| Hackensack Meridian Health Medical Group - Primary Care Pc | |
|
331 Newman Springs Rd Ste 220 Red Bank NJ 07701-5688 | |
| (732) 807-0800 | |
| (327) 922-0548 |
| Full Name | Hackensack Meridian Health Medical Group - Primary Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 331 Newman Springs Rd Ste 220, Red Bank, New Jersey |
| Authorized Official Name and Position | Daniel Varga (DIRECTOR) |
| Authorized Official Contact | 7328070800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hackensack Meridian Health Medical Group - Primary Care Pc Po Box 95000-7730 Philadelphia PA 19195-0001 Ph: (732) 807-0800 | Hackensack Meridian Health Medical Group - Primary Care Pc 331 Newman Springs Rd Ste 220 Red Bank NJ 07701-5688 Ph: (732) 807-0800 |
| NPI Number | 1336203538 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 7911003330 |
|---|---|
| Medicare Enrollment ID | O20070502000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336203538 | NPI | - | NPPES |
| 0308714 | Medicaid | NJ |
| Provider Name | Manisha Parulekar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285689588 PECOS PAC ID: 1658285333 Enrollment ID: I20031117000733 |
| Provider Name | Fei Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790727444 PECOS PAC ID: 8022919091 Enrollment ID: I20040114000438 |
| Provider Name | Ofer Werthaim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548234941 PECOS PAC ID: 8123929049 Enrollment ID: I20040115000090 |
| Provider Name | Javed Yousaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700823655 PECOS PAC ID: 0648172544 Enrollment ID: I20040122000123 |
| Provider Name | Thomas De Blasio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285790782 PECOS PAC ID: 6901799345 Enrollment ID: I20040207000356 |
| Provider Name | Shamim Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720186455 PECOS PAC ID: 3779472071 Enrollment ID: I20040315000045 |
| Provider Name | Edward Yamin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225077506 PECOS PAC ID: 2163416959 Enrollment ID: I20040414000018 |
| Provider Name | Sung Y Chae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134280969 PECOS PAC ID: 3577558543 Enrollment ID: I20040419000724 |
| Provider Name | Sanjeev Nayyar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033193628 PECOS PAC ID: 4284629247 Enrollment ID: I20040423000199 |
| Provider Name | Karim I Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417917717 PECOS PAC ID: 3678569696 Enrollment ID: I20040423000576 |
| Provider Name | Jayendra Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023044104 PECOS PAC ID: 2860488103 Enrollment ID: I20040511001357 |
| Provider Name | Jyoti Nigam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316006315 PECOS PAC ID: 0941290902 Enrollment ID: I20040513000431 |
| Provider Name | Rupa Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831118819 PECOS PAC ID: 3779564927 Enrollment ID: I20040525001154 |
| Provider Name | Mukti Rana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992847024 PECOS PAC ID: 5698757995 Enrollment ID: I20040602000023 |
| Provider Name | Michelle A Wilks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689737082 PECOS PAC ID: 7719962539 Enrollment ID: I20040623001593 |
| Provider Name | Susan M Digiorgio-gentile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689792210 PECOS PAC ID: 3375520075 Enrollment ID: I20040701000065 |
| Provider Name | Hossam Radwan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063510014 PECOS PAC ID: 4385614478 Enrollment ID: I20040727001164 |
| Provider Name | Chinwe H Ogedegbe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659365450 PECOS PAC ID: 7113991449 Enrollment ID: I20040823001297 |
| Provider Name | Galina Grigoryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619923067 PECOS PAC ID: 9032185061 Enrollment ID: I20040909001088 |
| Provider Name | Srividya Naganathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306805700 PECOS PAC ID: 4587631643 Enrollment ID: I20040916000876 |
| Provider Name | Deborah L Metz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104987866 PECOS PAC ID: 0244209484 Enrollment ID: I20040925000033 |
| Provider Name | Vaidehi Sasidhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790756427 PECOS PAC ID: 0042271868 Enrollment ID: I20041025000369 |
| Provider Name | Swapna Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346268521 PECOS PAC ID: 2163484171 Enrollment ID: I20041102000505 |
| Provider Name | Craig A Snyder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427008945 PECOS PAC ID: 8426010257 Enrollment ID: I20041103000166 |
| Provider Name | Eduard C Tapliga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356302483 PECOS PAC ID: 8921063025 Enrollment ID: I20041201000094 |
| Provider Name | Suzanne M Marcellaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063458883 PECOS PAC ID: 1254397771 Enrollment ID: I20041207000513 |
| Provider Name | Carl L Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447241906 PECOS PAC ID: 5395702419 Enrollment ID: I20041210000126 |
| Provider Name | Theodore Ende |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093722480 PECOS PAC ID: 0547227753 Enrollment ID: I20041220000089 |
| Provider Name | Eugenia Zilber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841209673 PECOS PAC ID: 9436131109 Enrollment ID: I20041230000728 |
| Provider Name | Malika S. De Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992725857 PECOS PAC ID: 6002874476 Enrollment ID: I20050103000039 |
| Provider Name | Ruben Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346324084 PECOS PAC ID: 7810945383 Enrollment ID: I20050111000784 |
| Provider Name | Hany M Gendy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861411134 PECOS PAC ID: 3072563667 Enrollment ID: I20050201000235 |
| Provider Name | Lisa Adrian Kassenoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912960436 PECOS PAC ID: 6204878556 Enrollment ID: I20050526000126 |
| Provider Name | Irina Anshelevich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235176462 PECOS PAC ID: 8123919438 Enrollment ID: I20050607000857 |
| Provider Name | Christian M Kaunzinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912976010 PECOS PAC ID: 8426092727 Enrollment ID: I20050617000104 |
| Provider Name | Ravindra I Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962428169 PECOS PAC ID: 7012901879 Enrollment ID: I20050621000067 |
| Provider Name | Anthony Detulio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205806064 PECOS PAC ID: 4486699261 Enrollment ID: I20050622000731 |
| Provider Name | Robert V Kavaler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932148913 PECOS PAC ID: 7911897509 Enrollment ID: I20050622000834 |
| Provider Name | Robert P Shavelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730173584 PECOS PAC ID: 7416992144 Enrollment ID: I20050623000223 |
| Provider Name | Michael P Carson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235180647 PECOS PAC ID: 6305882036 Enrollment ID: I20050705000510 |
| Provider Name | Harjinder S Bedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013939081 PECOS PAC ID: 7416993829 Enrollment ID: I20050707000020 |
| Provider Name | Paul Venugopal Sunkavalli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841288495 PECOS PAC ID: 1254375751 Enrollment ID: I20050708000490 |
| Provider Name | Regina L Rossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235186164 PECOS PAC ID: 1759317027 Enrollment ID: I20050711000034 |
| Provider Name | Joseph P Romanella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366413056 PECOS PAC ID: 0840226122 Enrollment ID: I20050711000125 |
| Provider Name | Richard P Marino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447221122 PECOS PAC ID: 9931135126 Enrollment ID: I20050711000266 |
| Provider Name | Christine A Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053340513 PECOS PAC ID: 1759310394 Enrollment ID: I20050804000517 |
| Provider Name | Bhudev Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477555100 PECOS PAC ID: 5294767505 Enrollment ID: I20050908000051 |
| Provider Name | Kalyani I Gardilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831196278 PECOS PAC ID: 3779515945 Enrollment ID: I20050908000670 |
| Provider Name | Dana I Tarina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952375743 PECOS PAC ID: 3577595750 Enrollment ID: I20050908000690 |
| Provider Name | Mark L Niemiera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780788109 PECOS PAC ID: 6901839877 Enrollment ID: I20050913000253 |
