| Quartet Medical Group Of New Jersey Professional Corporation | |
|
1 Gateway Ctr Ste 2600 Newark NJ 07102-5323 | |
| (267) 999-9534 | |
| Not Available |
| Full Name | Quartet Medical Group Of New Jersey Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Gateway Ctr Ste 2600, Newark, New Jersey |
| Authorized Official Name and Position | Robert Wilson (PRESIDENT) |
| Authorized Official Contact | 2679999534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quartet Medical Group Of New Jersey Professional Corporation 228 Park Ave S Pmb 36149 New York NY 10003-1879 Ph: (267) 999-9534 | Quartet Medical Group Of New Jersey Professional Corporation 1 Gateway Ctr Ste 2600 Newark NJ 07102-5323 Ph: (267) 999-9534 |
| NPI Number | 1346947967 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Medicare PECOS PAC ID | 2163861469 |
|---|---|
| Medicare Enrollment ID | O20240419000946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346947967 | NPI | - | NPPES |
| Provider Name | Lauren Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669510319 PECOS PAC ID: 8224115753 Enrollment ID: I20080409000063 |
| Provider Name | Jared Tactuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164032652 PECOS PAC ID: 6507268612 Enrollment ID: I20210713000432 |
| Provider Name | Janet Pedroza Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942852207 PECOS PAC ID: 9931537420 Enrollment ID: I20220824001279 |
| Provider Name | Susan M Plucknett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356537294 PECOS PAC ID: 5597845487 Enrollment ID: I20220824002840 |
| Provider Name | Christopher Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184070336 PECOS PAC ID: 7113306515 Enrollment ID: I20230728003062 |
| Provider Name | Tiffany Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194356600 PECOS PAC ID: 8628407715 Enrollment ID: I20240429000026 |
| Provider Name | Jeffrey Klemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255464517 PECOS PAC ID: 2163327958 Enrollment ID: I20240605001376 |
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