Mrs Kerri Elmendorf, | |
30 Prospect Ave, Hackensack, NJ 07601-1915 | |
(551) 996-2000 | |
(551) 996-0859 |
Full Name | Mrs Kerri Elmendorf |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 30 Prospect Ave, Hackensack, 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 |
---|---|---|---|
1275241853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 26NJ01026200 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Entity Name | Hackensack Meridian Health Medical Group - Complex Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154379626 PECOS PAC ID: 0446272298 Enrollment ID: O20060109000000 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kerri Elmendorf, 510 Western Hwy, Blauvelt, NY 10913-2011 Ph: (845) 323-9289 | Mrs Kerri Elmendorf, 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: (551) 996-2000 |
Mrs. Lauren Anne Carucci, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Michael Anthony Williams-healy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Polifly Rd, Hackensack, NJ 07601 Phone: 201-343-6360 | |
Alexandra Schulsinger, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Ms. Elizabth Anne Bilotti, APN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Prospect Ave, The Cancer Center At Hackensack University Medical Ctr., Hackensack, NJ 07601 Phone: 201-996-5900 | |
Mrs. Katherine Elizabth Demarco, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Avenue, Humc, Pain & Palliative Medicine Institute, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Stephanie Akanbi, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2576 | |
Irene Krawczyk, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 |