| Provider Name | Lawrence Grill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063443844 PECOS PAC ID: 8022041862 Enrollment ID: I20050913000840 |
| Provider Name | Timolyne Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831300524 PECOS PAC ID: 3870522196 Enrollment ID: I20050915000187 |
| Provider Name | Malvin S Keller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013967520 PECOS PAC ID: 4082648779 Enrollment ID: I20050922000116 |
| Provider Name | Cathleen M Ballance |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760451488 PECOS PAC ID: 8729010384 Enrollment ID: I20050922000206 |
| Provider Name | Oliver G Felibrico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649249715 PECOS PAC ID: 3476588617 Enrollment ID: I20050927000986 |
| Provider Name | Jeffrey M Beal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801891437 PECOS PAC ID: 8921033028 Enrollment ID: I20050928000097 |
| Provider Name | Mauro Tucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619156445 PECOS PAC ID: 8921059445 Enrollment ID: I20051004000004 |
| Provider Name | Richard B Bullock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093704355 PECOS PAC ID: 5193772002 Enrollment ID: I20051004000069 |
| Provider Name | James Demos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457353872 PECOS PAC ID: 0749215093 Enrollment ID: I20051005000686 |
| Provider Name | Steven P Ingato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497851836 PECOS PAC ID: 4082639281 Enrollment ID: I20051006000742 |
| Provider Name | Stephen S Jurewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679570089 PECOS PAC ID: 3072538065 Enrollment ID: I20051010000097 |
| Provider Name | Ronald D Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760484273 PECOS PAC ID: 4284659293 Enrollment ID: I20051010000261 |
| Provider Name | Mayer R Ezer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417925538 PECOS PAC ID: 4587689518 Enrollment ID: I20051010000417 |
| Provider Name | Lisa Kausha Tank |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811943897 PECOS PAC ID: 2365467776 Enrollment ID: I20051013000771 |
| Provider Name | Jyothi Asthana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982704904 PECOS PAC ID: 4486671831 Enrollment ID: I20051026000060 |
| Provider Name | Maria S Flores-dieppa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851399604 PECOS PAC ID: 7719900422 Enrollment ID: I20060109000866 |
| Provider Name | Joseph Giangola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922174457 PECOS PAC ID: 6901829258 Enrollment ID: I20060112000461 |
| Provider Name | Evan G Kushner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538108568 PECOS PAC ID: 7012807605 Enrollment ID: I20060112000931 |
| Provider Name | Joanne Carmela Saab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740269901 PECOS PAC ID: 7315960697 Enrollment ID: I20060113000275 |
| Provider Name | Richard J Murachanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609849249 PECOS PAC ID: 0840214870 Enrollment ID: I20060118000092 |
| Provider Name | Marcia M Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780790568 PECOS PAC ID: 3072537968 Enrollment ID: I20060118000696 |
| Provider Name | Rajney M Bais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366413494 PECOS PAC ID: 4981619160 Enrollment ID: I20060208000748 |
| Provider Name | Melissa C Wallach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538189832 PECOS PAC ID: 3779590393 Enrollment ID: I20060307000506 |
| Provider Name | Dalia N Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053402479 PECOS PAC ID: 1052321676 Enrollment ID: I20060427000084 |
| Provider Name | Mihir K Maniar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659387264 PECOS PAC ID: 8123022282 Enrollment ID: I20060831000457 |
| Provider Name | Bhavana Rebba |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1043261746 PECOS PAC ID: 1557366648 Enrollment ID: I20060925000012 |
| Provider Name | Arunima Sarkar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1801909866 PECOS PAC ID: 9335146018 Enrollment ID: I20061024000035 |
| Provider Name | Adity Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538192257 PECOS PAC ID: 1850493685 Enrollment ID: I20070226000640 |
| Provider Name | Sandra P Fahmy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144317439 PECOS PAC ID: 8921100371 Enrollment ID: I20070303000016 |
| Provider Name | Madho K Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134111883 PECOS PAC ID: 3678678760 Enrollment ID: I20070418000363 |
| Provider Name | Amy E Peardon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548223282 PECOS PAC ID: 6204932221 Enrollment ID: I20070508000000 |
| Provider Name | Scott J Druckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871582304 PECOS PAC ID: 0941207476 Enrollment ID: I20070629000011 |
| Provider Name | Kathleen G Reichard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255405874 PECOS PAC ID: 4385744192 Enrollment ID: I20070710000124 |
| Provider Name | George A Guariglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730276437 PECOS PAC ID: 1759482656 Enrollment ID: I20070723000202 |
| Provider Name | Anita Jasani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912012519 PECOS PAC ID: 0244321966 Enrollment ID: I20070810000008 |
| Provider Name | Herman G Morchel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154527661 PECOS PAC ID: 4486746740 Enrollment ID: I20070816000709 |
| Provider Name | Susan M Rodriguez Bostock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750391686 PECOS PAC ID: 5496848657 Enrollment ID: I20070904000291 |
| Provider Name | Galen A Centeno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255469938 PECOS PAC ID: 1557454477 Enrollment ID: I20070910000408 |
| Provider Name | Anil K Pawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942379276 PECOS PAC ID: 0648363341 Enrollment ID: I20070912000076 |
| Provider Name | Kameno L Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982666285 PECOS PAC ID: 1355358060 Enrollment ID: I20071107000002 |
| Provider Name | Stephanie E Mitsos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861679516 PECOS PAC ID: 5395833321 Enrollment ID: I20071108000488 |
| Provider Name | Edward T Mezic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437218435 PECOS PAC ID: 9335133792 Enrollment ID: I20071127000541 |
| Provider Name | Jeffrey Heilpern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093914145 PECOS PAC ID: 9234228735 Enrollment ID: I20071207000175 |
| Provider Name | Julie W Mcconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801927199 PECOS PAC ID: 9638070642 Enrollment ID: I20071213000507 |
| Provider Name | Edward D Fein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629070305 PECOS PAC ID: 2668465113 Enrollment ID: I20071214000015 |
| Provider Name | Arvind K Doshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457302259 PECOS PAC ID: 5092800136 Enrollment ID: I20080123000026 |
| Provider Name | Rose M St Fleur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346264934 PECOS PAC ID: 7315029527 Enrollment ID: I20080128000231 |
| Provider Name | Young-min Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881771160 PECOS PAC ID: 1557444700 Enrollment ID: I20080211000542 |
| Provider Name | Arif Naseem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295831782 PECOS PAC ID: 4486737111 Enrollment ID: I20080219000013 |
| Provider Name | Stan J Wasilewski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841240132 PECOS PAC ID: 8123102779 Enrollment ID: I20080221000230 |
| Provider Name | Mai S Saber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538341961 PECOS PAC ID: 1850478603 Enrollment ID: I20080404000135 |
| Provider Name | Aysha Seeni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942333885 PECOS PAC ID: 8628156759 Enrollment ID: I20080415000459 |
| Provider Name | Mathew Silverman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043271984 PECOS PAC ID: 5193803278 Enrollment ID: I20080416000029 |
| Provider Name | Mary A Fury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568555290 PECOS PAC ID: 4789763459 Enrollment ID: I20080506000669 |
| Provider Name | Manuel Arturo Arias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902964067 PECOS PAC ID: 8325118474 Enrollment ID: I20080602000738 |
| Provider Name | Paul A Marquette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831128727 PECOS PAC ID: 6901828524 Enrollment ID: I20080625000502 |
