Intisar Khalil, APN | |
234 Hamburg Tpke Ste 202, Wayne, NJ 07470-2174 | |
(973) 310-0309 | |
Not Available |
Full Name | Intisar Khalil |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 234 Hamburg Tpke Ste 202, Wayne, 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 |
---|---|---|---|
1760195630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NJ01416700 (New Jersey) | Primary |
Entity Name | St Josephs Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
Mailing Address | Practice Location Address |
---|---|
Intisar Khalil, APN 234 Hamburg Tpke Ste 202, Wayne, NJ 07470-2174 Ph: (973) 310-0309 | Intisar Khalil, APN 234 Hamburg Tpke Ste 202, Wayne, NJ 07470-2174 Ph: (973) 310-0309 |
Cecilia Ezuduemoih, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Hamburg Tpke, Wayne, NJ 07470 Phone: 862-684-8484 | |
Mrs. Deanna Marie Sanacore, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Hamburg Tpke Ste 107, Wayne, NJ 07470 Phone: 973-870-0777 Fax: 888-465-2135 | |
Yelena Anfibio, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 Hamburg Tpke Ste 202, Wayne, NJ 07470 Phone: 973-595-1809 | |
Jacquelyn Marie Amodeo, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 Hamburg Tpke Ste 205, Wayne, NJ 07470 Phone: 973-389-1800 | |
Tangina B Rahman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Vizcaya Ct, Wayne, NJ 07470 Phone: 973-870-8744 | |
Se Young Oh, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1680 State Route 23 Ste 250, Wayne, NJ 07470 Phone: 973-633-1122 Fax: 973-832-7550 | |
Hamida 0 Yaqoobi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2440 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-839-3400 |