| Saint Peter's Healthcare System Physician Associates | |
|
254 Easton Ave New Brunswick NJ 08901-1766 | |
| (732) 745-6651 | |
| (732) 745-7938 |
| Full Name | Saint Peter's Healthcare System Physician Associates |
|---|---|
| Speciality | General Practice |
| Location | 254 Easton Ave, New Brunswick, New Jersey |
| Authorized Official Name and Position | Garrick J. Stoldt (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7327456651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Peter's Healthcare System Physician Associates 240 Easton Avenue Third Floor Managed Care Department New Brunswick NJ 08901-1766 Ph: (732) 565-5453 | Saint Peter's Healthcare System Physician Associates 254 Easton Ave New Brunswick NJ 08901-1766 Ph: (732) 745-6651 |
| NPI Number | 1548569361 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/11/2020 |
| Medicare PECOS PAC ID | 9537337258 |
|---|---|
| Medicare Enrollment ID | O20110725000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548569361 | NPI | - | NPPES |
| 0301647 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | John Gallucci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245295153 PECOS PAC ID: 5890686778 Enrollment ID: I20040322000574 |
| Provider Name | Gerardo V Estevez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659379865 PECOS PAC ID: 4486640463 Enrollment ID: I20040423001002 |
| Provider Name | Gregg Giannina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285704213 PECOS PAC ID: 8628064441 Enrollment ID: I20040426000233 |
| Provider Name | Carlos W Benito |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487610952 PECOS PAC ID: 0345237558 Enrollment ID: I20040429000302 |
| Provider Name | Therese Wyman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336158195 PECOS PAC ID: 4486642543 Enrollment ID: I20040505001481 |
| Provider Name | Peter C Valko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528003159 PECOS PAC ID: 1759362478 Enrollment ID: I20040528000039 |
| Provider Name | Anup Singh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245225242 PECOS PAC ID: 2365426616 Enrollment ID: I20040615001239 |
| Provider Name | Mark J Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710928536 PECOS PAC ID: 0143293506 Enrollment ID: I20040816000141 |
| Provider Name | Andrew M Camerota |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568460459 PECOS PAC ID: 2365411683 Enrollment ID: I20041001000878 |
| Provider Name | Carol A Schindler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790794543 PECOS PAC ID: 1951369966 Enrollment ID: I20041222000306 |
| Provider Name | Niranjan V Rao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1851350615 PECOS PAC ID: 0143279570 Enrollment ID: I20050112001026 |
| Provider Name | Paul Matta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427014380 PECOS PAC ID: 5890761035 Enrollment ID: I20050126000275 |
| Provider Name | David E Jacob |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063466381 PECOS PAC ID: 4880647213 Enrollment ID: I20050225000423 |
| Provider Name | Aijaz Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851364301 PECOS PAC ID: 2961440060 Enrollment ID: I20050420000048 |
| Provider Name | Linda Bosworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790842995 PECOS PAC ID: 2860434941 Enrollment ID: I20050531000174 |
| Provider Name | Debra R Goldstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619966850 PECOS PAC ID: 0042246316 Enrollment ID: I20050711000009 |
| Provider Name | Brian L Shaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447247689 PECOS PAC ID: 8729030853 Enrollment ID: I20050712000674 |
| Provider Name | Randy S Tartacoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508829110 PECOS PAC ID: 4385673995 Enrollment ID: I20050804000318 |
| Provider Name | Charles D Franco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942393012 PECOS PAC ID: 6800826025 Enrollment ID: I20050817000857 |
| Provider Name | James E Gervasoni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396807145 PECOS PAC ID: 6507821600 Enrollment ID: I20051004000744 |
| Provider Name | David A Laskow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689771784 PECOS PAC ID: 6901824994 Enrollment ID: I20051108000877 |
| Provider Name | Sergio Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962445494 PECOS PAC ID: 5496779209 Enrollment ID: I20060119000659 |
