| The Medistation Llc | |
|
57 E Mount Pleasant Ave Livingston NJ 07039-3003 | |
| (862) 799-7400 | |
| (973) 345-1690 |
| Full Name | The Medistation Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 57 E Mount Pleasant Ave, Livingston, New Jersey |
| Authorized Official Name and Position | Carlos Tronza (MANAGER) |
| Authorized Official Contact | 8627997400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Medistation Llc 634 Eagle Rock Ave Unit 503 West Orange NJ 07052-6812 Ph: (862) 799-7400 | The Medistation Llc 57 E Mount Pleasant Ave Livingston NJ 07039-3003 Ph: (862) 799-7400 |
| NPI Number | 1518557750 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 1951717842 |
|---|---|
| Medicare Enrollment ID | O20210301000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518557750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Elen Wasserman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437490463 PECOS PAC ID: 6305144882 Enrollment ID: I20160418000088 |
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