| Vanguard Medical Group, Pa | |
|
271 Grove Ave Suite A Verona NJ 07044-1730 | |
| (973) 239-2600 | |
| (833) 495-1921 |
| Full Name | Vanguard Medical Group, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 271 Grove Ave, Verona, New Jersey |
| Authorized Official Name and Position | Ronisha Katrina Scales (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9735593700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard Medical Group, Pa 271 Grove Ave Ste E Verona NJ 07044-1730 Ph: (973) 559-3700 | Vanguard Medical Group, Pa 271 Grove Ave Suite A Verona NJ 07044-1730 Ph: (973) 239-2600 |
| NPI Number | 1073674412 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 10/08/2025 |
| Medicare PECOS PAC ID | 5092751842 |
|---|---|
| Medicare Enrollment ID | O20050701000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073674412 | NPI | - | NPPES |
| Provider Name | Sally A Mravcak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811009657 PECOS PAC ID: 7719886795 Enrollment ID: I20040108000359 |
| Provider Name | Carmine A Mazzella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326108879 PECOS PAC ID: 2062306467 Enrollment ID: I20040209000284 |
| Provider Name | Alan D Furst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164459962 PECOS PAC ID: 1951362441 Enrollment ID: I20041019000720 |
| Provider Name | Debora K Geller |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1083659064 PECOS PAC ID: 6406873975 Enrollment ID: I20060427000095 |
| Provider Name | Peter Heit |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912952763 PECOS PAC ID: 4284706243 Enrollment ID: I20080708000368 |
| Provider Name | Matthew E Giangrante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427200245 PECOS PAC ID: 3779636899 Enrollment ID: I20090806000265 |
| Provider Name | Laura M Cannito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235361130 PECOS PAC ID: 2365586419 Enrollment ID: I20100212000668 |
| Provider Name | Roger P Diruggiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457301699 PECOS PAC ID: 9335130723 Enrollment ID: I20100405000000 |
| Provider Name | Joseph W Schauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801861828 PECOS PAC ID: 8921136060 Enrollment ID: I20100511000074 |
| Provider Name | Peter Louis Carrazzone |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962430371 PECOS PAC ID: 9739134115 Enrollment ID: I20101019001178 |
| Provider Name | Howard M Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578590162 PECOS PAC ID: 8022201953 Enrollment ID: I20101022001074 |
| Provider Name | Manish V Bhalodia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396760609 PECOS PAC ID: 2961450556 Enrollment ID: I20101130001241 |
| Provider Name | Robert T Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265592786 PECOS PAC ID: 1456397207 Enrollment ID: I20101207000210 |
| Provider Name | Thomas P Mccarrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457411092 PECOS PAC ID: 9638115488 Enrollment ID: I20101227000297 |
| Provider Name | Kannan Sivaraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659508687 PECOS PAC ID: 1254524655 Enrollment ID: I20110418000682 |
| Provider Name | Sarah J Wistreich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518237452 PECOS PAC ID: 8921264623 Enrollment ID: I20120725000127 |
| Provider Name | Michele Moscato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861713422 PECOS PAC ID: 5890932255 Enrollment ID: I20130503000095 |
| Provider Name | Sheila M Mellody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770502726 PECOS PAC ID: 7719902584 Enrollment ID: I20130916000003 |
| Provider Name | Kennedy Palwasha Daftani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043531726 PECOS PAC ID: 6103056247 Enrollment ID: I20140311000658 |
| Provider Name | Sue Ellen Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902064983 PECOS PAC ID: 6507099819 Enrollment ID: I20140512000383 |
| Provider Name | Stephanie Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326369968 PECOS PAC ID: 9638395676 Enrollment ID: I20140728000821 |
| Provider Name | Adrienne Lynn Salerno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750563805 PECOS PAC ID: 3173741881 Enrollment ID: I20140821001196 |
| Provider Name | Suzana Cane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641648 PECOS PAC ID: 4688976228 Enrollment ID: I20160113002009 |
| Provider Name | Alireza Zarineh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790079218 PECOS PAC ID: 0547432437 Enrollment ID: I20161115002447 |
| Provider Name | Justin A Yucht |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912299579 PECOS PAC ID: 2860784683 Enrollment ID: I20170501000837 |
| Provider Name | Sung Tae Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841424074 PECOS PAC ID: 6204968373 Enrollment ID: I20170829002542 |
| Provider Name | Kelly Van Wyck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104334655 PECOS PAC ID: 8921368879 Enrollment ID: I20180214000934 |
| Provider Name | Simone Alicia Douge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093133746 PECOS PAC ID: 1557610193 Enrollment ID: I20180815002408 |
| Provider Name | Colleen Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093194904 PECOS PAC ID: 5597182576 Enrollment ID: I20200908000317 |
| Provider Name | Michelle Tavares |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891145892 PECOS PAC ID: 0446662472 Enrollment ID: I20201216002844 |
| Provider Name | Adaku Ezeadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306415088 PECOS PAC ID: 5395142277 Enrollment ID: I20210920001647 |
| Provider Name | Mandy Sacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104083567 PECOS PAC ID: 9739348053 Enrollment ID: I20211215002732 |
| Provider Name | Jill Magioncalda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215117247 PECOS PAC ID: 7315022985 Enrollment ID: I20220624000016 |
| Provider Name | Amanda M Start |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205523461 PECOS PAC ID: 7416313010 Enrollment ID: I20230524002968 |
| Provider Name | Daniel Mohsin Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912535360 PECOS PAC ID: 6305204736 Enrollment ID: I20230616001621 |
| Provider Name | Pamela R Macirowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245009463 PECOS PAC ID: 4486093366 Enrollment ID: I20240412000380 |
| Provider Name | Melissa Eppinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689256505 PECOS PAC ID: 3274922307 Enrollment ID: I20241009004506 |
West Essex Medical Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Bloomfield Avenue, Suite Ll1, Verona, NJ 07044 Phone: 973-364-1111 Fax: 973-239-9099 | |
Vanguard Partner Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044 Phone: 973-559-3700 Fax: 973-559-8650 | |
First Care Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Pompton Avenue, Verona, NJ 07044 Phone: 973-857-8995 Fax: 973-857-7034 | |
First Care Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Pompton Ave, Verona, NJ 07044 Phone: 973-857-3400 Fax: 973-239-6731 | |
Montclair Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 799 Bloomfield Ave, Suite 201, Verona, NJ 07044 Phone: 973-746-7050 Fax: 973-857-2831 | |
Nj Counseling, Training, And Consultation Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Bloomfield Ave, Verona, NJ 07044 Phone: 201-259-7229 |