| Marc Panepinto Llc | |
|
55 Woodland Ave Summit NJ 07901-2225 | |
| (908) 246-0869 | |
| (888) 812-6494 |
| Full Name | Marc Panepinto Llc |
|---|---|
| Speciality | Social Worker |
| Location | 55 Woodland Ave, Summit, New Jersey |
| Authorized Official Name and Position | Marc Panepinto (OWNER) |
| Authorized Official Contact | 9082460869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Panepinto Llc 45 Berkshire Dr Berkeley Heights NJ 07922-2604 Ph: (908) 246-0869 | Marc Panepinto Llc 55 Woodland Ave Summit NJ 07901-2225 Ph: (908) 246-0869 |
| NPI Number | 1912745456 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Medicare PECOS PAC ID | 5294273371 |
|---|---|
| Medicare Enrollment ID | O20240905000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912745456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marc Panepinto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114251592 PECOS PAC ID: 7012957400 Enrollment ID: I20050505000024 |
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