Lisa L Wydra (NPI# 1780916916, PAC ID# 2062541493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780916916 |
| PAC ID by PECOS | 2062541493 |
| Professional Enrollment ID | I20100524000776 |
| Full Name | Lisa L Wydra |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF NEW JERSEY LLC |
| Address |
3391 Hwy 35 Hazlet NJ 07730-1521 |
| Phone Number | 8663892727 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527142439 |
| Number of Group Practice Members | 101 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 471 Main St, Chatham, NJ 07928-2102 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF NEW JERSEY LLC |
| 3391 Hwy 35, Hazlet, NJ 07730-1521 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF NEW JERSEY LLC |
| 4 Ryan Rd, Marlboro, NJ 07746-2445 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF NEW JERSEY LLC |
| 2988 Route 516, Old Bridge, NJ 08857-2325 | 8663892727 | MINUTECLINIC DIAGNOSTIC OF NEW JERSEY LLC |
| Organization Legal Name | MINUTECLINIC DIAGNOSTIC OF NEW JERSEY LLC |
| Physicians | 133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hamida O Yaqoobi | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 2440 Hamburg Tpke, Wayne, NJ 07470-6226 |
| Pawanjeet Kaur | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 156 Newark Pompton Tpke, Pequannock, NJ 07440-1327 |
| Cecilia O Ezuduemoin | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 178 Morris Ave, Springfield, NJ 07081-1217 |
| Ericka L Sunnerville | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 989 Burnt Tavern Rd, Suite 2, Brick, NJ 08724-2014 |
| Shameka N Bussie-guest | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 2721 Us Hwy 1, Lawrenceville, NJ 08648-4106 |
| Traci L Baysinger | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 600 Kings Hwy N, Cherry Hill, NJ 08304-1505 |
| Kenisha M Mclennon | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 276 E Main St, Denville, NJ 07834-2646 |
| Leda M Bargo | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 890 Bennetts Mills Rd, Jackson, NJ 08527-2736 |
| Jesleen Lamothe | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| Jaclyn A Shoemaker | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 183 Route 206 S, Chester, NJ 07930-2547 |
| Street Address |
3391 HWY 35 |
| City | HAZLET |
| State | NJ |
| Zip | 07730-1521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marion D Norman | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 3391 Hwy 35, Hazlet, NJ 07730-1521 |
| Allison J Palcsesz | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 3391 Hwy 35, Hazlet, NJ 07730-1521 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn M Field | Family Medicine | 628 Beers St, Hazlet, NJ 07730-1405 | |
| James R Alexander Jr. | Chiropractic | 648 Holmdel Rd, Suite 300, Hazlet, NJ 07730-1440 | |
| Maria F Clemente | Ophthalmology | 82 Bethany Rd, Suite 4, Hazlet, NJ 07730-1459 | |
| Diane Boar | Clinical Social Worker | 82 Bethany Rd, Hazlet, NJ 07730-1459 | |
| Epifania Zubieto | Nurse Practitioner | Vijay Saaraswat Medical LLC | 648 Holmdel Rd, Suite 300, Hazlet, NJ 07730-1467 |
| Scott E Spagnolo-hye | Family Medicine | Medexpress Urgent Care - New Jersey Inc | 2880 State Route 35, Hazlet, NJ 07730-1504 |
| Abdul Bilal Khan | Family Medicine | Medexpress Urgent Care - New Jersey Inc | 2880 State Route 35, Hazlet, NJ 07730-1504 |
| Tiffany C Turner | Nurse Practitioner | Medexpress Urgent Care - New Jersey Inc | 2880 State Route 35, Hazlet, NJ 07730-1504 |
| Andrew C Konopacki | Physician Assistant | Medexpress Urgent Care - New Jersey Inc | 2880 State Route 35, Hazlet, NJ 07730-1504 |
| Natasha N Norville | Family Medicine | Medexpress Urgent Care - New Jersey Inc | 2880 State Route 35, Hazlet, NJ 07730-1504 |
| Find all physicians in zip 07730 | |||
| City | HAZLET |
| Zip Code | 07730 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HAZLET + 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.