Jennifer M Wiley (NPI# 1205837515, PAC ID# 6305961871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205837515 |
| PAC ID by PECOS | 6305961871 |
| Professional Enrollment ID | I20100921000825 |
| Full Name | Jennifer M Wiley |
| Organization Legal Name | COMMUNITY CARE PHYSICIANS PC |
| Address |
101 Jordan Rd Suite 104 Troy NY 12180-8323 |
| Phone Number | 5182749126 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8022904473 |
| Number of Group Practice Members | 329 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330180 | SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Jordan Rd, Suite 104, Troy, NY 12180-8323 | 5182749126 | COMMUNITY CARE PHYSICIANS PC |
| Organization Legal Name | COMMUNITY CARE PHYSICIANS PC |
| Physicians | 267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah A O'leary | Nurse Practitioner | Community Care Physicians PC | 1882 New Scotland Rd, Suite 200, Slingerlands, NY 12159-3627 |
| Kelsey E Tourville | Physician Assistant | Community Care Physicians PC | 61 Rowland St, Ballston Spa, NY 12020-1135 |
| Jenny A Torre | Pediatric Medicine | Community Care Physicians PC | 7 B Johnson Rd, Latham, NY 12110-3003 |
| Aaron J Quidort | Internal Medicine | Community Care Physicians PC | 35 Empire State Blvd, Castleton, NY 12033-9777 |
| Anneliese Provost | Nurse Practitioner | Community Care Physicians PC | 4164 Route 2, Cropseyville, NY 12052 |
| Jill A Gradner | Internal Medicine | Community Care Physicians PC | 199 Delaware Ave, Delmar, NY 12054-1229 |
| Barbara Hunter Quinn | Nurse Practitioner | Community Care Physicians PC | 1184 State Rd, Suite 50, Ballston Lake, NY 12019 |
| Kristienna Doro | Nurse Practitioner | Community Care Physicians PC | 14 Vista Blvd, Slingerlands, NY 12159-2184 |
| Frances A Rosario | Nurse Practitioner | Community Care Physicians PC | 2 Clara Barton Dr, Suite 201, Albany, NY 12208-3477 |
| Lisbeth M Irish | Registered Dietitian Or Nutrition Professional | Community Care Physicians PC | 501 New Karner Rd, Suite 1a, Albany, NY 12205-3882 |
| Street Address |
101 JORDAN RD SUITE 104 |
| City | TROY |
| State | NY |
| Zip | 12180-8323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary S Elacqua | Obstetrics/gynecology | Community Care Physicians PC | 101 Jordan Rd, North Greenbush, NY 12144 |
| Christina M Spaulding | Family Medicine | Community Care Physicians PC | 101 Jordan Rd, Suite 104, Troy, NY 12180-8323 |
| James M Cioffi | Internal Medicine | Community Care Physicians PC | 101 Jordan Rd, North Greenbush, NY 12144 |
| Crystal M Santiago | Obstetrics/gynecology | Community Care Physicians PC | 101 Jordan Rd, Suite 104, Troy, NY 12180-8323 |
| Marybeth M Bossolini | Nurse Practitioner | Community Care Physicians, PC | 101 Jordan Rd, North Greenbush, NY 12144 |
| Michelle N Gallant | Certified Nurse Midwife | Community Care Physicians, PC | 101 Jordan Rd, North Greenbush, NY 12144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew G Gunther | Orthopedic Surgery | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Mandy Black | Nurse Practitioner | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Jeffrey R Root | Psychologist, Clinical | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Elizabeth Devereux | Nurse Practitioner | Samaritan Hospital of Troy New York | 279 Troy Rd, Troy, NY 12180 |
| Robert Zaven Dadekian | Rheumatology | 1302 Park Blvd, Troy, NY 12180-1403 | |
| Charles M Sulzman | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Peter R Maggiore | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Kristen A Santos | Internal Medicine | Samaritan Hospital of Troy New York | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Beverley L Krauss | Physician Assistant | Seton Health System, Inc | 1401 Massachusetts Ave, Troy, NY 12180-1621 |
| Janet L Alloway | Physician Assistant | Samaritan Hospital of Troy New York | 1300 Massachusetts Ave, Troy, NY 12180-1628 |
| Find all physicians in zip 12180 | |||
| City | TROY |
| Zip Code | 12180 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TROY + FAMILY MEDICINE |
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| 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.