| St Marys General Medical Group Pc | |
|
350 Boulevard Passaic NJ 07055-2840 | |
| (973) 365-4300 | |
| Not Available |
| Full Name | St Marys General Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Boulevard, Passaic, New Jersey |
| Authorized Official Name and Position | Syed Iftikhar Kazmi (PRESIDENT) |
| Authorized Official Contact | 9738775308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Marys General Medical Group Pc 350 Boulevard Passaic NJ 07055-2840 Ph: (973) 365-4300 | St Marys General Medical Group Pc 350 Boulevard Passaic NJ 07055-2840 Ph: (973) 365-4300 |
| NPI Number | 1477261741 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/07/2022 |
| Medicare PECOS PAC ID | 5496112476 |
|---|---|
| Medicare Enrollment ID | O20230607000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477261741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vadim Gritsus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336170182 PECOS PAC ID: 1355246331 Enrollment ID: I20031203000391 |
| Provider Name | Steven Joel Stein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275576084 PECOS PAC ID: 8921094483 Enrollment ID: I20040421001339 |
| Provider Name | Amit Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861431041 PECOS PAC ID: 7719975754 Enrollment ID: I20040506000240 |
| Provider Name | Stanley A Szwed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629023478 PECOS PAC ID: 7315919107 Enrollment ID: I20040811001067 |
| Provider Name | Arvin J Adler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265430433 PECOS PAC ID: 8224009279 Enrollment ID: I20041105000267 |
| Provider Name | Daniel P Conroy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629098603 PECOS PAC ID: 5698728111 Enrollment ID: I20050908000068 |
| Provider Name | Peter Y Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871525600 PECOS PAC ID: 1355375452 Enrollment ID: I20050920000987 |
| Provider Name | Robert M Gajdos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649347964 PECOS PAC ID: 9830124940 Enrollment ID: I20050928000110 |
| Provider Name | Motria O Ukrainskyj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396791703 PECOS PAC ID: 5092740019 Enrollment ID: I20050928001142 |
| Provider Name | Vivek Maheshwari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447232558 PECOS PAC ID: 8022075894 Enrollment ID: I20070122000415 |
| Provider Name | Maria Adamian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164428959 PECOS PAC ID: 6103896774 Enrollment ID: I20070207000353 |
| Provider Name | Kazimierz M Szczech |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821037805 PECOS PAC ID: 8224014105 Enrollment ID: I20070330000388 |
| Provider Name | George Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841392537 PECOS PAC ID: 4385730258 Enrollment ID: I20071024000008 |
| Provider Name | Sujatha Sukhavasi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164605663 PECOS PAC ID: 6507956885 Enrollment ID: I20071227000092 |
| Provider Name | Ljiljana Kovacevic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164605770 PECOS PAC ID: 5193801629 Enrollment ID: I20080325000321 |
| Provider Name | Michael Maroules |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134221062 PECOS PAC ID: 2062590540 Enrollment ID: I20080424000102 |
| Provider Name | Michael E Rhodes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144201302 PECOS PAC ID: 4082714977 Enrollment ID: I20080508000051 |
| Provider Name | Keesha M Duncan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528241114 PECOS PAC ID: 9537238449 Enrollment ID: I20080519000507 |
| Provider Name | Temitope O Ajibade |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225211295 PECOS PAC ID: 9537240106 Enrollment ID: I20080613000392 |
| Provider Name | Orli Langer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528129624 PECOS PAC ID: 3072542406 Enrollment ID: I20080811000685 |
| Provider Name | Glenn Joseph Forrester |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043475643 PECOS PAC ID: 1355403213 Enrollment ID: I20090105000040 |
| Provider Name | Hermann N Logang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164754990 PECOS PAC ID: 5496887168 Enrollment ID: I20100715000303 |
| Provider Name | Angela Glasnapp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497076012 PECOS PAC ID: 4385824507 Enrollment ID: I20110204000769 |
| Provider Name | Charito Dizon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497883623 PECOS PAC ID: 6103095708 Enrollment ID: I20110817000271 |
| Provider Name | Ann Christie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568608974 PECOS PAC ID: 2264599307 Enrollment ID: I20111207000660 |
| Provider Name | Naftoli Walfish |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689731333 PECOS PAC ID: 8224012927 Enrollment ID: I20120123000145 |
| Provider Name | Michael Subik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003813551 PECOS PAC ID: 6002077401 Enrollment ID: I20120411000700 |
| Provider Name | Girlyn Garcia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417227059 PECOS PAC ID: 2769646751 Enrollment ID: I20120601000336 |
| Provider Name | Jenny Shmushkevich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467797753 PECOS PAC ID: 0446497549 Enrollment ID: I20130509000205 |
| Provider Name | Kartik Narendra Gohil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649432097 PECOS PAC ID: 8325281751 Enrollment ID: I20150227000783 |
| Provider Name | Nadzeya Siutsou |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962891796 PECOS PAC ID: 3971822347 Enrollment ID: I20150506001732 |
| Provider Name | Dmitry Rozin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033425277 PECOS PAC ID: 6608095153 Enrollment ID: I20150929002930 |
| Provider Name | Urszula Poweska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811375710 PECOS PAC ID: 9931417649 Enrollment ID: I20150930000191 |
