| Ziphycare Medical Of New Jersey Pc | |
|
1 Bridge Plz N Ste 810 Fort Lee NJ 07024-7110 | |
| (833) 947-4927 | |
| Not Available |
| Full Name | Ziphycare Medical Of New Jersey Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Bridge Plz N Ste 810, Fort Lee, New Jersey |
| Authorized Official Name and Position | Gennady Ukrainsky (OWNER) |
| Authorized Official Contact | 9179023166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ziphycare Medical Of New Jersey Pc 500 7th Ave New York NY 10018-4502 Ph: (844) 947-6782 | Ziphycare Medical Of New Jersey Pc 1 Bridge Plz N Ste 810 Fort Lee NJ 07024-7110 Ph: (833) 947-4927 |
| NPI Number | 1194307108 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 11/28/2022 |
| Medicare PECOS PAC ID | 5991106544 |
|---|---|
| Medicare Enrollment ID | O20210702000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194307108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard D Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740325414 PECOS PAC ID: 8325130842 Enrollment ID: I20200818004237 |
| Provider Name | Maliha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689008781 PECOS PAC ID: 5395039556 Enrollment ID: I20210527001700 |
| Provider Name | Gennady Ukrainsky |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700845187 PECOS PAC ID: 1850332511 Enrollment ID: I20211012000351 |
| Provider Name | Rebecca E Stafford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811157191 PECOS PAC ID: 2062687239 Enrollment ID: I20211213000133 |
| Provider Name | Priyanka Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164954244 PECOS PAC ID: 4789928102 Enrollment ID: I20220202000765 |
| Provider Name | Oronde Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962427211 PECOS PAC ID: 9638111305 Enrollment ID: I20220405002228 |
| Provider Name | Boris Khodorkovsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558346676 PECOS PAC ID: 0648213934 Enrollment ID: I20230612001228 |
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