| Rutgers Health-pcc Monument Square | |
|
317 George St First Floor New Brunswick NJ 08901-2008 | |
| (732) 235-8993 | |
| Not Available |
| Full Name | Rutgers Health-pcc Monument Square |
|---|---|
| Speciality | Family Medicine |
| Location | 317 George St, New Brunswick, New Jersey |
| Authorized Official Name and Position | Barbara Walter (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Contact | 7322120051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers Health-pcc Monument Square 66 West Gilbert St Red Bank NJ 07701 Ph: (732) 212-0051 | Rutgers Health-pcc Monument Square 317 George St First Floor New Brunswick NJ 08901-2008 Ph: (732) 235-8993 |
| NPI Number | 1912089731 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 07/11/2017 |
| Medicare PECOS PAC ID | 1052389582 |
|---|---|
| Medicare Enrollment ID | O20040922000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912089731 | NPI | - | NPPES |
| 6602801 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joyce G Afran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487731113 PECOS PAC ID: 5799772158 Enrollment ID: I20040428000029 |
| Provider Name | David E Swee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740367127 PECOS PAC ID: 2365410990 Enrollment ID: I20040922000208 |
| Provider Name | David F Howarth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750466439 PECOS PAC ID: 6800859547 Enrollment ID: I20041104000544 |
| Provider Name | Barbara J Mcgarry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952462186 PECOS PAC ID: 3779546411 Enrollment ID: I20041104000579 |
| Provider Name | Sonia G Laumbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841204104 PECOS PAC ID: 2365477049 Enrollment ID: I20060119000269 |
| Provider Name | Rhina A Acevedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396833943 PECOS PAC ID: 1759470073 Enrollment ID: I20071210000032 |
| Provider Name | Kinshasa C Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417157629 PECOS PAC ID: 7911084090 Enrollment ID: I20080415000016 |
| Provider Name | Jason P Womack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497875249 PECOS PAC ID: 9931276748 Enrollment ID: I20080920000031 |
| Provider Name | Fred A Kobylarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023110749 PECOS PAC ID: 0941362941 Enrollment ID: I20081230000215 |
| Provider Name | Keith Reinsdorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174674170 PECOS PAC ID: 1052477056 Enrollment ID: I20090226000489 |
| Provider Name | Sajida H Mokhashi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669658084 PECOS PAC ID: 0345397055 Enrollment ID: I20090416000055 |
| Provider Name | Elizabeth C Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558357996 PECOS PAC ID: 3072694090 Enrollment ID: I20090807000147 |
| Provider Name | Jeanne M Ferrante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659302941 PECOS PAC ID: 8820138167 Enrollment ID: I20091218000021 |
| Provider Name | Alfred F Tallia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043397441 PECOS PAC ID: 8628103645 Enrollment ID: I20100316000851 |
| Provider Name | Rohail Asrar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356596761 PECOS PAC ID: 9638204480 Enrollment ID: I20100318000019 |
| Provider Name | Karen W R Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376619908 PECOS PAC ID: 1557497104 Enrollment ID: I20100407000399 |
| Provider Name | Megan Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346570181 PECOS PAC ID: 1254467848 Enrollment ID: I20100408000152 |
| Provider Name | Jeffrey P Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841379377 PECOS PAC ID: 9234267238 Enrollment ID: I20100512000841 |
| Provider Name | Anil Khandelwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669630356 PECOS PAC ID: 5092983254 Enrollment ID: I20110714000607 |
| Provider Name | Sheraz U Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730333188 PECOS PAC ID: 5890965297 Enrollment ID: I20110822000441 |
| Provider Name | Hilda G Sciortino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760781736 PECOS PAC ID: 1254507940 Enrollment ID: I20111230000091 |
| Provider Name | Hilda U Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982989588 PECOS PAC ID: 9133380181 Enrollment ID: I20120418000449 |
| Provider Name | Rory A Ulloque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407127343 PECOS PAC ID: 7517113749 Enrollment ID: I20120803000432 |
| Provider Name | Komal G Bhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760619241 PECOS PAC ID: 1759530645 Enrollment ID: I20121010000023 |
| Provider Name | Jodelle Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659643831 PECOS PAC ID: 2567616154 Enrollment ID: I20130207000084 |
| Provider Name | Michael A Noll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174892178 PECOS PAC ID: 7113160672 Enrollment ID: I20130830000720 |
| Provider Name | Mafudia A Suaray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831414424 PECOS PAC ID: 3577707579 Enrollment ID: I20130912000659 |
