| Heal Doctors Pc | |
|
162 Elmora Avenue Suite 304 Elizabeth NJ 07202-1148 | |
| (844) 644-4325 | |
| (424) 625-0010 |
| Full Name | Heal Doctors Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 162 Elmora Avenue, Elizabeth, New Jersey |
| Authorized Official Name and Position | Rekha Bhandari (CMO) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal Doctors Pc 250 Skillman St Ste 204 Brooklyn NY 11205-1218 Ph: (718) 534-0689 | Heal Doctors Pc 162 Elmora Avenue Suite 304 Elizabeth NJ 07202-1148 Ph: (844) 644-4325 |
| NPI Number | 1053960211 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 1557797925 |
|---|---|
| Medicare Enrollment ID | O20200203001318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053960211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20041124000210 |
| Provider Name | Jenifer Nwosu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821376682 PECOS PAC ID: 5698098168 Enrollment ID: I20150108001857 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20200221002285 |
| Provider Name | Susan Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396031555 PECOS PAC ID: 0840457982 Enrollment ID: I20201201002408 |
| Provider Name | Rekha Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023035466 PECOS PAC ID: 6406748235 Enrollment ID: I20220210002841 |
| Provider Name | Sherdina Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104153055 PECOS PAC ID: 3173431640 Enrollment ID: I20220709000280 |
| Provider Name | Jennifer Kurulgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861920514 PECOS PAC ID: 7719245679 Enrollment ID: I20220728003397 |
| Provider Name | Lily Ruan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306997291 PECOS PAC ID: 7911220975 Enrollment ID: I20220802000413 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230905000721 |
| Provider Name | Laura Sander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386806966 PECOS PAC ID: 2264608363 Enrollment ID: I20230911004143 |
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