Marina Kostyuk, APN | |
890 Mountain Ave, New Providence, NJ 07974-1218 | |
(908) 277-8639 | |
(908) 277-8767 |
Full Name | Marina Kostyuk |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 890 Mountain Ave, 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 |
---|---|---|---|
1336643162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 26NJ00805000 (New Jersey) | Secondary |
363L00000X | Nurse Practitioner | 26NJ00805000 (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 |
---|---|
Marina Kostyuk, APN 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (917) 774-7425 | Marina Kostyuk, APN 890 Mountain Ave, New Providence, NJ 07974-1218 Ph: (908) 277-8639 |
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 | |
Laura Lynn Demaria, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 South St, New Providence, NJ 07974 Phone: 908-673-7505 Fax: 908-464-4159 | |
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 |