| Consensus Medical Group Llc | |
|
2399 Route 34 Bldg A5 Manasquan NJ 08736-1500 | |
| (732) 528-5533 | |
| Not Available |
| Full Name | Consensus Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2399 Route 34 Bldg A5, Manasquan, New Jersey |
| Authorized Official Name and Position | Marc B. Feingold (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7325368008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consensus Medical Group Llc 402 Lippincott Dr Marlton NJ 08053-4112 Ph: () - | Consensus Medical Group Llc 2399 Route 34 Bldg A5 Manasquan NJ 08736-1500 Ph: (732) 528-5533 |
| NPI Number | 1811466881 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 12/16/2021 |
| Medicare PECOS PAC ID | 2961748181 |
|---|---|
| Medicare Enrollment ID | O20190109001851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811466881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey S Unger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104864487 PECOS PAC ID: 4789598392 Enrollment ID: I20031118000422 |
| Provider Name | Paul T Verona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255324406 PECOS PAC ID: 3971406083 Enrollment ID: I20040128000149 |
| Provider Name | Elise S Carman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770552325 PECOS PAC ID: 7214821669 Enrollment ID: I20040209000533 |
| Provider Name | Philip J Rubinfeld |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629074091 PECOS PAC ID: 6002720992 Enrollment ID: I20040301001040 |
| Provider Name | Ajay K Agarwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366415465 PECOS PAC ID: 1658276209 Enrollment ID: I20040311000120 |
| Provider Name | Viliana D Kossev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881661510 PECOS PAC ID: 9830081066 Enrollment ID: I20040325000120 |
| Provider Name | Perry M Herman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447200878 PECOS PAC ID: 2769383975 Enrollment ID: I20040325000875 |
| Provider Name | Lawrence C Antonucci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083684914 PECOS PAC ID: 3274520838 Enrollment ID: I20040427000940 |
| Provider Name | Donald Tsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962586321 PECOS PAC ID: 6608863022 Enrollment ID: I20040428000527 |
| Provider Name | Miriam Lefkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336223080 PECOS PAC ID: 3072500180 Enrollment ID: I20040429001026 |
| Provider Name | Michelle Mingqi Ye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265504062 PECOS PAC ID: 9234127713 Enrollment ID: I20040504000349 |
| Provider Name | Kevin J Mickey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538101662 PECOS PAC ID: 1355332081 Enrollment ID: I20040521000240 |
| Provider Name | Mark J Zucker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356319180 PECOS PAC ID: 5092798835 Enrollment ID: I20040611000903 |
| Provider Name | Edward J Barbarito |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174503148 PECOS PAC ID: 6103801444 Enrollment ID: I20040622000164 |
| Provider Name | Anthony Joseph Leone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073596623 PECOS PAC ID: 7113997149 Enrollment ID: I20040728000449 |
| Provider Name | Renata K Dussias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972582336 PECOS PAC ID: 1355314576 Enrollment ID: I20040817000099 |
| Provider Name | Arvind Das |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770527756 PECOS PAC ID: 1557320132 Enrollment ID: I20041008000359 |
| Provider Name | Lawrence D Davanzo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902834708 PECOS PAC ID: 0345209904 Enrollment ID: I20041012001153 |
| Provider Name | Traci Tamburello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013911486 PECOS PAC ID: 6507822863 Enrollment ID: I20041208000439 |
| Provider Name | Mark J Todt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477595064 PECOS PAC ID: 9931159142 Enrollment ID: I20050126000114 |
| Provider Name | Vladimir Berkovich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205806015 PECOS PAC ID: 5193778934 Enrollment ID: I20050222000264 |
| Provider Name | Leonid Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962460386 PECOS PAC ID: 6901845510 Enrollment ID: I20050503000075 |
| Provider Name | Elizabeth O Salcedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396840013 PECOS PAC ID: 7719973437 Enrollment ID: I20050617000089 |
| Provider Name | Robert G Collum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912941899 PECOS PAC ID: 9739123878 Enrollment ID: I20050620000230 |
| Provider Name | Jeanette Jimenez Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982798914 PECOS PAC ID: 3476442625 Enrollment ID: I20050622000038 |
