| Mihale Md Of Nj Pc | |
|
613 Washington Blvd # 1151 Jersey City NJ 07310-2900 | |
| (401) 648-6200 | |
| Not Available |
| Full Name | Mihale Md Of Nj Pc |
|---|---|
| Speciality | General Practice |
| Location | 613 Washington Blvd # 1151, Jersey City, New Jersey |
| Authorized Official Name and Position | Dennis Mihale (OWNER) |
| Authorized Official Contact | 8889855455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mihale Md Of Nj Pc 80 Arkay Dr Ste 230 Hauppauge NY 11788-3705 Ph: (889) 855-4558 | Mihale Md Of Nj Pc 613 Washington Blvd # 1151 Jersey City NJ 07310-2900 Ph: (401) 648-6200 |
| NPI Number | 1336738350 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 11/08/2021 |
| Medicare PECOS PAC ID | 9830505387 |
|---|---|
| Medicare Enrollment ID | O20210308001103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336738350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Danielle Trenelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558803676 PECOS PAC ID: 2769734268 Enrollment ID: I20181011000447 |
| Provider Name | Dennis P H Mihale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508025859 PECOS PAC ID: 0547585481 Enrollment ID: I20210309001507 |
| Provider Name | Erica Chase |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902029440 PECOS PAC ID: 5294166815 Enrollment ID: I20210527002444 |
| Provider Name | Alicia A Van Ihinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417924986 PECOS PAC ID: 3274695531 Enrollment ID: I20210527003150 |
| Provider Name | Shelita King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750854311 PECOS PAC ID: 2466791561 Enrollment ID: I20210528001176 |
| Provider Name | Delise M Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912517848 PECOS PAC ID: 8123448560 Enrollment ID: I20210601001708 |
| Provider Name | Anubhav Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023457975 PECOS PAC ID: 8729368618 Enrollment ID: I20210608000055 |
| Provider Name | Mehdi Qalbani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932309325 PECOS PAC ID: 1850435801 Enrollment ID: I20211123000988 |
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