Amanda Disomma, | |
703 Main St, Paterson, NJ 07503-2621 | |
(973) 754-2000 | |
Not Available |
Full Name | Amanda Disomma |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 703 Main St, Paterson, 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 |
---|---|---|---|
1477327310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 26NR16955700 (New Jersey) | Primary |
Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
Mailing Address | Practice Location Address |
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Amanda Disomma, 300 Coles St Apt 1008, Jersey City, NJ 07310-1048 Ph: (609) 848-4056 | Amanda Disomma, 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-2000 |
Ms. Dana Fiorito, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2790 Fax: 973-754-2791 | |
Belle Woo, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 Main Street, Paterson, NJ 07503 Phone: 973-754-2000 | |
Hermann N Logang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2500 | |
Vincent Joseph Thomas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Ms. Jennifer Y. Kim, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 877-757-7547 | |
Theodorico Calica, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2790 Fax: 973-754-2791 |