Anannya Shaji Johny, | |
8 E Grand Ave, Montvale, NJ 07645-2536 | |
(201) 474-5189 | |
Not Available |
Full Name | Anannya Shaji Johny |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8 E Grand Ave, Montvale, 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 |
---|---|---|---|
1356066815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 350053 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ15087300 (New Jersey) | Primary |
Entity Name | North Shore-lij Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942666557 PECOS PAC ID: 3971878901 Enrollment ID: O20171002001431 |
Mailing Address | Practice Location Address |
---|---|
Anannya Shaji Johny, 8 E Grand Ave, Montvale, NJ 07645-2536 Ph: (201) 474-5189 | Anannya Shaji Johny, 8 E Grand Ave, Montvale, NJ 07645-2536 Ph: (201) 474-5189 |
Brittany Connolly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Summit Ave, Montvale, NJ 07645 Phone: 201-775-7000 | |
Grace John, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 E Grand Ave, Montvale, NJ 07645 Phone: 201-775-1153 | |
Janna Josephine Rosario, MS, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Summit Ave, Montvale, NJ 07645 Phone: 201-775-7000 | |
Mrs. Jasmin Rohit Prasad, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99 Spring Valley Rd Unit 402, Montvale, NJ 07645 Phone: 978-387-2252 | |
Katie Lynn Rudy-tomczak, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Summit Ave, Montvale, NJ 07645 Phone: 201-775-7000 | |
Amanda D Rutherford, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 85 Chestnut Ridge Rd, Montvale, NJ 07645 Phone: 201-930-1700 |