| Dream Physicians | |
|
1503 Saint Georges Ave Ste 106 Colonia NJ 07067-3427 | |
| (908) 388-1716 | |
| (856) 212-1214 |
| Full Name | Dream Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 1503 Saint Georges Ave Ste 106, Colonia, New Jersey |
| Authorized Official Name and Position | Chetankumar Keshavbhai Chauhan (CEO) |
| Authorized Official Contact | 7323180756 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Physicians 23 Maida Rd Edison NJ 08820-2531 Ph: (732) 318-0756 | Dream Physicians 1503 Saint Georges Ave Ste 106 Colonia NJ 07067-3427 Ph: (908) 388-1716 |
| NPI Number | 1023454261 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 09/29/2020 |
| Medicare PECOS PAC ID | 7911149828 |
|---|---|
| Medicare Enrollment ID | O20130806000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023454261 | NPI | - | NPPES |
| 25MA09202000 | Other | NJ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Kathleen Pirozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649564568 PECOS PAC ID: 9931370681 Enrollment ID: I20110929000144 |
| Provider Name | Chetankumar K Chauhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801024559 PECOS PAC ID: 6002070794 Enrollment ID: I20130510000521 |
| Provider Name | Jill Eklof |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669080743 PECOS PAC ID: 2062814825 Enrollment ID: I20210715003367 |
| Provider Name | Viergina L Dudley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164990909 PECOS PAC ID: 7214333566 Enrollment ID: I20210911000148 |
| Provider Name | Dawn M Starbinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932879194 PECOS PAC ID: 9436541810 Enrollment ID: I20220114000742 |
| Provider Name | Allisson Ramirez Lobaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952180341 PECOS PAC ID: 8224488101 Enrollment ID: I20231219003045 |
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