| Drexel Psychology | |
|
1427 Vine St 8th Floor Philadelphia PA 19102-1031 | |
| (215) 831-7800 | |
| (215) 831-2603 |
| Full Name | Drexel Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 1427 Vine St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | David Janiec (DIRECTOR OF PAYER CONTRACTING) |
| Authorized Official Contact | 2152557766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drexel Psychology 1601 Cherry St Suite 11511 Philadelphia PA 19102-1321 Ph: (215) 255-7822 | Drexel Psychology 1427 Vine St 8th Floor Philadelphia PA 19102-1031 Ph: (215) 831-7800 |
| NPI Number | 1902900095 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 05/27/2014 |
| Medicare PECOS PAC ID | 5496664740 |
|---|---|
| Medicare Enrollment ID | O20140729001682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902900095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Pennsylvania) | Primary |
| Provider Name | Jesse M Goldman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861480022 PECOS PAC ID: 9335053529 Enrollment ID: I20031112000722 |
| Provider Name | Ellie Kelepouris |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790773547 PECOS PAC ID: 6507770708 Enrollment ID: I20031112000758 |
| Provider Name | Wei Du |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467552943 PECOS PAC ID: 0446156947 Enrollment ID: I20031208000257 |
| Provider Name | Howard Eisen |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1225086101 PECOS PAC ID: 7618873217 Enrollment ID: I20031212000014 |
| Provider Name | Edward A Ramoska |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528007978 PECOS PAC ID: 1951295302 Enrollment ID: I20040209000530 |
| Provider Name | Bohdan Minczak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396738456 PECOS PAC ID: 5991694697 Enrollment ID: I20040311000906 |
| Provider Name | Ricardo Morgenstern |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265480941 PECOS PAC ID: 4587554324 Enrollment ID: I20040317000111 |
| Provider Name | James Charles Reynolds |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871541219 PECOS PAC ID: 6204726953 Enrollment ID: I20040317000850 |
| Provider Name | Julie Ann Yeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740222124 PECOS PAC ID: 6608861646 Enrollment ID: I20040419000502 |
| Provider Name | Carrie Ann Cusack |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1649238775 PECOS PAC ID: 3779568035 Enrollment ID: I20040621001493 |
| Provider Name | Nadine Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164459624 PECOS PAC ID: 5395721385 Enrollment ID: I20040629001021 |
| Provider Name | Christopher J Bruno |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609920974 PECOS PAC ID: 8123099181 Enrollment ID: I20040803001313 |
| Provider Name | Michael I Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649213166 PECOS PAC ID: 8224009220 Enrollment ID: I20040803001620 |
| Provider Name | Walter P Harris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689730905 PECOS PAC ID: 4385615079 Enrollment ID: I20040805000073 |
| Provider Name | Edgar Y Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124070123 PECOS PAC ID: 4981671617 Enrollment ID: I20040913001108 |
| Provider Name | Kristine M Ward |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700826674 PECOS PAC ID: 8123087384 Enrollment ID: I20041005000414 |
| Provider Name | Theodore J Corbin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467477919 PECOS PAC ID: 0143285197 Enrollment ID: I20041201000572 |
| Provider Name | Gary Randolph Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437178977 PECOS PAC ID: 4880658772 Enrollment ID: I20041201000626 |
| Provider Name | Ralph J Riviello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659396596 PECOS PAC ID: 8325004203 Enrollment ID: I20041202000351 |
| Provider Name | Jeffrey David Bedrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174573869 PECOS PAC ID: 9335197284 Enrollment ID: I20050106000837 |
| Provider Name | Lauren A Plante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033111596 PECOS PAC ID: 2163484312 Enrollment ID: I20050117000238 |
| Provider Name | Janet Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124072582 PECOS PAC ID: 6901855907 Enrollment ID: I20050118000042 |
| Provider Name | Seema Baranwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386607224 PECOS PAC ID: 4183674872 Enrollment ID: I20050131000522 |
| Provider Name | Robert D Howard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770532129 PECOS PAC ID: 9234026394 Enrollment ID: I20050211000484 |
| Provider Name | Matthew William Lawrence |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093726101 PECOS PAC ID: 3274585583 Enrollment ID: I20050215000745 |
| Provider Name | Harris R Clearfield |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427006790 PECOS PAC ID: 3375597396 Enrollment ID: I20050311000294 |
| Provider Name | Steven P Kutalek |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730137258 PECOS PAC ID: 5799731816 Enrollment ID: I20050322000939 |
| Provider Name | Christine S Saari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902841711 PECOS PAC ID: 0244278729 Enrollment ID: I20050425000723 |
| Provider Name | Robert Earle Krisch |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144298563 PECOS PAC ID: 3072552355 Enrollment ID: I20050426001240 |
| Provider Name | Richard F Dietrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336129527 PECOS PAC ID: 2466491246 Enrollment ID: I20050502000161 |
| Provider Name | Dennis H Novack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124077383 PECOS PAC ID: 9931148616 Enrollment ID: I20050502001102 |
| Provider Name | Nielufar Varjavand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316990369 PECOS PAC ID: 1456390137 Enrollment ID: I20050502001139 |
| Provider Name | Daniel V Schidlow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902816853 PECOS PAC ID: 7719927094 Enrollment ID: I20050505000719 |
| Provider Name | Zsofia Szep |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588651491 PECOS PAC ID: 6507802303 Enrollment ID: I20050701000443 |
| Provider Name | Barbara Simon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609824044 PECOS PAC ID: 5395781959 Enrollment ID: I20050705000843 |
