| Promed Preferred Fl Pllc | |
|
277 Route 70 Toms River NJ 08755-1569 | |
| (929) 674-0553 | |
| Not Available |
| Full Name | Promed Preferred Fl Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 277 Route 70, Toms River, New Jersey |
| Authorized Official Name and Position | Lev Grinman (CO-OWNER) |
| Authorized Official Contact | 8447766332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Preferred Fl Pllc 4 Legends Cir Melville NY 11747-5302 Ph: (844) 776-6332 | Promed Preferred Fl Pllc 277 Route 70 Toms River NJ 08755-1569 Ph: (929) 674-0553 |
| NPI Number | 1821854555 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 6204275704 |
|---|---|
| Medicare Enrollment ID | O20240417000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821854555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Imee Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750970885 PECOS PAC ID: 0244609592 Enrollment ID: I20221208002978 |
| Provider Name | Enriqueta Kalina Cespedes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780312728 PECOS PAC ID: 9032584172 Enrollment ID: I20230404000036 |
| Provider Name | Stephen Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504258 PECOS PAC ID: 7113185117 Enrollment ID: I20240221000672 |
| Provider Name | Ranite Nati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538925987 PECOS PAC ID: 3375982721 Enrollment ID: I20240417003410 |
| Provider Name | Gina Egnozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639922925 PECOS PAC ID: 2062853336 Enrollment ID: I20240517000754 |
| Provider Name | Ana M Pombo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184194466 PECOS PAC ID: 9335581321 Enrollment ID: I20240522001452 |
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