| Carepoint Health Medical Group | |
|
308 Willow Ave Hoboken NJ 07030-3808 | |
| (844) 427-4362 | |
| (201) 603-6677 |
| Full Name | Carepoint Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 308 Willow Ave, Hoboken, New Jersey |
| Authorized Official Name and Position | Mark Spektor (RECORD OWNER) |
| Authorized Official Contact | 2018587805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carepoint Health Medical Group 308 Willow Avenue 15th Floor Hoboken NJ 07030-3918 Ph: (201) 821-8711 | Carepoint Health Medical Group 308 Willow Ave Hoboken NJ 07030-3808 Ph: (844) 427-4362 |
| NPI Number | 1558673582 |
|---|---|
| Provider Enumeration Date | 07/07/2010 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 9133300791 |
|---|---|
| Medicare Enrollment ID | O20110302000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558673582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alessio Pigazzi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205935913 PECOS PAC ID: 3577464700 Enrollment ID: I20040120000279 |
| Provider Name | Michelle Rene Reisner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942267158 PECOS PAC ID: 7012800915 Enrollment ID: I20040204000927 |
| Provider Name | George J Ciechanowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407932650 PECOS PAC ID: 2567458623 Enrollment ID: I20040423000038 |
| Provider Name | Elaine Debra Dennis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356368971 PECOS PAC ID: 2466441779 Enrollment ID: I20040511001209 |
| Provider Name | Rajnikant Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184682593 PECOS PAC ID: 1850378613 Enrollment ID: I20040702001230 |
| Provider Name | Marc Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770569568 PECOS PAC ID: 9931186152 Enrollment ID: I20040706000537 |
| Provider Name | James G Sanderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154328193 PECOS PAC ID: 1658340500 Enrollment ID: I20040928000982 |
| Provider Name | Deborah Parlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508917832 PECOS PAC ID: 8224097886 Enrollment ID: I20041008000234 |
| Provider Name | Osbert Fernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740252477 PECOS PAC ID: 8224090816 Enrollment ID: I20041027000058 |
| Provider Name | Nelson Radames Pichardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720110547 PECOS PAC ID: 8022070119 Enrollment ID: I20041101000664 |
| Provider Name | Robin A Meadows |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881618130 PECOS PAC ID: 9133182322 Enrollment ID: I20041109000447 |
| Provider Name | Misbah Salam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396768651 PECOS PAC ID: 8426014150 Enrollment ID: I20041206000031 |
| Provider Name | Krishna Duvvuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073574745 PECOS PAC ID: 6103882428 Enrollment ID: I20041208000115 |
| Provider Name | Antonia F Pinney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366418170 PECOS PAC ID: 9931183290 Enrollment ID: I20050110000564 |
| Provider Name | Michael Ahn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578598314 PECOS PAC ID: 5991755969 Enrollment ID: I20050127000254 |
| Provider Name | Anwar Y Ghali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093787145 PECOS PAC ID: 9739130816 Enrollment ID: I20050207000166 |
| Provider Name | Hector Florentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154363661 PECOS PAC ID: 5395798482 Enrollment ID: I20050301000623 |
| Provider Name | Paul C Teodoro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720177405 PECOS PAC ID: 5092752782 Enrollment ID: I20050415000048 |
| Provider Name | Devjit S Nayar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093787806 PECOS PAC ID: 1052352218 Enrollment ID: I20050518000256 |
| Provider Name | Hitendrakumar C Upadhyaya |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1902912561 PECOS PAC ID: 5597709618 Enrollment ID: I20050620000092 |
| Provider Name | Paresh P Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477618767 PECOS PAC ID: 2365487204 Enrollment ID: I20050622000374 |
| Provider Name | Francis Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275609885 PECOS PAC ID: 0345285169 Enrollment ID: I20050622001046 |
| Provider Name | Mohammad A Zubair |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1003872268 PECOS PAC ID: 0143265967 Enrollment ID: I20050622001065 |
| Provider Name | Edward F Boylan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144286105 PECOS PAC ID: 2860437696 Enrollment ID: I20050622001077 |
| Provider Name | Michael J Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538185657 PECOS PAC ID: 4385689975 Enrollment ID: I20050623000786 |
