Nelly Mildred Addison, | |
253 Gordons Corner Rd, Manalapan, NJ 07726-3357 | |
(866) 389-2727 | |
Not Available |
Full Name | Nelly Mildred Addison |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 253 Gordons Corner Rd, Manalapan, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063095826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F347193 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ01142600 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Peter's University Hospital | New brunswick, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Peter's Healthcare System Physician Associates | 9537337258 | 41 |
Entity Name | Saint Peter's Healthcare System Physician Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548569361 PECOS PAC ID: 9537337258 Enrollment ID: O20110725000726 |
Mailing Address | Practice Location Address |
---|---|
Nelly Mildred Addison, 253 Gordons Corner Rd, Manalapan, NJ 07726-3357 Ph: () - | Nelly Mildred Addison, 253 Gordons Corner Rd, Manalapan, NJ 07726-3357 Ph: (866) 389-2727 |
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