Takako Komatsuzaki (NPI# 1700373172, PAC ID# 6103172416) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1700373172 |
PAC ID by PECOS | 6103172416 |
Professional Enrollment ID | I20180628001961 |
Full Name | Takako Komatsuzaki |
Organization Legal Name | NEWBRIDGE SERVICES INC |
Address |
1069 Ringwood Ave Suite 301 Haskell NJ 07420-1452 |
Phone Number | 9738310613 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 3072598978 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1069 Ringwood Ave, Suite 301, Haskell, NJ 07420-1452 | 9738310613 | NEWBRIDGE SERVICES INC |
123 Hamburg Tpke, Pompton Lakes, NJ 07442-2310 | 9736162042 | NEWBRIDGE SERVICES INC |
70 Sparta Ave, Suite 104, Sparta, NJ 07871-1760 | 9737260697 | NEWBRIDGE SERVICES INC |
Organization Legal Name | NEWBRIDGE SERVICES INC |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paula A Tedesco | Nurse Practitioner | Newbridge Services Inc | 123 Hamburg Tpke, Pompton Lakes, NJ 07442-2310 |
Diane Nies | Clinical Social Worker | Newbridge Services Inc | 70 Sparta Ave, Suite 104, Sparta, NJ 07871-1760 |
Norma B Talbo | Psychiatry | Newbridge Services Inc | 1259 Rt 46, Suite 100a, Parsippany, NJ 07054-4921 |
Deborah M Abrams | Clinical Social Worker | Newbridge Services Inc | 1259 Rt 46, Suite 100a, Parsippany, NJ 07054-4921 |
Claire Mosiello | Clinical Social Worker | Newbridge Services Inc | 1259 Rt 46, Suite 100a, Parsippany, NJ 07054-4921 |
Jessica Mangels | Clinical Social Worker | Newbridge Services Inc | 1259 Rt 46, Suite 100a, Parsippany, NJ 07054-4921 |
Karin B Williams | Clinical Social Worker | Newbridge Services Inc | 1069 Ringwood Ave, Suite 202, Haskell, NJ 07420-1451 |
Edward W Edwards | Clinical Social Worker | Newbridge Services Inc | 1259 Rt 46, Suite 100a, Parsippany, NJ 07054-4921 |
Valerie Verde | Psychiatry | Newbridge Services Inc | 123 Hamburg Tpke, Pompton Lakes, NJ 07442-2310 |
Joseph Dintrono | Clinical Social Worker | Newbridge Services Inc | 123 Hamburg Tpke, Pompton Lakes, NJ 07442-2310 |
Street Address |
1069 RINGWOOD AVE SUITE 301 |
City | HASKELL |
State | NJ |
Zip | 07420-1452 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael A Benetatos | Optometry | 1069 Ringwood Ave, Suite 106, Haskell, NJ 07420-1451 | |
John Penek | General Practice | 1069 Ringwood Ave, Suite 301 5, Haskell, NJ 07420-1408 | |
Karin B Williams | Clinical Social Worker | Newbridge Services Inc | 1069 Ringwood Ave, Suite 202, Haskell, NJ 07420-1451 |
Name | Specialty | Organization | Address |
---|---|---|---|
Fritzie Ann Penales-cempron | Physical Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
Charleston Cempron | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
Maria Tanis | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
Bradley Jude Bacanaya | Physical Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
Kerry Ann Iamurri | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
Cathy Rutella | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
Arcellie Adriano | Occupational Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
Djhoana S Montemayor-mateo | Physical Therapy | Eon Therapy Services LLC | 182 Carter Rd, Haskell, NJ 07420-1062 |
Jeffrey T Smith | Internal Medicine | 1141 Ringwood Ave, Suite 7, Haskell, NJ 07420-1565 |
City | HASKELL |
Zip Code | 07420 |
Specialty | NURSE PRACTITIONER |
City + Specialty | HASKELL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Takako Komatsuzaki.
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.