Dorota Mironiuk, NP-C | |
17 Reagan Way, Kinnelon, NJ 07405-2738 | |
(201) 819-8900 | |
Not Available |
Full Name | Dorota Mironiuk |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 17 Reagan Way, Kinnelon, 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 |
---|---|---|---|
1477178424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | AG06200073 (New Jersey) | Primary |
Entity Name | Xbody Health & Wellness Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417340068 PECOS PAC ID: 8123346608 Enrollment ID: O20150413002029 |
Mailing Address | Practice Location Address |
---|---|
Dorota Mironiuk, NP-C 17 Reagan Way, Kinnelon, NJ 07405-2738 Ph: (201) 819-8900 | Dorota Mironiuk, NP-C 17 Reagan Way, Kinnelon, NJ 07405-2738 Ph: (201) 819-8900 |
Mrs. Susan Boyle, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 71 Lakeside Trl, Kinnelon, NJ 07405 Phone: 973-809-7410 | |
Mrs. Kristen Jensen Campos, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Round Hill Rd, Kinnelon, NJ 07405 Phone: 973-492-1240 | |
Astin Civitano, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Powderhorn Dr, Kinnelon, NJ 07405 Phone: 973-865-7501 |