Mr Peter Waran Longa, MSN, APN-C, FNP | |
121 Shelley Dr Ste 2f, Hackettstown, NJ 07840-2530 | |
(908) 642-5417 | |
Not Available |
Full Name | Mr Peter Waran Longa |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 121 Shelley Dr Ste 2f, Hackettstown, 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 |
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1699081547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00288300 (New Jersey) | Primary |
363LF0000X | Nurse Practitioner - Family | 26NJ00288300 (New Jersey) | Secondary |
Entity Name | Wayne Behavioral Service Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487677795 PECOS PAC ID: 8820097561 Enrollment ID: O20061207000159 |
Entity Name | Longa Health Services ,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710689633 PECOS PAC ID: 2668847526 Enrollment ID: O20230405003049 |
Mailing Address | Practice Location Address |
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Mr Peter Waran Longa, MSN, APN-C, FNP 121 Shelley Dr Ste 2f, Hackettstown, NJ 07840-2530 Ph: (908) 916-7179 | Mr Peter Waran Longa, MSN, APN-C, FNP 121 Shelley Dr Ste 2f, Hackettstown, NJ 07840-2530 Ph: (908) 642-5417 |
Jamie Boesch, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 319 Airport Rd, Hackettstown, NJ 07840 Phone: 908-850-0888 | |
Eboni Renee Wyllie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Ridgley St, Hackettstown, NJ 07840 Phone: 347-668-5351 | |
Goulie Barrett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Winchester Ave, Hackettstown, NJ 07840 Phone: 973-420-6340 | |
Elaine Hardy, MS, RN, APN, C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Airport Rd, Hackettstown, NJ 07840 Phone: 908-840-0888 | |
Simone Blount, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 57 Us Highway 46 Ste 201, Hackettstown, NJ 07840 Phone: 908-522-5120 Fax: 908-522-5120 | |
Javier Eirin, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Delbarton Ct, Hackettstown, NJ 07840 Phone: 862-244-7219 | |
Mrs. Louise A Saunders, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Bilby Rd, Suite 305, Hackettstown, NJ 07840 Phone: 908-813-8877 |