|
| |
|
333 Laurel Oak Rd Voorhees NJ 08043-4453 | |
| (856) 783-1987 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 333 Laurel Oak Rd, Voorhees, New Jersey |
| Authorized Official Name and Position | Ricardo Perez (VP OF CLINICAL SERVICES) |
| Authorized Official Contact | 8562185634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 824967 Philadelphia PA 19182-4967 Ph: (800) 941-8933 | 333 Laurel Oak Rd Voorhees NJ 08043-4453 Ph: (856) 783-1987 |
| NPI Number | 1952726796 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 06/08/2021 |
| Medicare PECOS PAC ID | 2860616877 |
|---|---|
| Medicare Enrollment ID | O20140613000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952726796 | NPI | - | NPPES |
| 0411248 | Medicaid | NJ |
| Provider Name | Edmond Wilkinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912987389 PECOS PAC ID: 2668369729 Enrollment ID: I20040305000092 |
| Provider Name | Michael A Kleinman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740394949 PECOS PAC ID: 2466340385 Enrollment ID: I20040310000764 |
| Provider Name | David Goldstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831119544 PECOS PAC ID: 2264425644 Enrollment ID: I20040405000078 |
| Provider Name | David P May |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790786135 PECOS PAC ID: 8527054634 Enrollment ID: I20040423000471 |
| Provider Name | Mark J Zucker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356319180 PECOS PAC ID: 5092798835 Enrollment ID: I20040611000903 |
| Provider Name | Brett A Garber |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477594117 PECOS PAC ID: 0840279469 Enrollment ID: I20040716001071 |
| Provider Name | Tamara A La Couture |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1740287721 PECOS PAC ID: 7810969425 Enrollment ID: I20040812000515 |
| Provider Name | Todd P Levin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598742629 PECOS PAC ID: 9234198276 Enrollment ID: I20041006000542 |
| Provider Name | Robin R Wilson-smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487747283 PECOS PAC ID: 1456313089 Enrollment ID: I20041027000347 |
| Provider Name | Jessica R Duncan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447022975 PECOS PAC ID: 8224085527 Enrollment ID: I20050407000759 |
| Provider Name | David J Gehring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740288091 PECOS PAC ID: 6507807872 Enrollment ID: I20050519000026 |
| Provider Name | Jose A Camacho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073612008 PECOS PAC ID: 4284671975 Enrollment ID: I20050708000422 |
| Provider Name | Thomas F Sexton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184604563 PECOS PAC ID: 2062448681 Enrollment ID: I20050714000289 |
| Provider Name | Xiaoping Ma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912946724 PECOS PAC ID: 9638109739 Enrollment ID: I20050818000351 |
| Provider Name | Marc A Neff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639170137 PECOS PAC ID: 5496786436 Enrollment ID: I20050830000031 |
| Provider Name | David A O Neil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831158930 PECOS PAC ID: 7315970647 Enrollment ID: I20050916000010 |
| Provider Name | Saeed Ahmed Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184684649 PECOS PAC ID: 7315994225 Enrollment ID: I20060119000368 |
| Provider Name | Alfred Joseph Wayslow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902879828 PECOS PAC ID: 6103837612 Enrollment ID: I20060518000003 |
| Provider Name | Thomas Theocharides |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528014412 PECOS PAC ID: 7810908019 Enrollment ID: I20060602000150 |
| Provider Name | Joseph L Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841229457 PECOS PAC ID: 8022011923 Enrollment ID: I20060815000175 |
| Provider Name | Taimur Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871542886 PECOS PAC ID: 2769480235 Enrollment ID: I20061116000233 |
| Provider Name | Dahlia Irby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649228248 PECOS PAC ID: 7012918717 Enrollment ID: I20070124000000 |
| Provider Name | Beena M Daniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386772515 PECOS PAC ID: 1355445545 Enrollment ID: I20070328000098 |
| Provider Name | Ricardo Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841327947 PECOS PAC ID: 6608977376 Enrollment ID: I20070725000074 |
| Provider Name | Andres Ferber |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841213048 PECOS PAC ID: 3476504333 Enrollment ID: I20070827000109 |
| Provider Name | Bethany L Mapow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609089515 PECOS PAC ID: 9335234194 Enrollment ID: I20071009000419 |
| Provider Name | Kalpana Thawani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033148259 PECOS PAC ID: 3678524493 Enrollment ID: I20071101000082 |
| Provider Name | Sanjay Kumar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1295938496 PECOS PAC ID: 6709973902 Enrollment ID: I20071106000034 |
| Provider Name | Mark J Fussa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942407374 PECOS PAC ID: 2668542739 Enrollment ID: I20080602000057 |
| Provider Name | Anna M Oneill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710197421 PECOS PAC ID: 1052481801 Enrollment ID: I20080605000101 |
| Provider Name | Kristin L Brill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699706598 PECOS PAC ID: 5496827172 Enrollment ID: I20080714000055 |
| Provider Name | Shaila Bokkala-pinninti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487816344 PECOS PAC ID: 9638243777 Enrollment ID: I20080807000166 |
| Provider Name | Adrian Popescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740401066 PECOS PAC ID: 3779670955 Enrollment ID: I20080821000034 |
| Provider Name | Daena Flaxman Erlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710195961 PECOS PAC ID: 6204903156 Enrollment ID: I20080918000686 |
| Provider Name | Jacyi E Knights |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184704140 PECOS PAC ID: 3678631306 Enrollment ID: I20081023000587 |
| Provider Name | Deborah Tova Glassman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174542823 PECOS PAC ID: 8729030044 Enrollment ID: I20090218000408 |
| Provider Name | Sucha O Asbell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770699605 PECOS PAC ID: 4880667294 Enrollment ID: I20090501000080 |
| Provider Name | Or Shachar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497709612 PECOS PAC ID: 8123176633 Enrollment ID: I20090518000391 |
| Provider Name | Kenneth C Covone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316138829 PECOS PAC ID: 7911056999 Enrollment ID: I20090521000410 |
| Provider Name | Kimberlee A Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033264007 PECOS PAC ID: 0446302053 Enrollment ID: I20090713000374 |
| Provider Name | Andriy Pavlenko |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932347440 PECOS PAC ID: 9537212527 Enrollment ID: I20090810000348 |
