| Xbody Health & Wellness Pa | |
|
87 Berdan Ave Ste 4 Wayne NJ 07470-3210 | |
| (973) 692-9631 | |
| Not Available |
| Full Name | Xbody Health & Wellness Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 87 Berdan Ave, Wayne, New Jersey |
| Authorized Official Name and Position | Tatyana Sharahy (OWNER) |
| Authorized Official Contact | 9736929631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Xbody Health & Wellness Pa 87 Berdan Ave Ste 4 Wayne NJ 07470-3210 Ph: (973) 692-9631 | Xbody Health & Wellness Pa 87 Berdan Ave Ste 4 Wayne NJ 07470-3210 Ph: (973) 692-9631 |
| NPI Number | 1417340068 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 03/06/2015 |
| Medicare PECOS PAC ID | 8123346608 |
|---|---|
| Medicare Enrollment ID | O20150413002029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417340068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA07099100 (New Jersey) | Primary |
| Provider Name | Tatiana Sharahy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598889248 PECOS PAC ID: 4385537976 Enrollment ID: I20040206000270 |
| Provider Name | Anna Kryuchkova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679121099 PECOS PAC ID: 1658602065 Enrollment ID: I20191018000359 |
| Provider Name | Julie P Mihalik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255958278 PECOS PAC ID: 6507286325 Enrollment ID: I20201016001453 |
| Provider Name | Dorota Mironiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477178424 PECOS PAC ID: 8527466002 Enrollment ID: I20211014000064 |
| Provider Name | Kristina Anna Emodi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639805336 PECOS PAC ID: 4880059393 Enrollment ID: I20230504001904 |
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