| Impact Health New Jersey Pc | |
|
255 Nottingham Rd Morganville NJ 07751-9518 | |
| (203) 497-3861 | |
| (203) 424-1467 |
| Full Name | Impact Health New Jersey Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 255 Nottingham Rd, Morganville, New Jersey |
| Authorized Official Name and Position | Garumuni Desilva (MD) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Health New Jersey Pc 240 Indian River Rd Ste C Orange CT 06477-3649 Ph: (203) 497-3861 | Impact Health New Jersey Pc 255 Nottingham Rd Morganville NJ 07751-9518 Ph: (203) 497-3861 |
| NPI Number | 1487399689 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 08/31/2023 |
| Medicare PECOS PAC ID | 5294110862 |
|---|---|
| Medicare Enrollment ID | O20220917000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487399689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Barbara Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275736951 PECOS PAC ID: 0648280719 Enrollment ID: I20060503000728 |
| Provider Name | Kerri L Boemio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427715267 PECOS PAC ID: 2769859586 Enrollment ID: I20221108003173 |
| Provider Name | Mary I Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841857752 PECOS PAC ID: 6709113962 Enrollment ID: I20230927003103 |
| Provider Name | Hannah Helms Rigney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497389407 PECOS PAC ID: 4880136043 Enrollment ID: I20240604001597 |
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