Mrs Nicole Fabico Vales-buckwald, CPNP | |
5301 Broadway, West New York, NJ 07093-2622 | |
(201) 866-9320 | |
(201) 866-7588 |
Full Name | Mrs Nicole Fabico Vales-buckwald |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 5301 Broadway, West New York, 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 |
---|---|---|---|
1801069521 | NPI | - | NPPES |
26NN08808600 | Other | NJ | NJ APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 26NN08808600 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Fabico Vales-buckwald, CPNP 12 Mattben Dr, Warren, NJ 07059-7142 Ph: (908) 420-0528 | Mrs Nicole Fabico Vales-buckwald, CPNP 5301 Broadway, West New York, NJ 07093-2622 Ph: (201) 866-9320 |
Nicole Teresa Sanchez, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-210-0200 | |
Mrs. Paulina Mmereole, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6101 Kennedy Blvd E, Ste 1, West New York, NJ 07093 Phone: 201-448-2804 | |
Mrs. Kathleen Nora Cahill, C-APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-866-9320 | |
Danny Tamayo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-293-8823 | |
Dr. Tania Carchi, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 60th St, West New York, NJ 07093 Phone: 201-854-4646 | |
Mrs. Debra Roma-distefano, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-866-9320 | |
Patricia Mary Boyce, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-293-8823 |