| Positive Reset Services | |
|
615 Hope Rd Ste 3b Eatontown NJ 07724-1273 | |
| (732) 735-4256 | |
| Not Available |
| Full Name | Positive Reset Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 615 Hope Rd Ste 3b, Eatontown, New Jersey |
| Authorized Official Name and Position | Alan Tunit (OWNER) |
| Authorized Official Contact | 7327241234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Reset Services 615 Hope Rd Ste 3b Eatontown NJ 07724-1273 Ph: (732) 724-1234 | Positive Reset Services 615 Hope Rd Ste 3b Eatontown NJ 07724-1273 Ph: (732) 735-4256 |
| NPI Number | 1114599305 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 6305240912 |
|---|---|
| Medicare Enrollment ID | O20210804001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114599305 | NPI | - | NPPES |
| 0450362584 | Other | NJ | MEDICARE, COMMERCIAL INSURANCES |
| 0450362584 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Nathalie Delia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124325634 PECOS PAC ID: 9234315953 Enrollment ID: I20110513000664 |
| Provider Name | Jessica R O Gara Mankowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922303841 PECOS PAC ID: 5698947166 Enrollment ID: I20111005000037 |
| Provider Name | Jean M Christie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891912341 PECOS PAC ID: 2062789449 Enrollment ID: I20170607000090 |
| Provider Name | Natalya Csatari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366086894 PECOS PAC ID: 4789018706 Enrollment ID: I20191230000815 |
| Provider Name | Tina Marie James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366021222 PECOS PAC ID: 6406255744 Enrollment ID: I20210519000627 |
| Provider Name | Nicholas Gichuki Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851967525 PECOS PAC ID: 8628478864 Enrollment ID: I20210610000417 |
| Provider Name | Sari Gottlieb Kornfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114496825 PECOS PAC ID: 7810397072 Enrollment ID: I20210610001186 |
| Provider Name | Donna Marie Lauro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265999478 PECOS PAC ID: 0244617017 Enrollment ID: I20220517000732 |
| Provider Name | Allison Devlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780808733 PECOS PAC ID: 3678706728 Enrollment ID: I20230418001705 |
| Provider Name | Denise J Daley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801592084 PECOS PAC ID: 6305201054 Enrollment ID: I20230502001312 |
| Provider Name | Jacqueline Canovan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336394253 PECOS PAC ID: 5799053740 Enrollment ID: I20230713001704 |
| Provider Name | Maxxine Kraemer-jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336921212 PECOS PAC ID: 0042667875 Enrollment ID: I20231115002639 |
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