| Samaritan Behavioral Health Services | |
|
2215 Burdett Ave Troy NY 12180-2466 | |
| (518) 271-3300 | |
| Not Available |
| Full Name | Samaritan Behavioral Health Services |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2215 Burdett Ave, Troy, New York |
| Authorized Official Name and Position | Courtney Knowles (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5185255634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samaritan Behavioral Health Services Po Box 14890 Albany NY 12212-4890 Ph: () - | Samaritan Behavioral Health Services 2215 Burdett Ave Troy NY 12180-2466 Ph: (518) 271-3300 |
| NPI Number | 1043267727 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 6507770070 |
|---|---|
| Medicare Enrollment ID | O20031118000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043267727 | NPI | - | NPPES |
| 02636693 | Medicaid | NY | |
| 02993713 | Medicaid | NY | |
| 00318805 | Medicaid | NY |
| Provider Name | Tejas R Pandya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336347103 PECOS PAC ID: 0042124992 Enrollment ID: I20031117000056 |
| Provider Name | Brian P Murray |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083659072 PECOS PAC ID: 0547166324 Enrollment ID: I20031211000698 |
| Provider Name | Victor G Laregina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477665024 PECOS PAC ID: 8921994799 Enrollment ID: I20040227000020 |
| Provider Name | Kim P Gendron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053404061 PECOS PAC ID: 0042108920 Enrollment ID: I20040310001109 |
| Provider Name | Anthony P Benjamin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932165628 PECOS PAC ID: 1456242635 Enrollment ID: I20040324001616 |
| Provider Name | Ernest M Enzien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144302886 PECOS PAC ID: 7214920289 Enrollment ID: I20040406000400 |
| Provider Name | Sunita Rayudu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134137292 PECOS PAC ID: 5193718989 Enrollment ID: I20040407000236 |
| Provider Name | Ahad Makarachi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114001989 PECOS PAC ID: 0840284949 Enrollment ID: I20040412001421 |
| Provider Name | Joseph M Di Lullo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710915889 PECOS PAC ID: 6002802584 Enrollment ID: I20040421000788 |
| Provider Name | Lynne D Comley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275639924 PECOS PAC ID: 4385630581 Enrollment ID: I20040422001349 |
| Provider Name | Andrew G Gunther |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245267913 PECOS PAC ID: 4789670761 Enrollment ID: I20040423001050 |
| Provider Name | Pamela Anne Platis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962469577 PECOS PAC ID: 9032107578 Enrollment ID: I20040504000741 |
| Provider Name | Souheil H. Samaha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508863721 PECOS PAC ID: 1658360029 Enrollment ID: I20040511000060 |
| Provider Name | Andrew D Coates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891796090 PECOS PAC ID: 2961492095 Enrollment ID: I20040512001199 |
| Provider Name | Leah R Berkery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073509691 PECOS PAC ID: 1557352440 Enrollment ID: I20040519001567 |
| Provider Name | Lech Dabrowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780798553 PECOS PAC ID: 7618959917 Enrollment ID: I20040602000006 |
| Provider Name | Chisara Adonai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609873868 PECOS PAC ID: 4183606262 Enrollment ID: I20040602001410 |
| Provider Name | Mary Kyle Dyer-martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659332575 PECOS PAC ID: 7719969393 Enrollment ID: I20040607000594 |
| Provider Name | Eileen M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942311618 PECOS PAC ID: 8426031246 Enrollment ID: I20040611000207 |
| Provider Name | Ifeoma C Ojukwu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811928575 PECOS PAC ID: 5698759660 Enrollment ID: I20040623000212 |
| Provider Name | Gary S Merrill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346357001 PECOS PAC ID: 5294713863 Enrollment ID: I20040709001169 |
| Provider Name | Onyekachi Ifudu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073551966 PECOS PAC ID: 0143209080 Enrollment ID: I20040715000363 |
| Provider Name | Patricia M Dorney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700887908 PECOS PAC ID: 1153301890 Enrollment ID: I20040722000888 |
| Provider Name | Asim Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972532976 PECOS PAC ID: 4880664770 Enrollment ID: I20040728000995 |
| Provider Name | John S Janikas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811037708 PECOS PAC ID: 3870565211 Enrollment ID: I20040806001145 |
| Provider Name | Irina I Kaplan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942382718 PECOS PAC ID: 1658343207 Enrollment ID: I20040812000814 |
| Provider Name | Jomarie O Connor Ethier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619966611 PECOS PAC ID: 6709859895 Enrollment ID: I20040817000669 |
| Provider Name | John R Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699777029 PECOS PAC ID: 6800860164 Enrollment ID: I20040823000776 |
| Provider Name | Karen J Koutsourades |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154310258 PECOS PAC ID: 5799759643 Enrollment ID: I20040825000786 |
| Provider Name | Deborah A Basso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740238203 PECOS PAC ID: 9638144926 Enrollment ID: I20040831000309 |
| Provider Name | James L Phillip |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720086887 PECOS PAC ID: 3375518491 Enrollment ID: I20040831001459 |
| Provider Name | Laura E Pica |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629060652 PECOS PAC ID: 0345215471 Enrollment ID: I20040831001479 |
| Provider Name | Wendy Van Bellingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366434581 PECOS PAC ID: 7214902154 Enrollment ID: I20040901001474 |
| Provider Name | William Joseph Kowal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669464889 PECOS PAC ID: 9638145287 Enrollment ID: I20040907000227 |
| Provider Name | Alicia A Beardsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245286053 PECOS PAC ID: 1355317850 Enrollment ID: I20040907000709 |
| Provider Name | Ki Tae Mok |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366436230 PECOS PAC ID: 6204803604 Enrollment ID: I20040915000205 |
| Provider Name | Raymonda D Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083616411 PECOS PAC ID: 7315915600 Enrollment ID: I20040923001035 |
| Provider Name | Edwin R Windle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497751010 PECOS PAC ID: 8628047941 Enrollment ID: I20041001000883 |
| Provider Name | Michael K Burke |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1639219744 PECOS PAC ID: 0244290948 Enrollment ID: I20041018000198 |
| Provider Name | David A Strumpf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356343339 PECOS PAC ID: 9436063922 Enrollment ID: I20041025000279 |
| Provider Name | Kandasamy Chetty Perumal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255319992 PECOS PAC ID: 9931163417 Enrollment ID: I20041115000814 |
| Provider Name | Constance A Stalker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225140684 PECOS PAC ID: 2668438326 Enrollment ID: I20041203000785 |
| Provider Name | Joseph K Carrozza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912094780 PECOS PAC ID: 9931157476 Enrollment ID: I20050111000594 |
| Provider Name | Maureen E Obrien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952378390 PECOS PAC ID: 3072587443 Enrollment ID: I20050124000726 |
| Provider Name | James J Figge |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649314899 PECOS PAC ID: 8426008673 Enrollment ID: I20050126000441 |
| Provider Name | Mary E Mikhitarian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073580643 PECOS PAC ID: 3870545916 Enrollment ID: I20050216000718 |
| Provider Name | Dennis Mckevitt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073585303 PECOS PAC ID: 5193770899 Enrollment ID: I20050315001077 |
| Provider Name | Barbara J Tashjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770688772 PECOS PAC ID: 4385690536 Enrollment ID: I20050330000802 |
| Provider Name | Ghulam A Akbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639155153 PECOS PAC ID: 6204883291 Enrollment ID: I20050401000334 |
| Provider Name | Mandy L Dreisenstock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932138450 PECOS PAC ID: 9032166756 Enrollment ID: I20050405000947 |
| Provider Name | Yoram Beer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659450278 PECOS PAC ID: 2264470152 Enrollment ID: I20050421000116 |
| Provider Name | Vincent Augustine Corcoran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053378729 PECOS PAC ID: 4880633262 Enrollment ID: I20050426000373 |
| Provider Name | Harold M Sokol |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316930894 PECOS PAC ID: 7012963648 Enrollment ID: I20050426000498 |
| Provider Name | Axel Juergen Herrmannsdoerfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821056615 PECOS PAC ID: 0840239240 Enrollment ID: I20050426000570 |
| Provider Name | Abdul S Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528028578 PECOS PAC ID: 3870532211 Enrollment ID: I20050426000918 |
| Provider Name | Michael A Nakao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538169404 PECOS PAC ID: 0941256572 Enrollment ID: I20050427001061 |
| Provider Name | Robert U Ezeifedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710027610 PECOS PAC ID: 5395787014 Enrollment ID: I20050524000161 |
| Provider Name | Cynthia R Duncan Bornt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881632412 PECOS PAC ID: 3476589961 Enrollment ID: I20050719000405 |
| Provider Name | Evangelos N Pallis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447249198 PECOS PAC ID: 2961439617 Enrollment ID: I20050726000219 |
| Provider Name | Eugene R Pellerin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659470391 PECOS PAC ID: 9638109499 Enrollment ID: I20050822000430 |
| Provider Name | John M Krisa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528108412 PECOS PAC ID: 7618900648 Enrollment ID: I20050912000388 |
| Provider Name | Alan L Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386734713 PECOS PAC ID: 7012942964 Enrollment ID: I20050929000739 |
| Provider Name | Shobharani Sundaram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861494858 PECOS PAC ID: 7911932579 Enrollment ID: I20051003000230 |
| Provider Name | Cheryl Syta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982691481 PECOS PAC ID: 5597790881 Enrollment ID: I20051005000981 |
| Provider Name | Parvez Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043381296 PECOS PAC ID: 5294752762 Enrollment ID: I20051025000431 |
| Provider Name | Vasantha Natarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346380235 PECOS PAC ID: 9638199128 Enrollment ID: I20051129000700 |
| Provider Name | David R Arveladze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417990086 PECOS PAC ID: 8123048022 Enrollment ID: I20051206000624 |
| Provider Name | Priyangika Atanikitha Pathirana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376627208 PECOS PAC ID: 3870514532 Enrollment ID: I20051212000632 |
| Provider Name | Satik Amirbekian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093886194 PECOS PAC ID: 5698797223 Enrollment ID: I20051227000057 |
| Provider Name | Lawrence J Parsley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952368623 PECOS PAC ID: 9335161553 Enrollment ID: I20051230000364 |
| Provider Name | Joan M Mance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043228703 PECOS PAC ID: 2466475264 Enrollment ID: I20060106000783 |
| Provider Name | Kelly A Coccetti |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295929925 PECOS PAC ID: 1557384880 Enrollment ID: I20060112000274 |
| Provider Name | Christopher T Messitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578536991 PECOS PAC ID: 3274556444 Enrollment ID: I20060117000183 |
| Provider Name | Yusuf N Silk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265442172 PECOS PAC ID: 2466476593 Enrollment ID: I20060117000439 |
| Provider Name | Gennaro A Daniels |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316099880 PECOS PAC ID: 4880608876 Enrollment ID: I20060130000204 |
| Provider Name | Maureen Strichman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407943004 PECOS PAC ID: 0244247773 Enrollment ID: I20060308000652 |
