Miriam Johnson, FNP | |
101 Eisenhower Pkwy Ste 300, Unit 3247, Roseland, NJ 07068 | |
(862) 438-3692 | |
Not Available |
Full Name | Miriam Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 101 Eisenhower Pkwy Ste 300, Unit 3247, Roseland, 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 |
---|---|---|---|
1346894565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1105533 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ00935900 (New Jersey) | Primary |
Entity Name | Capital Health Multispecialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083072342 PECOS PAC ID: 1850689894 Enrollment ID: O20161007000162 |
Entity Name | Careathome Medical Practice (nj) |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659974301 PECOS PAC ID: 1052727120 Enrollment ID: O20210517000225 |
Entity Name | New Jersey Medical Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994598 PECOS PAC ID: 1052719473 Enrollment ID: O20211014002054 |
Entity Name | Ambrosia Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033896774 PECOS PAC ID: 2365802386 Enrollment ID: O20230721000752 |
Mailing Address | Practice Location Address |
---|---|
Miriam Johnson, FNP 172 Fela Dr, Cinnaminson, NJ 08077-1588 Ph: (862) 438-3692 | Miriam Johnson, FNP 101 Eisenhower Pkwy Ste 300, Unit 3247, Roseland, NJ 07068 Ph: (862) 438-3692 |
Ms. Diana L. Spangenberg, A.P.N.-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Adp Blvd, Medical Department, Roseland, NJ 07068 Phone: 973-974-5901 | |
Nahyr Massiel Felix, GNP,BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 189 Eagle Rock Ave, Roseland, NJ 07068 Phone: 973-980-0195 Fax: 973-774-1920 | |
Nidhi Mittal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 Liberty Way, Roseland, NJ 07068 Phone: 646-428-5161 | |
Julie Ann Traupman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 189 Eagle Rock Ave, Roseland, NJ 07068 Phone: 973-226-3359 |