Kenneth Madueke, | |
404 Kings Ct, Woodbridge, NJ 07095 | |
(862) 235-8270 | |
Not Available |
Full Name | Kenneth Madueke |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 404 Kings Ct, Woodbridge, 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 |
---|---|---|---|
1083155808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ00713300 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Entity Name | Saint James Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225409675 PECOS PAC ID: 7214237916 Enrollment ID: O20151202001808 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Madueke, 404 Kings Ct, Woodbridge, NJ 07095-3860 Ph: (862) 235-8270 | Kenneth Madueke, 404 Kings Ct, Woodbridge, NJ 07095 Ph: (862) 235-8270 |
Joanna Paradiso, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Woodbridge Center Dr, Woodbridge, NJ 07095 Phone: 404-916-6420 | |
Grace Amistoso, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Lock Bag & Woodbrige Ave, E Jersey State Prison Attn Medical Dept, Woodbridge, NJ 07067 Phone: 732-499-5010 | |
Uma Kanti Patidar, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Green St Apt 332, Woodbridge, NJ 07095 Phone: 413-475-0642 | |
Maryam Hamdan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 709 Hoover Way, Woodbridge, NJ 07095 Phone: 732-754-3576 | |
Dr. Margaret Mary Angelique Crofford Constable I, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 676 Amboy Ave, Woodbridge, NJ 07095 Phone: 732-634-4440 Fax: 732-634-0069 | |
Oluwatobi O Adesanlu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 367 Berry St, Woodbridge, NJ 07095 Phone: 973-979-2121 |