| Provider Name | Derick J Christian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972594364 PECOS PAC ID: 2466467212 Enrollment ID: I20060215000227 |
| Provider Name | Beverley M Waithe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023157849 PECOS PAC ID: 0345257622 Enrollment ID: I20060310000400 |
| Provider Name | Richard A Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669422911 PECOS PAC ID: 9234147273 Enrollment ID: I20060403000037 |
| Provider Name | Susan R Brill-goldberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487602033 PECOS PAC ID: 1153332655 Enrollment ID: I20060517000075 |
| Provider Name | Kataneh Maleki |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396706651 PECOS PAC ID: 0749296333 Enrollment ID: I20060901000070 |
| Provider Name | Victoria Surgan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073603007 PECOS PAC ID: 5193725786 Enrollment ID: I20070104000354 |
| Provider Name | Rajaa M Zayoud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033110853 PECOS PAC ID: 1153399852 Enrollment ID: I20070710000787 |
| Provider Name | Carmen E Tadros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659438943 PECOS PAC ID: 9234221516 Enrollment ID: I20070816000050 |
| Provider Name | James C Gaido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265589741 PECOS PAC ID: 9436243177 Enrollment ID: I20070926000013 |
| Provider Name | Mervat B Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053319962 PECOS PAC ID: 1355343021 Enrollment ID: I20071204000305 |
| Provider Name | Edward D Fein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629070305 PECOS PAC ID: 2668465113 Enrollment ID: I20071214000015 |
| Provider Name | Rajesh Dev |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255447975 PECOS PAC ID: 2668555244 Enrollment ID: I20080206000403 |
| Provider Name | Thomas J Magliaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235287657 PECOS PAC ID: 5890853733 Enrollment ID: I20081022000361 |
| Provider Name | Sheema Jalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336399963 PECOS PAC ID: 9830253962 Enrollment ID: I20090204000137 |
| Provider Name | Anna Slavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417934712 PECOS PAC ID: 6507915436 Enrollment ID: I20090522000231 |
| Provider Name | Nilam Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053511824 PECOS PAC ID: 5092867143 Enrollment ID: I20090721000167 |
| Provider Name | Kathleen M Hirthler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336141019 PECOS PAC ID: 0446305593 Enrollment ID: I20090826000307 |
| Provider Name | Rizwana Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154558419 PECOS PAC ID: 4183764772 Enrollment ID: I20091211000324 |
| Provider Name | Brad Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871698951 PECOS PAC ID: 5991846016 Enrollment ID: I20100111000513 |
| Provider Name | Archana Singh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902139561 PECOS PAC ID: 0345382750 Enrollment ID: I20100123000123 |
| Provider Name | Fatima Naqvi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740383066 PECOS PAC ID: 2567404049 Enrollment ID: I20100317000863 |
| Provider Name | Michael Hochberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932279114 PECOS PAC ID: 8729069265 Enrollment ID: I20100329000572 |
| Provider Name | Stanley Calderwood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538112149 PECOS PAC ID: 9436053360 Enrollment ID: I20100423000104 |
| Provider Name | Archna S Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578763371 PECOS PAC ID: 9234254962 Enrollment ID: I20100917000304 |
| Provider Name | Amar S Bukhari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518917822 PECOS PAC ID: 0648462457 Enrollment ID: I20101012001187 |
| Provider Name | Siddiq Faisal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780797423 PECOS PAC ID: 8426244583 Enrollment ID: I20101201000595 |
| Provider Name | Michael Carlucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194925750 PECOS PAC ID: 9436347978 Enrollment ID: I20101227000829 |
| Provider Name | William Y Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780784181 PECOS PAC ID: 7315136512 Enrollment ID: I20110104000418 |
| Provider Name | Haris I Rana |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013125053 PECOS PAC ID: 9638358989 Enrollment ID: I20110119000868 |
