| Rgohel Llc | |
|
318 Professional View Dr Freehold NJ 07728-7904 | |
| (732) 409-6440 | |
| (732) 409-6466 |
| Full Name | Rgohel Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 318 Professional View Dr, Freehold, New Jersey |
| Authorized Official Name and Position | Rekha Gohel (OWNER) |
| Authorized Official Contact | 7324096440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rgohel Llc 26 Molly Pitcher Dr Manalapan NJ 07726-8937 Ph: (732) 409-6440 | Rgohel Llc 318 Professional View Dr Freehold NJ 07728-7904 Ph: (732) 409-6440 |
| NPI Number | 1902388960 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 09/08/2018 |
| Medicare PECOS PAC ID | 0941554547 |
|---|---|
| Medicare Enrollment ID | O20181119000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902388960 | NPI | - | NPPES |
| 25MA07451500 | Other | NJ | STATE LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 25MA07451500 (New Jersey) | Primary |
| Provider Name | Rekha Gohel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679653992 PECOS PAC ID: 6103715503 Enrollment ID: I20040313000018 |
| Provider Name | Irina Efraimovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124348354 PECOS PAC ID: 3173783669 Enrollment ID: I20120320000706 |
| Provider Name | Suzette S Catong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013343201 PECOS PAC ID: 9830401074 Enrollment ID: I20150701000928 |
| Provider Name | Yasmeen Mukaddam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821501891 PECOS PAC ID: 2264791128 Enrollment ID: I20180122003163 |
| Provider Name | Chana Chapler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013501105 PECOS PAC ID: 6406262575 Enrollment ID: I20210316000352 |
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