| Provider Name | Gary P Cardiello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114020690 PECOS PAC ID: 9931145422 Enrollment ID: I20050706000920 |
| Provider Name | James M Pritsiolas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063451698 PECOS PAC ID: 9133162290 Enrollment ID: I20050722000350 |
| Provider Name | Virginia M Witt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689673923 PECOS PAC ID: 2668406372 Enrollment ID: I20050922000272 |
| Provider Name | Catherine C Alcarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326084989 PECOS PAC ID: 1355375676 Enrollment ID: I20050926000303 |
| Provider Name | John T Dedousis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164515706 PECOS PAC ID: 3577598671 Enrollment ID: I20050928000080 |
| Provider Name | Andrew N De La Torre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184659823 PECOS PAC ID: 5395770275 Enrollment ID: I20050929000163 |
| Provider Name | Ramiladevi S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194760447 PECOS PAC ID: 7012932361 Enrollment ID: I20051006000232 |
| Provider Name | Steven C Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780740860 PECOS PAC ID: 3971494360 Enrollment ID: I20051129000645 |
| Provider Name | Vikas V Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922069012 PECOS PAC ID: 6709806805 Enrollment ID: I20051205000525 |
| Provider Name | Raul F Aguilar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619911906 PECOS PAC ID: 1153341102 Enrollment ID: I20051213000081 |
| Provider Name | George E Mcquilkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063457778 PECOS PAC ID: 7517988074 Enrollment ID: I20051216000099 |
| Provider Name | Mitchell J Mutterperl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215972682 PECOS PAC ID: 7719900299 Enrollment ID: I20060111000136 |
| Provider Name | Gisela L Munne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073556213 PECOS PAC ID: 4981628187 Enrollment ID: I20060113000734 |
| Provider Name | Puneet Babbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992776827 PECOS PAC ID: 1557375524 Enrollment ID: I20060130000052 |
| Provider Name | Michel S Badin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750305389 PECOS PAC ID: 3870508203 Enrollment ID: I20060207000349 |
| Provider Name | Jose Pinal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013098862 PECOS PAC ID: 1355359027 Enrollment ID: I20060323000084 |
| Provider Name | Vincent Arloro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609859677 PECOS PAC ID: 1850314881 Enrollment ID: I20060327000326 |
| Provider Name | George A Woroch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154355030 PECOS PAC ID: 7012926140 Enrollment ID: I20060418000247 |
| Provider Name | Steven M Beenstock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043250707 PECOS PAC ID: 4789682071 Enrollment ID: I20061121000306 |
| Provider Name | Elizabeth A Scheff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114930880 PECOS PAC ID: 2769481985 Enrollment ID: I20061215000133 |
| Provider Name | Nelson P Gramatica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316027642 PECOS PAC ID: 1658371166 Enrollment ID: I20070108000204 |
| Provider Name | Beatrice Laufer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518063577 PECOS PAC ID: 9931100864 Enrollment ID: I20070119000446 |
| Provider Name | Ira Sheldon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407813835 PECOS PAC ID: 9133187693 Enrollment ID: I20070516000001 |
| Provider Name | Bernadette Schicho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669671046 PECOS PAC ID: 0547352163 Enrollment ID: I20070827000560 |
| Provider Name | Adam Ash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699974675 PECOS PAC ID: 3678668787 Enrollment ID: I20071004000521 |
| Provider Name | Dana S Spivak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285642934 PECOS PAC ID: 9830185834 Enrollment ID: I20071214000519 |
| Provider Name | Jyoti Matta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104882588 PECOS PAC ID: 1052495603 Enrollment ID: I20080328000062 |
| Provider Name | Sasha Prakash |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417916701 PECOS PAC ID: 0648359893 Enrollment ID: I20080430000086 |
| Provider Name | Joselina E Goris-hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609821909 PECOS PAC ID: 2365500964 Enrollment ID: I20081027000481 |
| Provider Name | Meena Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730128901 PECOS PAC ID: 9537225123 Enrollment ID: I20090305000716 |
| Provider Name | Peggy S Langel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841437951 PECOS PAC ID: 3274681911 Enrollment ID: I20090506000312 |
