| Nuvance Health Medical Practice, Pc | |
|
45 Reade Place Poughkeepsie NY 12601-3947 | |
| (845) 475-9661 | |
| (845) 475-9938 |
| Full Name | Nuvance Health Medical Practice, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Reade Place, Poughkeepsie, New York |
| Authorized Official Name and Position | Daniel Debarba (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2033146990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuvance Health Medical Practice, Pc 100 Reserve Rd Danbury CT 06810-5267 Ph: (845) 475-9661 | Nuvance Health Medical Practice, Pc 45 Reade Place Poughkeepsie NY 12601-3947 Ph: (845) 475-9661 |
| NPI Number | 1437358033 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 1658468442 |
|---|---|
| Medicare Enrollment ID | O20071025000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437358033 | NPI | - | NPPES |
| 02915617 | Medicaid | NY |
| Provider Name | Thomas V Mazzilli |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1194704601 PECOS PAC ID: 8527963859 Enrollment ID: I20031201000414 |
| Provider Name | Arun Agarwal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073590493 PECOS PAC ID: 8022913151 Enrollment ID: I20031203000182 |
| Provider Name | Dimitrios Papadopoulos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013996404 PECOS PAC ID: 9436054921 Enrollment ID: I20031208000110 |
| Provider Name | Kathy H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588654685 PECOS PAC ID: 6406754829 Enrollment ID: I20031223000171 |
| Provider Name | Mary L Dunne |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356348734 PECOS PAC ID: 0749180503 Enrollment ID: I20040109000527 |
| Provider Name | Diane S. Pine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730169830 PECOS PAC ID: 1456253566 Enrollment ID: I20040121000117 |
| Provider Name | Nils A Russell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902838386 PECOS PAC ID: 3375439482 Enrollment ID: I20040225000884 |
| Provider Name | Cleveland William Lewis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1710984398 PECOS PAC ID: 9537058169 Enrollment ID: I20040312000221 |
| Provider Name | Timothy J Mcelrath |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659368090 PECOS PAC ID: 7315837259 Enrollment ID: I20040316000962 |
| Provider Name | Walter J Soha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134270531 PECOS PAC ID: 4880585587 Enrollment ID: I20040323000279 |
| Provider Name | Patrick F Timmins |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1942297080 PECOS PAC ID: 1759272032 Enrollment ID: I20040324000876 |
| Provider Name | Paul Y Jee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972575124 PECOS PAC ID: 3173415387 Enrollment ID: I20040324001865 |
| Provider Name | Linus T. Chuang |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1538100722 PECOS PAC ID: 8123010063 Enrollment ID: I20040331001682 |
| Provider Name | Lee Isabell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861444671 PECOS PAC ID: 5991797599 Enrollment ID: I20040402000000 |
| Provider Name | John L. Zboinski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649296500 PECOS PAC ID: 1456344522 Enrollment ID: I20040405001458 |
| Provider Name | Steven Ritter |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1073544292 PECOS PAC ID: 3476546425 Enrollment ID: I20040406000252 |
| Provider Name | Lisa M Ricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386674844 PECOS PAC ID: 0244223121 Enrollment ID: I20040406001289 |
| Provider Name | Michael H Cho |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710979174 PECOS PAC ID: 4486649779 Enrollment ID: I20040416000638 |
| Provider Name | Jane Swingle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558312157 PECOS PAC ID: 1658366760 Enrollment ID: I20040419000227 |
| Provider Name | Izabela Kozicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760469118 PECOS PAC ID: 9234125675 Enrollment ID: I20040422000006 |
| Provider Name | Elizabeth Levine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548273030 PECOS PAC ID: 2365439817 Enrollment ID: I20040427001691 |
| Provider Name | Marinela A. Demeterio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811964067 PECOS PAC ID: 5193706752 Enrollment ID: I20040528000371 |
| Provider Name | Daniel M Labow |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1346216157 PECOS PAC ID: 6608858782 Enrollment ID: I20040602001432 |
| Provider Name | Jodi Beth Friedman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1184674996 PECOS PAC ID: 6204818735 Enrollment ID: I20040607001037 |
| Provider Name | Fauzia Paracha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174639751 PECOS PAC ID: 6103809637 Enrollment ID: I20040608000080 |
| Provider Name | Konstantin Millerman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679520472 PECOS PAC ID: 0446233761 Enrollment ID: I20040609000256 |
| Provider Name | Jonathan J Crystal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497753933 PECOS PAC ID: 9234112350 Enrollment ID: I20040610000364 |
| Provider Name | Shariyar Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003825126 PECOS PAC ID: 3173507167 Enrollment ID: I20040616001293 |
| Provider Name | Yelena M Yermak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689705659 PECOS PAC ID: 0547246720 Enrollment ID: I20040628001128 |
| Provider Name | Diana Stancov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629029764 PECOS PAC ID: 1456331917 Enrollment ID: I20040723000991 |
| Provider Name | Camilo G Torres |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285613539 PECOS PAC ID: 9335119619 Enrollment ID: I20040727000158 |
| Provider Name | Janet N Tamai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548259112 PECOS PAC ID: 4880665298 Enrollment ID: I20040802000123 |
| Provider Name | Vikram V Duvvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003995523 PECOS PAC ID: 9739153321 Enrollment ID: I20040820000164 |
| Provider Name | Kalpit N Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265460653 PECOS PAC ID: 5496721441 Enrollment ID: I20040909001187 |
| Provider Name | Ramazan Cenk Pekis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841235371 PECOS PAC ID: 4385612159 Enrollment ID: I20040920000694 |
| Provider Name | Terence J Clarke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326090911 PECOS PAC ID: 4183692775 Enrollment ID: I20040921001195 |
| Provider Name | Anil Bhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558393223 PECOS PAC ID: 6608836515 Enrollment ID: I20041014001162 |
| Provider Name | Matthew Y Apedo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932161932 PECOS PAC ID: 0840250650 Enrollment ID: I20041015000698 |
| Provider Name | Radhika Rachamalla |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669466595 PECOS PAC ID: 9537121066 Enrollment ID: I20041027001224 |
| Provider Name | Eunice Hoolihan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477587608 PECOS PAC ID: 6608838545 Enrollment ID: I20041102000768 |
| Provider Name | John A Horiszny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811927312 PECOS PAC ID: 6002870573 Enrollment ID: I20041115000742 |
| Provider Name | Teresa Jeanne Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467554014 PECOS PAC ID: 3274597729 Enrollment ID: I20041115001327 |
| Provider Name | Alexandr L Safarov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912902636 PECOS PAC ID: 8123086147 Enrollment ID: I20041222000312 |
| Provider Name | Lester F Bussey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053410654 PECOS PAC ID: 6901864693 Enrollment ID: I20041228000677 |
| Provider Name | Gregory Paul Zale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922187558 PECOS PAC ID: 3577512953 Enrollment ID: I20050113000199 |
| Provider Name | Kathleen M Norman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346295086 PECOS PAC ID: 2163471921 Enrollment ID: I20050119000364 |
| Provider Name | Scott J Costley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881697423 PECOS PAC ID: 7012968431 Enrollment ID: I20050202001082 |
| Provider Name | Bruce R Gendron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548268071 PECOS PAC ID: 3072417757 Enrollment ID: I20050208000956 |
| Provider Name | Michael Capicotto |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366495095 PECOS PAC ID: 2961453766 Enrollment ID: I20050209000678 |
| Provider Name | Fausto Y Vinces |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760549612 PECOS PAC ID: 9436101516 Enrollment ID: I20050216001016 |
| Provider Name | Uma Medapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053486530 PECOS PAC ID: 9335193168 Enrollment ID: I20050304000283 |
| Provider Name | Denise C Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891760633 PECOS PAC ID: 7012956378 Enrollment ID: I20050427000464 |
| Provider Name | David M Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316970254 PECOS PAC ID: 8123060373 Enrollment ID: I20050830000375 |
| Provider Name | Eric B Stamberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659392215 PECOS PAC ID: 1254364599 Enrollment ID: I20050916000068 |
| Provider Name | Jenna Lee Smith Stout |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295790020 PECOS PAC ID: 2567489719 Enrollment ID: I20051027000764 |
| Provider Name | Steven M Gorelick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972555183 PECOS PAC ID: 0446270748 Enrollment ID: I20051206000302 |
| Provider Name | Emil Shih |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851391700 PECOS PAC ID: 9830119718 Enrollment ID: I20051207000271 |
| Provider Name | Manish Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609961952 PECOS PAC ID: 6507888591 Enrollment ID: I20051219000523 |
| Provider Name | Teresa M Alasio |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396705422 PECOS PAC ID: 6800818113 Enrollment ID: I20051230000246 |
| Provider Name | Gerald M Kufner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821085747 PECOS PAC ID: 9032123856 Enrollment ID: I20060201000295 |
| Provider Name | Andreas M Spirig |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750370375 PECOS PAC ID: 8224043260 Enrollment ID: I20060213000779 |
| Provider Name | Afua Y Forson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740219658 PECOS PAC ID: 0143236471 Enrollment ID: I20060223000803 |
| Provider Name | Eugene A Rezvin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174569982 PECOS PAC ID: 9032125174 Enrollment ID: I20060228000249 |
