| Capital Health Medical Group | |
|
750 Brunswick Ave Trenton NJ 08638-4143 | |
| (609) 394-6273 | |
| (609) 394-6681 |
| Full Name | Capital Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 Brunswick Ave, Trenton, New Jersey |
| Authorized Official Name and Position | Shane Fleming (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6093946273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Health Medical Group 750 Brunswick Ave Trenton NJ 08638-4143 Ph: (609) 394-6273 | Capital Health Medical Group 750 Brunswick Ave Trenton NJ 08638-4143 Ph: (609) 394-6273 |
| NPI Number | 1437516887 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 7618264532 |
|---|---|
| Medicare Enrollment ID | O20160921000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437516887 | NPI | - | NPPES |
| Provider Name | Julia A Hydrusko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649354481 PECOS PAC ID: 5698689248 Enrollment ID: I20031118000143 |
| Provider Name | Timothy H Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336188549 PECOS PAC ID: 4688586290 Enrollment ID: I20040116000945 |
| Provider Name | Victor Iturbides |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366545170 PECOS PAC ID: 0345141511 Enrollment ID: I20040120000424 |
| Provider Name | Lee M Glickman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295702884 PECOS PAC ID: 5597668871 Enrollment ID: I20040202000854 |
| Provider Name | Joseph A Bordieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033135793 PECOS PAC ID: 9436049541 Enrollment ID: I20040319000909 |
| Provider Name | Brad Hoppenfeld |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396773776 PECOS PAC ID: 5193615219 Enrollment ID: I20040319000969 |
| Provider Name | Eric I Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174551071 PECOS PAC ID: 9537154885 Enrollment ID: I20040416001115 |
| Provider Name | Gregg Giannina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285704213 PECOS PAC ID: 8628064441 Enrollment ID: I20040426000233 |
| Provider Name | Thomas Westover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972609899 PECOS PAC ID: 6608866199 Enrollment ID: I20040517000349 |
| Provider Name | Janey B Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326098930 PECOS PAC ID: 0840275285 Enrollment ID: I20040621001233 |
| Provider Name | Mark J Soffer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497722060 PECOS PAC ID: 1850389826 Enrollment ID: I20040923000011 |
| Provider Name | John R Stabile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043344716 PECOS PAC ID: 9032188784 Enrollment ID: I20040929000429 |
| Provider Name | Karen B Giquinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003898610 PECOS PAC ID: 2466412788 Enrollment ID: I20041012000850 |
| Provider Name | Manish Kumar Gugnani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558327221 PECOS PAC ID: 6800856360 Enrollment ID: I20041019000317 |
| Provider Name | Jared B Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093806010 PECOS PAC ID: 2264492818 Enrollment ID: I20041025000009 |
| Provider Name | Robert P Hogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396708632 PECOS PAC ID: 1759346901 Enrollment ID: I20041130000122 |
| Provider Name | Jyoti K Bhatia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881651727 PECOS PAC ID: 9335105139 Enrollment ID: I20041203000309 |
| Provider Name | Gopal R Desai |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104870450 PECOS PAC ID: 0749251007 Enrollment ID: I20041213000116 |
| Provider Name | Andreas Wolf |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073519336 PECOS PAC ID: 5294648143 Enrollment ID: I20050104000325 |
| Provider Name | Rim Al-bezem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629076625 PECOS PAC ID: 4385692284 Enrollment ID: I20050107000119 |
| Provider Name | Linda M Bartleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669449195 PECOS PAC ID: 5890745020 Enrollment ID: I20050126000328 |
| Provider Name | Rajashree Anandakrishnan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861562688 PECOS PAC ID: 2567413438 Enrollment ID: I20050208000756 |
| Provider Name | Paul N Loeb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770526048 PECOS PAC ID: 4688626716 Enrollment ID: I20050216000644 |
| Provider Name | Hadia Ata |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932120896 PECOS PAC ID: 1153374020 Enrollment ID: I20050303000067 |
| Provider Name | Robert J Remstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750483301 PECOS PAC ID: 8224082029 Enrollment ID: I20050304000045 |
| Provider Name | Daniel A. Berger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902879091 PECOS PAC ID: 9931153426 Enrollment ID: I20050308000678 |
| Provider Name | Jeffrey L Bessey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821285008 PECOS PAC ID: 8224076104 Enrollment ID: I20050421000049 |
| Provider Name | Shodhan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457368680 PECOS PAC ID: 4082653639 Enrollment ID: I20050503000442 |
| Provider Name | Nauman A Diwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609802057 PECOS PAC ID: 5294776688 Enrollment ID: I20050516000829 |
| Provider Name | Aissa T Alexeeva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093799876 PECOS PAC ID: 4284677790 Enrollment ID: I20050606001006 |
| Provider Name | Richard E Rosenthal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952409724 PECOS PAC ID: 5193712685 Enrollment ID: I20050621000882 |
| Provider Name | Syed A Asghar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356406631 PECOS PAC ID: 7810932712 Enrollment ID: I20050622000060 |
| Provider Name | Naila H Wasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740230051 PECOS PAC ID: 1456396035 Enrollment ID: I20050623000733 |
| Provider Name | Laisa L Vadakara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558371930 PECOS PAC ID: 1658316252 Enrollment ID: I20050623000886 |
| Provider Name | Keith R Wolfson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417047275 PECOS PAC ID: 0345285672 Enrollment ID: I20050627000804 |
| Provider Name | Muthulakshmi Ramalingam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467577940 PECOS PAC ID: 1254377740 Enrollment ID: I20050706000955 |
| Provider Name | Charles F Paraboschi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467434571 PECOS PAC ID: 3072508084 Enrollment ID: I20050711000199 |
| Provider Name | Carolyn J Gaukler |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194715516 PECOS PAC ID: 9436102167 Enrollment ID: I20050713000718 |
| Provider Name | Shirnett K Williamson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083785042 PECOS PAC ID: 9133156508 Enrollment ID: I20050719000056 |
| Provider Name | Fredric Seinfeld |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275582728 PECOS PAC ID: 7012945876 Enrollment ID: I20050802000734 |
| Provider Name | Leigh G Segal |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679593644 PECOS PAC ID: 5395774442 Enrollment ID: I20050809000403 |
| Provider Name | Viola K Berkeyheiser |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477519015 PECOS PAC ID: 8628007549 Enrollment ID: I20050810000752 |
| Provider Name | Grace Fimbel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1679540397 PECOS PAC ID: 9032148952 Enrollment ID: I20050810000794 |
| Provider Name | Arnold S Witte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477504546 PECOS PAC ID: 2769411453 Enrollment ID: I20050812000275 |
| Provider Name | Leanne B Miccio |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811106099 PECOS PAC ID: 2264461953 Enrollment ID: I20050812000326 |
| Provider Name | Lynda G Kita |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386698629 PECOS PAC ID: 5597795203 Enrollment ID: I20050812000535 |
| Provider Name | Margaret L Catanese |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053348268 PECOS PAC ID: 8224068945 Enrollment ID: I20050812000643 |
| Provider Name | Julie A Blumenfeld |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659664977 PECOS PAC ID: 1557391299 Enrollment ID: I20050812000789 |
| Provider Name | Karen M. Saroya |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700891371 PECOS PAC ID: 5092745711 Enrollment ID: I20050812000818 |
| Provider Name | Anil S Deshpande |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942220090 PECOS PAC ID: 6103877196 Enrollment ID: I20050815000762 |
| Provider Name | George P Heyrich |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316938707 PECOS PAC ID: 0648200980 Enrollment ID: I20050817000145 |
| Provider Name | Irene G Gabrial |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710074158 PECOS PAC ID: 1456394659 Enrollment ID: I20050817000830 |
| Provider Name | James L Montuori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619908555 PECOS PAC ID: 2466482286 Enrollment ID: I20050822000044 |
| Provider Name | David L Schaebler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235143926 PECOS PAC ID: 7012949845 Enrollment ID: I20050901000201 |
| Provider Name | Sarah I Sordo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669575403 PECOS PAC ID: 3577502806 Enrollment ID: I20050908000781 |
| Provider Name | Daniel F Goldsmith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265574016 PECOS PAC ID: 8325070527 Enrollment ID: I20050908000816 |
