| New Jersey Family Practice Center | |
|
90 Bergen St Newark NJ 07103-2425 | |
| (973) 972-3465 | |
| Not Available |
| Full Name | New Jersey Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 90 Bergen St, Newark, New Jersey |
| Authorized Official Name and Position | David Haier (CEO) |
| Authorized Official Contact | 9739729503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Family Practice Center 30 Bergen St Admc 12 1205 Newark NJ 07107-3000 Ph: (973) 972-0037 | New Jersey Family Practice Center 90 Bergen St Newark NJ 07103-2425 Ph: (973) 972-3465 |
| NPI Number | 1467462168 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 07/15/2021 |
| Medicare PECOS PAC ID | 9830003417 |
|---|---|
| Medicare Enrollment ID | O20041025000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467462168 | NPI | - | NPPES |
| 5092205 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael A Gerstmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073510947 PECOS PAC ID: 1052367430 Enrollment ID: I20050329000812 |
| Provider Name | Padam Neopane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104967488 PECOS PAC ID: 1658424270 Enrollment ID: I20090729000871 |
| Provider Name | Chantal Brazeau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780796193 PECOS PAC ID: 1355528423 Enrollment ID: I20110527000410 |
| Provider Name | Noa A Shimoni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144433921 PECOS PAC ID: 3577638022 Enrollment ID: I20120202000254 |
| Provider Name | Irina Benenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740622927 PECOS PAC ID: 4587890538 Enrollment ID: I20131121000261 |
| Provider Name | Bianca Patricia Dube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740535152 PECOS PAC ID: 7012208465 Enrollment ID: I20170320002396 |
| Provider Name | Emmanuelle Ruocco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316365646 PECOS PAC ID: 5890058333 Enrollment ID: I20180413001225 |
| Provider Name | Rachel Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588955165 PECOS PAC ID: 6709005564 Enrollment ID: I20200609000050 |
| Provider Name | Frances Rieth Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669048104 PECOS PAC ID: 8325443153 Enrollment ID: I20210817003293 |
| Provider Name | Pooja Padgaonkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821595687 PECOS PAC ID: 1456606318 Enrollment ID: I20230824003351 |
City Of Newark Dept Of Child And Family Well Being Mobile Medical Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 William St, Newark, NJ 07102 Phone: 973-733-7558 | |
Health Star Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-747-6579 Fax: 201-825-2908 | |
Ironbound Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Van Buren St, 1st Floor, Newark, NJ 07105 Phone: 973-344-6727 Fax: 973-491-5033 | |
Ferry Pain & Rehab Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Ferry St, Newark, NJ 07105 Phone: 973-344-0129 Fax: 973-344-0243 | |
Pri Med Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Summer Ave, Newark, NJ 07104 Phone: 973-484-2800 | |
Newark Community Health Centers,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 751 Broadway, Newark, NJ 07104 Phone: 973-483-1300 Fax: 973-483-3787 | |
Saint Michaels Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 268 Martin Luther King Blvd., Newark, NJ 07102 Phone: 973-877-2963 |