ID: 0143619973 Enrollment ID: I20211116001365 |
| Provider Name | Diego C Urdaneta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821527060 PECOS PAC ID: 6507194982 Enrollment ID: I20211118002729 |
| Provider Name | Deandrea Ellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477057354 PECOS PAC ID: 2264821776 Enrollment ID: I20211122001477 |
| Provider Name | Sarah MD Fuzesi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467895011 PECOS PAC ID: 5395163349 Enrollment ID: I20211123001308 |
| Provider Name | Christopher Dever |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225652100 PECOS PAC ID: 8325438781 Enrollment ID: I20211130000351 |
| Provider Name | Bradley Peltzer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275976813 PECOS PAC ID: 5496083966 Enrollment ID: I20211130000564 |
| Provider Name | Megan Crowley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669085502 PECOS PAC ID: 0143610907 Enrollment ID: I20211209001961 |
| Provider Name | Kayla a Murphy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366015497 PECOS PAC ID: 8729479894 Enrollment ID: I20211228000468 |
| Provider Name | Michael a Degaeta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427721729 PECOS PAC ID: 0749672871 Enrollment ID: I20220121000648 |
| Provider Name | Kevin Stetter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881044378 PECOS PAC ID: 6103112651 Enrollment ID: I20220121001978 |
| Provider Name | Alexandra Badie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194497198 PECOS PAC ID: 9436541513 Enrollment ID: I20220124000054 |
| Provider Name | Rania Abdalla Daw Elbeit Fadlalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922502889 PECOS PAC ID: 4284026287 Enrollment ID: I20220125002787 |
| Provider Name | Alison Ratti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053080986 PECOS PAC ID: 7517350275 Enrollment ID: I20220202001109 |
| Provider Name | Tatyana Poll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821530593 PECOS PAC ID: 0345639746 Enrollment ID: I20220208002621 |
| Provider Name | Patra Vongsoasup |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265839526 PECOS PAC ID: 5991198251 Enrollment ID: I20220209000362 |
| Provider Name | Bridget O Messina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457798522 PECOS PAC ID: 4284924853 Enrollment ID: I20220223000309 |
| Provider Name | Michelle a Pinto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568630721 PECOS PAC ID: 7012328594 Enrollment ID: I20220228000197 |
| Provider Name | Dina Esposito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164935466 PECOS PAC ID: 8729343918 Enrollment ID: I20220314002026 |
| Provider Name | Jade Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346907706 PECOS PAC ID: 0143615906 Enrollment ID: I20220315001476 |
| Provider Name | Emily Austin Haring |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184154601 PECOS PAC ID: 2961735501 Enrollment ID: I20220321002501 |
| Provider Name | Nicole Brito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538811567 PECOS PAC ID: 6901291384 Enrollment ID: I20220322001044 |
| Provider Name | Somi Gupta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740472927 PECOS PAC ID: 2668867060 Enrollment ID: I20220322001817 |
| Provider Name | George Sidrak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194283085 PECOS PAC ID: 5890193973 Enrollment ID: I20220331002545 |
| Provider Name | Alexa M. Scholly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881001386 PECOS PAC ID: 5799083697 Enrollment ID: I20220413000356 |
| Provider Name | Kulvinder Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003382136 PECOS PAC ID: 2466799812 Enrollment ID: I20220418000220 |
| Provider Name | Gloria Lan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851653158 PECOS PAC ID: 8325390636 Enrollment ID: I20220506001549 |
| Provider Name | Rekha Rudra |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104584499 PECOS PAC ID: 9537546395 Enrollment ID: I20220517000210 |
| Provider Name | Brian Reid |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891430153 PECOS PAC ID: 2062899610 Enrollment ID: I20220519002203 |
| Provider Name | Aaron Horne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326208620 PECOS PAC ID: 9436286879 Enrollment ID: I20220630003188 |
| Provider Name | Ashley Hilaire Dubreus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407585979 PECOS PAC ID: 0749661460 Enrollment ID: I20220713000089 |
| Provider Name | Annabel R Dinnerstein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033658216 PECOS PAC ID: 1153693130 Enrollment ID: I20220718001100 |
| Provider Name | Sol Silverman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902369416 PECOS PAC ID: 9537495494 Enrollment ID: I20220805000506 |
| Provider Name | Voula Dikeakos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568501104 PECOS PAC ID: 9133354871 Enrollment ID: I20220811003902 |
| Provider Name | Heather Lynne Provence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221612 PECOS PAC ID: 0345585741 Enrollment ID: I20220812000065 |
| Provider Name | Yun Hsiang Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912438607 PECOS PAC ID: 7810370301 Enrollment ID: I20220816002363 |
| Provider Name | Taylor Mackenzie Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497488183 PECOS PAC ID: 3072996115 Enrollment ID: I20220823000030 |
| Provider Name | Julianna Sher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033856950 PECOS PAC ID: 1951784966 Enrollment ID: I20220823003322 |
| Provider Name | Jacklyn Delvecchio |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386260271 PECOS PAC ID: 4385060482 Enrollment ID: I20220825001267 |
| Provider Name | Brielle Myers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497207278 PECOS PAC ID: 5698032316 Enrollment ID: I20220826000539 |
| Provider Name | David Kopylov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366897415 PECOS PAC ID: 0547688095 Enrollment ID: I20220831003200 |
| Provider Name | Andrew Hong Lu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356890560 PECOS PAC ID: 9032481080 Enrollment ID: I20220906000022 |
| Provider Name | Ruchi Jha |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104245554 PECOS PAC ID: 1557768561 Enrollment ID: I20220906001109 |
| Provider Name | Hee Jin Koh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669834750 PECOS PAC ID: 2668766635 Enrollment ID: I20220906001984 |
| Provider Name | Geoffrey Alexander Talis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073019444 PECOS PAC ID: 7517342090 Enrollment ID: I20220920001173 |
