| Elderology, Llc | |
|
31 Carsam St Fanwood NJ 07023-1609 | |
| (908) 889-0714 | |
| Not Available |
| Full Name | Elderology, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 31 Carsam St, Fanwood, New Jersey |
| Authorized Official Name and Position | Cynthia Ann Puchammer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9088890714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elderology, Llc 31 Carsam St Fanwood NJ 07023-1609 Ph: (908) 889-0714 | Elderology, Llc 31 Carsam St Fanwood NJ 07023-1609 Ph: (908) 889-0714 |
| NPI Number | 1790931269 |
|---|---|
| Provider Enumeration Date | 08/15/2008 |
| Last Update Date | 08/15/2008 |
| Medicare PECOS PAC ID | 6507904141 |
|---|---|
| Medicare Enrollment ID | O20091119000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790931269 | NPI | - | NPPES |
| Provider Name | David P Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720251341 PECOS PAC ID: 2567403512 Enrollment ID: I20050519000543 |
| Provider Name | Cynthia A Puchammer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053569756 PECOS PAC ID: 3375605074 Enrollment ID: I20081215000076 |
| Provider Name | Ann N Houston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538304159 PECOS PAC ID: 9032258587 Enrollment ID: I20140915000443 |
| Provider Name | Michael Becht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770887283 PECOS PAC ID: 6901170372 Enrollment ID: I20170922003246 |
| Provider Name | Laura Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134631880 PECOS PAC ID: 2961760723 Enrollment ID: I20171227002660 |
| Provider Name | Catherine Prinsell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700892452 PECOS PAC ID: 0345318929 Enrollment ID: I20180613003142 |
| Provider Name | Kathleen Kontely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811447881 PECOS PAC ID: 8426300211 Enrollment ID: I20181005000188 |
| Provider Name | Holly K Sragow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508481888 PECOS PAC ID: 1254758378 Enrollment ID: I20200903000115 |
| Provider Name | Mecca Constance Cerny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114509221 PECOS PAC ID: 6507275492 Enrollment ID: I20210505001548 |
| Provider Name | Courtney Fairbanks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619498862 PECOS PAC ID: 8921405242 Enrollment ID: I20210929000051 |
| Provider Name | Archana Pillai Jeanbaptiste |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568979367 PECOS PAC ID: 8325438013 Enrollment ID: I20211213001401 |
| Provider Name | Greta C Buerkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023545399 PECOS PAC ID: 1456727015 Enrollment ID: I20221021002700 |
| Provider Name | Yvonne Tancredi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831533744 PECOS PAC ID: 9830476266 Enrollment ID: I20221223001133 |
| Provider Name | Oluwafeyisina Faniyi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639711666 PECOS PAC ID: 4486019502 Enrollment ID: I20230425001261 |
| Provider Name | Lisa Raphael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164104386 PECOS PAC ID: 8224491667 Enrollment ID: I20230831003590 |
| Provider Name | Renee F Joyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063193043 PECOS PAC ID: 9931563111 Enrollment ID: I20230907001564 |
| Provider Name | Stella Ijeoma Nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336831718 PECOS PAC ID: 0840636379 Enrollment ID: I20240307000123 |
| Provider Name | Brianna D'alessio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245815349 PECOS PAC ID: 3779027438 Enrollment ID: I20240705000908 |
| Provider Name | Catherine Glass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861890592 PECOS PAC ID: 0446794028 Enrollment ID: I20240708001444 |
| Provider Name | Carline Dumay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255961710 PECOS PAC ID: 9638616055 Enrollment ID: I20240904004737 |
| Provider Name | Nerlande Therlonge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992303051 PECOS PAC ID: 8729513908 Enrollment ID: I20241125002417 |
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