| Alicia M Dias, APRN | |
|
2440 Hamburg Tpke, Wayne, NJ 07470-6226 | |
| (973) 839-3400 | |
| Not Available |
| Full Name | Alicia M Dias |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2440 Hamburg Tpke, Wayne, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255815247 | NPI | - | NPPES |
| 004235900 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7832 (Connecticut) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ15077700 (New Jersey) | Primary |
| Entity Name | Cornell Scott Hill Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia M Dias, APRN 2440 Hamburg Tpke, Wayne, NJ 07470-6226 Ph: (973) 839-3400 | Alicia M Dias, APRN 2440 Hamburg Tpke, Wayne, NJ 07470-6226 Ph: (973) 839-3400 |
Cecilia Ezuduemoih, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Hamburg Tpke, Wayne, NJ 07470 Phone: 862-684-8484 | |
Mrs. Deanna Marie Sanacore, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Hamburg Tpke Ste 107, Wayne, NJ 07470 Phone: 973-870-0777 Fax: 888-465-2135 | |
Yelena Anfibio, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 Hamburg Tpke Ste 202, Wayne, NJ 07470 Phone: 973-595-1809 | |
Jacquelyn Marie Amodeo, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 Hamburg Tpke Ste 205, Wayne, NJ 07470 Phone: 973-389-1800 | |
Tangina B Rahman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Vizcaya Ct, Wayne, NJ 07470 Phone: 973-870-8744 | |
Se Young Oh, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 State Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 | |
Hamida 0 Yaqoobi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2440 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-839-3400 |