| Provider Name | Roy L Sandau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124228788 PECOS PAC ID: 0446304430 Enrollment ID: I20090810000366 |
| Provider Name | Janusz J Godyn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174698203 PECOS PAC ID: 4486709086 Enrollment ID: I20090903000326 |
| Provider Name | James Shield Harrop |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215957337 PECOS PAC ID: 6002868361 Enrollment ID: I20090911000657 |
| Provider Name | Jack I Jallo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720076706 PECOS PAC ID: 4284530296 Enrollment ID: I20100119000065 |
| Provider Name | Danette Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720028921 PECOS PAC ID: 7214072370 Enrollment ID: I20100302000018 |
| Provider Name | Erin M Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053640888 PECOS PAC ID: 4082740568 Enrollment ID: I20100414000278 |
| Provider Name | Donald R Noll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093708067 PECOS PAC ID: 5092873190 Enrollment ID: I20100429000722 |
| Provider Name | Eduardo E Fernandez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174589493 PECOS PAC ID: 1759312499 Enrollment ID: I20100720000578 |
| Provider Name | Byron S Hapner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548290695 PECOS PAC ID: 7214069582 Enrollment ID: I20100723000385 |
| Provider Name | Linda J Szczurek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073703492 PECOS PAC ID: 4082747134 Enrollment ID: I20100727000442 |
| Provider Name | Matthew J Gettings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962693432 PECOS PAC ID: 3375676281 Enrollment ID: I20100729000140 |
| Provider Name | John D Venuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487668398 PECOS PAC ID: 2365576790 Enrollment ID: I20100825001052 |
| Provider Name | Cynthia L. Malin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558595801 PECOS PAC ID: 3072663889 Enrollment ID: I20100831000949 |
| Provider Name | Jacqueline Cooke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275588550 PECOS PAC ID: 9234325606 Enrollment ID: I20101124000417 |
| Provider Name | Albert D Angelantonio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891959391 PECOS PAC ID: 6406044486 Enrollment ID: I20101216000887 |
| Provider Name | Lisa C Dimedio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013028844 PECOS PAC ID: 6608810981 Enrollment ID: I20101217000257 |
| Provider Name | Cindy Hou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902096530 PECOS PAC ID: 5395924583 Enrollment ID: I20110120000049 |
| Provider Name | Justyna Obara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174768048 PECOS PAC ID: 8022297720 Enrollment ID: I20110127000316 |
| Provider Name | Adeshola Fakulujo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528297678 PECOS PAC ID: 6608912126 Enrollment ID: I20110215001094 |
| Provider Name | Cheri R Leahy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023310315 PECOS PAC ID: 4587845540 Enrollment ID: I20110223000951 |
| Provider Name | Molly Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679806327 PECOS PAC ID: 1052456134 Enrollment ID: I20110524000854 |
| Provider Name | Andro T. Zangaladze |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255358602 PECOS PAC ID: 3577539253 Enrollment ID: I20110725000064 |
| Provider Name | Elyse Kernis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538275458 PECOS PAC ID: 4486628864 Enrollment ID: I20110824000016 |
| Provider Name | Kindra R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083634406 PECOS PAC ID: 0840254215 Enrollment ID: I20111118000384 |
| Provider Name | Christopher M Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700176864 PECOS PAC ID: 6002082559 Enrollment ID: I20120104000461 |
| Provider Name | Joan Wiley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235384405 PECOS PAC ID: 8820258288 Enrollment ID: I20120322000571 |
| Provider Name | Jisun K Choe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649434366 PECOS PAC ID: 8527122845 Enrollment ID: I20120522000808 |
| Provider Name | Richard L Walters |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982856928 PECOS PAC ID: 4587829221 Enrollment ID: I20120703000438 |
| Provider Name | David A Roshal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710143656 PECOS PAC ID: 1355597550 Enrollment ID: I20120803000034 |
| Provider Name | Soofia Kashif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659641983 PECOS PAC ID: 1951553346 Enrollment ID: I20121211000397 |
| Provider Name | Marcela Roger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205063914 PECOS PAC ID: 2860645702 Enrollment ID: I20121231000179 |
| Provider Name | Kevin Furlong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821016486 PECOS PAC ID: 6608879119 Enrollment ID: I20130108000154 |
| Provider Name | Helen M Nichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750665634 PECOS PAC ID: 5092960930 Enrollment ID: I20130227000143 |
| Provider Name | Kelly A Schiers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528268521 PECOS PAC ID: 7517105877 Enrollment ID: I20130528000046 |
| Provider Name | Deborah A White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679702682 PECOS PAC ID: 4183859200 Enrollment ID: I20131028000251 |
| Provider Name | Reginald T Ho |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346263480 PECOS PAC ID: 3870543473 Enrollment ID: I20131031000199 |
| Provider Name | Jon Glass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427025626 PECOS PAC ID: 8325011828 Enrollment ID: I20131113000050 |
| Provider Name | Ajay Dhadwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629206032 PECOS PAC ID: 6800921362 Enrollment ID: I20140321000773 |
| Provider Name | Owen C Montgomery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114982204 PECOS PAC ID: 5991720518 Enrollment ID: I20140610000508 |
| Provider Name | Eric Jay Kaminetsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093969164 PECOS PAC ID: 3476724204 Enrollment ID: I20140623002306 |
| Provider Name | Neveen Ahmad Malik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730370891 PECOS PAC ID: 6103079652 Enrollment ID: I20140723001008 |
| Provider Name | Kiera C Ferrigno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518258987 PECOS PAC ID: 1254557218 Enrollment ID: I20140728001640 |
| Provider Name | Drew J. Chiesa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689812505 PECOS PAC ID: 8224272448 Enrollment ID: I20140731000024 |
| Provider Name | Anne M Agosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891106126 PECOS PAC ID: 1153549357 Enrollment ID: I20140902000085 |
| Provider Name | Talya R. Spivack |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417151549 PECOS PAC ID: 0446448120 Enrollment ID: I20141107000319 |
| Provider Name | Jason Becker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801177878 PECOS PAC ID: 2365764768 Enrollment ID: I20141212001503 |
