| Dessalines Hospitalist Llc | |
|
170 Avenue Of Cmns Suite 2 Shrewsbury NJ 07702 | |
| (732) 747-6600 | |
| (732) 747-6001 |
| Full Name | Dessalines Hospitalist Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 170 Avenue Of Cmns, Shrewsbury, New Jersey |
| Authorized Official Name and Position | Normy Dessalines (CEO) |
| Authorized Official Contact | 4802139337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dessalines Hospitalist Llc 106 Miry Brook Rd Hamilton NJ 08690-1525 Ph: () - | Dessalines Hospitalist Llc 170 Avenue Of Cmns Suite 2 Shrewsbury NJ 07702 Ph: (732) 747-6600 |
| NPI Number | 1972011450 |
|---|---|
| Provider Enumeration Date | 01/18/2018 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 5890048052 |
|---|---|
| Medicare Enrollment ID | O20181106000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972011450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Normy Dessalines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740607316 PECOS PAC ID: 7214229681 Enrollment ID: I20160705000836 |
| Provider Name | Amber Naecole Dessalines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376248054 PECOS PAC ID: 8921421546 Enrollment ID: I20230427000785 |
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