| Provider Name | Eunhee Shih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972562700 PECOS PAC ID: 3476938838 Enrollment ID: I20220921001059 |
| Provider Name | Siddharth Ashok Mahure |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346696499 PECOS PAC ID: 6103235866 Enrollment ID: I20220921003362 |
| Provider Name | Neelam Hitendra Upadhyaya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336675461 PECOS PAC ID: 3072890359 Enrollment ID: I20220921003824 |
| Provider Name | Samuel Weprin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801322029 PECOS PAC ID: 8325318116 Enrollment ID: I20220922000698 |
| Provider Name | Shivani Vyas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538898671 PECOS PAC ID: 1759767650 Enrollment ID: I20220929002596 |
| Provider Name | Julia Sann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598206799 PECOS PAC ID: 8224374236 Enrollment ID: I20221010000118 |
| Provider Name | Sidra Anis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225698202 PECOS PAC ID: 6507171972 Enrollment ID: I20221010000178 |
| Provider Name | Shruti Kapadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477015287 PECOS PAC ID: 4587040894 Enrollment ID: I20221010001725 |
| Provider Name | Yosleisy Valdes Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053871400 PECOS PAC ID: 7618366204 Enrollment ID: I20221011000271 |
| Provider Name | Dhara Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255795613 PECOS PAC ID: 2668764093 Enrollment ID: I20221011001579 |
| Provider Name | Eva Alba |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841722568 PECOS PAC ID: 6406194000 Enrollment ID: I20221012000069 |
| Provider Name | Riley Alexandra Coopersmith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710617998 PECOS PAC ID: 2062888399 Enrollment ID: I20221012000209 |
| Provider Name | Michael Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255892410 PECOS PAC ID: 3274861141 Enrollment ID: I20221012001016 |
| Provider Name | Elizabeth Zielinski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003261876 PECOS PAC ID: 0143514380 Enrollment ID: I20221012001346 |
| Provider Name | Ling Lan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851895544 PECOS PAC ID: 5395111652 Enrollment ID: I20221012001452 |
| Provider Name | Carolyn Rose Birbiglia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487117545 PECOS PAC ID: 3375874076 Enrollment ID: I20221012002081 |
| Provider Name | Luisa Angelica Lerma |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205077245 PECOS PAC ID: 3072989342 Enrollment ID: I20221012002104 |
| Provider Name | Jeannett Marte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528529401 PECOS PAC ID: 3173913431 Enrollment ID: I20221013000116 |
| Provider Name | Danielle Addonizio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265954903 PECOS PAC ID: 3870969041 Enrollment ID: I20221013002237 |
| Provider Name | Meghan Sue Fullarton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245848472 PECOS PAC ID: 9931575974 Enrollment ID: I20221017002605 |
| Provider Name | Kelly Billig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700010683 PECOS PAC ID: 8729226592 Enrollment ID: I20221019000239 |
| Provider Name | Wesley Gingerella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043816770 PECOS PAC ID: 7517351638 Enrollment ID: I20221025002451 |
| Provider Name | Robert W Kantor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508397886 PECOS PAC ID: 7214339407 Enrollment ID: I20221101000376 |
| Provider Name | Fatima C Kutty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003345976 PECOS PAC ID: 8527435759 Enrollment ID: I20221101001978 |
| Provider Name | Marlyn Wu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386138675 PECOS PAC ID: 1456728690 Enrollment ID: I20221101002389 |
| Provider Name | Kaashif Eazazuddin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770841934 PECOS PAC ID: 6709152952 Enrollment ID: I20221102000305 |
| Provider Name | Srishti Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417363441 PECOS PAC ID: 4587935309 Enrollment ID: I20221102002987 |
| Provider Name | Brijesh Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093177891 PECOS PAC ID: 4183027808 Enrollment ID: I20221105000047 |
| Provider Name | Natalie Elena Frey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518527019 PECOS PAC ID: 1456687649 Enrollment ID: I20221111000114 |
| Provider Name | Samantha Nicole Cantor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194449579 PECOS PAC ID: 7113395906 Enrollment ID: I20221129001973 |
| Provider Name | Valerie Amber Sadowl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104541218 PECOS PAC ID: 7214306745 Enrollment ID: I20221206000346 |
| Provider Name | Melody Tillyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851017230 PECOS PAC ID: 8527437078 Enrollment ID: I20221206001533 |
| Provider Name | Kristen Beck |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1437606860 PECOS PAC ID: 6305128679 Enrollment ID: I20221212001703 |
| Provider Name | Jonathan L Yao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316263395 PECOS PAC ID: 6608162904 Enrollment ID: I20221221001702 |
| Provider Name | Natalie Katherine Domanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629728076 PECOS PAC ID: 2062882988 Enrollment ID: I20230110000875 |
| Provider Name | Megan Ericka Miniovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164160065 PECOS PAC ID: 0648641001 Enrollment ID: I20230123000086 |
| Provider Name | Devi Naraine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629684766 PECOS PAC ID: 6103236237 Enrollment ID: I20230127000372 |
| Provider Name | Margaret Haring |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275916082 PECOS PAC ID: 6800103201 Enrollment ID: I20230130001992 |
| Provider Name | Dmitry Volfson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679781942 PECOS PAC ID: 3375677982 Enrollment ID: I20230203001164 |
| Provider Name | Shreya Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881258101 PECOS PAC ID: 6800228503 Enrollment ID: I20230204000543 |
| Provider Name | Sylvia Botros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063110468 PECOS PAC ID: 0042683229 Enrollment ID: I20230309000756 |
| Provider Name | Dipen Chandrakant Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043571326 PECOS PAC ID: 9638485253 Enrollment ID: I20230313001473 |
