| Nj Covid Team Llc | |
|
523 Park Ave Ste B Orange NJ 07050-1703 | |
| (973) 672-2455 | |
| Not Available |
| Full Name | Nj Covid Team Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 523 Park Ave Ste B, Orange, New Jersey |
| Authorized Official Name and Position | Alexander Salerno (OWNER) |
| Authorized Official Contact | 9736722455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Covid Team Llc 523 Park Ave Ste B Orange NJ 07050-1703 Ph: (973) 672-2455 | Nj Covid Team Llc 523 Park Ave Ste B Orange NJ 07050-1703 Ph: (973) 672-2455 |
| NPI Number | 1841893856 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 03/18/2021 |
| Medicare PECOS PAC ID | 2163834813 |
|---|---|
| Medicare Enrollment ID | O20201222000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841893856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alexander G Salerno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962476903 PECOS PAC ID: 3375455959 Enrollment ID: I20031105000696 |
| Provider Name | Ketang Modi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396736468 PECOS PAC ID: 1759287469 Enrollment ID: I20031211000720 |
| Provider Name | Roel P Galope |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629021779 PECOS PAC ID: 5991771974 Enrollment ID: I20060508000194 |
| Provider Name | Bela Laschiver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497896286 PECOS PAC ID: 7214030071 Enrollment ID: I20070315000198 |
| Provider Name | Nilay Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154372621 PECOS PAC ID: 5890704811 Enrollment ID: I20070816000577 |
| Provider Name | Paul Kostoulakos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982817326 PECOS PAC ID: 0345337994 Enrollment ID: I20071030000391 |
| Provider Name | Reginald J Denis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699984682 PECOS PAC ID: 6901905124 Enrollment ID: I20081110000638 |
| Provider Name | Rakesh K Sahni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265636526 PECOS PAC ID: 4385537315 Enrollment ID: I20101124000090 |
| Provider Name | Aida L Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255574307 PECOS PAC ID: 0042496457 Enrollment ID: I20110519000686 |
| Provider Name | Ayme Veronica Frometa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669600995 PECOS PAC ID: 0941515720 Enrollment ID: I20150824000994 |
| Provider Name | Gordon D Lutchman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548270861 PECOS PAC ID: 5799843371 Enrollment ID: I20160223001215 |
| Provider Name | Elizabeth Doi Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710322730 PECOS PAC ID: 1850525973 Enrollment ID: I20160830000285 |
| Provider Name | Michelle M Giles-honore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023416898 PECOS PAC ID: 9234427915 Enrollment ID: I20161012001949 |
| Provider Name | Maria Christina Errazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932644812 PECOS PAC ID: 2365725801 Enrollment ID: I20170208001141 |
| Provider Name | Amanda A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508240441 PECOS PAC ID: 7012284649 Enrollment ID: I20170601001609 |
| Provider Name | Prudence A Arthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881112175 PECOS PAC ID: 6406122381 Enrollment ID: I20171020000046 |
| Provider Name | Edrik Josue Acevedo Beltran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427478353 PECOS PAC ID: 1850628371 Enrollment ID: I20190807000008 |
| Provider Name | Joanne Marmol Marmolejos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710240213 PECOS PAC ID: 7810239738 Enrollment ID: I20200311000548 |
| Provider Name | Marsha Kamelia Cill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700379237 PECOS PAC ID: 6800217878 Enrollment ID: I20200528003296 |
| Provider Name | Ashkan Hamzelou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912353830 PECOS PAC ID: 2567884844 Enrollment ID: I20200615000416 |
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