Eulalia Dibattiste (NPI# 1104856434, PAC ID# 4981733417) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1104856434 |
PAC ID by PECOS | 4981733417 |
Professional Enrollment ID | I20100521000492 |
Full Name | Eulalia Dibattiste |
Organization Legal Name | LACEY MEDICAL GROUP LLC |
Address |
411 Us Hwy 9 Suite 2 Lanoka Harbor NJ 08734-2818 |
Phone Number | 6096930819 |
Gender | F |
Graduation Year | 1958 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 1557503521 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
310113 | SOUTHERN OCEAN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
411 Us Hwy 9, Suite 2, Lanoka Harbor, NJ 08734-2818 | 6096930819 | LACEY MEDICAL GROUP LLC |
Organization Legal Name | LACEY MEDICAL GROUP LLC |
Physicians | 1 |
Street Address |
411 US HWY 9 SUITE 2 |
City | LANOKA HARBOR |
State | NJ |
Zip | 08734-2818 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ann Dipaolo | Family Medicine | 411 Us Hwy 9, Suite 2, Lanoka Harbor, NJ 08734-2818 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian E Sokalsky | Sports Medicine | 539 Route 9, Lanoka Harbor, NJ 08734-2211 | |
Christine A Stephan | Clinical Social Worker | Cheryl A Byk Lcsw LLC | 500 Us Hwy 9 2, Lanoka Harbor, NJ 08734-2228 |
Betty Ann Phillips | Clinical Social Worker | Cheryl A Byk Lcsw LLC | 500 Us Hwy 9, Suite 2, Lanoka Harbor, NJ 08734-2228 |
Michael Zuccaro | Clinical Social Worker | Cheryl A Byk Lcsw LLC | 500 Us Hwy 9, Suite 2, Lanoka Harbor, NJ 08734-2228 |
Rose Testa | Clinical Social Worker | Cheryl A Byk Lcsw LLC | 500 Us Hwy 9, Suite 2, Lanoka Harbor, NJ 08734-2228 |
Cheryl A Byk | Clinical Social Worker | Cheryl A Byk Lcsw LLC | 500 Us Hwy 9, Suite 2, Lanoka Harbor, NJ 08734-2228 |
Marilyn B Gresh | Clinical Social Worker | 500 Us Hwy 9, Lanoka Harbor, NJ 08734-2228 | |
Noreen Taggart | Clinical Social Worker | Cheryl A Byk Lcsw LLC | 500 Us Hwy 9, Suite 2, Lanoka Harbor, NJ 08734-2228 |
Avelina Flores | Internal Medicine | 411 Route 9, Suite 6, Lanoka Harbor, NJ 08734-2818 | |
Nathan Fink | Optometry | 415 N Main St, Lanoka Harbor, NJ 08734-2834 | |
Find all physicians in zip 08734 |
City | LANOKA HARBOR |
Zip Code | 08734 |
Specialty | FAMILY PRACTICE |
City + Specialty | LANOKA HARBOR + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Eulalia Dibattiste.
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.