| Provider Name | Bernadette M Cracchiolo |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1891721668 PECOS PAC ID: 0042490609 Enrollment ID: I20110215000039 |
| Provider Name | Harumi Jyonouchi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1225177090 PECOS PAC ID: 0244416238 Enrollment ID: I20110509000189 |
| Provider Name | Nibal A Zaghloul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447251764 PECOS PAC ID: 6901812247 Enrollment ID: I20110523000331 |
| Provider Name | Palak Moondra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124267091 PECOS PAC ID: 1456407584 Enrollment ID: I20110527000116 |
| Provider Name | Maryellen L Hanley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255446183 PECOS PAC ID: 0143498840 Enrollment ID: I20110725000408 |
| Provider Name | Susan A. Mcmanus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316941370 PECOS PAC ID: 9335230648 Enrollment ID: I20110826000374 |
| Provider Name | Arjun Madhavan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265612949 PECOS PAC ID: 1052505203 Enrollment ID: I20110909002814 |
| Provider Name | Ruppert Hawes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982655320 PECOS PAC ID: 1052583150 Enrollment ID: I20111014000283 |
| Provider Name | Lisa A Hopkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144347675 PECOS PAC ID: 4385817857 Enrollment ID: I20111027000800 |
| Provider Name | Chih Lung Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104934348 PECOS PAC ID: 9739078031 Enrollment ID: I20111227000266 |
| Provider Name | Karen M Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922389725 PECOS PAC ID: 8527225325 Enrollment ID: I20120207000221 |
| Provider Name | Gowri Veeraraghavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619900883 PECOS PAC ID: 9234133273 Enrollment ID: I20120315000362 |
| Provider Name | Lamont Leigh Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831360502 PECOS PAC ID: 1153577630 Enrollment ID: I20120816000425 |
| Provider Name | Douglas S Frenia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902969769 PECOS PAC ID: 5890942130 Enrollment ID: I20120822000092 |
| Provider Name | Jean Eddy Larose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750529012 PECOS PAC ID: 0042483919 Enrollment ID: I20121112000182 |
| Provider Name | Ashwin R Jadhav |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457675159 PECOS PAC ID: 4284822073 Enrollment ID: I20121204000174 |
| Provider Name | Paula Ann Sjolund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659323731 PECOS PAC ID: 2163480633 Enrollment ID: I20130207000050 |
| Provider Name | Dusan Perisic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073767026 PECOS PAC ID: 6608021167 Enrollment ID: I20130307000082 |
| Provider Name | Mahmoud El Banna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194036483 PECOS PAC ID: 1850527003 Enrollment ID: I20131119000476 |
| Provider Name | Nader N Habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598977753 PECOS PAC ID: 3577639269 Enrollment ID: I20140217000477 |
| Provider Name | Luigino R Bernabela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215241187 PECOS PAC ID: 5294965976 Enrollment ID: I20140225000405 |
| Provider Name | Linda M Schnupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083968739 PECOS PAC ID: 6406097385 Enrollment ID: I20140331002028 |
| Provider Name | Revital D Faro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275892812 PECOS PAC ID: 8527281732 Enrollment ID: I20140515001067 |
| Provider Name | Arkady Broder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336307529 PECOS PAC ID: 9739304841 Enrollment ID: I20140703001523 |
| Provider Name | Janelle Foroutan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215222534 PECOS PAC ID: 9739347071 Enrollment ID: I20141211001171 |
| Provider Name | Megha Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629368097 PECOS PAC ID: 4183941883 Enrollment ID: I20150317001908 |
| Provider Name | Rose M Merola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003882606 PECOS PAC ID: 8123331303 Enrollment ID: I20150716002212 |
| Provider Name | Rupinder K Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649484791 PECOS PAC ID: 2668641028 Enrollment ID: I20150728003709 |
| Provider Name | Swapna Katikaneni |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1134526189 PECOS PAC ID: 7416264403 Enrollment ID: I20150924000179 |
