| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 N Rte 17, Paramus, New Jersey |
| Authorized Official Name and Position | William Seibels (CFO) |
| Authorized Official Contact | 6156103727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
214 Centerview Dr Ste 250 Brentwood TN 37027-3248 Ph: () - | 501 N Rte 17 Paramus NJ 07652-3000 Ph: (551) 227-2824 |
| NPI Number | 1285404731 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 01/30/2025 |
| Medicare PECOS PAC ID | 1456898956 |
|---|---|
| Medicare Enrollment ID | O20240801002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285404731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tricia L Cattani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912243692 PECOS PAC ID: 8527200088 Enrollment ID: I20181218002943 |
| Provider Name | Ashley Bartolome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033891817 PECOS PAC ID: 4486008232 Enrollment ID: I20230927001874 |
| Provider Name | Hallie Byer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093598831 PECOS PAC ID: 4688027212 Enrollment ID: I20240130002146 |
| Provider Name | Caitlin Mary Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376064253 PECOS PAC ID: 2668743592 Enrollment ID: I20240827000832 |
| Provider Name | Danielle Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801392048 PECOS PAC ID: 2163787102 Enrollment ID: I20240902000027 |
| Provider Name | Nyasia Ivelisse Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821822925 PECOS PAC ID: 5092256586 Enrollment ID: I20240924003950 |
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