Amy Q Banaga (NPI# 1780889170, PAC ID# 1254428667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1780889170 |
| PAC ID by PECOS | 1254428667 |
| Professional Enrollment ID | I20140313000014 |
| Full Name | Amy Q Banaga |
| Organization Legal Name | EAST COAST REHABILITATION SERVICES LLC |
| Address |
552 Boulevard Kenilworth NJ 07033-1655 |
| Phone Number | 9732045389 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9931333705 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 552 Boulevard, Kenilworth, NJ 07033-1655 | 9732045389 | EAST COAST REHABILITATION SERVICES LLC |
| Organization Legal Name | EAST COAST REHABILITATION SERVICES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Nisperos | Physical Therapy | East Coast Rehabilitation Services LLC | 552 Boulevard, Kenilworth, NJ 07033-1655 |
| Street Address |
552 BOULEVARD |
| City | KENILWORTH |
| State | NJ |
| Zip | 07033-1655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Nisperos | Physical Therapy | East Coast Rehabilitation Services LLC | 552 Boulevard, Kenilworth, NJ 07033-1655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eduardo M Trujillo | Physical Therapy | 504 Washington Ave, Kenilworth, NJ 07033-1200 | |
| Domenica M Barritta | Gastroenterology | Nj Gastro, LLC | 1700 Galloping Hill Rd, Kenilworth, NJ 07033-1303 |
| Dhanmatie Baldeo-dat | Nurse Practitioner | Nj Gastro, LLC | 1700 Galloping Hill Rd, Kenilworth, NJ 07033-1303 |
| Eliezer Y Weiss | Gastroenterology | Nj Gastro, LLC | 1700 Galloping Hill Rd, Kenilworth, NJ 07033-1303 |
| Ryan P Brown | Nephrology | Practice Associates Medical Group | 131 S 31st St, Kenilworth, NJ 07033-1331 |
| Philip S. Klein | Nephrology | Practice Associates Medical Group | 131 S 31st St, Kenilworth, NJ 07033-1331 |
| Lois G Fiore | Optometry | 505 Boulevard, Kenilworth, NJ 07033-1603 | |
| Bhavani Jeereddy | Internal Medicine | 66 S 21st St, Kenilworth, NJ 07033-1626 | |
| James Agresti | Nephrology | 609 Boulevard, Kenilworth, NJ 07033-1639 | |
| Elizabeth Anthony | Podiatry | Innovative Foot and Ankle Pa | 528 Boulevard, Kenilworth, NJ 07033-1657 |
| Find all physicians in zip 07033 | |||
| City | KENILWORTH |
| Zip Code | 07033 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | KENILWORTH + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.