| Provider Name | William E Costanzo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376531517 PECOS PAC ID: 1355373689 Enrollment ID: I20050922000020 |
| Provider Name | Iraj Forouzan Gandashmin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376500942 PECOS PAC ID: 0345265583 Enrollment ID: I20051007000008 |
| Provider Name | Raji P Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407856792 PECOS PAC ID: 9335164169 Enrollment ID: I20051011000847 |
| Provider Name | Dominick Joseph Eboli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649228065 PECOS PAC ID: 4284659715 Enrollment ID: I20051013000161 |
| Provider Name | Ajay Choudhri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205871431 PECOS PAC ID: 9335164748 Enrollment ID: I20051013000788 |
| Provider Name | Yaakov N Applbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356386650 PECOS PAC ID: 5799701017 Enrollment ID: I20051017000484 |
| Provider Name | Rosario Fatima Hohl Stillwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144321472 PECOS PAC ID: 0648296970 Enrollment ID: I20051017000550 |
| Provider Name | Niveen Hanna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780668889 PECOS PAC ID: 2062462484 Enrollment ID: I20051019000772 |
| Provider Name | Michael J Rozengarten |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1699764498 PECOS PAC ID: 8426003039 Enrollment ID: I20051220000104 |
| Provider Name | Katherina Canales |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1740393412 PECOS PAC ID: 2062434681 Enrollment ID: I20051227000040 |
| Provider Name | Scott A Kolander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942242748 PECOS PAC ID: 2062436256 Enrollment ID: I20060113000678 |
| Provider Name | Monica Nieto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851377832 PECOS PAC ID: 3173547221 Enrollment ID: I20060117000625 |
| Provider Name | Jacqueline L Gettys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508806951 PECOS PAC ID: 6002830098 Enrollment ID: I20060117001004 |
| Provider Name | William P Stanell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164496279 PECOS PAC ID: 3375438054 Enrollment ID: I20060118000903 |
| Provider Name | Kira L Przybylko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962474841 PECOS PAC ID: 8527954700 Enrollment ID: I20060125000658 |
| Provider Name | Daniel A Small |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528030186 PECOS PAC ID: 6608762299 Enrollment ID: I20060125000717 |
| Provider Name | Audrey B Tashjian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518939495 PECOS PAC ID: 1850286543 Enrollment ID: I20060126000352 |
| Provider Name | Raja R Salem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821001272 PECOS PAC ID: 8820004559 Enrollment ID: I20060303000436 |
| Provider Name | Smriti Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508817008 PECOS PAC ID: 6709892300 Enrollment ID: I20060306000272 |
| Provider Name | Steven A Sussman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043283690 PECOS PAC ID: 2961397641 Enrollment ID: I20060403000252 |
| Provider Name | Eric J Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699718064 PECOS PAC ID: 1951313105 Enrollment ID: I20060707000122 |
| Provider Name | Scott Walter Burke |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1164488987 PECOS PAC ID: 9830106491 Enrollment ID: I20060731000000 |
| Provider Name | Sheri Gillis Funderburk |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922078195 PECOS PAC ID: 4183627854 Enrollment ID: I20060818000117 |
| Provider Name | Jill F Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558398859 PECOS PAC ID: 9830192285 Enrollment ID: I20060824000419 |
| Provider Name | Rebecca Sahlman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538194188 PECOS PAC ID: 4789636630 Enrollment ID: I20060829000466 |
| Provider Name | Lauren Carruth Mehnert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477687200 PECOS PAC ID: 3779587811 Enrollment ID: I20060905000136 |
| Provider Name | Neil M Rothstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740257955 PECOS PAC ID: 2860404688 Enrollment ID: I20070201000277 |
| Provider Name | David N Rosvold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275500852 PECOS PAC ID: 6507854569 Enrollment ID: I20070201000305 |
| Provider Name | Bruce T Rose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861420077 PECOS PAC ID: 2567564487 Enrollment ID: I20070223000494 |
| Provider Name | Abdul W Mughal |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1003877440 PECOS PAC ID: 0840398061 Enrollment ID: I20070611000696 |
| Provider Name | Emily Q Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396947503 PECOS PAC ID: 9032219605 Enrollment ID: I20070711000712 |
| Provider Name | Pirouz Parang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164567608 PECOS PAC ID: 9133211659 Enrollment ID: I20070828000705 |
| Provider Name | Jigar A Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902018468 PECOS PAC ID: 6103918222 Enrollment ID: I20070831000018 |
| Provider Name | Dessislava I Dimitrova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548465552 PECOS PAC ID: 1254424138 Enrollment ID: I20070910000005 |
| Provider Name | Anthony C Mackaronis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801971585 PECOS PAC ID: 1153414792 Enrollment ID: I20070912000557 |
| Provider Name | Uma R Panganamamula |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558326306 PECOS PAC ID: 5890769756 Enrollment ID: I20071003000107 |
| Provider Name | Maria Lugo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669488375 PECOS PAC ID: 5991617417 Enrollment ID: I20071026000262 |
| Provider Name | David Drucker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730179854 PECOS PAC ID: 5890727127 Enrollment ID: I20071112000248 |
| Provider Name | Richard L Hyman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770572422 PECOS PAC ID: 1254363583 Enrollment ID: I20071112000269 |
| Provider Name | Ronald Gonzalez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639277528 PECOS PAC ID: 2062500721 Enrollment ID: I20071113000497 |
| Provider Name | Elaine C Fidler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053535344 PECOS PAC ID: 2961590500 Enrollment ID: I20071115000578 |
| Provider Name | Sunder Venkatesulu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437148210 PECOS PAC ID: 9436181765 Enrollment ID: I20071129000214 |
| Provider Name | Pasquale A Luciano |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861441966 PECOS PAC ID: 9537053475 Enrollment ID: I20071203000015 |
| Provider Name | Ravinder S Dhillon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629290556 PECOS PAC ID: 6507942661 Enrollment ID: I20080329000001 |
| Provider Name | Denise Max |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134117336 PECOS PAC ID: 7810892841 Enrollment ID: I20080502000408 |
| Provider Name | Emily Y Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154391076 PECOS PAC ID: 7719057298 Enrollment ID: I20080610000708 |
| Provider Name | Nkechinyere Chi Amadi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609036599 PECOS PAC ID: 7012081128 Enrollment ID: I20080808000030 |
| Provider Name | Sangit B Malliah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083889620 PECOS PAC ID: 5991870420 Enrollment ID: I20080819000364 |
| Provider Name | Anil R. Balani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972779098 PECOS PAC ID: 7012082407 Enrollment ID: I20080820000003 |
| Provider Name | Christine C Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831276294 PECOS PAC ID: 9830265842 Enrollment ID: I20080827000382 |
| Provider Name | Sabeena Farhath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023142676 PECOS PAC ID: 7315005113 Enrollment ID: I20081023000211 |
| Provider Name | Craig Mcmackin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194941195 PECOS PAC ID: 1759375934 Enrollment ID: I20081024000053 |
| Provider Name | Roy B Sauberman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912948142 PECOS PAC ID: 3476612896 Enrollment ID: I20081030000073 |
| Provider Name | Tara H Vanhise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124213418 PECOS PAC ID: 9537222336 Enrollment ID: I20090105000473 |
| Provider Name | Marc S Whitman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386780195 PECOS PAC ID: 9436212107 Enrollment ID: I20090107000460 |
| Provider Name | Stephanie Ippolito |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1477724458 PECOS PAC ID: 5496825101 Enrollment ID: I20090116000266 |
| Provider Name | Samir Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1447434469 PECOS PAC ID: 9638232671 Enrollment ID: I20090116000278 |
| Provider Name | Jason Rogart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477648426 PECOS PAC ID: 8628030566 Enrollment ID: I20090129000447 |
| Provider Name | Olasinbo A Olukoya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912947524 PECOS PAC ID: 3678587078 Enrollment ID: I20090213000056 |
| Provider Name | James A Ware |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356449177 PECOS PAC ID: 7416973136 Enrollment ID: I20090313000190 |
| Provider Name | Chirag S Shukla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164520854 PECOS PAC ID: 6204992480 Enrollment ID: I20090313000255 |