| Provider Name | Anita G Ko |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1952358509 PECOS PAC ID: 9537105085 Enrollment ID: I20050706000568 |
| Provider Name | Myron Yanoff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932141843 PECOS PAC ID: 3072540178 Enrollment ID: I20050720000646 |
| Provider Name | Mary Ann Kuzma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083662308 PECOS PAC ID: 7012944044 Enrollment ID: I20050721000526 |
| Provider Name | Catherine E Pelletier-dattu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942299623 PECOS PAC ID: 5294762985 Enrollment ID: I20050725000752 |
| Provider Name | Erum N Ilyas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003800541 PECOS PAC ID: 8921035080 Enrollment ID: I20050728000167 |
| Provider Name | Todd Mcgrath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205871878 PECOS PAC ID: 2163492190 Enrollment ID: I20050810000892 |
| Provider Name | Dorota Michalek Wilson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609821313 PECOS PAC ID: 5294771697 Enrollment ID: I20050812000473 |
| Provider Name | Jyoti Pillai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578513271 PECOS PAC ID: 2860427028 Enrollment ID: I20050927001159 |
| Provider Name | Owen C Montgomery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114982204 PECOS PAC ID: 5991720518 Enrollment ID: I20051012000382 |
| Provider Name | Gary S Ledley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306807219 PECOS PAC ID: 5294751343 Enrollment ID: I20051019000034 |
| Provider Name | Gretchen Elizabeth Magnani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609900455 PECOS PAC ID: 0446279905 Enrollment ID: I20051115000297 |
| Provider Name | Karthik Ranganna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174561542 PECOS PAC ID: 4082633946 Enrollment ID: I20051121000454 |
| Provider Name | Eric Phililp Stander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861441636 PECOS PAC ID: 5395728000 Enrollment ID: I20051222000272 |
| Provider Name | Judith Ellen Wolf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972554624 PECOS PAC ID: 4688688823 Enrollment ID: I20060126000920 |
| Provider Name | Fernando U Garcia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316993652 PECOS PAC ID: 5294742714 Enrollment ID: I20060308000489 |
| Provider Name | Lydia Komarnicky |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487610820 PECOS PAC ID: 1153350889 Enrollment ID: I20060308000496 |
| Provider Name | Michelle J Kutalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184651242 PECOS PAC ID: 0042227407 Enrollment ID: I20060310000099 |
| Provider Name | Carl R Dellabadia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336103449 PECOS PAC ID: 4587674023 Enrollment ID: I20060428000225 |
| Provider Name | Steven Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285684118 PECOS PAC ID: 1850372046 Enrollment ID: I20060501000615 |
| Provider Name | Valerie Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730130139 PECOS PAC ID: 7113939141 Enrollment ID: I20060612000195 |
| Provider Name | Syed F Hasni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477594083 PECOS PAC ID: 2860404829 Enrollment ID: I20060613000093 |
| Provider Name | Kelli E Daniels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750321485 PECOS PAC ID: 0446253900 Enrollment ID: I20060823000194 |
| Provider Name | Christina L Chung |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538103635 PECOS PAC ID: 5890790216 Enrollment ID: I20060919000027 |
| Provider Name | Daniel S Guilfoil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902813256 PECOS PAC ID: 4082619887 Enrollment ID: I20060929000430 |
| Provider Name | Jeffrey M Jacobson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104808617 PECOS PAC ID: 6608840657 Enrollment ID: I20061003000038 |
| Provider Name | Michael S Sherman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033152970 PECOS PAC ID: 6204832215 Enrollment ID: I20061016000250 |
| Provider Name | Shailaja Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720174683 PECOS PAC ID: 3274530647 Enrollment ID: I20061026000502 |
| Provider Name | Xiaoli Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881647600 PECOS PAC ID: 3678570660 Enrollment ID: I20061106000173 |
| Provider Name | Michael Charles Marcucci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538107701 PECOS PAC ID: 4981601838 Enrollment ID: I20061107000172 |
| Provider Name | Jun Steve Hou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1619923828 PECOS PAC ID: 5294732186 Enrollment ID: I20061108000045 |
| Provider Name | John M Fontaine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811945017 PECOS PAC ID: 9335147479 Enrollment ID: I20061128000024 |
| Provider Name | Edward Stephen Schulman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780627125 PECOS PAC ID: 3375543473 Enrollment ID: I20070112000228 |
| Provider Name | Nikolay Kirilov Popnikolov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821041187 PECOS PAC ID: 9830292929 Enrollment ID: I20070309000357 |
| Provider Name | Jennifer Lynn Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013936491 PECOS PAC ID: 8426153701 Enrollment ID: I20070416000050 |
| Provider Name | Susan S Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336187822 PECOS PAC ID: 5799720546 Enrollment ID: I20070425000229 |
| Provider Name | David E Stein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588601538 PECOS PAC ID: 4183722895 Enrollment ID: I20070604000572 |
| Provider Name | Reem A Tarazi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598983645 PECOS PAC ID: 6002914579 Enrollment ID: I20070606000530 |
| Provider Name | Robert T Ownbey |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629024849 PECOS PAC ID: 1254430531 Enrollment ID: I20070627000509 |
| Provider Name | Steven R Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982602876 PECOS PAC ID: 8527167659 Enrollment ID: I20070629000533 |
| Provider Name | Karima R Sajadi-ernazarova |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649485640 PECOS PAC ID: 7113027889 Enrollment ID: I20070710000795 |