| Provider Name | Pascale Nadeau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780846337 PECOS PAC ID: 9436392230 Enrollment ID: I20160331001528 |
| Provider Name | John A Vullo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043576705 PECOS PAC ID: 9931454782 Enrollment ID: I20180619001158 |
| Provider Name | Steven Cagen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881635886 PECOS PAC ID: 9234021189 Enrollment ID: I20180904000508 |
| Provider Name | Channing Y Chin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285870428 PECOS PAC ID: 5294864716 Enrollment ID: I20181211000514 |
| Provider Name | Victoria Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154655330 PECOS PAC ID: 4789929449 Enrollment ID: I20181227001795 |
| Provider Name | Usman A Sheikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598184079 PECOS PAC ID: 3072850064 Enrollment ID: I20190129003130 |
| Provider Name | Michael Fu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548710098 PECOS PAC ID: 4981988631 Enrollment ID: I20190205000485 |
| Provider Name | Oladapo M Babatunde |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083857593 PECOS PAC ID: 2163741729 Enrollment ID: I20191112001915 |
| Provider Name | Cynthia Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174750889 PECOS PAC ID: 4688975956 Enrollment ID: I20191211001857 |
| Provider Name | Pradeep Balasubramaniam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467765149 PECOS PAC ID: 7315165834 Enrollment ID: I20200205001667 |
| Provider Name | Luthfa Ali |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326505520 PECOS PAC ID: 1759718786 Enrollment ID: I20200303002034 |
| Provider Name | Ali M Saleh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598294134 PECOS PAC ID: 2961827738 Enrollment ID: I20200811000634 |
| Provider Name | Benjamin Kashan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063767903 PECOS PAC ID: 2365721149 Enrollment ID: I20201231000059 |
| Provider Name | Nadia Dussard Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790307155 PECOS PAC ID: 7012324189 Enrollment ID: I20210408000378 |
| Provider Name | Brian Marasigan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033372131 PECOS PAC ID: 0143396986 Enrollment ID: I20210428001422 |
| Provider Name | Michael J Akerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821082074 PECOS PAC ID: 4880613223 Enrollment ID: I20210506001274 |
| Provider Name | Paul Langevin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073537080 PECOS PAC ID: 2860422045 Enrollment ID: I20210527000188 |
| Provider Name | Saloni Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568877074 PECOS PAC ID: 5294000527 Enrollment ID: I20211101003053 |
| Provider Name | Galina Leyvi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700961190 PECOS PAC ID: 6800980400 Enrollment ID: I20220412001127 |
| Provider Name | Anoshia Raza |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700263787 PECOS PAC ID: 5193112571 Enrollment ID: I20220504000833 |
| Provider Name | Johnson Fu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336636604 PECOS PAC ID: 9133463102 Enrollment ID: I20220810001449 |
| Provider Name | Sharique Nazir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457650665 PECOS PAC ID: 7517125735 Enrollment ID: I20221130003391 |
| Provider Name | Robert Felte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073956728 PECOS PAC ID: 7416191515 Enrollment ID: I20230407000007 |
| Provider Name | Ali Atoot |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700345543 PECOS PAC ID: 7810354826 Enrollment ID: I20230730000020 |
| Provider Name | Hyunji Boo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922561448 PECOS PAC ID: 1355704461 Enrollment ID: I20230822003543 |
| Provider Name | Kamil Amer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497288120 PECOS PAC ID: 6305211913 Enrollment ID: I20230915000771 |
| Provider Name | Amr El Sanduby |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104828193 PECOS PAC ID: 4082779236 Enrollment ID: I20240226004228 |
| Provider Name | Sfian Albik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902463136 PECOS PAC ID: 4789026220 Enrollment ID: I20240529002166 |
| Provider Name | Milan D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093078347 PECOS PAC ID: 7012262678 Enrollment ID: I20240823000264 |
| Provider Name | Michal Dusza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801462965 PECOS PAC ID: 3779982376 Enrollment ID: I20240906001836 |
| Provider Name | Kinga Budnicka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144891086 PECOS PAC ID: 5294138467 Enrollment ID: I20240906002633 |
| Provider Name | Brian Michael Sobieski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245355767 PECOS PAC ID: 7810422573 Enrollment ID: I20241119001764 |
| Provider Name | Carolina Suarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134700214 PECOS PAC ID: 3476088154 Enrollment ID: I20241119002511 |
First Care Providers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 647 Main Ave Ste 207, Passaic, NJ 07055 Phone: 973-735-1231 Fax: 973-735-1232 | |
Smgh Physician Practice Management, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 350 Boulevard, Passaic, NJ 07055 Phone: 973-471-5531 | |
Chestnuthill Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 Chestnut St, Passaic, NJ 07055 Phone: 973-471-9494 Fax: 973-778-4649 | |
Pichardo Health Group P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Passaic Ave, Suite 1, Passaic, NJ 07055 Phone: 973-928-2167 Fax: 973-928-2170 | |
Passaic Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 362 Monroe St, Passaic, NJ 07055 Phone: 973-777-3222 Fax: 973-777-3225 | |
Center For Adult Medicine And Preventive Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 916-922 Main Ave, Suite 1a, Passaic, NJ 07055 Phone: 973-773-0334 Fax: 973-773-0336 | |
Aa Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Passaic Ave, Passaic, NJ 07055 Phone: 973-773-2039 |