Melissa Amy Desueza (NPI# 1235634189, PAC ID# 1850640756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235634189 |
| PAC ID by PECOS | 1850640756 |
| Professional Enrollment ID | I20180827002326 |
| Full Name | Melissa Amy Desueza |
| Organization Legal Name | CENTRO MEDICO IBEROAMERICANO INC. |
| Address |
416 Park Ave Paterson NJ 07504-1930 |
| Phone Number | 9736848138 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830287176 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 416 Park Ave, Paterson, NJ 07504-1930 | 9736848138 | CENTRO MEDICO IBEROAMERICANO INC. |
| Organization Legal Name | CENTRO MEDICO IBEROAMERICANO INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nidia Ortega | Family Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Ramon A Sandoval | Internal Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Juan A Desueza | Internal Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Street Address |
416 PARK AVE |
| City | PATERSON |
| State | NJ |
| Zip | 07504-1930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nidia Ortega | Family Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Ramon A Sandoval | Internal Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Juan A Desueza | Internal Medicine | Centro Medico Iberoamericano Inc. | 416 Park Ave, Paterson, NJ 07504-1930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott A Goler | Podiatry | Sovereign Medical Group LLC | 265 E 33rd St, Paterson, NJ 07504-1668 |
| Daniel J Waltuch | Podiatry | Sovereign Medical Group LLC | 265 E 33rd St, Paterson, NJ 07504-1668 |
| Alvaro Tellez | Internal Medicine | 466 Park Ave, Paterson, NJ 07504-1806 | |
| Fred Revoredo | General Practice | 425 15th Ave, Suite 2, Paterson, NJ 07504-1811 | |
| Pudchong Srisethnil | Internal Medicine | 561 E 28th St, Paterson, NJ 07504-1862 |
| City | PATERSON |
| Zip Code | 07504 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PATERSON + NURSE PRACTITIONER |
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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.