Kevin Suttles, | |
293 Passaic St, Passaic, NJ 07055-5803 | |
(973) 916-0002 | |
(973) 371-2543 |
Full Name | Kevin Suttles |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 293 Passaic St, Passaic, 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 |
---|---|---|---|
1164143400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ01343800 (New Jersey) | Primary |
Entity Name | Shah Anuj Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215445127 PECOS PAC ID: 5395006902 Enrollment ID: O20180222001242 |
Mailing Address | Practice Location Address |
---|---|
Kevin Suttles, 293 Passaic St, Passaic, NJ 07055-5803 Ph: (973) 916-0002 | Kevin Suttles, 293 Passaic St, Passaic, NJ 07055-5803 Ph: (973) 916-0002 |
Esther Noble, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 154 Main Ave, Passaic, NJ 07055 Phone: 973-437-3333 | |
Dr. Marie Ann Addesa, APN, D.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 647 Main Ave Ste 202, Passaic, NJ 07055 Phone: 973-778-2300 | |
Cesar Valentin I, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Main Avenue, Passaic, NJ 07055 Phone: 973-458-8000 Fax: 973-458-8425 | |
Mounir Bachiri, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Passaic Ave, Passaic, NJ 07055 Phone: 973-777-8900 | |
Dexter Mata Caldona, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39 Aycrigg Ave, Passaic, NJ 07055 Phone: 973-981-0476 | |
Daiana Guerrero, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Broadway Ste 100, Passaic, NJ 07055 Phone: 973-572-1035 Fax: 973-547-7872 |