| Provider Name | Jeffrey Brian Hoag |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457356917 PECOS PAC ID: 9739116005 Enrollment ID: I20070717000185 |
| Provider Name | Rosemary A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538205505 PECOS PAC ID: 0446341879 Enrollment ID: I20070814000339 |
| Provider Name | Scott E Myers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407839145 PECOS PAC ID: 3274572540 Enrollment ID: I20070907000230 |
| Provider Name | Slawomir L Kusmirek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366530784 PECOS PAC ID: 8921192147 Enrollment ID: I20070919000527 |
| Provider Name | Patricia Ragone |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770620189 PECOS PAC ID: 1355436544 Enrollment ID: I20071003000251 |
| Provider Name | Weiye Li |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659340420 PECOS PAC ID: 4082673363 Enrollment ID: I20071005000176 |
| Provider Name | Annette B Gadegbeku |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063625176 PECOS PAC ID: 2668568353 Enrollment ID: I20071010000674 |
| Provider Name | Donald Kushon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730174756 PECOS PAC ID: 5597747261 Enrollment ID: I20071120000133 |
| Provider Name | Humaira Hussain |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194904409 PECOS PAC ID: 8820179807 Enrollment ID: I20080116000064 |
| Provider Name | Andrew R Kohut |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801079835 PECOS PAC ID: 8325129281 Enrollment ID: I20080116000674 |
| Provider Name | Ernest H Leber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588607998 PECOS PAC ID: 8325120520 Enrollment ID: I20080128000133 |
| Provider Name | Lamar Ekbladh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891770681 PECOS PAC ID: 0941383954 Enrollment ID: I20080214000279 |
| Provider Name | Diahann F Mosley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902001738 PECOS PAC ID: 1153404934 Enrollment ID: I20080218000245 |
| Provider Name | David Jason Libon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124008511 PECOS PAC ID: 7810882487 Enrollment ID: I20080310000016 |
| Provider Name | Amy Chernoff Fuchs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215987805 PECOS PAC ID: 4183701667 Enrollment ID: I20080410000351 |
| Provider Name | Ana E Nunez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417904129 PECOS PAC ID: 1456420413 Enrollment ID: I20080516000025 |
| Provider Name | Barry Brent Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336366467 PECOS PAC ID: 8224109152 Enrollment ID: I20080619000384 |
| Provider Name | Dana C Farabaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497964597 PECOS PAC ID: 0244322162 Enrollment ID: I20080730000667 |
| Provider Name | Ryan E Offer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467628370 PECOS PAC ID: 9739253287 Enrollment ID: I20080801000356 |
| Provider Name | Yedatore S Venkatesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851379408 PECOS PAC ID: 9133208853 Enrollment ID: I20080916000501 |
| Provider Name | Megan A Duffy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154389823 PECOS PAC ID: 9234188269 Enrollment ID: I20081009000031 |
| Provider Name | David Vearrier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295995223 PECOS PAC ID: 8123196482 Enrollment ID: I20081014000366 |
| Provider Name | Jose C Missri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053331645 PECOS PAC ID: 4981763752 Enrollment ID: I20081107000565 |
| Provider Name | Alecia S Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962441774 PECOS PAC ID: 9335152297 Enrollment ID: I20081223000250 |
| Provider Name | Diana M Morgenstern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073563367 PECOS PAC ID: 1355404153 Enrollment ID: I20090105000475 |
| Provider Name | Michael Stephen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245393743 PECOS PAC ID: 1850455809 Enrollment ID: I20090205000509 |
| Provider Name | Ann Synnestvedt Mcqueen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841313103 PECOS PAC ID: 3072679455 Enrollment ID: I20090310000475 |
| Provider Name | Neilanjan Nandi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710188974 PECOS PAC ID: 6709933435 Enrollment ID: I20090414000707 |
| Provider Name | Leonard Samuels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861435976 PECOS PAC ID: 0941357339 Enrollment ID: I20090422000554 |
| Provider Name | Maureen J Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043476104 PECOS PAC ID: 5193873909 Enrollment ID: I20090506000028 |
| Provider Name | Bethany L Mapow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609089515 PECOS PAC ID: 9335234194 Enrollment ID: I20090514000081 |
| Provider Name | Julie A. Wang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1578725339 PECOS PAC ID: 3072663830 Enrollment ID: I20090617000038 |
| Provider Name | John G. Lieb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467523365 PECOS PAC ID: 5395819916 Enrollment ID: I20090706000142 |
| Provider Name | Dong Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356501100 PECOS PAC ID: 1052463387 Enrollment ID: I20090717000426 |
| Provider Name | Kimberlee A Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033264007 PECOS PAC ID: 0446302053 Enrollment ID: I20090721000437 |
| Provider Name | Jaganmohan R Poli |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639322696 PECOS PAC ID: 6103979760 Enrollment ID: I20090729000353 |
| Provider Name | Minda A Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245493022 PECOS PAC ID: 7719031012 Enrollment ID: I20090821000045 |
| Provider Name | Daniel A Ringold |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356562847 PECOS PAC ID: 7719052323 Enrollment ID: I20090821000217 |
| Provider Name | Margaret A Cauterucci |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588879480 PECOS PAC ID: 0143376582 Enrollment ID: I20090925000472 |
| Provider Name | Mark B Famador |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184890436 PECOS PAC ID: 0143366781 Enrollment ID: I20091012000476 |
| Provider Name | Vincent J Zarro |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548216039 PECOS PAC ID: 3678619285 Enrollment ID: I20091013000554 |