| Provider Name | Mark E Arcaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881861102 PECOS PAC ID: 8820145840 Enrollment ID: I20090409000027 |
| Provider Name | Louis G Fares |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417903998 PECOS PAC ID: 1456383025 Enrollment ID: I20090413000162 |
| Provider Name | Hong Guang Gao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205982162 PECOS PAC ID: 5294883500 Enrollment ID: I20090424000259 |
| Provider Name | Michael S Arcaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801070867 PECOS PAC ID: 4880743756 Enrollment ID: I20090526000073 |
| Provider Name | Delaram Moazami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013182039 PECOS PAC ID: 1254481385 Enrollment ID: I20090611000549 |
| Provider Name | Suzanne Nawrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023168176 PECOS PAC ID: 8729974951 Enrollment ID: I20090612000289 |
| Provider Name | Ashish Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821174483 PECOS PAC ID: 7012915796 Enrollment ID: I20090615000179 |
| Provider Name | Charles Kososky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245254531 PECOS PAC ID: 2163573254 Enrollment ID: I20090701000248 |
| Provider Name | Bradd R Millian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215137427 PECOS PAC ID: 2668543844 Enrollment ID: I20090715000475 |
| Provider Name | Mark Saxena |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871745042 PECOS PAC ID: 6800940149 Enrollment ID: I20090820000378 |
| Provider Name | Maria Caridad Crespo De Cromar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033195003 PECOS PAC ID: 9436193075 Enrollment ID: I20090826000196 |
| Provider Name | Rose Mcgeever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518165265 PECOS PAC ID: 5193861672 Enrollment ID: I20091014000419 |
| Provider Name | Neil Saxena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013151117 PECOS PAC ID: 3577601095 Enrollment ID: I20091103000550 |
| Provider Name | Kristopher Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669693875 PECOS PAC ID: 8123167400 Enrollment ID: I20091125000597 |
| Provider Name | Ekaterina A Vypritskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790952299 PECOS PAC ID: 6800931833 Enrollment ID: I20100302000800 |
| Provider Name | Louise Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609108380 PECOS PAC ID: 5294860847 Enrollment ID: I20100322000078 |
| Provider Name | Paul Heraut Pierrot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407896053 PECOS PAC ID: 9436284015 Enrollment ID: I20100322000403 |
| Provider Name | Brad Rogers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538275102 PECOS PAC ID: 0446331466 Enrollment ID: I20100330000688 |
| Provider Name | Kathleen A Bornhoeft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487678462 PECOS PAC ID: 0648306514 Enrollment ID: I20100330000795 |
| Provider Name | Saba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700988334 PECOS PAC ID: 8325175649 Enrollment ID: I20100419000509 |
| Provider Name | Lukose Vadakara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255340345 PECOS PAC ID: 6507994886 Enrollment ID: I20100506000558 |
| Provider Name | Natalya Soloveychik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235320300 PECOS PAC ID: 2062568496 Enrollment ID: I20100617000186 |
| Provider Name | Steven Levenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710977426 PECOS PAC ID: 3476684739 Enrollment ID: I20100630000296 |
| Provider Name | Scott Warren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396782397 PECOS PAC ID: 9537231402 Enrollment ID: I20100708000067 |
| Provider Name | Manuel S Vergara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487638268 PECOS PAC ID: 3375667850 Enrollment ID: I20100907000269 |
| Provider Name | Jerrold A Friedman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841249497 PECOS PAC ID: 1456253004 Enrollment ID: I20100909000426 |
| Provider Name | Bharathi Batchu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316198252 PECOS PAC ID: 4880748136 Enrollment ID: I20100916000483 |
| Provider Name | Paul K Kaiser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689658460 PECOS PAC ID: 3779609094 Enrollment ID: I20100923001424 |
| Provider Name | Kathryn D Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447224688 PECOS PAC ID: 2860518818 Enrollment ID: I20100927001284 |
| Provider Name | Ellen H Fox |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285775775 PECOS PAC ID: 3971687641 Enrollment ID: I20101005000793 |
| Provider Name | Jerrold S. Gertzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194799106 PECOS PAC ID: 5991998585 Enrollment ID: I20101014001040 |
| Provider Name | Ellen M Clancey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285688465 PECOS PAC ID: 3274728985 Enrollment ID: I20101108000923 |
| Provider Name | Akbar Obaray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104863299 PECOS PAC ID: 1052368255 Enrollment ID: I20101109001259 |
| Provider Name | Scott K Kindsfather |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659385615 PECOS PAC ID: 4688674203 Enrollment ID: I20101124000187 |
| Provider Name | Lisa Granderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508892324 PECOS PAC ID: 2860688108 Enrollment ID: I20101129000211 |
| Provider Name | Siddiq Faisal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780797423 PECOS PAC ID: 8426244583 Enrollment ID: I20101201000595 |
| Provider Name | Lee Buono |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134121981 PECOS PAC ID: 6709790751 Enrollment ID: I20101221000064 |
| Provider Name | Khurram Zubair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730134826 PECOS PAC ID: 1557559234 Enrollment ID: I20101222000673 |
| Provider Name | Daniel K Jass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184715542 PECOS PAC ID: 8022207844 Enrollment ID: I20110110000871 |
| Provider Name | Naresh Nagella |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497068803 PECOS PAC ID: 5092995290 Enrollment ID: I20110204000551 |
| Provider Name | Stephanie E Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881909539 PECOS PAC ID: 0547442824 Enrollment ID: I20110308000352 |
| Provider Name | John Harman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386692135 PECOS PAC ID: 1557543410 Enrollment ID: I20110314000694 |
| Provider Name | Armen I Simonian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972566263 PECOS PAC ID: 3274698600 Enrollment ID: I20110407000756 |
| Provider Name | Ahmar Shakir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861451452 PECOS PAC ID: 7214137132 Enrollment ID: I20110412000229 |
| Provider Name | Rubina Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437188653 PECOS PAC ID: 7517879844 Enrollment ID: I20110425000131 |
| Provider Name | Chidinma Arole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366519738 PECOS PAC ID: 3072567064 Enrollment ID: I20110426000313 |
| Provider Name | Gary A Tuma |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083707541 PECOS PAC ID: 1456388768 Enrollment ID: I20110505000331 |
| Provider Name | Sivan Veksler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619102985 PECOS PAC ID: 3476698101 Enrollment ID: I20110506000512 |
| Provider Name | Anna L Salapong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215238456 PECOS PAC ID: 9133305121 Enrollment ID: I20110509000212 |
| Provider Name | Joseph M Dellacroce |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780677567 PECOS PAC ID: 9638357593 Enrollment ID: I20110623000187 |
| Provider Name | Rajat Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356541320 PECOS PAC ID: 8921276429 Enrollment ID: I20110728000439 |
| Provider Name | Ramdas M Prabhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619290384 PECOS PAC ID: 4486823713 Enrollment ID: I20110803000172 |
| Provider Name | Shan Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184940017 PECOS PAC ID: 5890964803 Enrollment ID: I20110809000355 |
| Provider Name | Kerri P Penders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669594602 PECOS PAC ID: 3577732593 Enrollment ID: I20110809000415 |
| Provider Name | Subooha Zafar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902858665 PECOS PAC ID: 2466417969 Enrollment ID: I20110928000276 |
| Provider Name | Kimberly Dawn Palangio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427218429 PECOS PAC ID: 6800068560 Enrollment ID: I20111003000216 |
| Provider Name | Hongyan Liang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194931568 PECOS PAC ID: 6002088648 Enrollment ID: I20111004000506 |
| Provider Name | Steven A Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881665560 PECOS PAC ID: 2365436797 Enrollment ID: I20111025000390 |
| Provider Name | Gary A Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891802302 PECOS PAC ID: 9436322617 Enrollment ID: I20111103000496 |
| Provider Name | Elmer S Gamboa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205973666 PECOS PAC ID: 7810161007 Enrollment ID: I20111128000703 |
| Provider Name | Abigail L Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871551275 PECOS PAC ID: 3274700851 Enrollment ID: I20120123000476 |
