Iz Medical Llc | |
250 Moonachie Rd Moonachie NJ 07074-1378 | |
(201) 596-6262 | |
(201) 596-6299 |
Full Name | Iz Medical Llc |
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Speciality | Family Medicine |
Location | 250 Moonachie Rd, Moonachie, New Jersey |
Authorized Official Name and Position | Iyad Baker (CEO) |
Authorized Official Contact | 8622023087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Iz Medical Llc 250 Moonachie Rd Moonachie NJ 07074-1378 Ph: (201) 596-6262 | Iz Medical Llc 250 Moonachie Rd Moonachie NJ 07074-1378 Ph: (201) 596-6262 |
NPI Number | 1790308583 |
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Provider Enumeration Date | 05/27/2020 |
Last Update Date | 05/27/2020 |
Medicare PECOS PAC ID | 1254754997 |
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Medicare Enrollment ID | O20200714000416 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790308583 | NPI | - | NPPES |
25MA09011900 | Other | NJ | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Iyad Baker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730341322 PECOS PAC ID: 4587823463 Enrollment ID: I20120313000263 |
Provider Name | Tayyab Malik |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003311937 PECOS PAC ID: 6406267830 Enrollment ID: I20201116002122 |
Provider Name | Allyson J Martell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306500517 PECOS PAC ID: 0648660530 Enrollment ID: I20211208002329 |
Provider Name | Jocelyn Patricia Mariani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780354563 PECOS PAC ID: 3870983620 Enrollment ID: I20211209001492 |
Provider Name | Kristy Agresta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427711423 PECOS PAC ID: 4284027491 Enrollment ID: I20220211000729 |
Provider Name | Katherine R Foley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528700572 PECOS PAC ID: 6406237510 Enrollment ID: I20220721000315 |