| Pemcare Llc | |
|
267 Central Ave Metuchen NJ 08840-1269 | |
| (732) 287-6004 | |
| (732) 287-3575 |
| Full Name | Pemcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 267 Central Ave, Metuchen, New Jersey |
| Authorized Official Name and Position | Gary John Misko (OWNER) |
| Authorized Official Contact | 7322876004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemcare Llc 267 Central Ave Metuchen NJ 08840-1269 Ph: (732) 287-6004 | Pemcare Llc 267 Central Ave Metuchen NJ 08840-1269 Ph: (732) 287-6004 |
| NPI Number | 1659423549 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 05/09/2017 |
| Medicare PECOS PAC ID | 7113177940 |
|---|---|
| Medicare Enrollment ID | O20121101000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659423549 | NPI | - | NPPES |
| 1737406 | Other | UNITED HEALTHCARE | |
| 2596853 | Other | GHI | |
| P1934612 | Other | OXFORD | |
| 40049 | Other | MEDICHOICE | |
| 0744764001 | Other | AMERIHEALTH HMO POS | |
| 4H8791 | Other | WELLCHOICE | |
| 8637489 | Other | CIGNA | |
| 0462541000 | Other | AMERIHEALTH PPO | |
| 1734357 | Other | FIRST HEALTH | |
| 2185368 | Other | AETNA | |
| J7960 | Other | HORIZON HMO POS | |
| 1K2138 | Other | HEALTHNET | |
| 23641 | Other | AETNA CAP | |
| 31832 | Other | MASTERCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA62917 (New Jersey) | Primary |
| Provider Name | Gary J Misko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033213236 PECOS PAC ID: 9739151382 Enrollment ID: I20040812000822 |
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