Mr Homero Paniagua, APN | |
1001 Pleasant Valley Way, West Orange, NJ 07052 | |
(973) 669-8448 | |
(973) 669-9536 |
Full Name | Mr Homero Paniagua |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1001 Pleasant Valley Way, West Orange, 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 |
---|---|---|---|
1053700633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ00548000 (New Jersey) | Primary |
Entity Name | Saint Barnabas Multi Specialty |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780632992 PECOS PAC ID: 3072500727 Enrollment ID: O20040427000024 |
Entity Name | Barnabas Health Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Entity Name | Sbmc Provider Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942748983 PECOS PAC ID: 8729344569 Enrollment ID: O20171109003416 |
Mailing Address | Practice Location Address |
---|---|
Mr Homero Paniagua, APN 375 Mount Pleasant Avenue, Suite 250, West Orange, NJ 07052 Ph: (973) 323-1320 | Mr Homero Paniagua, APN 1001 Pleasant Valley Way, West Orange, NJ 07052 Ph: (973) 669-8448 |
Yesica Cano, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-731-9442 | |
Rose Antony, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Brook End Dr, West Orange, NJ 07052 Phone: 973-324-3000 | |
Mr. Justin Ydo, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 776 Northfield Ave Ste 101, West Orange, NJ 07052 Phone: 973-324-2300 | |
Patricia Ann Shorrock, RN,APN,C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Old Short Hills Rd, Suite 211, West Orange, NJ 07052 Phone: 973-736-4430 Fax: 973-736-3733 | |
Corine Iwuala, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Mayfair Dr, West Orange, NJ 07052 Phone: 973-866-5350 Fax: 973-381-1634 | |
Michele Colon, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052 Phone: 973-571-2121 |