| Provider Name | Faisal Paracha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346299971 PECOS PAC ID: 3577509801 Enrollment ID: I20060629000382 |
| Provider Name | Marcel E Hinds |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518987007 PECOS PAC ID: 1355348061 Enrollment ID: I20061021000013 |
| Provider Name | Peter E Braverman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417905761 PECOS PAC ID: 1254360258 Enrollment ID: I20061211000001 |
| Provider Name | Jessica E Sangurima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053354159 PECOS PAC ID: 1456352012 Enrollment ID: I20070124000587 |
| Provider Name | Brenda L Ayers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477570992 PECOS PAC ID: 7113029406 Enrollment ID: I20070216000072 |
| Provider Name | Marylinn Markarian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609834514 PECOS PAC ID: 4385650506 Enrollment ID: I20070223000068 |
| Provider Name | Ogleh I Nesheiwat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194809145 PECOS PAC ID: 9739281353 Enrollment ID: I20070227000809 |
| Provider Name | Anne Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679509418 PECOS PAC ID: 9234232422 Enrollment ID: I20070308000208 |
| Provider Name | Margaret Apedo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831240886 PECOS PAC ID: 6103920434 Enrollment ID: I20070327000253 |
| Provider Name | Sanjay M Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902877822 PECOS PAC ID: 7618925629 Enrollment ID: I20070615000125 |
| Provider Name | John G Keene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992719900 PECOS PAC ID: 9234041369 Enrollment ID: I20070619000264 |
| Provider Name | Mohir Hedeshian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871704049 PECOS PAC ID: 5991805467 Enrollment ID: I20070712000593 |
| Provider Name | Samar Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679691059 PECOS PAC ID: 8628179645 Enrollment ID: I20070720000539 |
| Provider Name | Petros Karamanlakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629155908 PECOS PAC ID: 0244331296 Enrollment ID: I20070720000709 |
| Provider Name | Ruchira Chandra |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780886994 PECOS PAC ID: 9638270242 Enrollment ID: I20070726000655 |
| Provider Name | Antenor Vilceus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760549075 PECOS PAC ID: 8729179916 Enrollment ID: I20070801000774 |
| Provider Name | Deepa R Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457432007 PECOS PAC ID: 0648362954 Enrollment ID: I20070816000278 |
| Provider Name | Timothy Collins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760586903 PECOS PAC ID: 5294827325 Enrollment ID: I20070822000243 |
| Provider Name | Janice Muir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598977555 PECOS PAC ID: 8325135080 Enrollment ID: I20071029000327 |
| Provider Name | Diane C Kantaros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528099736 PECOS PAC ID: 8426145095 Enrollment ID: I20071029000508 |
| Provider Name | Sol Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700082724 PECOS PAC ID: 8921198755 Enrollment ID: I20071218000093 |
| Provider Name | Saharat Bhitiyakul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104921295 PECOS PAC ID: 1153411889 Enrollment ID: I20071219000272 |
| Provider Name | Daniel J Stephens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578519641 PECOS PAC ID: 9234141979 Enrollment ID: I20080215000254 |
| Provider Name | Muhammad O Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710984703 PECOS PAC ID: 3476549833 Enrollment ID: I20080226000880 |
| Provider Name | James Scaduto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811929540 PECOS PAC ID: 8527078070 Enrollment ID: I20080227000627 |
| Provider Name | Yaw A Apenteng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134155435 PECOS PAC ID: 3779668371 Enrollment ID: I20080306000454 |
| Provider Name | Susan K Boolbol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154305720 PECOS PAC ID: 2264510759 Enrollment ID: I20080424000184 |
| Provider Name | Stephen Malamud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265417323 PECOS PAC ID: 4981782349 Enrollment ID: I20080425000010 |
| Provider Name | Meredith Mcdowell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740332410 PECOS PAC ID: 0143399147 Enrollment ID: I20080516000363 |
| Provider Name | Francine H Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518912260 PECOS PAC ID: 3577578855 Enrollment ID: I20080520000174 |
| Provider Name | Raymond Tan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457523995 PECOS PAC ID: 9032288741 Enrollment ID: I20080521000527 |
| Provider Name | Dahlia Plummer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1780865543 PECOS PAC ID: 0749350825 Enrollment ID: I20080602000160 |
| Provider Name | Huicong Zhao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972779080 PECOS PAC ID: 3971674086 Enrollment ID: I20080618000000 |
| Provider Name | Brian R Binetti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932312907 PECOS PAC ID: 5092886002 Enrollment ID: I20080619000139 |
| Provider Name | Ahmad Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396712790 PECOS PAC ID: 8022189976 Enrollment ID: I20080619000604 |
| Provider Name | Benjamin M Hentel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619154101 PECOS PAC ID: 2264506252 Enrollment ID: I20080809000007 |
| Provider Name | Ihor A Iwaniw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265578967 PECOS PAC ID: 1052486354 Enrollment ID: I20080821000219 |
| Provider Name | Tso Huang J Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396906046 PECOS PAC ID: 0446325542 Enrollment ID: I20080826000063 |
| Provider Name | Stephen M Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184735623 PECOS PAC ID: 9234207481 Enrollment ID: I20081001000602 |
| Provider Name | Sara J Winter Leitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538324991 PECOS PAC ID: 5698843522 Enrollment ID: I20081006000378 |
| Provider Name | David Krakowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730368721 PECOS PAC ID: 8325116148 Enrollment ID: I20081007000458 |
| Provider Name | Jose E Baez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467566299 PECOS PAC ID: 7315015807 Enrollment ID: I20081010000393 |
| Provider Name | Dmitri Gorelov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326242868 PECOS PAC ID: 0648339010 Enrollment ID: I20081030000627 |
| Provider Name | Kathleen Marie Mcginnis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609938968 PECOS PAC ID: 3173682754 Enrollment ID: I20081112000006 |
| Provider Name | Cynthia D Maggio-silverman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164672127 PECOS PAC ID: 2163581653 Enrollment ID: I20081113000129 |
| Provider Name | William Heffernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356306617 PECOS PAC ID: 1658433479 Enrollment ID: I20090102000290 |
| Provider Name | Michelle Slifkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538142153 PECOS PAC ID: 9739245242 Enrollment ID: I20090309000457 |
| Provider Name | Azzam M Salem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891899126 PECOS PAC ID: 8820188485 Enrollment ID: I20090311000180 |
| Provider Name | Nader Okby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770527467 PECOS PAC ID: 6103983291 Enrollment ID: I20090317000115 |
| Provider Name | Kimberly Ann Heller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063426195 PECOS PAC ID: 8022048024 Enrollment ID: I20090401000069 |
| Provider Name | Lev Davidson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487845244 PECOS PAC ID: 8426106071 Enrollment ID: I20090508000232 |
| Provider Name | Vinita Agarwal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730152695 PECOS PAC ID: 0244334290 Enrollment ID: I20090618000475 |
| Provider Name | Sandhyarani Samantara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619176807 PECOS PAC ID: 4486707841 Enrollment ID: I20090803000074 |
| Provider Name | David Kung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669656922 PECOS PAC ID: 3971656356 Enrollment ID: I20090803000261 |
| Provider Name | Glen Kay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689650830 PECOS PAC ID: 6608921531 Enrollment ID: I20090828000429 |
| Provider Name | Manjinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619112489 PECOS PAC ID: 7315093663 Enrollment ID: I20090929000120 |
| Provider Name | Lorraine M Allegro-skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558497602 PECOS PAC ID: 5092765875 Enrollment ID: I20091005000349 |
| Provider Name | Nili Gujadhur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003887258 PECOS PAC ID: 9931246097 Enrollment ID: I20091021000621 |
| Provider Name | Michael Bromley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780683615 PECOS PAC ID: 0244334134 Enrollment ID: I20091217000332 |
| Provider Name | Donald C Lien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952300964 PECOS PAC ID: 3375543192 Enrollment ID: I20091217000338 |
| Provider Name | Laura Coryat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538492202 PECOS PAC ID: 4082754148 Enrollment ID: I20091221000562 |
| Provider Name | Richard J Friedland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376543231 PECOS PAC ID: 3173523990 Enrollment ID: I20091228000484 |
| Provider Name | Bryan C Yen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598764615 PECOS PAC ID: 1456351279 Enrollment ID: I20100104000529 |
| Provider Name | Joseph C Antonio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922007632 PECOS PAC ID: 2466452289 Enrollment ID: I20100112000222 |
| Provider Name | Paul Wright |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275510828 PECOS PAC ID: 0042353559 Enrollment ID: I20100205000512 |
| Provider Name | Benjamin D Seckler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821097445 PECOS PAC ID: 6002816824 Enrollment ID: I20100217000486 |
| Provider Name | Yin Yin Myaing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629280201 PECOS PAC ID: 8123110442 Enrollment ID: I20100303000510 |
| Provider Name | Hang Kyu Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528243813 PECOS PAC ID: 8325170889 Enrollment ID: I20100719000570 |
| Provider Name | Alan Robert Schulsinger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093793655 PECOS PAC ID: 3971636432 Enrollment ID: I20100804000415 |
| Provider Name | Anthony W D'ambrosio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437322385 PECOS PAC ID: 2163556127 Enrollment ID: I20100813000091 |