| Provider Name | David O Sobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730181173 PECOS PAC ID: 7517954001 Enrollment ID: I20080718000197 |
| Provider Name | Usha Sharma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467444935 PECOS PAC ID: 9032284666 Enrollment ID: I20080818000108 |
| Provider Name | Mohammed A Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114938461 PECOS PAC ID: 2365448180 Enrollment ID: I20080820000007 |
| Provider Name | Ann Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164415865 PECOS PAC ID: 9335208404 Enrollment ID: I20081104000337 |
| Provider Name | Jennifer Turkish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801937123 PECOS PAC ID: 1557426830 Enrollment ID: I20090220000174 |
| Provider Name | Karen Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114091923 PECOS PAC ID: 0941367825 Enrollment ID: I20090319000592 |
| Provider Name | Sajida H Mokhashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669658084 PECOS PAC ID: 0345397055 Enrollment ID: I20090416000055 |
| Provider Name | Rana B Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912938747 PECOS PAC ID: 5496805665 Enrollment ID: I20090609000562 |
| Provider Name | Preethi Dendi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265677546 PECOS PAC ID: 4183775505 Enrollment ID: I20090625000160 |
| Provider Name | Jamie Marie Pinto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245457951 PECOS PAC ID: 8921159849 Enrollment ID: I20090706000240 |
| Provider Name | Anuradha Thalasila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013058957 PECOS PAC ID: 1456407576 Enrollment ID: I20090915000364 |
| Provider Name | Joseph P Underwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083832430 PECOS PAC ID: 3678667094 Enrollment ID: I20090916000269 |
| Provider Name | Bruce N Terrin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528090081 PECOS PAC ID: 2860548757 Enrollment ID: I20090917000460 |
| Provider Name | Jonathan Shammash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518055896 PECOS PAC ID: 9234160433 Enrollment ID: I20090924000538 |
| Provider Name | Michael L Blake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417111493 PECOS PAC ID: 9638215577 Enrollment ID: I20091007000627 |
| Provider Name | Ronald Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942373345 PECOS PAC ID: 7113993973 Enrollment ID: I20091015000503 |
| Provider Name | Sreelatha Anne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093888059 PECOS PAC ID: 2769475839 Enrollment ID: I20091125000048 |
| Provider Name | Babar Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265442875 PECOS PAC ID: 4385787803 Enrollment ID: I20100205000624 |
| Provider Name | Mohammad Memon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932101755 PECOS PAC ID: 4688717945 Enrollment ID: I20100209000204 |
| Provider Name | Aaron J Feingold |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811947328 PECOS PAC ID: 9234162074 Enrollment ID: I20100310000007 |
| Provider Name | Jeremiah S Kurz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124040316 PECOS PAC ID: 9830194380 Enrollment ID: I20100312000582 |
| Provider Name | Purnima Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316945645 PECOS PAC ID: 3375678592 Enrollment ID: I20100312000757 |
| Provider Name | Raj Ballal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386645638 PECOS PAC ID: 2365577061 Enrollment ID: I20100319000696 |
| Provider Name | Paul Blum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386646016 PECOS PAC ID: 2961538145 Enrollment ID: I20100326000444 |
| Provider Name | Elliot Rudnitzky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215967534 PECOS PAC ID: 8729114814 Enrollment ID: I20100329000057 |
| Provider Name | Howard D Noveck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871543389 PECOS PAC ID: 4688607427 Enrollment ID: I20100427000216 |
| Provider Name | John M Heath |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487731170 PECOS PAC ID: 7012044670 Enrollment ID: I20100430000005 |
| Provider Name | Bernard R Wayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821069584 PECOS PAC ID: 9436288867 Enrollment ID: I20100524000764 |
| Provider Name | Patricia A Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437269438 PECOS PAC ID: 4880718642 Enrollment ID: I20100831000324 |
| Provider Name | Gerard Louis Faugno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710073408 PECOS PAC ID: 9537283049 Enrollment ID: I20100903000500 |
| Provider Name | Ciro J Carafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154485449 PECOS PAC ID: 1456475912 Enrollment ID: I20100907000047 |
| Provider Name | Kent C Fung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730347212 PECOS PAC ID: 7719003847 Enrollment ID: I20100927000951 |
| Provider Name | David Falco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639106016 PECOS PAC ID: 6103942040 Enrollment ID: I20100928001096 |
| Provider Name | Richard Nierenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477591105 PECOS PAC ID: 1951593060 Enrollment ID: I20101007000921 |
| Provider Name | John D Gumina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831169515 PECOS PAC ID: 7113907080 Enrollment ID: I20101014001166 |
| Provider Name | Monica Hernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235171166 PECOS PAC ID: 0345433843 Enrollment ID: I20101015001038 |
| Provider Name | Philip Woodham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174667836 PECOS PAC ID: 7012100704 Enrollment ID: I20101026001327 |
| Provider Name | David Negron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497799019 PECOS PAC ID: 6103010723 Enrollment ID: I20101027001441 |
| Provider Name | Thaddeus J Grabowy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679570006 PECOS PAC ID: 8729163506 Enrollment ID: I20101029000389 |
| Provider Name | Marygrace M Zetkulic |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1669422762 PECOS PAC ID: 6204918030 Enrollment ID: I20101101000017 |
| Provider Name | Joseph G Boak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629075064 PECOS PAC ID: 2466537246 Enrollment ID: I20101102001284 |
| Provider Name | Vicki R De Noia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922005370 PECOS PAC ID: 0042404972 Enrollment ID: I20101104000306 |
| Provider Name | Kevin J Hewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447294046 PECOS PAC ID: 2466647425 Enrollment ID: I20101116000725 |
| Provider Name | Derrick M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942270848 PECOS PAC ID: 2860681335 Enrollment ID: I20110114000085 |
| Provider Name | Arthur Lee Cabales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407859705 PECOS PAC ID: 0648469049 Enrollment ID: I20110118000316 |
| Provider Name | James Covalesky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114925831 PECOS PAC ID: 5799712824 Enrollment ID: I20110119000585 |
| Provider Name | Irina Zhukova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790811107 PECOS PAC ID: 9234318577 Enrollment ID: I20110119000781 |
| Provider Name | Brenda Minetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740594829 PECOS PAC ID: 0547440083 Enrollment ID: I20110215000973 |
| Provider Name | Fay Woomer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588609846 PECOS PAC ID: 0648489542 Enrollment ID: I20110224000379 |
| Provider Name | Anne M Venezia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336263680 PECOS PAC ID: 7911180195 Enrollment ID: I20110325000038 |
| Provider Name | Andrew M Amaranto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659538635 PECOS PAC ID: 9931224177 Enrollment ID: I20110411000378 |
| Provider Name | Steven A Winer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194764126 PECOS PAC ID: 4688565955 Enrollment ID: I20110413000834 |
| Provider Name | Vincent J Catanese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699755801 PECOS PAC ID: 7012192958 Enrollment ID: I20110419000816 |
| Provider Name | Anne M Alliegro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417252388 PECOS PAC ID: 4587671284 Enrollment ID: I20110512000456 |
| Provider Name | Katie E Kunamneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164620001 PECOS PAC ID: 4789861410 Enrollment ID: I20110607000327 |
| Provider Name | Jennifer M Reimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558651208 PECOS PAC ID: 8123296118 Enrollment ID: I20110718000716 |
| Provider Name | Angelo Demarco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386681617 PECOS PAC ID: 4981872702 Enrollment ID: I20110722000250 |