| Provider Name | William M Viscardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902870223 PECOS PAC ID: 9133136880 Enrollment ID: I20060321000544 |
| Provider Name | David S Palat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427058320 PECOS PAC ID: 3577519107 Enrollment ID: I20060413000334 |
| Provider Name | Thea M Dalfino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447228929 PECOS PAC ID: 1759391675 Enrollment ID: I20060421000503 |
| Provider Name | Cristina Pruzan-ilinca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912966862 PECOS PAC ID: 6709896392 Enrollment ID: I20060426000830 |
| Provider Name | Elizabeth Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619939998 PECOS PAC ID: 4284644410 Enrollment ID: I20060503000317 |
| Provider Name | Padmapriya Menakuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588609895 PECOS PAC ID: 4183627821 Enrollment ID: I20060817000452 |
| Provider Name | Hani A Midani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619936200 PECOS PAC ID: 3971549924 Enrollment ID: I20060830000002 |
| Provider Name | Bruce Ushkow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013903806 PECOS PAC ID: 8325044126 Enrollment ID: I20061019000150 |
| Provider Name | Edwin A Cowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235195645 PECOS PAC ID: 9032118922 Enrollment ID: I20061202000151 |
| Provider Name | Eric Rottenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598793713 PECOS PAC ID: 6103826037 Enrollment ID: I20061228000009 |
| Provider Name | Renee Arruira Argubano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275641839 PECOS PAC ID: 8527069707 Enrollment ID: I20070131000343 |
| Provider Name | Veena Goel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124021837 PECOS PAC ID: 0143222844 Enrollment ID: I20070209000068 |
| Provider Name | Svetlana V Kovtunova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033226899 PECOS PAC ID: 9931201191 Enrollment ID: I20070220000032 |
| Provider Name | Alexander Grinshpun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558456004 PECOS PAC ID: 9133222441 Enrollment ID: I20070307000085 |
| Provider Name | Katrina M Kardos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558390948 PECOS PAC ID: 8022111020 Enrollment ID: I20070313000051 |
| Provider Name | Gene W Racela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194832980 PECOS PAC ID: 1254436348 Enrollment ID: I20070418000401 |
| Provider Name | Diane B Broderick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699746792 PECOS PAC ID: 0446356166 Enrollment ID: I20070426000117 |
| Provider Name | Namrata Patel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548294283 PECOS PAC ID: 3577590512 Enrollment ID: I20070524000191 |
| Provider Name | Kamaleldin H Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396837795 PECOS PAC ID: 9032215058 Enrollment ID: I20070614000751 |
| Provider Name | Nicholas J Montalto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942291646 PECOS PAC ID: 2961502711 Enrollment ID: I20070710000495 |
| Provider Name | Rameen Hashemiyoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346361730 PECOS PAC ID: 6002916459 Enrollment ID: I20070713000435 |
| Provider Name | Michael F Ciccarelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326268491 PECOS PAC ID: 8921192048 Enrollment ID: I20070920000425 |
| Provider Name | Elizabeth Helen Sandel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265636203 PECOS PAC ID: 2668566407 Enrollment ID: I20070924000537 |
| Provider Name | Nazia Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356433858 PECOS PAC ID: 2567480650 Enrollment ID: I20070924000568 |
| Provider Name | Dennis J Rassias |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346227337 PECOS PAC ID: 4385673862 Enrollment ID: I20070928000137 |
| Provider Name | Philip Clements |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518030873 PECOS PAC ID: 9638264542 Enrollment ID: I20071005000658 |
| Provider Name | Abdelhakim Dinar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043429442 PECOS PAC ID: 7315033115 Enrollment ID: I20071009000816 |
| Provider Name | Edward F Corless |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629140975 PECOS PAC ID: 6608962642 Enrollment ID: I20071022000568 |
| Provider Name | Timothy S Derenzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629272059 PECOS PAC ID: 7416044284 Enrollment ID: I20071026000373 |
| Provider Name | Melissa M Fiorini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538232830 PECOS PAC ID: 6305945577 Enrollment ID: I20071102000363 |
| Provider Name | Andrew J Black |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659318020 PECOS PAC ID: 0840259008 Enrollment ID: I20071120000250 |
| Provider Name | Gregory R Field |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114034279 PECOS PAC ID: 7517055718 Enrollment ID: I20071126000250 |
| Provider Name | Luiz C Coelho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164564514 PECOS PAC ID: 6800985466 Enrollment ID: I20071204000632 |
| Provider Name | Peter R Maggiore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356343206 PECOS PAC ID: 5890784995 Enrollment ID: I20071207000367 |
| Provider Name | Jonathan Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447244371 PECOS PAC ID: 9830289909 Enrollment ID: I20071213000580 |
| Provider Name | Harold T Zeltner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508955980 PECOS PAC ID: 7416047303 Enrollment ID: I20071215000045 |
| Provider Name | Shehzad Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578667218 PECOS PAC ID: 8325128895 Enrollment ID: I20080109000693 |
| Provider Name | Arthur L Sunkin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063512531 PECOS PAC ID: 4880777051 Enrollment ID: I20080211000674 |
| Provider Name | Cynthia L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750405528 PECOS PAC ID: 5193800704 Enrollment ID: I20080306000491 |
| Provider Name | Jill Braverman-panza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366458895 PECOS PAC ID: 8123095262 Enrollment ID: I20080403000058 |
| Provider Name | Charles B Van Meter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699963884 PECOS PAC ID: 4688752330 Enrollment ID: I20080421000308 |
| Provider Name | Eustace A Huggins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124066766 PECOS PAC ID: 0840378287 Enrollment ID: I20080424000696 |
| Provider Name | Claudia A Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760682298 PECOS PAC ID: 9739268517 Enrollment ID: I20080505000666 |
| Provider Name | Parveen Khurshid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750432563 PECOS PAC ID: 0941391015 Enrollment ID: I20080612000688 |
| Provider Name | Syed Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891778296 PECOS PAC ID: 0648341784 Enrollment ID: I20080618000268 |
| Provider Name | Christina M Yerdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336133859 PECOS PAC ID: 7810068889 Enrollment ID: I20080618000589 |
| Provider Name | Amita Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841363009 PECOS PAC ID: 4486688488 Enrollment ID: I20080618000638 |
| Provider Name | Samir Afzal Bute |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427217926 PECOS PAC ID: 8426121252 Enrollment ID: I20080726000002 |
| Provider Name | Samuel O Anameze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003070749 PECOS PAC ID: 2668546037 Enrollment ID: I20080801000613 |
| Provider Name | Joseph Prah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689787731 PECOS PAC ID: 7911071956 Enrollment ID: I20080808000330 |
| Provider Name | Ryan S Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831398478 PECOS PAC ID: 1153496468 Enrollment ID: I20080821000267 |
| Provider Name | Anthony P Posca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235306739 PECOS PAC ID: 0547328759 Enrollment ID: I20081016000326 |
| Provider Name | Yun Jeong Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841466356 PECOS PAC ID: 7719047539 Enrollment ID: I20081124000049 |
| Provider Name | Afroza S Liton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639358682 PECOS PAC ID: 8325109556 Enrollment ID: I20081206000080 |
| Provider Name | Mark Edward Osborn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689671117 PECOS PAC ID: 5991866014 Enrollment ID: I20081209000054 |
| Provider Name | Paul B Donovan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326003195 PECOS PAC ID: 8022170570 Enrollment ID: I20081218000026 |
| Provider Name | Sikander Manzoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235199266 PECOS PAC ID: 9537226741 Enrollment ID: I20090314000037 |
| Provider Name | John Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447433081 PECOS PAC ID: 9830256262 Enrollment ID: I20090330000249 |
| Provider Name | Madge E Postal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487834685 PECOS PAC ID: 0840347910 Enrollment ID: I20090406000593 |
| Provider Name | Pierrot Jeannot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063585313 PECOS PAC ID: 1759438443 Enrollment ID: I20090415000535 |
| Provider Name | Abul K. Azad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003979121 PECOS PAC ID: 6507812971 Enrollment ID: I20090428000000 |
| Provider Name | Noghama Airhienbuwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235326356 PECOS PAC ID: 0345320420 Enrollment ID: I20090429000006 |
| Provider Name | Timothy C Delrusso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089422 PECOS PAC ID: 5092863670 Enrollment ID: I20090508000498 |
| Provider Name | Steven D Anisman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780603647 PECOS PAC ID: 2961483169 Enrollment ID: I20090526000263 |
| Provider Name | Kristin S Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669665386 PECOS PAC ID: 5698824449 Enrollment ID: I20090527000339 |
| Provider Name | Chong K Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295744860 PECOS PAC ID: 8729130257 Enrollment ID: I20090715000109 |
| Provider Name | Antonio Gregorian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487740080 PECOS PAC ID: 2769536101 Enrollment ID: I20090819000328 |
| Provider Name | Dilip Thakker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225120298 PECOS PAC ID: 5193870699 Enrollment ID: I20090908000014 |
| Provider Name | Michele Bowdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629215066 PECOS PAC ID: 5496801532 Enrollment ID: I20090915000486 |
| Provider Name | Manjinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619112489 PECOS PAC ID: 7315093663 Enrollment ID: I20090929000120 |
| Provider Name | Neema R Afejuku Adelaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184854101 PECOS PAC ID: 0648317297 Enrollment ID: I20091030000128 |
| Provider Name | Israr Khankhel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427382399 PECOS PAC ID: 8527106392 Enrollment ID: I20091116000427 |
| Provider Name | Cezary Borawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861656951 PECOS PAC ID: 4587703483 Enrollment ID: I20091207000386 |
| Provider Name | Arshwinder S Sohi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073761649 PECOS PAC ID: 5193865467 Enrollment ID: I20091217000033 |
| Provider Name | Zacharias Chasin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740447382 PECOS PAC ID: 1658411822 Enrollment ID: I20091218000303 |
| Provider Name | Annabi I Djalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437311289 PECOS PAC ID: 6204900186 Enrollment ID: I20100108000547 |
| Provider Name | Ji Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497953020 PECOS PAC ID: 0446346787 Enrollment ID: I20100317000009 |
| Provider Name | Nancy E Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376656322 PECOS PAC ID: 1456487552 Enrollment ID: I20100329000183 |
| Provider Name | Jamie Lynn Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851535561 PECOS PAC ID: 7517093610 Enrollment ID: I20100329000206 |
| Provider Name | Michael S Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760443618 PECOS PAC ID: 1557497260 Enrollment ID: I20100406000518 |
| Provider Name | Nancy Ann Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104157544 PECOS PAC ID: 4880721679 Enrollment ID: I20100428000101 |
| Provider Name | Michelle N Gallant |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619077765 PECOS PAC ID: 2264454743 Enrollment ID: I20100519000256 |
| Provider Name | Victoria Angert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285729855 PECOS PAC ID: 9739218330 Enrollment ID: I20100519000782 |
