Revitalizing Remedies Llc | |
52 Newton Sparta Rd Ste 1 Andover NJ 07860-2723 | |
(201) 727-3241 | |
(201) 727-3241 |
Full Name | Revitalizing Remedies Llc |
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Speciality | Nurse Practitioner |
Location | 52 Newton Sparta Rd Ste 1, Andover, New Jersey |
Authorized Official Name and Position | Fiorella Paradisi (OWNER/CLINICIAN PROVIDER) |
Authorized Official Contact | 2017273241 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Revitalizing Remedies Llc 52 Newton Sparta Rd Newton NJ 07860-2723 Ph: (201) 727-3241 | Revitalizing Remedies Llc 52 Newton Sparta Rd Ste 1 Andover NJ 07860-2723 Ph: (201) 727-3241 |
NPI Number | 1497411938 |
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Provider Enumeration Date | 11/09/2021 |
Last Update Date | 11/09/2021 |
Certification Date | 11/03/2021 |
Medicare PECOS PAC ID | 4082003157 |
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Medicare Enrollment ID | O20211110002212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497411938 | NPI | - | NPPES |
Provider Name | Traian A Zisu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639293103 PECOS PAC ID: 6002003332 Enrollment ID: I20101213000167 |
Provider Name | Jenny A Stone |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245207901 PECOS PAC ID: 8729276332 Enrollment ID: I20101227000368 |
Provider Name | Fiorella Paradisi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033384631 PECOS PAC ID: 0446544902 Enrollment ID: I20160805000192 |
Provider Name | Jose Garces |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710466842 PECOS PAC ID: 7214392356 Enrollment ID: I20230425002133 |
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