Diane E Mcclure, CPNP | |
703 Main St, Paterson, NJ 07503-2621 | |
(973) 754-2555 | |
(973) 754-2567 |
Full Name | Diane E Mcclure |
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Gender | Female |
Speciality | Nurse Practitioner - Neonatal, Critical Care |
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 |
---|---|---|---|
1003810755 | NPI | - | NPPES |
0053546 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 26NC07080600 (New Jersey) | Primary |
Entity Name | New Jersey Pediatric Neuroscience Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558503672 PECOS PAC ID: 8123170222 Enrollment ID: O20090721000633 |
Mailing Address | Practice Location Address |
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Diane E Mcclure, CPNP Po Box 32730, Hartford, CT 06150-2730 Ph: (973) 773-0100 | Diane E Mcclure, CPNP 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-2555 |
Susan Mugalu, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-0000 | |
Cynthia Dayrit -demetillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1040 Main St, Paterson, NJ 07503 Phone: 973-782-6615 Fax: 973-782-6618 | |
Mrs. Kathleen Ann Connolly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 393 Main St, Paterson, NJ 07501 Phone: 973-523-6220 Fax: 973-825-7201 | |
Mr. Michael Pasquale, MSN, RN, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-3857 | |
Nidia Ortega, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Park Ave, Paterson, NJ 07504 Phone: 973-684-8138 Fax: 973-684-0032 | |
Kassidy Katona, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Broadway Ste 104, Paterson, NJ 07514 Phone: 973-239-9400 |