Forest Hill Family Health Associates P A | |
465 Mt. Prospect Avenue Newark NJ 07104 | |
(973) 483-3640 | |
(973) 483-0132 |
Full Name | Forest Hill Family Health Associates P A |
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Speciality | Family Medicine |
Location | 465 Mt. Prospect Avenue, Newark, New Jersey |
Authorized Official Name and Position | Thomas R Ortiz (MEDICAL DIRECTOR) |
Authorized Official Contact | 9734856242 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Forest Hill Family Health Associates P A 465 Mt. Prospect Avenue Newark NJ 07104 Ph: (973) 483-3640 | Forest Hill Family Health Associates P A 465 Mt. Prospect Avenue Newark NJ 07104 Ph: (973) 483-3640 |
NPI Number | 1134292360 |
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Provider Enumeration Date | 11/16/2006 |
Last Update Date | 04/30/2008 |
Medicare PECOS PAC ID | 3971572660 |
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Medicare Enrollment ID | O20080613000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134292360 | NPI | - | NPPES |
1259202 | Other | NJ | MEDICAID INDIVIDUAL PROVIDER |
3145107 | Medicaid | NJ | |
033691BXB | Other | NJ | MEDICARE GROUP SUFFIX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Anngene G Anthony |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306829239 PECOS PAC ID: 2668439860 Enrollment ID: I20080408000137 |
Provider Name | Thomas R Ortiz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750312450 PECOS PAC ID: 1355376674 Enrollment ID: I20080528000129 |
Provider Name | Rhys Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457394538 PECOS PAC ID: 6507981792 Enrollment ID: I20100910000923 |
Provider Name | Radha Venkataramanan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740620145 PECOS PAC ID: 7719239029 Enrollment ID: I20181016000948 |
Provider Name | Santo Vincent Grasso |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1487788758 PECOS PAC ID: 6709207467 Enrollment ID: I20200604001256 |
Provider Name | Dorathy Offiah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861032740 PECOS PAC ID: 8921427006 Enrollment ID: I20200924000042 |
City Of Newark Dept Of Child And Family Well Being Mobile Medical Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 William St, Newark, NJ 07102 Phone: 973-733-7558 | |
Health Star Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-747-6579 Fax: 201-825-2908 | |
Ironbound Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Van Buren St, 1st Floor, Newark, NJ 07105 Phone: 973-344-6727 Fax: 973-491-5033 | |
Ferry Pain & Rehab Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Ferry St, Newark, NJ 07105 Phone: 973-344-0129 Fax: 973-344-0243 | |
Pri Med Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Summer Ave, Newark, NJ 07104 Phone: 973-484-2800 | |
Newark Community Health Centers,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 751 Broadway, Newark, NJ 07104 Phone: 973-483-1300 Fax: 973-483-3787 | |
Saint Michaels Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 268 Martin Luther King Blvd., Newark, NJ 07102 Phone: 973-877-2963 |