| Internal Medicine Associates, Pa | |
|
201 Laurel Heights Dr Bridgeton NJ 08302-3635 | |
| (856) 455-4800 | |
| (856) 451-0650 |
| Full Name | Internal Medicine Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Laurel Heights Dr, Bridgeton, New Jersey |
| Authorized Official Name and Position | Linda A Macey (OFFICE MANAGER) |
| Authorized Official Contact | 8564554800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates, Pa 201 Laurel Heights Dr Bridgeton NJ 08302-3635 Ph: (856) 455-4800 | Internal Medicine Associates, Pa 201 Laurel Heights Dr Bridgeton NJ 08302-3635 Ph: (856) 455-4800 |
| NPI Number | 1801826565 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 12/06/2016 |
| Medicare PECOS PAC ID | 6305735549 |
|---|---|
| Medicare Enrollment ID | O20040315000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801826565 | NPI | - | NPPES |
| 2861500 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| Provider Name | Jeanette Jimenez Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982798914 PECOS PAC ID: 3476442625 Enrollment ID: I20050622000038 |
| Provider Name | Fiore J Copare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205869989 PECOS PAC ID: 5193614345 Enrollment ID: I20051010000042 |
| Provider Name | Bertha Roser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730418609 PECOS PAC ID: 4981730892 Enrollment ID: I20100330001198 |
| Provider Name | John Emanuel Hatzantonis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467551374 PECOS PAC ID: 1759316458 Enrollment ID: I20101216000361 |
| Provider Name | Ekram Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730273772 PECOS PAC ID: 8628967874 Enrollment ID: I20110328000376 |
| Provider Name | Halyna Yurchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164971370 PECOS PAC ID: 4688959679 Enrollment ID: I20170313001791 |
| Provider Name | Christopher R Struby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174903256 PECOS PAC ID: 3375896566 Enrollment ID: I20181106001301 |
| Provider Name | Svetlana Babenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356983860 PECOS PAC ID: 1759718604 Enrollment ID: I20200305001327 |
| Provider Name | Lisa Cossaboon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437892981 PECOS PAC ID: 4082082045 Enrollment ID: I20221122002320 |
| Provider Name | Laila Dadvand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497071732 PECOS PAC ID: 7012132376 Enrollment ID: I20230601001606 |
| Provider Name | Jennifer L Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477339232 PECOS PAC ID: 4587010541 Enrollment ID: I20231026003122 |
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