Jennifer Demosthene, APN | |
166 Lyons Ave, Newark, NJ 07112-2016 | |
(973) 926-8491 | |
Not Available |
Full Name | Jennifer Demosthene |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 166 Lyons Ave, Newark, 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 |
---|---|---|---|
1013586171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NJ01359200 (New Jersey) | Primary |
163W00000X | Registered Nurse | 26NR20660900 (New Jersey) | Secondary |
Entity Name | Barnabas Health Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Entity Name | Patient Care Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891362364 PECOS PAC ID: 8022413459 Enrollment ID: O20210824001982 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Demosthene, APN 95 Woodside Rd, Maplewood, NJ 07040-1950 Ph: (973) 687-3272 | Jennifer Demosthene, APN 166 Lyons Ave, Newark, NJ 07112-2016 Ph: (973) 926-8491 |
Mr. Michael C Cadorette, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Gateway Ctr Ste 2600, Newark, NJ 07102 Phone: 866-949-0108 | |
Casey Yeonjoo Cho, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6938 | |
Amalia Zuna, DNP, CPNP-AC/PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 | |
Mrs. Kisha Tamara Anderson, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Sabitri Nesbitt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Washington St, Newark, NJ 07102 Phone: 973-622-3900 Fax: 973-622-1698 | |
Marva Monique, Natasha Barbour, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 394 University Ave, Newark, NJ 07102 Phone: 973-877-6171 | |
Debra J Brouwer, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7000 |