Kelly E Edebiri (NPI# 1386007581, PAC ID# 6103153663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1386007581 |
| PAC ID by PECOS | 6103153663 |
| Professional Enrollment ID | I20190807001886 |
| Full Name | Kelly E Edebiri |
| Organization Legal Name | RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC |
| Address |
201 Lyons Ave Newark NJ 07112-2027 |
| Phone Number | 8008432384 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 6204112469 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310002 | NEWARK BETH ISRAEL MEDICAL CENTER |
| 310119 | THE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 Lyons Ave, Newark, NJ 07112-2027 | 8008432384 | RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC |
| 630 Mantua Pike, Woodbury, NJ 08096-3233 | 8568122220 | PATIENT FIRST MARYLAND PHYSICIANS GROUP, P.C.. |
| Organization Legal Name | RIVERBANK INPATIENT MEDICAL ASSOCIATES LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy E Ponter | Nurse Practitioner | Riverbank Inpatient Medical Associates LLC | 1 Hamilton Health Pl, Trenton, NJ 08690-3542 |
| Jimmy M Paulo | Hospitalist | Riverbank Inpatient Medical Associates LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Natasha Kasabwala | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Jaxon J Fernandes | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 1 Clara Maass Dr, Belleville, NJ 07109-3550 |
| Siva Teja Jetty | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Shuang Hou | Nurse Practitioner | Riverbank Inpatient Medical Associates LLC | 1 Hamilton Health Pl, Trenton, NJ 08690-3542 |
| Khurram S Malik | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Sara Ghotb | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 300 2nd Ave, Long Branch, NJ 07740-6303 |
| Swapna Katikaneni | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Andrew Y Kim | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 1 Hamilton Health Pl, Trenton, NJ 08690-3542 |
| Street Address |
201 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip | 07112-2027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter M Farrugia | Cardiovascular Disease (cardiology) | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Juraj Lukac | Psychiatry | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Daniel Goltz | Emergency Medicine | Newark Beth Israel Emergency Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Natasha Kasabwala | Internal Medicine | Riverbank Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Maulik M Trivedi | Emergency Medicine | Newton Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Erin T Devery | Nurse Practitioner | Nbimc Department of Heart | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Mimi N Ton | Pediatric Medicine | Nbimc Neonatal Associates | 201 Lyons Ave, Suite C9, Newark, NJ 07112-2027 |
| Ritu Chandak | Psychiatry | Barnabas Health Medical Group P C | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Xinlai Sun | Pathology | University Physician Associates of New Jersey Inc | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Shakeerah M Lockhart | Nurse Practitioner | Newton Inpatient Medical Associates LLC | 201 Lyons Ave, Newark, NJ 07112-2027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Homer L Nelson | Internal Medicine | 410 Chancellor Ave, Newark, NJ 07112-1030 | |
| Cindy Sturt | Vascular Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Razia S Awan | Internal Medicine | 156 Lyons Ave, Newark, NJ 07112-2016 | |
| Beena J Joseph | Nurse Practitioner | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Jonathan C Dunn | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Tatiana Ambarus | Obstetrics/gynecology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| David Stephen Pertsemlidis | General Surgery | Nbimc Department of Surgery | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Misbah Salam | Neurology | 166 Lyons Ave, Newark, NJ 07112-2016 | |
| Harvey K Bucholtz | Endocrinology | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Cynthia A Galeota | Certified Nurse Midwife (cnm) | Newark Beth Israel Medical Center Inc | 166 Lyons Ave, Newark, NJ 07112-2016 |
| Find all physicians in zip 07112 | |||
| City | NEWARK |
| Zip Code | 07112 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NEWARK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kelly E Edebiri.
| 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.