| Medop Behavioral Health Associates Of New Jersey Pc | |
|
830 Bear Tavern Rd Ewing NJ 08628-1020 | |
| (800) 370-3651 | |
| (860) 510-0020 |
| Full Name | Medop Behavioral Health Associates Of New Jersey Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 830 Bear Tavern Rd, Ewing, New Jersey |
| Authorized Official Name and Position | Donna J Dooley (CFO) |
| Authorized Official Contact | 8603703651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medop Behavioral Health Associates Of New Jersey Pc 55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | Medop Behavioral Health Associates Of New Jersey Pc 830 Bear Tavern Rd Ewing NJ 08628-1020 Ph: (800) 370-3651 |
| NPI Number | 1982995569 |
|---|---|
| Provider Enumeration Date | 04/29/2011 |
| Last Update Date | 07/11/2017 |
| Medicare PECOS PAC ID | 2163691353 |
|---|---|
| Medicare Enrollment ID | O20110804000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982995569 | NPI | - | NPPES |
| Provider Name | Margaret W Fang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740386788 PECOS PAC ID: 1850388752 Enrollment ID: I20040430000263 |
| Provider Name | Hadley A Noble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043697725 PECOS PAC ID: 3173587961 Enrollment ID: I20041111000978 |
| Provider Name | Padmavathy Kurra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205949468 PECOS PAC ID: 5193712677 Enrollment ID: I20050316000589 |
| Provider Name | Jason M Andreach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740258193 PECOS PAC ID: 9133166382 Enrollment ID: I20050411000161 |
| Provider Name | Debra Christine Rapciewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760593859 PECOS PAC ID: 8022195270 Enrollment ID: I20080411000383 |
| Provider Name | Michael Aaron Chustek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609083393 PECOS PAC ID: 7517033566 Enrollment ID: I20080828000002 |
| Provider Name | Tadd L Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093032690 PECOS PAC ID: 4183811524 Enrollment ID: I20101210000057 |
| Provider Name | Marissa Koziar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316227036 PECOS PAC ID: 8729250188 Enrollment ID: I20111006000347 |
| Provider Name | Victoria I Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710007810 PECOS PAC ID: 2062670961 Enrollment ID: I20120223000559 |
| Provider Name | Vladislav Zelondzhev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639307945 PECOS PAC ID: 6103080742 Enrollment ID: I20120612000513 |
| Provider Name | Jouhaina Razzouk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336487586 PECOS PAC ID: 8224282637 Enrollment ID: I20130213000178 |
| Provider Name | Grant Marshall Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003158502 PECOS PAC ID: 7012156532 Enrollment ID: I20130613000309 |
| Provider Name | Michele De Lorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689839730 PECOS PAC ID: 7416186200 Enrollment ID: I20140127000143 |
| Provider Name | Deborah A. Chiumento |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376829226 PECOS PAC ID: 2466628821 Enrollment ID: I20141020000079 |
| Provider Name | Immaculata A Emesue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902209679 PECOS PAC ID: 7012232051 Enrollment ID: I20150213001162 |
| Provider Name | Jamie Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972884518 PECOS PAC ID: 1153637269 Enrollment ID: I20150904000182 |
| Provider Name | Mahip Gupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366814022 PECOS PAC ID: 3274834577 Enrollment ID: I20151210000555 |
| Provider Name | Kelly West Murakata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992076640 PECOS PAC ID: 9537463716 Enrollment ID: I20160209000743 |
| Provider Name | Alisha Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629434790 PECOS PAC ID: 1951605849 Enrollment ID: I20160215000142 |
| Provider Name | Beatrice C Iloka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174903751 PECOS PAC ID: 1052618857 Enrollment ID: I20160322001677 |
| Provider Name | Kristina Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407293863 PECOS PAC ID: 6305162728 Enrollment ID: I20160512000668 |
| Provider Name | Rana M Degil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629170717 PECOS PAC ID: 3971883059 Enrollment ID: I20161207000393 |
| Provider Name | Vincent Basile |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477953883 PECOS PAC ID: 9931421716 Enrollment ID: I20170503000736 |
| Provider Name | Marie Garon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508391046 PECOS PAC ID: 8022385699 Enrollment ID: I20170602000141 |
| Provider Name | Toyin Oladele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760917827 PECOS PAC ID: 2668746207 Enrollment ID: I20170921000603 |
| Provider Name | Fred Lwakaaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588181713 PECOS PAC ID: 9032470604 Enrollment ID: I20180221002645 |
| Provider Name | Rita A Mctighe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591712 PECOS PAC ID: 7618230616 Enrollment ID: I20180404000365 |
| Provider Name | Megan Florio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194258806 PECOS PAC ID: 3375898547 Enrollment ID: I20180613000306 |
| Provider Name | Patricia M Witkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174846695 PECOS PAC ID: 5395092795 Enrollment ID: I20180717000842 |
| Provider Name | Eileen Stengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851688691 PECOS PAC ID: 1355563016 Enrollment ID: I20180904001079 |
| Provider Name | Jennifer Kehoe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235619313 PECOS PAC ID: 1355691692 Enrollment ID: I20180906001469 |
| Provider Name | Luis A Guerreiro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467597666 PECOS PAC ID: 0749531184 Enrollment ID: I20180924001642 |
| Provider Name | Abelardo Javier Lobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972070811 PECOS PAC ID: 8820334618 Enrollment ID: I20190116000601 |
| Provider Name | Mary V Larsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710065016 PECOS PAC ID: 5890035133 Enrollment ID: I20190322000903 |
| Provider Name | Christine E Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245896059 PECOS PAC ID: 4284964396 Enrollment ID: I20191002001876 |
| Provider Name | Norrel R Sainsott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750939575 PECOS PAC ID: 7113258997 Enrollment ID: I20191009000462 |
| Provider Name | Claudine T Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710534714 PECOS PAC ID: 2668807827 Enrollment ID: I20200115002913 |
| Provider Name | Marie G Cadeau-noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699323006 PECOS PAC ID: 2062848492 Enrollment ID: I20200204000849 |
| Provider Name | Nerlande Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588281505 PECOS PAC ID: 9537586748 Enrollment ID: I20200902003220 |
| Provider Name | Christiana Nduka-onwuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962027979 PECOS PAC ID: 9032526827 Enrollment ID: I20210323001017 |
| Provider Name | Ijeoma Christiana Onyeagocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851905822 PECOS PAC ID: 0941617237 Enrollment ID: I20210405000223 |
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