Monogram Health Professional Services Of New Jersey Llc | |
140 E Ridgewood Ave Ste 415 Paramus NJ 07652-3915 | |
(615) 673-4455 | |
(615) 432-4651 |
Full Name | Monogram Health Professional Services Of New Jersey Llc |
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Speciality | Internal Medicine |
Location | 140 E Ridgewood Ave Ste 415, Paramus, New Jersey |
Authorized Official Name and Position | Shawn L Verner (GENERAL COUNSEL/SECRETARY) |
Authorized Official Contact | 6159941889 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monogram Health Professional Services Of New Jersey Llc 5410 Maryland Way Ste 301 Brentwood TN 37027-5339 Ph: (615) 673-4455 | Monogram Health Professional Services Of New Jersey Llc 140 E Ridgewood Ave Ste 415 Paramus NJ 07652-3915 Ph: (615) 673-4455 |
NPI Number | 1578284246 |
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Provider Enumeration Date | 09/09/2022 |
Last Update Date | 09/12/2022 |
Medicare PECOS PAC ID | 4486028396 |
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Medicare Enrollment ID | O20230316000005 |
Identifier | Type | State | Issuer |
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1578284246 | NPI | - | NPPES |
Provider Name | Susan M Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629048830 PECOS PAC ID: 9739162488 Enrollment ID: I20040611001248 |
Provider Name | Lubna Aslam Rashid |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1760626337 PECOS PAC ID: 9739374851 Enrollment ID: I20101115000244 |
Provider Name | Joseph F Girone |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366692253 PECOS PAC ID: 1658520176 Enrollment ID: I20140303000856 |
Provider Name | Eddita B Bakarr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851712764 PECOS PAC ID: 0648401471 Enrollment ID: I20140320000936 |
Provider Name | Ayesha Ahmed |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1942565742 PECOS PAC ID: 1153626684 Enrollment ID: I20160222002096 |
Provider Name | Brian Portanova |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336595800 PECOS PAC ID: 0446530307 Enrollment ID: I20161212000070 |
Provider Name | Christina Picciano |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518311661 PECOS PAC ID: 2668709494 Enrollment ID: I20190816000016 |
Provider Name | Arun J Kottarathara |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1568852838 PECOS PAC ID: 9436429800 Enrollment ID: I20191024001602 |
Provider Name | Rex Magbanua |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326633751 PECOS PAC ID: 7810306420 Enrollment ID: I20210512001310 |
Provider Name | Anne Marie Verdiramo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629025747 PECOS PAC ID: 8628080785 Enrollment ID: I20210521000477 |
Provider Name | Rachel Campbell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215247309 PECOS PAC ID: 6103229331 Enrollment ID: I20210727000330 |
Provider Name | Lindsey M Mara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861062473 PECOS PAC ID: 7315345303 Enrollment ID: I20211122001845 |
Provider Name | Maria Miljutina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508458704 PECOS PAC ID: 8224419049 Enrollment ID: I20220725002393 |
Provider Name | Kathleen Ford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861945735 PECOS PAC ID: 4587951082 Enrollment ID: I20220907003205 |
Provider Name | Margaret Meehan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922739267 PECOS PAC ID: 7214313006 Enrollment ID: I20221003000012 |
Provider Name | Michelle Tweedly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629791637 PECOS PAC ID: 1153792296 Enrollment ID: I20230127000311 |
Provider Name | Shaminder Gupta |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1730183401 PECOS PAC ID: 1658322300 Enrollment ID: I20230316000006 |
Provider Name | Rosemary Mbam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477858397 PECOS PAC ID: 1052707577 Enrollment ID: I20230316000009 |
Provider Name | Sudhanshu Jain |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1720287295 PECOS PAC ID: 4486749967 Enrollment ID: I20230316000011 |
Provider Name | Elizabeth Gedeon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669799011 PECOS PAC ID: 6608162078 Enrollment ID: I20230418000703 |
Provider Name | Abigail A Ayitiah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831898832 PECOS PAC ID: 5294191052 Enrollment ID: I20230519002673 |
Provider Name | Michelle Sain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508566001 PECOS PAC ID: 2466810049 Enrollment ID: I20230614003375 |
Provider Name | Renee Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063877660 PECOS PAC ID: 7517265408 Enrollment ID: I20230726001062 |
Provider Name | Moniba Bilal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659502441 PECOS PAC ID: 7517115074 Enrollment ID: I20230804003273 |
Provider Name | Ramona Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245968890 PECOS PAC ID: 9436528320 Enrollment ID: I20230821004022 |
Provider Name | Elizabeth Oboansi Boateng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740907971 PECOS PAC ID: 8921461542 Enrollment ID: I20230830002115 |
Provider Name | Susan Bell |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1336285873 PECOS PAC ID: 7517122013 Enrollment ID: I20230927002724 |
Provider Name | Jessica Rowland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659641769 PECOS PAC ID: 7517124076 Enrollment ID: I20231104000650 |
Provider Name | Zahily Fals |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1598078115 PECOS PAC ID: 6103121520 Enrollment ID: I20231115003795 |
Provider Name | Hannah Troutman |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1720243009 PECOS PAC ID: 9537301569 Enrollment ID: I20231211000637 |
Provider Name | Samantha Yearwood |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1932850427 PECOS PAC ID: 4284000852 Enrollment ID: I20231215002408 |
Provider Name | Maymonah Belal |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1972986529 PECOS PAC ID: 6204169014 Enrollment ID: I20240104001726 |
Provider Name | Christopher Pitsch |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1720309297 PECOS PAC ID: 2264657832 Enrollment ID: I20240130001469 |
Provider Name | Shvonne D Burke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447917000 PECOS PAC ID: 5395115885 Enrollment ID: I20240208004078 |
Provider Name | Rizwan Khan |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1407169477 PECOS PAC ID: 9335329051 Enrollment ID: I20240306000161 |
Provider Name | Megha Patel |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1013398486 PECOS PAC ID: 1052665445 Enrollment ID: I20240402003610 |
Provider Name | Carrie R Hyde |
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Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1114260726 PECOS PAC ID: 1658696307 Enrollment ID: I20240403003207 |
Provider Name | Parag Vohra |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1073749412 PECOS PAC ID: 5092860858 Enrollment ID: I20240405002435 |
Provider Name | Felicia Uzuyem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811367253 PECOS PAC ID: 5193029080 Enrollment ID: I20240415003307 |
Provider Name | Pradeep Dhakarwal |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1043449069 PECOS PAC ID: 7719124288 Enrollment ID: I20240613000086 |
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