| Provider Name | Sahar Amery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013172485 PECOS PAC ID: 1254491293 Enrollment ID: I20100525001026 |
| Provider Name | Norman M Neches |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487617387 PECOS PAC ID: 6305881392 Enrollment ID: I20100602000089 |
| Provider Name | Mohammed Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477588747 PECOS PAC ID: 9032249222 Enrollment ID: I20100615000343 |
| Provider Name | Kenneth Joseph Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760489157 PECOS PAC ID: 1254462278 Enrollment ID: I20100708000090 |
| Provider Name | Sabira B Ghauri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114245198 PECOS PAC ID: 1658404546 Enrollment ID: I20100729000004 |
| Provider Name | Andrea Yolanda Carrasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427023621 PECOS PAC ID: 9032242870 Enrollment ID: I20100730000839 |
| Provider Name | Olai Sam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578659173 PECOS PAC ID: 2567595200 Enrollment ID: I20100803000056 |
| Provider Name | Keith A Rebehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376636910 PECOS PAC ID: 1355474099 Enrollment ID: I20100803000098 |
| Provider Name | Ramesh Subedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912155532 PECOS PAC ID: 5092867192 Enrollment ID: I20100804000712 |
| Provider Name | Luke M Nightingale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649237496 PECOS PAC ID: 3072647585 Enrollment ID: I20100819000755 |
| Provider Name | Christopher Fatone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629035472 PECOS PAC ID: 9739213166 Enrollment ID: I20100819001107 |
| Provider Name | Darlene Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194786913 PECOS PAC ID: 8729102066 Enrollment ID: I20100824000471 |
| Provider Name | Adrian P Karatnycky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801857628 PECOS PAC ID: 1153445226 Enrollment ID: I20100825001027 |
| Provider Name | Aref Sobhani Mahdabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164610820 PECOS PAC ID: 1850471145 Enrollment ID: I20100902001081 |
| Provider Name | Gail J Casals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770544108 PECOS PAC ID: 1254455710 Enrollment ID: I20100907000071 |
| Provider Name | Margaret I Holcomb |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467419531 PECOS PAC ID: 8224152780 Enrollment ID: I20100907000100 |
| Provider Name | Mary Grace Jacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699736520 PECOS PAC ID: 6406971753 Enrollment ID: I20100910000240 |
| Provider Name | Patricia L Jolie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407816812 PECOS PAC ID: 4789709056 Enrollment ID: I20100910000527 |
| Provider Name | James Charles Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942287842 PECOS PAC ID: 9234254442 Enrollment ID: I20100911000015 |
| Provider Name | Matthew J Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114988904 PECOS PAC ID: 2860517075 Enrollment ID: I20100911000033 |
| Provider Name | Steven J Balsamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013977438 PECOS PAC ID: 5496870602 Enrollment ID: I20100911000054 |
| Provider Name | Charles M Sulzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114984960 PECOS PAC ID: 5395860217 Enrollment ID: I20100916000073 |
| Provider Name | Paul D Barbarotto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134180052 PECOS PAC ID: 1759406598 Enrollment ID: I20100916000455 |
| Provider Name | Mohammad Fayez B Rujubali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306068234 PECOS PAC ID: 8426173287 Enrollment ID: I20100916000700 |
| Provider Name | Kristen A Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558328047 PECOS PAC ID: 5991820698 Enrollment ID: I20100918000100 |
| Provider Name | Erica Ann Fish-merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265689798 PECOS PAC ID: 5395860860 Enrollment ID: I20100921000837 |
| Provider Name | Adam D Stallmer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356501480 PECOS PAC ID: 1153446620 Enrollment ID: I20100921000908 |
| Provider Name | Cynthia M Monaghan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316908114 PECOS PAC ID: 2466578927 Enrollment ID: I20100922000511 |
| Provider Name | Kristin N Yannetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952585945 PECOS PAC ID: 9133312085 Enrollment ID: I20101022001314 |
| Provider Name | Colleen E Parent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821293598 PECOS PAC ID: 5294928008 Enrollment ID: I20101025000421 |
| Provider Name | John D Sapovits |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417276965 PECOS PAC ID: 3971798331 Enrollment ID: I20101110001265 |
| Provider Name | Alan Edward Schaffer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255310678 PECOS PAC ID: 4183538218 Enrollment ID: I20101129000823 |
| Provider Name | Keriann Gray |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1023215670 PECOS PAC ID: 3577750561 Enrollment ID: I20101202000947 |
| Provider Name | Ellen A Brignola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659689834 PECOS PAC ID: 4486841079 Enrollment ID: I20101208000782 |
| Provider Name | Amelia M Dodge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598872327 PECOS PAC ID: 5991993669 Enrollment ID: I20101222000023 |
| Provider Name | Kristin Marie Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124021241 PECOS PAC ID: 5799973178 Enrollment ID: I20101229000796 |
| Provider Name | Neelima Pamidimukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689870115 PECOS PAC ID: 4385833821 Enrollment ID: I20110113000977 |
| Provider Name | Jeffrey R Root |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487741823 PECOS PAC ID: 5597954065 Enrollment ID: I20110114000089 |
| Provider Name | Joseph Farooq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538152814 PECOS PAC ID: 5294781829 Enrollment ID: I20110114000744 |
| Provider Name | Julie A Huss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548591043 PECOS PAC ID: 4486833647 Enrollment ID: I20110120000814 |
| Provider Name | Nalini Ramanathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841458130 PECOS PAC ID: 6305025412 Enrollment ID: I20110121000290 |
| Provider Name | Anthony John Cagino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790778280 PECOS PAC ID: 9830145465 Enrollment ID: I20110126000431 |
| Provider Name | Dawne L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558598367 PECOS PAC ID: 5193905545 Enrollment ID: I20110202000535 |
| Provider Name | Vanita Kavety Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134256324 PECOS PAC ID: 8224094354 Enrollment ID: I20110210000700 |
| Provider Name | John R Weinhold |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265417737 PECOS PAC ID: 3173578663 Enrollment ID: I20110228000325 |
| Provider Name | Yaw Owusu Baah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477710408 PECOS PAC ID: 4183805823 Enrollment ID: I20110301000036 |
| Provider Name | Ada C Nnabugwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639312572 PECOS PAC ID: 5698958031 Enrollment ID: I20110323000347 |
| Provider Name | Rene Kerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316175367 PECOS PAC ID: 7416982046 Enrollment ID: I20110324000428 |
| Provider Name | David E Lemke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497934095 PECOS PAC ID: 6507042074 Enrollment ID: I20110517000879 |
| Provider Name | Abdul W Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326137746 PECOS PAC ID: 9931206893 Enrollment ID: I20110525000197 |
| Provider Name | Pamela S Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376650119 PECOS PAC ID: 4981881026 Enrollment ID: I20110527000070 |
| Provider Name | Faith Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952558348 PECOS PAC ID: 8729266671 Enrollment ID: I20110624000400 |
| Provider Name | Stephen H Wrzesinski |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780856971 PECOS PAC ID: 7113105958 Enrollment ID: I20110628000006 |
| Provider Name | Teofilo J Arazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922266634 PECOS PAC ID: 2466510359 Enrollment ID: I20110721000251 |
| Provider Name | Sarika Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770744682 PECOS PAC ID: 9739357377 Enrollment ID: I20110726000178 |
| Provider Name | Ami Negandhi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235306028 PECOS PAC ID: 3971771585 Enrollment ID: I20110727000037 |
| Provider Name | Shail Maingi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114183795 PECOS PAC ID: 2264601350 Enrollment ID: I20110805000518 |
| Provider Name | Robert Harris Dropkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730198706 PECOS PAC ID: 4082890603 Enrollment ID: I20110908002008 |
| Provider Name | Susanna Wilde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568570901 PECOS PAC ID: 1951574706 Enrollment ID: I20111024000358 |
| Provider Name | Gaetano M Cristalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740593094 PECOS PAC ID: 8820261597 Enrollment ID: I20111026000274 |
| Provider Name | Jonathan P Teubl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063673960 PECOS PAC ID: 3274706825 Enrollment ID: I20111027000416 |
| Provider Name | Jasvir Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457507980 PECOS PAC ID: 2365615739 Enrollment ID: I20111031000251 |
| Provider Name | Kerry Strnad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124101894 PECOS PAC ID: 1850564741 Enrollment ID: I20111110000108 |
| Provider Name | Mary Anne Jadlos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215129564 PECOS PAC ID: 2466628508 Enrollment ID: I20111220000661 |
| Provider Name | Farah Fatima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598926438 PECOS PAC ID: 6305004730 Enrollment ID: I20120215000052 |
| Provider Name | Tanveer A Sultan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093812505 PECOS PAC ID: 9537320072 Enrollment ID: I20120411000106 |
| Provider Name | Christopher M Hessick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811130313 PECOS PAC ID: 8325209588 Enrollment ID: I20120416000058 |
| Provider Name | Sinda K Tomy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033348610 PECOS PAC ID: 4385891621 Enrollment ID: I20120822000048 |
| Provider Name | Yelena S Zack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386802965 PECOS PAC ID: 4981851235 Enrollment ID: I20120822000209 |
| Provider Name | Rakhee L Ippili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215192653 PECOS PAC ID: 4183895246 Enrollment ID: I20120912000039 |
| Provider Name | David L Colman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487889994 PECOS PAC ID: 3476701517 Enrollment ID: I20120917000011 |
| Provider Name | Shoaib Arif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801035985 PECOS PAC ID: 6709910466 Enrollment ID: I20120928000667 |
| Provider Name | Balasukanya Balaraman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891815270 PECOS PAC ID: 0840344115 Enrollment ID: I20121025000056 |
| Provider Name | Melissa A Breault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083971493 PECOS PAC ID: 1052562311 Enrollment ID: I20121114000066 |
| Provider Name | Jeffrey A Reynante |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902086184 PECOS PAC ID: 4880847888 Enrollment ID: I20121226000002 |
| Provider Name | David T Khot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619101698 PECOS PAC ID: 6608021571 Enrollment ID: I20130226000074 |
| Provider Name | Amelia A Ciccarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831443027 PECOS PAC ID: 5092950782 Enrollment ID: I20130329000165 |
| Provider Name | Scott W Rogge |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306813142 PECOS PAC ID: 8820187776 Enrollment ID: I20130404000323 |
| Provider Name | Allen S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265738637 PECOS PAC ID: 1052557162 Enrollment ID: I20130416000450 |
| Provider Name | John Harry Lagonikos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598052557 PECOS PAC ID: 4981841228 Enrollment ID: I20130506000381 |
| Provider Name | Christopher D. Sakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407068141 PECOS PAC ID: 7416040043 Enrollment ID: I20130528000250 |
| Provider Name | Mara L Zink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780922948 PECOS PAC ID: 4789824699 Enrollment ID: I20130717000010 |
