Immediate Care Medical Walk-in Of Hazlet, Pa | |
1376 Highway 36 Hazlet NJ 07730 | |
(732) 264-5500 | |
(732) 264-5554 |
Full Name | Immediate Care Medical Walk-in Of Hazlet, Pa |
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Speciality | Clinic/Center |
Location | 1376 Highway 36, Hazlet, New Jersey |
Authorized Official Name and Position | Lisa M Golding-granado (OWNER) |
Authorized Official Contact | 7322645500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Immediate Care Medical Walk-in Of Hazlet, Pa 1376 Highway 36 Hazlet NJ 07730 Ph: (732) 264-5500 | Immediate Care Medical Walk-in Of Hazlet, Pa 1376 Highway 36 Hazlet NJ 07730 Ph: (732) 264-5500 |
NPI Number | 1245595313 |
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Provider Enumeration Date | 07/05/2012 |
Last Update Date | 01/17/2013 |
Medicare PECOS PAC ID | 0547410797 |
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Medicare Enrollment ID | O20121024000045 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245595313 | NPI | - | NPPES |
0 | Other | NJ | HORIZON BLUE CROSS AND BLUE SHIELD |
Provider Name | Elaine Bacci |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003836917 PECOS PAC ID: 4183619935 Enrollment ID: I20040420000177 |
Provider Name | Kimberly Clemente |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376515353 PECOS PAC ID: 6305823170 Enrollment ID: I20040630000851 |
Provider Name | Cynthia S Hoens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215197959 PECOS PAC ID: 7012960768 Enrollment ID: I20050223000170 |
Provider Name | Timolyne Skinner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831300524 PECOS PAC ID: 3870522196 Enrollment ID: I20050915000187 |
Provider Name | Asha Vijayakumar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043389083 PECOS PAC ID: 2860415684 Enrollment ID: I20060107000033 |
Provider Name | Calixto Garcia |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154313724 PECOS PAC ID: 2769379569 Enrollment ID: I20060316000075 |
Provider Name | Nancy Klein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508951476 PECOS PAC ID: 2062411499 Enrollment ID: I20061213000317 |
Provider Name | Cindy Santoro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861580920 PECOS PAC ID: 0840385282 Enrollment ID: I20071001000538 |
Provider Name | Lisa M Golding-granado |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538163928 PECOS PAC ID: 4183633613 Enrollment ID: I20071108000033 |
Provider Name | Agnicha Muzeau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679767198 PECOS PAC ID: 7517044761 Enrollment ID: I20080411000421 |
Provider Name | John A Barone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659564821 PECOS PAC ID: 4486733839 Enrollment ID: I20081212000385 |
Provider Name | Sandra M Connolly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023156825 PECOS PAC ID: 1557427879 Enrollment ID: I20090311000313 |
Provider Name | Allan Pontipiedra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548400195 PECOS PAC ID: 7517016637 Enrollment ID: I20090602000424 |
Provider Name | Monica Gessner-glendening |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821059635 PECOS PAC ID: 3072647700 Enrollment ID: I20100817001281 |
Provider Name | June L Higgins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013137298 PECOS PAC ID: 2860400140 Enrollment ID: I20100907000978 |
Provider Name | Iza M Boesler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366449795 PECOS PAC ID: 3274618053 Enrollment ID: I20101027000019 |
Provider Name | Joanne Marie Tobiasz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013230424 PECOS PAC ID: 4981899598 Enrollment ID: I20101109000835 |
Provider Name | Mary Ann M Yehl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003958604 PECOS PAC ID: 5799962338 Enrollment ID: I20110607000553 |
Provider Name | Jeremy Dayner |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1922053222 PECOS PAC ID: 6901071216 Enrollment ID: I20111215000557 |
Provider Name | Mark Waciega |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1346295482 PECOS PAC ID: 9931005428 Enrollment ID: I20111220000346 |
Provider Name | Tracy Lynn Mount |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952698565 PECOS PAC ID: 7214197045 Enrollment ID: I20120402000102 |
Provider Name | Chizoba Isioma Okwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962777938 PECOS PAC ID: 2567623952 Enrollment ID: I20120411000554 |
Provider Name | Christine Ibrahim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114158987 PECOS PAC ID: 1658528575 Enrollment ID: I20120829000238 |
Provider Name | Christine Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629313879 PECOS PAC ID: 1557513850 Enrollment ID: I20121213000295 |
Provider Name | Krystyna Banfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730460981 PECOS PAC ID: 6507090826 Enrollment ID: I20130927000574 |
Provider Name | Elizabeth Mathew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750668158 PECOS PAC ID: 7113154097 Enrollment ID: I20131221000208 |
