| Internal Medicine Department | |
|
1 Bay Ave Montclair NJ 07042-4837 | |
| (973) 429-6196 | |
| (973) 429-6565 |
| Full Name | Internal Medicine Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Bay Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Joe Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 8664659222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Department 1 Bay Ave Montclair NJ 07042-4837 Ph: (973) 429-6000 | Internal Medicine Department 1 Bay Ave Montclair NJ 07042-4837 Ph: (973) 429-6196 |
| NPI Number | 1487802930 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 06/11/2013 |
| Medicare PECOS PAC ID | 7810092814 |
|---|---|
| Medicare Enrollment ID | O20090915000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487802930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Douglas Zaeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790754794 PECOS PAC ID: 1456376409 Enrollment ID: I20051010000613 |
| Provider Name | Valerie R Allusson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154386688 PECOS PAC ID: 0547284119 Enrollment ID: I20060124000081 |
| Provider Name | Rasha Batarseh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962731703 PECOS PAC ID: 6507043098 Enrollment ID: I20140122000132 |
| Provider Name | Raghav Rastogi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780985267 PECOS PAC ID: 8123257375 Enrollment ID: I20140210001238 |
| Provider Name | Monique Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366609356 PECOS PAC ID: 6406912849 Enrollment ID: I20140321001132 |
| Provider Name | Roveena N Goveas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487895363 PECOS PAC ID: 3870761364 Enrollment ID: I20140714002008 |
| Provider Name | Zoric L Proskurovsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801138284 PECOS PAC ID: 0547558215 Enrollment ID: I20161012001384 |
| Provider Name | Gabriela Bambrick-santoyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619310265 PECOS PAC ID: 0547556151 Enrollment ID: I20171127002363 |
| Provider Name | Isaac K Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760876767 PECOS PAC ID: 4183977671 Enrollment ID: I20181031000418 |
| Provider Name | Sabeen Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619362225 PECOS PAC ID: 9739455932 Enrollment ID: I20190501002209 |
| Provider Name | Hassan Javaid Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053773366 PECOS PAC ID: 6901134204 Enrollment ID: I20190824000084 |
| Provider Name | Aiza Akbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588117576 PECOS PAC ID: 5799013819 Enrollment ID: I20190827001661 |
| Provider Name | Young Ju Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376037457 PECOS PAC ID: 7416207444 Enrollment ID: I20230602001610 |
Montclair Adult Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Claremont Ave, Montclair, NJ 07042 Phone: 973-338-3300 Fax: 973-338-0400 | |
Ponzio Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Pine St, Suite 10, Montclair, NJ 07042 Phone: 973-783-0073 Fax: 973-783-4010 | |
Anupama Adlakha Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Roosevelt Pl Ste B1, Montclair, NJ 07042 Phone: 973-337-5939 Fax: 973-707-7253 | |
Cope Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-783-6655 Fax: 973-783-1658 | |
Frome Physcial Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Grove St, Montclair, NJ 07042 Phone: 973-509-8464 Fax: 815-301-2780 | |
Superior Physical Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Orange Rd, Montclair, NJ 07042 Phone: 973-783-3606 Fax: 973-839-3653 | |
Highland Physician Services, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Avenue, Montclair, NJ 07042 Phone: 973-429-6000 |