| Provider Name | Benjamin R Hodson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003136235 PECOS PAC ID: 8426290396 Enrollment ID: I20130806000819 |
| Provider Name | Naeem Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396059366 PECOS PAC ID: 1557504255 Enrollment ID: I20130828000469 |
| Provider Name | Allison S Liss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396086815 PECOS PAC ID: 0042453391 Enrollment ID: I20130905000549 |
| Provider Name | Richard Thomas Bauer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306126552 PECOS PAC ID: 6103069885 Enrollment ID: I20130926000001 |
| Provider Name | John Laldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467766352 PECOS PAC ID: 6709010796 Enrollment ID: I20131007000110 |
| Provider Name | Gregory C Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497075485 PECOS PAC ID: 6305070251 Enrollment ID: I20131008000450 |
| Provider Name | Mohammed S Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942524962 PECOS PAC ID: 3971737420 Enrollment ID: I20131016000989 |
| Provider Name | Abimbola Olowo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295990588 PECOS PAC ID: 7517034614 Enrollment ID: I20131024002026 |
| Provider Name | Allison Anne Ceci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790118883 PECOS PAC ID: 9537395967 Enrollment ID: I20131113001379 |
| Provider Name | Siham Elkouachi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568773570 PECOS PAC ID: 7416183405 Enrollment ID: I20131121001451 |
| Provider Name | Mark Matthew Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336460823 PECOS PAC ID: 8729214358 Enrollment ID: I20131203002129 |
| Provider Name | Mustafain Meghani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053540351 PECOS PAC ID: 8325087778 Enrollment ID: I20131218000253 |
| Provider Name | Shean L Barrett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568780922 PECOS PAC ID: 2264669001 Enrollment ID: I20131226000400 |
| Provider Name | Laura E Maciariello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730420969 PECOS PAC ID: 3971742792 Enrollment ID: I20140109000529 |
| Provider Name | Rabin Rai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326335761 PECOS PAC ID: 8022274927 Enrollment ID: I20140128001307 |
| Provider Name | Dipti L Bhoiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750515961 PECOS PAC ID: 8921237355 Enrollment ID: I20140206000657 |
| Provider Name | Darryl Arquero Aliggayu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982923116 PECOS PAC ID: 0446406979 Enrollment ID: I20140206000869 |
| Provider Name | Jodi L Falardeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811254667 PECOS PAC ID: 2668601980 Enrollment ID: I20140208000288 |
| Provider Name | Diana M Stulc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225002165 PECOS PAC ID: 9133162860 Enrollment ID: I20140212001157 |
| Provider Name | Ned Okarter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457679037 PECOS PAC ID: 0345470894 Enrollment ID: I20140228000190 |
| Provider Name | Zothanmawii Khiangte |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730122375 PECOS PAC ID: 4284632076 Enrollment ID: I20140310000994 |
| Provider Name | Joseph M Seguel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962652867 PECOS PAC ID: 1557592003 Enrollment ID: I20140326000390 |
| Provider Name | Sesha Patel Berman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265738017 PECOS PAC ID: 6507026762 Enrollment ID: I20140326002284 |
| Provider Name | Mahalakshmi Devarakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508190307 PECOS PAC ID: 4486803244 Enrollment ID: I20140416000907 |
| Provider Name | Danielle I Petrone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134422322 PECOS PAC ID: 0244453421 Enrollment ID: I20140515000004 |
| Provider Name | Carlos A Navarro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528373198 PECOS PAC ID: 9739302563 Enrollment ID: I20140527000020 |
| Provider Name | Arismendy Nunez Garcia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1013236330 PECOS PAC ID: 3971726639 Enrollment ID: I20140527001235 |
| Provider Name | Rahshon Muhammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194148650 PECOS PAC ID: 5193949964 Enrollment ID: I20140617002330 |
| Provider Name | Hope G Raggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932536356 PECOS PAC ID: 4183849466 Enrollment ID: I20140630000035 |
| Provider Name | Jessica A Halse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194081489 PECOS PAC ID: 6305062373 Enrollment ID: I20140728002191 |
| Provider Name | Arthur K Gran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689945206 PECOS PAC ID: 3678799459 Enrollment ID: I20140731001131 |
| Provider Name | Johnson Pereira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396064341 PECOS PAC ID: 6103078670 Enrollment ID: I20140731002837 |
| Provider Name | Scott W Newton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467771444 PECOS PAC ID: 4082831599 Enrollment ID: I20140806002599 |
| Provider Name | Amanda J Crosier-riffle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033345004 PECOS PAC ID: 5597982017 Enrollment ID: I20140807000221 |
| Provider Name | Ryan M Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558568170 PECOS PAC ID: 3173740909 Enrollment ID: I20140819000034 |
| Provider Name | Anne S Renteria |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306008701 PECOS PAC ID: 4082857321 Enrollment ID: I20140827001973 |
| Provider Name | Kaylee I Fiedler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437497427 PECOS PAC ID: 6608011879 Enrollment ID: I20140828001001 |
| Provider Name | Elizabeth A Marshall |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427210541 PECOS PAC ID: 5597983460 Enrollment ID: I20140908000074 |
| Provider Name | Kenneth E Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891119053 PECOS PAC ID: 2668695495 Enrollment ID: I20141020001085 |
| Provider Name | Jacquelyn Mclean Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639185416 PECOS PAC ID: 4688895154 Enrollment ID: I20141027000817 |
| Provider Name | Lindsay J Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003220724 PECOS PAC ID: 1951623248 Enrollment ID: I20141121001556 |
| Provider Name | Maureen E Murphy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336569128 PECOS PAC ID: 3173742665 Enrollment ID: I20141205000014 |
| Provider Name | Mahrouf Musah Yusif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366743452 PECOS PAC ID: 4486836012 Enrollment ID: I20141209000044 |
| Provider Name | Tarekul Haque Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306924303 PECOS PAC ID: 5496703415 Enrollment ID: I20141211000670 |
| Provider Name | Chrystal D Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811281587 PECOS PAC ID: 3678895174 Enrollment ID: I20141212000919 |
| Provider Name | Pooja M Kayi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407018393 PECOS PAC ID: 7315187648 Enrollment ID: I20141212001629 |
| Provider Name | Elizabeth Devereux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360635 PECOS PAC ID: 1254654304 Enrollment ID: I20141223000137 |
| Provider Name | Mandy Beth Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386049385 PECOS PAC ID: 9335462241 Enrollment ID: I20141230000998 |
| Provider Name | Kevin L King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528464070 PECOS PAC ID: 5092038828 Enrollment ID: I20141230002054 |
| Provider Name | Rachel Baerga Duperoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508167628 PECOS PAC ID: 7719120237 Enrollment ID: I20150114000870 |
| Provider Name | Daniel A Marra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801202858 PECOS PAC ID: 0547584716 Enrollment ID: I20150116000121 |
| Provider Name | Ronald H Sumter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922260058 PECOS PAC ID: 9234314923 Enrollment ID: I20150123000098 |
| Provider Name | Christopher R Macaluso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063626695 PECOS PAC ID: 4587763800 Enrollment ID: I20150220001214 |
| Provider Name | Judy A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669884243 PECOS PAC ID: 7810115839 Enrollment ID: I20150225001306 |
| Provider Name | Roberto Jose Arias Gautreaux |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013312826 PECOS PAC ID: 2466778337 Enrollment ID: I20150312000373 |
| Provider Name | Racheal M Paige |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780099192 PECOS PAC ID: 8022334846 Enrollment ID: I20150313000063 |
| Provider Name | Kathleen B Kay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275530511 PECOS PAC ID: 0244125185 Enrollment ID: I20150321000126 |
| Provider Name | Allison J Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760799985 PECOS PAC ID: 3072831072 Enrollment ID: I20150422001344 |
| Provider Name | Anna Santoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750470738 PECOS PAC ID: 9537224787 Enrollment ID: I20150423001329 |
| Provider Name | Reena Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811955594 PECOS PAC ID: 7315122280 Enrollment ID: I20150425000432 |
| Provider Name | Ehson Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528351715 PECOS PAC ID: 3870813611 Enrollment ID: I20150519002274 |
| Provider Name | Bhavna Sehgal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548583412 PECOS PAC ID: 3375783228 Enrollment ID: I20150522001156 |
| Provider Name | Michal Kaczor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710148614 PECOS PAC ID: 8224205109 Enrollment ID: I20150610000428 |
| Provider Name | Lindsey Nicole Greenough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609259894 PECOS PAC ID: 7810202785 Enrollment ID: I20150820012436 |
| Provider Name | Rafia Ishfaq Chaudhry |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790090439 PECOS PAC ID: 4587887575 Enrollment ID: I20150827000079 |
| Provider Name | Keisha Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912231812 PECOS PAC ID: 1153632419 Enrollment ID: I20150902001243 |
| Provider Name | Ahsan A Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780979682 PECOS PAC ID: 0840507687 Enrollment ID: I20150911000365 |
| Provider Name | Ronnie F Luyun |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346291960 PECOS PAC ID: 8820039779 Enrollment ID: I20150925002080 |
| Provider Name | Carol Hennessy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508892993 PECOS PAC ID: 4587972294 Enrollment ID: I20150930000182 |
| Provider Name | Gloria Ethier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801155494 PECOS PAC ID: 8325356918 Enrollment ID: I20151001000190 |
| Provider Name | Alina Nazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558626309 PECOS PAC ID: 0749598969 Enrollment ID: I20151007001892 |
| Provider Name | Tristan S Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346403268 PECOS PAC ID: 4082883244 Enrollment ID: I20151022000680 |
| Provider Name | Vishwala P Kasbekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649539180 PECOS PAC ID: 0345559555 Enrollment ID: I20151028002012 |
| Provider Name | Nabil Mahfoudhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104118710 PECOS PAC ID: 8628224748 Enrollment ID: I20151109001453 |
| Provider Name | Dina Gottesman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982009775 PECOS PAC ID: 5395045504 Enrollment ID: I20151119001828 |
| Provider Name | Muhammad Ihsan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114210309 PECOS PAC ID: 7810297801 Enrollment ID: I20151123002674 |
| Provider Name | Latif A Salam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174883755 PECOS PAC ID: 1658671417 Enrollment ID: I20151130001471 |
| Provider Name | Christina Sanders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811142532 PECOS PAC ID: 7214171982 Enrollment ID: I20151211000571 |
| Provider Name | Dan Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093145658 PECOS PAC ID: 0345470001 Enrollment ID: I20151214001723 |
| Provider Name | Jennifer M Eldor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821355488 PECOS PAC ID: 6406157437 Enrollment ID: I20151217000209 |
| Provider Name | Timothy R Waters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083813885 PECOS PAC ID: 9638326556 Enrollment ID: I20160107002485 |
| Provider Name | Steven Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679833305 PECOS PAC ID: 2264734011 Enrollment ID: I20160111001538 |
| Provider Name | Nadine Kalavazoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881941441 PECOS PAC ID: 0840422903 Enrollment ID: I20160126001790 |