| Provider Name | Alexis Young |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659539443 PECOS PAC ID: 2668640806 Enrollment ID: I20110830000299 |
| Provider Name | Dianne Marie Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235437153 PECOS PAC ID: 3678744612 Enrollment ID: I20110922000396 |
| Provider Name | Amanda Eis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104061753 PECOS PAC ID: 6204000896 Enrollment ID: I20111116000711 |
| Provider Name | John Metz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386705127 PECOS PAC ID: 9638344278 Enrollment ID: I20111212000045 |
| Provider Name | Sridevi Kandula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194942805 PECOS PAC ID: 7517132848 Enrollment ID: I20111214000609 |
| Provider Name | Robin Okner Winter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295896157 PECOS PAC ID: 5193991024 Enrollment ID: I20111227000509 |
| Provider Name | Charlene Milne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952462616 PECOS PAC ID: 3476729989 Enrollment ID: I20120105000266 |
| Provider Name | Anne J Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700906815 PECOS PAC ID: 4789781360 Enrollment ID: I20120125000070 |
| Provider Name | John G Ciciarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629085691 PECOS PAC ID: 9739174426 Enrollment ID: I20120221000493 |
| Provider Name | Joseph Mathew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225197320 PECOS PAC ID: 7719145440 Enrollment ID: I20120227000050 |
| Provider Name | Kishore Ratkalkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942369947 PECOS PAC ID: 0143214502 Enrollment ID: I20120227000071 |
| Provider Name | Shuvendu Sen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780860684 PECOS PAC ID: 3971682345 Enrollment ID: I20120416000595 |
| Provider Name | Mark Ende |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518006584 PECOS PAC ID: 2961661228 Enrollment ID: I20120417000043 |
| Provider Name | Douglas Finefrock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801847264 PECOS PAC ID: 7012817240 Enrollment ID: I20120509000331 |
| Provider Name | Seema N Varma |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588820708 PECOS PAC ID: 5496899460 Enrollment ID: I20120910000013 |
| Provider Name | Grace Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447519020 PECOS PAC ID: 2365691490 Enrollment ID: I20121005000307 |
| Provider Name | Amanda Sherak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790079473 PECOS PAC ID: 7911157433 Enrollment ID: I20121018000432 |
| Provider Name | Puja Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225364821 PECOS PAC ID: 7315198983 Enrollment ID: I20121107000269 |
| Provider Name | Barbara M Cirignano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053645739 PECOS PAC ID: 4587816418 Enrollment ID: I20121128000659 |
| Provider Name | Cynthia R Bascara |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790038545 PECOS PAC ID: 8325290679 Enrollment ID: I20121212000464 |
| Provider Name | Kelly E Signorelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952686198 PECOS PAC ID: 7012162043 Enrollment ID: I20130225000045 |
| Provider Name | Patricia Margaret Pavlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427393388 PECOS PAC ID: 0840437000 Enrollment ID: I20130507000145 |
| Provider Name | Brian M O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912269457 PECOS PAC ID: 6103068978 Enrollment ID: I20130807000053 |
| Provider Name | David F Zodda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588976443 PECOS PAC ID: 4587808324 Enrollment ID: I20130918000461 |
| Provider Name | Gregory S Sugalski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821261496 PECOS PAC ID: 6002098878 Enrollment ID: I20131031001104 |
| Provider Name | Harini C Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821380940 PECOS PAC ID: 7214105378 Enrollment ID: I20131121001096 |
| Provider Name | Svetlana Zakharchenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174820302 PECOS PAC ID: 0941466528 Enrollment ID: I20131209001389 |
| Provider Name | James Williams Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710310081 PECOS PAC ID: 1557598471 Enrollment ID: I20131220000144 |
| Provider Name | Patricia C. Berkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972942159 PECOS PAC ID: 4880821644 Enrollment ID: I20131226001250 |
| Provider Name | Jasrup Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154635423 PECOS PAC ID: 9234369588 Enrollment ID: I20140305002163 |
| Provider Name | Tara L Viggiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831527795 PECOS PAC ID: 7012148109 Enrollment ID: I20140403000737 |
| Provider Name | Edwin A. Wymer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912975996 PECOS PAC ID: 0941432280 Enrollment ID: I20140421000370 |
| Provider Name | Shabnam N Khety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104063734 PECOS PAC ID: 8729203716 Enrollment ID: I20140708000249 |
| Provider Name | Andres Baquero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932355047 PECOS PAC ID: 2668524463 Enrollment ID: I20141007000495 |
| Provider Name | Mariam S Said |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720411747 PECOS PAC ID: 0941422117 Enrollment ID: I20141104001766 |
| Provider Name | Kathleen Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174932347 PECOS PAC ID: 3072735026 Enrollment ID: I20141107000637 |
| Provider Name | Christine M Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043626567 PECOS PAC ID: 8022330208 Enrollment ID: I20141124002277 |
| Provider Name | Joy-lynne Carnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467723262 PECOS PAC ID: 9133348097 Enrollment ID: I20141204000289 |
| Provider Name | Ullanda P Fyffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932481546 PECOS PAC ID: 6507090685 Enrollment ID: I20150212000186 |
| Provider Name | Sameer Kaul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699006445 PECOS PAC ID: 8921136433 Enrollment ID: I20150303000475 |
| Provider Name | Kajal Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477953974 PECOS PAC ID: 4587980511 Enrollment ID: I20150310000359 |
| Provider Name | Krishna Modi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053711572 PECOS PAC ID: 2769708619 Enrollment ID: I20150311002573 |
| Provider Name | Sophiamma A Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326437856 PECOS PAC ID: 4587984018 Enrollment ID: I20150522001015 |
| Provider Name | Lauren Brooke Sterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265834253 PECOS PAC ID: 1254643976 Enrollment ID: I20150708002019 |
| Provider Name | Margaret Huryk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477699585 PECOS PAC ID: 8921095415 Enrollment ID: I20150717002199 |
| Provider Name | Soo Chong Kim |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1528353273 PECOS PAC ID: 7618193897 Enrollment ID: I20150723006796 |
| Provider Name | Laura Tavarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053675397 PECOS PAC ID: 8921313586 Enrollment ID: I20150812007047 |
| Provider Name | Catherine Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992199434 PECOS PAC ID: 8921313339 Enrollment ID: I20150813011874 |
| Provider Name | Adryanna Tavares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205202090 PECOS PAC ID: 6002122975 Enrollment ID: I20150909000535 |
| Provider Name | Moses F Olorunnisola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467728113 PECOS PAC ID: 2264741669 Enrollment ID: I20151027000317 |
| Provider Name | Michael Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275881054 PECOS PAC ID: 6608176177 Enrollment ID: I20151207000317 |
| Provider Name | Niyati Chiniwala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528219367 PECOS PAC ID: 8820266653 Enrollment ID: I20151217000141 |
| Provider Name | Phyllis Adrienne Caces |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962795864 PECOS PAC ID: 3476770835 Enrollment ID: I20151217001403 |
| Provider Name | Dahlia Chalabi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578797007 PECOS PAC ID: 2567693930 Enrollment ID: I20160201002825 |
| Provider Name | Anna Yarygina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588891840 PECOS PAC ID: 0244479079 Enrollment ID: I20160308002048 |
| Provider Name | Nava Bak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073732103 PECOS PAC ID: 8628179785 Enrollment ID: I20160321000243 |
