| Angelic Health Practice Group | |
|
8025 Black Horse Pike Ste 501 Pleasantville NJ 08232-2967 | |
| (844) 929-0225 | |
| (609) 822-7980 |
| Full Name | Angelic Health Practice Group |
|---|---|
| Speciality | Social Worker |
| Location | 8025 Black Horse Pike Ste 501, Pleasantville, New Jersey |
| Authorized Official Name and Position | Dan Mikus (CEO) |
| Authorized Official Contact | 6098227979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelic Health Practice Group 8025 Black Horse Pike Ste 501 Pleasantville NJ 08232-2967 Ph: (844) 929-0225 | Angelic Health Practice Group 8025 Black Horse Pike Ste 501 Pleasantville NJ 08232-2967 Ph: (844) 929-0225 |
| NPI Number | 1639867864 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Medicare PECOS PAC ID | 9537510938 |
|---|---|
| Medicare Enrollment ID | O20240123001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639867864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Veronica T Rossetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922128685 PECOS PAC ID: 0446221063 Enrollment ID: I20040805000367 |
| Provider Name | Suzanne F Mcgettigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447582408 PECOS PAC ID: 5395875033 Enrollment ID: I20100607000804 |
| Provider Name | Jacqueline Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093892507 PECOS PAC ID: 2567592934 Enrollment ID: I20100610000936 |
| Provider Name | Christine Ablett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134452832 PECOS PAC ID: 8325183643 Enrollment ID: I20120125000118 |
| Provider Name | Patricia A Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962831933 PECOS PAC ID: 5294951588 Enrollment ID: I20140722002040 |
| Provider Name | Alexandra Calvano-long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467842013 PECOS PAC ID: 6608193115 Enrollment ID: I20150323000099 |
| Provider Name | Sheila Lill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336510346 PECOS PAC ID: 0345540480 Enrollment ID: I20151123000789 |
| Provider Name | Melissa Mordecai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972828531 PECOS PAC ID: 6002946746 Enrollment ID: I20161102001582 |
| Provider Name | Beth A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487106290 PECOS PAC ID: 0941580955 Enrollment ID: I20161209000151 |
| Provider Name | Janet Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043601156 PECOS PAC ID: 2961787718 Enrollment ID: I20170320000071 |
| Provider Name | Teresa Martone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568993806 PECOS PAC ID: 1355618885 Enrollment ID: I20170605000097 |
| Provider Name | Elizabeth K Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376944561 PECOS PAC ID: 2062735509 Enrollment ID: I20180205000815 |
| Provider Name | Roslyn Marie Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407310865 PECOS PAC ID: 4688917206 Enrollment ID: I20190523000883 |
| Provider Name | Shauna M Urban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831721851 PECOS PAC ID: 6103254883 Enrollment ID: I20200311001050 |
| Provider Name | Michelle Juckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841822343 PECOS PAC ID: 8426486168 Enrollment ID: I20200312000633 |
| Provider Name | Tracy Fooks Michnya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932536943 PECOS PAC ID: 3274954391 Enrollment ID: I20200528000563 |
| Provider Name | Kristy Liekfet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275133175 PECOS PAC ID: 1153736459 Enrollment ID: I20210218002933 |
| Provider Name | Deborah Lynn Selm-orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841331766 PECOS PAC ID: 8224019393 Enrollment ID: I20210628001117 |
| Provider Name | Caitlin Fazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578270757 PECOS PAC ID: 2163893686 Enrollment ID: I20230120000815 |
| Provider Name | Chinasa Chudi-attah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477246007 PECOS PAC ID: 2567826266 Enrollment ID: I20230914000028 |
| Provider Name | Deborah Osei-agyeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124764063 PECOS PAC ID: 6709234982 Enrollment ID: I20231129000017 |
| Provider Name | Anthony Joseph Abbruzzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034905 PECOS PAC ID: 2163481318 Enrollment ID: I20240123001062 |
| Provider Name | Faye Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558137331 PECOS PAC ID: 4284087164 Enrollment ID: I20240126001935 |
Intentional Interventions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 S New Rd, Pleasantville, NJ 08232 Phone: 609-380-1122 Fax: 609-374-9166 | |
Tiny Hands Learning Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 W Adams Ave, Pleasantville, NJ 08232 Phone: 609-382-7356 | |
Clinical Specialist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1420 S New Rd, Pleasantville, NJ 08232 Phone: 609-200-5117 Fax: 609-939-3671 | |
Angelic Palliative Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8025 Black Horse Pike Ste 501, Pleasantville, NJ 08232 Phone: 609-822-7979 Fax: 609-822-7980 |