| Pioneer Medical Care Group Llc | |
|
1300 Main Ave Ste 2c Clifton NJ 07011-2266 | |
| (973) 417-0181 | |
| Not Available |
| Full Name | Pioneer Medical Care Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Main Ave Ste 2c, Clifton, New Jersey |
| Authorized Official Name and Position | Ron Hill (OFFICE MANAGER) |
| Authorized Official Contact | 2029852191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Medical Care Group Llc 1300 Main Ave Ste 2c Clifton NJ 07011-2266 Ph: () - | Pioneer Medical Care Group Llc 1300 Main Ave Ste 2c Clifton NJ 07011-2266 Ph: (973) 417-0181 |
| NPI Number | 1083481188 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 01/17/2025 |
| Medicare PECOS PAC ID | 3476991027 |
|---|---|
| Medicare Enrollment ID | O20240826001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083481188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohamed K Kassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528027356 PECOS PAC ID: 9234195801 Enrollment ID: I20200407000089 |
| Provider Name | Emad A Eisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366725749 PECOS PAC ID: 9830338995 Enrollment ID: I20230825003541 |
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