| Provider Name | Jun Jie Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588825582 PECOS PAC ID: 5193902666 Enrollment ID: I20160401000701 |
| Provider Name | Mark Brubaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275778557 PECOS PAC ID: 8325282346 Enrollment ID: I20160425000302 |
| Provider Name | Susan Meyeno Omoregie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926697 PECOS PAC ID: 6608165543 Enrollment ID: I20160517001687 |
| Provider Name | Ghazalah Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346595915 PECOS PAC ID: 8224273685 Enrollment ID: I20160614002144 |
| Provider Name | Arif Asif |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598709941 PECOS PAC ID: 9638366230 Enrollment ID: I20160617000113 |
| Provider Name | Satish K. Bhutani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013995893 PECOS PAC ID: 9133139280 Enrollment ID: I20160719001309 |
| Provider Name | Yuzana Swe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760888366 PECOS PAC ID: 1153615661 Enrollment ID: I20160805001821 |
| Provider Name | Jennifer Kleven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477962520 PECOS PAC ID: 4385938273 Enrollment ID: I20160816002061 |
| Provider Name | Paarth Raj |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003224197 PECOS PAC ID: 8022303718 Enrollment ID: I20160819000546 |
| Provider Name | Daniela S Cavallaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336692011 PECOS PAC ID: 2264727734 Enrollment ID: I20160823000935 |
| Provider Name | Steve John Stavrellis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669573861 PECOS PAC ID: 2163717406 Enrollment ID: I20160825000272 |
| Provider Name | Suman Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114027109 PECOS PAC ID: 1456647254 Enrollment ID: I20160902001031 |
| Provider Name | Kristi L Kosarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114384328 PECOS PAC ID: 4284921214 Enrollment ID: I20160920000204 |
| Provider Name | Caroline A Cunniff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780912964 PECOS PAC ID: 5890082143 Enrollment ID: I20160929002218 |
| Provider Name | Laurie Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093890865 PECOS PAC ID: 0244323764 Enrollment ID: I20160930000176 |
| Provider Name | Rachelle Schwarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487093472 PECOS PAC ID: 7012205115 Enrollment ID: I20161005001025 |
| Provider Name | Nicole M Pantano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033353933 PECOS PAC ID: 8820386675 Enrollment ID: I20161011000325 |
| Provider Name | Opal Thakar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659792802 PECOS PAC ID: 2466730999 Enrollment ID: I20161103000318 |
| Provider Name | Gerald G Dimaso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477526531 PECOS PAC ID: 2466621784 Enrollment ID: I20161206000741 |
| Provider Name | Christine Michael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053748053 PECOS PAC ID: 6800176827 Enrollment ID: I20161209000634 |
| Provider Name | Meghan Kasel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295285914 PECOS PAC ID: 9739460320 Enrollment ID: I20161219001546 |
| Provider Name | Liora Farber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912261009 PECOS PAC ID: 3274771944 Enrollment ID: I20170118002780 |
| Provider Name | Syeda F Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467832949 PECOS PAC ID: 1355623737 Enrollment ID: I20170119000964 |
| Provider Name | Karen A Yeboah Norment |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063955094 PECOS PAC ID: 6507149515 Enrollment ID: I20170216000872 |
| Provider Name | Suzanne E. Plaine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942433511 PECOS PAC ID: 0244507291 Enrollment ID: I20170524000111 |
| Provider Name | Salman Mamji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871960013 PECOS PAC ID: 9739458290 Enrollment ID: I20170627002223 |
| Provider Name | Erin Mcfeely |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831104389 PECOS PAC ID: 4284708199 Enrollment ID: I20170628002423 |
| Provider Name | James Turro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497700561 PECOS PAC ID: 7810038510 Enrollment ID: I20170714001175 |
| Provider Name | Mohammad Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639559438 PECOS PAC ID: 3072881226 Enrollment ID: I20170724000971 |
| Provider Name | Manish Saini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730251745 PECOS PAC ID: 8426320953 Enrollment ID: I20170818000526 |
| Provider Name | Maria Chavez Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780061440 PECOS PAC ID: 4082987797 Enrollment ID: I20170831001115 |
| Provider Name | Elsa Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912433210 PECOS PAC ID: 0941573521 Enrollment ID: I20170901000998 |
| Provider Name | Dipesh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831504588 PECOS PAC ID: 3971876459 Enrollment ID: I20170905002063 |
| Provider Name | Gianecarla Montero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619173374 PECOS PAC ID: 9931472453 Enrollment ID: I20170906000160 |
| Provider Name | Shaun Patterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821410671 PECOS PAC ID: 6305134875 Enrollment ID: I20170927002428 |
| Provider Name | Denise Ann Perrino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144742743 PECOS PAC ID: 4688949449 Enrollment ID: I20171004000467 |
| Provider Name | Benjamin Samuel Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578812814 PECOS PAC ID: 6002199213 Enrollment ID: I20171113002546 |
| Provider Name | Christine M Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669901161 PECOS PAC ID: 7719243575 Enrollment ID: I20171121000722 |
| Provider Name | Sandra Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043769003 PECOS PAC ID: 9537426309 Enrollment ID: I20171204000538 |
| Provider Name | Cathie-ann Mancuso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992115422 PECOS PAC ID: 4486912797 Enrollment ID: I20171214001059 |
| Provider Name | Melissa Cobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235653791 PECOS PAC ID: 5496013211 Enrollment ID: I20171227000601 |
| Provider Name | Ronald Quiba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356435200 PECOS PAC ID: 8022377456 Enrollment ID: I20180110002972 |
| Provider Name | Nripen C Dontineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790123024 PECOS PAC ID: 8820220296 Enrollment ID: I20180111001971 |
| Provider Name | Charlie Jijer Changchien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265616908 PECOS PAC ID: 9931474129 Enrollment ID: I20180125002173 |
| Provider Name | Shruti Balwalli-udyawer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689182867 PECOS PAC ID: 9335400118 Enrollment ID: I20180220000701 |
| Provider Name | Allie Campo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265949358 PECOS PAC ID: 2961763628 Enrollment ID: I20180221001650 |
| Provider Name | Shehzad Masood Malik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215153192 PECOS PAC ID: 6204847031 Enrollment ID: I20180327003027 |
| Provider Name | Santiago J Caasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194893354 PECOS PAC ID: 4789946708 Enrollment ID: I20180402001499 |
| Provider Name | Melissa A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649668211 PECOS PAC ID: 4385907500 Enrollment ID: I20180420001094 |
| Provider Name | Mariam Gamal Wassef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033475249 PECOS PAC ID: 5890059224 Enrollment ID: I20180510000880 |
| Provider Name | Jamie B Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184960395 PECOS PAC ID: 5092079301 Enrollment ID: I20180514000135 |
| Provider Name | Neida Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295741072 PECOS PAC ID: 5496982316 Enrollment ID: I20180606002933 |
| Provider Name | Sarah Anne Rawstron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154378990 PECOS PAC ID: 3375689474 Enrollment ID: I20180703000645 |
| Provider Name | Maryna Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437650207 PECOS PAC ID: 3971850397 Enrollment ID: I20180717001595 |
| Provider Name | Arman Mushtaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780190231 PECOS PAC ID: 3870840002 Enrollment ID: I20180719001321 |
| Provider Name | Nelson Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821472630 PECOS PAC ID: 8921355678 Enrollment ID: I20180726000319 |
| Provider Name | Donna Marie Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437653425 PECOS PAC ID: 2062760754 Enrollment ID: I20180813002901 |
