Prompt Md | |
309 1st St Hoboken NJ 07030-2440 | |
(201) 222-8411 | |
(201) 222-8711 |
Full Name | Prompt Md |
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Speciality | Family Medicine |
Location | 309 1st St, Hoboken, New Jersey |
Authorized Official Name and Position | Javed Islam (MEDICAL DIRECTOR) |
Authorized Official Contact | 7328017611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prompt Md 309 1st St Hoboken NJ 07030-2440 Ph: (201) 222-8411 | Prompt Md 309 1st St Hoboken NJ 07030-2440 Ph: (201) 222-8411 |
NPI Number | 1205073079 |
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Provider Enumeration Date | 01/14/2009 |
Last Update Date | 01/14/2009 |
Medicare PECOS PAC ID | 9739236779 |
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Medicare Enrollment ID | O20090409000246 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205073079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Edwards |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1326081134 PECOS PAC ID: 2860466109 Enrollment ID: I20040823001356 |
Provider Name | Javedul A Islam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457491599 PECOS PAC ID: 3779521943 Enrollment ID: I20050419000480 |
Provider Name | Sandra Lee |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1366450850 PECOS PAC ID: 5496737116 Enrollment ID: I20060111000101 |
Provider Name | Amareswari Kadiyam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568871754 PECOS PAC ID: 1850671090 Enrollment ID: I20170825000947 |
Provider Name | Olevia Metry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205256328 PECOS PAC ID: 7113209024 Enrollment ID: I20190206001780 |
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