Monique Cecelia Gantier (NPI# 1114219094, PAC ID# 3476816208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114219094 |
| PAC ID by PECOS | 3476816208 |
| Professional Enrollment ID | I20180607000387 |
| Full Name | Monique Cecelia Gantier |
| Organization Legal Name | REVIVE SPINE AND PAIN CENTER |
| Address |
515 S Broad St Suite 201 Trenton NJ 08611-1819 |
| Phone Number | 6097779700 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385928639 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310092 | CAPITAL HEALTH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 | 6097779700 | REVIVE SPINE AND PAIN CENTER |
| Organization Legal Name | REVIVE SPINE AND PAIN CENTER |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alpa R Patel | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Steven Brooks | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Michael H Rizkalla | Physical Medicine and Rehabilitation | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Adam Saalfelder | Nurse Practitioner | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Street Address |
515 S BROAD ST SUITE 201 |
| City | TRENTON |
| State | NJ |
| Zip | 08611-1819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alpa R Patel | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Steven Brooks | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Michael H Rizkalla | Physical Medicine and Rehabilitation | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Adam Saalfelder | Nurse Practitioner | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Ira Berkowitz | Psychologist, Clinical | 512 Union St, Trenton, NJ 08611-2800 | |
| Peter M Destefano | Cardiovascular Disease (cardiology) | 669 Chambers St, Suite A, Trenton, NJ 08611-3719 |
| City | TRENTON |
| Zip Code | 08611 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TRENTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Monique Cecelia Gantier.
| 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.