| Provider Name | Mazhar E Elamir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972527950 PECOS PAC ID: 0143379586 Enrollment ID: I20090514000361 |
| Provider Name | Glenda L Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205079209 PECOS PAC ID: 1153471644 Enrollment ID: I20090603000468 |
| Provider Name | Carolyne Jean-philippe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912134404 PECOS PAC ID: 3476606930 Enrollment ID: I20090730000390 |
| Provider Name | Gary N Mcabee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437232469 PECOS PAC ID: 2466507488 Enrollment ID: I20090827000128 |
| Provider Name | Tanuj Bhatnagar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205918679 PECOS PAC ID: 2163421090 Enrollment ID: I20090928000244 |
| Provider Name | Prakash Ramaiah Paragi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598992380 PECOS PAC ID: 8022154285 Enrollment ID: I20091001000713 |
| Provider Name | Amardeep S Saluja |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134319841 PECOS PAC ID: 2466417332 Enrollment ID: I20091021000529 |
| Provider Name | Lalitha Masson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487762019 PECOS PAC ID: 3678611308 Enrollment ID: I20091117000388 |
| Provider Name | Rizwana Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154558419 PECOS PAC ID: 4183764772 Enrollment ID: I20091211000324 |
| Provider Name | Chintan B Modi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649506932 PECOS PAC ID: 0648311415 Enrollment ID: I20091231000230 |
| Provider Name | Alan H Burghauser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992806608 PECOS PAC ID: 8628113107 Enrollment ID: I20100309000206 |
| Provider Name | Leroy Nickles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710070412 PECOS PAC ID: 4284690025 Enrollment ID: I20100316000165 |
| Provider Name | Eileen Clifford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730264052 PECOS PAC ID: 8426185729 Enrollment ID: I20100419000289 |
| Provider Name | Annamarie Matos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366618902 PECOS PAC ID: 2860523479 Enrollment ID: I20100625000726 |
| Provider Name | Egidio Migioia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801110499 PECOS PAC ID: 2961533344 Enrollment ID: I20100629000343 |
| Provider Name | Chaudhry S Aman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619054137 PECOS PAC ID: 2668597956 Enrollment ID: I20100909000903 |
| Provider Name | David Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962655654 PECOS PAC ID: 5496801516 Enrollment ID: I20101202000096 |
| Provider Name | Jay A Sklower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871530154 PECOS PAC ID: 5294886628 Enrollment ID: I20101206001157 |
| Provider Name | Vasanti Damle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114035987 PECOS PAC ID: 2769670512 Enrollment ID: I20101221000944 |
| Provider Name | Harold Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477594703 PECOS PAC ID: 5496935249 Enrollment ID: I20110210000759 |
| Provider Name | Gautami K Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083795264 PECOS PAC ID: 5890884084 Enrollment ID: I20110601000482 |
| Provider Name | Sabia Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740482959 PECOS PAC ID: 5597942185 Enrollment ID: I20110608000277 |
| Provider Name | Howard Seth Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578562948 PECOS PAC ID: 0042244741 Enrollment ID: I20110614000421 |
| Provider Name | Heather Zeveney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710281720 PECOS PAC ID: 6709063969 Enrollment ID: I20110615000859 |
| Provider Name | Ravikumar B Brahmbhatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073816351 PECOS PAC ID: 6709055395 Enrollment ID: I20110817000178 |
| Provider Name | Doris Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457584179 PECOS PAC ID: 4284805417 Enrollment ID: I20110920000791 |
| Provider Name | Laura Bonaker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528078797 PECOS PAC ID: 0345415998 Enrollment ID: I20111208000675 |
| Provider Name | Francisco J Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972509958 PECOS PAC ID: 7416123682 Enrollment ID: I20120110000636 |
| Provider Name | Joseph N. Gressock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376654129 PECOS PAC ID: 3173790631 Enrollment ID: I20120124000578 |
| Provider Name | Juan Latorre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336227297 PECOS PAC ID: 9830356138 Enrollment ID: I20120127000801 |
| Provider Name | Jolanta Potoczek-salahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376532796 PECOS PAC ID: 8224204870 Enrollment ID: I20120222000882 |
| Provider Name | Adrian Padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255618328 PECOS PAC ID: 3173782257 Enrollment ID: I20120308000625 |