| Provider Name | Patricia M Luceri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538367198 PECOS PAC ID: 6901053396 Enrollment ID: I20150108000669 |
| Provider Name | Joseph N Badolato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922394576 PECOS PAC ID: 8921327925 Enrollment ID: I20150424000449 |
| Provider Name | Mark Condoluci |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851603120 PECOS PAC ID: 9739408014 Enrollment ID: I20150508000071 |
| Provider Name | Victoria Lynn Asturrizaga |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871981407 PECOS PAC ID: 1254651078 Enrollment ID: I20150519001803 |
| Provider Name | Michelle J Crass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366821712 PECOS PAC ID: 6002129517 Enrollment ID: I20150713001882 |
| Provider Name | Jennifer L Mojica Itidiare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508129172 PECOS PAC ID: 5597078287 Enrollment ID: I20150724009803 |
| Provider Name | David J Kovalsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164782694 PECOS PAC ID: 5294049714 Enrollment ID: I20150728005684 |
| Provider Name | Philip S Willsie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669710638 PECOS PAC ID: 0446564900 Enrollment ID: I20150729007277 |
| Provider Name | Andrew Sterling Newman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598812216 PECOS PAC ID: 5193989929 Enrollment ID: I20150731015343 |
| Provider Name | Nicole Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083977862 PECOS PAC ID: 5799099966 Enrollment ID: I20150731015583 |
| Provider Name | Wei Hong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861625899 PECOS PAC ID: 2062727225 Enrollment ID: I20150817002233 |
| Provider Name | Christina Josephine Mach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164813770 PECOS PAC ID: 1355658550 Enrollment ID: I20150921002922 |
| Provider Name | Bradley E Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508126038 PECOS PAC ID: 2961711981 Enrollment ID: I20151014001084 |
| Provider Name | Corinne N Miklas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770846404 PECOS PAC ID: 3779892476 Enrollment ID: I20151020002495 |
| Provider Name | Michael I Rotkowitz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649436973 PECOS PAC ID: 5193994507 Enrollment ID: I20151102000504 |
| Provider Name | Nicole A Ciullo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366745762 PECOS PAC ID: 5294996963 Enrollment ID: I20160127000918 |
| Provider Name | Megan Sabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497129571 PECOS PAC ID: 3971800525 Enrollment ID: I20160324001358 |
| Provider Name | Tracy Logan Persily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568804912 PECOS PAC ID: 1052600699 Enrollment ID: I20160520000449 |
| Provider Name | Siddharth Bhimani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376975870 PECOS PAC ID: 4082903547 Enrollment ID: I20160523001998 |
| Provider Name | Stephanie Marucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801262704 PECOS PAC ID: 3375844699 Enrollment ID: I20160616002164 |
| Provider Name | Jenifer Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982854808 PECOS PAC ID: 4183915234 Enrollment ID: I20160620002212 |
| Provider Name | Joshua Filer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790118933 PECOS PAC ID: 8325331937 Enrollment ID: I20160720000102 |
| Provider Name | Purvaja Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437581444 PECOS PAC ID: 8022301589 Enrollment ID: I20160721002068 |
| Provider Name | Karen Dong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255629424 PECOS PAC ID: 1052604816 Enrollment ID: I20160801002383 |
| Provider Name | Ashley Ferris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164879987 PECOS PAC ID: 4385938166 Enrollment ID: I20160803000141 |
| Provider Name | Jeanne Llenado |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306862602 PECOS PAC ID: 3971555285 Enrollment ID: I20160805001114 |
| Provider Name | Monika Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114368974 PECOS PAC ID: 6507153541 Enrollment ID: I20160920000638 |
| Provider Name | Paulette Palogruto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699165597 PECOS PAC ID: 5496035347 Enrollment ID: I20161210000023 |
| Provider Name | Chetna Tailor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093257008 PECOS PAC ID: 7315220282 Enrollment ID: I20170220002125 |
| Provider Name | Edward Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477002624 PECOS PAC ID: 0143503904 Enrollment ID: I20170321000056 |
| Provider Name | Tonya Hughley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316482771 PECOS PAC ID: 1052696697 Enrollment ID: I20170323000247 |
| Provider Name | Justin William Buehrig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881126696 PECOS PAC ID: 8325325962 Enrollment ID: I20170508001783 |
| Provider Name | Alexander Kowalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932512357 PECOS PAC ID: 8325315914 Enrollment ID: I20170602000773 |
| Provider Name | Brian Blair |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841587565 PECOS PAC ID: 2668740218 Enrollment ID: I20170622001840 |
| Provider Name | Katherine Leonard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841723921 PECOS PAC ID: 4981973765 Enrollment ID: I20170711001205 |
| Provider Name | Kishan Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720349723 PECOS PAC ID: 7911276548 Enrollment ID: I20170712003861 |
| Provider Name | Michael Matrale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205249174 PECOS PAC ID: 2264702752 Enrollment ID: I20170717000299 |
| Provider Name | Ian Jacobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093120032 PECOS PAC ID: 8527338805 Enrollment ID: I20170719001427 |
| Provider Name | Caitlin A Massone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235429317 PECOS PAC ID: 0840423620 Enrollment ID: I20170720000132 |
| Provider Name | Hasan Ehsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063826519 PECOS PAC ID: 8527368331 Enrollment ID: I20170727001567 |
| Provider Name | Lorraine Ruchalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295265965 PECOS PAC ID: 6002187549 Enrollment ID: I20170802001824 |
| Provider Name | Yvette Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972846574 PECOS PAC ID: 3577850734 Enrollment ID: I20170802002730 |
| Provider Name | Amanda Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306374426 PECOS PAC ID: 2961773890 Enrollment ID: I20170810001289 |
| Provider Name | Jessica Cherry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619316213 PECOS PAC ID: 5799928131 Enrollment ID: I20170831000278 |
| Provider Name | Varun Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164669511 PECOS PAC ID: 1658517602 Enrollment ID: I20170911001322 |
| Provider Name | Adonas Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528472933 PECOS PAC ID: 7719269737 Enrollment ID: I20170919003898 |
