Nes Georgia Inc
Organization Active NPI Emergency Medicine Physician · Elizabeth, NJ
NPI 1043616675 · NPPES record last updated Jul 31, 2018
Key facts
- NPI
- 1043616675
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- NES GEORGIA INC
- Practice address
- 225 Williamson St
Elizabeth, NJ 07202 - Phone
- (908) 994-5000
- NPI assigned
- Nov 10, 2014
- Organization subpart
- No
Authorized official
- Name
- Jennifer Moore
- Title
- Cfo
- Phone
- (415) 435-4591
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 117
-
Tania Afonso, D.O.
-
Ankita Bassi, MD
-
Souad Youssef Bitar, D.O.
-
Joseph Bove, D.O.
-
David Cataquet, MD
-
Carlos E Cesar, MD
-
Patrick Charles, DO
-
Maria Chirino, MD
-
John D'Angelo, DO
-
Sampson M Davis, MD
-
Nathan Denicoff, MD
-
Rachel Donaway, MD
-
Liqi Fan, M.D.
-
Ronald Fernandez, MD
-
Daniel Glickman, M.D.
-
James Hakim, M.D.
-
Yana Jeffers, N.P.
-
Khamis G Khamis, MD
-
Marcin K Kociuba, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150108000814 | NJ | Part B Supplier - Clinic/Group Practice | 0345210001 |
Receives reassigned benefits from 116 practitioners 1 other NPI on this enrollment Practice locations: Elizabeth, NJ; Newark, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
225 Williamson St
Elizabeth, NJ 07202
Mailing address
PO Box 936428
Atlanta, GA 31193-6428
Phone (800) 377-8721
Other providers in Elizabeth, NJ
- Neighbours-Inc
- Nichole Nelson -Kingston
- Natasha Renee Nelson
- Neo Tech Pharma LLC
- Kathleen Chiong Nepomuceno
- Neurological Associates PA
- New Horizons Adult Supportive Services & Care, Inc.
- New Jersey Arthritis and Back Pain Center, PC.
- New Jersey CVS Pharmacy LLC
- New Jersey CVS Pharmacy LLC
All providers in Elizabeth, NJ · Emergency Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.