| Provider Name | Florence M Momplaisir |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336379213 PECOS PAC ID: 8628115425 Enrollment ID: I20091028000115 |
| Provider Name | Marie S Mcclay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225195241 PECOS PAC ID: 8729128756 Enrollment ID: I20091222000524 |
| Provider Name | Richard A Latta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528069861 PECOS PAC ID: 1254460314 Enrollment ID: I20100527000575 |
| Provider Name | Marc F Rosenn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184625485 PECOS PAC ID: 9133258205 Enrollment ID: I20100527000727 |
| Provider Name | Frank J Craparo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871595991 PECOS PAC ID: 7012046063 Enrollment ID: I20100601000054 |
| Provider Name | Rosemary Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992749469 PECOS PAC ID: 1850421843 Enrollment ID: I20100618000151 |
| Provider Name | Donna Ott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730124777 PECOS PAC ID: 4789714783 Enrollment ID: I20100618000253 |
| Provider Name | Steven L Zinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376589168 PECOS PAC ID: 6305976309 Enrollment ID: I20100618000280 |
| Provider Name | Neal B Handly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720026875 PECOS PAC ID: 5092845099 Enrollment ID: I20100618000325 |
| Provider Name | Richard Paluzzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497701205 PECOS PAC ID: 2466582341 Enrollment ID: I20100621000287 |
| Provider Name | Kathleen F Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427004605 PECOS PAC ID: 5395875280 Enrollment ID: I20100621000398 |
| Provider Name | Russell C Maulitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396789194 PECOS PAC ID: 3779614664 Enrollment ID: I20100621000507 |
| Provider Name | Julieanne Hlavac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235179714 PECOS PAC ID: 0648301531 Enrollment ID: I20100621000557 |
| Provider Name | Nathalie S May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922051515 PECOS PAC ID: 3274664149 Enrollment ID: I20100622000516 |
| Provider Name | Sandra M. Wolf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437115904 PECOS PAC ID: 6103957907 Enrollment ID: I20100623000085 |
| Provider Name | Peter A Sklar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295782076 PECOS PAC ID: 5890826499 Enrollment ID: I20100625000554 |
| Provider Name | Gediminas Gliebus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174789044 PECOS PAC ID: 6901938893 Enrollment ID: I20100712000453 |
| Provider Name | Paul Nyirjesy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982660643 PECOS PAC ID: 9436281326 Enrollment ID: I20100712000469 |
| Provider Name | Eugene S Hong |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1487698270 PECOS PAC ID: 7315079209 Enrollment ID: I20100712000512 |
| Provider Name | Gregg D Alleyne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750343950 PECOS PAC ID: 5496887382 Enrollment ID: I20100712000534 |
| Provider Name | Anahita F Deboo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548219439 PECOS PAC ID: 5991837825 Enrollment ID: I20100713000255 |
| Provider Name | Michael J Styler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568402469 PECOS PAC ID: 8426013889 Enrollment ID: I20100723000106 |
| Provider Name | Pamela Crilley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538116041 PECOS PAC ID: 0244295608 Enrollment ID: I20100723000125 |
| Provider Name | David Topolsky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619916129 PECOS PAC ID: 2163487521 Enrollment ID: I20100723000153 |
| Provider Name | Pamela M Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285687855 PECOS PAC ID: 3072645225 Enrollment ID: I20100723000163 |
| Provider Name | Rita Shaughnessy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548297906 PECOS PAC ID: 3173656394 Enrollment ID: I20100809000272 |
| Provider Name | Benjamin Silverman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699091090 PECOS PAC ID: 5092847756 Enrollment ID: I20100810000342 |
| Provider Name | Barbara A Schindler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205871381 PECOS PAC ID: 1850425877 Enrollment ID: I20100812000801 |
| Provider Name | Rose M Ries |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295770303 PECOS PAC ID: 1658405675 Enrollment ID: I20100812000829 |
| Provider Name | Terry Heiman-patterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437100559 PECOS PAC ID: 3577687631 Enrollment ID: I20100826000959 |
| Provider Name | Athanasios O Melisiotis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891955589 PECOS PAC ID: 3274657283 Enrollment ID: I20100827000442 |
| Provider Name | Michael J Pasirstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811151814 PECOS PAC ID: 9335263359 Enrollment ID: I20100827000635 |
| Provider Name | Michael S Weingarten |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932147816 PECOS PAC ID: 6709901770 Enrollment ID: I20100914000773 |
| Provider Name | Laura Elizabeth Vearrier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003076035 PECOS PAC ID: 8628261088 Enrollment ID: I20101019000532 |
| Provider Name | Laniece A Coleman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801854823 PECOS PAC ID: 8426241464 Enrollment ID: I20101021001298 |
| Provider Name | Arif M Jan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568622298 PECOS PAC ID: 0042404121 Enrollment ID: I20101102001471 |
| Provider Name | Carolyn O'connor |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659310811 PECOS PAC ID: 7517995020 Enrollment ID: I20101104000948 |
| Provider Name | Leon Mccrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518118553 PECOS PAC ID: 3678767480 Enrollment ID: I20101104001399 |
| Provider Name | Wei T Hsu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497713556 PECOS PAC ID: 7113112939 Enrollment ID: I20101105001148 |
| Provider Name | Gary J Romano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164474482 PECOS PAC ID: 2163618638 Enrollment ID: I20101123000335 |
