Ms Jeslin Justin Mattathil, NP | |
11 Overlook Rd Ste 195, Summit, NJ 07901-3580 | |
(908) 522-6995 | |
(908) 522-5535 |
Full Name | Ms Jeslin Justin Mattathil |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 11 Overlook Rd Ste 195, Summit, 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 |
---|---|---|---|
1568158467 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NJ01468700 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
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Ms Jeslin Justin Mattathil, NP Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Ms Jeslin Justin Mattathil, NP 11 Overlook Rd Ste 195, Summit, NJ 07901-3580 Ph: (908) 522-6995 |
Cynthia E Cross, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 973-971-5595 | |
Elfie Wegner, RN P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Overlook Rd, Summit, NJ 07901 Phone: 973-971-7184 | |
Ms. Danielle Knight, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Overlook Road, Mac Ii Building, Suite Ll 101, Summit, NJ 07901 Phone: 908-522-5900 Fax: 908-522-5544 | |
Darnell Hassan Stith Jr., APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-2000 | |
Amy Lynne Ishak, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 99 Beauvoir Ave, Summit, NJ 07901 Phone: 908-522-5310 | |
Sarah Barnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Springfield Ave, Pulmonary And Allergy Associates, Summit, NJ 07901 Phone: 908-934-0555 Fax: 908-934-0558 | |
Jennifer Lillian O'neill, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33 Overlook Rd Ste 201, Summit, NJ 07901 Phone: 908-522-5040 Fax: 908-522-5041 |