The Estaugh
A Medicare group practice based in Medford, NJ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6608833512), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6608833512
- Also listed as
- The Estaugh T/a Medford Leas
- Provider type
- Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NJ
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20041213000560 | NJ | Part B Supplier - Clinic/Group Practice | 1659309524 |
| O20110613000484 | NJ | Part A Provider - Skilled Nursing Facility | 1740279652 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
The Estaugh T/a Medford Leas
- Geriatric Medicine (Family Medicine) Physician
- Medford, NJ
- NPI 1659309524
Practice locations
- Medford, NJ2
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).
-
James Charles Damico, DO
- Internal Medicine Physician
- Medford, NJ
- NPI 1457353088
-
Terry L Fazio, NP
- Nurse Practitioner
- Medford, NJ
- NPI 1720253743
-
Loren Ann Firstenberg, PSY.D
- Psychologist
- Moorestown, NJ
- NPI 1033231873
-
Jeffery Ranalli, D.O.
- Internal Medicine Physician
- Medford, NJ
- NPI 1639120462
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.