Denise Gorham, | |
1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | |
(908) 273-4300 | |
Not Available |
Full Name | Denise Gorham |
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Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 1 Diamond Hill Rd, Berkeley Heights, 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 |
---|---|---|---|
1457048027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ01434500 (New Jersey) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 26NJ01434500 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Mailing Address | Practice Location Address |
---|---|
Denise Gorham, 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Denise Gorham, 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 |
Jemima Chong, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8991 Fax: 908-673-7391 | |
Chikara Okafor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-273-4300 | |
Mervat Hallon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-673-7157 Fax: 855-865-3168 | |
Evangeline S. Hance, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Road, Berkeley Heights, NJ 07922 Phone: 908-273-4300 | |
Mary Alice Saporito, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922 Phone: 908-273-4300 Fax: 908-219-3011 | |
Mrs. Erin Lahey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922 Phone: 908-277-8880 Fax: 908-277-8796 | |
Tatiana Bovgirya, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Plainfield Ave, Berkeley Heights, NJ 07922 Phone: 347-293-9079 |