| Compassion Medical Group Pc | |
|
145 Presidential Blvd Ste 1 Paterson NJ 07522-2173 | |
| (973) 241-5856 | |
| Not Available |
| Full Name | Compassion Medical Group Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 145 Presidential Blvd Ste 1, Paterson, New Jersey |
| Authorized Official Name and Position | Moses Jacob (DIRECTOR) |
| Authorized Official Contact | 9732415856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion Medical Group Pc 145 Presidential Blvd Ste 1 Paterson NJ 07522-2173 Ph: (973) 241-5856 | Compassion Medical Group Pc 145 Presidential Blvd Ste 1 Paterson NJ 07522-2173 Ph: (973) 241-5856 |
| NPI Number | 1992389183 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 01/21/2025 |
| Medicare PECOS PAC ID | 4082012745 |
|---|---|
| Medicare Enrollment ID | O20220112001459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992389183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Beverly Davison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720029820 PECOS PAC ID: 1153514633 Enrollment ID: I20101015000792 |
| Provider Name | Melvin H Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508271313 PECOS PAC ID: 8527358571 Enrollment ID: I20160602001573 |
| Provider Name | Dawn M Starbinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932879194 PECOS PAC ID: 9436541810 Enrollment ID: I20220114000742 |
| Provider Name | Estefany Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700501095 PECOS PAC ID: 7214300508 Enrollment ID: I20230307003392 |
| Provider Name | Patricia Boachie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669164927 PECOS PAC ID: 1254785280 Enrollment ID: I20230926000676 |
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