| Provider Name | Leon Kogan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598916223 PECOS PAC ID: 2365508652 Enrollment ID: I20120313000315 |
| Provider Name | Simon Badin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467699405 PECOS PAC ID: 1557521028 Enrollment ID: I20120321000536 |
| Provider Name | Helen Ndwiga Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083990360 PECOS PAC ID: 4082874219 Enrollment ID: I20120327000264 |
| Provider Name | Steven J Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073668679 PECOS PAC ID: 8729249297 Enrollment ID: I20120410000115 |
| Provider Name | Alexander R Chiu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871754937 PECOS PAC ID: 8123283355 Enrollment ID: I20120713000009 |
| Provider Name | Haroon Faraz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629250535 PECOS PAC ID: 0042476442 Enrollment ID: I20120731000214 |
| Provider Name | Kirit V Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629180344 PECOS PAC ID: 5799932240 Enrollment ID: I20120906000090 |
| Provider Name | Ron S Ben-meir |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1366637423 PECOS PAC ID: 8325296585 Enrollment ID: I20120912000546 |
| Provider Name | Robert R Sudol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154424182 PECOS PAC ID: 5092765826 Enrollment ID: I20120921000146 |
| Provider Name | Kwaku Boamah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154413029 PECOS PAC ID: 4789645862 Enrollment ID: I20121127000332 |
| Provider Name | Ajay V Jetley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023243623 PECOS PAC ID: 1052597226 Enrollment ID: I20130122000158 |
| Provider Name | Benetta I Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316079239 PECOS PAC ID: 4385889617 Enrollment ID: I20130314000274 |
| Provider Name | David L Principe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417985391 PECOS PAC ID: 8123265808 Enrollment ID: I20130517000006 |
| Provider Name | Marina Bloshteyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801144811 PECOS PAC ID: 3274772058 Enrollment ID: I20130627000334 |
| Provider Name | Parth Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992069264 PECOS PAC ID: 5698917870 Enrollment ID: I20130819000300 |
| Provider Name | Rosario Alfaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053686931 PECOS PAC ID: 5496997678 Enrollment ID: I20130819000322 |
| Provider Name | Mohammad H Miqbel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568781672 PECOS PAC ID: 6305089293 Enrollment ID: I20130824000111 |
| Provider Name | Sapan Haresh Majmundar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215272943 PECOS PAC ID: 4688817398 Enrollment ID: I20130828000550 |
| Provider Name | Kwame Okyere Amponsah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831416874 PECOS PAC ID: 5597936294 Enrollment ID: I20130927000330 |
| Provider Name | Sam Sunghyun Yoon |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1548246002 PECOS PAC ID: 0941389183 Enrollment ID: I20131202001323 |
| Provider Name | Biljana Scopulovic-nikolic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508029042 PECOS PAC ID: 5092985093 Enrollment ID: I20131226000628 |
| Provider Name | Shakeerah M Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053749689 PECOS PAC ID: 4880822709 Enrollment ID: I20140122000626 |
| Provider Name | Yanina Meshko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295783421 PECOS PAC ID: 7214166099 Enrollment ID: I20140128001248 |
| Provider Name | Sudarshan Velpari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235450263 PECOS PAC ID: 8022256288 Enrollment ID: I20140221001203 |
| Provider Name | Nana R Yenukashvilli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447460712 PECOS PAC ID: 3678703253 Enrollment ID: I20140226002103 |
| Provider Name | Jaclyn F Wiener |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295053056 PECOS PAC ID: 1658515564 Enrollment ID: I20140421000169 |
| Provider Name | Jeevan Y Vinod |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992941587 PECOS PAC ID: 3779751185 Enrollment ID: I20140429001081 |
| Provider Name | Rasia Guieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740618156 PECOS PAC ID: 6608091962 Enrollment ID: I20140701000718 |
| Provider Name | Shkeirra Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982017869 PECOS PAC ID: 3476778176 Enrollment ID: I20140715000149 |
| Provider Name | Piotr W Oko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245329150 PECOS PAC ID: 7719103035 Enrollment ID: I20140723000630 |
| Provider Name | Peter M Woroch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255687067 PECOS PAC ID: 9335365428 Enrollment ID: I20140725001434 |