| Provider Name | Dana R Banu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356366124 PECOS PAC ID: 7315973500 Enrollment ID: I20050711000251 |
| Provider Name | Shannon B. Rittberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588643944 PECOS PAC ID: 4587696067 Enrollment ID: I20050906000626 |
| Provider Name | Sneh Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912971730 PECOS PAC ID: 4789616947 Enrollment ID: I20050908000586 |
| Provider Name | Heather Elizabeth Fean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538379771 PECOS PAC ID: 5799712485 Enrollment ID: I20050913000332 |
| Provider Name | Eduardo F Enriquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063573616 PECOS PAC ID: 7214961523 Enrollment ID: I20050926000239 |
| Provider Name | John S Freiheiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073688438 PECOS PAC ID: 8426083692 Enrollment ID: I20050927001235 |
| Provider Name | Arnold I Pallay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538105960 PECOS PAC ID: 1355376682 Enrollment ID: I20051005000986 |
| Provider Name | Fiore J Copare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205869989 PECOS PAC ID: 5193614345 Enrollment ID: I20051010000042 |
| Provider Name | Yeow C Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710072301 PECOS PAC ID: 2961428297 Enrollment ID: I20051017000599 |
| Provider Name | Nicholas A De Maria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942255286 PECOS PAC ID: 5496740177 Enrollment ID: I20051019000056 |
| Provider Name | Douglas Peter Sieminski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922066125 PECOS PAC ID: 6507883170 Enrollment ID: I20051107001036 |
| Provider Name | Marshall Frances Lauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306800859 PECOS PAC ID: 7618990052 Enrollment ID: I20060111000691 |
| Provider Name | Gilbert B Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265465900 PECOS PAC ID: 4688697030 Enrollment ID: I20060111000805 |
| Provider Name | Stephen D Raphael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477599702 PECOS PAC ID: 1557357753 Enrollment ID: I20060113000072 |
| Provider Name | Michael Nicolai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144264029 PECOS PAC ID: 6901820109 Enrollment ID: I20060113000723 |
| Provider Name | John C Scolamiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780766600 PECOS PAC ID: 9032133996 Enrollment ID: I20060118000452 |
| Provider Name | Robert Demartin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043260870 PECOS PAC ID: 7911921820 Enrollment ID: I20060118000863 |
| Provider Name | Melanie A Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831163138 PECOS PAC ID: 9830106988 Enrollment ID: I20060314000565 |
| Provider Name | Dominic F Mazzocchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679546501 PECOS PAC ID: 9739197591 Enrollment ID: I20060406000057 |
| Provider Name | Mark A Rieger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831161751 PECOS PAC ID: 5698786978 Enrollment ID: I20060613000151 |
| Provider Name | Robert S Wiesen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437103678 PECOS PAC ID: 3971516410 Enrollment ID: I20060728000210 |
| Provider Name | Alena Polesin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679686893 PECOS PAC ID: 6002858081 Enrollment ID: I20061010000384 |
| Provider Name | Steven G Somogyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558468090 PECOS PAC ID: 1052311834 Enrollment ID: I20061229000002 |
| Provider Name | Arturo D Monta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790732089 PECOS PAC ID: 3375646730 Enrollment ID: I20070306000226 |
| Provider Name | Mark E Solomon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053341438 PECOS PAC ID: 7012013782 Enrollment ID: I20070426000564 |
| Provider Name | Martin Manzo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750360244 PECOS PAC ID: 2163521139 Enrollment ID: I20070618000110 |
| Provider Name | Clifford C Sebastian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164409538 PECOS PAC ID: 4981797727 Enrollment ID: I20070910000623 |
| Provider Name | Marco P Holgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053329524 PECOS PAC ID: 1557459351 Enrollment ID: I20071112000580 |
| Provider Name | Tamir Bloom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164594784 PECOS PAC ID: 8426136995 Enrollment ID: I20080424000001 |
| Provider Name | Anahita Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760571483 PECOS PAC ID: 9638248925 Enrollment ID: I20080513000048 |
