| Alla Katseva,md,llc | |
|
561 Cranbury Rd Suite M East Brunswick NJ 08816-5400 | |
| (732) 238-8200 | |
| (732) 651-6500 |
| Full Name | Alla Katseva,md,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 561 Cranbury Rd, East Brunswick, New Jersey |
| Authorized Official Name and Position | Alla Katseva (PHYSICIAN) |
| Authorized Official Contact | 7322388200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alla Katseva,md,llc Po Box 58 East Brunswick NJ 08816-0058 Ph: (732) 238-8200 | Alla Katseva,md,llc 561 Cranbury Rd Suite M East Brunswick NJ 08816-5400 Ph: (732) 238-8200 |
| NPI Number | 1598062796 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 7315129798 |
|---|---|
| Medicare Enrollment ID | O20110307000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598062796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25 MA07544800 (New Jersey) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | 25MA07544800 (New Jersey) | Primary |
| Provider Name | Alla Katseva |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871547950 PECOS PAC ID: 2769450535 Enrollment ID: I20040920000685 |
| Provider Name | Irina Efraimovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124348354 PECOS PAC ID: 3173783669 Enrollment ID: I20120320000706 |
| Provider Name | Ann Dalton Bagchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063935641 PECOS PAC ID: 4385906833 Enrollment ID: I20180320003170 |
| Provider Name | Gloria Tuazon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265933493 PECOS PAC ID: 1557624715 Enrollment ID: I20180423000257 |
| Provider Name | Rosemarie Encinas Gozum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053870881 PECOS PAC ID: 4486987971 Enrollment ID: I20191126000715 |
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