| Provider Name | Bhaveshkumar Garsondiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801302351 PECOS PAC ID: 0749539708 Enrollment ID: I20180823003160 |
| Provider Name | Pamela Orellana Chasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699157446 PECOS PAC ID: 0042561748 Enrollment ID: I20180919001928 |
| Provider Name | Lauren H Parkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689054298 PECOS PAC ID: 9032460795 Enrollment ID: I20180920000016 |
| Provider Name | Tara A Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483835 PECOS PAC ID: 1153672266 Enrollment ID: I20180927002667 |
| Provider Name | Laura Dutu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659636967 PECOS PAC ID: 8527389840 Enrollment ID: I20181030002077 |
| Provider Name | Nitin Suresh Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194082800 PECOS PAC ID: 6002113792 Enrollment ID: I20181105000302 |
| Provider Name | Sapna Rama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316327737 PECOS PAC ID: 8022361245 Enrollment ID: I20181105001930 |
| Provider Name | Barry Joel Weissman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639103500 PECOS PAC ID: 1850645904 Enrollment ID: I20181108002098 |
| Provider Name | Suelyn Claudia Boucree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942464581 PECOS PAC ID: 5991963282 Enrollment ID: I20181119000059 |
| Provider Name | Karnik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629458088 PECOS PAC ID: 0547514135 Enrollment ID: I20181119000354 |
| Provider Name | Kimberly Cai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679967103 PECOS PAC ID: 1759626187 Enrollment ID: I20181213000057 |
| Provider Name | Yildiz Zorba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760856439 PECOS PAC ID: 6406191337 Enrollment ID: I20181221001275 |
| Provider Name | Olevia Metry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205256328 PECOS PAC ID: 7113209024 Enrollment ID: I20190206001780 |
| Provider Name | Gianna V Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275026601 PECOS PAC ID: 8426396649 Enrollment ID: I20190214000168 |
| Provider Name | William Fleischman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316264468 PECOS PAC ID: 1850518309 Enrollment ID: I20190221002350 |
| Provider Name | Michael J Matarese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326190828 PECOS PAC ID: 5991987943 Enrollment ID: I20190304000173 |
| Provider Name | Steffi D Lena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942676457 PECOS PAC ID: 2365781267 Enrollment ID: I20190311001113 |
| Provider Name | Hemlata Sharma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538472378 PECOS PAC ID: 5991923138 Enrollment ID: I20190325000121 |
| Provider Name | Delia I Rappaport |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073545521 PECOS PAC ID: 1951642859 Enrollment ID: I20190402001924 |
| Provider Name | Lisa Anne Meli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841384187 PECOS PAC ID: 9234470477 Enrollment ID: I20190416001725 |
| Provider Name | Valerie Niketakis-wujciak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073584918 PECOS PAC ID: 5698954733 Enrollment ID: I20190425002230 |
| Provider Name | Margaret H Hager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144252453 PECOS PAC ID: 8729320932 Enrollment ID: I20190508000611 |
| Provider Name | Saira K Chaughtai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447604319 PECOS PAC ID: 0941543011 Enrollment ID: I20190514001248 |
| Provider Name | Joseph S Fruchter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427082304 PECOS PAC ID: 2365785938 Enrollment ID: I20190522001966 |
| Provider Name | Timothy Wells Watkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922098664 PECOS PAC ID: 8426032673 Enrollment ID: I20190528002344 |
| Provider Name | Glenn Advincula Salcedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386679645 PECOS PAC ID: 0547503906 Enrollment ID: I20190528002354 |
| Provider Name | Renee Dougherty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609260835 PECOS PAC ID: 3779820469 Enrollment ID: I20190618002274 |
| Provider Name | Robert Platschek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629533922 PECOS PAC ID: 5294060539 Enrollment ID: I20190710000022 |
| Provider Name | Alison Thurber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790196905 PECOS PAC ID: 7416220280 Enrollment ID: I20190716001521 |
| Provider Name | Patrick Charles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295138782 PECOS PAC ID: 1557633880 Enrollment ID: I20190717001610 |
| Provider Name | Edrik Josue Acevedo Beltran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427478353 PECOS PAC ID: 1850628371 Enrollment ID: I20190807000008 |
| Provider Name | Alyssa Berns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730597907 PECOS PAC ID: 1557698370 Enrollment ID: I20190815002976 |
| Provider Name | Jasmine Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326495920 PECOS PAC ID: 5294063210 Enrollment ID: I20190828002396 |
| Provider Name | Magna Josefina Pastrano Lluberes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548601594 PECOS PAC ID: 2062706542 Enrollment ID: I20190913000621 |
| Provider Name | Rosa M. Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649683830 PECOS PAC ID: 3072885698 Enrollment ID: I20190919000610 |
| Provider Name | Jeffrey Greenblatt Fein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417310590 PECOS PAC ID: 6305176751 Enrollment ID: I20190926003314 |
| Provider Name | Aakash Kaushik Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124510698 PECOS PAC ID: 0648500827 Enrollment ID: I20191002000030 |
| Provider Name | Vijay Halari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487006862 PECOS PAC ID: 2769714823 Enrollment ID: I20191023001537 |
| Provider Name | Harinder Kaur Bawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972997989 PECOS PAC ID: 6204174568 Enrollment ID: I20200127000159 |
| Provider Name | Juan Paolo Murillo Prudente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295183549 PECOS PAC ID: 3971939612 Enrollment ID: I20200129000187 |
| Provider Name | Meaghan A Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174039465 PECOS PAC ID: 6709212954 Enrollment ID: I20200306001550 |
| Provider Name | Biren Bhatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154582864 PECOS PAC ID: 1951567460 Enrollment ID: I20200407000225 |
| Provider Name | Aqsa Inkisar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205280203 PECOS PAC ID: 9335578517 Enrollment ID: I20200409002044 |
| Provider Name | Daria Falkowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447517511 PECOS PAC ID: 7012223845 Enrollment ID: I20200415001401 |
| Provider Name | Christine Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528562675 PECOS PAC ID: 7113340415 Enrollment ID: I20200706000238 |
| Provider Name | Deepak S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194133710 PECOS PAC ID: 3173810876 Enrollment ID: I20200710002396 |
| Provider Name | Alexander Kolessa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902009459 PECOS PAC ID: 5890829352 Enrollment ID: I20200714000932 |
| Provider Name | Michael William Ullo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033571898 PECOS PAC ID: 5597189183 Enrollment ID: I20200715001990 |
| Provider Name | Monika L Finer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306375878 PECOS PAC ID: 8527483395 Enrollment ID: I20200811000879 |
| Provider Name | Jessyca S Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245769942 PECOS PAC ID: 9931525672 Enrollment ID: I20200812002404 |
| Provider Name | Andrew Habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609304393 PECOS PAC ID: 9931478831 Enrollment ID: I20200817001543 |
| Provider Name | Emmet T Fenichel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952832164 PECOS PAC ID: 9830448620 Enrollment ID: I20200917000287 |
| Provider Name | Mina Botros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669882643 PECOS PAC ID: 0648549576 Enrollment ID: I20200917002662 |
| Provider Name | Christina Hajicharalambous |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265873129 PECOS PAC ID: 6406110881 Enrollment ID: I20200924001537 |
| Provider Name | Mung W Lo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471265 PECOS PAC ID: 1456770882 Enrollment ID: I20201002002135 |
| Provider Name | Swapnil Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881127975 PECOS PAC ID: 0749600880 Enrollment ID: I20201012001555 |
