| Py Medical Services Of Nj Llc | |
|
65 Jay St Newark NJ 07103-3235 | |
| (718) 709-0940 | |
| Not Available |
| Full Name | Py Medical Services Of Nj Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 65 Jay St, Newark, New Jersey |
| Authorized Official Name and Position | Peyman Younesi (OWNER) |
| Authorized Official Contact | 7187090940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Py Medical Services Of Nj Llc 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 | Py Medical Services Of Nj Llc 65 Jay St Newark NJ 07103-3235 Ph: (718) 709-0940 |
| NPI Number | 1942912381 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 03/15/2023 |
| Medicare PECOS PAC ID | 6901276922 |
|---|---|
| Medicare Enrollment ID | O20230106002325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942912381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20041124000210 |
| Provider Name | Pamela Rose-deandrea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114177045 PECOS PAC ID: 7113080904 Enrollment ID: I20090105000435 |
| Provider Name | Heather A Goldner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801229554 PECOS PAC ID: 6103044623 Enrollment ID: I20140826000873 |
| Provider Name | Susan Meyeno Omoregie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926697 PECOS PAC ID: 6608165543 Enrollment ID: I20160517001687 |
| Provider Name | Anh P Huynh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427419423 PECOS PAC ID: 2961794342 Enrollment ID: I20160705001144 |
| Provider Name | Danielle L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801312152 PECOS PAC ID: 3779840251 Enrollment ID: I20171208001850 |
| Provider Name | Raymond Twum-barima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255576682 PECOS PAC ID: 1153685722 Enrollment ID: I20180507001889 |
| Provider Name | Danielle Trenelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558803676 PECOS PAC ID: 2769734268 Enrollment ID: I20181011000447 |
| Provider Name | Judith A Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157313 PECOS PAC ID: 0941549349 Enrollment ID: I20190301000978 |
| Provider Name | Belen F Assemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923995 PECOS PAC ID: 0648604181 Enrollment ID: I20191217000075 |
| Provider Name | Nieves Fenix-mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912497611 PECOS PAC ID: 8426474776 Enrollment ID: I20200817002954 |
| Provider Name | Marifel B Vidal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902473226 PECOS PAC ID: 8224432638 Enrollment ID: I20210806002338 |
| Provider Name | Peyman Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20211208000113 |
| Provider Name | Ramandeep Kaur Gulati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750035747 PECOS PAC ID: 3779977525 Enrollment ID: I20220222000755 |
| Provider Name | Elaine I Buno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225796436 PECOS PAC ID: 7113304213 Enrollment ID: I20220511000679 |
| Provider Name | Natacha Jharahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275151961 PECOS PAC ID: 5890161699 Enrollment ID: I20221019002365 |
| Provider Name | Janet Christiana Ofori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295947620 PECOS PAC ID: 9739552126 Enrollment ID: I20230306002206 |
| Provider Name | Chinwe Emerah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485871 PECOS PAC ID: 4183976269 Enrollment ID: I20230516001149 |
| Provider Name | Ibrahima T Diallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651714 PECOS PAC ID: 4880057280 Enrollment ID: I20230901001151 |
| Provider Name | Chinasa Chudi-attah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477246007 PECOS PAC ID: 2567826266 Enrollment ID: I20230914000028 |
| Provider Name | Stella Monday Wangai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740892496 PECOS PAC ID: 5193162527 Enrollment ID: I20240321001314 |
| Provider Name | Edna Lyn Lyn Corpuz-esconde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477283158 PECOS PAC ID: 8325414907 Enrollment ID: I20240513003338 |
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