| Roseville Medical Society Llc | |
|
346 Roseville Ave Newark NJ 07107-1722 | |
| (973) 672-8573 | |
| (973) 766-8099 |
| Full Name | Roseville Medical Society Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 346 Roseville Ave, Newark, New Jersey |
| Authorized Official Name and Position | Alexander Salerno (OWNER) |
| Authorized Official Contact | 9736722455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseville Medical Society Llc 346 Roseville Ave Newark NJ 07107-1722 Ph: (973) 672-8573 | Roseville Medical Society Llc 346 Roseville Ave Newark NJ 07107-1722 Ph: (973) 672-8573 |
| NPI Number | 1275168320 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 03/10/2020 |
| Medicare PECOS PAC ID | 3072939255 |
|---|---|
| Medicare Enrollment ID | O20200818004024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275168320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alexander G Salerno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962476903 PECOS PAC ID: 3375455959 Enrollment ID: I20031105000696 |
| Provider Name | Ketang Modi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396736468 PECOS PAC ID: 1759287469 Enrollment ID: I20031211000720 |
| Provider Name | Roel P Galope |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629021779 PECOS PAC ID: 5991771974 Enrollment ID: I20060508000194 |
| Provider Name | Bela Laschiver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497896286 PECOS PAC ID: 7214030071 Enrollment ID: I20070315000198 |
| Provider Name | Nilay Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154372621 PECOS PAC ID: 5890704811 Enrollment ID: I20070816000577 |
| Provider Name | Paul Kostoulakos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982817326 PECOS PAC ID: 0345337994 Enrollment ID: I20071030000391 |
| Provider Name | Kuang-yiao Hsieh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114968260 PECOS PAC ID: 3678632825 Enrollment ID: I20081104000084 |
| Provider Name | Reginald J Denis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699984682 PECOS PAC ID: 6901905124 Enrollment ID: I20081110000638 |
| Provider Name | Rakesh K Sahni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265636526 PECOS PAC ID: 4385537315 Enrollment ID: I20101124000090 |
| Provider Name | Aida L Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255574307 PECOS PAC ID: 0042496457 Enrollment ID: I20110519000686 |
| Provider Name | Mershad Hagigi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700083763 PECOS PAC ID: 5991938177 Enrollment ID: I20140424001494 |
| Provider Name | Ayme Veronica Frometa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669600995 PECOS PAC ID: 0941515720 Enrollment ID: I20150824000994 |
| Provider Name | Gordon D Lutchman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548270861 PECOS PAC ID: 5799843371 Enrollment ID: I20160223001215 |
| Provider Name | Elizabeth Doi Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710322730 PECOS PAC ID: 1850525973 Enrollment ID: I20160830000285 |
| Provider Name | Diana Rose Larrea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225460454 PECOS PAC ID: 3072809805 Enrollment ID: I20160906000096 |
| Provider Name | Maria Christina Errazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932644812 PECOS PAC ID: 2365725801 Enrollment ID: I20170208001141 |
| Provider Name | Amanda A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508240441 PECOS PAC ID: 7012284649 Enrollment ID: I20170601001609 |
| Provider Name | Prudence A Arthur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881112175 PECOS PAC ID: 6406122381 Enrollment ID: I20171020000046 |
| Provider Name | Kylee L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588029730 PECOS PAC ID: 7810240025 Enrollment ID: I20181105001018 |
| Provider Name | Nawar Al Obaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437511219 PECOS PAC ID: 6608103270 Enrollment ID: I20190806002075 |
| Provider Name | Edrik Josue Acevedo Beltran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427478353 PECOS PAC ID: 1850628371 Enrollment ID: I20190807000008 |
| Provider Name | Joanne Marmol Marmolejos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710240213 PECOS PAC ID: 7810239738 Enrollment ID: I20200311000548 |
| Provider Name | Marsha Kamelia Cill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700379237 PECOS PAC ID: 6800217878 Enrollment ID: I20200528003296 |
| Provider Name | Ashkan Hamzelou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912353830 PECOS PAC ID: 2567884844 Enrollment ID: I20200615000416 |
| Provider Name | Vania Lorvanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386259018 PECOS PAC ID: 2264840131 Enrollment ID: I20210413001865 |
| Provider Name | James B Friedlander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265932131 PECOS PAC ID: 7416359872 Enrollment ID: I20210708001336 |
| Provider Name | Melissa Mercado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821587270 PECOS PAC ID: 8820490097 Enrollment ID: I20210709001972 |
| Provider Name | Iris Berangell Acosta Amezquita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295482610 PECOS PAC ID: 0143616979 Enrollment ID: I20220405000049 |
| Provider Name | Cristian Serna-tamayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396125381 PECOS PAC ID: 9739495573 Enrollment ID: I20230413000975 |
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