| Provider Name | Tammy A Motzenbecker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699070300 PECOS PAC ID: 9133386899 Enrollment ID: I20120208000104 |
| Provider Name | Marian Gelber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588948624 PECOS PAC ID: 8022276195 Enrollment ID: I20120221000187 |
| Provider Name | Joseph Mario Guarino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689681421 PECOS PAC ID: 0648297762 Enrollment ID: I20120321000318 |
| Provider Name | Lauren A Kusznir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073754727 PECOS PAC ID: 6002963725 Enrollment ID: I20120604000172 |
| Provider Name | Joshua A Eisenberg |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689602229 PECOS PAC ID: 6103839477 Enrollment ID: I20120614000112 |
| Provider Name | Carolyn M Mylowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609015254 PECOS PAC ID: 3779649629 Enrollment ID: I20120621000057 |
| Provider Name | Lisa R Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932360823 PECOS PAC ID: 3173701752 Enrollment ID: I20120807000160 |
| Provider Name | Michael Stabile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265665798 PECOS PAC ID: 4789830746 Enrollment ID: I20120807000161 |
| Provider Name | Aldrin Calingacion Amistoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457683518 PECOS PAC ID: 0941457329 Enrollment ID: I20120821000449 |
| Provider Name | Neel J Gandhi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033385877 PECOS PAC ID: 4183871080 Enrollment ID: I20120829000043 |
| Provider Name | Karen A. Leedom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720236458 PECOS PAC ID: 6901054048 Enrollment ID: I20120917000044 |
| Provider Name | Harit Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548472905 PECOS PAC ID: 3375792716 Enrollment ID: I20121001000003 |
| Provider Name | Renee E Hypolite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053647222 PECOS PAC ID: 0648421628 Enrollment ID: I20121126000171 |
| Provider Name | Luzeneida H Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760798599 PECOS PAC ID: 8820241623 Enrollment ID: I20130103000078 |
| Provider Name | Michael Kalina |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861574329 PECOS PAC ID: 7214951631 Enrollment ID: I20130304000497 |
| Provider Name | Nadine A Samedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487990040 PECOS PAC ID: 6709021884 Enrollment ID: I20130320000151 |
| Provider Name | Tara M Pellegrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043531247 PECOS PAC ID: 5991943334 Enrollment ID: I20130524000484 |
| Provider Name | Catherine E Kasian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023455599 PECOS PAC ID: 9830332733 Enrollment ID: I20130824000141 |
| Provider Name | Jooyeun Chung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194932418 PECOS PAC ID: 1557401197 Enrollment ID: I20130913000240 |
| Provider Name | Yanirys Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831431493 PECOS PAC ID: 4284878109 Enrollment ID: I20130916000525 |
| Provider Name | Andrea Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548509672 PECOS PAC ID: 9537303185 Enrollment ID: I20130920000280 |
| Provider Name | Kathie Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275806077 PECOS PAC ID: 8628202785 Enrollment ID: I20131004000227 |
| Provider Name | Marissa J Stabile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487925509 PECOS PAC ID: 5890929780 Enrollment ID: I20131008001569 |
| Provider Name | Radhika Laskarzewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629381025 PECOS PAC ID: 5092949495 Enrollment ID: I20131017000804 |
| Provider Name | Nicole Szilvasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255678728 PECOS PAC ID: 4284862954 Enrollment ID: I20140103000001 |
| Provider Name | Nidhi S Modi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386931129 PECOS PAC ID: 2466682281 Enrollment ID: I20140224000040 |
| Provider Name | Caroline Lazur |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508283037 PECOS PAC ID: 7214169416 Enrollment ID: I20140422000189 |
| Provider Name | Shannon Renitsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215359708 PECOS PAC ID: 7911137351 Enrollment ID: I20140616001099 |
| Provider Name | Alexander Joshua Koppel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649446006 PECOS PAC ID: 6709001597 Enrollment ID: I20140711000811 |
| Provider Name | Kasia Quirus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497090047 PECOS PAC ID: 9931325057 Enrollment ID: I20140726000038 |
| Provider Name | Rashmi Srikanth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386073427 PECOS PAC ID: 0042436974 Enrollment ID: I20140729001713 |
| Provider Name | Irene Hao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598807521 PECOS PAC ID: 5092932061 Enrollment ID: I20140814002254 |
| Provider Name | Alexandra E. Landen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770733008 PECOS PAC ID: 4385830363 Enrollment ID: I20140828002119 |
| Provider Name | Jesmin Mitra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346296324 PECOS PAC ID: 6608034103 Enrollment ID: I20140909000041 |
| Provider Name | Callum Dupre |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1942438999 PECOS PAC ID: 5597906909 Enrollment ID: I20140909000836 |
| Provider Name | Hamza Shaikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053510727 PECOS PAC ID: 3375783913 Enrollment ID: I20141010001428 |
| Provider Name | Jo Ellen Danna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750792115 PECOS PAC ID: 6305068008 Enrollment ID: I20141113000827 |
| Provider Name | Leeann Glozman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912240144 PECOS PAC ID: 7113249889 Enrollment ID: I20141208001509 |
| Provider Name | Tonimarie Brusnahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487058160 PECOS PAC ID: 5597088930 Enrollment ID: I20141216001691 |
| Provider Name | Miriam Lynn Enriquez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467517565 PECOS PAC ID: 8224355961 Enrollment ID: I20150318000388 |
| Provider Name | Diana Kolman-taddeo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982866646 PECOS PAC ID: 7214102821 Enrollment ID: I20150506000126 |
| Provider Name | Douglas H Weinstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639389315 PECOS PAC ID: 7416278908 Enrollment ID: I20150609002405 |
| Provider Name | Victoria Pena Cardinali |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033505748 PECOS PAC ID: 5597076323 Enrollment ID: I20150622000600 |
| Provider Name | Swetha D Voddi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033245311 PECOS PAC ID: 0941214753 Enrollment ID: I20150623002152 |
| Provider Name | Robert L Berk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609970805 PECOS PAC ID: 4284532110 Enrollment ID: I20150706001656 |
| Provider Name | Amar Narula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811130081 PECOS PAC ID: 3577876622 Enrollment ID: I20150717001401 |
| Provider Name | Stephanie J Schwartz-kravatz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659481208 PECOS PAC ID: 3971401878 Enrollment ID: I20150729007321 |
| Provider Name | Kimberly Anne Levitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114123247 PECOS PAC ID: 9032423504 Enrollment ID: I20150729007446 |
| Provider Name | Mark D Kuhn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609986355 PECOS PAC ID: 1052219128 Enrollment ID: I20150805007511 |
| Provider Name | Amy L Harvey O'keeffe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952411696 PECOS PAC ID: 8527966613 Enrollment ID: I20150805009073 |
| Provider Name | Meghan A Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801027073 PECOS PAC ID: 3274761234 Enrollment ID: I20150811004617 |
| Provider Name | Luke W Amann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225302581 PECOS PAC ID: 9335390913 Enrollment ID: I20150817002798 |
| Provider Name | Anne Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518077163 PECOS PAC ID: 9436057536 Enrollment ID: I20150904000061 |
| Provider Name | Jorge E Alvarez |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1720396138 PECOS PAC ID: 3779891411 Enrollment ID: I20150930001316 |
| Provider Name | Natalie Redziniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033523022 PECOS PAC ID: 4880903251 Enrollment ID: I20151026001955 |
| Provider Name | Diana M Bush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326367988 PECOS PAC ID: 6406080449 Enrollment ID: I20151105000102 |
| Provider Name | Rebekah Valthaty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366758898 PECOS PAC ID: 8325358690 Enrollment ID: I20151117001858 |
| Provider Name | Erica Linden |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982695086 PECOS PAC ID: 0840292595 Enrollment ID: I20151201000836 |
| Provider Name | Janet L Budzynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669503546 PECOS PAC ID: 0244126845 Enrollment ID: I20151211001230 |
| Provider Name | Olaoluwakitan O Ellerson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548602253 PECOS PAC ID: 4981905957 Enrollment ID: I20151216001831 |
| Provider Name | Elizabeth Sandifer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730550963 PECOS PAC ID: 9133420623 Enrollment ID: I20151229002112 |
| Provider Name | Christine L Beaghley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366418089 PECOS PAC ID: 7113103177 Enrollment ID: I20151231001000 |
