Sandra M Connolly (NPI# 1023156825, PAC ID# 1557427879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1023156825 |
| PAC ID by PECOS | 1557427879 |
| Professional Enrollment ID | I20090311000313 |
| Full Name | Sandra M Connolly |
| Organization Legal Name | FREEHOLD HOSPITALISTS, LLC |
| Address |
4255 Route 9 N Freehold NJ 07728-8306 |
| Phone Number | 7324310023 |
| Gender | F |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4486754223 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310111 | CENTRASTATE MEDICAL CENTER |
| 330101 | NEW YORK-PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4255 Route 9 N, Freehold, NJ 07728-8306 | 7324310023 | FREEHOLD HOSPITALISTS, LLC |
| 4255 Route 9 N, Building 5 Suite B, Freehold, NJ 07728-8306 | 7324310023 | FREEHOLD HOSPITALISTS, LLC |
| Organization Legal Name | FREEHOLD HOSPITALISTS, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alix Detullio | Nurse Practitioner | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Kathryn Battle | Nurse Practitioner | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Ayesha Chaudhary | Internal Medicine | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Kathryn L Kumta | Nurse Practitioner | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Ellen M Ciacciarelli | Nurse Practitioner | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Carrie Liming | Nurse Practitioner | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Victoria Lupinacci | Nurse Practitioner | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Swaleha Mahpara | Internal Medicine | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Mark Gershenbaum | Family Medicine | Freehold Hospitalists, LLC | 901 W Main St, Freehold, NJ 07728-2537 |
| Street Address |
4255 ROUTE 9 N |
| City | FREEHOLD |
| State | NJ |
| Zip | 07728-8306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill S Gordon | Qualified Audiologist | 4257 Route 9 N, Blddg 6 Suite B, Freehold, NJ 07728 | |
| Joseph R Raccuglia | Family Medicine | 4251 Us Hwy 9 N, Suite 3a, Freehold, NJ 07728 | |
| Deborah Yu | Plastic and Reconstructive Surgery | The Plastic Surgery Center | 3499 Route 9 N, Freehold, NJ 07728 |
| Ashley T Kravitz | Registered Dietitian Or Nutrition Professional | 4400 Us, 9 Suite 1000, Freehold, NJ 07728-1383 | |
| Sheryl T Schembari | Clinical Social Worker | 4400 Us Hwy 9, Suite 1000, Freehold, NJ 07728-1383 | |
| Lora Rafferty | Nurse Practitioner | Kane Wound Care LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Cullen Chiu | Nurse Practitioner | Kane Wound Care LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Joseph P Cavorsi | General Surgery | Kane Wound Care LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Vinita A Patel | Nurse Practitioner | Kane Wound Care LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Valerie J Rosen | Clinical Social Worker | Senior Support Network LLC | 93 Manalapan Ave, Freehold, NJ 07728-1626 |
| Find all physicians in zip 07728 | |||
| City | FREEHOLD |
| Zip Code | 07728 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FREEHOLD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Sandra M Connolly.
| 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.