New Jersey Medical Specialists Pc | |
One Gateway Center Suite 2600 Newark NJ 07102 | |
(800) 557-8950 | |
Not Available |
Full Name | New Jersey Medical Specialists Pc |
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Speciality | Clinic/Center |
Location | One Gateway Center, Newark, New Jersey |
Authorized Official Name and Position | Hirenkumar Italia (MD) |
Authorized Official Contact | 8005578950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Jersey Medical Specialists Pc 133 Rollins Ave Ste 3 Rockville MD 20852-4040 Ph: () - | New Jersey Medical Specialists Pc One Gateway Center Suite 2600 Newark NJ 07102 Ph: (800) 557-8950 |
NPI Number | 1154994598 |
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Provider Enumeration Date | 07/22/2021 |
Last Update Date | 08/30/2021 |
Medicare PECOS PAC ID | 1052719473 |
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Medicare Enrollment ID | O20211014002054 |
Identifier | Type | State | Issuer |
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1154994598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kimberly Cocozello |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750457511 PECOS PAC ID: 9234173881 Enrollment ID: I20050718000662 |
Provider Name | Hyeun Park |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1235226960 PECOS PAC ID: 8325049455 Enrollment ID: I20070116000473 |
Provider Name | Edward Francis Caruso |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780658864 PECOS PAC ID: 5496842775 Enrollment ID: I20071102000383 |
Provider Name | Claudine Rene |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912454927 PECOS PAC ID: 6709166200 Enrollment ID: I20161129000433 |
Provider Name | Glenda A Solano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083139992 PECOS PAC ID: 9638443229 Enrollment ID: I20170920002467 |
Provider Name | Miriam Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346894565 PECOS PAC ID: 6406186527 Enrollment ID: I20191002002169 |
Provider Name | Selena Sackroolar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972152080 PECOS PAC ID: 7810229275 Enrollment ID: I20191105000021 |
Provider Name | Bridget A Azera |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861997272 PECOS PAC ID: 6507263043 Enrollment ID: I20210924002763 |
Provider Name | Nestor Cerda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164957767 PECOS PAC ID: 8426397506 Enrollment ID: I20211014000906 |
Provider Name | Hirenkumar Damjighai Italia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20211014002211 |
Provider Name | Dianne Zwicke |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1518934157 PECOS PAC ID: 8921992843 Enrollment ID: I20220516002028 |
Provider Name | Lorie E Pistone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356890834 PECOS PAC ID: 0446539415 Enrollment ID: I20230712003688 |
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