Ms Vody Elaine Vincent, | |
2742 Alice Ter, Union, NJ 07083-4103 | |
(908) 708-3618 | |
(862) 205-2477 |
Full Name | Ms Vody Elaine Vincent |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2742 Alice Ter, Union, 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 |
---|---|---|---|
1013059575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01343900 (New Jersey) | Primary |
163W00000X | Registered Nurse | 26NO11343600 (New Jersey) | Secondary |
Entity Name | Lost Souls Recovery, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386160448 PECOS PAC ID: 2860892627 Enrollment ID: O20210616000045 |
Mailing Address | Practice Location Address |
---|---|
Ms Vody Elaine Vincent, 2742 Alice Ter, Union, NJ 07083-4103 Ph: (908) 708-3618 | Ms Vody Elaine Vincent, 2742 Alice Ter, Union, NJ 07083-4103 Ph: (908) 708-3618 |
Dr. Daniel D Okoro, DNP, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 North Ave, Union, NJ 07083 Phone: 908-355-5500 Fax: 908-355-5502 | |
Lateef Ajanaku-makun, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1577 Ridgeway St, Union, NJ 07083 Phone: 973-342-1160 | |
Rosalyn Abraham, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 856 Mitchell Ave, Union, NJ 07083 Phone: 908-964-4357 | |
Janelle Rebustes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 871 Garden St, Union, NJ 07083 Phone: 973-489-0196 | |
Jose Polanco, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 Jensen Ln, Union, NJ 07083 Phone: 973-725-4078 | |
Mrs. Delia Yakubov, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Galloping Hill Rd Ste 201, Union, NJ 07083 Phone: 908-522-6400 Fax: 908-964-2169 |