| Provider Name | Samara Friedman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821298688 PECOS PAC ID: 7810063773 Enrollment ID: I20080829000462 |
| Provider Name | Christopher M Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821095605 PECOS PAC ID: 4587557368 Enrollment ID: I20081125000003 |
| Provider Name | Lisa A Dructor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245296169 PECOS PAC ID: 0840353124 Enrollment ID: I20090113000355 |
| Provider Name | Jennifer E Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649267204 PECOS PAC ID: 0840205241 Enrollment ID: I20090121000522 |
| Provider Name | Miah Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720053838 PECOS PAC ID: 2365507647 Enrollment ID: I20090220000185 |
| Provider Name | Marc Feingold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306805015 PECOS PAC ID: 2860484979 Enrollment ID: I20090429000409 |
| Provider Name | Joanne Arduin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114073020 PECOS PAC ID: 6103973540 Enrollment ID: I20090617000358 |
| Provider Name | Fiolakemi O Sowemimo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063673200 PECOS PAC ID: 3476690496 Enrollment ID: I20091023000572 |
| Provider Name | Scott Merlin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124244009 PECOS PAC ID: 2163560897 Enrollment ID: I20091117000348 |
| Provider Name | Daniel W Matkiwsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841204559 PECOS PAC ID: 4981746880 Enrollment ID: I20100114000621 |
| Provider Name | Warren L Galeos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275502114 PECOS PAC ID: 4385684794 Enrollment ID: I20100223000267 |
| Provider Name | Eugene A Cullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487620407 PECOS PAC ID: 2668412073 Enrollment ID: I20100223000338 |
| Provider Name | Christopher R Damico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386611218 PECOS PAC ID: 9931149341 Enrollment ID: I20100223000370 |
| Provider Name | Stephen B Gloria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407825920 PECOS PAC ID: 5294775607 Enrollment ID: I20100223000402 |
| Provider Name | Shefali Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578525432 PECOS PAC ID: 5193765501 Enrollment ID: I20100224000742 |
| Provider Name | Enrico Orlandoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659340107 PECOS PAC ID: 0749220150 Enrollment ID: I20100322000359 |
| Provider Name | Seth Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316980782 PECOS PAC ID: 8527153949 Enrollment ID: I20100323000061 |
| Provider Name | Joseph P Maugeri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174578017 PECOS PAC ID: 2769518703 Enrollment ID: I20100330000466 |
| Provider Name | Joseph W Purcell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083676910 PECOS PAC ID: 3375583784 Enrollment ID: I20100330000613 |
| Provider Name | Joseph Riesenman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336101732 PECOS PAC ID: 3971639832 Enrollment ID: I20100330000730 |
| Provider Name | Bertha Roser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730418609 PECOS PAC ID: 4981730892 Enrollment ID: I20100330001198 |
| Provider Name | Jean Paul Bonnet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154397214 PECOS PAC ID: 4486694890 Enrollment ID: I20100331000054 |
| Provider Name | Keith Damerau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558302349 PECOS PAC ID: 2365570322 Enrollment ID: I20100512000437 |
| Provider Name | John G Soriano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861472292 PECOS PAC ID: 7810091089 Enrollment ID: I20100817000009 |
| Provider Name | Surya Irakam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114971397 PECOS PAC ID: 7416149372 Enrollment ID: I20101011000359 |
| Provider Name | Francesco Lima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679513063 PECOS PAC ID: 5890989354 Enrollment ID: I20101029000100 |
| Provider Name | Shelly L Ludwig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801860937 PECOS PAC ID: 7719957794 Enrollment ID: I20101104000951 |
| Provider Name | Larisa Livshits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982786893 PECOS PAC ID: 6204022734 Enrollment ID: I20101123001057 |
| Provider Name | Frank Iannetta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881621217 PECOS PAC ID: 8224183884 Enrollment ID: I20101124000668 |
| Provider Name | Frank Almeida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518979541 PECOS PAC ID: 4486788312 Enrollment ID: I20101203000308 |
| Provider Name | John Emanuel Hatzantonis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467551374 PECOS PAC ID: 1759316458 Enrollment ID: I20101216000361 |