| Provider Name | Erin K Clausi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306273875 PECOS PAC ID: 0648573360 Enrollment ID: I20160129000188 |
| Provider Name | Brigitte Edwige Bekan-homawoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871858787 PECOS PAC ID: 2668775388 Enrollment ID: I20160203000091 |
| Provider Name | Rajmayur P Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629156153 PECOS PAC ID: 0244534295 Enrollment ID: I20160211000882 |
| Provider Name | Bruce Frederick Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407895741 PECOS PAC ID: 6103983671 Enrollment ID: I20160229001569 |
| Provider Name | Syed R Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992748701 PECOS PAC ID: 0840220380 Enrollment ID: I20160307000470 |
| Provider Name | Tabasum Nazir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992055750 PECOS PAC ID: 2769788181 Enrollment ID: I20160311000256 |
| Provider Name | Rushin Nalin Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033531546 PECOS PAC ID: 6406078187 Enrollment ID: I20160316000834 |
| Provider Name | Biana Volfinzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952664351 PECOS PAC ID: 5092011007 Enrollment ID: I20160316001794 |
| Provider Name | Naveed Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487896452 PECOS PAC ID: 5597062430 Enrollment ID: I20160321001815 |
| Provider Name | Willa Delliere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174888929 PECOS PAC ID: 5496052953 Enrollment ID: I20160328002054 |
| Provider Name | Katri B. Noble-johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881988699 PECOS PAC ID: 0244537348 Enrollment ID: I20160404001287 |
| Provider Name | Ashley Rose Knutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942683297 PECOS PAC ID: 9133427123 Enrollment ID: I20160407000210 |
| Provider Name | Pang Lam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639497183 PECOS PAC ID: 6901119262 Enrollment ID: I20160415000438 |
| Provider Name | Catherine Ann Lesson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846806 PECOS PAC ID: 4789982950 Enrollment ID: I20160421000812 |
| Provider Name | Deepa A Malieckal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841516309 PECOS PAC ID: 2062702012 Enrollment ID: I20160602001614 |
| Provider Name | Leshaun Angmor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063874550 PECOS PAC ID: 8729379144 Enrollment ID: I20160615000888 |
| Provider Name | Alexandria Adele Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205281102 PECOS PAC ID: 6002107737 Enrollment ID: I20160627002208 |
| Provider Name | Seth Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922038363 PECOS PAC ID: 5496785990 Enrollment ID: I20160708000102 |
| Provider Name | Frank Farrell Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053674994 PECOS PAC ID: 3870885833 Enrollment ID: I20160712001468 |
| Provider Name | Donald Bringley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735146 PECOS PAC ID: 0042503021 Enrollment ID: I20160728000922 |
| Provider Name | Ehizode Udevbulu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477984631 PECOS PAC ID: 3678887635 Enrollment ID: I20160823002179 |
| Provider Name | Angel Peng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013354208 PECOS PAC ID: 5193011716 Enrollment ID: I20160908001069 |
| Provider Name | Paresh Mane |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811010903 PECOS PAC ID: 8224266242 Enrollment ID: I20160913001702 |
| Provider Name | Mary E. Dufort |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447510292 PECOS PAC ID: 5890082937 Enrollment ID: I20160917000207 |
| Provider Name | Maureen Ann Wroblewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215480751 PECOS PAC ID: 4284921255 Enrollment ID: I20160920001632 |
| Provider Name | Brijesh K Tantuwaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144355520 PECOS PAC ID: 2163719493 Enrollment ID: I20160929001466 |
| Provider Name | Samantha L Lucca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316329006 PECOS PAC ID: 6103114186 Enrollment ID: I20161006000871 |
| Provider Name | Chaithanya Pamidimukala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023459633 PECOS PAC ID: 8123316072 Enrollment ID: I20161010002180 |
| Provider Name | Frederick Griffiths |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215373600 PECOS PAC ID: 5991021669 Enrollment ID: I20161014001547 |
| Provider Name | Faiyaz Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447542832 PECOS PAC ID: 8628356714 Enrollment ID: I20161024002736 |
| Provider Name | Bushra Iftikhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376941757 PECOS PAC ID: 9830477512 Enrollment ID: I20161101000124 |
| Provider Name | Ali M Hussein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245509835 PECOS PAC ID: 1850679382 Enrollment ID: I20161103000581 |
| Provider Name | Tristan D Petrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548604507 PECOS PAC ID: 5395024798 Enrollment ID: I20161107002179 |
| Provider Name | Rebekah Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386198133 PECOS PAC ID: 1456630896 Enrollment ID: I20161108000817 |
| Provider Name | Jolanta J Libura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205190535 PECOS PAC ID: 3375795255 Enrollment ID: I20161111000994 |
| Provider Name | Nathan Graber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780619213 PECOS PAC ID: 0042599953 Enrollment ID: I20161117000562 |
| Provider Name | Carrie Gordon-stacey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588904320 PECOS PAC ID: 2961781612 Enrollment ID: I20161121000606 |
| Provider Name | Michelle Dana Marella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215290176 PECOS PAC ID: 0143509836 Enrollment ID: I20161121001889 |
| Provider Name | Khaled Al Alwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558701524 PECOS PAC ID: 8325335177 Enrollment ID: I20161122001548 |
| Provider Name | Meaghan A Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789783 PECOS PAC ID: 3274813548 Enrollment ID: I20161201002046 |
| Provider Name | Ronnie Tom Oommen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548581887 PECOS PAC ID: 8325289077 Enrollment ID: I20161216001599 |
| Provider Name | Jonathan Daich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518306505 PECOS PAC ID: 5193006591 Enrollment ID: I20161222001423 |
| Provider Name | Mohammed A Makkiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679916605 PECOS PAC ID: 0345521167 Enrollment ID: I20170110000008 |
| Provider Name | Jennifer N Kean-schmitt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841734399 PECOS PAC ID: 9234410069 Enrollment ID: I20170110000476 |
| Provider Name | Jennifer Dewolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754632 PECOS PAC ID: 4789966227 Enrollment ID: I20170118001972 |
| Provider Name | Haroon Kamran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083971816 PECOS PAC ID: 7517241128 Enrollment ID: I20170227002440 |
| Provider Name | Tarpan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609154418 PECOS PAC ID: 9830473917 Enrollment ID: I20170309001649 |
| Provider Name | Jose E Orsini |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639495179 PECOS PAC ID: 8820272511 Enrollment ID: I20170313001340 |
| Provider Name | Amanda Michelle Stahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942479019 PECOS PAC ID: 8628353620 Enrollment ID: I20170313002054 |
| Provider Name | Samantha Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285070144 PECOS PAC ID: 9335424936 Enrollment ID: I20170322001635 |
| Provider Name | Niraj Sinha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275812299 PECOS PAC ID: 7416232046 Enrollment ID: I20170322002689 |
| Provider Name | Christina Rawana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376986760 PECOS PAC ID: 1153636246 Enrollment ID: I20170327001809 |
| Provider Name | Garry Durosier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003128109 PECOS PAC ID: 1052509726 Enrollment ID: I20170524000262 |
| Provider Name | Lori Anne Caruso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770552309 PECOS PAC ID: 2466729033 Enrollment ID: I20170602000221 |
| Provider Name | William Kostun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457320061 PECOS PAC ID: 0345517918 Enrollment ID: I20170602000298 |
| Provider Name | Sarah A Slader-waldorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508892 PECOS PAC ID: 1456628866 Enrollment ID: I20170606000479 |
| Provider Name | Alan Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811926264 PECOS PAC ID: 5991072340 Enrollment ID: I20170606002390 |
| Provider Name | Jeffrey Yash |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255316980 PECOS PAC ID: 3577831155 Enrollment ID: I20170623000083 |
| Provider Name | Shelby Robertson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508302522 PECOS PAC ID: 0143599647 Enrollment ID: I20170626002821 |
| Provider Name | Elizabeth Yoxthimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417989153 PECOS PAC ID: 6103195664 Enrollment ID: I20170627002208 |
| Provider Name | Erin Lin Elkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285822452 PECOS PAC ID: 9739458084 Enrollment ID: I20170630000646 |
| Provider Name | Anwarul Haq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437131042 PECOS PAC ID: 3870650252 Enrollment ID: I20170712003008 |
| Provider Name | Kerrith Rock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053340414 PECOS PAC ID: 7416227921 Enrollment ID: I20170717001169 |
| Provider Name | Jennifer Aiossa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417983578 PECOS PAC ID: 5991075459 Enrollment ID: I20170717003126 |
| Provider Name | Ericka Matzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083141295 PECOS PAC ID: 0749550622 Enrollment ID: I20170726000477 |
| Provider Name | Rosann Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285087320 PECOS PAC ID: 8820379399 Enrollment ID: I20170801000683 |
| Provider Name | Debra Griner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891227757 PECOS PAC ID: 6901177807 Enrollment ID: I20170811000736 |
| Provider Name | Disha C Spath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760743777 PECOS PAC ID: 6709028418 Enrollment ID: I20170814002409 |
| Provider Name | Thomas Chattathil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457795197 PECOS PAC ID: 7012289572 Enrollment ID: I20170817001972 |
| Provider Name | Heather Denise Lydecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992124440 PECOS PAC ID: 1951673185 Enrollment ID: I20170822003256 |
| Provider Name | Brittany Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518408624 PECOS PAC ID: 4688947229 Enrollment ID: I20170905000025 |
| Provider Name | Elena Theodosiou |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1891730982 PECOS PAC ID: 5092788216 Enrollment ID: I20170913001180 |
| Provider Name | Nina Statile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144746793 PECOS PAC ID: 9133492127 Enrollment ID: I20170913003957 |
| Provider Name | Pierre J Gonsalves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275793101 PECOS PAC ID: 0345437976 Enrollment ID: I20170920001707 |
| Provider Name | Richa Sharma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710291562 PECOS PAC ID: 6103190665 Enrollment ID: I20170921002063 |
| Provider Name | Melissa D Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629508767 PECOS PAC ID: 7719252691 Enrollment ID: I20171003004248 |
| Provider Name | Robert Aksel Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285047746 PECOS PAC ID: 3375800782 Enrollment ID: I20171120001195 |
| Provider Name | Christine Denison Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205206174 PECOS PAC ID: 4385944370 Enrollment ID: I20171206001764 |
| Provider Name | Michael S Steinberg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902801566 PECOS PAC ID: 7517927791 Enrollment ID: I20171214002005 |
| Provider Name | Selma Kerri Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760994156 PECOS PAC ID: 9739449778 Enrollment ID: I20180212001704 |
| Provider Name | Lynn Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578016333 PECOS PAC ID: 1456611292 Enrollment ID: I20180215002761 |
| Provider Name | Jason D Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598185522 PECOS PAC ID: 5991066656 Enrollment ID: I20180221001938 |
| Provider Name | Geethapriya Rajasekaran Rathnakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255738258 PECOS PAC ID: 0749541753 Enrollment ID: I20180307001140 |