| Provider Name | Nazish Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295098903 PECOS PAC ID: 5496055576 Enrollment ID: I20160108000393 |
| Provider Name | Rosemary Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932570637 PECOS PAC ID: 1052614443 Enrollment ID: I20160119001069 |
| Provider Name | Jennifer B Dave |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750662011 PECOS PAC ID: 7012189376 Enrollment ID: I20160211000961 |
| Provider Name | David S Dinhofer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770576589 PECOS PAC ID: 3971599226 Enrollment ID: I20160218000537 |
| Provider Name | Hermann Christian Schumacher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013123587 PECOS PAC ID: 2466543376 Enrollment ID: I20160407000781 |
| Provider Name | Vishnu V Oruganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568614659 PECOS PAC ID: 3375724735 Enrollment ID: I20160509001698 |
| Provider Name | Irina Mikolaenko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245296607 PECOS PAC ID: 9032149059 Enrollment ID: I20160519000787 |
| Provider Name | Christine J Marriott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790124394 PECOS PAC ID: 5698916674 Enrollment ID: I20160628000537 |
| Provider Name | Lynn A Shinn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568834315 PECOS PAC ID: 9234422890 Enrollment ID: I20160720001499 |
| Provider Name | Krister J Jones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952621229 PECOS PAC ID: 1658680301 Enrollment ID: I20160725001650 |
| Provider Name | Shital Kayastha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053734632 PECOS PAC ID: 9537453766 Enrollment ID: I20160810000935 |
| Provider Name | Patricia S Mcgaughey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992964464 PECOS PAC ID: 5597082420 Enrollment ID: I20160815002343 |
| Provider Name | Meike Schuster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316175904 PECOS PAC ID: 1557510500 Enrollment ID: I20160823001819 |
| Provider Name | Amber Jezierski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598116154 PECOS PAC ID: 1759678550 Enrollment ID: I20160922000071 |
| Provider Name | Muqsita Nashat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780628503 PECOS PAC ID: 5092727594 Enrollment ID: I20161026000092 |
| Provider Name | Natalia C Miranda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326302399 PECOS PAC ID: 6406147453 Enrollment ID: I20161026000190 |
| Provider Name | Andrew Chiromeras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003201849 PECOS PAC ID: 7315225240 Enrollment ID: I20161028000097 |
| Provider Name | Ewa Ruel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023242799 PECOS PAC ID: 1850679291 Enrollment ID: I20161105000073 |
| Provider Name | Sheila Kaufman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922367549 PECOS PAC ID: 4981983269 Enrollment ID: I20161108002502 |
| Provider Name | Anne Marie Schulte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548691553 PECOS PAC ID: 1951680206 Enrollment ID: I20161109002251 |
| Provider Name | Lisa Kass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073916706 PECOS PAC ID: 2365755642 Enrollment ID: I20170118000094 |
| Provider Name | Joyce Varughese |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1326222589 PECOS PAC ID: 0345374781 Enrollment ID: I20170301001836 |
| Provider Name | Emil Matarese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083693089 PECOS PAC ID: 0648267567 Enrollment ID: I20170313001995 |
| Provider Name | Sajina Prabhakaran |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437310661 PECOS PAC ID: 7719202480 Enrollment ID: I20170512000975 |
| Provider Name | Eric Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447266028 PECOS PAC ID: 4789659574 Enrollment ID: I20170605002109 |
| Provider Name | Omolabake Bankole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447697834 PECOS PAC ID: 0941595912 Enrollment ID: I20170613001723 |
| Provider Name | Oleksiy Lelyanov |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1356730337 PECOS PAC ID: 5294004628 Enrollment ID: I20170628002051 |
| Provider Name | Daniel Landau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306191770 PECOS PAC ID: 3779853817 Enrollment ID: I20170721000971 |
| Provider Name | Danielle Carcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174962773 PECOS PAC ID: 3072756410 Enrollment ID: I20170726000063 |
| Provider Name | Navid Redjal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225297864 PECOS PAC ID: 0446418982 Enrollment ID: I20170727002393 |
| Provider Name | Joanne Cunha |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164468013 PECOS PAC ID: 2567734262 Enrollment ID: I20170815003708 |
| Provider Name | Erika Villanueva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861718223 PECOS PAC ID: 3072834209 Enrollment ID: I20170822002252 |
| Provider Name | Eric Struble |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477879740 PECOS PAC ID: 5799911186 Enrollment ID: I20170822002340 |
| Provider Name | Shefali S Ballal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356786727 PECOS PAC ID: 6608149562 Enrollment ID: I20170829002655 |
| Provider Name | Matthew Ah Neimark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609006782 PECOS PAC ID: 3577866557 Enrollment ID: I20170831000569 |
| Provider Name | Maria Chavez Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780061440 PECOS PAC ID: 4082987797 Enrollment ID: I20170831001115 |
| Provider Name | Shaismy Kudakachira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205248192 PECOS PAC ID: 5698048734 Enrollment ID: I20170912000705 |
| Provider Name | Elaine Kwok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710423702 PECOS PAC ID: 9638442718 Enrollment ID: I20170912002371 |
| Provider Name | Staci Priano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730617374 PECOS PAC ID: 6800169897 Enrollment ID: I20170914000224 |
| Provider Name | Rose Mustafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932333101 PECOS PAC ID: 4688940729 Enrollment ID: I20171018000229 |
| Provider Name | Gwendolyn H Grant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285077800 PECOS PAC ID: 0244545390 Enrollment ID: I20171120000455 |
| Provider Name | Furva Raza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025896 PECOS PAC ID: 0547527772 Enrollment ID: I20171127001313 |
| Provider Name | Shanekqua Carter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487163101 PECOS PAC ID: 7416215850 Enrollment ID: I20171213001046 |
| Provider Name | Lawrence B Tena |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386645695 PECOS PAC ID: 8123084670 Enrollment ID: I20180117002565 |
| Provider Name | Kara Cahill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659885978 PECOS PAC ID: 7719246636 Enrollment ID: I20180122001065 |
| Provider Name | Yasmeen Mukaddam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821501891 PECOS PAC ID: 2264791128 Enrollment ID: I20180122003163 |
| Provider Name | Renee B Hickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619917788 PECOS PAC ID: 0840252276 Enrollment ID: I20180214000507 |
| Provider Name | Catherine H Hagan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043711120 PECOS PAC ID: 3375807779 Enrollment ID: I20180511001503 |
| Provider Name | Candace Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558883850 PECOS PAC ID: 7618232695 Enrollment ID: I20180522000476 |
| Provider Name | Christi Ann Weston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124286356 PECOS PAC ID: 7214122381 Enrollment ID: I20180529000780 |
| Provider Name | Varun Naragum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457628786 PECOS PAC ID: 3577838218 Enrollment ID: I20180529002726 |
| Provider Name | Lisa Monahan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720341464 PECOS PAC ID: 3375808090 Enrollment ID: I20180530002858 |
| Provider Name | Rosemarie C Nassiff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881128932 PECOS PAC ID: 9032464599 Enrollment ID: I20180625001376 |
| Provider Name | Sapna Balwani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003228339 PECOS PAC ID: 3779863345 Enrollment ID: I20180702001293 |
| Provider Name | Joshua Mleczko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003298662 PECOS PAC ID: 7911253091 Enrollment ID: I20180703000024 |
| Provider Name | Jamie Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013391911 PECOS PAC ID: 7012263874 Enrollment ID: I20180709002620 |
| Provider Name | Vernard Fennell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801152244 PECOS PAC ID: 4688988801 Enrollment ID: I20180710001335 |
| Provider Name | Nina Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057659 PECOS PAC ID: 9234485053 Enrollment ID: I20180710001819 |
| Provider Name | Camilla E Pharamond |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093799223 PECOS PAC ID: 9335150150 Enrollment ID: I20180822002032 |
| Provider Name | Cataldo Doria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255357877 PECOS PAC ID: 0840180014 Enrollment ID: I20180823001833 |
| Provider Name | Priyank Khandelwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225347727 PECOS PAC ID: 2668762881 Enrollment ID: I20180921002325 |
