Samantha Lee Martinez, APN | |
1 W Ridgewood Ave Ste 302, Paramus, NJ 07652-2361 | |
(201) 975-5363 | |
Not Available |
Full Name | Samantha Lee Martinez |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 1 W Ridgewood Ave Ste 302, Paramus, 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 |
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1194567305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 26NJ15081200 (New Jersey) | Primary |
Entity Name | Aesthetic And Reconstructive Therapies Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316278658 PECOS PAC ID: 6406984616 Enrollment ID: O20100510000191 |
Mailing Address | Practice Location Address |
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Samantha Lee Martinez, APN 149 Main St Apt 314, Hackensack, NJ 07601-7371 Ph: (201) 723-0969 | Samantha Lee Martinez, APN 1 W Ridgewood Ave Ste 302, Paramus, NJ 07652-2361 Ph: (201) 975-5363 |
Yongsoon Ko, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 E. Ridgewood Ave, Bergen Regional Medical Center, Paramus, NJ 07652 Phone: 201-207-9557 Fax: 201-784-1136 | |
Kitsa Evangelis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 E Rte 4 Ste 490, Paramus, NJ 07652 Phone: 201-389-1285 Fax: 201-445-4195 | |
Mrs. Althea Doreen Brown, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 E Ridgewood Ave, Paramus, NJ 07652 Phone: 201-967-4000 | |
Manjinder Kaur, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 E Ridgewood Ave, Paramus, NJ 07652 Phone: 201-212-3111 | |
Bernard Favarato Perutti, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 W Ridgewood Ave, Paramus, NJ 07652 Phone: 201-652-1950 | |
Mrs. Catherine Kim, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Forest Ave, Paramus, NJ 07652 Phone: 201-490-5158 | |
Elizabeth Heydt, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Sears Dr, Paramus, NJ 07652 Phone: 201-830-2287 |