| Provider Name | David M Sileo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619234382 PECOS PAC ID: 2264707967 Enrollment ID: I20171005002353 |
| Provider Name | Danielle Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376915157 PECOS PAC ID: 5991061467 Enrollment ID: I20171116000974 |
| Provider Name | Vincenzo Berghella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013919570 PECOS PAC ID: 1658263140 Enrollment ID: I20171211002398 |
| Provider Name | Vishal Phakey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356723084 PECOS PAC ID: 5294095709 Enrollment ID: I20180201000378 |
| Provider Name | Julie Magallanes Montone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336533454 PECOS PAC ID: 3274894365 Enrollment ID: I20180306002992 |
| Provider Name | Rachel Reciniello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999627 PECOS PAC ID: 3779845144 Enrollment ID: I20180322002426 |
| Provider Name | Andrew Thomas Johnstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770987786 PECOS PAC ID: 0941562219 Enrollment ID: I20180326002517 |
| Provider Name | Marc Thomas Mongeau |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053662379 PECOS PAC ID: 1850646050 Enrollment ID: I20180612000568 |
| Provider Name | Jihui J Qiu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1144585944 PECOS PAC ID: 9830444561 Enrollment ID: I20180620001181 |
| Provider Name | Megan A Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750892030 PECOS PAC ID: 7416215702 Enrollment ID: I20180627000717 |
| Provider Name | Bhavik P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316201700 PECOS PAC ID: 7719103225 Enrollment ID: I20180710001776 |
| Provider Name | Jacqueline F Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104295492 PECOS PAC ID: 1658627252 Enrollment ID: I20180712001774 |
| Provider Name | Ashwin Chandar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316320237 PECOS PAC ID: 9234486341 Enrollment ID: I20180720000994 |
| Provider Name | Josemari Lazaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487195525 PECOS PAC ID: 6406104975 Enrollment ID: I20180801000062 |
| Provider Name | Pavani Gunda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750572640 PECOS PAC ID: 4981792165 Enrollment ID: I20180828002085 |
| Provider Name | Dane Ryan Cohen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1760825327 PECOS PAC ID: 3173873239 Enrollment ID: I20180911002030 |
| Provider Name | Nichole Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861660110 PECOS PAC ID: 0941387518 Enrollment ID: I20180928000757 |
| Provider Name | Ellen M Mcginley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508341546 PECOS PAC ID: 1557615143 Enrollment ID: I20181119000291 |
| Provider Name | Ana Maria Lopez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427156017 PECOS PAC ID: 3476521642 Enrollment ID: I20181127000793 |
| Provider Name | Kristina S Sacco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067514 PECOS PAC ID: 3678817954 Enrollment ID: I20181128001602 |
| Provider Name | Andrew Chapman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1306913033 PECOS PAC ID: 0648347351 Enrollment ID: I20181207000167 |
| Provider Name | Allison Maria Zibelli |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1205865094 PECOS PAC ID: 4183791890 Enrollment ID: I20181221000296 |
| Provider Name | Joanne Marie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407325624 PECOS PAC ID: 0941546097 Enrollment ID: I20190109003225 |
| Provider Name | Jenna Lynn Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558832766 PECOS PAC ID: 7315283199 Enrollment ID: I20190116000096 |
| Provider Name | Jennifer Maria Johnson |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518127364 PECOS PAC ID: 3375767262 Enrollment ID: I20190117001100 |
| Provider Name | Maysa M Abu-khalaf |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194713495 PECOS PAC ID: 8820020233 Enrollment ID: I20190204002321 |
| Provider Name | Amanda Lucia Roman-camargo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679897540 PECOS PAC ID: 4385887322 Enrollment ID: I20190220001384 |
| Provider Name | Huda Md Al-kouatly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548337041 PECOS PAC ID: 4183990492 Enrollment ID: I20190222000706 |
| Provider Name | Avnish Bhatia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528273760 PECOS PAC ID: 3375602188 Enrollment ID: I20190305000297 |
| Provider Name | Michael J Greenberg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548264120 PECOS PAC ID: 4486723137 Enrollment ID: I20190404001496 |
| Provider Name | Kristie Anne Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841700952 PECOS PAC ID: 4486995065 Enrollment ID: I20190409000363 |
| Provider Name | James Martin Betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780701144 PECOS PAC ID: 3678859402 Enrollment ID: I20190418000963 |
| Provider Name | Natalia Eltabaa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215406459 PECOS PAC ID: 7113260241 Enrollment ID: I20190513002214 |
| Provider Name | Joseph Derose |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003158247 PECOS PAC ID: 6507133832 Enrollment ID: I20190530002558 |
| Provider Name | Silvia Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801244819 PECOS PAC ID: 1658604111 Enrollment ID: I20190614002329 |
| Provider Name | Ramiro Rancier Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801236906 PECOS PAC ID: 4385948645 Enrollment ID: I20190625000905 |
| Provider Name | Amad Choudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669835641 PECOS PAC ID: 3678808334 Enrollment ID: I20190717002380 |
| Provider Name | Lucy Min Joo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669813804 PECOS PAC ID: 2567799646 Enrollment ID: I20190813000061 |
| Provider Name | Paul Bloch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548688674 PECOS PAC ID: 0648403394 Enrollment ID: I20190821002933 |
| Provider Name | Joanne E Filicko-o'hara |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801818141 PECOS PAC ID: 9739130683 Enrollment ID: I20190912000481 |
| Provider Name | Sarah Beggs |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760865976 PECOS PAC ID: 3375831597 Enrollment ID: I20191015001157 |
| Provider Name | C. Jonathan David Foster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598052748 PECOS PAC ID: 0143598276 Enrollment ID: I20191202000246 |
| Provider Name | Amina Mehrab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346691185 PECOS PAC ID: 6709210826 Enrollment ID: I20191226001423 |
| Provider Name | Gloria L Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013035294 PECOS PAC ID: 7012012206 Enrollment ID: I20200106001271 |
| Provider Name | Jaclyn Teresa Thatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134764947 PECOS PAC ID: 3476988916 Enrollment ID: I20200110001601 |
| Provider Name | Stacy Marie Karle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932759255 PECOS PAC ID: 4082049523 Enrollment ID: I20200110001736 |