| Provider Name | Valerie C Cluzet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619136660 PECOS PAC ID: 9436283389 Enrollment ID: I20100814000241 |
| Provider Name | Julie W Denney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1275693061 PECOS PAC ID: 7618001181 Enrollment ID: I20100819000324 |
| Provider Name | Renee S Berger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386664001 PECOS PAC ID: 5092839019 Enrollment ID: I20100827000591 |
| Provider Name | Rebecca Anne Mazurkiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427217678 PECOS PAC ID: 9335263128 Enrollment ID: I20100831000681 |
| Provider Name | Valerie J Zarcone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447368568 PECOS PAC ID: 4880718212 Enrollment ID: I20100907001017 |
| Provider Name | Susan E Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518125822 PECOS PAC ID: 3779608153 Enrollment ID: I20100909000560 |
| Provider Name | Adesh Tandon |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750602686 PECOS PAC ID: 6103941455 Enrollment ID: I20100910000272 |
| Provider Name | Elvita Genelus Dominique |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639317472 PECOS PAC ID: 8426173139 Enrollment ID: I20100918000120 |
| Provider Name | Kelly S Dercola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376523688 PECOS PAC ID: 1850395625 Enrollment ID: I20100920000117 |
| Provider Name | Amy Cocina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689833394 PECOS PAC ID: 0143412601 Enrollment ID: I20101004000260 |
| Provider Name | Robert A Rosenzweig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073508818 PECOS PAC ID: 9335295393 Enrollment ID: I20101006000347 |
| Provider Name | Barry E Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992879951 PECOS PAC ID: 4789876772 Enrollment ID: I20101008000691 |
| Provider Name | Matthew D Mcdonald |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619167640 PECOS PAC ID: 7315139045 Enrollment ID: I20101013000104 |
| Provider Name | Purvi Yogesh Parikh |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1346462207 PECOS PAC ID: 3375617087 Enrollment ID: I20101018000074 |
| Provider Name | Allison J Gould |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790880417 PECOS PAC ID: 8325237142 Enrollment ID: I20110110000842 |
| Provider Name | Bruce Todd Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134429152 PECOS PAC ID: 8022297803 Enrollment ID: I20110126000000 |
| Provider Name | Francis C Mayle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447234604 PECOS PAC ID: 3375562960 Enrollment ID: I20110131000031 |
| Provider Name | Zubair Zoha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790765162 PECOS PAC ID: 0042490658 Enrollment ID: I20110214000465 |
| Provider Name | Barbara Ferdman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457308652 PECOS PAC ID: 3577513381 Enrollment ID: I20110317000134 |
| Provider Name | Jonathan K Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679531065 PECOS PAC ID: 1153506035 Enrollment ID: I20110420000238 |
| Provider Name | Michele Losinno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821037607 PECOS PAC ID: 2062697832 Enrollment ID: I20110421000561 |
| Provider Name | Elizabeth Lucal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639154826 PECOS PAC ID: 6305021676 Enrollment ID: I20110502000250 |
| Provider Name | James R Nitzkorski |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1245471986 PECOS PAC ID: 9032266812 Enrollment ID: I20110520000073 |
| Provider Name | Pawan Kumar Jindal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467433003 PECOS PAC ID: 2567644362 Enrollment ID: I20110602000013 |
| Provider Name | Egesta Mani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679791651 PECOS PAC ID: 1557548807 Enrollment ID: I20110614000285 |
| Provider Name | Joseph A Chappelle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346412855 PECOS PAC ID: 1355529470 Enrollment ID: I20110620000588 |
| Provider Name | John Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558695874 PECOS PAC ID: 4981742962 Enrollment ID: I20110708000042 |
| Provider Name | Patrick Grippo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255449518 PECOS PAC ID: 3678788072 Enrollment ID: I20110803000675 |
| Provider Name | Crystal A Kukulka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164693719 PECOS PAC ID: 4880882877 Enrollment ID: I20110815000123 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831477694 PECOS PAC ID: 6406025014 Enrollment ID: I20110816000033 |
| Provider Name | Laszlo Csury |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245219062 PECOS PAC ID: 7214946243 Enrollment ID: I20110901000177 |
| Provider Name | Yakov Isakov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205096310 PECOS PAC ID: 8325210594 Enrollment ID: I20111012000195 |
| Provider Name | Dorothy Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285914358 PECOS PAC ID: 6103099833 Enrollment ID: I20111025000642 |
| Provider Name | Tanya L Thompson Badamosi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386835775 PECOS PAC ID: 1153596150 Enrollment ID: I20111202000003 |
| Provider Name | Kristie Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235216037 PECOS PAC ID: 9638246754 Enrollment ID: I20111207000744 |
| Provider Name | Kaitlyn Greenough |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932489143 PECOS PAC ID: 3577720580 Enrollment ID: I20120202000579 |
| Provider Name | Pranat Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275793549 PECOS PAC ID: 0547428260 Enrollment ID: I20120227000030 |
| Provider Name | Shazia A Choudry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437317351 PECOS PAC ID: 4981862505 Enrollment ID: I20120314000706 |
| Provider Name | Osama A Elsawy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962732115 PECOS PAC ID: 4981868874 Enrollment ID: I20120605000330 |
| Provider Name | Lee A Farber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417152208 PECOS PAC ID: 9739367293 Enrollment ID: I20120712000452 |
| Provider Name | Ibrahim R Pasha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629331798 PECOS PAC ID: 0840456166 Enrollment ID: I20120731000546 |
| Provider Name | Yiping Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710162011 PECOS PAC ID: 6305015132 Enrollment ID: I20120801000461 |
| Provider Name | Ryan Mcknight |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033395991 PECOS PAC ID: 3779731161 Enrollment ID: I20120910000215 |
| Provider Name | Beverly Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578737425 PECOS PAC ID: 2567530769 Enrollment ID: I20121003000509 |
| Provider Name | Nora Gashi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871744474 PECOS PAC ID: 0547457806 Enrollment ID: I20121212000485 |
| Provider Name | Travis S Kipping |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144533571 PECOS PAC ID: 9739333402 Enrollment ID: I20130205000013 |
| Provider Name | David T Khot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619101698 PECOS PAC ID: 6608021571 Enrollment ID: I20130226000074 |
| Provider Name | Donzella Dixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952593485 PECOS PAC ID: 6608013610 Enrollment ID: I20130513000014 |
| Provider Name | Shantala Sonnad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801029046 PECOS PAC ID: 9032358676 Enrollment ID: I20130612000091 |
| Provider Name | Elizabeth M Call |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275510760 PECOS PAC ID: 3274505250 Enrollment ID: I20130802000462 |
| Provider Name | Hank Takvor Bacon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639477607 PECOS PAC ID: 5799928339 Enrollment ID: I20130829000002 |
| Provider Name | Daniel Cruser |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972551828 PECOS PAC ID: 8426291980 Enrollment ID: I20130830000673 |
| Provider Name | Sovan L Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366755324 PECOS PAC ID: 4880838804 Enrollment ID: I20130913000007 |
| Provider Name | Kathleen A Llewellyn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588839070 PECOS PAC ID: 3971747221 Enrollment ID: I20130926000530 |
| Provider Name | Fairouz Hasselmark |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265602833 PECOS PAC ID: 0749414746 Enrollment ID: I20131007000315 |
| Provider Name | Geraldine Jean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588869192 PECOS PAC ID: 9335231497 Enrollment ID: I20131120000115 |
| Provider Name | Nancy A Cooper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477735165 PECOS PAC ID: 7618103326 Enrollment ID: I20131127001604 |
| Provider Name | Raciel F Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386078970 PECOS PAC ID: 0547496176 Enrollment ID: I20131203002134 |
| Provider Name | Janet M Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780023093 PECOS PAC ID: 9234368077 Enrollment ID: I20140128000136 |
| Provider Name | Hary Suseelan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619298981 PECOS PAC ID: 5496911422 Enrollment ID: I20140129001377 |
| Provider Name | Karin M Warltier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306080742 PECOS PAC ID: 2860624491 Enrollment ID: I20140415000509 |
| Provider Name | Hector Ojeda-martinez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407091697 PECOS PAC ID: 7012149289 Enrollment ID: I20140423000085 |
| Provider Name | Joyce N Barlin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1962553479 PECOS PAC ID: 0749408441 Enrollment ID: I20140821001056 |
| Provider Name | Amber Mitchell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275767675 PECOS PAC ID: 4587883251 Enrollment ID: I20140910002201 |
| Provider Name | Allison Tebolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700164787 PECOS PAC ID: 5799905089 Enrollment ID: I20141009000442 |
| Provider Name | Stephanie Ortiz Page |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265842900 PECOS PAC ID: 0648592394 Enrollment ID: I20141208000728 |
| Provider Name | Roberto Jose Arias Gautreaux |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013312826 PECOS PAC ID: 2466778337 Enrollment ID: I20150312000373 |
| Provider Name | David Quinn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871557405 PECOS PAC ID: 6204849565 Enrollment ID: I20150407001168 |
| Provider Name | Kimberly J Henderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790070787 PECOS PAC ID: 7416277769 Enrollment ID: I20150608002478 |
| Provider Name | Ronald H Gomez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477959898 PECOS PAC ID: 1254643588 Enrollment ID: I20150630000414 |