| Provider Name | Roopa Roy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437449642 PECOS PAC ID: 3476840349 Enrollment ID: I20160920001970 |
| Provider Name | Andrew S Korman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780833343 PECOS PAC ID: 9638488661 Enrollment ID: I20161229001719 |
| Provider Name | Christina T Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083069033 PECOS PAC ID: 4880978824 Enrollment ID: I20170310001910 |
| Provider Name | Kristy Palomares |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346684701 PECOS PAC ID: 7810296720 Enrollment ID: I20170330001844 |
| Provider Name | Nikesh Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952635781 PECOS PAC ID: 9032257381 Enrollment ID: I20170627001532 |
| Provider Name | Rose Mustafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932333101 PECOS PAC ID: 4688940729 Enrollment ID: I20171018000229 |
| Provider Name | Amie Kawashima |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003137837 PECOS PAC ID: 2567728652 Enrollment ID: I20171106001844 |
| Provider Name | Alexandra Kondratyeva |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659682003 PECOS PAC ID: 5597021550 Enrollment ID: I20171107001686 |
| Provider Name | Sugirdhana Velpari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437449675 PECOS PAC ID: 2769786029 Enrollment ID: I20171207001316 |
| Provider Name | Denise Kosnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588177406 PECOS PAC ID: 9830452036 Enrollment ID: I20180423002012 |
| Provider Name | Ashish C Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730328394 PECOS PAC ID: 2163589995 Enrollment ID: I20180611002731 |
| Provider Name | Hongxiu Luo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710352554 PECOS PAC ID: 0042560914 Enrollment ID: I20180914000061 |
| Provider Name | Sima Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972969350 PECOS PAC ID: 2769729656 Enrollment ID: I20190131000200 |
| Provider Name | Samuel J Knee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962768960 PECOS PAC ID: 6709178205 Enrollment ID: I20190522001996 |
| Provider Name | Imran Saeed |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1669501748 PECOS PAC ID: 1153495742 Enrollment ID: I20190802001910 |
| Provider Name | Minal Doshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346506193 PECOS PAC ID: 6608112446 Enrollment ID: I20200212000583 |
| Provider Name | Kira Marie Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689017576 PECOS PAC ID: 8123397239 Enrollment ID: I20200325002493 |
| Provider Name | Gilbert B Vicencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063042604 PECOS PAC ID: 0749619542 Enrollment ID: I20200330002819 |
| Provider Name | Gwendolyn Delbridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447874623 PECOS PAC ID: 2668885781 Enrollment ID: I20210111001707 |
| Provider Name | Akruti Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780235101 PECOS PAC ID: 9830508506 Enrollment ID: I20210510001122 |
| Provider Name | Nelly M Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063095826 PECOS PAC ID: 4385046614 Enrollment ID: I20210709000498 |
| Provider Name | Lindsay Arthur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184833519 PECOS PAC ID: 8224139753 Enrollment ID: I20211111002239 |
| Provider Name | Catherine Van Doren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225446297 PECOS PAC ID: 0648669143 Enrollment ID: I20211122001340 |
| Provider Name | Shana R Mencher |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053706887 PECOS PAC ID: 0244620383 Enrollment ID: I20211206000447 |
| Provider Name | Divya Khurana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295039253 PECOS PAC ID: 4183949225 Enrollment ID: I20220425002760 |
| Provider Name | Anthony Rizk Tanious |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780146647 PECOS PAC ID: 3173901568 Enrollment ID: I20220525000972 |
| Provider Name | Melissa Murano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659896660 PECOS PAC ID: 1850652033 Enrollment ID: I20231129001596 |
| Provider Name | Monika B Potocki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760970289 PECOS PAC ID: 8628454113 Enrollment ID: I20231228001660 |
| Provider Name | Andrea P Faller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396512877 PECOS PAC ID: 4082054028 Enrollment ID: I20240424003233 |
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 |