Kelcey Mar, | |
44 State Rt 23 Ste 6, Riverdale, NJ 07457-1603 | |
(973) 248-9199 | |
Not Available |
Full Name | Kelcey Mar |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 44 State Rt 23 Ste 6, Riverdale, 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 |
---|---|---|---|
1831802875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 350533 (New York) | Primary |
Entity Name | Four Season Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447785316 PECOS PAC ID: 1850666819 Enrollment ID: O20171019001338 |
Mailing Address | Practice Location Address |
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Kelcey Mar, 44 State Rt 23 Ste 6, Riverdale, NJ 07457-1603 Ph: (973) 248-9199 | Kelcey Mar, 44 State Rt 23 Ste 6, Riverdale, NJ 07457-1603 Ph: (973) 248-9199 |
Mr. Abdelhakim Aizel, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 65 Post Ln Apt C, Riverdale, NJ 07457 Phone: 310-622-2211 | |
Julie Kim, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 State Rt 23 Ste 7, Riverdale, NJ 07457 Phone: 973-248-1550 | |
Prabjeet Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 State Rt 23 Ste 6, Riverdale, NJ 07457 Phone: 973-248-9199 Fax: 973-248-9299 | |
Sue Ellen Rose, RN NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 Hamburg Tpke Ste B, Riverdale, NJ 07457 Phone: 973-696-6687 Fax: 833-488-1216 |