| Provider Name | Samuel Barasch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033434865 PECOS PAC ID: 9638482755 Enrollment ID: I20150720000578 |
| Provider Name | Melissa M Dudas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790939429 PECOS PAC ID: 9931413408 Enrollment ID: I20150729007469 |
| Provider Name | Sarah Macarthur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275760365 PECOS PAC ID: 4587978432 Enrollment ID: I20150805008310 |
| Provider Name | Michael M Zhadkevich |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598724882 PECOS PAC ID: 4082718176 Enrollment ID: I20150805009203 |
| Provider Name | Jonathan A Ludwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649663261 PECOS PAC ID: 7517272354 Enrollment ID: I20150821014793 |
| Provider Name | Marc Joseph Casasanta |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124281530 PECOS PAC ID: 7214243062 Enrollment ID: I20150825003891 |
| Provider Name | Kantha Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043643620 PECOS PAC ID: 5991012627 Enrollment ID: I20150914001345 |
| Provider Name | Sajin A Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427396530 PECOS PAC ID: 7719295757 Enrollment ID: I20150924002382 |
| Provider Name | Shany David |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205123973 PECOS PAC ID: 8729396361 Enrollment ID: I20151001001994 |
| Provider Name | David E Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942264825 PECOS PAC ID: 0547578817 Enrollment ID: I20151006002561 |
| Provider Name | Matthew Ranalletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629486188 PECOS PAC ID: 2961720040 Enrollment ID: I20151021000116 |
| Provider Name | Michael A Ciaffone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043692981 PECOS PAC ID: 5496064693 Enrollment ID: I20151028001721 |
| Provider Name | Tania N. Barreras-cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750532164 PECOS PAC ID: 2668608449 Enrollment ID: I20151030000088 |
| Provider Name | Peter J Saunders |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235303454 PECOS PAC ID: 2860619517 Enrollment ID: I20151113000963 |
| Provider Name | Byron Patton |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114189156 PECOS PAC ID: 6103127345 Enrollment ID: I20151214000952 |
| Provider Name | Robin J. Gumaer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255714382 PECOS PAC ID: 5991009250 Enrollment ID: I20160205001649 |
| Provider Name | Ryan Z Swan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922325539 PECOS PAC ID: 1557492923 Enrollment ID: I20160205001776 |
| Provider Name | Julio R Vieira |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962776138 PECOS PAC ID: 1254636087 Enrollment ID: I20160216002025 |
| Provider Name | Hida Del C Nierenburg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821314766 PECOS PAC ID: 5193020303 Enrollment ID: I20160226000104 |
| Provider Name | Elizabeth N Elsagga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841573573 PECOS PAC ID: 3971814930 Enrollment ID: I20160303000293 |
| Provider Name | Levent Balkir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003949710 PECOS PAC ID: 5597858001 Enrollment ID: I20160309001938 |
| Provider Name | Mikram Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245518463 PECOS PAC ID: 3072828391 Enrollment ID: I20160323000334 |
| Provider Name | Maria Ramirez Tovar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043573660 PECOS PAC ID: 4486951753 Enrollment ID: I20160331001317 |
| Provider Name | Gurvinder K Virk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831538909 PECOS PAC ID: 6507164621 Enrollment ID: I20160406000286 |
| Provider Name | Pang Lam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639497183 PECOS PAC ID: 6901119262 Enrollment ID: I20160415000438 |
| Provider Name | Christina M Antoine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053734863 PECOS PAC ID: 0941508378 Enrollment ID: I20160418001855 |
| Provider Name | Artem Sunik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861710592 PECOS PAC ID: 8224337464 Enrollment ID: I20160422000627 |
| Provider Name | Xiang D Dong |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1912970435 PECOS PAC ID: 3577592815 Enrollment ID: I20160504002683 |
| Provider Name | Caitlin Clancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255689683 PECOS PAC ID: 1759672892 Enrollment ID: I20160621002563 |
| Provider Name | Jessica A Cingel |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205290418 PECOS PAC ID: 0345531166 Enrollment ID: I20160624000500 |
| Provider Name | Richard M Merrill |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508182676 PECOS PAC ID: 0244523512 Enrollment ID: I20160725000587 |
| Provider Name | Helen C Na-chuang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871632166 PECOS PAC ID: 8527351493 Enrollment ID: I20160729001596 |
| Provider Name | Ioannis Hatzaras |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1225252471 PECOS PAC ID: 8527220375 Enrollment ID: I20160818000896 |
| Provider Name | Hattie Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962847525 PECOS PAC ID: 2769777127 Enrollment ID: I20160824000945 |
| Provider Name | Reuben David Burshtein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033458526 PECOS PAC ID: 4183919558 Enrollment ID: I20160824001115 |
| Provider Name | Zsuzsanna S. Sidlo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598008765 PECOS PAC ID: 0941596662 Enrollment ID: I20160907000624 |
| Provider Name | Mira G Herman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073839882 PECOS PAC ID: 9335437912 Enrollment ID: I20161014000166 |
| Provider Name | Liby A Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417290784 PECOS PAC ID: 1759522022 Enrollment ID: I20161014000321 |
| Provider Name | Kristen M Lackaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801349501 PECOS PAC ID: 0941588164 Enrollment ID: I20161024000276 |
| Provider Name | Saurabh Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710235817 PECOS PAC ID: 5991927915 Enrollment ID: I20161031001421 |
| Provider Name | Cherry B Chassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740481712 PECOS PAC ID: 7719173251 Enrollment ID: I20161103001669 |
| Provider Name | Kristin A Magnanini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154876662 PECOS PAC ID: 9931488590 Enrollment ID: I20161122002021 |
| Provider Name | Jeffrey D Mayne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558597690 PECOS PAC ID: 7012159775 Enrollment ID: I20161215000246 |
| Provider Name | Tracy Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154876555 PECOS PAC ID: 2365725058 Enrollment ID: I20170202001764 |
| Provider Name | Ashley L Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104362458 PECOS PAC ID: 3072898931 Enrollment ID: I20170316001630 |
| Provider Name | Hossam H Hafez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255544458 PECOS PAC ID: 4284788720 Enrollment ID: I20170320001694 |
| Provider Name | Samantha A Tecchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346789757 PECOS PAC ID: 8426333535 Enrollment ID: I20170331000857 |
| Provider Name | Diana G Denisova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053710962 PECOS PAC ID: 1052697844 Enrollment ID: I20170410001838 |
| Provider Name | Margaret Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790916310 PECOS PAC ID: 4981980216 Enrollment ID: I20170420001731 |
| Provider Name | Sheena L Bruenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760913768 PECOS PAC ID: 6305122524 Enrollment ID: I20170424001111 |
| Provider Name | Stephen Herbert Hooper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568457125 PECOS PAC ID: 7719962331 Enrollment ID: I20170501001569 |
| Provider Name | Oroma B. Nwanodi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922021914 PECOS PAC ID: 4688605017 Enrollment ID: I20170502000487 |
| Provider Name | Mae Tighe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184765844 PECOS PAC ID: 3274684782 Enrollment ID: I20170508001518 |
| Provider Name | Mark Kevin Hirko |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023085107 PECOS PAC ID: 5597772947 Enrollment ID: I20170515001531 |
| Provider Name | Danielle S Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578829669 PECOS PAC ID: 1456628403 Enrollment ID: I20170524000386 |
| Provider Name | Ruben J Perez Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780922997 PECOS PAC ID: 3971744137 Enrollment ID: I20170601000364 |
| Provider Name | Melanie L Guerrero |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376503417 PECOS PAC ID: 4082798681 Enrollment ID: I20170718000050 |
| Provider Name | Yohaimi E Cosme Ayala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811254782 PECOS PAC ID: 1456621317 Enrollment ID: I20170725004110 |
| Provider Name | Kristin Marie Logee |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336376516 PECOS PAC ID: 8921321647 Enrollment ID: I20170802002535 |
| Provider Name | Al Haitham M Al Shetawi |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1871760314 PECOS PAC ID: 9739460742 Enrollment ID: I20170817001587 |
| Provider Name | Sarabjit Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952791899 PECOS PAC ID: 2163794678 Enrollment ID: I20170817003888 |
| Provider Name | Chandan Kher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821418484 PECOS PAC ID: 3072886910 Enrollment ID: I20170829001528 |
| Provider Name | Medina B Vernon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346647724 PECOS PAC ID: 3173896784 Enrollment ID: I20170901002139 |
| Provider Name | Vadim Meytes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811255003 PECOS PAC ID: 5799058301 Enrollment ID: I20170901002217 |
| Provider Name | Reena Baharani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659631950 PECOS PAC ID: 5395018865 Enrollment ID: I20170905001774 |
| Provider Name | Marissa L Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689932360 PECOS PAC ID: 8426322454 Enrollment ID: I20170914002252 |
| Provider Name | Adam M. Fogel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285977058 PECOS PAC ID: 7214201250 Enrollment ID: I20170914002445 |
| Provider Name | Sidjay S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598133605 PECOS PAC ID: 5395010946 Enrollment ID: I20171006001331 |
| Provider Name | Annamaria C Arias-denley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114333887 PECOS PAC ID: 3870868102 Enrollment ID: I20171012000270 |
