| Vytalize Health Medical 2 Llc | |
|
2 Hudson Pl Fl 6 Hoboken NJ 07030-5594 | |
| (201) 205-2628 | |
| Not Available |
| Full Name | Vytalize Health Medical 2 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Hudson Pl Fl 6, Hoboken, New Jersey |
| Authorized Official Name and Position | Faris Ghawi (CEO) |
| Authorized Official Contact | 2022866666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vytalize Health Medical 2 Llc 2 Hudson Pl Fl 6 Hoboken NJ 07030-5594 Ph: (201) 205-2628 | Vytalize Health Medical 2 Llc 2 Hudson Pl Fl 6 Hoboken NJ 07030-5594 Ph: (201) 205-2628 |
| NPI Number | 1720554348 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 08/12/2020 |
| Medicare PECOS PAC ID | 5799020988 |
|---|---|
| Medicare Enrollment ID | O20181217000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720554348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Muhammad Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265446405 PECOS PAC ID: 6709873748 Enrollment ID: I20040429001354 |
| Provider Name | Julita Se Pineda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922060011 PECOS PAC ID: 3870574007 Enrollment ID: I20040525001046 |
| Provider Name | Emmanuel M Weiss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538226360 PECOS PAC ID: 8426082405 Enrollment ID: I20050920000232 |
| Provider Name | Gilbert B Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265465900 PECOS PAC ID: 4688697030 Enrollment ID: I20060111000805 |
| Provider Name | Gabriella A Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558437251 PECOS PAC ID: 9830113794 Enrollment ID: I20060118000466 |
| Provider Name | Kashmira Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720063498 PECOS PAC ID: 9638185903 Enrollment ID: I20060223000233 |
| Provider Name | Isaac Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104829712 PECOS PAC ID: 5294886859 Enrollment ID: I20090623000115 |
| Provider Name | Patrick Demare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245308402 PECOS PAC ID: 0143408377 Enrollment ID: I20110617000083 |
| Provider Name | Lorenzo Giovanni Martinetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588722318 PECOS PAC ID: 5294990743 Enrollment ID: I20120706000467 |
| Provider Name | Jeffrey Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215215835 PECOS PAC ID: 7012145600 Enrollment ID: I20140103001020 |
| Provider Name | Domenico Rotoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760700215 PECOS PAC ID: 6002134939 Enrollment ID: I20150406000697 |
| Provider Name | Ann M Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598864431 PECOS PAC ID: 0648354027 Enrollment ID: I20180718002573 |
| Provider Name | Allison Sherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447992276 PECOS PAC ID: 9537546627 Enrollment ID: I20220511000072 |
| Provider Name | Denise Bitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730807686 PECOS PAC ID: 9436527520 Enrollment ID: I20221121002643 |
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