| Provider Name | Sara B Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932414620 PECOS PAC ID: 4284865593 Enrollment ID: I20140331001734 |
| Provider Name | Jennifer R Amico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750652608 PECOS PAC ID: 8729230479 Enrollment ID: I20150825003334 |
| Provider Name | Sara A Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740519834 PECOS PAC ID: 7315240447 Enrollment ID: I20160125001208 |
| Provider Name | Estela Dimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538406707 PECOS PAC ID: 3577869007 Enrollment ID: I20160309002952 |
| Provider Name | Susan Meyeno Omoregie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578926697 PECOS PAC ID: 6608165543 Enrollment ID: I20160517001687 |
| Provider Name | Jill Kropa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558628776 PECOS PAC ID: 5890927024 Enrollment ID: I20160818000131 |
| Provider Name | Maureen F Sweeney Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003855370 PECOS PAC ID: 7315226347 Enrollment ID: I20161116000242 |
| Provider Name | Betsy J Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487885430 PECOS PAC ID: 7315124807 Enrollment ID: I20171218002467 |
| Provider Name | Shefali Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659759447 PECOS PAC ID: 3375801442 Enrollment ID: I20180201001099 |
| Provider Name | Anna Sliwowska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972921351 PECOS PAC ID: 0941562540 Enrollment ID: I20180320000242 |
| Provider Name | Bina Brandkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891273124 PECOS PAC ID: 1658622394 Enrollment ID: I20180919003455 |
| Provider Name | Ora Domovich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427444256 PECOS PAC ID: 0345592267 Enrollment ID: I20181004000083 |
| Provider Name | Rita Itondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649530403 PECOS PAC ID: 2668726407 Enrollment ID: I20181114003263 |
| Provider Name | Enera Kupi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700339181 PECOS PAC ID: 9537408133 Enrollment ID: I20190226001494 |
| Provider Name | Kristin Tatulli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699283390 PECOS PAC ID: 5092058495 Enrollment ID: I20190529001492 |
| Provider Name | Akanksha Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144663352 PECOS PAC ID: 3577797695 Enrollment ID: I20190812003877 |
| Provider Name | Natalia Diaz Bistany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825035 PECOS PAC ID: 1557795374 Enrollment ID: I20200102000892 |
| Provider Name | Holly Lister |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467950766 PECOS PAC ID: 9931520012 Enrollment ID: I20200527002181 |
| Provider Name | Alisa Reznikov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205288784 PECOS PAC ID: 0941621460 Enrollment ID: I20200609000139 |
| Provider Name | Shalini Solanki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902118821 PECOS PAC ID: 3476797192 Enrollment ID: I20210714000300 |
| Provider Name | Janitra Venkatesan Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821594698 PECOS PAC ID: 7810235447 Enrollment ID: I20210730001703 |
| Provider Name | Aixa Navia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184153199 PECOS PAC ID: 4981975794 Enrollment ID: I20211221002233 |
| Provider Name | Michael Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003377383 PECOS PAC ID: 0244618429 Enrollment ID: I20220531000637 |
| Provider Name | Jimmy Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114669942 PECOS PAC ID: 2365820115 Enrollment ID: I20220607000675 |
| Provider Name | Annie Elizabeth Truss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326507229 PECOS PAC ID: 5092194779 Enrollment ID: I20220627002546 |
| Provider Name | Mark Vincent Versella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568180958 PECOS PAC ID: 3375912074 Enrollment ID: I20221219001813 |
Hyacinth Foundation A New Jersey Nonprofit Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 George St, Suite 203, New Brunswick, NJ 08901 Phone: 732-246-0204 Fax: 732-246-4137 | |
Bhavna Sandhu Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-828-3000 | |
Sudha Kolli Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Livingston Ave, New Brunswick, NJ 08901 Phone: 732-249-2044 Fax: 732-249-6225 | |
Ravinder Sharma, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Livingston Ave, New Brunswick, NJ 08901 Phone: 732-745-1100 Fax: 732-247-9015 | |
Rutgers Health-rwj Electrophysiology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Paterson St, Suite 5200, New Brunswick, NJ 08901 Phone: 732-235-7130 | |
Rutgers Health-rwj Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 George St, 1st Floor, New Brunswick, NJ 08901 Phone: 732-235-8993 Fax: 732-246-7317 | |
Umdnj-robert Wood Johnson Medical School, Family Medicine Residency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 George St, New Brunswick, NJ 08901 Phone: 732-235-8993 |