Elderology, Llc | |
31 Carsam St Fanwood NJ 07023-1609 | |
(908) 889-0714 | |
Not Available |
Full Name | Elderology, Llc |
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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 |
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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 |
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Provider Enumeration Date | 08/15/2008 |
Last Update Date | 08/15/2008 |
Medicare PECOS PAC ID | 6507904141 |
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Medicare Enrollment ID | O20091119000048 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790931269 | NPI | - | NPPES |
Provider Name | Cynthia A Puchammer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053569756 PECOS PAC ID: 3375605074 Enrollment ID: I20081215000076 |
Provider Name | Dorothy S Miles |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174535694 PECOS PAC ID: 5890975429 Enrollment ID: I20110214000637 |
Provider Name | Jessica R O Gara Mankowski |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922303841 PECOS PAC ID: 5698947166 Enrollment ID: I20111005000037 |
Provider Name | Ann N Houston |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1538304159 PECOS PAC ID: 9032258587 Enrollment ID: I20140915000443 |
Provider Name | Bruno Oriti |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1013023688 PECOS PAC ID: 1254634108 Enrollment ID: I20160127000033 |
Provider Name | Michael Becht |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1770887283 PECOS PAC ID: 6901170372 Enrollment ID: I20170922003246 |
Provider Name | Laura Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134631880 PECOS PAC ID: 2961760723 Enrollment ID: I20171227002660 |
Provider Name | Catherine Prinsell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1700892452 PECOS PAC ID: 0345318929 Enrollment ID: I20180613003142 |
Provider Name | Kathleen Kontely |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811447881 PECOS PAC ID: 8426300211 Enrollment ID: I20181005000188 |
Provider Name | Holly K Sragow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508481888 PECOS PAC ID: 1254758378 Enrollment ID: I20200903000115 |
Provider Name | Mecca Constance Cerny |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114509221 PECOS PAC ID: 6507275492 Enrollment ID: I20210505001548 |
Provider Name | Kellyann Selleck |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932782539 PECOS PAC ID: 4486063799 Enrollment ID: I20210517001141 |
Provider Name | Courtney Fairbanks |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619498862 PECOS PAC ID: 8921405242 Enrollment ID: I20210929000051 |
Provider Name | Archana Pillai Jeanbaptiste |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568979367 PECOS PAC ID: 8325438013 Enrollment ID: I20211213001401 |
Provider Name | Julia F Kelly |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285116749 PECOS PAC ID: 5890180186 Enrollment ID: I20220323003059 |
Provider Name | Greta C Buerkle |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023545399 PECOS PAC ID: 1456727015 Enrollment ID: I20221021002700 |
Provider Name | Yvonne Tancredi |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831533744 PECOS PAC ID: 9830476266 Enrollment ID: I20221223001133 |
Provider Name | Oluwafeyisina Faniyi |
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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 | Rosemary J Erickson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629109160 PECOS PAC ID: 5496104036 Enrollment ID: I20231208000257 |
Provider Name | Stella Ijeoma Nwachukwu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336831718 PECOS PAC ID: 0840636379 Enrollment ID: I20240307000123 |
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