| Phg Services Llc | |
|
331 Summit Ave Hackensack NJ 07601-1429 | |
| (201) 488-0408 | |
| (201) 488-0411 |
| Full Name | Phg Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 331 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Sarah Glisky (OWNER) |
| Authorized Official Contact | 2014880408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phg Services Llc 331 Summit Ave Hackensack NJ 07601-1429 Ph: (201) 488-0408 | Phg Services Llc 331 Summit Ave Hackensack NJ 07601-1429 Ph: (201) 488-0408 |
| NPI Number | 1881148526 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 04/10/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 4880968445 |
|---|---|
| Medicare Enrollment ID | O20170920001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881148526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05342100 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Alta Maness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639514649 PECOS PAC ID: 8022239995 Enrollment ID: I20141017000069 |
| Provider Name | Sarah Glisky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770822488 PECOS PAC ID: 6204154875 Enrollment ID: I20151103001542 |
| Provider Name | Richard Hugh Hibbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801295472 PECOS PAC ID: 9133404841 Enrollment ID: I20170920001284 |
| Provider Name | Susan L. Oliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770035867 PECOS PAC ID: 1951637164 Enrollment ID: I20190725002559 |
| Provider Name | Sarah L Jack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104324490 PECOS PAC ID: 5092147041 Enrollment ID: I20191113003325 |
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