| Old Hook Medical Associates, Llc | |
|
452 Old Hook Rd 2nd Floor Emerson NJ 07630-1381 | |
| (201) 666-3900 | |
| (201) 261-0505 |
| Full Name | Old Hook Medical Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 452 Old Hook Rd, Emerson, New Jersey |
| Authorized Official Name and Position | Maria Montecillo (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2016663900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Hook Medical Associates, Llc 452 Old Hook Rd 2nd Floor Emerson NJ 07630-1381 Ph: (201) 666-3900 | Old Hook Medical Associates, Llc 452 Old Hook Rd 2nd Floor Emerson NJ 07630-1381 Ph: (201) 666-3900 |
| NPI Number | 1417998303 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 09/10/2014 |
| Medicare PECOS PAC ID | 7012805674 |
|---|---|
| Medicare Enrollment ID | O20040306000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417998303 | NPI | - | NPPES |
| CG1156 | Other | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1092980 (New Jersey) | Primary |
| Provider Name | Allison Hughes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083887871 PECOS PAC ID: 0143116350 Enrollment ID: I20040225000312 |
| Provider Name | Jacqueline M Sutera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659460566 PECOS PAC ID: 8224016050 Enrollment ID: I20041111000027 |
| Provider Name | Harry A Fried |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609810126 PECOS PAC ID: 7810955416 Enrollment ID: I20041229000604 |
| Provider Name | Steven M Rosner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669441929 PECOS PAC ID: 5092603654 Enrollment ID: I20050103000859 |
| Provider Name | Edward J Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831168194 PECOS PAC ID: 8820986482 Enrollment ID: I20050103000865 |
| Provider Name | Carol M Daquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396816427 PECOS PAC ID: 6507801313 Enrollment ID: I20050622000965 |
| Provider Name | Michelle O'shea |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023040771 PECOS PAC ID: 3779509682 Enrollment ID: I20051020000297 |
| Provider Name | Stephen H Sherry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1497856629 PECOS PAC ID: 9335166552 Enrollment ID: I20051027000570 |
| Provider Name | Joseph Giangola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922174457 PECOS PAC ID: 6901829258 Enrollment ID: I20060112000461 |
| Provider Name | Pande V Josifovski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487603007 PECOS PAC ID: 3173547015 Enrollment ID: I20060119000065 |
| Provider Name | Mathew Silverman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043271984 PECOS PAC ID: 5193803278 Enrollment ID: I20080416000029 |
| Provider Name | Jeremiah S Kurz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124040316 PECOS PAC ID: 9830194380 Enrollment ID: I20100312000582 |
| Provider Name | Stanley Mayrowetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184711400 PECOS PAC ID: 9537295910 Enrollment ID: I20100325000471 |
| Provider Name | Michael L Molinaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144234634 PECOS PAC ID: 4981890027 Enrollment ID: I20101201000308 |
| Provider Name | David Dannon Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063453348 PECOS PAC ID: 9830295708 Enrollment ID: I20110105000996 |
| Provider Name | Robert H Odonnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801836895 PECOS PAC ID: 9739361460 Enrollment ID: I20110316000649 |
| Provider Name | Amy G Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033413422 PECOS PAC ID: 5890967434 Enrollment ID: I20111004000540 |
| Provider Name | Vivek L Bagade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760650394 PECOS PAC ID: 8123286465 Enrollment ID: I20120216000190 |
| Provider Name | Elizabeth C Delrosario |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316012578 PECOS PAC ID: 5395990014 Enrollment ID: I20130304000364 |
| Provider Name | Andrew Granas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083607162 PECOS PAC ID: 5799742102 Enrollment ID: I20130815000430 |
| Provider Name | Raghav Rastogi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780985267 PECOS PAC ID: 8123257375 Enrollment ID: I20140210001238 |
| Provider Name | Julie Thomas Kidangan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437470119 PECOS PAC ID: 0042440729 Enrollment ID: I20140225000259 |
| Provider Name | Monique Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366609356 PECOS PAC ID: 6406912849 Enrollment ID: I20140321001132 |
| Provider Name | Tro Kalayjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558660720 PECOS PAC ID: 5193940948 Enrollment ID: I20140710001590 |
| Provider Name | Peter M Woroch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255687067 PECOS PAC ID: 9335365428 Enrollment ID: I20140725001434 |
| Provider Name | Nagaeda Jean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568755866 PECOS PAC ID: 7416126578 Enrollment ID: I20141013000190 |
| Provider Name | Carol Russell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265580096 PECOS PAC ID: 6507957867 Enrollment ID: I20150204000905 |
| Provider Name | Mary Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245660554 PECOS PAC ID: 6204157092 Enrollment ID: I20150604002286 |
| Provider Name | Alisa Schwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790152239 PECOS PAC ID: 7315247939 Enrollment ID: I20151203000031 |
| Provider Name | Esther Sima Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730558354 PECOS PAC ID: 8729389051 Enrollment ID: I20151210001811 |
| Provider Name | Wilbur N Montana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457793051 PECOS PAC ID: 0446552145 Enrollment ID: I20160113000446 |
Humc Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630 Phone: 201-497-1072 Fax: 201-261-0505 | |
Frank M.candido,m.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 466 Old Hook Rd, Suite 11& 12, Emerson, NJ 07630 Phone: 201-265-4050 | |
Professional Sports Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Old Hook Rd, Emerson, NJ 07630 Phone: 201-265-4400 Fax: 201-265-7355 | |
Robert Pearson Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Kinderkamack Rd, Emerson, NJ 07630 Phone: 201-262-0608 Fax: 201-262-8689 | |
New York Gastroenterology & Digestive Disorders Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 Grand Blvd, Emerson, NJ 07630 Phone: 917-885-0633 Fax: 201-261-4944 | |
Bergen Gastroenterology Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 466 Old Hook Rd, Suite 1, Emerson, NJ 07630 Phone: 201-967-8221 Fax: 201-634-9647 |