| Provider Name | Bushra Saleem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891182382 PECOS PAC ID: 6901158450 Enrollment ID: I20181010002311 |
| Provider Name | Lauren Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346716487 PECOS PAC ID: 8820342546 Enrollment ID: I20181116000301 |
| Provider Name | Brittney Jones |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598208548 PECOS PAC ID: 6507149903 Enrollment ID: I20181205000231 |
| Provider Name | Eddie Akrout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013371632 PECOS PAC ID: 3678818952 Enrollment ID: I20181213002644 |
| Provider Name | Amanda Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649740945 PECOS PAC ID: 6709121478 Enrollment ID: I20181227002264 |
| Provider Name | Tulsi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932685146 PECOS PAC ID: 4688910581 Enrollment ID: I20190115000279 |
| Provider Name | Denise Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457838245 PECOS PAC ID: 5496091233 Enrollment ID: I20190115002457 |
| Provider Name | Roseline Iyabode Adunbarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164872701 PECOS PAC ID: 7911269246 Enrollment ID: I20190201000188 |
| Provider Name | Theresa Balestrieri |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477019701 PECOS PAC ID: 3173862125 Enrollment ID: I20190308001499 |
| Provider Name | Celina Hickson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891279311 PECOS PAC ID: 1456690346 Enrollment ID: I20190312001682 |
| Provider Name | Kristina Joan Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447545835 PECOS PAC ID: 8123293776 Enrollment ID: I20190313000180 |
| Provider Name | Samantha Bremerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919951 PECOS PAC ID: 4385986942 Enrollment ID: I20190430002963 |
| Provider Name | Amanda J Liebenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205391695 PECOS PAC ID: 0941542542 Enrollment ID: I20190501001126 |
| Provider Name | Lisa Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174085435 PECOS PAC ID: 6002158409 Enrollment ID: I20190506001448 |
| Provider Name | Tudor G Jovin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891768404 PECOS PAC ID: 7719955277 Enrollment ID: I20190510001186 |
| Provider Name | Stacy Grissett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730649138 PECOS PAC ID: 3678816543 Enrollment ID: I20190516000074 |
| Provider Name | Kashif Syed Anwar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174800197 PECOS PAC ID: 7315164043 Enrollment ID: I20190528000589 |
| Provider Name | Xuebin Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982996559 PECOS PAC ID: 4385883735 Enrollment ID: I20190529000307 |
| Provider Name | Pankaj Harji Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407816721 PECOS PAC ID: 1355374992 Enrollment ID: I20190610001469 |
| Provider Name | Colleen Mary Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336698869 PECOS PAC ID: 0840579959 Enrollment ID: I20190625003028 |
| Provider Name | Donna Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023262128 PECOS PAC ID: 0345390316 Enrollment ID: I20190625003509 |
| Provider Name | Julianna S Roccograndi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427219344 PECOS PAC ID: 6305913047 Enrollment ID: I20190626001277 |
| Provider Name | Hector Francisco Casiano Pagan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841630472 PECOS PAC ID: 7214205475 Enrollment ID: I20190710000383 |
| Provider Name | Kristina Zarkua |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871956227 PECOS PAC ID: 8123353745 Enrollment ID: I20190718000462 |
| Provider Name | Srivani Rachakonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114372760 PECOS PAC ID: 6103181177 Enrollment ID: I20190725003358 |
| Provider Name | Rachel H Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801458674 PECOS PAC ID: 3375879281 Enrollment ID: I20190731000817 |
| Provider Name | Katrina Meiling Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528422482 PECOS PAC ID: 2567798283 Enrollment ID: I20190801001816 |
| Provider Name | Rajiv Vyas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376757435 PECOS PAC ID: 3870489974 Enrollment ID: I20190805001674 |
| Provider Name | Prachi Thanawala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922368125 PECOS PAC ID: 7012132327 Enrollment ID: I20190807001339 |
| Provider Name | Arvind Bhasker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932595121 PECOS PAC ID: 1456617794 Enrollment ID: I20190809000808 |
| Provider Name | Christine Lotto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366731671 PECOS PAC ID: 8426280769 Enrollment ID: I20190815000026 |
| Provider Name | Noha Ghusson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902225683 PECOS PAC ID: 9830312099 Enrollment ID: I20190830002475 |
| Provider Name | Suzanne Ahde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548738685 PECOS PAC ID: 2365771011 Enrollment ID: I20190906000161 |
| Provider Name | Ashlee Nicole Godshalk Ruggles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841558079 PECOS PAC ID: 4880992635 Enrollment ID: I20190909001025 |
| Provider Name | Africa F Wallace |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548279706 PECOS PAC ID: 6709894934 Enrollment ID: I20190913000408 |
| Provider Name | Brian T Jankowitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1740360247 PECOS PAC ID: 3870624356 Enrollment ID: I20190920002831 |
| Provider Name | Corey Michael Mossop |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073761375 PECOS PAC ID: 4385876911 Enrollment ID: I20191022001659 |
| Provider Name | Jerrold M Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659327807 PECOS PAC ID: 9133282510 Enrollment ID: I20191024001424 |
| Provider Name | Richard L Turner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073665220 PECOS PAC ID: 6507948684 Enrollment ID: I20191024002787 |
| Provider Name | Cresandra Elizabeth Corbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407218928 PECOS PAC ID: 6901238807 Enrollment ID: I20191114001973 |
| Provider Name | Nasir Mehmood Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770831984 PECOS PAC ID: 5092958314 Enrollment ID: I20191125002723 |
| Provider Name | Allison Marie James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811530884 PECOS PAC ID: 1850724097 Enrollment ID: I20191203000051 |
| Provider Name | Chelsea Ann Hoagland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801257969 PECOS PAC ID: 6305279563 Enrollment ID: I20191203000956 |
| Provider Name | Eric Mayer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326054990 PECOS PAC ID: 6608890298 Enrollment ID: I20191226000396 |
| Provider Name | Janine Santora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972154110 PECOS PAC ID: 0749615052 Enrollment ID: I20200115000020 |
| Provider Name | Catherine Cicco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407204571 PECOS PAC ID: 0143513408 Enrollment ID: I20200117001619 |
| Provider Name | Kateryna Kiselova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639580509 PECOS PAC ID: 9032336482 Enrollment ID: I20200121001048 |
| Provider Name | Peter Rudzinskiy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508081548 PECOS PAC ID: 9335240654 Enrollment ID: I20200127001189 |
| Provider Name | Vivian Arguello Guerra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174786685 PECOS PAC ID: 8022132810 Enrollment ID: I20200206000629 |
| Provider Name | Peter Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639583875 PECOS PAC ID: 0143519926 Enrollment ID: I20200210001809 |
| Provider Name | Ambalavaner Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679634968 PECOS PAC ID: 1355778713 Enrollment ID: I20200224002282 |
| Provider Name | Jay Rothberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235163700 PECOS PAC ID: 8426225830 Enrollment ID: I20200304000235 |
| Provider Name | David Tannenbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043216443 PECOS PAC ID: 4486545837 Enrollment ID: I20200304000894 |
| Provider Name | Traci Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003022245 PECOS PAC ID: 6709932577 Enrollment ID: I20200312001839 |
| Provider Name | Dong Youn Deborah Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073919312 PECOS PAC ID: 9133557648 Enrollment ID: I20200317000083 |
| Provider Name | Paul Foley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326191768 PECOS PAC ID: 5092961649 Enrollment ID: I20200330002809 |
| Provider Name | Taryn Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255965265 PECOS PAC ID: 7315376142 Enrollment ID: I20200331000179 |
| Provider Name | Michelle Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710510870 PECOS PAC ID: 5395174924 Enrollment ID: I20200402003262 |
| Provider Name | Richard A Latta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528069861 PECOS PAC ID: 1254460314 Enrollment ID: I20200504001084 |
| Provider Name | Christopher Daily |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649808833 PECOS PAC ID: 7810328887 Enrollment ID: I20200506002041 |
| Provider Name | Lauren Beth Kriegel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801387899 PECOS PAC ID: 0840621785 Enrollment ID: I20200511000594 |