| Provider Name | Louis Conte |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952356651 PECOS PAC ID: 3577566603 Enrollment ID: I20101220000536 |
| Provider Name | Peter J Kuzmick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194751891 PECOS PAC ID: 8123177177 Enrollment ID: I20110127000737 |
| Provider Name | Kurt Eugene Von Suskil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750317889 PECOS PAC ID: 2668506593 Enrollment ID: I20110318000400 |
| Provider Name | Ekram Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730273772 PECOS PAC ID: 8628967874 Enrollment ID: I20110328000376 |
| Provider Name | Silvana Gaudino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467520239 PECOS PAC ID: 1254515596 Enrollment ID: I20110411000487 |
| Provider Name | Bruce Skolnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700831831 PECOS PAC ID: 6800819525 Enrollment ID: I20110517000816 |
| Provider Name | Patrick Demare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245308402 PECOS PAC ID: 0143408377 Enrollment ID: I20110617000083 |
| Provider Name | Elliot Brown |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285689315 PECOS PAC ID: 7911920632 Enrollment ID: I20110624000566 |
| Provider Name | Lisa Primiani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720375439 PECOS PAC ID: 0143499434 Enrollment ID: I20110802000607 |
| Provider Name | Iosif Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477615466 PECOS PAC ID: 0749458529 Enrollment ID: I20110804000329 |
| Provider Name | Gurpreet S Sidhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255641163 PECOS PAC ID: 2769654771 Enrollment ID: I20111018000331 |
| Provider Name | Harry W Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235231044 PECOS PAC ID: 6709059595 Enrollment ID: I20111021000292 |
| Provider Name | Ashley L Mahaffey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992082234 PECOS PAC ID: 0143497750 Enrollment ID: I20120123000764 |
| Provider Name | Sherry Yang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225076961 PECOS PAC ID: 7416052790 Enrollment ID: I20120215000594 |
| Provider Name | Gowri Veeraraghavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619900883 PECOS PAC ID: 9234133273 Enrollment ID: I20120315000362 |
| Provider Name | Jenine M Lafevre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205946605 PECOS PAC ID: 0244493450 Enrollment ID: I20120529000118 |
| Provider Name | Shari C Flowers |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902067937 PECOS PAC ID: 3678738416 Enrollment ID: I20120629000304 |
| Provider Name | Daniel S Fabius |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073884680 PECOS PAC ID: 8123275500 Enrollment ID: I20120821000448 |
| Provider Name | Andrew P Gilmartin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205119807 PECOS PAC ID: 2163671900 Enrollment ID: I20121011000144 |
| Provider Name | Alexander Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922383827 PECOS PAC ID: 6800024704 Enrollment ID: I20140123001249 |
| Provider Name | Nina Cheung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013177112 PECOS PAC ID: 8628124807 Enrollment ID: I20140410001656 |
| Provider Name | Danielle L Beyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710398433 PECOS PAC ID: 9335367242 Enrollment ID: I20140905000658 |
| Provider Name | Beth Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578798617 PECOS PAC ID: 8123283017 Enrollment ID: I20140912000142 |
| Provider Name | Danielle S Savage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891084083 PECOS PAC ID: 1456570746 Enrollment ID: I20140918001781 |
| Provider Name | Barbara O Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619319449 PECOS PAC ID: 3779708797 Enrollment ID: I20150325001244 |
| Provider Name | Cathleen R Rizzolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326328360 PECOS PAC ID: 4587983739 Enrollment ID: I20150511000491 |
| Provider Name | Larry Siu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972765675 PECOS PAC ID: 7618195819 Enrollment ID: I20150724011622 |
| Provider Name | Aaron J Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164821500 PECOS PAC ID: 3375598147 Enrollment ID: I20150807013861 |
| Provider Name | Pareen R Lapsiwala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043631294 PECOS PAC ID: 2567741598 Enrollment ID: I20161116000379 |
| Provider Name | Samantia N Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457897076 PECOS PAC ID: 1557645975 Enrollment ID: I20170303000658 |
