Nes Georgia Inc
Organization Active NPI Emergency Medicine Physician · Newark, NJ
NPI 1912411331 · NPPES record last updated Jul 9, 2026
Key facts
- NPI
- 1912411331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- NES GEORGIA INC
- Practice address
- 111 Central Ave
Newark, NJ 07102 - Phone
- (973) 877-5000
- NPI assigned
- Nov 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Matt Teter
- Title
- Corporate Secretary
- Phone
- (833) 507-7972
Other NPIs on the same Medicare enrollment 1
Practitioners 134
-
Tania Afonso, D.O.
-
Christina Teresa Azoia, PA-C
-
Ankita Bassi, MD
-
Barry Joseph Benzing, PA-C
-
Nikita Bharatia, D.O.
-
Souad Youssef Bitar, D.O.
-
Joseph Bove, D.O.
-
Bridget Mary Cassidy, PA-C
-
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
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 This NPI is an additional NPI on the 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
111 Central Ave
Newark, NJ 07102
Mailing address
7300 State Highway 121 Ste 370-374
McKinney, TX 75070-1987
Phone (469) 557-6183
Other providers in Newark, NJ
- Neighbours-Inc
- Peter John Nelson
- Sobrina Nembhard
- Isabelle Nemeh
- Padam K Neopane
- Jazmine Nesbitt
- Sabitri Nesbitt
- Ahmad Sami Nessar
- Chitra Arun Netravali
- Neurological Diagnostic
All providers in Newark, 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 9, 2026. 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.