Provider Name | Eunice O Obamiro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639437403 PECOS PAC ID: 1759514409 Enrollment ID: I20140502001071 |
Provider Name | Lauren C Bracken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710313341 PECOS PAC ID: 7517180813 Enrollment ID: I20140513001659 |
Provider Name | Heather A Goldner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801229554 PECOS PAC ID: 6103044623 Enrollment ID: I20140826000873 |
Provider Name | Elizabeth A Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376943399 PECOS PAC ID: 7315168036 Enrollment ID: I20141022001400 |
Provider Name | Pummy K Joshi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730510710 PECOS PAC ID: 1759605629 Enrollment ID: I20150123001904 |
Provider Name | Sofia T Gamidova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326481276 PECOS PAC ID: 7618119413 Enrollment ID: I20150202001484 |
Provider Name | Sohail Shariff |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194730929 PECOS PAC ID: 2567466576 Enrollment ID: I20150225002022 |
Provider Name | Abigail Aniagyei |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669879813 PECOS PAC ID: 2769797513 Enrollment ID: I20150824000013 |
Provider Name | Barrington A Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649642166 PECOS PAC ID: 2567763477 Enrollment ID: I20151218001075 |
Provider Name | Christina J David |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497120448 PECOS PAC ID: 8325342462 Enrollment ID: I20160210000085 |
Provider Name | Tariq Mahmood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619386414 PECOS PAC ID: 6204131634 Enrollment ID: I20160223002542 |
Provider Name | Joan D Palermo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407221435 PECOS PAC ID: 4880990266 Enrollment ID: I20160310001736 |
Provider Name | Yale Markus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134585862 PECOS PAC ID: 0547566705 Enrollment ID: I20160315000120 |
Provider Name | Syceria T Stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194181933 PECOS PAC ID: 9739486572 Enrollment ID: I20160323000099 |
Provider Name | Cherry Dizon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174982979 PECOS PAC ID: 4385943232 Enrollment ID: I20160428000606 |
Provider Name | Michelle Donohoe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891159760 PECOS PAC ID: 3870882657 Enrollment ID: I20160518000537 |
Provider Name | Olga Gonzalez-byrne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336516582 PECOS PAC ID: 1850680679 Enrollment ID: I20160518001612 |
Provider Name | Courtney Lauren Berhang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306204458 PECOS PAC ID: 9335431519 Enrollment ID: I20160708000235 |
Provider Name | Christopher J Sharpe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356702203 PECOS PAC ID: 1153613112 Enrollment ID: I20160712001447 |
Provider Name | Evan M Wright |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447426457 PECOS PAC ID: 5294029500 Enrollment ID: I20160810000088 |
Provider Name | Brittany Mcneil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952755605 PECOS PAC ID: 6002101540 Enrollment ID: I20160824000037 |
Provider Name | Christopher A Rambaran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114471372 PECOS PAC ID: 3274820865 Enrollment ID: I20160926001309 |
Provider Name | Karen M Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881057388 PECOS PAC ID: 7113215310 Enrollment ID: I20161004000311 |
Provider Name | Shannon M Wanless |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063966323 PECOS PAC ID: 6608155783 Enrollment ID: I20161111001970 |
Provider Name | Tiffiny Shantay Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942622915 PECOS PAC ID: 8325329188 Enrollment ID: I20170110001962 |
Provider Name | Jennifer Manzo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003367509 PECOS PAC ID: 9537442140 Enrollment ID: I20170206001309 |
Provider Name | Brittany M Mauro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134670748 PECOS PAC ID: 2961785498 Enrollment ID: I20170208000501 |
Provider Name | Shannon M Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457703431 PECOS PAC ID: 6002199031 Enrollment ID: I20170216001613 |
Provider Name | Sandra Masino Kalinowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760929921 PECOS PAC ID: 8325323116 Enrollment ID: I20170317000352 |
Provider Name | Pradip Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194044388 PECOS PAC ID: 5799053120 Enrollment ID: I20170607003020 |
Provider Name | Jane Clawson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821534124 PECOS PAC ID: 5395016810 Enrollment ID: I20170802000692 |
Provider Name | Danielle R Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144767112 PECOS PAC ID: 2769754910 Enrollment ID: I20170823000179 |
Provider Name | Jennifer Plescia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366960296 PECOS PAC ID: 7214293091 Enrollment ID: I20171110001431 |
Provider Name | Siu-han Abate |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871884007 PECOS PAC ID: 4385863331 Enrollment ID: I20171113000674 |
