| Monmouth Medical Center Faculty Practice Plan, Inc. | |
|
300 2nd Ave Long Branch NJ 07740-6303 | |
| (732) 571-0025 | |
| (732) 571-0400 |
| Full Name | Monmouth Medical Center Faculty Practice Plan, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 2nd Ave, Long Branch, New Jersey |
| Authorized Official Name and Position | Tanya Kenney (MMCFPP MANAGER) |
| Authorized Official Contact | 7329236281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monmouth Medical Center Faculty Practice Plan, Inc. Po Box 8000 Dept 601 Buffalo NY 14267-0002 Ph: (866) 295-0041 | Monmouth Medical Center Faculty Practice Plan, Inc. 300 2nd Ave Long Branch NJ 07740-6303 Ph: (732) 571-0025 |
| NPI Number | 1023064441 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 03/09/2012 |
| Medicare PECOS PAC ID | 8527971563 |
|---|---|
| Medicare Enrollment ID | O20031106000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023064441 | NPI | - | NPPES |
| 6441301 | Medicaid | NJ |
| Provider Name | Patricia A Generelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255301826 PECOS PAC ID: 1951200955 Enrollment ID: I20040108000456 |
| Provider Name | Ernest M Ginalis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629151048 PECOS PAC ID: 9638063001 Enrollment ID: I20040210000151 |
| Provider Name | Doantrang T Du |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699782474 PECOS PAC ID: 9436046695 Enrollment ID: I20040302000837 |
| Provider Name | Seth D Cohen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548295306 PECOS PAC ID: 7911979307 Enrollment ID: I20040806000797 |
| Provider Name | Margaret Eng |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386693448 PECOS PAC ID: 0042282121 Enrollment ID: I20040810000107 |
| Provider Name | Lolita Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447290424 PECOS PAC ID: 1254308984 Enrollment ID: I20040914000931 |
| Provider Name | Marie Therese Saky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194780320 PECOS PAC ID: 7911964283 Enrollment ID: I20041217000766 |
| Provider Name | Lawrence S Turtel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487725933 PECOS PAC ID: 3779539853 Enrollment ID: I20050323000121 |
| Provider Name | Ilene B Pardon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750452355 PECOS PAC ID: 1759321672 Enrollment ID: I20050510000420 |
| Provider Name | Denise Ann Yaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215010947 PECOS PAC ID: 0446293278 Enrollment ID: I20050602001056 |
| Provider Name | Yasmeen K Shariff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427003920 PECOS PAC ID: 8628007234 Enrollment ID: I20050822000449 |
| Provider Name | Cynthia A Barone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699762591 PECOS PAC ID: 2961472998 Enrollment ID: I20050824000719 |
| Provider Name | Martin J Luria |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477629301 PECOS PAC ID: 6608893250 Enrollment ID: I20051102000196 |
| Provider Name | Michael G Absatz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518001072 PECOS PAC ID: 2062421738 Enrollment ID: I20060410000069 |
| Provider Name | Patrick C Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356442602 PECOS PAC ID: 7012916844 Enrollment ID: I20061205000453 |
| Provider Name | Isaac H Tawfik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073612990 PECOS PAC ID: 3971606484 Enrollment ID: I20070321000045 |
| Provider Name | Susan S Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881641900 PECOS PAC ID: 9739270018 Enrollment ID: I20070801000665 |
| Provider Name | Carl A Nath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326113564 PECOS PAC ID: 7012008220 Enrollment ID: I20070802000083 |
| Provider Name | Stephen A Chagares |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619939758 PECOS PAC ID: 2264524834 Enrollment ID: I20070828000125 |
| Provider Name | Shilpan H Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508061623 PECOS PAC ID: 2860587714 Enrollment ID: I20071008000052 |
| Provider Name | Sudha Ganne |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376747618 PECOS PAC ID: 7416044250 Enrollment ID: I20071026000173 |
| Provider Name | Florence Armour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003092537 PECOS PAC ID: 5698857522 Enrollment ID: I20080130000493 |
| Provider Name | Priya Angi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639376361 PECOS PAC ID: 0446322119 Enrollment ID: I20080714000014 |
| Provider Name | David L Chalnick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518918580 PECOS PAC ID: 2961577507 Enrollment ID: I20080818000186 |
| Provider Name | David Wallace |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336116656 PECOS PAC ID: 7810899085 Enrollment ID: I20080903000610 |
| Provider Name | John P Vaclavik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548467137 PECOS PAC ID: 9436218237 Enrollment ID: I20081110000004 |
| Provider Name | Ajay S Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144486523 PECOS PAC ID: 9234282690 Enrollment ID: I20090803000052 |
| Provider Name | David B Dickerson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033317219 PECOS PAC ID: 0648345108 Enrollment ID: I20090817000072 |
| Provider Name | Stephanie B Hanhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629286315 PECOS PAC ID: 0446396436 Enrollment ID: I20091005000674 |
| Provider Name | Annette Terzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376877209 PECOS PAC ID: 7214063304 Enrollment ID: I20100329000119 |