| Provider Name | Diana Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518514611 PECOS PAC ID: 3870967276 Enrollment ID: I20230327001827 |
| Provider Name | Swamini Sinha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154856144 PECOS PAC ID: 6305210675 Enrollment ID: I20230328002113 |
| Provider Name | Amit Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538571823 PECOS PAC ID: 3476829326 Enrollment ID: I20230406002900 |
| Provider Name | Robert Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992108955 PECOS PAC ID: 8325367071 Enrollment ID: I20230412000152 |
| Provider Name | Iris Aybar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205371598 PECOS PAC ID: 9739554361 Enrollment ID: I20230412001251 |
| Provider Name | Adnan Hasanovic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467616540 PECOS PAC ID: 9234389321 Enrollment ID: I20230509001776 |
| Provider Name | Marina Kostyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336643162 PECOS PAC ID: 3779949045 Enrollment ID: I20230512000368 |
| Provider Name | Diana Matira Yildirim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417362021 PECOS PAC ID: 1557728854 Enrollment ID: I20230531003762 |
| Provider Name | Meredith Wing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538682018 PECOS PAC ID: 7113286782 Enrollment ID: I20230613001221 |
| Provider Name | Brooke Haftmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265022024 PECOS PAC ID: 4183033616 Enrollment ID: I20230619000052 |
| Provider Name | Randall Gale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770843724 PECOS PAC ID: 7517114002 Enrollment ID: I20230620002783 |
| Provider Name | Benjamin Nguyen Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437853470 PECOS PAC ID: 1951769033 Enrollment ID: I20230622000040 |
| Provider Name | Jessica L Ruble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538869169 PECOS PAC ID: 9739547563 Enrollment ID: I20230626002825 |
| Provider Name | Michael Genereux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245590231 PECOS PAC ID: 4486967098 Enrollment ID: I20230629000720 |
| Provider Name | Scott Richard |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518002567 PECOS PAC ID: 6204907330 Enrollment ID: I20230629001827 |
| Provider Name | Jayram Krishnan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245216605 PECOS PAC ID: 9335373471 Enrollment ID: I20230713003221 |
| Provider Name | Kateryna Branish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295364636 PECOS PAC ID: 0749601771 Enrollment ID: I20230717002469 |
| Provider Name | Gregg Thomas Perlmutter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962061051 PECOS PAC ID: 3779901152 Enrollment ID: I20230809000673 |
| Provider Name | Marc Zeffren |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811483423 PECOS PAC ID: 7618339219 Enrollment ID: I20230814003805 |
| Provider Name | Isidora Savorgiannakis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134766025 PECOS PAC ID: 6608238845 Enrollment ID: I20230818003286 |
| Provider Name | Rebecca Lee Tash |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003593583 PECOS PAC ID: 9638531809 Enrollment ID: I20230821000925 |
| Provider Name | Charles Franklin Gresham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104322254 PECOS PAC ID: 0941662050 Enrollment ID: I20230821003144 |
| Provider Name | Leeann Schiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922784065 PECOS PAC ID: 8123481991 Enrollment ID: I20230825002687 |
| Provider Name | Joseph H Choi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396265682 PECOS PAC ID: 2860855657 Enrollment ID: I20230828000049 |
| Provider Name | Rachel Noonan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659089886 PECOS PAC ID: 9032572821 Enrollment ID: I20230828000061 |
| Provider Name | Charles Kim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699208074 PECOS PAC ID: 7012250707 Enrollment ID: I20230828003729 |
| Provider Name | Suhaira Choudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780207845 PECOS PAC ID: 6507229275 Enrollment ID: I20230828004086 |
| Provider Name | Huong Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255969127 PECOS PAC ID: 5294198891 Enrollment ID: I20230830001177 |
| Provider Name | Andrew Michael Joelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770945941 PECOS PAC ID: 6901145333 Enrollment ID: I20230830002000 |
| Provider Name | Alexa Sodano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609557669 PECOS PAC ID: 6406210699 Enrollment ID: I20230906002233 |
| Provider Name | Nathan W Cheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578067559 PECOS PAC ID: 3072977164 Enrollment ID: I20230907002326 |
| Provider Name | Brooke Goonetilleke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790496826 PECOS PAC ID: 4880058940 Enrollment ID: I20230908000571 |
| Provider Name | Danielle Seltzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366902298 PECOS PAC ID: 9638533623 Enrollment ID: I20230908002326 |
| Provider Name | Kirtan Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962021246 PECOS PAC ID: 9234593179 Enrollment ID: I20230912000994 |
| Provider Name | Steven Charles Olson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083373930 PECOS PAC ID: 6305200080 Enrollment ID: I20230913003720 |
| Provider Name | Talisah Ida Mae Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477048478 PECOS PAC ID: 3476917915 Enrollment ID: I20230915002792 |
| Provider Name | Gerard D'onofrio |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376049130 PECOS PAC ID: 0446588156 Enrollment ID: I20230918000310 |
| Provider Name | Claudette Ollivierre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356058044 PECOS PAC ID: 7214391655 Enrollment ID: I20230918003852 |
| Provider Name | Arieta Kraja |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003591850 PECOS PAC ID: 4183088453 Enrollment ID: I20230920000097 |
| Provider Name | Kelly Thomson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902447014 PECOS PAC ID: 9638401136 Enrollment ID: I20230925000527 |
| Provider Name | Nora Mustafa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235753989 PECOS PAC ID: 6709230667 Enrollment ID: I20230926002147 |
| Provider Name | Samantha Moni |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841688504 PECOS PAC ID: 0840517553 Enrollment ID: I20230926003357 |
| Provider Name | Shannon Law-clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861177370 PECOS PAC ID: 2466806369 Enrollment ID: I20230926003883 |
