Centerpath Wellness, Inc | |
117 Roosevelt Ave Plainfield NJ 07060-1331 | |
(908) 756-6870 | |
(908) 756-5566 |
Full Name | Centerpath Wellness, Inc |
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Speciality | Clinic/Center |
Location | 117 Roosevelt Ave, Plainfield, New Jersey |
Authorized Official Name and Position | Joseph Daniel (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9087566870 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centerpath Wellness, Inc 117 Roosevelt Ave Plainfield NJ 07060-1331 Ph: (908) 756-6870 | Centerpath Wellness, Inc 117 Roosevelt Ave Plainfield NJ 07060-1331 Ph: (908) 756-6870 |
NPI Number | 1962459552 |
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Provider Enumeration Date | 05/28/2006 |
Last Update Date | 11/29/2017 |
Medicare PECOS PAC ID | 0042368136 |
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Medicare Enrollment ID | O20090429000330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962459552 | NPI | - | NPPES |
0015105 | Medicaid | NJ | |
7640706 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 204050104 (New Jersey) | Primary |
Provider Name | Maria D Wiener |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194778639 PECOS PAC ID: 1951325224 Enrollment ID: I20060125000727 |
Provider Name | Joyce O Shea |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548431513 PECOS PAC ID: 1850470170 Enrollment ID: I20080528000573 |
Provider Name | Edward L Farkas |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154313955 PECOS PAC ID: 2365572799 Enrollment ID: I20100611000337 |
Provider Name | Cecilia Rabess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528210812 PECOS PAC ID: 9739359803 Enrollment ID: I20110826000666 |
Provider Name | Robert Anders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386902476 PECOS PAC ID: 0749444008 Enrollment ID: I20120618000235 |
Provider Name | Kathleen G Waldron |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558587543 PECOS PAC ID: 6901847995 Enrollment ID: I20131022000305 |
Provider Name | Dorsa H Seimaa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235712530 PECOS PAC ID: 4789079104 Enrollment ID: I20220429000507 |
Provider Name | Kelly Houston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275103665 PECOS PAC ID: 2961862024 Enrollment ID: I20230720002603 |
Provider Name | Michel Estiverne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447956289 PECOS PAC ID: 6204297815 Enrollment ID: I20230730000163 |
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