| Provider Name | Halyna Yurchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164971370 PECOS PAC ID: 4688959679 Enrollment ID: I20170313001791 |
| Provider Name | Amanda A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508240441 PECOS PAC ID: 7012284649 Enrollment ID: I20170601001609 |
| Provider Name | Eric D Molnar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164866729 PECOS PAC ID: 3779725783 Enrollment ID: I20170823001182 |
| Provider Name | John L D Andrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801213228 PECOS PAC ID: 0648569681 Enrollment ID: I20170825000884 |
| Provider Name | Colleen M Coughlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235144775 PECOS PAC ID: 6305735820 Enrollment ID: I20170925002628 |
| Provider Name | Bryan T Nadrowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043737059 PECOS PAC ID: 8426314535 Enrollment ID: I20171106002557 |
| Provider Name | Lindsay M Hammond Schumacher |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699288332 PECOS PAC ID: 9032477948 Enrollment ID: I20171226001580 |
| Provider Name | Karam Wehbeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306356365 PECOS PAC ID: 3072872944 Enrollment ID: I20180123000369 |
| Provider Name | Michelle Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194234898 PECOS PAC ID: 1153680053 Enrollment ID: I20180123001406 |
| Provider Name | Camille Licata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477980415 PECOS PAC ID: 9234431370 Enrollment ID: I20180604000180 |
| Provider Name | Donna Marie Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437653425 PECOS PAC ID: 2062760754 Enrollment ID: I20180813002901 |
| Provider Name | Marina Girgis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972916526 PECOS PAC ID: 9830449966 Enrollment ID: I20180911000818 |
| Provider Name | Heidi Godoy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851786834 PECOS PAC ID: 6204130214 Enrollment ID: I20181017000086 |
| Provider Name | Rezin Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851807085 PECOS PAC ID: 9335491422 Enrollment ID: I20181018001124 |
| Provider Name | Christopher R Struby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174903256 PECOS PAC ID: 3375896566 Enrollment ID: I20181106001301 |
| Provider Name | Leatrice M Current |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083112676 PECOS PAC ID: 8224382536 Enrollment ID: I20181126000790 |
| Provider Name | Patrycja Quackenbush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437414117 PECOS PAC ID: 4284931239 Enrollment ID: I20181227002399 |
| Provider Name | Anna Katsman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710273982 PECOS PAC ID: 9133465172 Enrollment ID: I20190111000233 |
| Provider Name | Xiomara B Frans-cuber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679064265 PECOS PAC ID: 9638417470 Enrollment ID: I20190220002416 |
| Provider Name | David Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558333476 PECOS PAC ID: 6800137571 Enrollment ID: I20190405000695 |
| Provider Name | Joshua Aaron Strassberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932260353 PECOS PAC ID: 6608117379 Enrollment ID: I20190405000792 |
| Provider Name | Jessica Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043704851 PECOS PAC ID: 9133462922 Enrollment ID: I20190517002208 |
| Provider Name | Eve F Speicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811477714 PECOS PAC ID: 3779826136 Enrollment ID: I20190528002618 |
| Provider Name | Marivic Vanover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710450713 PECOS PAC ID: 2860765674 Enrollment ID: I20190606001375 |
| Provider Name | Jason E Liebowitz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255600417 PECOS PAC ID: 3375789605 Enrollment ID: I20190715003267 |
| Provider Name | Monica Patel Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699138552 PECOS PAC ID: 1254695174 Enrollment ID: I20191001000215 |
| Provider Name | Svetlana Babenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356983860 PECOS PAC ID: 1759718604 Enrollment ID: I20200305001327 |
| Provider Name | Christina M Torre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407389281 PECOS PAC ID: 1355765827 Enrollment ID: I20200717000611 |
| Provider Name | Alla Gordina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982766978 PECOS PAC ID: 5395913172 Enrollment ID: I20200720001266 |
| Provider Name | Christine Shaneeza Persaud |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1497073274 PECOS PAC ID: 0446478960 Enrollment ID: I20200929003719 |
| Provider Name | Alyssa Huncken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861924565 PECOS PAC ID: 6901217249 Enrollment ID: I20201118000629 |
