Care Deeply | |
200 Central Ave Orange NJ 07050-3408 | |
(973) 652-2451 | |
Not Available |
Full Name | Care Deeply |
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Speciality | Nurse Practitioner |
Location | 200 Central Ave, Orange, New Jersey |
Authorized Official Name and Position | Jennifer Crayner-aryee (NURSE PRACTITIONER) |
Authorized Official Contact | 9086885350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Care Deeply 2094 Stanley Ter Union NJ 07083-4312 Ph: (908) 688-5350 | Care Deeply 200 Central Ave Orange NJ 07050-3408 Ph: (973) 652-2451 |
NPI Number | 1962971002 |
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Provider Enumeration Date | 11/19/2018 |
Last Update Date | 11/19/2018 |
Medicare PECOS PAC ID | 6002207164 |
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Medicare Enrollment ID | O20211228000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962971002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jennifer B Crayner Aryee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396166237 PECOS PAC ID: 8921388117 Enrollment ID: I20161205001502 |
Provider Name | Vida Paintsil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285100420 PECOS PAC ID: 1557690443 Enrollment ID: I20190830002163 |
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