| Provider Name | Nancy Macgarvey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174732929 PECOS PAC ID: 3072700046 Enrollment ID: I20101203000605 |
| Provider Name | Robert Spector |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831259209 PECOS PAC ID: 5890788160 Enrollment ID: I20101216000773 |
| Provider Name | Susanna Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770523870 PECOS PAC ID: 0749479756 Enrollment ID: I20110106000420 |
| Provider Name | Marc J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548421225 PECOS PAC ID: 4587844543 Enrollment ID: I20110208000517 |
| Provider Name | Joseph Costic |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770532228 PECOS PAC ID: 3375732092 Enrollment ID: I20110407000337 |
| Provider Name | Lissa B Levin Mizrahi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023227444 PECOS PAC ID: 4789868118 Enrollment ID: I20110411000058 |
| Provider Name | Robert A Promisloff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487635587 PECOS PAC ID: 4688586159 Enrollment ID: I20110510000717 |
| Provider Name | Glenn W Laub |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1417906066 PECOS PAC ID: 2860422375 Enrollment ID: I20110516000250 |
| Provider Name | Kathryn V Lester |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205126976 PECOS PAC ID: 3476730805 Enrollment ID: I20110610000491 |
| Provider Name | Adrienne F Willard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942466396 PECOS PAC ID: 7719165612 Enrollment ID: I20110623000621 |
| Provider Name | Arundathi Jayatilleke |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427232834 PECOS PAC ID: 1951589639 Enrollment ID: I20110628000631 |
| Provider Name | Erika J Yoo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245452945 PECOS PAC ID: 7012187420 Enrollment ID: I20110823000032 |
| Provider Name | Dimple C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356503742 PECOS PAC ID: 3870765084 Enrollment ID: I20111012000609 |
| Provider Name | Barbara E Posmontier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952358343 PECOS PAC ID: 9830154426 Enrollment ID: I20111025000338 |
| Provider Name | Srikala S Ponnuru |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669696480 PECOS PAC ID: 9335130376 Enrollment ID: I20120202000236 |
| Provider Name | Leonard H Ginsburg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316947740 PECOS PAC ID: 8022913680 Enrollment ID: I20120222000655 |
| Provider Name | Sunil Verma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184651606 PECOS PAC ID: 4385805860 Enrollment ID: I20120410000229 |
| Provider Name | Stacey B. Trooskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073716296 PECOS PAC ID: 7810150083 Enrollment ID: I20120525000413 |
| Provider Name | Heath E Saltzman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982813887 PECOS PAC ID: 1951565548 Enrollment ID: I20120612000053 |
| Provider Name | Amy S Baranoski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114042496 PECOS PAC ID: 8325199698 Enrollment ID: I20120614000220 |
| Provider Name | Meera M Harhay |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063631596 PECOS PAC ID: 1254595366 Enrollment ID: I20120620000617 |
| Provider Name | Sung-hae Cho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568494375 PECOS PAC ID: 1658374855 Enrollment ID: I20120703000086 |
| Provider Name | Annie Kou-chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164682761 PECOS PAC ID: 1850540394 Enrollment ID: I20120927000344 |
| Provider Name | Catherine Virginia O Hayer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255516811 PECOS PAC ID: 5395828149 Enrollment ID: I20121009000006 |
| Provider Name | Dorian Jacobs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144457680 PECOS PAC ID: 0042469827 Enrollment ID: I20121011000552 |
| Provider Name | Amanda Lehman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528205390 PECOS PAC ID: 4981850187 Enrollment ID: I20121210000387 |
| Provider Name | Hallie M Kushner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497001341 PECOS PAC ID: 6406009430 Enrollment ID: I20121226000401 |
| Provider Name | Daniel Dejoseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114123981 PECOS PAC ID: 8224153143 Enrollment ID: I20130205000351 |
| Provider Name | Rebecca Amerlia Kurnik Seshasai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033314919 PECOS PAC ID: 7810137668 Enrollment ID: I20130628000239 |
| Provider Name | Rhonda Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851734974 PECOS PAC ID: 7012158934 Enrollment ID: I20130718000444 |
| Provider Name | Varsha M Goswami |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013238039 PECOS PAC ID: 6103067996 Enrollment ID: I20130719000621 |
| Provider Name | Erica Harris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992025225 PECOS PAC ID: 4183865900 Enrollment ID: I20130720000126 |
| Provider Name | Kevin D Mello |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477866150 PECOS PAC ID: 9234372103 Enrollment ID: I20130823001119 |
| Provider Name | Elizabeth A Gancher |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376854463 PECOS PAC ID: 0143463414 Enrollment ID: I20130905000795 |
| Provider Name | Olubusola Oyesanmi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275779316 PECOS PAC ID: 0345497970 Enrollment ID: I20130925000082 |
| Provider Name | Kim Huong T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134430267 PECOS PAC ID: 5597903302 Enrollment ID: I20130926000660 |
| Provider Name | Amanda Michael Woodworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306000757 PECOS PAC ID: 4284868811 Enrollment ID: I20131014001273 |
| Provider Name | Amy L Althoff |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972707446 PECOS PAC ID: 2062647118 Enrollment ID: I20131028001123 |
| Provider Name | Dorothy H Mora |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336312099 PECOS PAC ID: 1355416157 Enrollment ID: I20131122001793 |
| Provider Name | Maneesh R Jain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649447558 PECOS PAC ID: 8022185669 Enrollment ID: I20140107000885 |
| Provider Name | Rita G Mckeever |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427378538 PECOS PAC ID: 9739317744 Enrollment ID: I20140122000112 |
