| Erickson Health Medical Group Of New Jersey Pc | |
|
3000 Essex Rd Tinton Falls NJ 07753-2631 | |
| (732) 643-2070 | |
| (732) 643-2015 |
| Full Name | Erickson Health Medical Group Of New Jersey Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 Essex Rd, Tinton Falls, New Jersey |
| Authorized Official Name and Position | Matthew J. Narrett (PRESIDENT) |
| Authorized Official Contact | 4104022257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erickson Health Medical Group Of New Jersey Pc 5730 Executive Dr Ste 230 Catonsville MD 21228-1762 Ph: (732) 643-2070 | Erickson Health Medical Group Of New Jersey Pc 3000 Essex Rd Tinton Falls NJ 07753-2631 Ph: (732) 643-2070 |
| NPI Number | 1780604991 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/10/2023 |
| Medicare PECOS PAC ID | 2769563220 |
|---|---|
| Medicare Enrollment ID | O20080123000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780604991 | NPI | - | NPPES |
| 0021873 | Medicaid | NJ | |
| 3746889000 | Other | NJ | MAGELLAN |
| Provider Name | Janet L Mahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780651448 PECOS PAC ID: 9234187592 Enrollment ID: I20050104000614 |
| Provider Name | Susan L Frankel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760522163 PECOS PAC ID: 7113962002 Enrollment ID: I20050622000026 |
| Provider Name | Tiziana Pensabeni Jasper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922059625 PECOS PAC ID: 8628081999 Enrollment ID: I20060803000415 |
| Provider Name | Steven N Lopiano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497715734 PECOS PAC ID: 6709983844 Enrollment ID: I20070524000023 |
| Provider Name | Martha J Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942255443 PECOS PAC ID: 5698833200 Enrollment ID: I20081027000521 |
| Provider Name | Padam Neopane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104967488 PECOS PAC ID: 1658424270 Enrollment ID: I20090729000871 |
| Provider Name | Peter Thomas Orlic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659376713 PECOS PAC ID: 9234261447 Enrollment ID: I20100722000718 |
| Provider Name | Lenora A Tafuri-acevedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659593770 PECOS PAC ID: 9234102021 Enrollment ID: I20101022000802 |
| Provider Name | Christine Marie Quinn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568528875 PECOS PAC ID: 4688794092 Enrollment ID: I20101111000611 |
| Provider Name | Soumya Chakrapani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902041999 PECOS PAC ID: 3072709237 Enrollment ID: I20101130000666 |
| Provider Name | Lorelane P Tindoc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003012410 PECOS PAC ID: 8628266863 Enrollment ID: I20110103000644 |
| Provider Name | Deborah L Bessen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093830978 PECOS PAC ID: 4880873413 Enrollment ID: I20110127000769 |
| Provider Name | John King |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275721946 PECOS PAC ID: 8426148503 Enrollment ID: I20120203000360 |
| Provider Name | Thomas F Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326056045 PECOS PAC ID: 6901861251 Enrollment ID: I20120206000164 |
| Provider Name | Sushmita Srivastav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548591340 PECOS PAC ID: 2365601762 Enrollment ID: I20120305000095 |
| Provider Name | Joan Of Arc J Mariyampillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417916727 PECOS PAC ID: 0042211609 Enrollment ID: I20120605000122 |
| Provider Name | Tracy Moreland-vasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194962977 PECOS PAC ID: 2961760616 Enrollment ID: I20171229001581 |
| Provider Name | Michelle Baumeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164966438 PECOS PAC ID: 4183985153 Enrollment ID: I20180308000868 |
| Provider Name | Jacklyn S Scales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376020057 PECOS PAC ID: 2062761653 Enrollment ID: I20180815000257 |
| Provider Name | Chelsea L Brower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548672249 PECOS PAC ID: 6204150568 Enrollment ID: I20180815001927 |
| Provider Name | Kathi E Rabinowitz-hirsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437619467 PECOS PAC ID: 5698017622 Enrollment ID: I20190423002423 |
| Provider Name | Alexandra Kovaleva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487063855 PECOS PAC ID: 4082048178 Enrollment ID: I20191226000021 |
| Provider Name | Kristen L Salvi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417423799 PECOS PAC ID: 2668869405 Enrollment ID: I20220427000054 |
| Provider Name | Anara Hamded |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740923234 PECOS PAC ID: 1456739242 Enrollment ID: I20220607002397 |
| Provider Name | Kris Colabella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356049324 PECOS PAC ID: 4486093853 Enrollment ID: I20240418000111 |
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