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546 St. Georges Ave Rte 27 Rahway NJ 07065 | |
| (732) 381-3642 | |
| (732) 396-4463 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 546 St. Georges Ave Rte 27, Rahway, New Jersey |
| Authorized Official Name and Position | Anu Chaudhry (PRESIDENT) |
| Authorized Official Contact | 7329916968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
546 St. Georges Ave Rte 27 Rahway NJ 07065 Ph: (732) 381-3642 | 546 St. Georges Ave Rte 27 Rahway NJ 07065 Ph: (732) 381-3642 |
| NPI Number | 1053441840 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 07/24/2012 |
| Medicare PECOS PAC ID | 8820189129 |
|---|---|
| Medicare Enrollment ID | O20070801000013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053441840 | NPI | - | NPPES |
| 0054313 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07682100 (New Jersey) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA07682100 (New Jersey) | Primary |
| Provider Name | Anu Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295709061 PECOS PAC ID: 2466421607 Enrollment ID: I20040925000006 |
| Provider Name | Samina A Syed Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306998752 PECOS PAC ID: 0345222006 Enrollment ID: I20080303000026 |
| Provider Name | Sadanand Sudhakar Palekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275500969 PECOS PAC ID: 4981665858 Enrollment ID: I20100119000131 |
| Provider Name | Geronimo E Banayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376620500 PECOS PAC ID: 4688856578 Enrollment ID: I20110314001007 |
| Provider Name | Roveena N Goveas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487895363 PECOS PAC ID: 3870761364 Enrollment ID: I20140714002008 |
| Provider Name | Supriya Ravella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801165873 PECOS PAC ID: 0840519385 Enrollment ID: I20150505000096 |
| Provider Name | Diane C Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306184932 PECOS PAC ID: 7719268218 Enrollment ID: I20161221000178 |
| Provider Name | Andrea Leon-popovych |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134844582 PECOS PAC ID: 8527434398 Enrollment ID: I20221019001188 |
| Provider Name | Chioma Madu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447744925 PECOS PAC ID: 6800255456 Enrollment ID: I20230629003780 |
| Provider Name | Janki Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679207062 PECOS PAC ID: 9234674722 Enrollment ID: I20240709001566 |
| Provider Name | Stephanie Oviedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699533877 PECOS PAC ID: 3072058577 Enrollment ID: I20240709001977 |
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