| Provider Name | Benjamin Sussman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477638088 PECOS PAC ID: 3971501933 Enrollment ID: I20200526000086 |
| Provider Name | Joanna Tolin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366768996 PECOS PAC ID: 8921249574 Enrollment ID: I20200616001104 |
| Provider Name | Miten Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861879678 PECOS PAC ID: 1658794078 Enrollment ID: I20200701003064 |
| Provider Name | William Torelli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407247398 PECOS PAC ID: 2163726621 Enrollment ID: I20200713000795 |
| Provider Name | Oscar Perez Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174059885 PECOS PAC ID: 1850714643 Enrollment ID: I20200713002004 |
| Provider Name | Satvik Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275946840 PECOS PAC ID: 3375967912 Enrollment ID: I20200715003609 |
| Provider Name | Michael Itidiare |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316388556 PECOS PAC ID: 4385068014 Enrollment ID: I20200728000602 |
| Provider Name | Rishi Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083096903 PECOS PAC ID: 2062756679 Enrollment ID: I20200729001509 |
| Provider Name | Pratit Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881037620 PECOS PAC ID: 6305143405 Enrollment ID: I20200812002448 |
| Provider Name | Ezra Ralph Bobo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710229315 PECOS PAC ID: 5193054013 Enrollment ID: I20200814002272 |
| Provider Name | Dennis Guest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750801304 PECOS PAC ID: 2264858620 Enrollment ID: I20200814002283 |
| Provider Name | Sehris Khawaja |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669888376 PECOS PAC ID: 5991121378 Enrollment ID: I20200817000235 |
| Provider Name | Ayesha Ahsan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467980086 PECOS PAC ID: 8022381664 Enrollment ID: I20200818000909 |
| Provider Name | Amber Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124535596 PECOS PAC ID: 5496018905 Enrollment ID: I20200820002012 |
| Provider Name | Khanh Nguyen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326144841 PECOS PAC ID: 6608810882 Enrollment ID: I20200831002231 |
| Provider Name | Dolly Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669887972 PECOS PAC ID: 0840613287 Enrollment ID: I20200901000421 |
| Provider Name | Sumiya Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831623115 PECOS PAC ID: 1355760364 Enrollment ID: I20200924001371 |
| Provider Name | Jillian Walsh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508352048 PECOS PAC ID: 9537589346 Enrollment ID: I20201016001213 |
| Provider Name | Anitha Nimma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194189209 PECOS PAC ID: 6608286802 Enrollment ID: I20201029000032 |
| Provider Name | Lee Shearer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457519746 PECOS PAC ID: 4486895992 Enrollment ID: I20201030000592 |
| Provider Name | Elizabeth Luciano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316362130 PECOS PAC ID: 7719209204 Enrollment ID: I20201104001702 |
| Provider Name | Devon Verity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629685839 PECOS PAC ID: 4587074265 Enrollment ID: I20201109001412 |
| Provider Name | Waseem Butt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346304847 PECOS PAC ID: 8628173218 Enrollment ID: I20201113001924 |
| Provider Name | Debra Maude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912280165 PECOS PAC ID: 2961635354 Enrollment ID: I20201116001857 |
| Provider Name | Fareeha Hafeez |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1285981340 PECOS PAC ID: 6709178007 Enrollment ID: I20201118000457 |
| Provider Name | Irene Maria Stenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144670399 PECOS PAC ID: 8921426453 Enrollment ID: I20201202002690 |
| Provider Name | Sirly Jeevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962636779 PECOS PAC ID: 0446305759 Enrollment ID: I20201209000861 |
| Provider Name | Kaveh Kousari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407083199 PECOS PAC ID: 0547499923 Enrollment ID: I20210127003161 |
| Provider Name | Immacolata Angelico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750629622 PECOS PAC ID: 8628482874 Enrollment ID: I20210128002336 |
| Provider Name | Megan Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306448089 PECOS PAC ID: 7719393487 Enrollment ID: I20210303001896 |
| Provider Name | Michael E Salacz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235178872 PECOS PAC ID: 2769448935 Enrollment ID: I20210311001295 |
| Provider Name | Megan Gresh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013178474 PECOS PAC ID: 7214169762 Enrollment ID: I20210330000167 |
| Provider Name | Martin Herman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710924030 PECOS PAC ID: 9638304074 Enrollment ID: I20210419000027 |
| Provider Name | Om S Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588957435 PECOS PAC ID: 6002068897 Enrollment ID: I20210419001345 |
| Provider Name | Valerie Ortiz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033790902 PECOS PAC ID: 8123437241 Enrollment ID: I20210430002470 |
| Provider Name | Clare Gosek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104230929 PECOS PAC ID: 1254633803 Enrollment ID: I20210504002158 |
| Provider Name | Jenna W Straus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174107023 PECOS PAC ID: 1658780192 Enrollment ID: I20210512003101 |
| Provider Name | Julia Mendola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467048611 PECOS PAC ID: 2769899269 Enrollment ID: I20210513000354 |
| Provider Name | Sylvia M Bolock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730154824 PECOS PAC ID: 0749176675 Enrollment ID: I20210623000810 |
| Provider Name | Katelyn J Tripod |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770016131 PECOS PAC ID: 8325449754 Enrollment ID: I20210623001688 |
| Provider Name | Sidrah Mahmud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265859144 PECOS PAC ID: 4183980808 Enrollment ID: I20210707003305 |
| Provider Name | Shannon Weaver |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740767359 PECOS PAC ID: 3375946213 Enrollment ID: I20210729001096 |
| Provider Name | Cecilia Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811484694 PECOS PAC ID: 4082018825 Enrollment ID: I20210802001740 |
| Provider Name | Aviral P Yadav |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487149936 PECOS PAC ID: 8921354622 Enrollment ID: I20210803003880 |
| Provider Name | Charles Polotti Jr. |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376923201 PECOS PAC ID: 8325479355 Enrollment ID: I20210806002661 |
| Provider Name | Cynthia Edirisuriya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003203464 PECOS PAC ID: 5294055711 Enrollment ID: I20210812001497 |
| Provider Name | Himanshu P Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780681825 PECOS PAC ID: 9638155773 Enrollment ID: I20210908001261 |
| Provider Name | Daniel Tonetti |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285069401 PECOS PAC ID: 3779984612 Enrollment ID: I20211004001119 |
| Provider Name | Khaled Rady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174299549 PECOS PAC ID: 2567850787 Enrollment ID: I20211020002521 |
| Provider Name | Pamela Crilley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1538116041 PECOS PAC ID: 0244295608 Enrollment ID: I20211108000107 |
| Provider Name | Lindsay Arthur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184833519 PECOS PAC ID: 8224139753 Enrollment ID: I20211111002239 |
| Provider Name | Meredith Kudrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215519293 PECOS PAC ID: 3870982515 Enrollment ID: I20211117003212 |
| Provider Name | Maribel Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154090439 PECOS PAC ID: 6608266606 Enrollment ID: I20211207000482 |
| Provider Name | Erin Andrew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497389357 PECOS PAC ID: 3577993971 Enrollment ID: I20211208000478 |
| Provider Name | Ajith Thomas |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972525541 PECOS PAC ID: 3375563604 Enrollment ID: I20211213001891 |
| Provider Name | Tatyana O Shields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255877429 PECOS PAC ID: 8628460888 Enrollment ID: I20220120000007 |
| Provider Name | Dawn Liberto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205248572 PECOS PAC ID: 9931325461 Enrollment ID: I20220216000572 |
| Provider Name | Diana Bonaccorsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558745125 PECOS PAC ID: 0941558522 Enrollment ID: I20220216002346 |
| Provider Name | Anne Dorcus Rondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548921109 PECOS PAC ID: 6305230541 Enrollment ID: I20220303001705 |
| Provider Name | Simone E Rowen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043962103 PECOS PAC ID: 8729474846 Enrollment ID: I20220329002144 |
| Provider Name | Lindsay Maggio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366603763 PECOS PAC ID: 0345493755 Enrollment ID: I20220405000070 |
| Provider Name | Lee Le Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003119975 PECOS PAC ID: 5799055182 Enrollment ID: I20220510002805 |
