| Citylife Clinics Nj, Pc | |
|
44 Jones St Newark NJ 07103 | |
| (267) 819-1800 | |
| Not Available |
| Full Name | Citylife Clinics Nj, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 44 Jones St, Newark, New Jersey |
| Authorized Official Name and Position | Lang Aston (CFO) |
| Authorized Official Contact | 6155565908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citylife Clinics Nj, Pc 601 Taylor St Nashville TN 37208-2635 Ph: (127) 099-9273 | Citylife Clinics Nj, Pc 44 Jones St Newark NJ 07103 Ph: (267) 819-1800 |
| NPI Number | 1437649845 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 05/11/2018 |
| Medicare PECOS PAC ID | 8628408283 |
|---|---|
| Medicare Enrollment ID | O20200422000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437649845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Shelley Ann Pennycooke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821297938 PECOS PAC ID: 1759444375 Enrollment ID: I20090108000246 |
| Provider Name | Sharon R Rainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467530139 PECOS PAC ID: 8820120371 Enrollment ID: I20100719000502 |
| Provider Name | Odetta R Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396034120 PECOS PAC ID: 8729254289 Enrollment ID: I20120104000611 |
| Provider Name | Khayriyyah E Chandler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104077130 PECOS PAC ID: 3173719028 Enrollment ID: I20130524000445 |
| Provider Name | Christina Hector |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366679169 PECOS PAC ID: 5395977755 Enrollment ID: I20140417000528 |
| Provider Name | Aigner Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669813119 PECOS PAC ID: 9830319805 Enrollment ID: I20140926000148 |
| Provider Name | Jenika L Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255503892 PECOS PAC ID: 7113249855 Enrollment ID: I20150130000100 |
| Provider Name | Mona Lisa Abankwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902184138 PECOS PAC ID: 0244510212 Enrollment ID: I20161208001254 |
| Provider Name | Brian Portanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336595800 PECOS PAC ID: 0446530307 Enrollment ID: I20161212000070 |
| Provider Name | Moses Fallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891900486 PECOS PAC ID: 3577822568 Enrollment ID: I20180119002217 |
| Provider Name | Carla A Paredes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174078976 PECOS PAC ID: 1052699212 Enrollment ID: I20200422002421 |
| Provider Name | Penny Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255783650 PECOS PAC ID: 2163701525 Enrollment ID: I20200427000668 |
| Provider Name | Robert A Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265479042 PECOS PAC ID: 3678666450 Enrollment ID: I20200511000561 |
| Provider Name | Alkaben R Sheladia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528504149 PECOS PAC ID: 0244652329 Enrollment ID: I20200618000199 |
| Provider Name | Elizabeth M Ladia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679159370 PECOS PAC ID: 3577965318 Enrollment ID: I20210716000946 |
| Provider Name | Jaclyn Marie Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912403833 PECOS PAC ID: 8224383997 Enrollment ID: I20210908002819 |
| Provider Name | Shakitta Jefferson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952934135 PECOS PAC ID: 0749618304 Enrollment ID: I20220314000397 |
| Provider Name | Valentina Sciulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548906589 PECOS PAC ID: 3779966866 Enrollment ID: I20220823002592 |
| Provider Name | Gillian Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396301107 PECOS PAC ID: 3577931732 Enrollment ID: I20221118000584 |
City Of Newark Dept Of Child And Family Well Being Mobile Medical Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 William St, Newark, NJ 07102 Phone: 973-733-7558 | |
Health Star Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-747-6579 Fax: 201-825-2908 | |
Ironbound Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Van Buren St, 1st Floor, Newark, NJ 07105 Phone: 973-344-6727 Fax: 973-491-5033 | |
Ferry Pain & Rehab Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Ferry St, Newark, NJ 07105 Phone: 973-344-0129 Fax: 973-344-0243 | |
Pri Med Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Summer Ave, Newark, NJ 07104 Phone: 973-484-2800 | |
Newark Community Health Centers,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 751 Broadway, Newark, NJ 07104 Phone: 973-483-1300 Fax: 973-483-3787 | |
Saint Michaels Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 268 Martin Luther King Blvd., Newark, NJ 07102 Phone: 973-877-2963 |