Riddle Medical Llc | |
401 Sylvan Pl Haworth NJ 07641-1729 | |
(201) 618-1818 | |
Not Available |
Full Name | Riddle Medical Llc |
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Speciality | Internal Medicine |
Location | 401 Sylvan Pl, Haworth, New Jersey |
Authorized Official Name and Position | Albert Riddle (OWNER) |
Authorized Official Contact | 2016181818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Riddle Medical Llc Po Box 29 Haworth NJ 07641-0029 Ph: (201) 512-9494 | Riddle Medical Llc 401 Sylvan Pl Haworth NJ 07641-1729 Ph: (201) 618-1818 |
NPI Number | 1245286640 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 11/20/2013 |
Medicare PECOS PAC ID | 7113937103 |
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Medicare Enrollment ID | O20091030000340 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245286640 | NPI | - | NPPES |
02752096 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | MA177617 (New Jersey) | Primary |
Provider Name | Albert L Riddle |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1699724880 PECOS PAC ID: 7113819962 Enrollment ID: I20040326000381 |
Provider Name | Antonetta L Antonazzo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518959303 PECOS PAC ID: 8820004823 Enrollment ID: I20060228000798 |
Provider Name | Andria Guzi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912081092 PECOS PAC ID: 9032129200 Enrollment ID: I20060502000791 |
Provider Name | Pamela B Viani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831471978 PECOS PAC ID: 2769641463 Enrollment ID: I20120316000086 |
Provider Name | Elizabeth S George |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831121201 PECOS PAC ID: 6406082569 Enrollment ID: I20140110000045 |
Provider Name | Katerina Listopad |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790146744 PECOS PAC ID: 3870884190 Enrollment ID: I20160616001901 |
Provider Name | Sheri A Riker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245789841 PECOS PAC ID: 9436433794 Enrollment ID: I20170306000157 |
Provider Name | Salome G. Brown-burrell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700317641 PECOS PAC ID: 8123379823 Enrollment ID: I20181022000070 |
Provider Name | Elwira Machado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124475934 PECOS PAC ID: 4981038791 Enrollment ID: I20200103001339 |
Provider Name | Cheryl Pollidore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316266745 PECOS PAC ID: 1951710136 Enrollment ID: I20210430000087 |
Doctors Home Visits Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 296 Garfield Street, Haworth, NJ 07641 Phone: 201-384-3733 Fax: 201-384-8251 |