Mitalben P Thaliath, APN | |
387 Pompton Ave, Cedar Grove, NJ 07009-1801 | |
(973) 857-2550 | |
Not Available |
Full Name | Mitalben P Thaliath |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 387 Pompton Ave, Cedar Grove, 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 |
---|---|---|---|
1588288914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ00782700 (New Jersey) | Primary |
Entity Name | University Physician Associates Of New Jersey Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760492367 PECOS PAC ID: 9830003417 Enrollment ID: O20031118000289 |
Mailing Address | Practice Location Address |
---|---|
Mitalben P Thaliath, APN 387 Pompton Ave, Cedar Grove, NJ 07009-1801 Ph: (973) 857-2550 | Mitalben P Thaliath, APN 387 Pompton Ave, Cedar Grove, NJ 07009-1801 Ph: (973) 857-2550 |
Shakeerah Monique Lockhart, MSN, FNP-BC, CEN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 387 Pompton Ave, Cedar Grove, NJ 07009 Phone: 201-491-1849 | |
Mr. Christopher Raymond Cannara, AGPCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Carmella Ct, Cedar Grove, NJ 07009 Phone: 973-477-1491 | |
Mrs. Patricia Konstantaros, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Grove Ave, Cedar Grove, NJ 07009 Phone: 862-214-3786 | |
Tiara Perkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 387 Pompton Ave, Cedar Grove, NJ 07009 Phone: 973-857-2550 | |
Fiona Vierneza, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27 Bortic Rd, Cedar Grove, NJ 07009 Phone: 201-674-5209 | |
Miss Michelle C Troope, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 387 Pompton Ave, Cedar Grove, NJ 07009 Phone: 866-389-2727 | |
Carla Pia V Samson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16 Azalea Ln, Cedar Grove, NJ 07009 Phone: 201-993-9922 |