Jessica Tanner (NPI# 1124577416, PAC ID# 1951682285) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1124577416 |
| PAC ID by PECOS | 1951682285 |
| Professional Enrollment ID | I20161229000011 |
| Full Name | Jessica Tanner |
| Organization Legal Name | ORTHOPEDIC ASSOCIATES OF ENGLEWOOD |
| Address |
401 S Van Brunt St Suite 3 Englewood NJ 07631-4600 |
| Phone Number | 2015692770 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426044124 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490046 | SENTARA LEIGH HOSPITAL |
| 310045 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 401 S Van Brunt St, Suite 3, Englewood, NJ 07631-4600 | 2015692770 | ORTHOPEDIC ASSOCIATES OF ENGLEWOOD |
| 5716 Cleveland St, Suite 200, Virginia Beach, VA 23462-1784 | 7575028583 | JORDAN-YOUNG INSTITUTE FOR RECONSTRUCTIVE SURGERY AND SPORTS |
| Organization Legal Name | ORTHOPEDIC ASSOCIATES OF ENGLEWOOD |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne J Miller-breslow | Hand Surgery | Orthopedic Associates of Englewood | 401 S Van Brunt St, Suite 3, Englewood, NJ 07631-4600 |
| Kerrie A Schryver | Occupational Therapy | Orthopedic Associates of Englewood | 401 S Van Brunt St, Suite 3, Englewood, NJ 07631-4600 |
| Rachel C Stark | Physician Assistant | Orthopedic Associates of Englewood | 401 S Van Brunt St, Englewood, NJ 07631-4604 |
| Umara K Suri | Physician Assistant | Orthopedic Associates of Englewood | 401 S Van Brunt St, Englewood, NJ 07631-4604 |
| Street Address |
401 S VAN BRUNT ST SUITE 3 |
| City | ENGLEWOOD |
| State | NJ |
| Zip | 07631-4600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Gillon | Internal Medicine | 401 S Van Brunt St, Suite 401, Englewood, NJ 07631-4634 | |
| Anne J Miller-breslow | Hand Surgery | Orthopedic Associates of Englewood | 401 S Van Brunt St, Suite 3, Englewood, NJ 07631-4600 |
| Kerrie A Schryver | Occupational Therapy | Orthopedic Associates of Englewood | 401 S Van Brunt St, Suite 3, Englewood, NJ 07631-4600 |
| Rachel C Stark | Physician Assistant | Orthopedic Associates of Englewood | 401 S Van Brunt St, Englewood, NJ 07631-4604 |
| Umara K Suri | Physician Assistant | Orthopedic Associates of Englewood | 401 S Van Brunt St, Englewood, NJ 07631-4604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen J Schwartz | Psychologist, Clinical | 155 N Dean St, 3rd Floor, Englewood, NJ 07631-0008 | |
| Wei Wang | Psychiatry | 35 W Hudson Ave, Englewood, NJ 07631-1718 | |
| Nofit Weiss | Obstetrics/gynecology | 440 Curry Ave, Suite C, Englewood, NJ 07631-1794 | |
| Sean P Wengerter | Vascular Surgery | Bergen Thoracic and Vascular Associates PC | 350 Engle St, Berrie Bldg Suite 6501, Englewood, NJ 07631-1808 |
| Corina E Cristescu | Internal Medicine | Medical Associates of Englewood PC | 350 Engle St, Englewood, NJ 07631-1808 |
| David A Garfunkel | Anesthesiology | Northern Valley Anesthesiology, P.a. | 350 Engle St, Englewood, NJ 07631-1808 |
| Kevin Gershuny | Internal Medicine | Medical Associates of Englewood PC | 350 Engle St, Englewood, NJ 07631-1808 |
| Jeffrey Mitchel | Cardiovascular Disease (cardiology) | Medical Associates of Englewood PC | 350 Engle St, Englewood, NJ 07631-1808 |
| Dennis Katechis | Cardiovascular Disease (cardiology) | Medical Associates of Englewood PC | 350 Engle St, Englewood, NJ 07631-1808 |
| Jeffrey T Smok | Anesthesiology | Northern Valley Anesthesiology, P.a. | 350 Engle St, Englewood, NJ 07631-1808 |
| Find all physicians in zip 07631 | |||
| City | ENGLEWOOD |
| Zip Code | 07631 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ENGLEWOOD + PHYSICIAN ASSISTANT |
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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.