| Provider Name | Anthony Russo |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1730649989 PECOS PAC ID: 1254716053 Enrollment ID: I20230927001326 |
| Provider Name | Alexa Yuen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639668155 PECOS PAC ID: 5799139598 Enrollment ID: I20230927004154 |
| Provider Name | Waleed Ijaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043833106 PECOS PAC ID: 8325492010 Enrollment ID: I20230928004018 |
| Provider Name | Jennifer Cepak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083023022 PECOS PAC ID: 4981927589 Enrollment ID: I20230930000013 |
| Provider Name | Peter Nakagami |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255824710 PECOS PAC ID: 8628323441 Enrollment ID: I20230930000283 |
| Provider Name | Alexander Westcott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073142972 PECOS PAC ID: 8224455274 Enrollment ID: I20231014000055 |
| Provider Name | Shane Ashmeade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538518667 PECOS PAC ID: 2769777945 Enrollment ID: I20231016003189 |
| Provider Name | Adrianna C Baccaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649954744 PECOS PAC ID: 8123473832 Enrollment ID: I20231016003439 |
| Provider Name | Janaki Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588902399 PECOS PAC ID: 7810247293 Enrollment ID: I20231023001086 |
| Provider Name | Kulveen Gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659831576 PECOS PAC ID: 2860848066 Enrollment ID: I20231024003574 |
| Provider Name | Robin Bigelow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417296641 PECOS PAC ID: 2163717422 Enrollment ID: I20231025003192 |
| Provider Name | Matthew Cohn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134649353 PECOS PAC ID: 9234409988 Enrollment ID: I20231103003460 |
| Provider Name | Rahul Agarwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083051676 PECOS PAC ID: 4789981507 Enrollment ID: I20231104000812 |
| Provider Name | Jamie Uy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477998581 PECOS PAC ID: 0042544868 Enrollment ID: I20231105000037 |
| Provider Name | Jazmine Aleyah Love |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942901087 PECOS PAC ID: 3971963703 Enrollment ID: I20231106001189 |
| Provider Name | Kelly Lynn Olsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407340433 PECOS PAC ID: 6406203835 Enrollment ID: I20231107002153 |
| Provider Name | Julia Elizabeth Fresolone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336821586 PECOS PAC ID: 4789031147 Enrollment ID: I20231107003611 |
| Provider Name | Jeanette Kovtun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275971475 PECOS PAC ID: 3678873023 Enrollment ID: I20231108000115 |
| Provider Name | Mary Margaret Mcgue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629537550 PECOS PAC ID: 4183071368 Enrollment ID: I20231109000819 |
| Provider Name | Parul Kakar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932596012 PECOS PAC ID: 9032463708 Enrollment ID: I20231110000944 |
| Provider Name | Andrew Joseph Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770366171 PECOS PAC ID: 7113374281 Enrollment ID: I20231110001423 |
| Provider Name | Kunal Mehta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396266284 PECOS PAC ID: 9931556974 Enrollment ID: I20231113001429 |
| Provider Name | Danielle Calvo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356909444 PECOS PAC ID: 3779930466 Enrollment ID: I20231117001644 |
| Provider Name | Xenia Baumert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710608914 PECOS PAC ID: 9234588070 Enrollment ID: I20231206000206 |
| Provider Name | Kathryn Kays |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023650017 PECOS PAC ID: 4183073638 Enrollment ID: I20231211000513 |
| Provider Name | Rahul Yadav |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164955985 PECOS PAC ID: 5294184230 Enrollment ID: I20231215000674 |
| Provider Name | Marta Sheremeta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255742961 PECOS PAC ID: 6608114954 Enrollment ID: I20240112003574 |
| Provider Name | Daniel Meshoyrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457811143 PECOS PAC ID: 5991033342 Enrollment ID: I20240116002328 |
| Provider Name | Ghada Hussein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881857175 PECOS PAC ID: 3476745548 Enrollment ID: I20240123000515 |
| Provider Name | John De Trolio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396070249 PECOS PAC ID: 4385813013 Enrollment ID: I20240129004308 |
| Provider Name | Michaela Marc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587217 PECOS PAC ID: 8527492891 Enrollment ID: I20240130000225 |
| Provider Name | Melina Shabani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902106347 PECOS PAC ID: 9739498338 Enrollment ID: I20240318000395 |
| Provider Name | Chana Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609382928 PECOS PAC ID: 4688011356 Enrollment ID: I20240318003031 |
| Provider Name | Christopher Daidone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588420384 PECOS PAC ID: 6002253929 Enrollment ID: I20240327000597 |
| Provider Name | Caroline Shi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144814518 PECOS PAC ID: 4385081199 Enrollment ID: I20240328000189 |
| Provider Name | Robert Wauters |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578902565 PECOS PAC ID: 8426308644 Enrollment ID: I20240403000271 |
| Provider Name | Samantha Phillip |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538832043 PECOS PAC ID: 4880033661 Enrollment ID: I20240412000674 |
| Provider Name | David Desalvo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902374770 PECOS PAC ID: 1355769571 Enrollment ID: I20240424001813 |
| Provider Name | Caroline Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962195172 PECOS PAC ID: 6800236233 Enrollment ID: I20240501003262 |
| Provider Name | Alexandra J Higdon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1528848041 PECOS PAC ID: 1658712211 Enrollment ID: I20240514001179 |
| Provider Name | Jasmine M. Mushington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215570817 PECOS PAC ID: 4688015852 Enrollment ID: I20240520000113 |
| Provider Name | Nicole Danielle Swain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396823613 PECOS PAC ID: 3274975263 Enrollment ID: I20240522001374 |
| Provider Name | Erica A. Ross-gill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568696664 PECOS PAC ID: 2961844915 Enrollment ID: I20240522003628 |
