| Wound Healing Associates Pc | |
|
290 Lafayette Ave Hawthorne NJ 07506-1961 | |
| (973) 427-9200 | |
| (973) 427-9201 |
| Full Name | Wound Healing Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 290 Lafayette Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Sekuleo Gathers (OWNER) |
| Authorized Official Contact | 9734279200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Healing Associates Pc 290 Lafayette Ave Hawthorne NJ 07506-1961 Ph: (973) 427-9200 | Wound Healing Associates Pc 290 Lafayette Ave Hawthorne NJ 07506-1961 Ph: (973) 427-9200 |
| NPI Number | 1932585445 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 10/08/2024 |
| Medicare PECOS PAC ID | 2668789116 |
|---|---|
| Medicare Enrollment ID | O20150915003096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932585445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MB05411900 (New Jersey) | Primary |
| Provider Name | Steven P Shikiar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437174026 PECOS PAC ID: 9931157559 Enrollment ID: I20050110000907 |
| Provider Name | Lisa M Cannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073562773 PECOS PAC ID: 0648229161 Enrollment ID: I20050121000289 |
| Provider Name | Stuart N Rice |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366403610 PECOS PAC ID: 8325942857 Enrollment ID: I20050603000616 |
| Provider Name | Alex Pavon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700819208 PECOS PAC ID: 3072562107 Enrollment ID: I20050804000724 |
| Provider Name | Joseph A Demarco |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639235476 PECOS PAC ID: 6103841770 Enrollment ID: I20051012000838 |
| Provider Name | Joseph Sobelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023123650 PECOS PAC ID: 5698963551 Enrollment ID: I20110107000629 |
| Provider Name | Ogori Kalu |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1992942676 PECOS PAC ID: 9133273675 Enrollment ID: I20110512000832 |
| Provider Name | Mikhail A Botvinov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760685622 PECOS PAC ID: 8022259092 Enrollment ID: I20130802000585 |
| Provider Name | Svetlana Zakharchenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174820302 PECOS PAC ID: 0941466528 Enrollment ID: I20131209001389 |
| Provider Name | Glenn R Haber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932117355 PECOS PAC ID: 6305980129 Enrollment ID: I20151020001976 |
| Provider Name | Thomas M Berges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396959847 PECOS PAC ID: 8729041488 Enrollment ID: I20161019001624 |
| Provider Name | Jennifer M Matier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891926663 PECOS PAC ID: 8224207337 Enrollment ID: I20190327001069 |
| Provider Name | Carlos A Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255624896 PECOS PAC ID: 2466671433 Enrollment ID: I20190813000144 |
| Provider Name | Randa Hussein-badawy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447663521 PECOS PAC ID: 9032449053 Enrollment ID: I20190918000392 |
| Provider Name | Amer Homsi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558752865 PECOS PAC ID: 6507295870 Enrollment ID: I20200408000403 |
| Provider Name | Kimberly A Miletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386266179 PECOS PAC ID: 1153740758 Enrollment ID: I20201001000638 |
| Provider Name | Lydell Lettsome |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578655098 PECOS PAC ID: 2163314394 Enrollment ID: I20210210001293 |
| Provider Name | Vera Castellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831849314 PECOS PAC ID: 7315320918 Enrollment ID: I20220815002120 |
| Provider Name | Mesum H Moosavi |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841630191 PECOS PAC ID: 4789045873 Enrollment ID: I20230807000044 |
Wiw Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 290 Lafayette Ave, Hawthorne, NJ 07506 Phone: 973-839-1003 Fax: 973-839-3653 | |
Lozito Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 484 Lafayette Ave, Hawthorne, NJ 07506 Phone: 973-423-4770 | |
Hawthorne Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Lafayette Ave, Hawthorne, NJ 07506 Phone: 973-841-5112 Fax: 973-826-5064 | |
M M Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Mountain Ave, Hawthorne, NJ 07506 Phone: 973-458-0114 Fax: 973-458-0661 | |
Luke Eyerman Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 290 Lafayette Ave, Ste 202, Hawthorne, NJ 07506 Phone: 201-466-0938 Fax: 201-791-1438 | |
Hawthorne Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1083 Goffle Rd, Hawthorne, NJ 07506 Phone: 973-427-2421 Fax: 973-427-6205 | |
Wound Care Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 290 Lafayette Ave, Hawthorne, NJ 07506 Phone: 973-427-9200 |