| Valley Diagnostic Medical Center | |
|
470 N Franklin Tpke Ste 203 Ramsey NJ 07446-1385 | |
| (201) 327-0500 | |
| (201) 327-8612 |
| Full Name | Valley Diagnostic Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 470 N Franklin Tpke Ste 203, Ramsey, New Jersey |
| Authorized Official Name and Position | Richard Lucanie (PARTNER) |
| Authorized Official Contact | 2013270500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Diagnostic Medical Center 470 N Franklin Tpke Ste 203 Ramsey NJ 07446-1385 Ph: (201) 327-0500 | Valley Diagnostic Medical Center 470 N Franklin Tpke Ste 203 Ramsey NJ 07446-1385 Ph: (201) 327-0500 |
| NPI Number | 1619075652 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 02/25/2019 |
| Medicare PECOS PAC ID | 3971606286 |
|---|---|
| Medicare Enrollment ID | O20070307000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619075652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Lucanie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669473898 PECOS PAC ID: 8729023387 Enrollment ID: I20050623000568 |
| Provider Name | Anabel Lucanie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295736577 PECOS PAC ID: 4183650195 Enrollment ID: I20050712000169 |
| Provider Name | Steven L Nickles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760483051 PECOS PAC ID: 5698878908 Enrollment ID: I20110311000214 |
| Provider Name | Alexander T Gaddi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750008116 PECOS PAC ID: 2264807247 Enrollment ID: I20230404002319 |
| Provider Name | Myladis Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639673239 PECOS PAC ID: 0244575785 Enrollment ID: I20231020000258 |
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