| Back To Health | |
|
136 Saint Paul St Fl 1 Westfield NJ 07090-2145 | |
| (083) 333-9889 | |
| Not Available |
| Full Name | Back To Health |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 136 Saint Paul St Fl 1, Westfield, New Jersey |
| Authorized Official Name and Position | Craig Ira Sorkin (OWNER) |
| Authorized Official Contact | 6099027706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Health 136 Saint Paul St Fl 1 Westfield NJ 07090-2145 Ph: (609) 902-7607 | Back To Health 136 Saint Paul St Fl 1 Westfield NJ 07090-2145 Ph: (083) 333-9889 |
| NPI Number | 1588441232 |
|---|---|
| Provider Enumeration Date | 09/14/2023 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 3072961317 |
|---|---|
| Medicare Enrollment ID | O20231128001671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588441232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Craig Ira Sorkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598025397 PECOS PAC ID: 5193978120 Enrollment ID: I20121226000325 |
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