Claudine Destine, APRN | |
1500 Pleasant Valley Way Ste 305, West Orange, NJ 07052-2956 | |
(862) 658-6700 | |
Not Available |
Full Name | Claudine Destine |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1500 Pleasant Valley Way Ste 305, West Orange, 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 |
---|---|---|---|
1912454927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ00663500 (New Jersey) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00663500 (New Jersey) | Primary |
Entity Name | Newark Community Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539 |
Entity Name | New Jersey Medical Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994598 PECOS PAC ID: 1052719473 Enrollment ID: O20211014002054 |
Mailing Address | Practice Location Address |
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Claudine Destine, APRN 13 W Broad St, Berlin, NJ 08009-1435 Ph: (973) 768-1393 | Claudine Destine, APRN 1500 Pleasant Valley Way Ste 305, West Orange, NJ 07052-2956 Ph: (862) 658-6700 |
Yesica Cano, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-731-9442 | |
Rose Antony, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Brook End Dr, West Orange, NJ 07052 Phone: 973-324-3000 | |
Mr. Justin Ydo, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 776 Northfield Ave Ste 101, West Orange, NJ 07052 Phone: 973-324-2300 | |
Patricia Ann Shorrock, RN,APN,C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Old Short Hills Rd, Suite 211, West Orange, NJ 07052 Phone: 973-736-4430 Fax: 973-736-3733 | |
Mr. Homero Paniagua, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-669-8448 Fax: 973-669-9536 | |
Corine Iwuala, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Mayfair Dr, West Orange, NJ 07052 Phone: 973-866-5350 Fax: 973-381-1634 | |
Michele Colon, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052 Phone: 973-571-2121 |