| Gmed Healthcare Pc | |
|
842 Clifton Ave Clifton NJ 07013-1800 | |
| (973) 330-6765 | |
| Not Available |
| Full Name | Gmed Healthcare Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 842 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Vikram Gupta (OWNER) |
| Authorized Official Contact | 9733306765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gmed Healthcare Pc 842 Clifton Ave Clifton NJ 07013-1800 Ph: (973) 330-6765 | Gmed Healthcare Pc 842 Clifton Ave Clifton NJ 07013-1800 Ph: (973) 330-6765 |
| NPI Number | 1508169160 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 8022292564 |
|---|---|
| Medicare Enrollment ID | O20110407000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508169160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA08471700 (New Jersey) | Primary |
| Provider Name | Vikram Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750538609 PECOS PAC ID: 0042371809 Enrollment ID: I20081211000595 |
| Provider Name | Rehana K Rab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568806271 PECOS PAC ID: 6406074772 Enrollment ID: I20140828000285 |
| Provider Name | Jancy Roensa Victoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568988665 PECOS PAC ID: 9638420417 Enrollment ID: I20180918000940 |
| Provider Name | Yulianna Stus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710611751 PECOS PAC ID: 4385029834 Enrollment ID: I20220920000069 |
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