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300 Central Ave East Orange NJ 07018-2819 | |
| (973) 672-8400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 300 Central Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Rafael Ramos (SR. DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 9739608561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
300 Central Avenue East Orange NJ 07018-2819 Ph: (973) 414-3473 | 300 Central Ave East Orange NJ 07018-2819 Ph: (973) 672-8400 |
| NPI Number | 1578922258 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 4082009717 |
|---|---|
| Medicare Enrollment ID | O20220317002585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578922258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Jayant H Barai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447294178 PECOS PAC ID: 5698674182 Enrollment ID: I20040105000108 |
| Provider Name | Aruna G Yeldandi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255479028 PECOS PAC ID: 1557341500 Enrollment ID: I20040721001164 |
| Provider Name | Paul J Svigals |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265452684 PECOS PAC ID: 2062460033 Enrollment ID: I20050107000392 |
| Provider Name | Shamji K Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588631626 PECOS PAC ID: 0840243085 Enrollment ID: I20050228000534 |
| Provider Name | Catalino L Dela Cruz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124131016 PECOS PAC ID: 7012981657 Enrollment ID: I20050315000102 |
| Provider Name | David Philip Klyde |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447204946 PECOS PAC ID: 3072573237 Enrollment ID: I20050425001018 |
| Provider Name | Joseph V Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053351569 PECOS PAC ID: 6800828252 Enrollment ID: I20050907000103 |
| Provider Name | Anthony I Okafor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306845391 PECOS PAC ID: 1254365828 Enrollment ID: I20050922000876 |
| Provider Name | Samuel A Banigo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063503555 PECOS PAC ID: 8921013194 Enrollment ID: I20060412000248 |
| Provider Name | Naveen Ballem |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306971874 PECOS PAC ID: 8022111038 Enrollment ID: I20080714000173 |
| Provider Name | Fares Diarbakerli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508011602 PECOS PAC ID: 3173664562 Enrollment ID: I20100107000312 |
| Provider Name | Gitendra Rajiyah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083693196 PECOS PAC ID: 4082615539 Enrollment ID: I20101230000635 |
| Provider Name | Chika E Nwokeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740414713 PECOS PAC ID: 8628261963 Enrollment ID: I20140130001086 |
| Provider Name | Harvey C Rainville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083843783 PECOS PAC ID: 4082843206 Enrollment ID: I20140212000032 |
| Provider Name | Kartik Narendra Gohil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649432097 PECOS PAC ID: 8325281751 Enrollment ID: I20150227000783 |
| Provider Name | Gardy Valentin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740598457 PECOS PAC ID: 2062696842 Enrollment ID: I20150807014003 |
| Provider Name | Esira J C Beaubrun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013276062 PECOS PAC ID: 3375843154 Enrollment ID: I20151201000197 |
| Provider Name | Dmitry Gorelik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942375654 PECOS PAC ID: 0345297883 Enrollment ID: I20160122000580 |
| Provider Name | Ivy F Nnorom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737077 PECOS PAC ID: 5294084885 Enrollment ID: I20180815000459 |
| Provider Name | Juliet Devigne Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972690063 PECOS PAC ID: 2860421898 Enrollment ID: I20200507001637 |
| Provider Name | Aditya M Patel |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1134410236 PECOS PAC ID: 4284899931 Enrollment ID: I20200909000746 |
| Provider Name | Michael Warhit |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063821726 PECOS PAC ID: 6103166426 Enrollment ID: I20201116001063 |
| Provider Name | Bridget Azera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861997272 PECOS PAC ID: 6507263043 Enrollment ID: I20210924002763 |
| Provider Name | Shu Shanna Peta Gaye Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265055230 PECOS PAC ID: 5193191633 Enrollment ID: I20221025000354 |
| Provider Name | Sharon C London |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013588417 PECOS PAC ID: 2860869559 Enrollment ID: I20221109002581 |
| Provider Name | Asaph Cj Levy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346636891 PECOS PAC ID: 7517203961 Enrollment ID: I20230316002260 |
| Provider Name | Pardeep Athwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659697092 PECOS PAC ID: 1456644038 Enrollment ID: I20230410000111 |
| Provider Name | Pavan Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891936795 PECOS PAC ID: 1658596739 Enrollment ID: I20230420001579 |
| Provider Name | Anik Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639597081 PECOS PAC ID: 7416294343 Enrollment ID: I20230424000479 |
| Provider Name | Melissa Denniston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083449995 PECOS PAC ID: 3779015243 Enrollment ID: I20241022003169 |
United Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 S Harrison St Suite 304, East Orange, NJ 07018 Phone: 862-438-8265 | |
Clinical Consulting Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Central Ave, East Orange, NJ 07018 Phone: 973-417-6871 | |
Lianmed Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 102, East Orange, NJ 07018 Phone: 201-512-9494 | |
East Orange Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 S Munn Ave, East Orange, NJ 07018 Phone: 973-674-8100 Fax: 973-674-8400 | |
Orange Medical Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave, Suite 106, East Orange, NJ 07018 Phone: 973-674-4542 Fax: 973-674-3901 | |
A1 Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Central Ave, Suite 310, East Orange, NJ 07018 Phone: 973-678-2900 Fax: 973-678-8183 | |
Comprehensive Community Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Freeway Dr E Ste 302, East Orange, NJ 07018 Phone: 845-738-8770 |