Mrs Paulina Mmereole, APN | |
6101 Kennedy Blvd E, Ste 1, West New York, NJ 07093-3902 | |
(201) 448-2804 | |
Not Available |
Full Name | Mrs Paulina Mmereole |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 6101 Kennedy Blvd E, 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 |
---|---|---|---|
1083029656 | NPI | - | NPPES |
0420964 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 26NJ00504700 (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 | Robert Mmereole Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588105910 PECOS PAC ID: 5496022360 Enrollment ID: O20170524001684 |
Mailing Address | Practice Location Address |
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Mrs Paulina Mmereole, APN 6101 Kennedy Blvd E, West New York, NJ 07093-3902 Ph: (201) 448-2804 | Mrs Paulina Mmereole, APN 6101 Kennedy Blvd E, Ste 1, West New York, NJ 07093-3902 Ph: (201) 448-2804 |
Nicole Teresa Sanchez, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-210-0200 | |
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 |