| Provider Name | Luqman Salahudeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487087193 PECOS PAC ID: 2466713318 Enrollment ID: I20180309001820 |
| Provider Name | Melanie Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972001170 PECOS PAC ID: 3375805591 Enrollment ID: I20180327002127 |
| Provider Name | Nancy J Sterantino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851491740 PECOS PAC ID: 4284997248 Enrollment ID: I20180405000019 |
| Provider Name | David Steck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558452979 PECOS PAC ID: 8628331683 Enrollment ID: I20180405000057 |
| Provider Name | Katherine Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881766996 PECOS PAC ID: 5092078725 Enrollment ID: I20180411001897 |
| Provider Name | Christina Conigliaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477060648 PECOS PAC ID: 9032472600 Enrollment ID: I20180412001029 |
| Provider Name | Richard Peralta Hernandez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154690972 PECOS PAC ID: 0345504312 Enrollment ID: I20180430001049 |
| Provider Name | Julia Marie Leroux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689026908 PECOS PAC ID: 9830479468 Enrollment ID: I20180430001374 |
| Provider Name | Jeanne Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619477171 PECOS PAC ID: 4981968781 Enrollment ID: I20180502002231 |
| Provider Name | James M Belarmino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649447897 PECOS PAC ID: 0941371710 Enrollment ID: I20180509002707 |
| Provider Name | Melissa Seaman Feltman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366956906 PECOS PAC ID: 4183988504 Enrollment ID: I20180510000773 |
| Provider Name | Jennifer Higgins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467482059 PECOS PAC ID: 1557626272 Enrollment ID: I20180530002844 |
| Provider Name | Robert T Adrah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629499785 PECOS PAC ID: 5294081691 Enrollment ID: I20180627001016 |
| Provider Name | Kyle Erick Kilts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063849974 PECOS PAC ID: 7012263346 Enrollment ID: I20180628002753 |
| Provider Name | James Richard Winston Cozens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487048740 PECOS PAC ID: 3173870581 Enrollment ID: I20180717001036 |
| Provider Name | Aurea De Los Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497084636 PECOS PAC ID: 0648527556 Enrollment ID: I20180724002511 |
| Provider Name | Samantha Schock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225487077 PECOS PAC ID: 8224385919 Enrollment ID: I20180726001813 |
| Provider Name | Roxanne Kay Heath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780791525 PECOS PAC ID: 6002163706 Enrollment ID: I20180726002428 |
| Provider Name | Patricia Bradt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548755440 PECOS PAC ID: 3779831276 Enrollment ID: I20180731001645 |
| Provider Name | Kyla Rae Garand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856278 PECOS PAC ID: 3577811363 Enrollment ID: I20180810001325 |
| Provider Name | Lulu Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396003562 PECOS PAC ID: 2769771591 Enrollment ID: I20180815004007 |
| Provider Name | Mary Grace Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992282875 PECOS PAC ID: 0143579193 Enrollment ID: I20180823002935 |
| Provider Name | Jijin Thomas Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952695421 PECOS PAC ID: 7315260445 Enrollment ID: I20180904003064 |
| Provider Name | Ryan K Dean |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679960751 PECOS PAC ID: 0244580264 Enrollment ID: I20180912000785 |
| Provider Name | Shannon N Engwer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558757906 PECOS PAC ID: 6103176136 Enrollment ID: I20180912001460 |
| Provider Name | Najiib Azad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396186433 PECOS PAC ID: 2567751068 Enrollment ID: I20180912003676 |
| Provider Name | Michael Logsdon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669855235 PECOS PAC ID: 3072864271 Enrollment ID: I20180927002039 |
| Provider Name | Jessica Leigh Mccoy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962896449 PECOS PAC ID: 4082965082 Enrollment ID: I20181001000669 |
| Provider Name | Tanner William Boes |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1013351477 PECOS PAC ID: 5496981391 Enrollment ID: I20181009002617 |
| Provider Name | Faraj Kargoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295122638 PECOS PAC ID: 9032461611 Enrollment ID: I20181009003058 |
| Provider Name | Oliver Patrick Archibald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174508105 PECOS PAC ID: 8022197169 Enrollment ID: I20181010001591 |
| Provider Name | Todd Richard Bater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477877942 PECOS PAC ID: 9133471253 Enrollment ID: I20181017002336 |
| Provider Name | Katherine Ann Scullin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336588052 PECOS PAC ID: 4880837582 Enrollment ID: I20181024002114 |
| Provider Name | Kayode Odutayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790118875 PECOS PAC ID: 2567756992 Enrollment ID: I20181114000931 |
| Provider Name | Mian Mansoor Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184960452 PECOS PAC ID: 3173757101 Enrollment ID: I20181121000684 |
| Provider Name | Kristen Anne Decelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780160549 PECOS PAC ID: 9032463419 Enrollment ID: I20181121002285 |
| Provider Name | Randolph Eamonn Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902127228 PECOS PAC ID: 7012133341 Enrollment ID: I20181129002832 |
| Provider Name | Mohammad Yunus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861796153 PECOS PAC ID: 9436322963 Enrollment ID: I20181206002635 |
| Provider Name | Shakil A Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932527058 PECOS PAC ID: 0749408524 Enrollment ID: I20181211002711 |
| Provider Name | Usman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356774491 PECOS PAC ID: 2769727106 Enrollment ID: I20181213000425 |
| Provider Name | Kleanthis Theodoropoulos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710394325 PECOS PAC ID: 5092059998 Enrollment ID: I20190108002511 |
| Provider Name | Sandra Sanderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477956167 PECOS PAC ID: 1951647023 Enrollment ID: I20190110000528 |
| Provider Name | Kiki Markham Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790253763 PECOS PAC ID: 7810233863 Enrollment ID: I20190111000454 |
| Provider Name | Talin Mcbride |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568499143 PECOS PAC ID: 4688910524 Enrollment ID: I20190114001390 |
| Provider Name | Margret Haff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154386175 PECOS PAC ID: 1557607413 Enrollment ID: I20190114001980 |
| Provider Name | Sara Posdzich |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821563479 PECOS PAC ID: 7012254675 Enrollment ID: I20190122000506 |
| Provider Name | Steven Lau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619350303 PECOS PAC ID: 9739426057 Enrollment ID: I20190124002370 |
| Provider Name | Aliza Stack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255369930 PECOS PAC ID: 8426047341 Enrollment ID: I20190125000539 |
| Provider Name | Michael Sebastian |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225066137 PECOS PAC ID: 6002153210 Enrollment ID: I20190125002381 |
| Provider Name | Rachel Michelle Easterwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285052613 PECOS PAC ID: 1456699867 Enrollment ID: I20190211000992 |
| Provider Name | Gail Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174935902 PECOS PAC ID: 2769720556 Enrollment ID: I20190221001256 |
| Provider Name | Janet H Guilfoyle-case |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366555443 PECOS PAC ID: 0547509275 Enrollment ID: I20190225001714 |
| Provider Name | Maureen P Flaherty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619922853 PECOS PAC ID: 5991044588 Enrollment ID: I20190226001060 |
| Provider Name | Jessica Logozzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578029153 PECOS PAC ID: 7719227495 Enrollment ID: I20190315000057 |
| Provider Name | Korey Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902362627 PECOS PAC ID: 1557602406 Enrollment ID: I20190403001069 |
| Provider Name | Alexis Erin Michele Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326506122 PECOS PAC ID: 6204177942 Enrollment ID: I20190408001221 |
| Provider Name | Sudeep Jabaraj Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821203589 PECOS PAC ID: 5496818064 Enrollment ID: I20190425001709 |
| Provider Name | Anthony E Addesa |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538186119 PECOS PAC ID: 7214080993 Enrollment ID: I20190507000388 |
| Provider Name | Riju Banerjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417343674 PECOS PAC ID: 1850638107 Enrollment ID: I20190603001570 |
| Provider Name | Behrouz Ferdosiannajafabadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992183446 PECOS PAC ID: 0547506594 Enrollment ID: I20190612000468 |
| Provider Name | Suchet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285012211 PECOS PAC ID: 6002140084 Enrollment ID: I20190625001944 |
| Provider Name | Valerie Ann Keville |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437636156 PECOS PAC ID: 8527393958 Enrollment ID: I20190708002324 |
| Provider Name | Amanda Jane Bylsma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053976993 PECOS PAC ID: 4385979277 Enrollment ID: I20190715002866 |
| Provider Name | Nicole Anderson Aguirre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538455480 PECOS PAC ID: 8527395292 Enrollment ID: I20190805001248 |
| Provider Name | Sanjay Sekar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417310772 PECOS PAC ID: 0446594808 Enrollment ID: I20190806001211 |
| Provider Name | Lindsay M Lachant |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649604331 PECOS PAC ID: 8820325202 Enrollment ID: I20190807002905 |
| Provider Name | Meaghan Patricia Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497316921 PECOS PAC ID: 7517294929 Enrollment ID: I20190808000205 |
| Provider Name | Stephen Franco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487018024 PECOS PAC ID: 6709121288 Enrollment ID: I20190808003417 |
| Provider Name | Brittany Lynn Intrieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629639869 PECOS PAC ID: 6800123050 Enrollment ID: I20190809001743 |
| Provider Name | Mariah Lache Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144880188 PECOS PAC ID: 4082941182 Enrollment ID: I20190813001038 |
| Provider Name | Ajaz M Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043484736 PECOS PAC ID: 8628136124 Enrollment ID: I20190814001076 |
| Provider Name | Dashardra Louise Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811436744 PECOS PAC ID: 1153697370 Enrollment ID: I20190814002700 |
| Provider Name | Catherine S Pfeiffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649664970 PECOS PAC ID: 3274871561 Enrollment ID: I20190816000068 |
| Provider Name | Evan R Kraus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699718221 PECOS PAC ID: 2668422262 Enrollment ID: I20190830002726 |
| Provider Name | Deidra C Knauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679139075 PECOS PAC ID: 1456680339 Enrollment ID: I20190903002588 |
| Provider Name | Amina Mookshah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174928758 PECOS PAC ID: 9931466554 Enrollment ID: I20190917002681 |
| Provider Name | Erin Kathryn Student |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043866346 PECOS PAC ID: 2466782412 Enrollment ID: I20190918001377 |
| Provider Name | David Kotlyar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245527670 PECOS PAC ID: 8325327950 Enrollment ID: I20191004000101 |
| Provider Name | Tammy Lee Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679790406 PECOS PAC ID: 8426389438 Enrollment ID: I20191004002767 |
| Provider Name | Nathan Bryce Mahany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861735854 PECOS PAC ID: 0143461012 Enrollment ID: I20191010000701 |
| Provider Name | Tara A Burke-muscatello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316599863 PECOS PAC ID: 1951632595 Enrollment ID: I20191011000753 |
| Provider Name | Brian M Salata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174919559 PECOS PAC ID: 3375875404 Enrollment ID: I20191023000213 |