| Provider Name | Lynda Myhre Stiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386609030 PECOS PAC ID: 9638396427 Enrollment ID: I20140819002164 |
| Provider Name | Heather A Goldner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801229554 PECOS PAC ID: 6103044623 Enrollment ID: I20140826000873 |
| Provider Name | Diane P Lubinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558566620 PECOS PAC ID: 0648417949 Enrollment ID: I20140905002130 |
| Provider Name | Efat Azizi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255580783 PECOS PAC ID: 9537352703 Enrollment ID: I20140912001857 |
| Provider Name | Aigner Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669813119 PECOS PAC ID: 9830319805 Enrollment ID: I20140926000148 |
| Provider Name | Irena Osipenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811396609 PECOS PAC ID: 6305066283 Enrollment ID: I20140926001024 |
| Provider Name | Raudel Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629362520 PECOS PAC ID: 7214157098 Enrollment ID: I20140929002006 |
| Provider Name | Therese A Malcolm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558304246 PECOS PAC ID: 7719081512 Enrollment ID: I20141014001919 |
| Provider Name | Francine Hyman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346655495 PECOS PAC ID: 1153543608 Enrollment ID: I20141118000232 |
| Provider Name | Catherine Palamar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407266364 PECOS PAC ID: 7416179833 Enrollment ID: I20141119000374 |
| Provider Name | Mia F Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376944983 PECOS PAC ID: 3870815491 Enrollment ID: I20141209001502 |
| Provider Name | Virginia Atieh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659778306 PECOS PAC ID: 9436472131 Enrollment ID: I20150105002107 |
| Provider Name | Dani Korya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235426347 PECOS PAC ID: 4486978749 Enrollment ID: I20150115001966 |
| Provider Name | Korinne S Roane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972908838 PECOS PAC ID: 1951629070 Enrollment ID: I20150421000832 |
| Provider Name | Thomas J Shaknovsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568690014 PECOS PAC ID: 6709041270 Enrollment ID: I20150428001853 |
| Provider Name | Rachna Subramony |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710286505 PECOS PAC ID: 8820213747 Enrollment ID: I20150626000715 |
| Provider Name | Rakhee Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124316336 PECOS PAC ID: 3779897202 Enrollment ID: I20150728006257 |
| Provider Name | Bhumika S Thummar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366862724 PECOS PAC ID: 7810205598 Enrollment ID: I20150929002586 |
| Provider Name | Dragana Np Obradovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992192876 PECOS PAC ID: 2163730318 Enrollment ID: I20151007002854 |
| Provider Name | Rebecca J Macadams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417376633 PECOS PAC ID: 1759690670 Enrollment ID: I20151015001829 |
| Provider Name | Alyssa J Topilow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689080202 PECOS PAC ID: 1456661651 Enrollment ID: I20151029002283 |
| Provider Name | Haroon M Shahid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659697290 PECOS PAC ID: 4789813965 Enrollment ID: I20151221001953 |
| Provider Name | Brenda Bartkovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750778635 PECOS PAC ID: 3375852189 Enrollment ID: I20160113001988 |
| Provider Name | Karon Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740669795 PECOS PAC ID: 4385948686 Enrollment ID: I20160208000189 |
| Provider Name | Robyn M Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871905133 PECOS PAC ID: 7214234574 Enrollment ID: I20160331001242 |
| Provider Name | Azam Mughni |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699199067 PECOS PAC ID: 8224323191 Enrollment ID: I20160817001958 |
| Provider Name | Jennifer Hsieh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629357835 PECOS PAC ID: 8224323563 Enrollment ID: I20160825000339 |
| Provider Name | Cynthia Geronimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043542160 PECOS PAC ID: 4284876103 Enrollment ID: I20170303001514 |
| Provider Name | Kari Ladoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356791321 PECOS PAC ID: 2567747793 Enrollment ID: I20170330000513 |
| Provider Name | Avik Sarkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528383403 PECOS PAC ID: 8224326558 Enrollment ID: I20170425000345 |
| Provider Name | Alexander J Knihnicky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295141448 PECOS PAC ID: 8224308580 Enrollment ID: I20170719000528 |
