| North Jersey Laproscopic Associates, Llc | |
|
222 Cedar Ln Ste 201 Teaneck NJ 07666-4312 | |
| (201) 530-1900 | |
| (201) 530-9300 |
| Full Name | North Jersey Laproscopic Associates, Llc |
|---|---|
| Speciality | Surgery |
| Location | 222 Cedar Ln Ste 201, Teaneck, New Jersey |
| Authorized Official Name and Position | Thomas Vaimakis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2012278326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jersey Laproscopic Associates, Llc Po Box 175 Demarest NJ 07627-0175 Ph: (201) 227-8326 | North Jersey Laproscopic Associates, Llc 222 Cedar Ln Ste 201 Teaneck NJ 07666-4312 Ph: (201) 530-1900 |
| NPI Number | 1942525290 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 11/04/2010 |
| Medicare PECOS PAC ID | 2860686458 |
|---|---|
| Medicare Enrollment ID | O20101027001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942525290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Primary |
| Provider Name | Stephanie S Vaimakis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396802633 PECOS PAC ID: 8325034432 Enrollment ID: I20040423000412 |
| Provider Name | Elissa R. Gross |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063741833 PECOS PAC ID: 7618019308 Enrollment ID: I20100119000181 |
Lisa D'acierno, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 901 Teaneck Rd, 1st Floor, Teaneck, NJ 07666 Phone: 201-357-1715 Fax: 201-833-8858 | |
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