Visavis Health Care Medical Group Of Nj Llc | |
12-15 Saddle River Rd Fair Lawn NJ 07410-5808 | |
(212) 734-6621 | |
Not Available |
Full Name | Visavis Health Care Medical Group Of Nj Llc |
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Speciality | Family Medicine |
Location | 12-15 Saddle River Rd, Fair Lawn, New Jersey |
Authorized Official Name and Position | Yitty Falkowitz (OWNER) |
Authorized Official Contact | 2127346621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Visavis Health Care Medical Group Of Nj Llc 250 Skillman St Ste 202 Brooklyn NY 11205-1218 Ph: (212) 734-6621 | Visavis Health Care Medical Group Of Nj Llc 12-15 Saddle River Rd Fair Lawn NJ 07410-5808 Ph: (212) 734-6621 |
NPI Number | 1881336428 |
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Provider Enumeration Date | 04/13/2022 |
Last Update Date | 02/01/2024 |
Medicare PECOS PAC ID | 1456730670 |
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Medicare Enrollment ID | O20220618000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881336428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mariama Hubbard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20041124000210 |
Provider Name | Mary Bernardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538416185 PECOS PAC ID: 6002063922 Enrollment ID: I20120829000251 |
Provider Name | Marie Perkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356686059 PECOS PAC ID: 9931340908 Enrollment ID: I20130802000586 |
Provider Name | Janice Chua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710319249 PECOS PAC ID: 9133358195 Enrollment ID: I20140215000166 |
Provider Name | Jenifer Nwosu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821376682 PECOS PAC ID: 5698098168 Enrollment ID: I20150108001857 |
Provider Name | Afsheen Masood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548666373 PECOS PAC ID: 1658658984 Enrollment ID: I20170515001053 |
Provider Name | Arianna Sanborn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225508203 PECOS PAC ID: 6709123722 Enrollment ID: I20190130000045 |
Provider Name | Ramon Trinidad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20200221002285 |
Provider Name | Heather Lisi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427685205 PECOS PAC ID: 7517398241 Enrollment ID: I20200513003085 |
Provider Name | Susan Samuels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396031555 PECOS PAC ID: 0840457982 Enrollment ID: I20201201002408 |
Provider Name | Shivani Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396339990 PECOS PAC ID: 5395154355 Enrollment ID: I20210504003094 |
Provider Name | Soraya Michelle St. Louis-augustin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720664329 PECOS PAC ID: 2163831462 Enrollment ID: I20210517000491 |
Provider Name | Okasha B Naqvi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427638147 PECOS PAC ID: 1052716081 Enrollment ID: I20210830000225 |
Provider Name | Melissa Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487298675 PECOS PAC ID: 7911398029 Enrollment ID: I20211228002266 |
Provider Name | Rekha Bhandari |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023035466 PECOS PAC ID: 6406748235 Enrollment ID: I20220210002841 |
Provider Name | Deirdre Giguere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578957288 PECOS PAC ID: 4587984034 Enrollment ID: I20220707000671 |
Provider Name | Sherdina Hobson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104153055 PECOS PAC ID: 3173431640 Enrollment ID: I20220709000280 |
Provider Name | Jennifer Kurulgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861920514 PECOS PAC ID: 7719245679 Enrollment ID: I20220728003397 |
Provider Name | Lily Ruan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306997291 PECOS PAC ID: 7911220975 Enrollment ID: I20220802000413 |
Provider Name | Vera Castellano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831849314 PECOS PAC ID: 7315320918 Enrollment ID: I20220815002120 |
Provider Name | Natalya Coles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801317623 PECOS PAC ID: 4486917036 Enrollment ID: I20230808003066 |
Provider Name | Akosua Neferteti Obeng-aduasare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230905000721 |
Provider Name | Laura Sander |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386806966 PECOS PAC ID: 2264608363 Enrollment ID: I20230911004143 |
Provider Name | Jessica T Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821675158 PECOS PAC ID: 5395145593 Enrollment ID: I20230918001088 |
Provider Name | Bridgett Michelle Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20231201002189 |
Provider Name | Julia Didesiderio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20240205000086 |
Provider Name | Jennifer Cavage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245209824 PECOS PAC ID: 1850369638 Enrollment ID: I20240327003089 |
Provider Name | Melissa Pagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568081461 PECOS PAC ID: 1759766223 Enrollment ID: I20240506000310 |
Provider Name | Mercedes Jane Bryce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770294340 PECOS PAC ID: 1658743398 Enrollment ID: I20240603001254 |
Provider Name | Ana Hubert |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20240611001537 |
Provider Name | Natali Roldan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366225724 PECOS PAC ID: 3173987088 Enrollment ID: I20240611001707 |
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