Mahtab Ayatollahi (NPI# 1790267326, PAC ID# 9537412069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1790267326 |
| PAC ID by PECOS | 9537412069 |
| Professional Enrollment ID | I20181030000905 |
| Full Name | Mahtab Ayatollahi |
| Organization Legal Name | GRACE MEDICAL GROUP LLC |
| Address |
1600 Saint Georges Ave Suite 118 Rahway NJ 07065-2713 |
| Phone Number | 7325961088 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0446510895 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1600 Saint Georges Ave, Suite 118, Rahway, NJ 07065-2713 | 7325961088 | GRACE MEDICAL GROUP LLC |
| Organization Legal Name | GRACE MEDICAL GROUP LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey-ann D Lambert | Clinical Social Worker | Grace Medical Group LLC | 1600 Saint Georges Ave, Suite 118, Rahway, NJ 07065-2713 |
| Anastasia A Krosnick | Nurse Practitioner | Grace Medical Group LLC | 1600 Saint Georges Ave, Suite 118, Rahway, NJ 07065-2713 |
| Akinlabi Adetayo Sanusi | Psychiatry | Grace Medical Group LLC | 1600 Saint Georges Ave, Suite 118, Rahway, NJ 07065-2713 |
| Street Address |
1600 SAINT GEORGES AVE SUITE 118 |
| City | RAHWAY |
| State | NJ |
| Zip | 07065-2713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey-ann D Lambert | Clinical Social Worker | Grace Medical Group LLC | 1600 Saint Georges Ave, Suite 118, Rahway, NJ 07065-2713 |
| Nicole Marie Fiore | Occupational Therapy | Holsman Physical and Occupational Therapy PC | 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065-2713 |
| Aryeh Keehn | Urology | New Jersey Urology LLC | 1600 Saint Georges Ave, Suite 202, Rahway, NJ 07065-2713 |
| Anastasia A Krosnick | Nurse Practitioner | Grace Medical Group LLC | 1600 Saint Georges Ave, Suite 118, Rahway, NJ 07065-2713 |
| Monique A Coriolan | Nurse Practitioner | Care Alternatives Inc | 1600 Saint Georges Ave, Suite 315, Rahway, NJ 07065-2764 |
| Lauren A Vansaders | Nurse Practitioner | Care Alternatives Inc | 1600 Saint Georges Ave, Suite 315, Rahway, NJ 07065-2764 |
| Natalie Noelle Caneda | Physical Therapy | Holsman Physical and Occupational Therapy PC | 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065-2713 |
| Akinlabi Adetayo Sanusi | Psychiatry | Grace Medical Group LLC | 1600 Saint Georges Ave, Suite 118, Rahway, NJ 07065-2713 |
| Nancy A Kaplan | Podiatry | Essex Union Podiatry LLP | 1600 Saint Georges Ave, Rahway, NJ 07065-2764 |
| Ritu Suri | Family Medicine | Care Alternatives Inc | 1600 Saint Georges Ave, Suite 315, Rahway, NJ 07065-2764 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vineet Prasad | Internal Medicine | 913 W Inman Ave, Rahway, NJ 07065-1531 | |
| Pavan Sachan | Gastroenterology | Advanced Gastroenterology Center, PC | 1103 Westfield Ave, Rahway, NJ 07065-1916 |
| Mary Ann R Curiba | Rheumatology | 1053 Westfield Ave, Rahway, NJ 07065-2040 | |
| Robert R Weber | Chiropractic | 2314 Saint Georges Ave, Rahway, NJ 07065-2125 | |
| Jorge D Quintana | Psychiatry | 2366 Saint Georges Ave, Rahway, NJ 07065-2125 | |
| Krupa Patel | Podiatry | Rwp Enterprises LLC | 674 Saint Georges Ave, Rahway, NJ 07065-2538 |
| Obinna O Mgbako | Podiatry | Rwp Enterprises LLC | 674 Saint Georges Ave, Rahway, NJ 07065-2538 |
| Yu Ching Chi | Podiatry | Rwp Enterprises LLC | 674 Saint Georges Ave, Rahway, NJ 07065-2538 |
| Lara Kozin | Podiatry | Rwp Enterprises LLC | 674 Saint Georges Ave, Rahway, NJ 07065-2538 |
| Keval G Parikh | Podiatry | Rwp Enterprises LLC | 674 Saint Georges Ave, Rahway, NJ 07065-2538 |
| Find all physicians in zip 07065 | |||
| City | RAHWAY |
| Zip Code | 07065 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | RAHWAY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mahtab Ayatollahi.
| 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.