| Stress Care Medical Group | |
|
500 Park Ave Manalapan NJ 07726-8375 | |
| (732) 679-4500 | |
| (732) 679-4549 |
| Full Name | Stress Care Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Park Ave, Manalapan, New Jersey |
| Authorized Official Name and Position | Alex Smuklavskiy (CEO) |
| Authorized Official Contact | 7326794500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stress Care Medical Group Po Box 612 Englishtown NJ 07726-0612 Ph: (732) 679-4500 | Stress Care Medical Group 500 Park Ave Manalapan NJ 07726-8375 Ph: (732) 679-4500 |
| NPI Number | 1386270890 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 02/05/2021 |
| Medicare PECOS PAC ID | 2961817366 |
|---|---|
| Medicare Enrollment ID | O20210217001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386270890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Guillermo F Bethencourt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952321465 PECOS PAC ID: 7911943543 Enrollment ID: I20050705000630 |
| Provider Name | Sandra M Connolly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023156825 PECOS PAC ID: 1557427879 Enrollment ID: I20090311000313 |
| Provider Name | Irina Zelikson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942210380 PECOS PAC ID: 5991820474 Enrollment ID: I20100921001017 |
| Provider Name | Paula Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086821 PECOS PAC ID: 1557692688 Enrollment ID: I20191003002692 |
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