| Provider Name | Andrew Joseph Castellano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457709578 PECOS PAC ID: 4789976143 Enrollment ID: I20191025000176 |
| Provider Name | Heather Marie Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497306526 PECOS PAC ID: 3678805579 Enrollment ID: I20191025001815 |
| Provider Name | Marguerite A Sein Ohn Saith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497702534 PECOS PAC ID: 0244288546 Enrollment ID: I20191030002615 |
| Provider Name | Ashok A Ramani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619330396 PECOS PAC ID: 2668710609 Enrollment ID: I20191111000240 |
| Provider Name | Melanie Ecung Deyss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720379803 PECOS PAC ID: 8921309204 Enrollment ID: I20191115001063 |
| Provider Name | Tai Ho Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932546082 PECOS PAC ID: 8628315181 Enrollment ID: I20191118001654 |
| Provider Name | Alphonse Akuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497252845 PECOS PAC ID: 0345583605 Enrollment ID: I20191118002852 |
| Provider Name | Kelly Lynne Hearne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003468273 PECOS PAC ID: 9335571967 Enrollment ID: I20191119002580 |
| Provider Name | Evan Joye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407242696 PECOS PAC ID: 9133466329 Enrollment ID: I20191120002954 |
| Provider Name | Muhammad Kafeel Sarwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013389030 PECOS PAC ID: 5496092512 Enrollment ID: I20191125000816 |
| Provider Name | Mukund Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831552397 PECOS PAC ID: 1254764665 Enrollment ID: I20191125002061 |
| Provider Name | Joan Marie Killeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064275 PECOS PAC ID: 0042643249 Enrollment ID: I20191202001376 |
| Provider Name | Priyadarshan Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104947662 PECOS PAC ID: 8527128594 Enrollment ID: I20191202001447 |
| Provider Name | Natacha Rigual Wood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902272099 PECOS PAC ID: 1456697358 Enrollment ID: I20191205001490 |
| Provider Name | Alexander Scott Weller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295120848 PECOS PAC ID: 6002171030 Enrollment ID: I20191209001389 |
| Provider Name | Luay Mrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922449115 PECOS PAC ID: 8123262888 Enrollment ID: I20191218002192 |
| Provider Name | Ahmad Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275087728 PECOS PAC ID: 7315371978 Enrollment ID: I20200107002462 |
| Provider Name | Deborah Joanne D'amico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235601428 PECOS PAC ID: 3274967831 Enrollment ID: I20200107002726 |
| Provider Name | Giuseppe Ragonese |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093288300 PECOS PAC ID: 3274968474 Enrollment ID: I20200116001077 |
| Provider Name | Ahmad Alkhalil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629355904 PECOS PAC ID: 1254653710 Enrollment ID: I20200116001702 |
| Provider Name | Marco Nagy Kamel Kaldas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962891051 PECOS PAC ID: 7012295793 Enrollment ID: I20200129002929 |
| Provider Name | Joni Ann Goldberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528628187 PECOS PAC ID: 9931535374 Enrollment ID: I20200204000982 |
| Provider Name | Casey William White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841677333 PECOS PAC ID: 3476890757 Enrollment ID: I20200302002089 |
| Provider Name | Alexandria Jill Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598956591 PECOS PAC ID: 8325211394 Enrollment ID: I20200304002528 |
| Provider Name | Nicole R Humiston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033749049 PECOS PAC ID: 8820426646 Enrollment ID: I20200310000690 |
| Provider Name | Heather Lynn Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922634757 PECOS PAC ID: 5294164158 Enrollment ID: I20200330000493 |
| Provider Name | Priyanka Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164954244 PECOS PAC ID: 4789928102 Enrollment ID: I20200501001708 |
| Provider Name | Alexis Joanna Disilvestro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033439690 PECOS PAC ID: 6709027279 Enrollment ID: I20200506002502 |
| Provider Name | Benjamin Frank Villarreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841722774 PECOS PAC ID: 0840535050 Enrollment ID: I20200608000224 |
| Provider Name | Aschley M Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346880671 PECOS PAC ID: 0648691105 Enrollment ID: I20200609001563 |
| Provider Name | Tonusri Nag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235587551 PECOS PAC ID: 3870915218 Enrollment ID: I20200612000811 |
| Provider Name | Cristina Calderon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205368594 PECOS PAC ID: 6204175896 Enrollment ID: I20200714001219 |
| Provider Name | Vikram Verma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427346204 PECOS PAC ID: 4284058579 Enrollment ID: I20200720002113 |
| Provider Name | Margaret M Galvez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417430018 PECOS PAC ID: 2365796786 Enrollment ID: I20200728000138 |
| Provider Name | Md Rezaul Hoque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316467723 PECOS PAC ID: 4082039680 Enrollment ID: I20200729003335 |
| Provider Name | Matthew J Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881057230 PECOS PAC ID: 9436440344 Enrollment ID: I20200806002531 |
| Provider Name | Usman K Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225483092 PECOS PAC ID: 2860737079 Enrollment ID: I20200812001478 |
| Provider Name | Nazia Rais Alam Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881116895 PECOS PAC ID: 2365868593 Enrollment ID: I20200818002339 |
| Provider Name | Hau Chan Chieng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902290315 PECOS PAC ID: 2860739281 Enrollment ID: I20200827003656 |
| Provider Name | Amanda Marie Benacquisto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902424443 PECOS PAC ID: 8224455415 Enrollment ID: I20200902002200 |
| Provider Name | Amy Van Amburgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972111854 PECOS PAC ID: 7911325592 Enrollment ID: I20200914001909 |
| Provider Name | Anjan Marella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871025007 PECOS PAC ID: 7113263880 Enrollment ID: I20200915000269 |
| Provider Name | Joshua A Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765843 PECOS PAC ID: 6103244744 Enrollment ID: I20200915001244 |
| Provider Name | Albin Mammen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871029777 PECOS PAC ID: 4183042534 Enrollment ID: I20200916001855 |
| Provider Name | Brittany Nora Center |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194346718 PECOS PAC ID: 9335567544 Enrollment ID: I20200918001718 |
| Provider Name | Kelsey Ann Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700249414 PECOS PAC ID: 0446598999 Enrollment ID: I20200918002456 |
| Provider Name | Tracy J Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497380786 PECOS PAC ID: 8628497690 Enrollment ID: I20200925000442 |
| Provider Name | Courtney M Falconer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326663915 PECOS PAC ID: 5799104428 Enrollment ID: I20200930001250 |
| Provider Name | Oksana Better |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558841668 PECOS PAC ID: 7113346586 Enrollment ID: I20201005000499 |
| Provider Name | Stephanie Kathleen Dulay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669099750 PECOS PAC ID: 1951721695 Enrollment ID: I20201019000190 |
| Provider Name | Steven Gu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861927493 PECOS PAC ID: 6608286539 Enrollment ID: I20201104002954 |
| Provider Name | Helen Cha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760913461 PECOS PAC ID: 4284044827 Enrollment ID: I20201110000940 |
| Provider Name | Virginie Auguste |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164832614 PECOS PAC ID: 4981979309 Enrollment ID: I20201118001696 |
| Provider Name | Audrey Kate Bonk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619575172 PECOS PAC ID: 3870904006 Enrollment ID: I20201119001984 |
| Provider Name | Rachel Anne Milleville |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477935518 PECOS PAC ID: 3476869595 Enrollment ID: I20201214002848 |
| Provider Name | Kimberly M Domalewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114449030 PECOS PAC ID: 0042622185 Enrollment ID: I20201215001834 |
| Provider Name | Sarah L Prior |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790242410 PECOS PAC ID: 6305258294 Enrollment ID: I20201217002015 |
| Provider Name | Cassandra Rose Wilmot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114520152 PECOS PAC ID: 5395157010 Enrollment ID: I20201221002727 |
| Provider Name | Katherine R Hiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790306579 PECOS PAC ID: 0244642908 Enrollment ID: I20201222001448 |
| Provider Name | Brian Donald Conway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699209106 PECOS PAC ID: 5698012029 Enrollment ID: I20210311001545 |
| Provider Name | Sarah G Cagino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356735716 PECOS PAC ID: 1658617402 Enrollment ID: I20210312002198 |
| Provider Name | Elizabeth Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245346972 PECOS PAC ID: 7517374283 Enrollment ID: I20210324001832 |
| Provider Name | Dawn M Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538721071 PECOS PAC ID: 2860809373 Enrollment ID: I20210330001298 |
| Provider Name | Roberto Joaquin Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508461179 PECOS PAC ID: 0840608022 Enrollment ID: I20210428001767 |
| Provider Name | Muhammed S Saif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396276697 PECOS PAC ID: 5698005502 Enrollment ID: I20210519002311 |
| Provider Name | Sos Nalghranyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740684646 PECOS PAC ID: 9830463538 Enrollment ID: I20210527003114 |
| Provider Name | Sarah Morgan Fealey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366026692 PECOS PAC ID: 7719386218 Enrollment ID: I20210603002678 |
| Provider Name | Maria Louise Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740866086 PECOS PAC ID: 4587066212 Enrollment ID: I20210716001948 |
| Provider Name | Angad Madan |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1205217924 PECOS PAC ID: 9537461801 Enrollment ID: I20210806001195 |
| Provider Name | Kamal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962866756 PECOS PAC ID: 8527301431 Enrollment ID: I20210809001681 |
| Provider Name | Alyson Ann Florek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053989152 PECOS PAC ID: 6608271440 Enrollment ID: I20210817003886 |
| Provider Name | Sohail Imran Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124137393 PECOS PAC ID: 1658388335 Enrollment ID: I20210902002662 |
| Provider Name | Kyle Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952996548 PECOS PAC ID: 8628474384 Enrollment ID: I20210902003218 |
| Provider Name | Ada Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134897259 PECOS PAC ID: 7113323486 Enrollment ID: I20210913000316 |
| Provider Name | Mischelle Lynne Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811666316 PECOS PAC ID: 5294132908 Enrollment ID: I20210923000278 |
| Provider Name | Ravi Jyotindra Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720515547 PECOS PAC ID: 3072910405 Enrollment ID: I20210927003029 |
| Provider Name | Mfon Bassey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275131583 PECOS PAC ID: 6507264595 Enrollment ID: I20211005002776 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477221208 PECOS PAC ID: 6507254646 Enrollment ID: I20211022001078 |
| Provider Name | Josephine Pineda Dela Cruz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437410099 PECOS PAC ID: 2769753474 Enrollment ID: I20211025000389 |
| Provider Name | Chandler Countryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215509104 PECOS PAC ID: 4688062508 Enrollment ID: I20211026003131 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700311743 PECOS PAC ID: 1254678212 Enrollment ID: I20211028002499 |
| Provider Name | Roberto Cerrud Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811346919 PECOS PAC ID: 4385032721 Enrollment ID: I20211103003081 |
| Provider Name | Anish Y Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104321140 PECOS PAC ID: 8820332281 Enrollment ID: I20211108001706 |
