James Mindnich Jr, | |
282 Scotland Rd, South Orange, NJ 07079-2041 | |
(201) 704-8998 | |
Not Available |
Full Name | James Mindnich Jr |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 282 Scotland Rd, South Orange, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245786656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | R052753-1 (New York) | Primary |
Entity Name | Prime Healthcare Services - Saint Clare's, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497134274 PECOS PAC ID: 6406165372 Enrollment ID: O20151103001886 |
Mailing Address | Practice Location Address |
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James Mindnich Jr, 282 Scotland Rd, South Orange, NJ 07079-2041 Ph: (201) 704-8998 | James Mindnich Jr, 282 Scotland Rd, South Orange, NJ 07079-2041 Ph: (201) 704-8998 |
Toni B Schecter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Irvington Ave Apt 101, South Orange, NJ 07079 Phone: 646-644-1228 | |
Lucy Vance Seligson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 227 Raymond Ave, South Orange, NJ 07079 Phone: 201-820-5924 | |
Jessamyn Blakeslee Tabakin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Seton Pl, South Orange, NJ 07079 Phone: 091-761-2899 | |
Mr. Kristian Lynch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 155 Kilburn Pl, South Orange, NJ 07079 Phone: 917-579-6396 | |
Blaire Erica Fuchs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 S Orange Ave Ste 209, South Orange, NJ 07079 Phone: 201-740-7137 Fax: 973-378-9575 | |
Mrs. Drewsilla M Thorne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Valley St, South Orange, NJ 07079 Phone: 973-763-7979 |