| Medisol, Llc | |
|
226 Fisher Ave Piscataway NJ 08854-4833 | |
| (214) 444-9864 | |
| Not Available |
| Full Name | Medisol, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 226 Fisher Ave, Piscataway, New Jersey |
| Authorized Official Name and Position | Tahir Khwaja (PRESIDENT) |
| Authorized Official Contact | 9172878207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medisol, Llc 10201 Perkins Dr Irving TX 75063-5365 Ph: (214) 444-9864 | Medisol, Llc 226 Fisher Ave Piscataway NJ 08854-4833 Ph: (214) 444-9864 |
| NPI Number | 1003279308 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/04/2016 |
| Medicare PECOS PAC ID | 0840628392 |
|---|---|
| Medicare Enrollment ID | O20200316000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003279308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Latifat Amadin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336579556 PECOS PAC ID: 7719117167 Enrollment ID: I20140304000261 |
| Provider Name | Tahir Khwaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881804938 PECOS PAC ID: 5092844928 Enrollment ID: I20200316000816 |
| Provider Name | Festus C Obonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417457185 PECOS PAC ID: 3779998802 Enrollment ID: I20210223000365 |
| Provider Name | Emery Chapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114635729 PECOS PAC ID: 1658743513 Enrollment ID: I20230202002529 |
The Arc Middlesex County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 Stelton Rd, Piscataway, NJ 08854 Phone: 732-992-1005 | |
Rutgers Health-rwj Psychiatric Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 125 Paterson Street, Suite 2200, Piscataway, NJ 08854 Phone: 732-828-3000 Fax: 732-235-3923 | |
Haven Human Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 178 Kossuth St, Piscataway, NJ 08854 Phone: 908-442-6314 | |
Always Learning Daycare Corperation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Centennial Ave, Piscataway, NJ 08854 Phone: 732-906-9646 | |
Autism Aba Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 Shady Oak Ct, Piscataway, NJ 08854 Phone: 201-983-7226 | |
Apluscare, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 156 Normandy Dr, Piscataway, NJ 08854 Phone: 732-532-8005 |