| Our Family Practice | |
|
1899 Route 88 Brick NJ 08724-3124 | |
| (732) 840-8177 | |
| Not Available |
| Full Name | Our Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1899 Route 88, Brick, New Jersey |
| Authorized Official Name and Position | Michael Cascarina (OWNER) |
| Authorized Official Contact | 7328408177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Family Practice 1899 Route 88 Brick NJ 08724-3124 Ph: (732) 840-8177 | Our Family Practice 1899 Route 88 Brick NJ 08724-3124 Ph: (732) 840-8177 |
| NPI Number | 1609884790 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2466408356 |
|---|---|
| Medicare Enrollment ID | O20050323001156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609884790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael A Cascarina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194732982 PECOS PAC ID: 9335322817 Enrollment ID: I20110321000715 |
| Provider Name | Prema Eapen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972510097 PECOS PAC ID: 1557544038 Enrollment ID: I20110321000782 |
| Provider Name | Laura Tesoriero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457368573 PECOS PAC ID: 4880877372 Enrollment ID: I20110321000826 |
| Provider Name | Michelle D Mcnicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558713180 PECOS PAC ID: 5193013829 Enrollment ID: I20161013000781 |
| Provider Name | Charles John Rutkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881181212 PECOS PAC ID: 1052715273 Enrollment ID: I20210811000189 |
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