| Provider Name | Michelle Elaine Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336785534 PECOS PAC ID: 6305271370 Enrollment ID: I20200122000105 |
| Provider Name | Heather Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043852916 PECOS PAC ID: 4587099494 Enrollment ID: I20200123001699 |
| Provider Name | Clarissa A Monckton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225676661 PECOS PAC ID: 4688000359 Enrollment ID: I20200129001269 |
| Provider Name | Anthony Scarpaci |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083823504 PECOS PAC ID: 7719150051 Enrollment ID: I20200224000965 |
| Provider Name | Courtney Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356989321 PECOS PAC ID: 5890123756 Enrollment ID: I20200309000788 |
| Provider Name | Shahrukh A Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669622882 PECOS PAC ID: 3779640503 Enrollment ID: I20200311000774 |
| Provider Name | Melissa Parisi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093105561 PECOS PAC ID: 4880022573 Enrollment ID: I20200311001305 |
| Provider Name | Sara Jane Spinner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336773530 PECOS PAC ID: 2264860576 Enrollment ID: I20200320000980 |
| Provider Name | Arlene Rose Alinea Dobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841837168 PECOS PAC ID: 1456780972 Enrollment ID: I20200406000027 |
| Provider Name | Whitny Nicole Castano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174150031 PECOS PAC ID: 8820429681 Enrollment ID: I20200511002419 |
| Provider Name | Jose Nieves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588045348 PECOS PAC ID: 0446681761 Enrollment ID: I20200520001584 |
| Provider Name | Andrew Vasta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790166544 PECOS PAC ID: 6507287042 Enrollment ID: I20200609000953 |
| Provider Name | Marissa Babnew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649662123 PECOS PAC ID: 9133404692 Enrollment ID: I20200609000983 |
| Provider Name | Leeanne Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225650302 PECOS PAC ID: 9638590128 Enrollment ID: I20200610000093 |
| Provider Name | Scott Seifert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396159711 PECOS PAC ID: 2264854835 Enrollment ID: I20200629000528 |
| Provider Name | William Torelli |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407247398 PECOS PAC ID: 2163726621 Enrollment ID: I20200713000795 |
| Provider Name | Victoria Lynne Reimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982123501 PECOS PAC ID: 6002231859 Enrollment ID: I20200811000110 |
| Provider Name | Kimberly Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487267167 PECOS PAC ID: 3274950936 Enrollment ID: I20200827000310 |
| Provider Name | Gina Keiffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366885592 PECOS PAC ID: 1951527324 Enrollment ID: I20200903003206 |
| Provider Name | Thaer Obaid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063775864 PECOS PAC ID: 3072760990 Enrollment ID: I20200910001304 |
| Provider Name | Lori Michele Jalkiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326199373 PECOS PAC ID: 8426478801 Enrollment ID: I20201023002630 |
| Provider Name | Sharon White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730726936 PECOS PAC ID: 9931519873 Enrollment ID: I20201105000357 |
| Provider Name | Masood A Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740268010 PECOS PAC ID: 3274522669 Enrollment ID: I20201106000171 |
| Provider Name | David James Truscello |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962994202 PECOS PAC ID: 0547670028 Enrollment ID: I20201112001275 |
| Provider Name | Marina Khazan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386283968 PECOS PAC ID: 8527479922 Enrollment ID: I20201116000584 |
| Provider Name | Terry Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275138778 PECOS PAC ID: 9436562188 Enrollment ID: I20210119002226 |
| Provider Name | Susanna Nazarian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558414011 PECOS PAC ID: 9537337787 Enrollment ID: I20210125000248 |
| Provider Name | Jill Eva Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922699982 PECOS PAC ID: 6204241128 Enrollment ID: I20210226000390 |
| Provider Name | Perry Weiner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306865191 PECOS PAC ID: 6507818846 Enrollment ID: I20210303000471 |
| Provider Name | Shivani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396339990 PECOS PAC ID: 5395154355 Enrollment ID: I20210504003094 |
| Provider Name | Alissa Werzen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750775839 PECOS PAC ID: 0143528588 Enrollment ID: I20210511000158 |
| Provider Name | Meredith Stein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174896989 PECOS PAC ID: 6709045867 Enrollment ID: I20210616001829 |
| Provider Name | Meghavi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013440247 PECOS PAC ID: 6901145739 Enrollment ID: I20210623002180 |
| Provider Name | Smita Chirag Patel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457790859 PECOS PAC ID: 6204127830 Enrollment ID: I20210628000762 |
| Provider Name | Edward Reis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578597043 PECOS PAC ID: 5193852689 Enrollment ID: I20210629000571 |
| Provider Name | Christopher Eric Schoen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689248387 PECOS PAC ID: 3375945868 Enrollment ID: I20210707000017 |
| Provider Name | Jessica Hayes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164960480 PECOS PAC ID: 0749683399 Enrollment ID: I20210720003938 |
| Provider Name | Nishant Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003309709 PECOS PAC ID: 8820491301 Enrollment ID: I20210721001449 |
| Provider Name | Maryam Soliman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811344765 PECOS PAC ID: 3577967884 Enrollment ID: I20210809003603 |
| Provider Name | Andrew Macbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700379245 PECOS PAC ID: 7719382357 Enrollment ID: I20210820000569 |
| Provider Name | Cuishan Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598173486 PECOS PAC ID: 9537564182 Enrollment ID: I20210820001038 |
| Provider Name | Robert Eugene Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538749197 PECOS PAC ID: 6800291048 Enrollment ID: I20210825003345 |
| Provider Name | Adam F Binder |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528389178 PECOS PAC ID: 8820383003 Enrollment ID: I20210907001865 |
| Provider Name | Ambreen Raza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326398579 PECOS PAC ID: 1850658287 Enrollment ID: I20210915001154 |
| Provider Name | Rita Reutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801400650 PECOS PAC ID: 3678547841 Enrollment ID: I20210921000357 |
| Provider Name | Sarah Elaine Corrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366110694 PECOS PAC ID: 2264830207 Enrollment ID: I20211006001109 |