| Provider Name | Erin Elizabeth Sabolick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487812541 PECOS PAC ID: 2668600560 Enrollment ID: I20140313001859 |
| Provider Name | Debra Simsovits |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811282791 PECOS PAC ID: 7911122296 Enrollment ID: I20140630000263 |
| Provider Name | Jing Zhou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497085278 PECOS PAC ID: 3678798899 Enrollment ID: I20140702000562 |
| Provider Name | Deepika Malik |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134530306 PECOS PAC ID: 9931325941 Enrollment ID: I20140729000719 |
| Provider Name | Joshua I Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245558337 PECOS PAC ID: 4183842313 Enrollment ID: I20140829000068 |
| Provider Name | James Andrew Clyne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952697047 PECOS PAC ID: 6002036696 Enrollment ID: I20141002000817 |
| Provider Name | Iva A Hacker-delany |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689986929 PECOS PAC ID: 4587884952 Enrollment ID: I20141007001080 |
| Provider Name | Thomas Trojian |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1033172069 PECOS PAC ID: 2163518994 Enrollment ID: I20141007001552 |
| Provider Name | Danielle B Cullen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801117205 PECOS PAC ID: 6305079401 Enrollment ID: I20141008002425 |
| Provider Name | Rahul H Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225325095 PECOS PAC ID: 7315168291 Enrollment ID: I20141017000330 |
| Provider Name | Hakim T Uqdah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750697892 PECOS PAC ID: 3476774373 Enrollment ID: I20141017000870 |
| Provider Name | Munish R. Bakshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508057365 PECOS PAC ID: 5890830426 Enrollment ID: I20141219000834 |
| Provider Name | Aswin Mathew |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447547104 PECOS PAC ID: 5698098531 Enrollment ID: I20141229000288 |
| Provider Name | Katharine T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407039837 PECOS PAC ID: 9931423928 Enrollment ID: I20150122000935 |
| Provider Name | Yulan Gong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912243346 PECOS PAC ID: 3274851753 Enrollment ID: I20150413001858 |
| Provider Name | Elsa J Waldman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578880407 PECOS PAC ID: 8426240789 Enrollment ID: I20150513001552 |
| Provider Name | Ronak S Modi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417283219 PECOS PAC ID: 5991026718 Enrollment ID: I20150605000364 |
| Provider Name | Amanda Z De La Paz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215236484 PECOS PAC ID: 1254564362 Enrollment ID: I20150610001958 |
| Provider Name | Anand R Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962663088 PECOS PAC ID: 1557672078 Enrollment ID: I20150624001331 |
| Provider Name | Gina M Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588042105 PECOS PAC ID: 4981761046 Enrollment ID: I20150625001063 |
| Provider Name | Sara K Schultz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427373034 PECOS PAC ID: 8729391156 Enrollment ID: I20150714002693 |
| Provider Name | An T Vo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881905602 PECOS PAC ID: 8527283217 Enrollment ID: I20150730010978 |
| Provider Name | Jamael A Hoosain |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1689939712 PECOS PAC ID: 8224344965 Enrollment ID: I20150826001318 |
| Provider Name | Bruce James Sumlin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821068107 PECOS PAC ID: 8426049073 Enrollment ID: I20150922002788 |
| Provider Name | Najeem Fazil Habibullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114280179 PECOS PAC ID: 9436467347 Enrollment ID: I20150925001820 |
| Provider Name | Christopher M Fechter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821351990 PECOS PAC ID: 7113235037 Enrollment ID: I20150925002086 |
| Provider Name | Saurabh Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942563994 PECOS PAC ID: 6204142078 Enrollment ID: I20150929001136 |
| Provider Name | David J Goldberger |
|---|---|
| Provider Type | Practitioner - Medical Toxicology |
| Provider Identifiers | NPI Number: 1609134212 PECOS PAC ID: 4981922333 Enrollment ID: I20151102002444 |
| Provider Name | Javaria Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922362433 PECOS PAC ID: 8426358334 Enrollment ID: I20151125001757 |
| Provider Name | Maricel Romelia Binongcal Dela Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396004032 PECOS PAC ID: 1456652726 Enrollment ID: I20151211000696 |
| Provider Name | Maria Keating |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700172376 PECOS PAC ID: 9931400090 Enrollment ID: I20151214001870 |
| Provider Name | Kasey N Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689048316 PECOS PAC ID: 6901107523 Enrollment ID: I20151223000820 |
| Provider Name | Kalia C Cole-avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265802953 PECOS PAC ID: 7315249059 Enrollment ID: I20160112001738 |
| Provider Name | Kristin M Mccloskey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114288685 PECOS PAC ID: 0648574608 Enrollment ID: I20160211001159 |
| Provider Name | Jennifer Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316312788 PECOS PAC ID: 5395040075 Enrollment ID: I20160217001049 |
| Provider Name | Safia Siddiqui |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942482971 PECOS PAC ID: 9638295082 Enrollment ID: I20160330001770 |
| Provider Name | Jill M Giordano Farmer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851548671 PECOS PAC ID: 2860648714 Enrollment ID: I20160401001071 |
| Provider Name | Navneet Kaur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104180769 PECOS PAC ID: 0840599445 Enrollment ID: I20160503002451 |
| Provider Name | Dagan E Coppock |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982886750 PECOS PAC ID: 3678648375 Enrollment ID: I20160526000508 |
| Provider Name | Scott S Dale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568754331 PECOS PAC ID: 1759693203 Enrollment ID: I20160531000742 |
