| Forefront Telecare Inc | |
|
3500 Quakerbridge Rd # 105 Hamilton NJ 08619-1206 | |
| (609) 480-3109 | |
| Not Available |
| Full Name | Forefront Telecare Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3500 Quakerbridge Rd # 105, Hamilton, New Jersey |
| Authorized Official Name and Position | Sara Vitullo (DIRECTOR OF PAYER OPERATION) |
| Authorized Official Contact | 8157358600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forefront Telecare Inc 1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (866) 959-2008 | Forefront Telecare Inc 3500 Quakerbridge Rd # 105 Hamilton NJ 08619-1206 Ph: (609) 480-3109 |
| NPI Number | 1174035612 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 9638319114 |
|---|---|
| Medicare Enrollment ID | O20180427000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174035612 | NPI | - | NPPES |
| 10026830800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jessica Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568741320 PECOS PAC ID: 0345413407 Enrollment ID: I20120516000686 |
| Provider Name | Jennifer Upcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629499504 PECOS PAC ID: 4981920329 Enrollment ID: I20150303001109 |
| Provider Name | Sandra Np Walker-lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912338633 PECOS PAC ID: 0446483879 Enrollment ID: I20170330002373 |
| Provider Name | Equilla Vonzetti Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689029480 PECOS PAC ID: 9739474123 Enrollment ID: I20170825003094 |
| Provider Name | Heather R Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992202659 PECOS PAC ID: 7719237148 Enrollment ID: I20180906000973 |
| Provider Name | Magenta Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518465582 PECOS PAC ID: 8123379948 Enrollment ID: I20180918002678 |
| Provider Name | Allison P Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221158 PECOS PAC ID: 9537403498 Enrollment ID: I20181203003349 |
| Provider Name | Maria Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881822385 PECOS PAC ID: 1153556212 Enrollment ID: I20200226001944 |
| Provider Name | Stephanie Francine Victor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134748106 PECOS PAC ID: 4789014028 Enrollment ID: I20200428001977 |
| Provider Name | Danielle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20200612001426 |
| Provider Name | Cynthia Marie Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689287831 PECOS PAC ID: 7214357672 Enrollment ID: I20201023001227 |
| Provider Name | Diana Lankenau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598244667 PECOS PAC ID: 0244644078 Enrollment ID: I20210205001446 |
| Provider Name | Amy Holland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891912465 PECOS PAC ID: 3476961376 Enrollment ID: I20210414000107 |
| Provider Name | Donna Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518148899 PECOS PAC ID: 9638336712 Enrollment ID: I20210730002321 |
| Provider Name | Tenishia Kim Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497254932 PECOS PAC ID: 7113277369 Enrollment ID: I20211210002310 |
| Provider Name | Shamalon Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659403905 PECOS PAC ID: 5698849693 Enrollment ID: I20211217000383 |
| Provider Name | Matthew Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336896687 PECOS PAC ID: 2264829464 Enrollment ID: I20220418000818 |
| Provider Name | Tierra Rivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669119707 PECOS PAC ID: 9436530680 Enrollment ID: I20220719001490 |
| Provider Name | Jashunta Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760836399 PECOS PAC ID: 7113279415 Enrollment ID: I20220823003300 |
| Provider Name | Tracy Ann Damiela Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548972730 PECOS PAC ID: 4981078714 Enrollment ID: I20230320000001 |
| Provider Name | Rebecca Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326607839 PECOS PAC ID: 9638506553 Enrollment ID: I20230331001082 |
| Provider Name | Uzma Faheem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033209838 PECOS PAC ID: 7517998461 Enrollment ID: I20230412003325 |
| Provider Name | Mccauley Ntsobeno Forlemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184335275 PECOS PAC ID: 9931566486 Enrollment ID: I20230529000203 |
| Provider Name | Renee Brunner-houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952719650 PECOS PAC ID: 0042532152 Enrollment ID: I20230825003532 |
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