| Preventive Measures, Llc | |
|
515 W Linden St Lowr Level Allentown PA 18101-1426 | |
| (484) 225-4323 | |
| Not Available |
| Full Name | Preventive Measures, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 515 W Linden St Lowr Level, Allentown, Pennsylvania |
| Authorized Official Name and Position | Dwayne Jones (CEO) |
| Authorized Official Contact | 2025103865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Measures, Llc 515 W Linden St Lowr Level Allentown PA 18101-1426 Ph: (484) 226-0986 | Preventive Measures, Llc 515 W Linden St Lowr Level Allentown PA 18101-1426 Ph: (484) 225-4323 |
| NPI Number | 1235470857 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 0345563615 |
|---|---|
| Medicare Enrollment ID | O20141218001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235470857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 224650 (Pennsylvania) | Primary |
| Provider Name | Bridgette S Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467735647 PECOS PAC ID: 4082844949 Enrollment ID: I20140221000099 |
| Provider Name | Syed T. Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447346127 PECOS PAC ID: 2062407182 Enrollment ID: I20161025000247 |
| Provider Name | Alyssa E Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295283760 PECOS PAC ID: 8921385501 Enrollment ID: I20171101002263 |
| Provider Name | Chrisline Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013441906 PECOS PAC ID: 2567728371 Enrollment ID: I20171110002637 |
| Provider Name | Niru Nahar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316182074 PECOS PAC ID: 5799841102 Enrollment ID: I20200804001576 |
| Provider Name | Shujaat Qayyum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477676138 PECOS PAC ID: 3870666589 Enrollment ID: I20210219000251 |
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