Elensa Family Healthcare Llc. | |
147 Hamilton Ave Passaic NJ 07055-5240 | |
(973) 594-0808 | |
(973) 594-0508 |
Full Name | Elensa Family Healthcare Llc. |
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Speciality | Clinic/Center |
Location | 147 Hamilton Ave, Passaic, New Jersey |
Authorized Official Name and Position | Gloria E Sabido (OWNER) |
Authorized Official Contact | 2018412472 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elensa Family Healthcare Llc. 402 Morsetown Rd West Milford NJ 07480-3204 Ph: () - | Elensa Family Healthcare Llc. 147 Hamilton Ave Passaic NJ 07055-5240 Ph: (973) 594-0808 |
NPI Number | 1487136594 |
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Provider Enumeration Date | 09/05/2018 |
Last Update Date | 11/29/2023 |
Medicare PECOS PAC ID | 8426300898 |
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Medicare Enrollment ID | O20181012000743 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487136594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Gloria E Sabido |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710466198 PECOS PAC ID: 9335491703 Enrollment ID: I20181102000038 |
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