| Med-care Of East Rutherford | |
|
245 Park Avenue East Rutherford NJ 07073 | |
| (201) 939-7161 | |
| (201) 939-4053 |
| Full Name | Med-care Of East Rutherford |
|---|---|
| Speciality | General Practice |
| Location | 245 Park Avenue, East Rutherford, New Jersey |
| Authorized Official Name and Position | John C Scolamiero (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2019397161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med-care Of East Rutherford 245 Park Avenue East Rutherford NJ 07073 Ph: (973) 882-3545 | Med-care Of East Rutherford 245 Park Avenue East Rutherford NJ 07073 Ph: (201) 939-7161 |
| NPI Number | 1831260546 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/30/2021 |
| Medicare PECOS PAC ID | 5294720975 |
|---|---|
| Medicare Enrollment ID | O20040420001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831260546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | John C Scolamiero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780766600 PECOS PAC ID: 9032133996 Enrollment ID: I20060118000452 |
| Provider Name | Marcela Popa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902964083 PECOS PAC ID: 6901091669 Enrollment ID: I20101109000120 |
| Provider Name | Larisa Livshits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982786893 PECOS PAC ID: 6204022734 Enrollment ID: I20101123001057 |
| Provider Name | Irina Zhukova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790811107 PECOS PAC ID: 9234318577 Enrollment ID: I20110119000781 |
| Provider Name | Christopher D Andrea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609118298 PECOS PAC ID: 2567760291 Enrollment ID: I20161027001123 |
| Provider Name | John L D Andrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801213228 PECOS PAC ID: 0648569681 Enrollment ID: I20170825000884 |
Asun Star Consulting, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 Railroad Ave, East Rutherford, NJ 07073 Phone: 973-771-3300 Fax: 973-679-2784 |