| Star Community Health Family Practice Coventry | |
|
755 Memorial Pkwy Ste 300 Phillipsburg NJ 08865-2748 | |
| (908) 847-3300 | |
| (866) 281-6023 |
| Full Name | Star Community Health Family Practice Coventry |
|---|---|
| Speciality | Family Medicine |
| Location | 755 Memorial Pkwy Ste 300, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Sue Chiavaroli (MANAGER) |
| Authorized Official Contact | 4845263569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Community Health Family Practice Coventry 801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-4000 | Star Community Health Family Practice Coventry 755 Memorial Pkwy Ste 300 Phillipsburg NJ 08865-2748 Ph: (908) 847-3300 |
| NPI Number | 1932814050 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 03/28/2023 |
| Medicare PECOS PAC ID | 7618215237 |
|---|---|
| Medicare Enrollment ID | O20230512000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932814050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| Provider Name | Richard P. Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831181262 PECOS PAC ID: 6406768506 Enrollment ID: I20090224000174 |
| Provider Name | Gerard J Delmonico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184683690 PECOS PAC ID: 2769396613 Enrollment ID: I20100414000165 |
| Provider Name | Raymond S Buch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023016227 PECOS PAC ID: 1456347160 Enrollment ID: I20100421000669 |
| Provider Name | Alan H Remde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003865601 PECOS PAC ID: 2062545973 Enrollment ID: I20100729000183 |
| Provider Name | Eugene M Decker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619975687 PECOS PAC ID: 7719140045 Enrollment ID: I20120523000338 |
| Provider Name | Brett Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306104419 PECOS PAC ID: 3274820881 Enrollment ID: I20160926001936 |
| Provider Name | Nandhini Veeraraghavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184869414 PECOS PAC ID: 2365590718 Enrollment ID: I20210317002757 |
| Provider Name | Tuesday Remsburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124292123 PECOS PAC ID: 8628034253 Enrollment ID: I20220414001228 |
| Provider Name | Majed Dayoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437710647 PECOS PAC ID: 3971984436 Enrollment ID: I20220715000853 |
| Provider Name | Molly Sawares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912568007 PECOS PAC ID: 3971987561 Enrollment ID: I20220831001197 |
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