| Provider Name | Katy Matilla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932867397 PECOS PAC ID: 0446618318 Enrollment ID: I20240528003206 |
| Provider Name | Margaret Clarke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013132836 PECOS PAC ID: 2365673662 Enrollment ID: I20240531001231 |
| Provider Name | Alexa N Segna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972159929 PECOS PAC ID: 6709210750 Enrollment ID: I20240612000783 |
| Provider Name | Anita Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396425831 PECOS PAC ID: 5193268274 Enrollment ID: I20240617003755 |
| Provider Name | Lisamarie M. Slattery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922555283 PECOS PAC ID: 3476096009 Enrollment ID: I20240624001619 |
| Provider Name | Kevin Lafferty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659815041 PECOS PAC ID: 4789968850 Enrollment ID: I20240626000108 |
| Provider Name | Noni Rana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225667637 PECOS PAC ID: 5193179299 Enrollment ID: I20240703000958 |
| Provider Name | Rachael Ekenezar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063096519 PECOS PAC ID: 6103360854 Enrollment ID: I20240705000233 |
| Provider Name | Susan E Neggia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184377491 PECOS PAC ID: 0749662757 Enrollment ID: I20240710000237 |
| Provider Name | John Guldner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518517804 PECOS PAC ID: 9739624156 Enrollment ID: I20240710002021 |
| Provider Name | Sai Krishnaraya Doppalapudi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073074548 PECOS PAC ID: 4385189265 Enrollment ID: I20240716001114 |
| Provider Name | Abigail Grossman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083894182 PECOS PAC ID: 8729386065 Enrollment ID: I20240718003368 |
| Provider Name | Shannon Mcnamara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679860621 PECOS PAC ID: 0547487118 Enrollment ID: I20240718004842 |
| Provider Name | Deanna Scoca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831509801 PECOS PAC ID: 1951676758 Enrollment ID: I20240719002977 |
| Provider Name | Cynthia Kucher |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134149685 PECOS PAC ID: 7416950605 Enrollment ID: I20240723000222 |
| Provider Name | Astrude D Octavius-zamor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376988352 PECOS PAC ID: 5193261485 Enrollment ID: I20240723002142 |
| Provider Name | Sherry Mathew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225745300 PECOS PAC ID: 9537605654 Enrollment ID: I20240725002129 |
| Provider Name | Vincent Brinas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073362000 PECOS PAC ID: 8325584394 Enrollment ID: I20240725004402 |
| Provider Name | Rosalie Isla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558775676 PECOS PAC ID: 7618299454 Enrollment ID: I20240806001227 |
| Provider Name | Elizabeth Godfrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366106031 PECOS PAC ID: 8123417136 Enrollment ID: I20240812001123 |
| Provider Name | Stephanie Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205256948 PECOS PAC ID: 3476777459 Enrollment ID: I20240814001069 |
| Provider Name | Jessica Glastein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972095719 PECOS PAC ID: 3173061512 Enrollment ID: I20240815002645 |
| Provider Name | Edward Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699940692 PECOS PAC ID: 9032248158 Enrollment ID: I20240816000042 |
| Provider Name | Emad Uddein M Alatassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912585027 PECOS PAC ID: 3779952049 Enrollment ID: I20240827004219 |
| Provider Name | Mayur Chalia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184009888 PECOS PAC ID: 8426357963 Enrollment ID: I20240828003922 |
| Provider Name | Werda Alam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114546355 PECOS PAC ID: 1850830233 Enrollment ID: I20240829001063 |
| Provider Name | Anita Qureshi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629375274 PECOS PAC ID: 8325336274 Enrollment ID: I20240829001522 |
| Provider Name | Rachel Wint |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649751843 PECOS PAC ID: 1052730884 Enrollment ID: I20240829003099 |
| Provider Name | Karen Elizabeth Baddoura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467080937 PECOS PAC ID: 7810436110 Enrollment ID: I20240830001425 |
| Provider Name | Sheila M Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770124661 PECOS PAC ID: 0042649998 Enrollment ID: I20240903002284 |
| Provider Name | Jorge Sam |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245724301 PECOS PAC ID: 7517218233 Enrollment ID: I20240904000168 |
| Provider Name | James Milano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568049252 PECOS PAC ID: 6507306438 Enrollment ID: I20240906001268 |
| Provider Name | Caroline Franzese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801529698 PECOS PAC ID: 6406230473 Enrollment ID: I20240907000697 |
| Provider Name | Jaswinder Chalia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548657091 PECOS PAC ID: 7517274749 Enrollment ID: I20240910000693 |
| Provider Name | Xenophon Stephen Speros |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831932078 PECOS PAC ID: 0547700130 Enrollment ID: I20240910002588 |
| Provider Name | Anas N Najib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780213736 PECOS PAC ID: 3577926963 Enrollment ID: I20240910004295 |
| Provider Name | Jillian Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285486761 PECOS PAC ID: 1153861687 Enrollment ID: I20240910004366 |
| Provider Name | Amy Cargill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780142661 PECOS PAC ID: 7517407083 Enrollment ID: I20240911000829 |
| Provider Name | Palak Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548726441 PECOS PAC ID: 7012259989 Enrollment ID: I20241001004635 |
| Provider Name | Lindsey Yasyukevich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508485939 PECOS PAC ID: 9638600554 Enrollment ID: I20241003000016 |
| Provider Name | Christopher Sangiovanni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851895239 PECOS PAC ID: 7113276429 Enrollment ID: I20241007000580 |
| Provider Name | Athena L Huang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164928594 PECOS PAC ID: 0840536470 Enrollment ID: I20241007003038 |
| Provider Name | Alyssa Brooke Matthews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295241727 PECOS PAC ID: 7214468768 Enrollment ID: I20241008002265 |