| Provider Name | Pokala Md Kiran |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1871798330 PECOS PAC ID: 9133228281 Enrollment ID: I20170811002912 |
| Provider Name | Cherrielyn B Escono-quiambao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437697745 PECOS PAC ID: 9931472396 Enrollment ID: I20170906002625 |
| Provider Name | Ruta Bondarenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639414436 PECOS PAC ID: 5395010565 Enrollment ID: I20171014000020 |
| Provider Name | Tarashon Broomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285187708 PECOS PAC ID: 8224396544 Enrollment ID: I20171214001863 |
| Provider Name | Japeth Demetria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386018497 PECOS PAC ID: 8426316761 Enrollment ID: I20171214002722 |
| Provider Name | Samantha Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477075497 PECOS PAC ID: 3476811639 Enrollment ID: I20171215000832 |
| Provider Name | Joseph G Taliercio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730310798 PECOS PAC ID: 2567508773 Enrollment ID: I20180104000102 |
| Provider Name | Marianne Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972039402 PECOS PAC ID: 3971862897 Enrollment ID: I20180122001176 |
| Provider Name | Karam Wehbeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306356365 PECOS PAC ID: 3072872944 Enrollment ID: I20180123000369 |
| Provider Name | Regina K Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710421102 PECOS PAC ID: 8729349295 Enrollment ID: I20180223001701 |
| Provider Name | Valerie Fabiola Buisson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730409475 PECOS PAC ID: 8022255934 Enrollment ID: I20180312001755 |
| Provider Name | Vinod Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609814490 PECOS PAC ID: 9931145562 Enrollment ID: I20180406000058 |
| Provider Name | Ling Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962903914 PECOS PAC ID: 9931454568 Enrollment ID: I20180621002079 |
| Provider Name | Roshni Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932529260 PECOS PAC ID: 5799036257 Enrollment ID: I20180921001123 |
| Provider Name | Monica Fantauzzi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194275495 PECOS PAC ID: 9739463027 Enrollment ID: I20181120000436 |
| Provider Name | Nicole Rengifo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104366699 PECOS PAC ID: 7416291596 Enrollment ID: I20181129002802 |
| Provider Name | Maleka D Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225589054 PECOS PAC ID: 7113261751 Enrollment ID: I20181207001580 |
| Provider Name | Shahnaz Singh-kandah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457891079 PECOS PAC ID: 9537403704 Enrollment ID: I20181219000104 |
| Provider Name | Kehinde Ibitola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293530 PECOS PAC ID: 0840538351 Enrollment ID: I20190207002175 |
| Provider Name | Gloria O Odoemena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386961761 PECOS PAC ID: 8628311099 Enrollment ID: I20190529000180 |
| Provider Name | Caitlin E Miner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841644192 PECOS PAC ID: 2062745490 Enrollment ID: I20190617002975 |
| Provider Name | Elizabeth Verduzco-gomez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669734117 PECOS PAC ID: 3870847668 Enrollment ID: I20190802001010 |
| Provider Name | Bora Toklu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508019456 PECOS PAC ID: 8022274794 Enrollment ID: I20190814001055 |
| Provider Name | Carmelle S Charleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518413038 PECOS PAC ID: 5799013918 Enrollment ID: I20190827001138 |
| Provider Name | Jonelle George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700226693 PECOS PAC ID: 4486984465 Enrollment ID: I20190918002622 |
| Provider Name | Whitney Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528601564 PECOS PAC ID: 4183059033 Enrollment ID: I20200122003021 |
| Provider Name | Marco Bertucci Zoccali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033537659 PECOS PAC ID: 1951658780 Enrollment ID: I20200303002031 |
| Provider Name | Philip E George |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356769871 PECOS PAC ID: 9638415672 Enrollment ID: I20200821000331 |
| Provider Name | Beatrice Dionigi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124342613 PECOS PAC ID: 0446477459 Enrollment ID: I20200824000373 |
| Provider Name | Daiana Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174108070 PECOS PAC ID: 6002215324 Enrollment ID: I20210518002823 |
| Provider Name | Jaskarandeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467938449 PECOS PAC ID: 9931456928 Enrollment ID: I20210614000301 |