| Provider Name | Neerav S Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275899668 PECOS PAC ID: 0446526628 Enrollment ID: I20171017001639 |
| Provider Name | Kimberly Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407371644 PECOS PAC ID: 0345506416 Enrollment ID: I20171106000830 |
| Provider Name | Sean Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407144876 PECOS PAC ID: 2365708906 Enrollment ID: I20171114002506 |
| Provider Name | Lauren P Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730604570 PECOS PAC ID: 6406113711 Enrollment ID: I20171121002998 |
| Provider Name | Kaye L Saludares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952851339 PECOS PAC ID: 2860759925 Enrollment ID: I20171127002809 |
| Provider Name | Sahib Baljinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922442896 PECOS PAC ID: 8527347426 Enrollment ID: I20171128000991 |
| Provider Name | Jason Sperling |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285603597 PECOS PAC ID: 3173590973 Enrollment ID: I20171207002717 |
| Provider Name | Claire Michelle Popplewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598183568 PECOS PAC ID: 4587922091 Enrollment ID: I20171211000694 |
| Provider Name | Alon S Aharon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1780617746 PECOS PAC ID: 9032006978 Enrollment ID: I20180117000353 |
| Provider Name | Kira R Saltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508378605 PECOS PAC ID: 9335408186 Enrollment ID: I20180124001048 |
| Provider Name | Brian W Murphy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1043277122 PECOS PAC ID: 0042249641 Enrollment ID: I20180305002293 |
| Provider Name | Patrick M Navolanic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093028110 PECOS PAC ID: 6406116029 Enrollment ID: I20180327000441 |
| Provider Name | Ashleigh S Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861822330 PECOS PAC ID: 6002178183 Enrollment ID: I20180330000228 |
| Provider Name | Lena C Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740700368 PECOS PAC ID: 5991068934 Enrollment ID: I20180404002072 |
| Provider Name | Elvira Sinodskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679884423 PECOS PAC ID: 5193950848 Enrollment ID: I20180419002010 |
| Provider Name | Levia Eunice Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720431893 PECOS PAC ID: 3375807118 Enrollment ID: I20180503000934 |
| Provider Name | Kathryn Guernsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831686963 PECOS PAC ID: 5294099677 Enrollment ID: I20180511000427 |
| Provider Name | Anthony D Mohabir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477828796 PECOS PAC ID: 8527321074 Enrollment ID: I20180606001646 |
| Provider Name | Jerry Mathew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518387810 PECOS PAC ID: 2769789411 Enrollment ID: I20180726002886 |
| Provider Name | Huan Huan Sun |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619140720 PECOS PAC ID: 1951658582 Enrollment ID: I20180727000552 |
| Provider Name | Mary Claire Thomas Abbot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215322383 PECOS PAC ID: 5395094692 Enrollment ID: I20180820003145 |
| Provider Name | Kwaku A Kyere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163861 PECOS PAC ID: 9830460492 Enrollment ID: I20180828001800 |
| Provider Name | Nicole P Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689168098 PECOS PAC ID: 7719237585 Enrollment ID: I20180829002722 |
| Provider Name | Alan Birney |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1194085704 PECOS PAC ID: 1355692559 Enrollment ID: I20180927001972 |
| Provider Name | Jovana Y Martin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1366760282 PECOS PAC ID: 7416102769 Enrollment ID: I20181005000078 |
| Provider Name | Raffaele Marchigiani |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629207139 PECOS PAC ID: 3971896762 Enrollment ID: I20181005002014 |
| Provider Name | Tanner William Boes |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1013351477 PECOS PAC ID: 5496981391 Enrollment ID: I20181009002617 |
| Provider Name | Eugenia Notte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326395443 PECOS PAC ID: 3678797289 Enrollment ID: I20181019001299 |
| Provider Name | Fateema Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659759991 PECOS PAC ID: 1850644766 Enrollment ID: I20181023001994 |
| Provider Name | Nima Hani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801157219 PECOS PAC ID: 1759651334 Enrollment ID: I20181024002817 |
| Provider Name | Holly Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782859 PECOS PAC ID: 3375896715 Enrollment ID: I20181031002796 |
| Provider Name | Nonso C. Osakwe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477968121 PECOS PAC ID: 9931452299 Enrollment ID: I20181102001321 |
| Provider Name | Iftekhar Mahmud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770966582 PECOS PAC ID: 5193078301 Enrollment ID: I20181105001500 |
| Provider Name | Whitney S Hall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689063372 PECOS PAC ID: 6103160486 Enrollment ID: I20181128001692 |
| Provider Name | Nicholas V Stickel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700145703 PECOS PAC ID: 9537403571 Enrollment ID: I20181203002330 |
| Provider Name | Samantha C Mannese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962987784 PECOS PAC ID: 0648515528 Enrollment ID: I20181220002564 |
| Provider Name | Stephen Chin-ung Yu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497727978 PECOS PAC ID: 9335242890 Enrollment ID: I20190131002374 |
| Provider Name | Umara Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417337734 PECOS PAC ID: 1951649730 Enrollment ID: I20190221000757 |
| Provider Name | Vincent Lau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225473382 PECOS PAC ID: 9133468051 Enrollment ID: I20190311001849 |
| Provider Name | Thomas W Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831661149 PECOS PAC ID: 4789924234 Enrollment ID: I20190319002352 |
| Provider Name | Anna T Vischio |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134373251 PECOS PAC ID: 8224264981 Enrollment ID: I20190328001045 |
| Provider Name | Evan Kurz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306283502 PECOS PAC ID: 1355682212 Enrollment ID: I20190403001564 |
| Provider Name | Paulina Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528539830 PECOS PAC ID: 1850632639 Enrollment ID: I20190403002828 |
| Provider Name | Eustacier K Spencer-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538669270 PECOS PAC ID: 0840533964 Enrollment ID: I20190513001660 |
| Provider Name | Lena Nesheiwat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013259696 PECOS PAC ID: 0042599193 Enrollment ID: I20190530000837 |
| Provider Name | Austin Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427516087 PECOS PAC ID: 2860725546 Enrollment ID: I20190612001192 |
| Provider Name | Victoria Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578064770 PECOS PAC ID: 3779847306 Enrollment ID: I20190612002831 |
| Provider Name | Alexander S Feldberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063867307 PECOS PAC ID: 0648507095 Enrollment ID: I20190808001628 |
| Provider Name | Zeah N Venitelli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538426754 PECOS PAC ID: 6305173436 Enrollment ID: I20190812002130 |
| Provider Name | Margaret Molloy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043600018 PECOS PAC ID: 6002144201 Enrollment ID: I20190827000401 |
| Provider Name | Mary E Paquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235791369 PECOS PAC ID: 0547590937 Enrollment ID: I20190927001252 |
| Provider Name | Mohamed Y Elsagga |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649551607 PECOS PAC ID: 9830475235 Enrollment ID: I20190930003165 |
| Provider Name | Aminata Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295389450 PECOS PAC ID: 8022349554 Enrollment ID: I20191014002210 |
| Provider Name | Bino Jacob Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447637079 PECOS PAC ID: 1355688615 Enrollment ID: I20191016002483 |
| Provider Name | Jonathon J Lebovitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1306130885 PECOS PAC ID: 7113229659 Enrollment ID: I20191025000211 |
| Provider Name | Katie E Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427604362 PECOS PAC ID: 2365774999 Enrollment ID: I20191030003021 |
| Provider Name | Ralph Llewel D Sabang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396196325 PECOS PAC ID: 4486986080 Enrollment ID: I20191031001969 |
| Provider Name | Priyam Pattnaik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003226937 PECOS PAC ID: 2264864396 Enrollment ID: I20191112000813 |
| Provider Name | Jennifer Lacina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932750783 PECOS PAC ID: 2163855446 Enrollment ID: I20191126002315 |
| Provider Name | Amna Shaikh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558784371 PECOS PAC ID: 3577871987 Enrollment ID: I20191217001262 |
| Provider Name | Carinne Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902165277 PECOS PAC ID: 6002057239 Enrollment ID: I20191218002393 |
| Provider Name | Joseph Ian Burdowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831536275 PECOS PAC ID: 0244572154 Enrollment ID: I20200210001399 |
| Provider Name | Shani J Fruchter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235491374 PECOS PAC ID: 6002168200 Enrollment ID: I20200211002635 |
| Provider Name | Lindsay Athans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104464601 PECOS PAC ID: 6507294998 Enrollment ID: I20200318001394 |
| Provider Name | Roy Kedem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164449153 PECOS PAC ID: 7618975103 Enrollment ID: I20200326002805 |
| Provider Name | Kunal A Nangrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538521323 PECOS PAC ID: 5698012078 Enrollment ID: I20200330002914 |
| Provider Name | Joshua Marcus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609010719 PECOS PAC ID: 9133417579 Enrollment ID: I20200407001968 |
| Provider Name | Karen Mulvihill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497847180 PECOS PAC ID: 3678470127 Enrollment ID: I20200422001172 |
| Provider Name | Steven Mathew Byrne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669823845 PECOS PAC ID: 7810328051 Enrollment ID: I20200504001003 |
| Provider Name | Jacob R Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720534068 PECOS PAC ID: 4082995899 Enrollment ID: I20200522002278 |