| Provider Name | Rebecca Britton Gendelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942839782 PECOS PAC ID: 8123559671 Enrollment ID: I20241008002272 |
| Provider Name | Henry Uran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003443896 PECOS PAC ID: 7618411331 Enrollment ID: I20241009000194 |
| Provider Name | Nikil Revuri |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1447710645 PECOS PAC ID: 0244565968 Enrollment ID: I20241011001152 |
| Provider Name | Dorothy Blackmun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871565101 PECOS PAC ID: 7315041381 Enrollment ID: I20241025002976 |
| Provider Name | Nicole Carmen Guzman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811745060 PECOS PAC ID: 3971036997 Enrollment ID: I20241030000426 |
| Provider Name | Ami Shah |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1285195958 PECOS PAC ID: 4688905391 Enrollment ID: I20241101001744 |
| Provider Name | Ayesha Fayyaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124850573 PECOS PAC ID: 4880128214 Enrollment ID: I20241107003668 |
| Provider Name | Marlena Elazar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790932333 PECOS PAC ID: 6002978855 Enrollment ID: I20241108000113 |
| Provider Name | Emma Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417446287 PECOS PAC ID: 4183967441 Enrollment ID: I20241108001429 |
| Provider Name | Peder Aakjar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215287602 PECOS PAC ID: 0446493811 Enrollment ID: I20241114003143 |
| Provider Name | Deborah Bostock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407832306 PECOS PAC ID: 8325136120 Enrollment ID: I20241125000376 |
| Provider Name | Joel Grancell Frank |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487282323 PECOS PAC ID: 1254866395 Enrollment ID: I20241126000864 |
| Provider Name | Kahkashan Firdaus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508146911 PECOS PAC ID: 5092930487 Enrollment ID: I20241126001174 |
| Provider Name | Lucia Quiles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093357246 PECOS PAC ID: 1355876400 Enrollment ID: I20241126001271 |
| Provider Name | Nyeesha Garnett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386421592 PECOS PAC ID: 7517492663 Enrollment ID: I20241126001318 |
| Provider Name | Anita Sulibhavi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104487974 PECOS PAC ID: 6305173824 Enrollment ID: I20241126002602 |
| Provider Name | Karlie Gilbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073357927 PECOS PAC ID: 7810422870 Enrollment ID: I20241127001899 |
| Provider Name | Alleda Mack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487910030 PECOS PAC ID: 0244530418 Enrollment ID: I20241128000041 |
| Provider Name | Esther Robin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427679620 PECOS PAC ID: 0143755074 Enrollment ID: I20241202000312 |
| Provider Name | Xue Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588831986 PECOS PAC ID: 8325216062 Enrollment ID: I20241204001431 |
| Provider Name | Marriam Sajjad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932789864 PECOS PAC ID: 6305372954 Enrollment ID: I20241206000731 |
| Provider Name | Jennifer Safiye Askin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275203143 PECOS PAC ID: 4688100936 Enrollment ID: I20241210001340 |
| Provider Name | Nicole Ambrose |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346801248 PECOS PAC ID: 0345777652 Enrollment ID: I20241227002358 |
| Provider Name | Antonio Macias |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265688220 PECOS PAC ID: 3173673498 Enrollment ID: I20241230000209 |
| Provider Name | Laura Sheridan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134779325 PECOS PAC ID: 7618301383 Enrollment ID: I20241230000467 |
| Provider Name | Rakhee Barai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083174072 PECOS PAC ID: 0042689465 Enrollment ID: I20250113002884 |
| Provider Name | Christopher Privette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902305709 PECOS PAC ID: 4385909118 Enrollment ID: I20250113003692 |
| Provider Name | Rebecca Hess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992511414 PECOS PAC ID: 5698203925 Enrollment ID: I20250114001373 |
| Provider Name | Adelaine Holdmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518547553 PECOS PAC ID: 0547654543 Enrollment ID: I20250130002544 |
| Provider Name | Clare Kiraly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790592624 PECOS PAC ID: 1850821042 Enrollment ID: I20250203002290 |
| Provider Name | Andrew Defazio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568435824 PECOS PAC ID: 5193709665 Enrollment ID: I20250214000085 |
| Provider Name | Melissa Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497908719 PECOS PAC ID: 1557881646 Enrollment ID: I20250219002348 |
| Provider Name | Nonita Mittal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346797990 PECOS PAC ID: 3072033992 Enrollment ID: I20250224000227 |
| Provider Name | Allison Sissons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871958256 PECOS PAC ID: 3274886106 Enrollment ID: I20250228000211 |
| Provider Name | Vivek Natarajan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871819722 PECOS PAC ID: 2769636018 Enrollment ID: I20250404003263 |
| Provider Name | Amanda Ana Picciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538976311 PECOS PAC ID: 9830613751 Enrollment ID: I20250411002203 |
| Provider Name | Montanna Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457160632 PECOS PAC ID: 4385160068 Enrollment ID: I20250424003890 |
| Provider Name | John Edward Sylvester |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508880337 PECOS PAC ID: 4688696305 Enrollment ID: I20250505000615 |
| Provider Name | Stephanie Maggio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376272229 PECOS PAC ID: 5395262737 Enrollment ID: I20250508001423 |
| Provider Name | Donald W. Jenkins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518942879 PECOS PAC ID: 4082756390 Enrollment ID: I20250520000048 |
| Provider Name | Caroline Prins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841876398 PECOS PAC ID: 6002325768 Enrollment ID: I20250603004059 |
| Provider Name | Mildred Marie Rios |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578104139 PECOS PAC ID: 3678083268 Enrollment ID: I20250611004275 |
| Provider Name | Raman Kaul |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093739047 PECOS PAC ID: 1153210307 Enrollment ID: I20250630003226 |