Provider Name | Anamaria I Sandru |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427574524 PECOS PAC ID: 5193082311 Enrollment ID: I20171127000917 |
Provider Name | Judith L Cebedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790168607 PECOS PAC ID: 2466710744 Enrollment ID: I20171214000228 |
Provider Name | Roseanne Lynn Gazia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124538657 PECOS PAC ID: 5193083822 Enrollment ID: I20171229000143 |
Provider Name | Mary Verrinder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760994107 PECOS PAC ID: 4981963485 Enrollment ID: I20180108002650 |
Provider Name | Kendie Castillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922512946 PECOS PAC ID: 5698035087 Enrollment ID: I20180202001375 |
Provider Name | Sheryl Cekot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093228363 PECOS PAC ID: 0345276333 Enrollment ID: I20180214000464 |
Provider Name | Amanda Goncalves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649797382 PECOS PAC ID: 0547521940 Enrollment ID: I20180227002990 |
Provider Name | Kenisha M Mclennon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033627518 PECOS PAC ID: 2668734179 Enrollment ID: I20180321002112 |
Provider Name | Rishita N Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831563022 PECOS PAC ID: 2466755244 Enrollment ID: I20180511001440 |
Provider Name | Kristin A Berntsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295008654 PECOS PAC ID: 7214185255 Enrollment ID: I20180711000477 |
Provider Name | Marie S Tunis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407332687 PECOS PAC ID: 2769739382 Enrollment ID: I20180727000187 |
Provider Name | Bina Brandkamp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891273124 PECOS PAC ID: 1658622394 Enrollment ID: I20180919003455 |
Provider Name | Ani Veleva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366918294 PECOS PAC ID: 3971847716 Enrollment ID: I20181204003526 |
Provider Name | Jennifer Couso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659846566 PECOS PAC ID: 9931445194 Enrollment ID: I20190108003594 |
Provider Name | Tylene L Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013572320 PECOS PAC ID: 0941534598 Enrollment ID: I20190702000464 |
Provider Name | Darlene Weckesser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538650502 PECOS PAC ID: 1658608120 Enrollment ID: I20190806002583 |
Provider Name | Sarah O Conway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366090375 PECOS PAC ID: 6305278482 Enrollment ID: I20191111001731 |
Provider Name | Nikki Steidle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912425497 PECOS PAC ID: 4385076371 Enrollment ID: I20191113000151 |
Provider Name | Kenya Esther Penca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417599275 PECOS PAC ID: 5092149997 Enrollment ID: I20191231002270 |
Provider Name | Dominika Symanski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821637547 PECOS PAC ID: 5890122600 Enrollment ID: I20200217000946 |
Provider Name | Nicole L Barone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669019592 PECOS PAC ID: 1658708813 Enrollment ID: I20200227001771 |
Provider Name | Ekta H Makani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689156291 PECOS PAC ID: 6002244233 Enrollment ID: I20200320002570 |
Provider Name | Oluwatoyin T Adeyeri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770120800 PECOS PAC ID: 3779912639 Enrollment ID: I20200330000375 |
Provider Name | Amritpal Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407496060 PECOS PAC ID: 1951732411 Enrollment ID: I20200518000255 |
Provider Name | Browlyn Marquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063063816 PECOS PAC ID: 0244651289 Enrollment ID: I20200601000014 |
Provider Name | Ami T Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346874245 PECOS PAC ID: 0446671150 Enrollment ID: I20200605000275 |
Provider Name | Robyn Sanfilippo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588211346 PECOS PAC ID: 3577985753 Enrollment ID: I20200616002282 |
Provider Name | Varun K Bhatia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255855995 PECOS PAC ID: 7113345646 Enrollment ID: I20200916000793 |
Provider Name | Sofia Voorhees |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427671585 PECOS PAC ID: 0244650588 Enrollment ID: I20201026002226 |
Provider Name | Graciela I Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578179917 PECOS PAC ID: 1355752635 Enrollment ID: I20201117001071 |
Provider Name | Ashleigh Linkenheimer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033731583 PECOS PAC ID: 5799105284 Enrollment ID: I20210120002963 |
Provider Name | Lauren K Randolph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376140905 PECOS PAC ID: 8921413097 Enrollment ID: I20210223001826 |
Provider Name | Gloria Nimo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558603753 PECOS PAC ID: 7719254127 Enrollment ID: I20210312001339 |