| Provider Name | Brett Erdreich |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053725200 PECOS PAC ID: 0941502538 Enrollment ID: I20200527001965 |
| Provider Name | Daniel Kaufman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639516206 PECOS PAC ID: 3375774482 Enrollment ID: I20200604002222 |
| Provider Name | Rajeena A Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104453653 PECOS PAC ID: 5890117659 Enrollment ID: I20200624000834 |
| Provider Name | Kyla Pollutro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871066274 PECOS PAC ID: 7214350214 Enrollment ID: I20200709001564 |
| Provider Name | Tylene Lizardi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033498985 PECOS PAC ID: 2961825989 Enrollment ID: I20200709002348 |
| Provider Name | Christina M Rankey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134550569 PECOS PAC ID: 7214353846 Enrollment ID: I20200727000569 |
| Provider Name | Elyana Matayeva |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124389390 PECOS PAC ID: 0749528644 Enrollment ID: I20200727001751 |
| Provider Name | Kathleen A Wohlfahrt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174158752 PECOS PAC ID: 9234554817 Enrollment ID: I20200729002623 |
| Provider Name | Md Rezaul Hoque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316467723 PECOS PAC ID: 4082039680 Enrollment ID: I20200729003335 |
| Provider Name | Erion Qaja |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396185328 PECOS PAC ID: 3173871340 Enrollment ID: I20200821000510 |
| Provider Name | Vivek R Thakkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720512809 PECOS PAC ID: 7810315033 Enrollment ID: I20200918001856 |
| Provider Name | Anna Nikolaevna Samedova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023546348 PECOS PAC ID: 0547689549 Enrollment ID: I20200924000936 |
| Provider Name | Sherif Elhosseiny |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679928584 PECOS PAC ID: 0648515148 Enrollment ID: I20200925000562 |
| Provider Name | Limore Maron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932363827 PECOS PAC ID: 4880888122 Enrollment ID: I20200925001910 |
| Provider Name | Jessica R Sylvester |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508049396 PECOS PAC ID: 9335318401 Enrollment ID: I20200925002342 |
| Provider Name | Carol J Bogdanowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437272622 PECOS PAC ID: 0840620035 Enrollment ID: I20201001000793 |
| Provider Name | Danielle Alaimo Isenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063945798 PECOS PAC ID: 8820408503 Enrollment ID: I20201109001532 |
| Provider Name | Gisell Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336689892 PECOS PAC ID: 8921418419 Enrollment ID: I20201112001590 |
| Provider Name | Lalainya M O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972100915 PECOS PAC ID: 7517378441 Enrollment ID: I20201127000131 |
| Provider Name | Scott P Sanderson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801827662 PECOS PAC ID: 0648217646 Enrollment ID: I20201204002458 |
| Provider Name | Koulako Camara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881202612 PECOS PAC ID: 5193137594 Enrollment ID: I20201208002799 |
| Provider Name | Lisa D Curcio |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1306846324 PECOS PAC ID: 5890710958 Enrollment ID: I20201215000373 |
| Provider Name | Daniel P Obrien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518132505 PECOS PAC ID: 1355566894 Enrollment ID: I20201222002187 |
| Provider Name | Meredith Wesley Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245624287 PECOS PAC ID: 3870918311 Enrollment ID: I20201224000441 |
| Provider Name | Laura J Watson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467692491 PECOS PAC ID: 3173882107 Enrollment ID: I20210106002226 |
| Provider Name | Veronica Y Franz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629321534 PECOS PAC ID: 9739593104 Enrollment ID: I20210126001265 |
| Provider Name | Caitlin Star Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134722788 PECOS PAC ID: 7719391085 Enrollment ID: I20210127002224 |
| Provider Name | Christian Daniel Espana Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245527316 PECOS PAC ID: 5092959460 Enrollment ID: I20210203002687 |
| Provider Name | Yolanda Phillip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386229557 PECOS PAC ID: 7113334574 Enrollment ID: I20210331001448 |
| Provider Name | Amanda Silverio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568889426 PECOS PAC ID: 0244537355 Enrollment ID: I20210402000915 |
| Provider Name | Robert J Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538196795 PECOS PAC ID: 5799832457 Enrollment ID: I20210408000470 |
| Provider Name | Kulin N Oza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427033547 PECOS PAC ID: 8729270038 Enrollment ID: I20210507000849 |
| Provider Name | Jane Longares |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245770163 PECOS PAC ID: 6406265123 Enrollment ID: I20210511000379 |
| Provider Name | Lee H Shapley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780940049 PECOS PAC ID: 5294050274 Enrollment ID: I20210514002029 |
| Provider Name | Christopher Kyriakakos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619364452 PECOS PAC ID: 9638413768 Enrollment ID: I20210602000550 |
| Provider Name | Brendan P Logiurato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023403318 PECOS PAC ID: 9830437052 Enrollment ID: I20210602000642 |
| Provider Name | Nancy B Mattone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558950907 PECOS PAC ID: 2365844057 Enrollment ID: I20210719001282 |
| Provider Name | David Penn |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992143812 PECOS PAC ID: 3274859020 Enrollment ID: I20210727002069 |
| Provider Name | Mohammadreza Shervinrad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598145120 PECOS PAC ID: 6507195898 Enrollment ID: I20210812002845 |
| Provider Name | Nargis Sultan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720663461 PECOS PAC ID: 0547665432 Enrollment ID: I20210816001248 |
| Provider Name | Muhammad Afzal Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073038642 PECOS PAC ID: 3971846403 Enrollment ID: I20210816001357 |
| Provider Name | Samantha Arlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922613488 PECOS PAC ID: 1052717998 Enrollment ID: I20210901001994 |
| Provider Name | Tamar Wilms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750936274 PECOS PAC ID: 2961809066 Enrollment ID: I20210915003644 |
| Provider Name | Raj Murthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154776771 PECOS PAC ID: 2961809504 Enrollment ID: I20210923001786 |
| Provider Name | Sheetal Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083109722 PECOS PAC ID: 3870990435 Enrollment ID: I20210923002714 |
| Provider Name | Manish Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003312323 PECOS PAC ID: 4486998598 Enrollment ID: I20210928001611 |
| Provider Name | David Coleman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558396606 PECOS PAC ID: 1759381122 Enrollment ID: I20211018000814 |
| Provider Name | Andrey Takhtovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942707583 PECOS PAC ID: 6002204054 Enrollment ID: I20211026000096 |
| Provider Name | Mitchell Douglas Gorman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205213790 PECOS PAC ID: 3173941101 Enrollment ID: I20211123002658 |
| Provider Name | Michael J Minarich |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649681321 PECOS PAC ID: 9739458159 Enrollment ID: I20211206002736 |
| Provider Name | Kathryn E Degroat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154826568 PECOS PAC ID: 3577809144 Enrollment ID: I20211207001892 |
| Provider Name | Laura J Watson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467692491 PECOS PAC ID: 3173882107 Enrollment ID: I20211213000722 |
| Provider Name | Amie Burrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447749437 PECOS PAC ID: 1456741156 Enrollment ID: I20211213002148 |
| Provider Name | Donna Pellerin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154362879 PECOS PAC ID: 6608852454 Enrollment ID: I20211221002086 |
| Provider Name | Shripad B Pande |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043575897 PECOS PAC ID: 4789997057 Enrollment ID: I20220107002227 |
| Provider Name | Maryann Mikucki |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659727618 PECOS PAC ID: 2769729037 Enrollment ID: I20220113000478 |
| Provider Name | Susan M Begnal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932875424 PECOS PAC ID: 0547652570 Enrollment ID: I20220124002269 |
| Provider Name | Charisse Pecorella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508485392 PECOS PAC ID: 8628460623 Enrollment ID: I20220125002867 |
| Provider Name | Orna Alpert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164466769 PECOS PAC ID: 8921136029 Enrollment ID: I20220209000740 |
| Provider Name | Jill Rose Quaglino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245900471 PECOS PAC ID: 8820481922 Enrollment ID: I20220214001979 |
| Provider Name | Kellie Forshey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750052643 PECOS PAC ID: 5698169555 Enrollment ID: I20220218001928 |
| Provider Name | Richard M Newman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578538559 PECOS PAC ID: 0547289100 Enrollment ID: I20220321000430 |
| Provider Name | Nicole Brzozowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104351808 PECOS PAC ID: 5193090835 Enrollment ID: I20220331002433 |
| Provider Name | Neil Siekman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851364 PECOS PAC ID: 4688979040 Enrollment ID: I20220415000256 |
| Provider Name | Bronwyn Holmes-mahtani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235626052 PECOS PAC ID: 8921495102 Enrollment ID: I20220419001451 |
| Provider Name | Beth Natt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992919211 PECOS PAC ID: 9830299064 Enrollment ID: I20220419002392 |
| Provider Name | Mohammed Latif |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497080055 PECOS PAC ID: 5496029324 Enrollment ID: I20220422001081 |
| Provider Name | Ryan C Denley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386038560 PECOS PAC ID: 0345596755 Enrollment ID: I20220519001004 |
| Provider Name | Alexander Calvert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053842989 PECOS PAC ID: 5890067169 Enrollment ID: I20220520001707 |
