Jennifer Goonetilleke, | |
51 Roseland Ave Apt 18, Caldwell, NJ 07006-5923 | |
(551) 486-6363 | |
Not Available |
Full Name | Jennifer Goonetilleke |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 51 Roseland Ave Apt 18, Caldwell, 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 |
---|---|---|---|
1437535226 | NPI | - | NPPES |
0674184 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 25MP00408700 (New Jersey) | Primary |
363A00000X | Physician Assistant | 9004287 (New York) | Secondary |
Mailing Address | Practice Location Address |
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Jennifer Goonetilleke, 51 Roseland Ave Apt 18, Caldwell, NJ 07006-5923 Ph: () - | Jennifer Goonetilleke, 51 Roseland Ave Apt 18, Caldwell, NJ 07006-5923 Ph: (551) 486-6363 |
Jessica Bracamonte, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16 Personette St, Caldwell, NJ 07006 Phone: 862-926-8478 | |
Mrs. Yael Deborah Gottlieb, MD Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Westville Ave, Caldwell, NJ 07006 Phone: 973-228-6866 Fax: 973-228-4133 |