Provider Name | Patricia N Okorie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851987432 PECOS PAC ID: 1759798234 Enrollment ID: I20210330000067 |
Provider Name | John L Hochberg |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1134280480 PECOS PAC ID: 7719395789 Enrollment ID: I20210413001784 |
Provider Name | Tochi Amaechina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437690997 PECOS PAC ID: 8325456239 Enrollment ID: I20210414000722 |
Provider Name | Faye Dames |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467973008 PECOS PAC ID: 3678827821 Enrollment ID: I20210415000041 |
Provider Name | Scott G Redden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841830817 PECOS PAC ID: 6709216484 Enrollment ID: I20210421000440 |
Provider Name | Natalia Bortell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730796681 PECOS PAC ID: 9537574173 Enrollment ID: I20210421001206 |
Provider Name | Oladayo T Pratt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457848327 PECOS PAC ID: 5496163974 Enrollment ID: I20210421003070 |
Provider Name | Megan K Pfeifer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346918117 PECOS PAC ID: 1355748153 Enrollment ID: I20210921003030 |
Provider Name | Andrei Lobach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457925356 PECOS PAC ID: 0648678615 Enrollment ID: I20211005001980 |
Provider Name | Anna Burzynska |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558030155 PECOS PAC ID: 9436557071 Enrollment ID: I20211012000923 |
Provider Name | Joshua B Tyberg |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942569975 PECOS PAC ID: 1153639935 Enrollment ID: I20211019002401 |
Provider Name | Jessica Lynn Kraemer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881023786 PECOS PAC ID: 8426365834 Enrollment ID: I20211123000626 |
Provider Name | Nicole J Adler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962736710 PECOS PAC ID: 2163553710 Enrollment ID: I20220201002828 |
Provider Name | Rachel Pagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740944321 PECOS PAC ID: 9638553969 Enrollment ID: I20220905000132 |
Provider Name | Kathleen Desanto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295409944 PECOS PAC ID: 6507242625 Enrollment ID: I20220927002864 |
Provider Name | Chandni Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427776517 PECOS PAC ID: 2668840877 Enrollment ID: I20221118002496 |
Provider Name | Catherine Filippelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588205009 PECOS PAC ID: 0840668802 Enrollment ID: I20221122002550 |
Provider Name | Kelly St Marie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013626936 PECOS PAC ID: 3173993631 Enrollment ID: I20221228002243 |
Provider Name | Lauren Cohn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033829148 PECOS PAC ID: 6406226315 Enrollment ID: I20230110000492 |
Provider Name | Shedrea Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356052666 PECOS PAC ID: 5991177735 Enrollment ID: I20230204000313 |
Provider Name | Naasiya R Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669199972 PECOS PAC ID: 7214309541 Enrollment ID: I20230214001047 |
Provider Name | Melissa Kotowicz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417675463 PECOS PAC ID: 1951769827 Enrollment ID: I20230626000637 |
Provider Name | Jeanette Ravelo-rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003507450 PECOS PAC ID: 0042672552 Enrollment ID: I20230816000404 |
Provider Name | Simeon Ulep |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285322966 PECOS PAC ID: 8022462357 Enrollment ID: I20230920002882 |
Provider Name | Malali Noori |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356022271 PECOS PAC ID: 7315391760 Enrollment ID: I20231004000166 |
Provider Name | Callie Covino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952189037 PECOS PAC ID: 0345699989 Enrollment ID: I20231208000459 |
Provider Name | Kristen Connors |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720855604 PECOS PAC ID: 4486091089 Enrollment ID: I20240319000860 |
Provider Name | Sharisa Lovick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215601307 PECOS PAC ID: 0345689212 Enrollment ID: I20240412000150 |
Digestive Disease Specialists Of Central Jersey P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 233 Middle Rd, Suite 1, Hazlet, NJ 07730 Phone: 732-888-0411 Fax: 732-888-3909 | |
Sahni Medicine And Aesthetics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Village Ct, Hazlet, NJ 07730 Phone: 732-945-8800 Fax: 732-945-8900 | |
Thomas Scuderi Md,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Hazlet Ave, Suite 10, Hazlet, NJ 07730 Phone: 732-264-0400 Fax: 732-264-1149 | |
Mana Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 648 Holmdel Rd, Hazlet, NJ 07730 Phone: 732-656-0050 Fax: 732-965-5438 | |
Nj Osteomed Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bethany Rd, Suite 43, Hazlet, NJ 07730 Phone: 732-888-0700 Fax: 732-888-0727 | |
Metta Weight Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 648 Holmdel Rd Ste 800, Hazlet, NJ 07730 Phone: 866-638-8263 |