| Orion Healthcare Llc | |
|
90 Washington St Suite 308 East Orange NJ 07017-1050 | |
| (973) 677-3300 | |
| (973) 677-3400 |
| Full Name | Orion Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 90 Washington St, East Orange, New Jersey |
| Authorized Official Name and Position | Kumar Ramdas (DOCTOR/OWNER) |
| Authorized Official Contact | 8482503516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orion Healthcare Llc 90 Washington St Suite 308 East Orange NJ 07017-1050 Ph: (973) 677-3300 | Orion Healthcare Llc 90 Washington St Suite 308 East Orange NJ 07017-1050 Ph: (973) 677-3300 |
| NPI Number | 1952859522 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 11/29/2016 |
| Medicare PECOS PAC ID | 9931488053 |
|---|---|
| Medicare Enrollment ID | O20161114000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952859522 | NPI | - | NPPES |
| 8253102 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA70894 (New Jersey) | Primary |
| Provider Name | Shamji K Shah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588631626 PECOS PAC ID: 0840243085 Enrollment ID: I20050228000534 |
| Provider Name | Jacqueline Mullaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730232950 PECOS PAC ID: 1052436755 Enrollment ID: I20100918000016 |
| Provider Name | Kumar Ramdas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780663898 PECOS PAC ID: 8022203413 Enrollment ID: I20101111000018 |
| Provider Name | Donna D Persaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154873453 PECOS PAC ID: 2264714799 Enrollment ID: I20170118001838 |
| Provider Name | Irena Tsapelas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609464460 PECOS PAC ID: 3274946496 Enrollment ID: I20230309003052 |
| Provider Name | Myralisa L Samedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366090748 PECOS PAC ID: 6709241292 Enrollment ID: I20230505002484 |
| Provider Name | Anthoney Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316654056 PECOS PAC ID: 9739523473 Enrollment ID: I20240221000900 |
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