| Provider Name | Nicole Keegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164752077 PECOS PAC ID: 2466589767 Enrollment ID: I20100419000244 |
| Provider Name | David J Sharon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730299041 PECOS PAC ID: 4981896008 Enrollment ID: I20101007001135 |
| Provider Name | Julie Master |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912044900 PECOS PAC ID: 3971796798 Enrollment ID: I20101025000492 |
| Provider Name | Mark Robert Schwartz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760453567 PECOS PAC ID: 9537173182 Enrollment ID: I20110119000436 |
| Provider Name | Leny M Rada Banat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598990236 PECOS PAC ID: 4284813817 Enrollment ID: I20110127000838 |
| Provider Name | Aron L Gornish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902871437 PECOS PAC ID: 6901810555 Enrollment ID: I20110304000120 |
| Provider Name | Peter M Farrugia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003142530 PECOS PAC ID: 0749458230 Enrollment ID: I20110728000316 |
| Provider Name | Deanna L Tiggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619265782 PECOS PAC ID: 3779753595 Enrollment ID: I20110902000076 |
| Provider Name | Andrew Kwai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780673483 PECOS PAC ID: 6103727094 Enrollment ID: I20111010000197 |
| Provider Name | Tricia Ann Marceante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477997435 PECOS PAC ID: 1355580952 Enrollment ID: I20130617000260 |
| Provider Name | Melanie R Vernacchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477997666 PECOS PAC ID: 5092956110 Enrollment ID: I20130731000777 |
| Provider Name | Jacqueline Roman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376785881 PECOS PAC ID: 6406083955 Enrollment ID: I20131209001029 |
| Provider Name | Sandhya Kadiyam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093034308 PECOS PAC ID: 5496983116 Enrollment ID: I20140102000056 |
| Provider Name | Renee Nadal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063775047 PECOS PAC ID: 1759531593 Enrollment ID: I20140916001784 |
| Provider Name | Lynne C Einbinder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780687129 PECOS PAC ID: 8123001534 Enrollment ID: I20150716002570 |
| Provider Name | Jacqueline G Brunetto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689645806 PECOS PAC ID: 6800101809 Enrollment ID: I20150820010297 |
| Provider Name | Kristy M Maag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316334212 PECOS PAC ID: 5395051536 Enrollment ID: I20150902000962 |
| Provider Name | Amanda Lerner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790043677 PECOS PAC ID: 2668781758 Enrollment ID: I20151012000206 |
| Provider Name | Carmen M Manzo Goral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215308705 PECOS PAC ID: 3971807884 Enrollment ID: I20160212000171 |
| Provider Name | Allison L Prabhakar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558483834 PECOS PAC ID: 4385707181 Enrollment ID: I20160226000608 |
| Provider Name | Alexander King |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073830717 PECOS PAC ID: 0840589156 Enrollment ID: I20160510000627 |
| Provider Name | Jennifer F Short |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821450677 PECOS PAC ID: 0941598114 Enrollment ID: I20161004002515 |
| Provider Name | Mohammed Hu Usman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265622195 PECOS PAC ID: 8628161148 Enrollment ID: I20170302000267 |
| Provider Name | Joanne Ferrer Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396100020 PECOS PAC ID: 2961786926 Enrollment ID: I20170522002741 |
| Provider Name | Carolyn M Slattery |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629218664 PECOS PAC ID: 7416008503 Enrollment ID: I20171110000297 |
| Provider Name | Shannon R Ursu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871889600 PECOS PAC ID: 8820313307 Enrollment ID: I20171127001760 |
| Provider Name | Victoria Ann Noto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639680283 PECOS PAC ID: 1355601444 Enrollment ID: I20180209002396 |
| Provider Name | Scott A Moerdler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639445083 PECOS PAC ID: 9133479249 Enrollment ID: I20180911003873 |
| Provider Name | Sanjna S Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083956478 PECOS PAC ID: 3476855917 Enrollment ID: I20181130002400 |
| Provider Name | Farbod Nabizadeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033470414 PECOS PAC ID: 4284947524 Enrollment ID: I20190905000543 |
| Provider Name | Carolyn Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174097703 PECOS PAC ID: 8527495415 Enrollment ID: I20200306000009 |
Monmouth Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 Broadway, Long Branch, NJ 07740 Phone: 732-923-7100 Fax: 732-923-7104 | |
Anthony & Marianne Sahar Md,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 552 Westwood Avenue, Long Branch, NJ 07740 Phone: 732-222-7800 Fax: 732-571-2075 | |
Mihir K. Maniar Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 279 3rd Ave, Suite 405, Long Branch, NJ 07740 Phone: 732-229-1011 Fax: 732-229-0114 | |
Wake Up With Makeup By Merryl Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 43 New Ct, Long Branch, NJ 07740 Phone: 732-915-4445 | |
Joel S. Ross M.d.,llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Pavilion Ave, Long Branch, NJ 07740 Phone: 732-571-1535 Fax: 732-571-5115 | |
Barry P Rubino Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 170 Morris Ave Ste C, Long Branch, NJ 07740 Phone: 732-229-9417 Fax: 732-229-0151 |