| Trident Healthcare Pc | |
|
401 Hamburg Tpke Ste 310 Wayne NJ 07470-2139 | |
| (551) 305-4595 | |
| (551) 236-2485 |
| Full Name | Trident Healthcare Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Hamburg Tpke Ste 310, Wayne, New Jersey |
| Authorized Official Name and Position | Jungsik Yoo (OWNER) |
| Authorized Official Contact | 2018887215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trident Healthcare Pc 401 Hamburg Tpke Ste 310 Wayne NJ 07470-2139 Ph: (551) 305-4595 | Trident Healthcare Pc 401 Hamburg Tpke Ste 310 Wayne NJ 07470-2139 Ph: (551) 305-4595 |
| NPI Number | 1326748500 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 8224493085 |
|---|---|
| Medicare Enrollment ID | O20230501000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326748500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jungsik Yoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831487180 PECOS PAC ID: 3173745122 Enrollment ID: I20141107000614 |
| Provider Name | Megan Wannamaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750643557 PECOS PAC ID: 7517284292 Enrollment ID: I20150317001188 |
| Provider Name | Zakia Bowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982973731 PECOS PAC ID: 6800017500 Enrollment ID: I20161219000049 |
North Jersey Medical Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Hamburg Tpke, Suite 108, Wayne, NJ 07470 Phone: 973-942-5224 Fax: 973-942-7443 | |
Essex County Weightloss, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-646-8383 | |
North Jersey Healthmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Valley Rd, Suite 101, Wayne, NJ 07470 Phone: 973-595-7500 Fax: 973-595-7770 | |
North Wayne Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 Hamburg Tpke Ste 106, Wayne, NJ 07470 Phone: 973-942-7800 | |
Sun Tao Studio L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Hamburg Tpke, Wayne, NJ 07470 Phone: 973-406-7088 Fax: 973-767-1290 | |
Cura Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Hamburg Tpke Ste 310, Wayne, NJ 07470 Phone: 973-363-2029 Fax: 973-363-3932 | |
High Mountain Health, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 246 Hamburg Tpke Ste 205, Wayne, NJ 07470 Phone: 973-389-1800 Fax: 973-636-2734 |