| Aldad Medical Nj, P.c | |
|
221 River St Ste 901 Hoboken NJ 07030-5989 | |
| (516) 505-7200 | |
| Not Available |
| Full Name | Aldad Medical Nj, P.c |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 221 River St Ste 901, Hoboken, New Jersey |
| Authorized Official Name and Position | Tamir Aldad (OWNER) |
| Authorized Official Contact | 5165057200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aldad Medical Nj, P.c 510 Hempstead Tpke Rm 203 West Hempstead NY 11552-1152 Ph: (516) 559-4041 | Aldad Medical Nj, P.c 221 River St Ste 901 Hoboken NJ 07030-5989 Ph: (516) 505-7200 |
| NPI Number | 1386238707 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Medicare PECOS PAC ID | 4981011988 |
|---|---|
| Medicare Enrollment ID | O20210318000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386238707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Karen A Yeboah Norment |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063955094 PECOS PAC ID: 6507149515 Enrollment ID: I20170216000872 |
| Provider Name | Elizabeth Adelakun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598919342 PECOS PAC ID: 3779843305 Enrollment ID: I20180130002853 |
| Provider Name | Tamir Aldad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407207830 PECOS PAC ID: 3577817899 Enrollment ID: I20210318000085 |
| Provider Name | Shannon Pavas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679070023 PECOS PAC ID: 0749698900 Enrollment ID: I20210428000972 |
| Provider Name | Clarence Gocon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992308951 PECOS PAC ID: 7113336025 Enrollment ID: I20210505002254 |
| Provider Name | Oluseyi Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396311452 PECOS PAC ID: 7911303524 Enrollment ID: I20210908000139 |
| Provider Name | Yahaya Animashaun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710157961 PECOS PAC ID: 8123416914 Enrollment ID: I20211027002786 |
| Provider Name | Angela Emomotimi Ekeweme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301489 PECOS PAC ID: 2668862772 Enrollment ID: I20211203002161 |
| Provider Name | Bryan Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891305645 PECOS PAC ID: 6305250846 Enrollment ID: I20211215002888 |
| Provider Name | Charles David Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013230218 PECOS PAC ID: 4789675604 Enrollment ID: I20220124002344 |
| Provider Name | Ngozi Nkemka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952065716 PECOS PAC ID: 1153713904 Enrollment ID: I20220128000126 |
| Provider Name | Oladunni Liyele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225704109 PECOS PAC ID: 0749673259 Enrollment ID: I20220204001860 |
| Provider Name | Toba Goldfeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952857450 PECOS PAC ID: 4486048410 Enrollment ID: I20220618000012 |
| Provider Name | Brittany Shakai Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588914758 PECOS PAC ID: 5698155596 Enrollment ID: I20220709000466 |
| Provider Name | Ketnie V Aristide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003471293 PECOS PAC ID: 6103291075 Enrollment ID: I20230406000314 |
| Provider Name | Mariel Bazil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487093407 PECOS PAC ID: 2961744651 Enrollment ID: I20230601000842 |
| Provider Name | Jacqueline Torgbor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952137 PECOS PAC ID: 3173978921 Enrollment ID: I20231013001086 |
| Provider Name | Dionne Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336929454 PECOS PAC ID: 7113373234 Enrollment ID: I20231026000636 |
| Provider Name | Jeffrey Chang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942658216 PECOS PAC ID: 2264855303 Enrollment ID: I20231218000001 |
| Provider Name | Michael Destefano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407200116 PECOS PAC ID: 7214355130 Enrollment ID: I20231220000642 |
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