| Medcare Practice, Llc | |
|
2 University Plaza Suite 100 #29 Hackensack NJ 07601-6210 | |
| (908) 578-2144 | |
| (732) 379-4538 |
| Full Name | Medcare Practice, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 University Plaza, Hackensack, New Jersey |
| Authorized Official Name and Position | Mariette Y Amadi (OWNER) |
| Authorized Official Contact | 7323794538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcare Practice, Llc 2 University Plaza Suite 100 #29 Hackensack NJ 07601-6210 Ph: (201) 967-8425 | Medcare Practice, Llc 2 University Plaza Suite 100 #29 Hackensack NJ 07601-6210 Ph: (908) 578-2144 |
| NPI Number | 1215598826 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 12/06/2019 |
| Medicare PECOS PAC ID | 9436485554 |
|---|---|
| Medicare Enrollment ID | O20190729000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215598826 | NPI | - | NPPES |
| 25MA08528000 | Other | NJ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mariette I Amadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093977019 PECOS PAC ID: 9234284993 Enrollment ID: I20090901000387 |
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