| Provider Name | Meaghan Elizabeth Mulligan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275771446 PECOS PAC ID: 7315337656 Enrollment ID: I20211201000689 |
| Provider Name | Bryson L Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215693148 PECOS PAC ID: 8921498718 Enrollment ID: I20211210000101 |
| Provider Name | Arismendy E Perez Tavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215441225 PECOS PAC ID: 9133526098 Enrollment ID: I20211214003075 |
| Provider Name | Bethany Lynne Grimes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508524232 PECOS PAC ID: 8123410529 Enrollment ID: I20220114001905 |
| Provider Name | Holly Denise Payne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225399322 PECOS PAC ID: 0648428508 Enrollment ID: I20220118001994 |
| Provider Name | Alex Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306310644 PECOS PAC ID: 5597002220 Enrollment ID: I20220129000051 |
| Provider Name | Raheel Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932605375 PECOS PAC ID: 4082951256 Enrollment ID: I20220221000185 |
| Provider Name | Jasper Yuen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346900362 PECOS PAC ID: 5294129656 Enrollment ID: I20220301000244 |
| Provider Name | Ajay Mitter |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1174587307 PECOS PAC ID: 2264434158 Enrollment ID: I20220307002107 |
| Provider Name | Nalini Kalanadhabhatta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346746609 PECOS PAC ID: 4880931187 Enrollment ID: I20220309001834 |
| Provider Name | Emamuzo O Otobo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932601580 PECOS PAC ID: 9638564305 Enrollment ID: I20220315002230 |
| Provider Name | Munir Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033548839 PECOS PAC ID: 9830487370 Enrollment ID: I20220330001204 |
| Provider Name | Katelyn Rose Stack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588329502 PECOS PAC ID: 3678969383 Enrollment ID: I20220406000622 |
| Provider Name | Aleksandra Braun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598257032 PECOS PAC ID: 2769878966 Enrollment ID: I20220414001264 |
| Provider Name | Maria Seabaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649768490 PECOS PAC ID: 4082959333 Enrollment ID: I20220421000244 |
| Provider Name | Virginia L. Bourdeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407031289 PECOS PAC ID: 9739576570 Enrollment ID: I20220427000128 |
| Provider Name | Jodi Lynn Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609521145 PECOS PAC ID: 6002293040 Enrollment ID: I20220513000921 |
| Provider Name | Abdel Azim Bayoumy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942402243 PECOS PAC ID: 4183706609 Enrollment ID: I20220526000330 |
| Provider Name | Sahar Bilal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235667940 PECOS PAC ID: 8022349471 Enrollment ID: I20220607002687 |
| Provider Name | Victoria Shim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750886347 PECOS PAC ID: 5799021341 Enrollment ID: I20220622001258 |
| Provider Name | Achuta K Guddati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457639312 PECOS PAC ID: 2860664307 Enrollment ID: I20220629000498 |
| Provider Name | Laura Planche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659800969 PECOS PAC ID: 2668852344 Enrollment ID: I20220712002550 |
| Provider Name | Ahad Abid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316500176 PECOS PAC ID: 0042543340 Enrollment ID: I20220801001500 |
| Provider Name | Brooke Lamparello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992199392 PECOS PAC ID: 9739425604 Enrollment ID: I20220804001677 |
| Provider Name | Sukant Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588639454 PECOS PAC ID: 6608890751 Enrollment ID: I20220808000133 |
| Provider Name | Elena Louie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114589090 PECOS PAC ID: 6709269509 Enrollment ID: I20220811000889 |
| Provider Name | Caitlin Wood Parrott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083006936 PECOS PAC ID: 0941546840 Enrollment ID: I20220811001137 |
| Provider Name | Jillian Haley Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255077558 PECOS PAC ID: 5890178479 Enrollment ID: I20220815001127 |
| Provider Name | Ngan Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336887587 PECOS PAC ID: 2567846256 Enrollment ID: I20220830000447 |
| Provider Name | Stephanie Ann Blakey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093441974 PECOS PAC ID: 1153707203 Enrollment ID: I20220928000131 |
| Provider Name | Andrew J Seier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528529807 PECOS PAC ID: 9931436375 Enrollment ID: I20220928001686 |
| Provider Name | Amy Iris Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194463398 PECOS PAC ID: 3971989542 Enrollment ID: I20221005001069 |
| Provider Name | Kazi Shamima Afrin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679035059 PECOS PAC ID: 8820474364 Enrollment ID: I20221006000392 |
| Provider Name | Zachary Paul Reilly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255876082 PECOS PAC ID: 7315272705 Enrollment ID: I20221020003391 |
| Provider Name | Shivangi Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740843317 PECOS PAC ID: 6002282563 Enrollment ID: I20221025001380 |
| Provider Name | Yaritza Serrano Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376030015 PECOS PAC ID: 6507192531 Enrollment ID: I20221025001846 |
| Provider Name | Anaquel Raquel Mwapaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255061420 PECOS PAC ID: 8820464308 Enrollment ID: I20221025002214 |
| Provider Name | Amy J Nistico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043948151 PECOS PAC ID: 4082080411 Enrollment ID: I20221026000866 |
| Provider Name | Farhan Qayyum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578126322 PECOS PAC ID: 0840525499 Enrollment ID: I20221031001861 |
| Provider Name | Raynata Adia Ramkhelawan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891358461 PECOS PAC ID: 1456728625 Enrollment ID: I20221031002587 |
| Provider Name | Elizabeth Loccisano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679298921 PECOS PAC ID: 6204205487 Enrollment ID: I20221209001874 |
| Provider Name | Maya Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295453454 PECOS PAC ID: 8921477068 Enrollment ID: I20221212001200 |
| Provider Name | Divis Khaira |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285637298 PECOS PAC ID: 7810981727 Enrollment ID: I20221214000745 |
| Provider Name | Ashika Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306554324 PECOS PAC ID: 2062881774 Enrollment ID: I20221219001978 |
| Provider Name | Zarish Umar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699150839 PECOS PAC ID: 2860743432 Enrollment ID: I20221228001061 |
| Provider Name | Shaina Iraida Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386354785 PECOS PAC ID: 9638549017 Enrollment ID: I20221229000242 |
| Provider Name | Rose Beery Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063882629 PECOS PAC ID: 2062882459 Enrollment ID: I20221229000825 |
| Provider Name | Ryan Dennis Cuff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114289675 PECOS PAC ID: 3375832009 Enrollment ID: I20230103000953 |
| Provider Name | Luz Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164154803 PECOS PAC ID: 2860862802 Enrollment ID: I20230109000075 |
| Provider Name | Jennifer M Brady |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013367267 PECOS PAC ID: 8921392184 Enrollment ID: I20230112000818 |
| Provider Name | Achyata Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700445996 PECOS PAC ID: 2961870399 Enrollment ID: I20230227000414 |
| Provider Name | Alvin Anand Krishna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669905717 PECOS PAC ID: 5890112551 Enrollment ID: I20230418000150 |
| Provider Name | Andrew Greenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215636824 PECOS PAC ID: 2365807518 Enrollment ID: I20230424001250 |
| Provider Name | Mazin Shaikhoun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144780214 PECOS PAC ID: 5395074934 Enrollment ID: I20230607002724 |
| Provider Name | James William Dreer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952938631 PECOS PAC ID: 4082036884 Enrollment ID: I20230714001470 |
| Provider Name | Shantanu Baghel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134610983 PECOS PAC ID: 5092058636 Enrollment ID: I20230719001688 |
| Provider Name | Brendan Patrick Ruddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346945656 PECOS PAC ID: 5890156087 Enrollment ID: I20230803004349 |
| Provider Name | Rebecca Emery Lytle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831875566 PECOS PAC ID: 2860853850 Enrollment ID: I20230808000505 |
| Provider Name | Ramon Anel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467547711 PECOS PAC ID: 2769377423 Enrollment ID: I20230808003729 |
| Provider Name | Nicola A Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174308225 PECOS PAC ID: 4385099092 Enrollment ID: I20231016003527 |
| Provider Name | Kaikei Cho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528142924 PECOS PAC ID: 6406758952 Enrollment ID: I20231101000329 |
| Provider Name | Osman Varol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831719905 PECOS PAC ID: 9234585811 Enrollment ID: I20231102002249 |
| Provider Name | Usamah Faisal Simjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841750783 PECOS PAC ID: 1850621780 Enrollment ID: I20231103000158 |
| Provider Name | Cheyenne Alicia Serra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780254649 PECOS PAC ID: 7719334358 Enrollment ID: I20231103001665 |
| Provider Name | Brandon Murguia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821325770 PECOS PAC ID: 0941422828 Enrollment ID: I20231108002521 |
| Provider Name | Julio A Miranda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063552008 PECOS PAC ID: 1759697857 Enrollment ID: I20231116001206 |
| Provider Name | Hany Eskarous |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790285203 PECOS PAC ID: 3375946023 Enrollment ID: I20231122000802 |
| Provider Name | Abdullah Alsakka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326567629 PECOS PAC ID: 4284045618 Enrollment ID: I20231130000807 |
| Provider Name | Yvonne Michael Etowa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861003246 PECOS PAC ID: 6204285794 Enrollment ID: I20231208002676 |
| Provider Name | Hannah Lynn Hulett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942083142 PECOS PAC ID: 3173973344 Enrollment ID: I20231229002316 |
| Provider Name | Kelly Esosa Uwoghiren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306200159 PECOS PAC ID: 1557789765 Enrollment ID: I20240129000571 |
| Provider Name | Matthew Murphy Castine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346608403 PECOS PAC ID: 2961855218 Enrollment ID: I20240202000758 |
| Provider Name | Kathryn Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497523385 PECOS PAC ID: 6608211883 Enrollment ID: I20240227003551 |
| Provider Name | Dilman Kaur Natt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700405966 PECOS PAC ID: 3678929965 Enrollment ID: I20240301002152 |
| Provider Name | Janaye Michelle Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124898580 PECOS PAC ID: 1951749654 Enrollment ID: I20240401000971 |
| Provider Name | Gina Michelle Schwarz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720652597 PECOS PAC ID: 8325487754 Enrollment ID: I20240418002195 |
| Provider Name | Syeda R Khwaja |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063837433 PECOS PAC ID: 2961843008 Enrollment ID: I20240507003822 |
Upstate Physician Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 5th Ave, Suite 110, Troy, NY 12180 Phone: 518-687-1960 Fax: 518-687-1970 | |
Dr. Shaik Ubaid Medical Practice, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2231 Burdett Ave Ste 280, Troy, NY 12180 Phone: 518-272-4601 Fax: 518-272-4600 | |
Coral Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 5th Ave, Troy, NY 12182 Phone: 518-414-5421 | |
Samaritan Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 1st St, 3e, Troy, NY 12180 Phone: 518-326-0095 | |
Amc Neuro Group Troy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 New Hampshire Ave, Troy, NY 12180 Phone: 518-274-1947 | |
Ashley Bennerson Lcsw Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Mcchesney Ave Ext Apt 15-9, Troy, NY 12180 Phone: 315-350-7002 |