| Provider Name | Laura Michelle Spiak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972300127 PECOS PAC ID: 3375057045 Enrollment ID: I20250707002494 |
| Provider Name | Jeana Drugac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508263989 PECOS PAC ID: 8426348574 Enrollment ID: I20250712000376 |
| Provider Name | Momna Hassan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982341624 PECOS PAC ID: 3577902998 Enrollment ID: I20250715000616 |
| Provider Name | Doctor Goldstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295014991 PECOS PAC ID: 4284929332 Enrollment ID: I20250721003063 |
| Provider Name | Benjamin Mann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437611910 PECOS PAC ID: 9436665874 Enrollment ID: I20250722002858 |
| Provider Name | Nisha Word |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154600237 PECOS PAC ID: 3971731894 Enrollment ID: I20250729000320 |
| Provider Name | David Ambinder |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306474762 PECOS PAC ID: 4880192822 Enrollment ID: I20250809000056 |
| Provider Name | Celeste Michelle Pilato-amacher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568045086 PECOS PAC ID: 0840798666 Enrollment ID: I20250812000096 |
| Provider Name | Farzana N Chowdhury |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073253860 PECOS PAC ID: 3173021763 Enrollment ID: I20250812004883 |
| Provider Name | Sujatha Raman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750021903 PECOS PAC ID: 7911405519 Enrollment ID: I20250813000088 |
| Provider Name | Nicholas William Colonna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407433410 PECOS PAC ID: 7517467715 Enrollment ID: I20250822000784 |
| Provider Name | Kayla Martin Garner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003499492 PECOS PAC ID: 2365942356 Enrollment ID: I20250825000768 |
| Provider Name | Tiarrah Rose Tolliver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477440477 PECOS PAC ID: 8527569300 Enrollment ID: I20250902003680 |
| Provider Name | Matthew Delbert |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1093342792 PECOS PAC ID: 5395289227 Enrollment ID: I20250903002758 |
| Provider Name | Michael Chung |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1790308476 PECOS PAC ID: 1951726330 Enrollment ID: I20250903004446 |
| Provider Name | Karen Acquah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790435030 PECOS PAC ID: 1951803444 Enrollment ID: I20250904002538 |
| Provider Name | Pratika Mikkilineni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053040162 PECOS PAC ID: 9537662366 Enrollment ID: I20250909003993 |
| Provider Name | Ray Moussa |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1255956819 PECOS PAC ID: 8426551201 Enrollment ID: I20250910000431 |
| Provider Name | Caitlin Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003572579 PECOS PAC ID: 0143612044 Enrollment ID: I20250916000756 |
| Provider Name | Kevin Cannavina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356924849 PECOS PAC ID: 4183128192 Enrollment ID: I20250922000487 |
| Provider Name | John Rasla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558823237 PECOS PAC ID: 7618392804 Enrollment ID: I20250923002165 |
| Provider Name | Chelsea Lauro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972252286 PECOS PAC ID: 5496250169 Enrollment ID: I20250924001378 |
| Provider Name | Saloni Goyal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861016081 PECOS PAC ID: 4284056524 Enrollment ID: I20251002003363 |
| Provider Name | Sana Rashid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083174403 PECOS PAC ID: 0840797395 Enrollment ID: I20251009002516 |
| Provider Name | Anchal Sabharwal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235752130 PECOS PAC ID: 7315363512 Enrollment ID: I20251020000817 |
| Provider Name | Nardine Mikhail |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902301518 PECOS PAC ID: 2264873744 Enrollment ID: I20251023001222 |
| Provider Name | Rebecca Korabelnikov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871473819 PECOS PAC ID: 2860981362 Enrollment ID: I20251026000241 |
| Provider Name | Jennifer Lynn Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417835430 PECOS PAC ID: 1153811542 Enrollment ID: I20251105000060 |
| Provider Name | Caleb Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194699389 PECOS PAC ID: 1355832676 Enrollment ID: I20251114002062 |
| Provider Name | Jaret Muller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376411512 PECOS PAC ID: 6305338435 Enrollment ID: I20251125003093 |
| Provider Name | Karol P Callirgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760227680 PECOS PAC ID: 2961994876 Enrollment ID: I20251126002114 |
| Provider Name | Pragati Pandey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831380195 PECOS PAC ID: 8921290099 Enrollment ID: I20251128000010 |
| Provider Name | Kevin Hawk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861004574 PECOS PAC ID: 5698216521 Enrollment ID: I20251130000042 |
| Provider Name | Haven C Donovan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477901817 PECOS PAC ID: 7618460841 Enrollment ID: I20251204004647 |
| Provider Name | Seham Helmi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700648367 PECOS PAC ID: 7618312265 Enrollment ID: I20251205001447 |
| Provider Name | Britt Gunsser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972979839 PECOS PAC ID: 6507175957 Enrollment ID: I20251208000430 |
| Provider Name | Alexandra Nicole Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083348627 PECOS PAC ID: 3274027578 Enrollment ID: I20251215000639 |
| Provider Name | Maria F Dominguez-bermeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013655216 PECOS PAC ID: 1850885088 Enrollment ID: I20251215001714 |
| Provider Name | Omolayo Darlene |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598917973 PECOS PAC ID: 3476600180 Enrollment ID: I20260104000069 |
| Provider Name | Charisse C Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427017995 PECOS PAC ID: 9537104716 Enrollment ID: I20260105000006 |
| Provider Name | Steven N Hartstein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134652928 PECOS PAC ID: 1658658653 Enrollment ID: I20260105000554 |
| Provider Name | Michaila Mary Mastrofilippo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679172977 PECOS PAC ID: 2769978279 Enrollment ID: I20260106000020 |
| Provider Name | Christin John |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871015909 PECOS PAC ID: 8729351044 Enrollment ID: I20260106000126 |
