| Ophelia Medical Group Nj Pc | |
|
230 Us Highway 206 Building 3, Suite #4 Flanders NJ 07836-9287 | |
| (215) 585-2144 | |
| (833) 228-5591 |
| Full Name | Ophelia Medical Group Nj Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 230 Us Highway 206, Flanders, New Jersey |
| Authorized Official Name and Position | Arthur R Williams (CMO) |
| Authorized Official Contact | 3478578015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ophelia Medical Group Nj Pc 228 Park Ave S Ste 15314 New York NY 10003-1502 Ph: (215) 585-2144 | Ophelia Medical Group Nj Pc 230 Us Highway 206 Building 3, Suite #4 Flanders NJ 07836-9287 Ph: (215) 585-2144 |
| NPI Number | 1346906179 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 0547657397 |
|---|---|
| Medicare Enrollment ID | O20220425002148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346906179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Carla A Paredes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174078976 PECOS PAC ID: 1052699212 Enrollment ID: I20200422002421 |
| Provider Name | Arthur Robinson Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063739985 PECOS PAC ID: 3072928480 Enrollment ID: I20220601003179 |
| Provider Name | Adam Bisaga |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1023135613 PECOS PAC ID: 4183025802 Enrollment ID: I20220712000091 |
| Provider Name | Lavenia Fain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649697202 PECOS PAC ID: 6103047824 Enrollment ID: I20231129001690 |
| Provider Name | Sneha Agrawal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346934080 PECOS PAC ID: 0345687315 Enrollment ID: I20240326002731 |
| Provider Name | Krysten Nicole Duliba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649726043 PECOS PAC ID: 2961782255 Enrollment ID: I20240515002124 |
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