Michelle O Itidiare (NPI# 1194180349, PAC ID# 4385933399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194180349 |
| PAC ID by PECOS | 4385933399 |
| Professional Enrollment ID | I20160516000032 |
| Full Name | Michelle O Itidiare |
| Address |
45 S Ave W Suite 102 Cranford NJ 07016-2686 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 90 Washington Valley Road, Suite 1231, Bedminster, NJ 07921-2118 | 8773455300 | ON SITE DERMATOLOGY OF NEW JERSEY LLC |
| 45 S Ave W, Suite 102, Cranford, NJ 07016-2686 | ||
| 333 Sylvan Ave, Suite 207, Englewood Cliffs, NJ 07632-2732 | 2012271555 | JEFFREY RAPAPORT,MD,PA |
| Street Address |
45 S AVE W SUITE 102 |
| City | CRANFORD |
| State | NJ |
| Zip | 07016-2686 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roslyn L Gawthney | Clinical Social Worker | 45 S Ave W, Suite 203, Cranford, NJ 07016-2686 | |
| Carla A Gagliano | Clinical Social Worker | 45 S Ave W, Suite 203, Cranford, NJ 07016-2686 | |
| Andrew J Anisko | Internal Medicine | Anisko Medical Associates LLC | 45 S Ave W, Suite 201, Cranford, NJ 07016-2686 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Wu | Optometry | Hilke and Weng Optometric Physicians | 32 N Ave E, Cranford, NJ 07016 |
| Robert Allyn Lukenda | Family Medicine | New Jersey Family Medical | 216 N Ave, Cranford, NJ 07016 |
| John E Hilke | Optometry | Hilke and Weng Optometric Physicians | 32 N Ave E, Cranford, NJ 07016 |
| C G Roque | Internal Medicine | 2 Seneca Rd, Cranford, NJ 07016-1524 | |
| Andrea J Sciarrillo | Chiropractic | 301 N Ave E, Cranford, NJ 07016-2026 | |
| Christy T Hoang | Optometry | 23 N Ave W, Cranford Eye Care, Cranford, NJ 07016-2114 | |
| Diane Richardson | Clinical Social Worker | Mount Carmel Guild Behavioral Health System | 108 Alden St, Cranford, NJ 07016-2131 |
| Jennifer Strauss | Clinical Social Worker | Mount Carmel Guild Behavioral Health System | 108 Alden St, Cranford, NJ 07016-2131 |
| Allison E Smith | Clinical Social Worker | Mount Carmel Guild Behavioral Health System | 108 Alden St, Cranford, NJ 07016-2131 |
| Mark Gordin | Psychiatry | Mount Carmel Guild Behavioral Health System | 108 Alden St, Cranford, NJ 07016-2131 |
| Find all physicians in zip 07016 | |||
| City | CRANFORD |
| Zip Code | 07016 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CRANFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle O Itidiare.
| 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.