| Provider Name | Ian G Sheffer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356635999 PECOS PAC ID: 4789974882 Enrollment ID: I20160601002812 |
| Provider Name | Kelly A Williamson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114286614 PECOS PAC ID: 8729379979 Enrollment ID: I20160620001840 |
| Provider Name | Andrew J Ow |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487918611 PECOS PAC ID: 8527351188 Enrollment ID: I20160720001718 |
| Provider Name | Shara Ilyse Epstein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912285065 PECOS PAC ID: 7618276890 Enrollment ID: I20160907001187 |
| Provider Name | Sunaina K Kaushal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295172245 PECOS PAC ID: 8325334956 Enrollment ID: I20160908001238 |
| Provider Name | Andrew J Gangemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386081503 PECOS PAC ID: 3971899212 Enrollment ID: I20160913000236 |
| Provider Name | Julie K Visk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194185819 PECOS PAC ID: 1456648443 Enrollment ID: I20160919001562 |
| Provider Name | Kenneth C Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386081289 PECOS PAC ID: 1355639568 Enrollment ID: I20161004000457 |
| Provider Name | Elina Dorfman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811348121 PECOS PAC ID: 5890083711 Enrollment ID: I20161010001251 |
| Provider Name | Amanda Theresa Moon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144541186 PECOS PAC ID: 7214156918 Enrollment ID: I20161019001864 |
| Provider Name | Antonia Oplanick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336681188 PECOS PAC ID: 3577844489 Enrollment ID: I20170109002548 |
| Provider Name | Jade Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891153235 PECOS PAC ID: 6305128877 Enrollment ID: I20170117002183 |
| Provider Name | Mitchell Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528408952 PECOS PAC ID: 6204118276 Enrollment ID: I20170126002710 |
| Provider Name | Krikor Tufenkjian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407040157 PECOS PAC ID: 5395989552 Enrollment ID: I20170130001874 |
| Provider Name | Naitik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255771606 PECOS PAC ID: 1850674490 Enrollment ID: I20170206002478 |
| Provider Name | Julie Simonson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285034330 PECOS PAC ID: 3577849363 Enrollment ID: I20170410001987 |
| Provider Name | Jennifer L Gallo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316487416 PECOS PAC ID: 2365729159 Enrollment ID: I20170504000096 |
| Provider Name | Hui Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1316378516 PECOS PAC ID: 7214204437 Enrollment ID: I20170518001654 |
| Provider Name | Leandra D Santos |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710411285 PECOS PAC ID: 8123396389 Enrollment ID: I20170613001367 |
| Provider Name | Mari-carmen Farmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629502315 PECOS PAC ID: 6901174929 Enrollment ID: I20170616000089 |
| Provider Name | Elliot Goodenough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871973313 PECOS PAC ID: 8022389774 Enrollment ID: I20170731000498 |
| Provider Name | Christine Marie Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184148785 PECOS PAC ID: 2769755784 Enrollment ID: I20170913001086 |
| Provider Name | Mario Montalvo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194103085 PECOS PAC ID: 0648546754 Enrollment ID: I20171017002848 |
| Provider Name | Alicia K Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689703563 PECOS PAC ID: 3173717543 Enrollment ID: I20171019002153 |
| Provider Name | Janet Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487975454 PECOS PAC ID: 2062650799 Enrollment ID: I20171030000562 |
| Provider Name | Azzam Hammad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255857223 PECOS PAC ID: 6709142631 Enrollment ID: I20171109002446 |
| Provider Name | Maulin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710390786 PECOS PAC ID: 6507183258 Enrollment ID: I20171117000268 |
| Provider Name | Tahmid Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982018537 PECOS PAC ID: 2163788548 Enrollment ID: I20171118000095 |
| Provider Name | Michael Ricardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336436229 PECOS PAC ID: 7113284241 Enrollment ID: I20171128002619 |
| Provider Name | Emily Margaret Levy |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1598108607 PECOS PAC ID: 1153553334 Enrollment ID: I20180223000914 |
| Provider Name | Ash C Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063926863 PECOS PAC ID: 2365703253 Enrollment ID: I20180312001314 |
| Provider Name | Lia S Logio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508824517 PECOS PAC ID: 2769405232 Enrollment ID: I20180501002487 |
| Provider Name | Kartik Ramakrishna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528323755 PECOS PAC ID: 7012210263 Enrollment ID: I20180518001725 |
| Provider Name | Leah R Mccurdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336661008 PECOS PAC ID: 2860757291 Enrollment ID: I20180605002591 |
| Provider Name | Farhan Munshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629410774 PECOS PAC ID: 9436405552 Enrollment ID: I20180703001888 |
| Provider Name | Ying Lu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790114460 PECOS PAC ID: 3375899172 Enrollment ID: I20180710001038 |
| Provider Name | Gina L Christaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083084727 PECOS PAC ID: 9335446335 Enrollment ID: I20180726001362 |
| Provider Name | Kristen M Ryczak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356603872 PECOS PAC ID: 0840590972 Enrollment ID: I20180730000661 |
| Provider Name | Karen Ha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093159592 PECOS PAC ID: 2163770298 Enrollment ID: I20180807001572 |
| Provider Name | Neel A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235517871 PECOS PAC ID: 3375891401 Enrollment ID: I20180807001873 |
| Provider Name | Lauren Katherine Mccormack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114281128 PECOS PAC ID: 2163770199 Enrollment ID: I20180807002070 |
