Careathome Medical Practice Nj | |
28 Valley Rd Ofc 229 Montclair NJ 07042-2709 | |
(888) 553-2823 | |
Not Available |
Full Name | Careathome Medical Practice Nj |
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Speciality | Internal Medicine |
Location | 28 Valley Rd Ofc 229, Montclair, New Jersey |
Authorized Official Name and Position | James Wood (MEDICAL DIRECTOR) |
Authorized Official Contact | 7046503818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Careathome Medical Practice Nj 287 Park Ave S Fl 3 New York NY 10010-4573 Ph: (917) 410-7931 | Careathome Medical Practice Nj 28 Valley Rd Ofc 229 Montclair NJ 07042-2709 Ph: (888) 553-2823 |
NPI Number | 1659974301 |
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Provider Enumeration Date | 11/17/2020 |
Last Update Date | 09/06/2022 |
Medicare PECOS PAC ID | 1052727120 |
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Medicare Enrollment ID | O20210517000225 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659974301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Diane Evelyn Deangelo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760422703 PECOS PAC ID: 8527093624 Enrollment ID: I20051223000062 |
Provider Name | Janine Foster-boswell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083937189 PECOS PAC ID: 6204004278 Enrollment ID: I20110718000498 |
Provider Name | Norma Lesta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063864957 PECOS PAC ID: 9032403860 Enrollment ID: I20160802002064 |
Provider Name | Jessica Ramos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043704851 PECOS PAC ID: 9133462922 Enrollment ID: I20190517002208 |
Provider Name | Miriam Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346894565 PECOS PAC ID: 6406186527 Enrollment ID: I20191002002169 |
Provider Name | Joseph Jasser |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043339930 PECOS PAC ID: 0042392870 Enrollment ID: I20191031002653 |
Provider Name | James Wood |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1770549735 PECOS PAC ID: 8022036888 Enrollment ID: I20210316000716 |
Provider Name | Yerelyn Gutierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932592870 PECOS PAC ID: 2264824242 Enrollment ID: I20220125001835 |
Provider Name | Sara Ardila |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871091728 PECOS PAC ID: 5193052959 Enrollment ID: I20220214002251 |
Provider Name | Jacqueline Marie Ramsey Rosenhein |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487137089 PECOS PAC ID: 1759614589 Enrollment ID: I20220215000738 |
Provider Name | Amy X Ma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740393842 PECOS PAC ID: 3577533157 Enrollment ID: I20220217002914 |
Provider Name | Patricia Ann Angelucci |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134465636 PECOS PAC ID: 8729184650 Enrollment ID: I20220223000095 |
Provider Name | Katherine Bhadra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588907034 PECOS PAC ID: 1850538893 Enrollment ID: I20220310001361 |
Provider Name | Helen Portalatin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902042518 PECOS PAC ID: 4688851165 Enrollment ID: I20220314000141 |
Provider Name | Maria Dizhgalvis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184144792 PECOS PAC ID: 4183974884 Enrollment ID: I20220315000345 |
Provider Name | Laura Ardila |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699273540 PECOS PAC ID: 7517295868 Enrollment ID: I20220316003085 |
Provider Name | Erika Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215433354 PECOS PAC ID: 7416207428 Enrollment ID: I20220317000276 |
Provider Name | Sasha Moredock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700252822 PECOS PAC ID: 7719292523 Enrollment ID: I20220325000930 |
Provider Name | Jennifer Rivas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740676352 PECOS PAC ID: 4981925229 Enrollment ID: I20220331000452 |
Provider Name | Obianamma N Ozuah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407182983 PECOS PAC ID: 9537345764 Enrollment ID: I20220411000283 |
Provider Name | Gemma C Kaunert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962697482 PECOS PAC ID: 2163725573 Enrollment ID: I20221102002254 |
Provider Name | Lauren Guse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770990210 PECOS PAC ID: 8325366990 Enrollment ID: I20230315001543 |
Provider Name | Jing Tang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922505056 PECOS PAC ID: 6507244399 Enrollment ID: I20230526001115 |
Provider Name | Juliana Tacardon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376964452 PECOS PAC ID: 3870827983 Enrollment ID: I20230622000063 |
Provider Name | Kristy Mcintosh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750611521 PECOS PAC ID: 6608039573 Enrollment ID: I20240528000355 |
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