Primary Care Physicians, Inc. | |
187 Chestnut St Nutley NJ 07110-2311 | |
(973) 667-4402 | |
(973) 667-6974 |
Full Name | Primary Care Physicians, Inc. |
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Speciality | Internal Medicine |
Location | 187 Chestnut St, Nutley, New Jersey |
Authorized Official Name and Position | Joseph Demayo (OWNER) |
Authorized Official Contact | 9736674402 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Physicians, Inc. Po Box 1939 Bloomfield NJ 07003-1939 Ph: (973) 743-2331 | Primary Care Physicians, Inc. 187 Chestnut St Nutley NJ 07110-2311 Ph: (973) 667-4402 |
NPI Number | 1942233747 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 09/09/2009 |
Medicare PECOS PAC ID | 9537292792 |
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Medicare Enrollment ID | O20100809000814 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942233747 | NPI | - | NPPES |
0209513001 | Other | NJ | AMERIHEALTH |
5410509 | Medicaid | NJ | |
110078758 | Other | NJ | RRMEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20175 (New Jersey) | Secondary |
207R00000X | Internal Medicine | MA059660 (New Jersey) | Primary |
Provider Name | Carl Costanza |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669400651 PECOS PAC ID: 8123054491 Enrollment ID: I20050711000021 |
Divine Grace Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Bloomfield Ave, Nutley, NJ 07110 Phone: 973-235-1772 Fax: 973-235-1774 | |
Dr Anthony M Pastena Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Franklin Ave, Nutley, NJ 07110 Phone: 973-542-0384 Fax: 973-542-1172 | |
Michael F. Durante, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 460 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-8640 | |
James V Agresti Do Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Franklin Ave, Ste 201, Nutley, NJ 07110 Phone: 973-284-0777 | |
Maryann Alessio Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 349 Passaic Ave, Nutley, NJ 07110 Phone: 973-667-8889 Fax: 973-667-5665 | |
Infectious Diseases North Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 181 Franklin Ave, Nutley, NJ 07110 Phone: 973-667-8117 | |
Itserga Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Franklin Ave, Suite#201, Nutley, NJ 07110 Phone: 973-284-0777 Fax: 973-284-1530 |