Marc Vanillo, | |
110 Rehill Ave, Somerville, NJ 08876-2519 | |
(908) 685-2200 | |
Not Available |
Full Name | Marc Vanillo |
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Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 110 Rehill Ave, Somerville, 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 |
---|---|---|---|
1770286668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 11024787 (Florida) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 26NJ01461700 (New Jersey) | Primary |
Entity Name | Garden State Healthcare Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
Entity Name | Rwjbh Emergency Medicine Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547 |
Mailing Address | Practice Location Address |
---|---|
Marc Vanillo, 6400 Sw 20th Ave Apt 108, Gainesville, FL 32607-3525 Ph: (917) 544-4844 | Marc Vanillo, 110 Rehill Ave, Somerville, NJ 08876-2519 Ph: (908) 685-2200 |
Dr. Nancy Patel, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 E Main St, Somerville, NJ 08876 Phone: 908-458-8700 Fax: 908-458-8701 | |
Ms. Patricia Molinelli, NP, APRN, BC, AOCNS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 West End Avenue, Somerville, NJ 08876 Phone: 908-704-8088 | |
Carol Robertiello, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Rehill Ave, Somerville, NJ 08876 Phone: 908-685-2200 | |
Adam Matthew Kane, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 453 William St, Somerville, NJ 08876 Phone: 908-722-6900 Fax: 908-722-4273 | |
Mrs. Sherri Henry Suozzo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Rehill Ave, Suite 2500, Somerville, NJ 08876 Phone: 908-927-8700 Fax: 908-927-8706 | |
Katherine Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Rehill Ave, Somerville, NJ 08876 Phone: 908-685-2200 Fax: 732-923-2272 | |
Joseph K Kannadan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 Rehill Ave, Somerville, NJ 08876 Phone: 732-585-9035 |