Promed Preferred Nj 2 Pc | |
125 Madison St Boonton NJ 07005-2153 | |
(844) 776-6332 | |
Not Available |
Full Name | Promed Preferred Nj 2 Pc |
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Speciality | Internal Medicine |
Location | 125 Madison St, Boonton, New Jersey |
Authorized Official Name and Position | Lev Grinman (CO-OWNER) |
Authorized Official Contact | 6466731660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Promed Preferred Nj 2 Pc 4 Legends Cir Melville NY 11747-5302 Ph: () - | Promed Preferred Nj 2 Pc 125 Madison St Boonton NJ 07005-2153 Ph: (844) 776-6332 |
NPI Number | 1942075346 |
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Provider Enumeration Date | 11/16/2023 |
Last Update Date | 08/28/2024 |
Medicare PECOS PAC ID | 0244678522 |
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Medicare Enrollment ID | O20240405000324 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942075346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Lev Grinman |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457511743 PECOS PAC ID: 7810011723 Enrollment ID: I20120524000086 |
Provider Name | Puja Bhagat |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558915181 PECOS PAC ID: 8527397835 Enrollment ID: I20190912000586 |
Provider Name | Connor James Starr |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942764246 PECOS PAC ID: 4981946712 Enrollment ID: I20201019000881 |
Scaduto & Renz Mds- Primary Care Partners Affiliate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 W Main St, Suite 3, Boonton, NJ 07005 Phone: 973-335-8656 | |
Synergy Chiropractic Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Madison St, Boonton, NJ 07005 Phone: 973-917-8451 | |
Philip M Scaduto Md Patricia M Renz Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 W Main St, Boonton, NJ 07005 Phone: 973-335-8656 Fax: 973-335-8986 |