Nicole S Tully (NPI# 1437337813, PAC ID# 3173753993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437337813 |
| PAC ID by PECOS | 3173753993 |
| Professional Enrollment ID | I20140224000090 |
| Full Name | Nicole S Tully |
| Organization Legal Name | MEDICAL ASSOCIATES OF ENGLEWOOD PC |
| Address |
609 Washington St Hoboke NJ 07030-4907 |
| Phone Number | 2016597700 |
| Gender | F |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1355512252 |
| Number of Group Practice Members | 322 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310040 | HOBOKEN UNIVERSITY MEDICAL CENTER |
| 310045 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24 Elm St, Suite 203, Harrington Park, NJ 07640-1902 | 2017840123 | MEDICAL ASSOCIATES OF ENGLEWOOD PC |
| 609 Washington St, Hoboke, NJ 07030-4907 | 2016597700 | MEDICAL ASSOCIATES OF ENGLEWOOD PC |
| Organization Legal Name | MEDICAL ASSOCIATES OF ENGLEWOOD PC |
| Physicians | 332 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qusai Dahodwala | Physical Medicine and Rehabilitation | Medical Associates of Englewood PC | 221 County Rd, Cresskill, NJ 07626-1605 |
| Kyu-han Kim | Family Medicine | Medical Associates of Englewood PC | 1 Towne Ctr, Suite 2010, Cliffside Park, NJ 07010-2046 |
| Melissa Lant | Registered Dietitian Or Nutrition Professional | Medical Associates of Englewood PC | 180 Engle St, Englewood, NJ 07631-2507 |
| Seulkih Shin | Family Medicine | Medical Associates of Englewood PC | 24 Elm St, Suite 203, Harrington Park, NJ 07640-1902 |
| Andi Qipo | Internal Medicine | Medical Associates of Englewood PC | 871 Allwood Rd, Clifton, NJ 07012-1943 |
| Shiraz Yussaf | Family Medicine | Medical Associates of Englewood PC | 34 Main St, Suite A, Bloomingdale, NJ 07403-1724 |
| Meera V Patel | Family Medicine | Medical Associates of Englewood PC | 1500 Alps Rd, Wayne, NJ 07470-3635 |
| Nazila Biria | Internal Medicine | Medical Associates of Englewood PC | 1555 Ctr Ave, Fort Lee, NJ 07024-4612 |
| Raja Rahula | Obstetrics/gynecology | Medical Associates of Englewood PC | 201 Palisade Ave, Jersey City, NJ 07306-1112 |
| Joseph Degregorio | Cardiovascular Disease (cardiology) | Medical Associates of Englewood PC | 946 Bloomfield Ave, Glen Ridge, NJ 07028-1308 |
| Street Address |
609 WASHINGTON ST |
| City | HOBOKE |
| State | NJ |
| Zip | 07030-4907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther Neff Mermelstein | Nurse Practitioner | Riverside Pediatric Group PC | 609 Washington St, Hoboke, NJ 07030-4907 |
| Mark J Brescia | Obstetrics/gynecology | Medical Associates of Englewood PC | 609 Washington St, Hoboke, NJ 07030-4907 |
| Gaurang R Brahmbhatt | Family Medicine | Riverside Pediatric Group PC | 609 Washington St, Hoboke, NJ 07030-4907 |
| Thomas A Migliaccio | Obstetrics/gynecology | Medical Associates of Englewood PC | 609 Washington St, Hoboke, NJ 07030-4907 |
| Maria Kristen Arce | Nurse Practitioner | Riverside Pediatric Group PC | 609 Washington St, Hoboke, NJ 07030-4907 |
| Angelica Sorisi | Nurse Practitioner | Riverside Pediatric Group PC | 609 Washington St, Hoboke, NJ 07030-4907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Bartolino | Physical Therapy | Ivyrehab Network Inc | 79 Hudson St, Hoboken, NJ 07030-0010 |
| Mary Grace Z Cabawatan | Physical Therapy | Sportscare of America, PC | 550 Newark Ave, Suite 403 404, Jersey City, NJ 07030-1326 |
| Marasol S Lofranco | Physical Therapy | Sportscare of America, PC | 550 Newark Ave, Suite 403 404, Jersey City, NJ 07030-1326 |
| Robert L Bardinas | Physical Therapy | Sportscare of America, PC | 550 Newark Ave, Suite 403 404, Jersey City, NJ 07030-1326 |
| Bianca A Chiara | Family Medicine | 133 Madison St, Suite A, Hoboken, NJ 07030-1833 | |
| Ricardo Matienzo | Family Medicine | 450 7th St, Hoboken, NJ 07030-2057 | |
| Aleksey Lazarev | Orthopedic Surgery | Hudson Ortho Group | 1320 Adams St, Suite E, Hoboken, NJ 07030-2370 |
| Shital Sharma | Podiatry | Hudson Ortho Group | 1320 Adams St, Suite E, Hoboken, NJ 07030-2370 |
| Roman Isaac | Orthopedic Surgery | 1320 Adams St, Suite De, Hoboken, NJ 07030-2370 | |
| Sandra M Pietrewicz | Physical Therapy | Craft Physical Therapy, LLC | 1422 Grand St, 4c, Hoboken, NJ 07030-2376 |
| Find all physicians in zip 07030 | |||
| City | HOBOKE |
| Zip Code | 07030 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOBOKE + FAMILY MEDICINE |
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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.