| Provider Name | Alex Westerman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154857142 PECOS PAC ID: 1254765936 Enrollment ID: I20220523002125 |
| Provider Name | James Lettera |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700825593 PECOS PAC ID: 7315128576 Enrollment ID: I20220623001166 |
| Provider Name | Bozena Izabela Lewicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114331873 PECOS PAC ID: 2769604800 Enrollment ID: I20220627001000 |
| Provider Name | Anila Krovvidi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932761210 PECOS PAC ID: 7810377330 Enrollment ID: I20220630000694 |
| Provider Name | Richard Kaplon |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891747390 PECOS PAC ID: 8325024797 Enrollment ID: I20220701002119 |
| Provider Name | Erin Hazel Penn |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356755672 PECOS PAC ID: 4183842032 Enrollment ID: I20220708001930 |
| Provider Name | Michael Popescu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801242086 PECOS PAC ID: 9133455058 Enrollment ID: I20220708003472 |
| Provider Name | Brooke Littlefield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902464894 PECOS PAC ID: 1557742038 Enrollment ID: I20220714002091 |
| Provider Name | Sarah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033852280 PECOS PAC ID: 9032591672 Enrollment ID: I20220729000694 |
| Provider Name | Setu Dalal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013180447 PECOS PAC ID: 0648335216 Enrollment ID: I20220804003743 |
| Provider Name | Daniel Peneyra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003378845 PECOS PAC ID: 5496137440 Enrollment ID: I20220808001259 |
| Provider Name | Jeffrey Gilligan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1073909024 PECOS PAC ID: 3971849167 Enrollment ID: I20220808001964 |
| Provider Name | Justin Chua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154856755 PECOS PAC ID: 7315276110 Enrollment ID: I20220811003007 |
| Provider Name | Ravi J Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386175305 PECOS PAC ID: 1355670324 Enrollment ID: I20220815002774 |
| Provider Name | Smit Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770043838 PECOS PAC ID: 9436488996 Enrollment ID: I20220816000128 |
| Provider Name | Cassandra Lynn Weigert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679234603 PECOS PAC ID: 3577948645 Enrollment ID: I20220912000265 |
| Provider Name | Catherine E Hare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437886843 PECOS PAC ID: 2769867787 Enrollment ID: I20220912002741 |
| Provider Name | Karla Simone Dixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568957496 PECOS PAC ID: 8224413117 Enrollment ID: I20220913002149 |
| Provider Name | Hershenta Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619466844 PECOS PAC ID: 6204213325 Enrollment ID: I20220914000780 |
| Provider Name | Rabjot K Rai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194387126 PECOS PAC ID: 3870822943 Enrollment ID: I20220916002322 |
| Provider Name | Marceline B Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861169484 PECOS PAC ID: 3577948983 Enrollment ID: I20220921003365 |
| Provider Name | Sean Edward O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194458646 PECOS PAC ID: 6608827910 Enrollment ID: I20220922003411 |
| Provider Name | Jessica M Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922429919 PECOS PAC ID: 3779969654 Enrollment ID: I20220929002066 |
| Provider Name | Wael Farid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720205511 PECOS PAC ID: 1355434630 Enrollment ID: I20220930001914 |
| Provider Name | Steven Brandwein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174542450 PECOS PAC ID: 1850571373 Enrollment ID: I20220930002738 |
| Provider Name | Christina M Dinnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831632843 PECOS PAC ID: 2264824259 Enrollment ID: I20221018000448 |
| Provider Name | Mohamed Ali Mohamed Merghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407418585 PECOS PAC ID: 5092181842 Enrollment ID: I20221019000369 |
| Provider Name | Hongling Du |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508266438 PECOS PAC ID: 8224387295 Enrollment ID: I20221025003332 |
| Provider Name | Angeli Kalra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356803522 PECOS PAC ID: 7911236401 Enrollment ID: I20221101003117 |
| Provider Name | Virginia Maryann Luparello-ragusa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942947734 PECOS PAC ID: 1254708399 Enrollment ID: I20221103000215 |
| Provider Name | Rita M Daou |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104577501 PECOS PAC ID: 4587031588 Enrollment ID: I20221103002901 |
| Provider Name | Abeel Mangi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811035256 PECOS PAC ID: 9739260530 Enrollment ID: I20221111002104 |
| Provider Name | Skylar Vansteemburg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245979244 PECOS PAC ID: 6305215708 Enrollment ID: I20221207000359 |
| Provider Name | Mirghani Izzeldin Mirghani Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508326661 PECOS PAC ID: 8022347525 Enrollment ID: I20221213002583 |
| Provider Name | Howard Axelrod |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093705014 PECOS PAC ID: 2163485152 Enrollment ID: I20221214001461 |
| Provider Name | Daniel Fix |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750672119 PECOS PAC ID: 2769744390 Enrollment ID: I20221216000056 |
| Provider Name | Corina Marcu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093724601 PECOS PAC ID: 8527050947 Enrollment ID: I20221221001053 |
| Provider Name | Rose Beery Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063882629 PECOS PAC ID: 2062882459 Enrollment ID: I20221229000825 |
| Provider Name | Jacqueline Y Tracey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013136415 PECOS PAC ID: 7416982798 Enrollment ID: I20221229002589 |
| Provider Name | Oren N Jaspan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225569700 PECOS PAC ID: 5799023917 Enrollment ID: I20230123001220 |
| Provider Name | Fariahh Fazil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053954503 PECOS PAC ID: 8527490598 Enrollment ID: I20230125003297 |
| Provider Name | Ahmed Elsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853470 PECOS PAC ID: 1951727114 Enrollment ID: I20230203001221 |
| Provider Name | Inga Marie Giske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912471228 PECOS PAC ID: 1153752621 Enrollment ID: I20230206002682 |
| Provider Name | Luigi Rao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033269048 PECOS PAC ID: 1658524897 Enrollment ID: I20230207001049 |
| Provider Name | Delysa Nashelle Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184346991 PECOS PAC ID: 8224400627 Enrollment ID: I20230213001335 |
| Provider Name | Rodney James Deaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003934274 PECOS PAC ID: 8921240425 Enrollment ID: I20230221001664 |
| Provider Name | Mark Schuchman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467517300 PECOS PAC ID: 2961683487 Enrollment ID: I20230314001215 |
| Provider Name | Maura Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720407364 PECOS PAC ID: 8729206529 Enrollment ID: I20230316001340 |
| Provider Name | Chen-wen Heh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467449629 PECOS PAC ID: 6507885670 Enrollment ID: I20230316002142 |
| Provider Name | Tina Fakhoury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659080216 PECOS PAC ID: 5890169189 Enrollment ID: I20230329000297 |
| Provider Name | Priti B Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508964552 PECOS PAC ID: 5395841167 Enrollment ID: I20230404001798 |
| Provider Name | Seunghwan Byun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013399294 PECOS PAC ID: 0143537720 Enrollment ID: I20230405000744 |
| Provider Name | Nadia Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902093925 PECOS PAC ID: 2860540754 Enrollment ID: I20230405000877 |
| Provider Name | Sydney Marie Lefay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801215249 PECOS PAC ID: 7113216193 Enrollment ID: I20230405002355 |
| Provider Name | Jose Francisco Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086641 PECOS PAC ID: 4183043383 Enrollment ID: I20230420001073 |
| Provider Name | Nicole Christine Primoff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073032116 PECOS PAC ID: 1052776200 Enrollment ID: I20230424000931 |
| Provider Name | Amandeep Juneja |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1679951123 PECOS PAC ID: 6800131426 Enrollment ID: I20230425000528 |
| Provider Name | Hannah Zetlin Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629570155 PECOS PAC ID: 8729443684 Enrollment ID: I20230427001403 |
| Provider Name | Sophie Claire Feller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134514540 PECOS PAC ID: 0446580260 Enrollment ID: I20230505002019 |
| Provider Name | Sari Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114483138 PECOS PAC ID: 1557602380 Enrollment ID: I20230605002793 |
| Provider Name | Jason Tallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942330014 PECOS PAC ID: 6709927700 Enrollment ID: I20230608003329 |
| Provider Name | Amer Y. Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487699476 PECOS PAC ID: 2062301625 Enrollment ID: I20230614001496 |
| Provider Name | Babuji Gandra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215184726 PECOS PAC ID: 6800042219 Enrollment ID: I20230622002454 |
| Provider Name | Md Masud Billah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720574346 PECOS PAC ID: 7911235387 Enrollment ID: I20230626000316 |
| Provider Name | Maria Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679271050 PECOS PAC ID: 4981063393 Enrollment ID: I20230703001978 |
| Provider Name | Cherry Song |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043445075 PECOS PAC ID: 8224342993 Enrollment ID: I20230706002060 |
| Provider Name | Ian Kaplan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659803393 PECOS PAC ID: 6406215599 Enrollment ID: I20230707001357 |
| Provider Name | Kristi Lynn Irish Liebowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518667963 PECOS PAC ID: 5294194197 Enrollment ID: I20230711001048 |
| Provider Name | Laura Twist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972949642 PECOS PAC ID: 9133362411 Enrollment ID: I20230713002167 |
| Provider Name | Linda Magnie Amah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437415197 PECOS PAC ID: 9830494491 Enrollment ID: I20230717000558 |