| Provider Name | Mario G Angulo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942791827 PECOS PAC ID: 5698179208 Enrollment ID: I20210804001561 |
| Provider Name | Marifel B Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902473226 PECOS PAC ID: 8224432638 Enrollment ID: I20210806002338 |
| Provider Name | Benjamin Kuritzkes |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1689017402 PECOS PAC ID: 4981941044 Enrollment ID: I20211101001130 |
| Provider Name | Eva J Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528721586 PECOS PAC ID: 6204229651 Enrollment ID: I20220207001317 |
| Provider Name | Darren Sachs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619318482 PECOS PAC ID: 4183974298 Enrollment ID: I20220209000664 |
| Provider Name | Steven A Lee-kong |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1134353592 PECOS PAC ID: 5890951271 Enrollment ID: I20220224000457 |
| Provider Name | Isaac George |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457430837 PECOS PAC ID: 7618150855 Enrollment ID: I20220316003214 |
| Provider Name | Hau-lun Rachel Liou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518353358 PECOS PAC ID: 0446675763 Enrollment ID: I20220415000743 |
| Provider Name | Simcha Weissman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457810798 PECOS PAC ID: 3274910534 Enrollment ID: I20220507000138 |
| Provider Name | Tamim M Nazif |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942323944 PECOS PAC ID: 9032217468 Enrollment ID: I20220513002302 |
| Provider Name | Vikas Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497246219 PECOS PAC ID: 8820478209 Enrollment ID: I20220701000186 |
| Provider Name | Charles B Arber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831758945 PECOS PAC ID: 8123402963 Enrollment ID: I20220829001890 |
| Provider Name | David Matthew Schwartzberg |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336439686 PECOS PAC ID: 0840560520 Enrollment ID: I20220912002502 |
| Provider Name | Tyler Holsapple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023514833 PECOS PAC ID: 1254734692 Enrollment ID: I20220921000940 |
| Provider Name | Priyanka Gill |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942644927 PECOS PAC ID: 3173826088 Enrollment ID: I20221028002605 |
| Provider Name | Manuela Noriega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821557695 PECOS PAC ID: 3476935602 Enrollment ID: I20221031000617 |
| Provider Name | Allison Estep |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730574781 PECOS PAC ID: 0143626721 Enrollment ID: I20221107003005 |
| Provider Name | Esther A Reynoso |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760104780 PECOS PAC ID: 7113394990 Enrollment ID: I20221108001254 |
| Provider Name | Rujuta B Katkar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740693142 PECOS PAC ID: 0446595276 Enrollment ID: I20221229001055 |
| Provider Name | Joseph N Riad |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1720493729 PECOS PAC ID: 9537567607 Enrollment ID: I20230202002820 |
| Provider Name | Leila Ledesma-apolinario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255988432 PECOS PAC ID: 5698105484 Enrollment ID: I20230228002603 |
| Provider Name | Meron Debesai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003347311 PECOS PAC ID: 7416316336 Enrollment ID: I20230710002025 |
| Provider Name | Mohamad Soud |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003278292 PECOS PAC ID: 4587023312 Enrollment ID: I20230711002454 |
| Provider Name | Vijay Velagapudi Prasad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710370440 PECOS PAC ID: 0446546766 Enrollment ID: I20230719002187 |
| Provider Name | Schuyler L Hodge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598226276 PECOS PAC ID: 3971965385 Enrollment ID: I20230817000582 |
| Provider Name | Arsany A Anis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760970610 PECOS PAC ID: 2466808423 Enrollment ID: I20231026002841 |
| Provider Name | Vivek Gumaste |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710901368 PECOS PAC ID: 1355407560 Enrollment ID: I20231030000064 |
| Provider Name | Harpreet Rai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902301856 PECOS PAC ID: 6507100815 Enrollment ID: I20231109000631 |
| Provider Name | Marissa Hellermann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609596212 PECOS PAC ID: 8426407065 Enrollment ID: I20231208000494 |
| Provider Name | Roman Grinberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437271418 PECOS PAC ID: 3779733324 Enrollment ID: I20240116002213 |
| Provider Name | Divyesh Nemakayala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255781217 PECOS PAC ID: 3779812144 Enrollment ID: I20240220004667 |
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