Jesenia Vergel, | |
179 Palisade Ave, Jersey City, NJ 07306-1103 | |
(201) 795-8375 | |
(201) 418-7074 |
Full Name | Jesenia Vergel |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 179 Palisade Ave, Jersey City, 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 |
---|---|---|---|
1861533341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00340800 (New Jersey) | Primary |
Entity Name | New Jersey Behavioral Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033 |
Mailing Address | Practice Location Address |
---|---|
Jesenia Vergel, 179 Palisade Ave, Jersey City, NJ 07306-1103 Ph: (201) 795-8375 | Jesenia Vergel, 179 Palisade Ave, Jersey City, NJ 07306-1103 Ph: (201) 795-8375 |
Barry Wasser, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Van Reipen Ave, Jersey City, NJ 07306 Phone: 201-418-8601 | |
Ashley Derdzikowski, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Pavonia Ave, Jersey City, NJ 07306 Phone: 732-228-8060 Fax: 201-222-7676 | |
Caroline Nelson, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Martin Luther King Jr Dr, Jersey City, NJ 07305 Phone: 201-936-2918 Fax: 201-200-1826 | |
Mr. Jeffery Matlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Palisade Ave, Jersey City, NJ 07306 Phone: 201-656-3116 Fax: 201-656-9044 | |
Mrs. Martha Jane Malana, MA,ATR-BC,LCAT,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Palisade Ave, Jersey City, NJ 07306 Phone: 914-673-8785 | |
Ms. Aynur Fox, LPC, LCADC, ACS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Hudson St Fl 21, Jersey City, NJ 07302 Phone: 201-706-7135 | |
Dr. Victor Eleazar Tuazon, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2039 John F Kennedy Blvd, Jersey City, NJ 07305 Phone: 201-254-7779 |