| Provider Name | Frances Remy Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447912035 PECOS PAC ID: 0840689485 Enrollment ID: I20211119001158 |
| Provider Name | Ashley Kendra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689338873 PECOS PAC ID: 9234529868 Enrollment ID: I20211214000717 |
| Provider Name | Rayan Sarfaraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467959205 PECOS PAC ID: 3870984305 Enrollment ID: I20211217000058 |
| Provider Name | Sam Varghese Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720570716 PECOS PAC ID: 3779974639 Enrollment ID: I20220103002036 |
| Provider Name | Venkataraman Munusamy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427248962 PECOS PAC ID: 0345432373 Enrollment ID: I20220104001033 |
| Provider Name | Francis Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881353449 PECOS PAC ID: 4688066269 Enrollment ID: I20220111000433 |
| Provider Name | Nathaniel Evans |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285780239 PECOS PAC ID: 0345376174 Enrollment ID: I20220119001104 |
| Provider Name | Valerie P Bauer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1609812353 PECOS PAC ID: 5193721652 Enrollment ID: I20220120002888 |
| Provider Name | Hiral Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508350182 PECOS PAC ID: 2668728437 Enrollment ID: I20220121000175 |
| Provider Name | Susanna Im |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003571621 PECOS PAC ID: 6901299700 Enrollment ID: I20220131000003 |
| Provider Name | Lindsey Elaine Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437418290 PECOS PAC ID: 3779874243 Enrollment ID: I20220301002799 |
| Provider Name | Lindsay Wilde |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063701316 PECOS PAC ID: 1759512874 Enrollment ID: I20220325001245 |
| Provider Name | Jennifer Gabriel Bidey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982111720 PECOS PAC ID: 2668728452 Enrollment ID: I20220328001398 |
| Provider Name | Aziz Nazha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508132382 PECOS PAC ID: 9830355619 Enrollment ID: I20220331001987 |
| Provider Name | Kenneth James Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902558364 PECOS PAC ID: 5395131882 Enrollment ID: I20220411000081 |
| Provider Name | Jamie E Wiegand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427705821 PECOS PAC ID: 0143616656 Enrollment ID: I20220411000784 |
| Provider Name | Megan C Daltwas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346995081 PECOS PAC ID: 7315333622 Enrollment ID: I20220413000056 |
| Provider Name | Bridgette Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982344735 PECOS PAC ID: 7315333572 Enrollment ID: I20220415000702 |
| Provider Name | Paul Jang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235781972 PECOS PAC ID: 3870980212 Enrollment ID: I20220503002168 |
| Provider Name | Alexander Trebelev |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104863489 PECOS PAC ID: 3476619024 Enrollment ID: I20220518001114 |
| Provider Name | Kruti Jayesh Matlani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407419641 PECOS PAC ID: 9830577907 Enrollment ID: I20220601001691 |
| Provider Name | Muhammad A Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467942094 PECOS PAC ID: 7214316041 Enrollment ID: I20220624000043 |
| Provider Name | Kalpana Chintha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407298730 PECOS PAC ID: 5496977795 Enrollment ID: I20220715001317 |
| Provider Name | Gregory C Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275194037 PECOS PAC ID: 3476934795 Enrollment ID: I20220719000035 |
| Provider Name | Mohammad H Zaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225501737 PECOS PAC ID: 5597147884 Enrollment ID: I20220803001615 |
| Provider Name | Adam James Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205497385 PECOS PAC ID: 5496137705 Enrollment ID: I20220803002169 |
| Provider Name | Sylvia Machalany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336875699 PECOS PAC ID: 4789067422 Enrollment ID: I20220813000046 |
| Provider Name | Jeffrey Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376103630 PECOS PAC ID: 0244565059 Enrollment ID: I20220822000089 |
| Provider Name | Shari Tartaglia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235871641 PECOS PAC ID: 6305220674 Enrollment ID: I20220906001196 |
| Provider Name | Jeffrey Burgess |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467809418 PECOS PAC ID: 5597057364 Enrollment ID: I20220912001817 |
| Provider Name | Heather Ann Mcmahon |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346635620 PECOS PAC ID: 9234446725 Enrollment ID: I20220919003303 |
| Provider Name | Julia Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932827599 PECOS PAC ID: 6406222355 Enrollment ID: I20221018000217 |
| Provider Name | Taylor Lacy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841752409 PECOS PAC ID: 2860727542 Enrollment ID: I20221024000088 |
| Provider Name | Rebecca June Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366166175 PECOS PAC ID: 7719353259 Enrollment ID: I20221025000400 |
| Provider Name | Gregory Gibson |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1831536747 PECOS PAC ID: 3476844168 Enrollment ID: I20221110000523 |
| Provider Name | Iyad Alnahhas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922428333 PECOS PAC ID: 6204050107 Enrollment ID: I20221115001152 |
| Provider Name | Sara Pentlicky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740456649 PECOS PAC ID: 0840323465 Enrollment ID: I20221205000026 |
| Provider Name | Aishat Olatunde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891175980 PECOS PAC ID: 5395079883 Enrollment ID: I20221230000263 |
| Provider Name | Moti Gulersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336524859 PECOS PAC ID: 3678819679 Enrollment ID: I20230125002836 |
| Provider Name | Rodney Mclaren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962845156 PECOS PAC ID: 2264706803 Enrollment ID: I20230201000005 |
| Provider Name | Usman Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437712254 PECOS PAC ID: 7911378872 Enrollment ID: I20230201000784 |
| Provider Name | Daniel Whiteman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487215901 PECOS PAC ID: 8426420993 Enrollment ID: I20230209000838 |
| Provider Name | Matthew Everwine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033770474 PECOS PAC ID: 8628440112 Enrollment ID: I20230209001534 |
| Provider Name | Tameka Sisco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265669402 PECOS PAC ID: 7214153840 Enrollment ID: I20230211000306 |
| Provider Name | Amber Delecce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376258608 PECOS PAC ID: 4183097108 Enrollment ID: I20230222001150 |
| Provider Name | Nicole Lynn Caraballo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588599 PECOS PAC ID: 8224401856 Enrollment ID: I20230302000679 |
| Provider Name | Brynn Ferri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891458071 PECOS PAC ID: 5193197549 Enrollment ID: I20230309001913 |