| Provider Name | Nancy Jean Nissen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205552270 PECOS PAC ID: 6901266147 Enrollment ID: I20230719001212 |
| Provider Name | Marie Didario |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740591304 PECOS PAC ID: 3678700291 Enrollment ID: I20230719003337 |
| Provider Name | Jason R Xenakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891314712 PECOS PAC ID: 1355703372 Enrollment ID: I20230808002385 |
| Provider Name | Sheila Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720727837 PECOS PAC ID: 6204298466 Enrollment ID: I20230821000349 |
| Provider Name | Tanmay Panchabhai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578899027 PECOS PAC ID: 2466769773 Enrollment ID: I20230901000344 |
| Provider Name | Camillia Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215474341 PECOS PAC ID: 9931484193 Enrollment ID: I20230908001608 |
| Provider Name | Anna Basovich |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1043703861 PECOS PAC ID: 0547640278 Enrollment ID: I20230911003891 |
| Provider Name | Faisal Mansur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639706880 PECOS PAC ID: 4789038761 Enrollment ID: I20230925002205 |
| Provider Name | Maria Kaghazian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205459575 PECOS PAC ID: 9537513304 Enrollment ID: I20230927002581 |
| Provider Name | Pradnya Patil |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922310598 PECOS PAC ID: 4880838507 Enrollment ID: I20231010001718 |
| Provider Name | Nida Khokhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316574817 PECOS PAC ID: 0345695474 Enrollment ID: I20231010003105 |
| Provider Name | Lauren Ashley Wildrick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922789593 PECOS PAC ID: 9638524481 Enrollment ID: I20231013001025 |
| Provider Name | Erin Patricia Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912680448 PECOS PAC ID: 7911352794 Enrollment ID: I20231013002501 |
| Provider Name | Donald Sampson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558318501 PECOS PAC ID: 1153323001 Enrollment ID: I20231025001334 |
| Provider Name | Alan Dietzek |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134160435 PECOS PAC ID: 6800809088 Enrollment ID: I20231031000617 |
| Provider Name | Umbreen Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780209338 PECOS PAC ID: 6901252576 Enrollment ID: I20231102002092 |
| Provider Name | Lameesah Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043830920 PECOS PAC ID: 6305292988 Enrollment ID: I20231102002352 |
| Provider Name | Feona Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114568839 PECOS PAC ID: 0345697983 Enrollment ID: I20231103001715 |
| Provider Name | Ann Kozlik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780213660 PECOS PAC ID: 8224485750 Enrollment ID: I20231106001729 |
| Provider Name | Erika M Flashburg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750743258 PECOS PAC ID: 5092098210 Enrollment ID: I20231108000725 |
| Provider Name | Alvaro J Coronado Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710261037 PECOS PAC ID: 9739451782 Enrollment ID: I20231114000433 |
| Provider Name | Allison Roof |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871207027 PECOS PAC ID: 7517314388 Enrollment ID: I20231116000223 |
| Provider Name | Michael Ormont |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114951753 PECOS PAC ID: 7517926769 Enrollment ID: I20231116001174 |
| Provider Name | Shannon Stallings |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700221140 PECOS PAC ID: 0042562175 Enrollment ID: I20231121000737 |
| Provider Name | Zerin Tasneem Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336762574 PECOS PAC ID: 2163870791 Enrollment ID: I20231121000816 |
| Provider Name | Stephanie Jean Carro-kowalcyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881223774 PECOS PAC ID: 8325496250 Enrollment ID: I20231201002949 |
| Provider Name | Mauricio La Rosa De Los Rios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235488719 PECOS PAC ID: 1759643018 Enrollment ID: I20231204000776 |
| Provider Name | Nadav Klein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649768557 PECOS PAC ID: 5597017020 Enrollment ID: I20231220000786 |
| Provider Name | Gabriele Maria Iacona |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1316360811 PECOS PAC ID: 6002128238 Enrollment ID: I20240102002905 |
| Provider Name | Lung Lau |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1326432576 PECOS PAC ID: 0345531109 Enrollment ID: I20240110002183 |
| Provider Name | Jean Chelala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285660852 PECOS PAC ID: 1456729409 Enrollment ID: I20240116000911 |
| Provider Name | Viviana Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700401932 PECOS PAC ID: 9638521867 Enrollment ID: I20240123003440 |
| Provider Name | Lindsey Finch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518429547 PECOS PAC ID: 3072963081 Enrollment ID: I20240124002869 |
| Provider Name | Janineen Rohlsberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467872853 PECOS PAC ID: 3173936952 Enrollment ID: I20240126003112 |
| Provider Name | Paul Nee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326051913 PECOS PAC ID: 3971781147 Enrollment ID: I20240129004017 |
| Provider Name | Jalal Hyder |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376923466 PECOS PAC ID: 5799095725 Enrollment ID: I20240202002864 |
| Provider Name | Wissam Aldayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881073625 PECOS PAC ID: 3779834825 Enrollment ID: I20240207002915 |
| Provider Name | Craig Floch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275582686 PECOS PAC ID: 8325010408 Enrollment ID: I20240209002040 |
| Provider Name | Charles Guardia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841464641 PECOS PAC ID: 9436378726 Enrollment ID: I20240215004132 |
| Provider Name | Karen Wilkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184875163 PECOS PAC ID: 9739354929 Enrollment ID: I20240220003941 |
| Provider Name | Carol Lydia Wiediger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033285242 PECOS PAC ID: 2567546773 Enrollment ID: I20240222000374 |
| Provider Name | Ryan L Hargraves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306983556 PECOS PAC ID: 9234500745 Enrollment ID: I20240226004151 |
| Provider Name | Daniel Mardit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619590262 PECOS PAC ID: 5597101055 Enrollment ID: I20240307000967 |
| Provider Name | Keerthana Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932737079 PECOS PAC ID: 4587067897 Enrollment ID: I20240311002954 |
| Provider Name | Petagay P. Fairclough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710675566 PECOS PAC ID: 2860839339 Enrollment ID: I20240319003508 |
| Provider Name | Sunday Chukwudebelu Awaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255103990 PECOS PAC ID: 2860839123 Enrollment ID: I20240321002885 |
| Provider Name | Khaled Carvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811350499 PECOS PAC ID: 3971893785 Enrollment ID: I20240325002121 |
| Provider Name | Ashley Nicole Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316728140 PECOS PAC ID: 2264879170 Enrollment ID: I20240326004386 |
| Provider Name | Thomas D Steeves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093793705 PECOS PAC ID: 9931547643 Enrollment ID: I20240401001431 |
| Provider Name | Nusrat Pathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083947741 PECOS PAC ID: 7911046966 Enrollment ID: I20240402000525 |
| Provider Name | Ayat Metwally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871356659 PECOS PAC ID: 1951749597 Enrollment ID: I20240402002802 |
| Provider Name | Hannah Goldwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063283828 PECOS PAC ID: 1557709805 Enrollment ID: I20240404003608 |
| Provider Name | Niah Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083476394 PECOS PAC ID: 7315385317 Enrollment ID: I20240410001557 |
| Provider Name | Sea Mi Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215295563 PECOS PAC ID: 8527332493 Enrollment ID: I20240416003268 |
| Provider Name | Laurence Ufford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063468171 PECOS PAC ID: 9436152337 Enrollment ID: I20240422000916 |
| Provider Name | Claudia Lago Toro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659585131 PECOS PAC ID: 9436344124 Enrollment ID: I20240422002958 |
| Provider Name | Madelyn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225896251 PECOS PAC ID: 1658710710 Enrollment ID: I20240422003114 |
| Provider Name | Gunjan Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821238676 PECOS PAC ID: 3375739717 Enrollment ID: I20240430002115 |
| Provider Name | Vijay V Desai |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1770506446 PECOS PAC ID: 0244285765 Enrollment ID: I20240503002568 |
| Provider Name | Cameryn Alexandra Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093571796 PECOS PAC ID: 2466893961 Enrollment ID: I20240515002269 |
| Provider Name | Lauren Colasurdo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700409596 PECOS PAC ID: 8527409739 Enrollment ID: I20240517002493 |
| Provider Name | Jeffrey West |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982628095 PECOS PAC ID: 4486557485 Enrollment ID: I20240604001084 |
| Provider Name | Sarah Spada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497381107 PECOS PAC ID: 5395288674 Enrollment ID: I20240614000995 |
Anthony R Tardio Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-471-5070 Fax: 845-471-8901 | |
Mahboobur Rahman Md & Gopa Rahman Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 North Rd, Suite 201n, Poughkeepsie, NY 12601 Phone: 845-454-0370 Fax: 845-454-6017 | |
Hudson Valley Medical Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Raymond Ave, Poughkeepsie, NY 12603 Phone: 845-471-5519 Fax: 845-471-2928 | |
Long Term Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-483-6217 Fax: 845-483-6108 | |
Greenwich Village Gastroenterology, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 Montgomery St, Poughkeepsie, NY 12601 Phone: 845-471-1354 Fax: 845-689-0610 | |
Nunziata Raschella Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-486-7520 Fax: 845-486-8090 | |
Hudson Valley Emergency Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Reade Place, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 Phone: 845-431-5624 Fax: 610-617-6280 |