| Fastmed Of Nj Llc | |
|
476 Colfax Ave Clifton NJ 07013-1624 | |
| (973) 594-7977 | |
| Not Available |
| Full Name | Fastmed Of Nj Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 476 Colfax Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Richards A Afonja (CEO) |
| Authorized Official Contact | 9735947977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fastmed Of Nj Llc 476 Colfax Ave Clifton NJ 07013-1624 Ph: (973) 594-7977 | Fastmed Of Nj Llc 476 Colfax Ave Clifton NJ 07013-1624 Ph: (973) 594-7977 |
| NPI Number | 1942691100 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 11/13/2015 |
| Medicare PECOS PAC ID | 7113232240 |
|---|---|
| Medicare Enrollment ID | O20150818004869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942691100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | (* (Not Available)) | Primary |
| Provider Name | Richards A Afonja |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255300141 PECOS PAC ID: 5597716936 Enrollment ID: I20050203000082 |
| Provider Name | Robert D. Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050040 PECOS PAC ID: 5890780209 Enrollment ID: I20090227000487 |
| Provider Name | Irene B Ambe Nguni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740506971 PECOS PAC ID: 7517140478 Enrollment ID: I20110330000676 |
| Provider Name | Pawan Gundavaram |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174717300 PECOS PAC ID: 9537232020 Enrollment ID: I20140417000799 |
| Provider Name | Dennis Y Kordie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447640362 PECOS PAC ID: 5092032243 Enrollment ID: I20150326001702 |
| Provider Name | Irina Zargarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841608718 PECOS PAC ID: 5799096707 Enrollment ID: I20150617002254 |
| Provider Name | Martina S Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629479753 PECOS PAC ID: 6406169887 Enrollment ID: I20150714001110 |
| Provider Name | Evelyn A Arigbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639627953 PECOS PAC ID: 5991084956 Enrollment ID: I20161115000117 |
| Provider Name | Maria C Kitele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891242194 PECOS PAC ID: 7618251547 Enrollment ID: I20170221001650 |
| Provider Name | Adeola O Dosunmu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841714474 PECOS PAC ID: 4082987284 Enrollment ID: I20170911001984 |
| Provider Name | Karlene R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245975754 PECOS PAC ID: 7214303536 Enrollment ID: I20221011002901 |
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