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290 Red School Ln Phillipsburg NJ 08865-2276 | |
| (800) 411-6768 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 290 Red School Ln, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Victoria Moran (DIRECTOR OF PATIENT CLAIMS) |
| Authorized Official Contact | 9079828674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
119 S Western Ave Unit 1 Chicago IL 60612-4644 Ph: (907) 982-8674 | 290 Red School Ln Phillipsburg NJ 08865-2276 Ph: (800) 411-6768 |
| NPI Number | 1013769868 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 11/22/2024 |
| Medicare PECOS PAC ID | 5294176483 |
|---|---|
| Medicare Enrollment ID | O20240520001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013769868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tom-meka Archinard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215968698 PECOS PAC ID: 3577454032 Enrollment ID: I20040405000399 |
| Provider Name | Jill Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295706158 PECOS PAC ID: 3274500491 Enrollment ID: I20040915001109 |
| Provider Name | Ana Gomes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750348900 PECOS PAC ID: 7012963432 Enrollment ID: I20050329000238 |
| Provider Name | Katharine M Garnier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114934932 PECOS PAC ID: 3476659798 Enrollment ID: I20070516000003 |
| Provider Name | Hima Parchuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386843332 PECOS PAC ID: 9638363542 Enrollment ID: I20101104000096 |
| Provider Name | Dennie Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700174166 PECOS PAC ID: 2062631450 Enrollment ID: I20140917001379 |
| Provider Name | Leonard Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750644928 PECOS PAC ID: 6608184767 Enrollment ID: I20151009001100 |
| Provider Name | Elizabeth E Samuels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487082020 PECOS PAC ID: 8820383482 Enrollment ID: I20160822000360 |
| Provider Name | Anthony Oduje Isedeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445539 PECOS PAC ID: 2567688922 Enrollment ID: I20161128001366 |
| Provider Name | Tiana Grieco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134461726 PECOS PAC ID: 8022240696 Enrollment ID: I20170119000403 |
| Provider Name | Arianna Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225508203 PECOS PAC ID: 6709123722 Enrollment ID: I20190130000045 |
| Provider Name | Ramon Taguba Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20200221002285 |
| Provider Name | Zahra Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20200511000266 |
| Provider Name | Mary Theresa Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306015227 PECOS PAC ID: 5698848174 Enrollment ID: I20200612000300 |
| Provider Name | Richa Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518973882 PECOS PAC ID: 1759693237 Enrollment ID: I20200616001953 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20200616002183 |
| Provider Name | Zakari Kwota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467806810 PECOS PAC ID: 8022359603 Enrollment ID: I20200617000112 |
| Provider Name | Susan Meller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538177316 PECOS PAC ID: 1052463569 Enrollment ID: I20200617000910 |
| Provider Name | Asra Oberoi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396936183 PECOS PAC ID: 8224013529 Enrollment ID: I20200617001522 |
| Provider Name | Jason Woo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962744573 PECOS PAC ID: 4082855440 Enrollment ID: I20200618002551 |
| Provider Name | Sultan S Niazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396048666 PECOS PAC ID: 0749458693 Enrollment ID: I20201111000351 |
| Provider Name | Susan Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396031555 PECOS PAC ID: 0840457982 Enrollment ID: I20201201002408 |
| Provider Name | Grace I Komolafe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053790816 PECOS PAC ID: 6800140450 Enrollment ID: I20210913000049 |
| Provider Name | Farouk Talakshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233000 PECOS PAC ID: 4587956420 Enrollment ID: I20220127000643 |
| Provider Name | Mehjabin I Parkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508068438 PECOS PAC ID: 6103901251 Enrollment ID: I20220202001485 |
| Provider Name | Ianina Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899091 PECOS PAC ID: 7719374644 Enrollment ID: I20220425000929 |
| Provider Name | Natasha Pervez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487030615 PECOS PAC ID: 8628498029 Enrollment ID: I20230123000055 |
| Provider Name | Jarrod Murphy Nero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086296 PECOS PAC ID: 9032439187 Enrollment ID: I20230204000171 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230905000721 |
| Provider Name | Jessica Suzanne Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20230918001088 |
| Provider Name | Hollie Kimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578962106 PECOS PAC ID: 5799905584 Enrollment ID: I20231019000678 |
| Provider Name | Bridgett Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20231201002189 |
| Provider Name | Anthony Ronny Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518588367 PECOS PAC ID: 2264844604 Enrollment ID: I20240307000233 |
| Provider Name | Jessica K Fichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20240409004016 |
| Provider Name | Ashley Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083000954 PECOS PAC ID: 7416278023 Enrollment ID: I20240627000814 |
| Provider Name | Dorinda Vernita Ezell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093282766 PECOS PAC ID: 1355670498 Enrollment ID: I20241204004120 |
Cynthia Montano Telehealth Nj Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Hyde Blvd, Phillipsburg, NJ 08865 Phone: 908-319-2455 | |
Charles R Grubb Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Baltimore St, Phillipsburg, NJ 08865 Phone: 908-454-8787 Fax: 908-454-1192 | |
Raghuveer Annam M.d.,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 461 Corliss Ave, Phillipsburg, NJ 08865 Phone: 908-859-5872 Fax: 908-859-1747 | |
St. Luke's Warren Physician Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865 Phone: 908-454-6306 Fax: 908-454-2289 | |
Prakash Shah Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 185 Roseberry St, Warren Hospital, Phillipsburg, NJ 08865 Phone: 610-258-4891 Fax: 610-258-4836 |