| Provider Name | Adison Weseloh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477085850 PECOS PAC ID: 3476962192 Enrollment ID: I20220519000438 |
| Provider Name | Mayilathal Vasudevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720607260 PECOS PAC ID: 8224415849 Enrollment ID: I20220519000878 |
| Provider Name | Katherine Nahas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851825210 PECOS PAC ID: 7719316140 Enrollment ID: I20220615000771 |
| Provider Name | Emily Santora |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497494405 PECOS PAC ID: 9537548805 Enrollment ID: I20220615003389 |
| Provider Name | Richard Kass |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730103763 PECOS PAC ID: 2860686276 Enrollment ID: I20220620000089 |
| Provider Name | Johanna Troy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013311034 PECOS PAC ID: 9032598875 Enrollment ID: I20220624000449 |
| Provider Name | Emma Marsden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285370742 PECOS PAC ID: 1355720061 Enrollment ID: I20220625000022 |
| Provider Name | Jamie Kausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487395695 PECOS PAC ID: 6507246014 Enrollment ID: I20220630000494 |
| Provider Name | Arturo Loaiza-bonilla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972785947 PECOS PAC ID: 4385884923 Enrollment ID: I20220704000139 |
| Provider Name | Mohammad Halaibeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710341961 PECOS PAC ID: 7719274059 Enrollment ID: I20220707003865 |
| Provider Name | Georgy Zarkua |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679008494 PECOS PAC ID: 9638593726 Enrollment ID: I20220713004217 |
| Provider Name | Aimee Kessler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780634410 PECOS PAC ID: 7517945306 Enrollment ID: I20220715000521 |
| Provider Name | Dwayne O Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760914527 PECOS PAC ID: 7810379682 Enrollment ID: I20220727001361 |
| Provider Name | Navjot Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871156810 PECOS PAC ID: 0143602516 Enrollment ID: I20220802000026 |
| Provider Name | Omara Afzal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417218892 PECOS PAC ID: 7416176490 Enrollment ID: I20220818002133 |
| Provider Name | Erich Schoenman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902244122 PECOS PAC ID: 5395087043 Enrollment ID: I20220818003711 |
| Provider Name | Katie Schoenman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982042107 PECOS PAC ID: 3870734502 Enrollment ID: I20220818003774 |
| Provider Name | Yana Toporovskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659742658 PECOS PAC ID: 8426352469 Enrollment ID: I20220825001372 |
| Provider Name | Kogulan Nadesakumaran |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881088284 PECOS PAC ID: 3779820519 Enrollment ID: I20220826001722 |
| Provider Name | Kaushal Majmudar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790131670 PECOS PAC ID: 6507158458 Enrollment ID: I20220830003441 |
| Provider Name | Meriam Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194381582 PECOS PAC ID: 6103244462 Enrollment ID: I20220914001835 |
| Provider Name | Walter Maynard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003838301 PECOS PAC ID: 1052361177 Enrollment ID: I20220915000403 |
| Provider Name | Amelia Ann Herink |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013633916 PECOS PAC ID: 0446627319 Enrollment ID: I20221104002842 |
| Provider Name | Donald J Debrakeleer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427049311 PECOS PAC ID: 8921083155 Enrollment ID: I20230124000452 |
| Provider Name | Vivian Phung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669804316 PECOS PAC ID: 8628299898 Enrollment ID: I20230125001133 |
| Provider Name | Sharon Deborah Gertzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487821054 PECOS PAC ID: 6800269119 Enrollment ID: I20230308001090 |
| Provider Name | Amanda Hetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366045403 PECOS PAC ID: 7416321500 Enrollment ID: I20230427003192 |
| Provider Name | Melissa Marie Youssi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003874256 PECOS PAC ID: 8628171956 Enrollment ID: I20230516002220 |
| Provider Name | Nikhil Thaker |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861782641 PECOS PAC ID: 0547568081 Enrollment ID: I20230627001645 |
| Provider Name | Dhyani Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447710348 PECOS PAC ID: 3971920042 Enrollment ID: I20230725000131 |
| Provider Name | Joshua Matthew Eccles |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215429576 PECOS PAC ID: 2567823453 Enrollment ID: I20230725001016 |
| Provider Name | Kethan Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003444142 PECOS PAC ID: 3173947629 Enrollment ID: I20230726003194 |
| Provider Name | Ruchit Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962941369 PECOS PAC ID: 8729357660 Enrollment ID: I20230727001927 |
| Provider Name | Mikhail Khazan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942491337 PECOS PAC ID: 8123277886 Enrollment ID: I20230731002543 |
| Provider Name | Alyssa Marguerite Roach |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023700507 PECOS PAC ID: 0749643674 Enrollment ID: I20230825000456 |
| Provider Name | Mowyad O Khalid |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023540572 PECOS PAC ID: 5294002614 Enrollment ID: I20230825001436 |
| Provider Name | Rebecca L Shipkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851929863 PECOS PAC ID: 6103289939 Enrollment ID: I20230828001608 |
| Provider Name | Cynthia Lee Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043848617 PECOS PAC ID: 7315378585 Enrollment ID: I20230831001354 |
| Provider Name | Kimberley C Agbo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356907620 PECOS PAC ID: 2668835901 Enrollment ID: I20230905000027 |
| Provider Name | Sara Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578245379 PECOS PAC ID: 6608230727 Enrollment ID: I20230907003820 |
| Provider Name | Jennifer R Schweinsburg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043752983 PECOS PAC ID: 3072977123 Enrollment ID: I20230908000513 |
| Provider Name | Rawan A Hammoudeh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457857393 PECOS PAC ID: 9830442367 Enrollment ID: I20230908001464 |
| Provider Name | Zabeer Bhatti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619354701 PECOS PAC ID: 9830427921 Enrollment ID: I20230911000708 |
| Provider Name | Ashleigh Tepper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578277562 PECOS PAC ID: 2365806676 Enrollment ID: I20230919002734 |
| Provider Name | Sophia Yi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770149015 PECOS PAC ID: 4284088857 Enrollment ID: I20230930000182 |
| Provider Name | Kirsten Torrey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083486278 PECOS PAC ID: 4981052578 Enrollment ID: I20231120002484 |
| Provider Name | Sarah Contor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558078006 PECOS PAC ID: 5395193908 Enrollment ID: I20231121000049 |
| Provider Name | Nabil Mesiha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932512175 PECOS PAC ID: 2062759244 Enrollment ID: I20231227000003 |
| Provider Name | Ashley Marie Shemansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215705397 PECOS PAC ID: 0749633444 Enrollment ID: I20240130000788 |
| Provider Name | Nicole Hartmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457883886 PECOS PAC ID: 9830464502 Enrollment ID: I20240130000895 |
| Provider Name | Vanessa A Kenny |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972003762 PECOS PAC ID: 0941643035 Enrollment ID: I20240206001056 |
| Provider Name | Sonia Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407350606 PECOS PAC ID: 8527403047 Enrollment ID: I20240223002893 |
| Provider Name | Kesha M. Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740055821 PECOS PAC ID: 3072958842 Enrollment ID: I20240302000467 |
| Provider Name | Anne Whalen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477545952 PECOS PAC ID: 8224932819 Enrollment ID: I20240408000010 |
| Provider Name | William E Mcelmoyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477545598 PECOS PAC ID: 4688578248 Enrollment ID: I20240417000212 |
Elite Internal Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Hamilton Ave, Trenton, NJ 08629 Phone: 609-599-5000 | |
Hopewell Valley Medical Group, P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1871 Pennington Road, Trenton, NJ 08618 Phone: 609-882-5317 Fax: 609-538-8031 | |
Sfmc Comprehensive Care Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Hamilton Ave, Trenton, NJ 08629 Phone: 609-599-5000 | |
A Place Of Hope Home Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 57 Wayne Ave Fl 2, Trenton, NJ 08618 Phone: 201-205-4774 | |
Henry J. Austin Health Center At Family Guidance Center Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Hamilton Ave, Trenton, NJ 08619 Phone: 609-278-5900 Fax: 609-392-4827 | |
Capital Health Hospitalist Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Brunswick Ave, Trenton, NJ 08638 Phone: 609-815-7887 | |
Henry J Austin Health Center At Catholic Charities, Diocese Of Trenton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Southard St, Trenton, NJ 08609 Phone: 609-278-5900 Fax: 609-392-4827 |