| Providence Medical Center | |
|
25 Craig Pl North Plainfield NJ 07060-4777 | |
| (908) 791-9993 | |
| Not Available |
| Full Name | Providence Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Craig Pl, North Plainfield, New Jersey |
| Authorized Official Name and Position | Omobola A Oji (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9087919993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Center 25 Craig Pl North Plainfield NJ 07060-4777 Ph: (908) 791-9993 | Providence Medical Center 25 Craig Pl North Plainfield NJ 07060-4777 Ph: (908) 791-9993 |
| NPI Number | 1962567354 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507816410 |
|---|---|
| Medicare Enrollment ID | O20050128000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962567354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA068918 (New Jersey) | Primary |
| Provider Name | Omobola A Oji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194880583 PECOS PAC ID: 5193715225 Enrollment ID: I20040512001168 |
| Provider Name | Bolanle Tinuke Amon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972948966 PECOS PAC ID: 1355498197 Enrollment ID: I20191230001620 |
Syed A. Siddiq, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Greenbrook Rd, North Plainfield, NJ 07060 Phone: 908-756-5206 Fax: 908-756-5214 | |
M U Rehman Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Greenbrook Rd, North Plainfield, NJ 07060 Phone: 908-899-1549 Fax: 206-202-3153 | |
Alan P. Braun M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Greenbrook Rd, North Plainfield, NJ 07060 Phone: 908-567-0269 Fax: 908-567-2854 | |
Urgent Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Route 22 W, North Plainfield, NJ 07060 Phone: 908-561-4300 Fax: 908-561-4340 |