| Sm Medical, Llc | |
|
135 Bloomfield Ave Suite F Bloomfield NJ 07003-5902 | |
| (862) 213-0033 | |
| Not Available |
| Full Name | Sm Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 Bloomfield Ave, Bloomfield, New Jersey |
| Authorized Official Name and Position | Ramez Samuel (CO-OWNER) |
| Authorized Official Contact | 8622090242 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sm Medical, Llc 135 Bloomfield Ave Suite F Bloomfield NJ 07003-5902 Ph: (862) 213-0033 | Sm Medical, Llc 135 Bloomfield Ave Suite F Bloomfield NJ 07003-5902 Ph: (862) 213-0033 |
| NPI Number | 1932562907 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Medicare PECOS PAC ID | 6406145796 |
|---|---|
| Medicare Enrollment ID | O20160510000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932562907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ramez W Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447303417 PECOS PAC ID: 8325006695 Enrollment ID: I20050103000873 |
| Provider Name | Catalino L Dela Cruz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124131016 PECOS PAC ID: 7012981657 Enrollment ID: I20050315000102 |
| Provider Name | Alexander B Delgra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154313526 PECOS PAC ID: 4789607615 Enrollment ID: I20060106000261 |
| Provider Name | Kristine M Pritsiolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932348596 PECOS PAC ID: 2668658600 Enrollment ID: I20110509000755 |
| Provider Name | Sonya L Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053528356 PECOS PAC ID: 0042467631 Enrollment ID: I20120905000076 |
| Provider Name | Ajay Kapoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922466341 PECOS PAC ID: 2860781093 Enrollment ID: I20160511002073 |
| Provider Name | Yvonne J Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295266468 PECOS PAC ID: 8729333950 Enrollment ID: I20180612001745 |
| Provider Name | Melissa Eve Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457833006 PECOS PAC ID: 4183975204 Enrollment ID: I20180927003026 |
| Provider Name | Andre Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376291013 PECOS PAC ID: 7315334968 Enrollment ID: I20220428001735 |
| Provider Name | Ibrahima T Diallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651714 PECOS PAC ID: 4880057280 Enrollment ID: I20230901001151 |
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Dr Delgra Internal Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 Bloomfield Ave, Suite 2, Bloomfield, NJ 07003 Phone: 973-429-0178 Fax: 973-429-0297 | |
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