| Provider Name | Jennifer Lynn O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144933987 PECOS PAC ID: 3971976028 Enrollment ID: I20230310001299 |
| Provider Name | Bethany Price Hartnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730874777 PECOS PAC ID: 9436514148 Enrollment ID: I20230503000506 |
| Provider Name | Jessica Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710311345 PECOS PAC ID: 2961630256 Enrollment ID: I20230505000727 |
| Provider Name | Rebecca Mercier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225295645 PECOS PAC ID: 0345419610 Enrollment ID: I20230515003048 |
| Provider Name | Whitney Jolitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407269053 PECOS PAC ID: 0648521187 Enrollment ID: I20230519002947 |
| Provider Name | Tracy Lee Pacitti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407076789 PECOS PAC ID: 4082070891 Enrollment ID: I20230522001801 |
| Provider Name | Steven Borson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477968998 PECOS PAC ID: 4486873213 Enrollment ID: I20230526001468 |
| Provider Name | Lori Napravnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386331544 PECOS PAC ID: 8022475565 Enrollment ID: I20230527000053 |
| Provider Name | Patrick Gomella |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093058315 PECOS PAC ID: 1355644105 Enrollment ID: I20230531001084 |
| Provider Name | Raqiya Shoaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649895582 PECOS PAC ID: 4880051127 Enrollment ID: I20230601001765 |
| Provider Name | Mark Edelstein |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437684446 PECOS PAC ID: 5092085308 Enrollment ID: I20230612000260 |
| Provider Name | Luna Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780173633 PECOS PAC ID: 8123370814 Enrollment ID: I20230615001028 |
| Provider Name | Rohan Umrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609492545 PECOS PAC ID: 0446618607 Enrollment ID: I20230620002061 |
| Provider Name | Teresa Coyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932661618 PECOS PAC ID: 2668853391 Enrollment ID: I20230626003185 |
| Provider Name | Yvonne Dansoa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235405499 PECOS PAC ID: 9830400977 Enrollment ID: I20230629001803 |
| Provider Name | Howard Eisen |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1225086101 PECOS PAC ID: 7618873217 Enrollment ID: I20230630000689 |
| Provider Name | Melinda Leigh Darnell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356703557 PECOS PAC ID: 2860727062 Enrollment ID: I20230718002025 |
| Provider Name | Leanna Panepinto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326676230 PECOS PAC ID: 9537529532 Enrollment ID: I20230724000611 |
| Provider Name | Zelda Shimba Wasao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598321978 PECOS PAC ID: 0941660823 Enrollment ID: I20230724004155 |
| Provider Name | Khrystyna Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497224042 PECOS PAC ID: 8022352897 Enrollment ID: I20230725001233 |
| Provider Name | Matthew Maguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346982501 PECOS PAC ID: 0749668507 Enrollment ID: I20230802002825 |
| Provider Name | Emmanuel A Demenagas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154947943 PECOS PAC ID: 1153783907 Enrollment ID: I20230810004431 |
| Provider Name | Claire Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871272807 PECOS PAC ID: 8628430154 Enrollment ID: I20230816001585 |
| Provider Name | Gregory Alexander |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588157895 PECOS PAC ID: 5799113072 Enrollment ID: I20230816002174 |
| Provider Name | Kaitlyn Kennard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518320662 PECOS PAC ID: 2567750839 Enrollment ID: I20230823001836 |
| Provider Name | Aban Nikoonezhad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770103368 PECOS PAC ID: 0244693141 Enrollment ID: I20230824003580 |
| Provider Name | Latifah Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114514882 PECOS PAC ID: 2567852197 Enrollment ID: I20230901000019 |
| Provider Name | Daniel Glickman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336593482 PECOS PAC ID: 8224464698 Enrollment ID: I20230911001197 |
| Provider Name | Claire Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366225849 PECOS PAC ID: 5698139582 Enrollment ID: I20230911003513 |
| Provider Name | Shelby Rae Strauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891487534 PECOS PAC ID: 0143684472 Enrollment ID: I20230919003867 |
| Provider Name | Vladimer Bakhutashvili |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851895080 PECOS PAC ID: 2567714124 Enrollment ID: I20230922000034 |
| Provider Name | Kelash Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578181038 PECOS PAC ID: 6103242797 Enrollment ID: I20230925000586 |
| Provider Name | Sydney Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972292290 PECOS PAC ID: 6608221031 Enrollment ID: I20231004003836 |
| Provider Name | Syed Sohail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356831259 PECOS PAC ID: 1153739180 Enrollment ID: I20231014000169 |
| Provider Name | Noreen Saher Syed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144912817 PECOS PAC ID: 1153777818 Enrollment ID: I20231101000972 |
| Provider Name | Chanel Lee Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033807219 PECOS PAC ID: 9830548585 Enrollment ID: I20231207000689 |
| Provider Name | Stephanie D'angelo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629378740 PECOS PAC ID: 4082064878 Enrollment ID: I20231219003812 |
| Provider Name | Dana Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538738026 PECOS PAC ID: 1557735628 Enrollment ID: I20240102004181 |
| Provider Name | Harshal Parekh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932584414 PECOS PAC ID: 2961751839 Enrollment ID: I20240119000116 |
| Provider Name | Whitney Bender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376953604 PECOS PAC ID: 7810295086 Enrollment ID: I20240119001868 |
| Provider Name | Ebere Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700373123 PECOS PAC ID: 5496159485 Enrollment ID: I20240119003805 |
| Provider Name | Laura Mae Van Fossen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104693324 PECOS PAC ID: 1850744723 Enrollment ID: I20240126001705 |
| Provider Name | Leah Grab |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063801892 PECOS PAC ID: 0749633311 Enrollment ID: I20240130003517 |
| Provider Name | Frederick Gmora |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366874372 PECOS PAC ID: 4183910490 Enrollment ID: I20240227000514 |
| Provider Name | Sarah Marie Mercier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427832971 PECOS PAC ID: 8820433642 Enrollment ID: I20240301002886 |
| Provider Name | Courtney Mcanally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164283057 PECOS PAC ID: 1557706199 Enrollment ID: I20240305001938 |
