| Mrs Shafiqa Popal, | |
| 
					65 James St, Edison, NJ 08820-3947  | |
| (732) 321-7010 | |
| (732) 654-1584 | 
| Full Name | Mrs Shafiqa Popal | 
|---|---|
| Gender | Female | 
| Speciality | Clinical Nurse Specialist - Adult Health | 
| Location | 65 James St, Edison, 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 | 
|---|---|---|---|
| 1245679869 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 26NJ15002200 (New Jersey) | Secondary | 
| 364SA2200X | Clinical Nurse Specialist - Adult Health | NP23130 (California) | Primary | 
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Shafiqa Popal, 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701-5792 Ph: (732) 807-0877  | Mrs Shafiqa Popal, 65 James St, Edison, NJ 08820-3947 Ph: (732) 321-7010  | 
Maia Cynthia Greene, APRN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 616 Grove Ave, Edison, NJ 08820 Phone: 732-548-6303  | |
Mr. Jimmy Bernardin, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 65 James St, Edison, NJ 08820 Phone: 732-321-7000 Fax: 732-906-4929  | |
Jiao Li, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8606 Hana Rd, Edison, NJ 08817 Phone: 201-280-7915  | |
Ronald Cha, RN, ACNP-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 34-36 Progress St, Suite A-7, Edison, NJ 08820 Phone: 908-769-1440 Fax: 908-769-0945  | |
Mrs. Dolores Prontnicki, PMHCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 65 James St, Edison, NJ 08820 Phone: 732-321-7189 Fax: 732-906-4929  |