Laura Lynn Demaria, APN | |
180 South St, New Providence, NJ 07974-1991 | |
(908) 673-7505 | |
(908) 464-4159 |
Full Name | Laura Lynn Demaria |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 180 South St, New Providence, 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 |
---|---|---|---|
1174803209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 26NN10015900 (New Jersey) | Primary |
Entity Name | Summit Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
Mailing Address | Practice Location Address |
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Laura Lynn Demaria, APN 1 Diamond Hill Rd, 2nd Floor, Berkeley Heights, NJ 07922-2104 Ph: (908) 771-9824 | Laura Lynn Demaria, APN 180 South St, New Providence, NJ 07974-1991 Ph: (908) 673-7505 |
Rodah W Kimani, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 2nd St, New Providence, NJ 07974 Phone: 908-887-2737 | |
Mrs. Mary J Vignali, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 337 Union Ave, New Providence, NJ 07974 Phone: 908-358-5088 | |
Avital Moskowitz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 556 Central Ave, New Providence, NJ 07974 Phone: 908-508-0371 | |
Michael Costanzo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 890 Mountain Avenue, Dermatology - 3rd Fl, New Providence, NJ 07974 Phone: 908-277-8668 Fax: 908-277-8629 | |
Susan A Angelicola, MSN, RNC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 890 Mountain Ave, New Providence, NJ 07974 Phone: 908-277-8799 Fax: 908-608-2376 | |
Heather Lynne Provence, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence, NJ 07974 Phone: 908-277-8900 Fax: 908-508-8919 |