| Vanguard North Haledon And Oakland Pa | |
|
271 Grove Ave Ste A Verona NJ 07044-1731 | |
| (973) 239-2600 | |
| (973) 857-3503 |
| Full Name | Vanguard North Haledon And Oakland Pa |
|---|---|
| Speciality | Home Health |
| Location | 271 Grove Ave Ste A, Verona, New Jersey |
| Authorized Official Name and Position | Ronisha Katrina Scales (CREDENTIALING) |
| Authorized Official Contact | 9735593700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanguard North Haledon And Oakland Pa 271 Grove Ave Ste A Verona NJ 07044-1731 Ph: (973) 559-3700 | Vanguard North Haledon And Oakland Pa 271 Grove Ave Ste A Verona NJ 07044-1731 Ph: (973) 239-2600 |
| NPI Number | 1609206671 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 8022248012 |
|---|---|
| Medicare Enrollment ID | O20140314000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609206671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA04268300 (New Jersey) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
| Provider Name | Peter Louis Carrazzone |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962430371 PECOS PAC ID: 9739134115 Enrollment ID: I20101019001178 |
| Provider Name | Kannan Sivaraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659508687 PECOS PAC ID: 1254524655 Enrollment ID: I20110418000682 |
| Provider Name | Suzana Cane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641648 PECOS PAC ID: 4688976228 Enrollment ID: I20160113002009 |
| Provider Name | Danielle Westenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639636236 PECOS PAC ID: 8921336165 Enrollment ID: I20190826001831 |
| Provider Name | Adaku Ezeadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306415088 PECOS PAC ID: 5395142277 Enrollment ID: I20210920001647 |
West Essex Medical Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Bloomfield Avenue, Suite Ll1, Verona, NJ 07044 Phone: 973-364-1111 Fax: 973-239-9099 | |
New Jersey Partner Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 271 Grove Ave Ste A, Verona, NJ 07044 Phone: 973-559-3700 Fax: 973-559-8650 | |
First Care Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Pompton Avenue, Verona, NJ 07044 Phone: 973-857-8995 Fax: 973-857-7034 | |
First Care Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Pompton Ave, Verona, NJ 07044 Phone: 973-857-3400 Fax: 973-239-6731 | |
Mountainside Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 799 Bloomfield Ave, Suite 201, Verona, NJ 07044 Phone: 973-746-7050 Fax: 973-857-2831 | |
Nj Counseling, Training, And Consultation Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Bloomfield Ave, Verona, NJ 07044 Phone: 201-259-7229 | |
Fairview Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Fairview Ave, Verona, NJ 07044 Phone: 201-263-1047 |