| Provider Name | Jaclyn Franzwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932969276 PECOS PAC ID: 1153761259 Enrollment ID: I20240506001427 |
| Provider Name | Whitney Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518227867 PECOS PAC ID: 7214152503 Enrollment ID: I20240603002676 |
| Provider Name | Andrew Iskandar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609302017 PECOS PAC ID: 0547681934 Enrollment ID: I20240614001000 |
| Provider Name | Saba Ashraf |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396242889 PECOS PAC ID: 7911300983 Enrollment ID: I20240620002660 |
| Provider Name | Johanna Rosaly Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518725654 PECOS PAC ID: 8022552900 Enrollment ID: I20240702003337 |
| Provider Name | Mihir Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366885451 PECOS PAC ID: 3678705936 Enrollment ID: I20240708003126 |
| Provider Name | Alana Payne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801461397 PECOS PAC ID: 1153723614 Enrollment ID: I20240709001208 |
| Provider Name | Omotezi Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912686338 PECOS PAC ID: 6901268465 Enrollment ID: I20240709002099 |
| Provider Name | Fuhmay Zhang |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063251544 PECOS PAC ID: 1153866504 Enrollment ID: I20240710003075 |
| Provider Name | Edward Tackey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669488110 PECOS PAC ID: 1951359074 Enrollment ID: I20240710003563 |
| Provider Name | Sabiha Toni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720605769 PECOS PAC ID: 9638593270 Enrollment ID: I20240711003025 |
| Provider Name | Adam Metwalli |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952499253 PECOS PAC ID: 8820012248 Enrollment ID: I20240716002040 |
| Provider Name | Masaya Jimbo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467999474 PECOS PAC ID: 5698047199 Enrollment ID: I20240720000146 |
| Provider Name | Adeela Kiran Aslam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255174884 PECOS PAC ID: 9537605415 Enrollment ID: I20240727000148 |
| Provider Name | Sahil Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114549433 PECOS PAC ID: 4981141603 Enrollment ID: I20240731000167 |
| Provider Name | Mitchell Dean Silver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287765 PECOS PAC ID: 6901139245 Enrollment ID: I20240801004369 |
| Provider Name | Rebecca Tomlinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336634567 PECOS PAC ID: 0840737276 Enrollment ID: I20240802003514 |
| Provider Name | Zachary Louis French |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043717333 PECOS PAC ID: 1759646060 Enrollment ID: I20240807004777 |
| Provider Name | Mohammud Hashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639743032 PECOS PAC ID: 7315485018 Enrollment ID: I20240813001841 |
| Provider Name | Courtney Sgrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417622770 PECOS PAC ID: 5597154930 Enrollment ID: I20240830003766 |
| Provider Name | Nikhitha Mantri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720505431 PECOS PAC ID: 4688113871 Enrollment ID: I20240903000285 |
| Provider Name | Eitan Glucksman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689133449 PECOS PAC ID: 2860936440 Enrollment ID: I20240912004511 |
| Provider Name | Margaret O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164250064 PECOS PAC ID: 2668913203 Enrollment ID: I20240923001640 |
| Provider Name | Hiral Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528641032 PECOS PAC ID: 0749721330 Enrollment ID: I20240923003495 |
| Provider Name | Carrie Teyssier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558107417 PECOS PAC ID: 9032650445 Enrollment ID: I20240925000207 |
| Provider Name | Jeffrey Truitt |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1700066040 PECOS PAC ID: 5991973745 Enrollment ID: I20240927000270 |
| Provider Name | Aditya Das |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710470729 PECOS PAC ID: 9436406428 Enrollment ID: I20240928000418 |
| Provider Name | Danielle Ruiz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780224188 PECOS PAC ID: 5092246660 Enrollment ID: I20241007002619 |
| Provider Name | Janine Beckles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427438852 PECOS PAC ID: 8921357146 Enrollment ID: I20241021001565 |
| Provider Name | Francesca Marie Castellucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356177026 PECOS PAC ID: 1658803150 Enrollment ID: I20241022000168 |
| Provider Name | Divya Ayyala-somayajula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861924961 PECOS PAC ID: 9032469267 Enrollment ID: I20241106000088 |
| Provider Name | Rachel L Berger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699279935 PECOS PAC ID: 9830623222 Enrollment ID: I20241107001921 |
| Provider Name | Melissa Jelaso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982229241 PECOS PAC ID: 1658805890 Enrollment ID: I20241112000532 |
| Provider Name | Sandra Rappe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548253362 PECOS PAC ID: 0345210563 Enrollment ID: I20241113003518 |
| Provider Name | Syed Taghi Hasan Abedi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780419275 PECOS PAC ID: 6002341559 Enrollment ID: I20241121001314 |
| Provider Name | Nader Hanna |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366466542 PECOS PAC ID: 6204886294 Enrollment ID: I20241123000054 |
| Provider Name | Vima Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1144765074 PECOS PAC ID: 0648673343 Enrollment ID: I20241126002555 |
| Provider Name | Odunayo Ogunnaike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477900421 PECOS PAC ID: 1759673494 Enrollment ID: I20241205003864 |
| Provider Name | Casey Jane Muller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053001719 PECOS PAC ID: 6406382837 Enrollment ID: I20241209004184 |
Michael L. Marone, M. D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 White Horse Rd, Suite C105, Voorhees, NJ 08043 Phone: 856-309-9700 Fax: 856-309-9192 | |
Momentum Medicine Plus Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 White Horse Rd W, Suite 7, Voorhees, NJ 08043 Phone: 856-552-2208 | |
Ally Housecall Physicians, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 Downing Ln, Voorhees, NJ 08043 Phone: 609-367-6436 Fax: 856-874-9399 | |
Alta Dermatology & Skin Care Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 Cooper Rd, Suite #13, Voorhees, NJ 08043 Phone: 856-344-2849 Fax: 856-344-2938 | |
David Zweiback Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2301 E Evesham Rd, Voorhees, NJ 08043 Phone: 856-446-5600 | |
Winfield Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 E Evesham Rd, Suite 102, Voorhees, NJ 08043 Phone: 856-770-8204 Fax: 856-770-8207 | |
Associates In Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 E Evesham Rd, 305, Voorhees, NJ 08043 Phone: 856-772-4353 Fax: 856-772-4359 |