| Provider Name | Carina A Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285241588 PECOS PAC ID: 7214348994 Enrollment ID: I20201202000033 |
| Provider Name | Jacqueline F Decunzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528476686 PECOS PAC ID: 7416279013 Enrollment ID: I20201209002783 |
| Provider Name | Vanessa I Almeida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588262349 PECOS PAC ID: 5294148151 Enrollment ID: I20210113002711 |
| Provider Name | Nicole Marie Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215527874 PECOS PAC ID: 2264848134 Enrollment ID: I20210302000759 |
| Provider Name | Marilou Ria Neylon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688268 PECOS PAC ID: 4981012630 Enrollment ID: I20210416001277 |
| Provider Name | Salvatore Defilippo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841787348 PECOS PAC ID: 2860829413 Enrollment ID: I20210715003930 |
| Provider Name | Sarah Stelma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013394519 PECOS PAC ID: 7810290491 Enrollment ID: I20210909003905 |
| Provider Name | Story Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982182051 PECOS PAC ID: 3577955913 Enrollment ID: I20220118000043 |
| Provider Name | Tracey Capell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265707111 PECOS PAC ID: 0345632642 Enrollment ID: I20220119000173 |
| Provider Name | Shaleeza Rafiuddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639687940 PECOS PAC ID: 7618364290 Enrollment ID: I20220429000084 |
| Provider Name | Ankita Sagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356640239 PECOS PAC ID: 4082914494 Enrollment ID: I20220726003931 |
| Provider Name | Alexandra D Agostini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104288232 PECOS PAC ID: 9537456223 Enrollment ID: I20221007000101 |
| Provider Name | Catherine Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144779471 PECOS PAC ID: 6507235132 Enrollment ID: I20221203000039 |
| Provider Name | Cara Kernoschak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558844753 PECOS PAC ID: 3274998885 Enrollment ID: I20230504001726 |
| Provider Name | Laila Dadvand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497071732 PECOS PAC ID: 7012132376 Enrollment ID: I20230601001606 |
| Provider Name | Christopher Soriano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255795365 PECOS PAC ID: 5890086458 Enrollment ID: I20230630001646 |
| Provider Name | Hannah R Schneiders |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992334973 PECOS PAC ID: 5890155311 Enrollment ID: I20230717000205 |
| Provider Name | Tomasz Adam Gruczynski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497707087 PECOS PAC ID: 5799147633 Enrollment ID: I20230809003618 |
| Provider Name | Jennifer L Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477339232 PECOS PAC ID: 4587010541 Enrollment ID: I20231026003122 |
| Provider Name | Claude H. Rene-cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013794775 PECOS PAC ID: 2163879297 Enrollment ID: I20231113000177 |
| Provider Name | Kristen Creed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760107650 PECOS PAC ID: 4284910365 Enrollment ID: I20240102000012 |
| Provider Name | Matthew Paoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144589235 PECOS PAC ID: 1557504032 Enrollment ID: I20240104000335 |
| Provider Name | Sarah Jade Peace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326556440 PECOS PAC ID: 1850742834 Enrollment ID: I20240104001572 |
| Provider Name | Christine Junior Steinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740843465 PECOS PAC ID: 7618312240 Enrollment ID: I20240305001625 |
Sea Girt Medical Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 Rt 71, Manasquan, NJ 08736 Phone: 732-223-4300 Fax: 732-223-5273 | |
Center For Aesthetic And Intergrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Atlantic Ave Blvd, Manasquan, NJ 08736 Phone: 732-292-2101 Fax: 732-292-2105 | |
David Cheli Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2640 Route 70, Manasquan, NJ 08736 Phone: 732-223-8200 | |
Two Points Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2640 Highway 70 Unit 10a, Manasquan, NJ 08736 Phone: 732-223-7878 | |
Immediate Care And Family Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2640 Highway 70, Bldg 12, Suite 102, Manasquan, NJ 08736 Phone: 732-223-3533 Fax: 732-223-3588 | |
Primary Care Providers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2640 Hwy 70, Bldg.5 Suite 102b, Manasquan, NJ 08736 Phone: 732-292-0100 Fax: 732-292-0900 |