| Provider Name | Michelle Fuentes Lomotan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265952717 PECOS PAC ID: 9436579380 Enrollment ID: I20201015001221 |
| Provider Name | Yakov Iofel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902985104 PECOS PAC ID: 1355390089 Enrollment ID: I20201112001069 |
| Provider Name | Kimberly Grace Krzyk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760998942 PECOS PAC ID: 2860803814 Enrollment ID: I20201123001225 |
| Provider Name | Parneet Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003337650 PECOS PAC ID: 6507277167 Enrollment ID: I20201203000466 |
| Provider Name | Phylicia Baird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982947750 PECOS PAC ID: 6901190164 Enrollment ID: I20201218000672 |
| Provider Name | Magdalena Maria Gapinski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316445778 PECOS PAC ID: 1153735998 Enrollment ID: I20210205002020 |
| Provider Name | Imad Omar Harsouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659802361 PECOS PAC ID: 2365782091 Enrollment ID: I20210212000807 |
| Provider Name | Lori L Korsakoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598128795 PECOS PAC ID: 2961818794 Enrollment ID: I20210303000330 |
| Provider Name | Lamercie Brasier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912505918 PECOS PAC ID: 1951718436 Enrollment ID: I20210330000299 |
| Provider Name | Nickolas Dawlabani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386820215 PECOS PAC ID: 9133264583 Enrollment ID: I20210413000000 |
| Provider Name | Lana Shaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477087674 PECOS PAC ID: 7911306972 Enrollment ID: I20210524001664 |
| Provider Name | Kathleen M Croll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376175166 PECOS PAC ID: 6507265519 Enrollment ID: I20210525000879 |
| Provider Name | Jaskarandeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467938449 PECOS PAC ID: 9931456928 Enrollment ID: I20210614000301 |
| Provider Name | Giacomina Carmela Sorezza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861093221 PECOS PAC ID: 9032510326 Enrollment ID: I20210624000064 |
| Provider Name | Mihir Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629565056 PECOS PAC ID: 8729489414 Enrollment ID: I20210701002846 |
| Provider Name | Waqas Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699271346 PECOS PAC ID: 5991107229 Enrollment ID: I20210709000613 |
| Provider Name | Hadassa Leader |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093910416 PECOS PAC ID: 4880719228 Enrollment ID: I20210720004172 |
| Provider Name | Shahid Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801050679 PECOS PAC ID: 1153621958 Enrollment ID: I20210721000448 |
| Provider Name | Pramil Cheriyath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194832105 PECOS PAC ID: 1850397993 Enrollment ID: I20210721003210 |
| Provider Name | Brian M Salata |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174919559 PECOS PAC ID: 3375875404 Enrollment ID: I20210726000166 |
| Provider Name | Robertha Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972987907 PECOS PAC ID: 5395083711 Enrollment ID: I20210819003366 |
| Provider Name | Carolyn Theresa Peart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356889422 PECOS PAC ID: 8729483276 Enrollment ID: I20210820001425 |
| Provider Name | Karla Oliveri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821638388 PECOS PAC ID: 7315342557 Enrollment ID: I20210825003476 |
| Provider Name | Usha Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972699171 PECOS PAC ID: 3072508159 Enrollment ID: I20210827000787 |
| Provider Name | Carla Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376036483 PECOS PAC ID: 3072919091 Enrollment ID: I20210831000499 |
| Provider Name | Jane Suhyoung Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114421070 PECOS PAC ID: 9931448925 Enrollment ID: I20210917001311 |
| Provider Name | Owen Edward Deland |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881122331 PECOS PAC ID: 0042618266 Enrollment ID: I20211001001455 |
| Provider Name | Jennifer P Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124524095 PECOS PAC ID: 9739587452 Enrollment ID: I20211012000004 |
| Provider Name | Jason Mendelsohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083118913 PECOS PAC ID: 6204263577 Enrollment ID: I20211012001332 |
| Provider Name | Erika Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770255317 PECOS PAC ID: 4082004833 Enrollment ID: I20211209001385 |
| Provider Name | Nicole G Babushkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912495284 PECOS PAC ID: 0345634655 Enrollment ID: I20220303000301 |
| Provider Name | Sejal G Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104981000 PECOS PAC ID: 1254432321 Enrollment ID: I20220329001054 |
| Provider Name | Rachael Anne Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760141071 PECOS PAC ID: 1759777402 Enrollment ID: I20220405001625 |
| Provider Name | Anna Broder |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144478496 PECOS PAC ID: 5496808263 Enrollment ID: I20220406000568 |
| Provider Name | Amanjot K Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255091740 PECOS PAC ID: 1052707387 Enrollment ID: I20220413000788 |
| Provider Name | Asena Bahce-altuntas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912278540 PECOS PAC ID: 6901057264 Enrollment ID: I20220511000976 |
| Provider Name | Christina Marie Cavalieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760137392 PECOS PAC ID: 0244617942 Enrollment ID: I20220518003073 |
| Provider Name | Joseph Nicholas Heaton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629539762 PECOS PAC ID: 6103205638 Enrollment ID: I20220614000565 |
| Provider Name | Brian Yung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902070618 PECOS PAC ID: 5991184681 Enrollment ID: I20220627003170 |
| Provider Name | Anita Sawkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013470806 PECOS PAC ID: 1557742665 Enrollment ID: I20220721000423 |
| Provider Name | Alyssa Rios |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306226709 PECOS PAC ID: 2668728478 Enrollment ID: I20220822003113 |
| Provider Name | Patrick Norris Correa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588127120 PECOS PAC ID: 2961886023 Enrollment ID: I20220908003071 |
| Provider Name | Alison Anne Avallone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134726540 PECOS PAC ID: 7214312156 Enrollment ID: I20220914000164 |
| Provider Name | Timothy Wuu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750844122 PECOS PAC ID: 8527443209 Enrollment ID: I20220915003332 |
| Provider Name | Alex Gusler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518420181 PECOS PAC ID: 7113302746 Enrollment ID: I20220919002238 |
| Provider Name | Andrew Unger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346293594 PECOS PAC ID: 3274874011 Enrollment ID: I20220922001672 |
| Provider Name | Olufunke Olushoga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316300726 PECOS PAC ID: 6305174343 Enrollment ID: I20220922002239 |
| Provider Name | Zehra Beyza Omer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1386092153 PECOS PAC ID: 1355635046 Enrollment ID: I20220926000104 |
| Provider Name | Satish Tadepalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972066652 PECOS PAC ID: 0143606657 Enrollment ID: I20221006003461 |
| Provider Name | John Jeffrey Mosko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093240293 PECOS PAC ID: 2466828439 Enrollment ID: I20221017000160 |
| Provider Name | Christine Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255927299 PECOS PAC ID: 5395114896 Enrollment ID: I20221205002803 |
| Provider Name | Deepti Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609181452 PECOS PAC ID: 5092958280 Enrollment ID: I20221213001821 |
| Provider Name | Dauda M Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750949798 PECOS PAC ID: 2668841305 Enrollment ID: I20221220000018 |
| Provider Name | Christine Anne Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649908559 PECOS PAC ID: 3375913064 Enrollment ID: I20221220002905 |
| Provider Name | Armin Shahrokni |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1376776757 PECOS PAC ID: 2961633896 Enrollment ID: I20230105000841 |
| Provider Name | Derrick Jeon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902461023 PECOS PAC ID: 4981075686 Enrollment ID: I20230117000621 |
