| Oak Tree Healthcare Pa | |
|
115 Belmont Ave Belleville NJ 07109-1993 | |
| (973) 310-7000 | |
| (973) 310-6000 |
| Full Name | Oak Tree Healthcare Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Belmont Ave, Belleville, New Jersey |
| Authorized Official Name and Position | Magdy Mahmoud (OWNER) |
| Authorized Official Contact | 9733704000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Tree Healthcare Pa 110 Squire Hill Rd Montclair NJ 07043-2516 Ph: (973) 370-4000 | Oak Tree Healthcare Pa 115 Belmont Ave Belleville NJ 07109-1993 Ph: (973) 310-7000 |
| NPI Number | 1083368674 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 12/21/2022 |
| Medicare PECOS PAC ID | 0941695860 |
|---|---|
| Medicare Enrollment ID | O20220311000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083368674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Rosa M Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023280914 PECOS PAC ID: 0042389512 Enrollment ID: I20080523000277 |
| Provider Name | Iqbal Hussain Siddiqui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285969980 PECOS PAC ID: 7416090055 Enrollment ID: I20100204000786 |
| Provider Name | Julie Applebaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861932204 PECOS PAC ID: 2163798745 Enrollment ID: I20171026001009 |
| Provider Name | Jennifer Couso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659846566 PECOS PAC ID: 9931445194 Enrollment ID: I20190108003594 |
| Provider Name | Anett Daan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316578594 PECOS PAC ID: 8224454715 Enrollment ID: I20200814000177 |
| Provider Name | Jessy Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154940450 PECOS PAC ID: 1052728359 Enrollment ID: I20210405000610 |
| Provider Name | Fatima D Ababon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346699063 PECOS PAC ID: 3870994056 Enrollment ID: I20210624003452 |
| Provider Name | Sereka Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700558921 PECOS PAC ID: 0941692461 Enrollment ID: I20220113000529 |
| Provider Name | Yerelyn Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932592870 PECOS PAC ID: 2264824242 Enrollment ID: I20220125001835 |
| Provider Name | Fatima G Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072029 PECOS PAC ID: 3173917556 Enrollment ID: I20220301000779 |
| Provider Name | Viviana Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730847690 PECOS PAC ID: 4981086352 Enrollment ID: I20220801003324 |
| Provider Name | Iris Violet Peppers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811655798 PECOS PAC ID: 8820472178 Enrollment ID: I20220906000458 |
| Provider Name | Stephanie Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437734290 PECOS PAC ID: 9537539689 Enrollment ID: I20230105001874 |
| Provider Name | Vrinda Nadkarni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740916790 PECOS PAC ID: 8628441698 Enrollment ID: I20230223000063 |
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Dianne W. Beresford, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Belmont Ave, Belleville, NJ 07109 Phone: 973-751-2240 Fax: 973-751-4886 | |
Oak Tree Healthcare Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Belmont Ave, Belleville, NJ 07109 Phone: 973-310-7000 Fax: 973-310-6000 |