Raquel M Mahidashti, DNP | |
44 Sylvan Ave, Suite 2d, Englewood Cliffs, NJ 07632-2426 | |
(201) 585-0957 | |
(201) 585-0902 |
Full Name | Raquel M Mahidashti |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 44 Sylvan Ave, Englewood Cliffs, 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 |
---|---|---|---|
1972573160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NJ00127200 (New Jersey) | Primary |
363LF0000X | Nurse Practitioner - Family | 335056 (New York) | Secondary |
Entity Name | Jersey Irish Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144575739 PECOS PAC ID: 0941451215 Enrollment ID: O20121114000210 |
Entity Name | Ann Kim Md, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235550716 PECOS PAC ID: 2466675830 Enrollment ID: O20140604000053 |
Entity Name | Adam Alex Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215346218 PECOS PAC ID: 3274859376 Enrollment ID: O20150309001553 |
Mailing Address | Practice Location Address |
---|---|
Raquel M Mahidashti, DNP 44 Sylvan Ave, Suite 2d, Englewood Cliffs, NJ 07632-2426 Ph: (201) 585-0957 | Raquel M Mahidashti, DNP 44 Sylvan Ave, Suite 2d, Englewood Cliffs, NJ 07632-2426 Ph: (201) 585-0957 |
Mrs. Jenny Jee Young Hong, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44 Sylvan Ave., Suite 2d, Englewood Cliffs, NJ 07632 Phone: 201-585-0957 Fax: 201-585-0902 | |
Ms. Tina Roy Sadarangani, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Lyncrest Rd, Englewood Cliffs, NJ 07632 Phone: 201-362-6669 | |
Alison M Tagliaferro, DNP, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Sylvan Ave Ste 101a, Englewood Cliffs, NJ 07632 Phone: 201-371-6864 | |
Mrs. Kyoung Sun Baek, APN RPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Sylvan Avenue, Suite D, Englewood Cliffs, NJ 07632 Phone: 201-967-8425 Fax: 201-967-8443 |