Life Excel, Llc | |
35 Beaverson Blvd Bldg 1d Brick NJ 08723-7812 | |
(732) 920-7933 | |
(732) 920-2966 |
Full Name | Life Excel, Llc |
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Speciality | Counselor |
Location | 35 Beaverson Blvd, Brick, New Jersey |
Authorized Official Name and Position | Yogesh M Shingala (CEO) |
Authorized Official Contact | 7329207933 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Excel, Llc 35 Beaverson Blvd Bldg 1d Brick NJ 08723-7812 Ph: (732) 920-7933 | Life Excel, Llc 35 Beaverson Blvd Bldg 1d Brick NJ 08723-7812 Ph: (732) 920-7933 |
NPI Number | 1144265208 |
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Provider Enumeration Date | 06/20/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 8729057583 |
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Medicare Enrollment ID | O20040928001086 |
Identifier | Type | State | Issuer |
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1144265208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (New Jersey) | Primary |
Provider Name | Kalyani K Deshpande |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932299922 PECOS PAC ID: 4183614738 Enrollment ID: I20040514001028 |
Provider Name | Vinod R Bhashyam |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801831532 PECOS PAC ID: 6709855422 Enrollment ID: I20040929000957 |
Provider Name | Richard J Poresky |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417036724 PECOS PAC ID: 7113987942 Enrollment ID: I20041015000103 |
Provider Name | Esha Khoshnu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689775942 PECOS PAC ID: 4880631407 Enrollment ID: I20050414000440 |
Provider Name | Rajesh Patel |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003908005 PECOS PAC ID: 9830281427 Enrollment ID: I20070828000308 |
Provider Name | Yogesh M Shingala |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316052731 PECOS PAC ID: 9234108713 Enrollment ID: I20110314000089 |
Provider Name | Pooja Tandon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922377258 PECOS PAC ID: 4688969868 Enrollment ID: I20160826001512 |
Provider Name | Frank Joseph Resola |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1881872356 PECOS PAC ID: 7315388758 Enrollment ID: I20240515004321 |
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