| Internet Medical Group P C | |
|
181 Franklin Avenue Suite 204 Nutley NJ 07110 | |
| (973) 667-8117 | |
| (973) 667-6642 |
| Full Name | Internet Medical Group P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 181 Franklin Avenue, Nutley, New Jersey |
| Authorized Official Name and Position | Edward J Vecchione (DOCTOR) |
| Authorized Official Contact | 9736678117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internet Medical Group P C Po Box 51051 Newark NJ 07101-5151 Ph: (973) 667-8117 | Internet Medical Group P C 181 Franklin Avenue Suite 204 Nutley NJ 07110 Ph: (973) 667-8117 |
| NPI Number | 1720044555 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 03/29/2018 |
| Medicare PECOS PAC ID | 2466357058 |
|---|---|
| Medicare Enrollment ID | O20031205000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720044555 | NPI | - | NPPES |
| 31D0108495 | Other | NJ | CLIA |
| 6342205 | Medicaid | NJ |
| Provider Name | Devang A Gandhi |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1225038755 PECOS PAC ID: 6103722103 Enrollment ID: I20031217000662 |
| Provider Name | Elie Y Chakhtoura |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376543868 PECOS PAC ID: 2567459241 Enrollment ID: I20040426001552 |
| Provider Name | Joseph J. Brignola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508824897 PECOS PAC ID: 8820089741 Enrollment ID: I20040520000150 |
| Provider Name | Maria Bisignano Delvecchio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700834744 PECOS PAC ID: 3870556285 Enrollment ID: I20041108000101 |
| Provider Name | Susan L Frankel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760522163 PECOS PAC ID: 7113962002 Enrollment ID: I20050622000026 |
| Provider Name | Donald Rubenstein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1912966276 PECOS PAC ID: 5193711885 Enrollment ID: I20050908000293 |
| Provider Name | Ernest Defazio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477511707 PECOS PAC ID: 1254236847 Enrollment ID: I20051010000071 |
| Provider Name | Edward J Vecchione |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760440929 PECOS PAC ID: 2264337856 Enrollment ID: I20100723000077 |
| Provider Name | Frank Michelle Iacovone |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912967977 PECOS PAC ID: 0648247601 Enrollment ID: I20110415000367 |
| Provider Name | Sameer Kaul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699006445 PECOS PAC ID: 8921136433 Enrollment ID: I20150303000475 |
| Provider Name | Tahir Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952821456 PECOS PAC ID: 1951726249 Enrollment ID: I20200804000780 |
Divine Grace Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Bloomfield Ave, Nutley, NJ 07110 Phone: 973-235-1772 Fax: 973-235-1774 | |
Dr Anthony M Pastena Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Franklin Ave, Nutley, NJ 07110 Phone: 973-542-0384 Fax: 973-542-1172 | |
Michael F. Durante, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-8640 | |
James V Agresti Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Franklin Ave, Ste 201, Nutley, NJ 07110 Phone: 973-284-0777 | |
Maryann Alessio Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 349 Passaic Ave, Nutley, NJ 07110 Phone: 973-667-8889 Fax: 973-667-5665 | |
Infectious Diseases North Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-8117 | |
Itserga Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Franklin Ave, Suite#201, Nutley, NJ 07110 Phone: 973-284-0777 Fax: 973-284-1530 |