| Provider Name | Casey Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104382621 PECOS PAC ID: 1951638196 Enrollment ID: I20260106002655 |
| Provider Name | Alaine Robertson-ali |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295159333 PECOS PAC ID: 8729564026 Enrollment ID: I20260107001143 |
| Provider Name | Sharon Lynn Gabriele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902601156 PECOS PAC ID: 6901382175 Enrollment ID: I20260108000742 |
| Provider Name | Nicole Ciccone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316811193 PECOS PAC ID: 3971089046 Enrollment ID: I20260108000889 |
| Provider Name | Christine Scannello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770736142 PECOS PAC ID: 8628130598 Enrollment ID: I20260108002390 |
| Provider Name | Colleen M Brough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831704469 PECOS PAC ID: 5092291716 Enrollment ID: I20260113002029 |
| Provider Name | Jessica M Gallo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295305191 PECOS PAC ID: 9032512280 Enrollment ID: I20260114000017 |
| Provider Name | Gabrielle Masseria |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679823652 PECOS PAC ID: 9436391851 Enrollment ID: I20260120001457 |
| Provider Name | Daphney Malone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770738247 PECOS PAC ID: 3779649165 Enrollment ID: I20260128002173 |
| Provider Name | Caleigh Andersen Cotter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043971104 PECOS PAC ID: 2860879624 Enrollment ID: I20260128003509 |
| Provider Name | Alethea I Cunningham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154359461 PECOS PAC ID: 5395709067 Enrollment ID: I20260128003973 |
| Provider Name | Hifza Din |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780120238 PECOS PAC ID: 9931477445 Enrollment ID: I20260128004001 |
| Provider Name | Hassan S Greenidge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801435748 PECOS PAC ID: 2466880471 Enrollment ID: I20260130000127 |
| Provider Name | Katherine Zuleta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811367949 PECOS PAC ID: 5092025445 Enrollment ID: I20260205001128 |
| Provider Name | Gisele Andrade Espin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407710338 PECOS PAC ID: 7315426772 Enrollment ID: I20260206001129 |
| Provider Name | Jessica Ma |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588219265 PECOS PAC ID: 5698005114 Enrollment ID: I20260206003822 |
| Provider Name | Jenny Woo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649756537 PECOS PAC ID: 4284048687 Enrollment ID: I20260210002405 |
| Provider Name | Kristin M Schwab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952622474 PECOS PAC ID: 1951535533 Enrollment ID: I20260211003998 |
| Provider Name | Jimmy M Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710842281 PECOS PAC ID: 5395225643 Enrollment ID: I20260216002555 |
| Provider Name | Nga Q Lai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154677128 PECOS PAC ID: 6204086325 Enrollment ID: I20260219003341 |
| Provider Name | Shagun Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346716347 PECOS PAC ID: 6406195130 Enrollment ID: I20260223000379 |
| Provider Name | Angela N Candelaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700416278 PECOS PAC ID: 0345721536 Enrollment ID: I20260225003288 |
| Provider Name | Nikita Sanjiv |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235005570 PECOS PAC ID: 8123509221 Enrollment ID: I20260226002273 |
| Provider Name | Jansen M Tiongson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811182801 PECOS PAC ID: 7618027582 Enrollment ID: I20260304000869 |
| Provider Name | Zach Daradar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477425775 PECOS PAC ID: 1951883941 Enrollment ID: I20260309000000 |
| Provider Name | Kelly Mae Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780267153 PECOS PAC ID: 0941609994 Enrollment ID: I20260321000202 |
| Provider Name | Diane Kim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922723279 PECOS PAC ID: 2860849650 Enrollment ID: I20260323002061 |
| Provider Name | Aqsa Asif |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477950087 PECOS PAC ID: 0345575494 Enrollment ID: I20260326003561 |
| Provider Name | Ami a Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811273709 PECOS PAC ID: 2365759974 Enrollment ID: I20260409001070 |
| Provider Name | Adena L Aspir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225988124 PECOS PAC ID: 1254806854 Enrollment ID: I20260411000138 |
| Provider Name | Aditi Grover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184884587 PECOS PAC ID: 1052584679 Enrollment ID: I20260417002398 |
| Provider Name | Heather W King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265748297 PECOS PAC ID: 2567851793 Enrollment ID: I20260427000121 |
| Provider Name | Jane E Avella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184782492 PECOS PAC ID: 3678563269 Enrollment ID: I20260507001899 |
| Provider Name | Fang Wen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184945131 PECOS PAC ID: 4486123130 Enrollment ID: I20260512002869 |
| Provider Name | Dina Ashley Basdeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700766235 PECOS PAC ID: 9234608688 Enrollment ID: I20260515000365 |
| Provider Name | Rodger D Hamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629136932 PECOS PAC ID: 9830189620 Enrollment ID: I20260610004763 |
| Provider Name | Ann E Chemmanoor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871623728 PECOS PAC ID: 8820068414 Enrollment ID: I20260625004198 |
Fiserv Onsite Wellness Coach - NJ Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Connell Dr, Berkeley Heights, NJ 07922 Phone: 615-468-3188 |
Forever Young Complete Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 Snyder Ave, Berkeley Heights, NJ 07922 Phone: 908-255-9840 |
Doctor Eva, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 186 Rutgers Ave, Berkeley Heights, NJ 07922 Phone: 908-679-9295 |
Emedical Offices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 369 Springfield Ave, Berkeley Heights, NJ 07922 Phone: 469-401-2386 |
Acupuncture Eden & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Sherman Ave Ste A, Berkeley Heights, NJ 07922 Phone: 908-679-8779 |
Intuitive Medical Group, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 654 Springfield Ave, Berkeley Heights, NJ 07922 Phone: 201-986-1003 Fax: 201-649-1864 |