| Provider Name | Farah Deshmukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457855926 PECOS PAC ID: 5294106068 Enrollment ID: I20230117000683 |
| Provider Name | Irene Pakos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669032330 PECOS PAC ID: 5597163014 Enrollment ID: I20230118002776 |
| Provider Name | Mohamed S Elgendy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962923714 PECOS PAC ID: 8022449891 Enrollment ID: I20230118003095 |
| Provider Name | Linda Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851752786 PECOS PAC ID: 8921391038 Enrollment ID: I20230118003111 |
| Provider Name | Aishwarya Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730649500 PECOS PAC ID: 8123499670 Enrollment ID: I20230120001976 |
| Provider Name | Rosemarie Mullings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457908220 PECOS PAC ID: 6103254651 Enrollment ID: I20230208003354 |
| Provider Name | Jonathon Haverty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760987549 PECOS PAC ID: 1456754332 Enrollment ID: I20230209000082 |
| Provider Name | Yunyoung Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275094112 PECOS PAC ID: 0749652162 Enrollment ID: I20230214000173 |
| Provider Name | Kritika Khanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376004416 PECOS PAC ID: 5496176273 Enrollment ID: I20230220001171 |
| Provider Name | Khadija Farooq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902368707 PECOS PAC ID: 7618340415 Enrollment ID: I20230225000477 |
| Provider Name | Rebeka Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972064673 PECOS PAC ID: 0143552349 Enrollment ID: I20230328002464 |
| Provider Name | Mohammad Abboud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881187359 PECOS PAC ID: 3870848492 Enrollment ID: I20230329000430 |
| Provider Name | Michal Kerstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356700850 PECOS PAC ID: 8022483601 Enrollment ID: I20230413000091 |
| Provider Name | Sumaiya Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174987739 PECOS PAC ID: 7315284064 Enrollment ID: I20230424002223 |
| Provider Name | Frederick Acquah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366070187 PECOS PAC ID: 2466818448 Enrollment ID: I20230517001118 |
| Provider Name | Jennifer L Dember |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235890716 PECOS PAC ID: 9234595059 Enrollment ID: I20230522001934 |
| Provider Name | Jennifer L Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669186342 PECOS PAC ID: 7012374325 Enrollment ID: I20230601000302 |
| Provider Name | Neha Paralkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609239110 PECOS PAC ID: 1254676612 Enrollment ID: I20230622000665 |
| Provider Name | Rovena Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528696820 PECOS PAC ID: 1759749567 Enrollment ID: I20230626002352 |
| Provider Name | Amelia Pawaroo-balram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922636315 PECOS PAC ID: 3476912817 Enrollment ID: I20230703003180 |
| Provider Name | Asad Z Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316576945 PECOS PAC ID: 8628495041 Enrollment ID: I20230720003277 |
| Provider Name | Zain Nagaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851929202 PECOS PAC ID: 5698135572 Enrollment ID: I20230724004112 |
| Provider Name | Darshini Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013533017 PECOS PAC ID: 2567886492 Enrollment ID: I20230726000644 |
| Provider Name | Hannah Ibrahim Abumusa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396232120 PECOS PAC ID: 4082075809 Enrollment ID: I20230726002608 |
| Provider Name | Hyokyung Sung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306472451 PECOS PAC ID: 2264830439 Enrollment ID: I20230727001743 |
| Provider Name | Mustafa Hussain Jafri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447782719 PECOS PAC ID: 5496116923 Enrollment ID: I20230801001364 |
| Provider Name | Erinie Makram Mekheal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588292494 PECOS PAC ID: 4082075262 Enrollment ID: I20230803003858 |
| Provider Name | Justin Joseph Panthappattu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083242887 PECOS PAC ID: 5092178889 Enrollment ID: I20230827000028 |
| Provider Name | Alex Fu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811525538 PECOS PAC ID: 9638591530 Enrollment ID: I20230828000425 |
| Provider Name | Gabrielle Lobue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275161283 PECOS PAC ID: 0345694477 Enrollment ID: I20230923000309 |
| Provider Name | Osarhiemen Omwanghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164879474 PECOS PAC ID: 5294159059 Enrollment ID: I20230927003541 |
| Provider Name | Armida Priftani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831727155 PECOS PAC ID: 5395134985 Enrollment ID: I20231009000731 |
| Provider Name | Mohini Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487278446 PECOS PAC ID: 7214354307 Enrollment ID: I20231010001189 |
| Provider Name | Xue Ao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538797436 PECOS PAC ID: 0143675272 Enrollment ID: I20231010002636 |
| Provider Name | Jae Hyun Shim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174142731 PECOS PAC ID: 7214354141 Enrollment ID: I20231010003854 |
| Provider Name | Kevin Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669001426 PECOS PAC ID: 0547616880 Enrollment ID: I20231024000520 |
| Provider Name | Ranjan Ginde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093020513 PECOS PAC ID: 4385895721 Enrollment ID: I20231102000238 |
| Provider Name | Gina Leka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649053802 PECOS PAC ID: 0840648473 Enrollment ID: I20231121000576 |
| Provider Name | Nirali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568091007 PECOS PAC ID: 3375992803 Enrollment ID: I20231209000691 |
| Provider Name | Jillian Nicole Moretto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386104305 PECOS PAC ID: 4587991831 Enrollment ID: I20231219000731 |
| Provider Name | Gagan Singh Malhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366070807 PECOS PAC ID: 5799135091 Enrollment ID: I20231228003744 |
| Provider Name | Megan Winters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497382972 PECOS PAC ID: 9335592740 Enrollment ID: I20240201000031 |
| Provider Name | Sonya Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295276467 PECOS PAC ID: 6305184482 Enrollment ID: I20240213000451 |
| Provider Name | Elizabeth Anne Packi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689202905 PECOS PAC ID: 4284078387 Enrollment ID: I20240216001490 |
| Provider Name | Punam Patel Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861020380 PECOS PAC ID: 1658717822 Enrollment ID: I20240311000709 |
| Provider Name | Victoria Ellen Pachytel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790554848 PECOS PAC ID: 0547609604 Enrollment ID: I20240422003217 |
| Provider Name | Maria Masih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003378621 PECOS PAC ID: 9133502594 Enrollment ID: I20240430002864 |
| Provider Name | Kevin Stephens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770977662 PECOS PAC ID: 0840504296 Enrollment ID: I20240507003607 |
| Provider Name | Aarti Attreya-latuso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538514799 PECOS PAC ID: 9234422361 Enrollment ID: I20240508000275 |
| Provider Name | Daryl Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669574075 PECOS PAC ID: 4688979685 Enrollment ID: I20240510000145 |
| Provider Name | Taylor Elizabeth Olian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811550288 PECOS PAC ID: 6103268362 Enrollment ID: I20240521000259 |
Dominick A. Grosso, D.o. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Globe Ct, Red Bank, NJ 07701 Phone: 732-219-0110 Fax: 732-212-8818 | |
Hackensack Meridian Health Medical Group - Complex Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 331 Newman Springs Rd Ste 220, Red Bank, NJ 07701 Phone: 732-807-0800 Fax: 732-922-0548 | |
Cpc Behavioral Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Highway 35, Red Bank, NJ 07701 Phone: 732-842-2000 | |
Lanza's Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 240 Maple Ave, Red Bank, NJ 07701 Phone: 732-576-1600 | |
Red Bank Gastroenterology Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Broad St, Red Bank, NJ 07701 Phone: 732-842-4294 Fax: 732-530-1497 | |
Harmonia Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 E Front St Ste 300, Red Bank, NJ 07701 Phone: 732-510-0460 |