| Provider Name | Mariola Alejandra Vazquez-martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063891497 PECOS PAC ID: 4385991439 Enrollment ID: I20180814001594 |
| Provider Name | Angela Silverman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386030674 PECOS PAC ID: 9335460690 Enrollment ID: I20180906001679 |
| Provider Name | Michael Joseph Mccormack |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003179045 PECOS PAC ID: 7517217805 Enrollment ID: I20180907000275 |
| Provider Name | Shelini Sooklal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346516374 PECOS PAC ID: 1850642323 Enrollment ID: I20180921001689 |
| Provider Name | Emery Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871869362 PECOS PAC ID: 5395053854 Enrollment ID: I20180921002625 |
| Provider Name | Anh-thu N Vu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982966065 PECOS PAC ID: 4082909403 Enrollment ID: I20181003000391 |
| Provider Name | Ashley Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861811960 PECOS PAC ID: 1052624418 Enrollment ID: I20181004001804 |
| Provider Name | Maya A Bass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376988279 PECOS PAC ID: 8224261060 Enrollment ID: I20181004002216 |
| Provider Name | Kathleen C Degen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679952493 PECOS PAC ID: 6901158138 Enrollment ID: I20181016002057 |
| Provider Name | Kathryn J Newton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326457896 PECOS PAC ID: 7810240785 Enrollment ID: I20181023000189 |
| Provider Name | Melissa L Mao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245594498 PECOS PAC ID: 5294088563 Enrollment ID: I20181102001880 |
| Provider Name | Kelly O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884546 PECOS PAC ID: 0941554745 Enrollment ID: I20181114001473 |
| Provider Name | Aisha N Qazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013342633 PECOS PAC ID: 6103128830 Enrollment ID: I20181119000243 |
| Provider Name | Joanna L Stanfa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982036448 PECOS PAC ID: 8022355114 Enrollment ID: I20190128002228 |
| Provider Name | Colleen E Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942771001 PECOS PAC ID: 9931440401 Enrollment ID: I20190410001020 |
| Provider Name | Elizabeth Rachel Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548689581 PECOS PAC ID: 0446574503 Enrollment ID: I20190531001109 |
| Provider Name | Ryan Christopher Spiardi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316396393 PECOS PAC ID: 3577810092 Enrollment ID: I20190709001559 |
| Provider Name | John Charles Madara |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033552112 PECOS PAC ID: 6800028457 Enrollment ID: I20190712001587 |
| Provider Name | Shawn K Mattson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841671468 PECOS PAC ID: 6709111727 Enrollment ID: I20190715000222 |
| Provider Name | Maanit Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669856670 PECOS PAC ID: 3577807643 Enrollment ID: I20190715002169 |
| Provider Name | Sondra Mendelsohn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336597905 PECOS PAC ID: 8729336292 Enrollment ID: I20190820001517 |
| Provider Name | Magdalena Garbacz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427612514 PECOS PAC ID: 6608104344 Enrollment ID: I20190820001605 |
| Provider Name | Hilary Susskind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780034165 PECOS PAC ID: 6800127564 Enrollment ID: I20191010000199 |
| Provider Name | Hanna M Ramsburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992211023 PECOS PAC ID: 7911268628 Enrollment ID: I20200211002562 |
| Provider Name | Amanda Tjaden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704283 PECOS PAC ID: 8426344045 Enrollment ID: I20200824000044 |
| Provider Name | Catherine Mcelwain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215994157 PECOS PAC ID: 1355470311 Enrollment ID: I20210210000788 |
| Provider Name | Faith Pettyjohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508431800 PECOS PAC ID: 3476958075 Enrollment ID: I20210819002460 |
| Provider Name | Vanessa Kanae Ferrel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578067773 PECOS PAC ID: 8426448432 Enrollment ID: I20211207000889 |
| Provider Name | April Barnum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265811814 PECOS PAC ID: 1052623311 Enrollment ID: I20220420000423 |
| Provider Name | Samantha Leader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386103323 PECOS PAC ID: 6709273782 Enrollment ID: I20220421000065 |
| Provider Name | Nikhil Seval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033552096 PECOS PAC ID: 6204122070 Enrollment ID: I20220607000087 |
| Provider Name | Stephen Pagkalinawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750743720 PECOS PAC ID: 0648559740 Enrollment ID: I20220607002640 |
| Provider Name | Ukpere Nimtor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336626498 PECOS PAC ID: 4486065919 Enrollment ID: I20230607001865 |
| Provider Name | Makenzie Perdue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578026944 PECOS PAC ID: 3072848910 Enrollment ID: I20230823002061 |
| Provider Name | Jesse Telles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346674926 PECOS PAC ID: 0749644888 Enrollment ID: I20230907004594 |
Solis Physicians Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4692 Fax: 215-487-4274 | |
Apm Mental Health Psychiatric Outpatient Clinics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 N 5th St, Philadelphia, PA 19133 Phone: 215-259-3373 Fax: 267-329-9728 | |
University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104 Phone: 215-614-1828 | |
The Phil.consultation Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 S 16th St, Philadelphia, PA 19102 Phone: 215-732-8244 Fax: 215-732-8454 | |
Immanuel Care Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 Dorel St, Philadelphia, PA 19142 Phone: 267-403-8313 | |
Npsyt Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6327 Burbridge St, Philadelphia, PA 19144 Phone: 215-991-9066 Fax: 215-991-9062 | |
Menergy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Germantown Ave, New Covenant Campus, Elders Hall, Suite 5, Philadelphia, PA 19119 Phone: 215-242-2235 |