PINE GROUP LLC (NPI# 1750902813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750902813 |
| Entity Type | Organization |
| Organization Name | PINE GROUP LLC |
| Practice Address |
0-39 Pine Ave Fair Lawn NJ 07410 |
| Practice Telephone | 2018730943 |
| Mailing Telephone | 2018730943 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | NATHAN SHOYKHET (PRINCIPAL) |
| Authorized Official Telephone | 2018730943 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PINE GROUP LLC | 14 Priory Ct, Melville, New York 11747 |
| Street Address |
0-39 PINE AVE |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| 1215323092 | Meghan Ann Schlitt | Pediatrics | 20-20 Fair Lawn Ave Fl 1, Fair Lawn, NJ 07410 | 2015-04-08 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205208022 | David Thaler, Psyd | Point of Service | 7-22 River Rd, Fair Lawn, NJ 07410-1449 | 2015-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851922579 | Emmanuel Fequiere Larose | Point of Service | 173 Norman Rd, Newark, NJ 07106-3309 | 2020-01-31 |
| 1487119905 | Tripoint Medical Care | Point of Service | 680 Broadway Ste 506, Paterson, NJ 07514-1530 | 2019-02-08 |
| 1740776301 | Victoria Vanzetta | Point of Service | 22 Crag Pl, Ringwood, NJ 07456-1814 | 2018-07-07 |
| 1316486053 | Penny M Beil | Point of Service | 371 N Beverwyck Rd, Parsippany, NJ 07054-1537 | 2017-02-14 |
| 1184166373 | Saunders Music Studio, LLC | Point of Service | 214 Maxwell Ave, Hightstown, NJ 08520-3229 | 2016-11-06 |
| 1437600574 | Ferry St Chiropractic and Physical Therapy | Point of Service | 236 Ferry St, Newark, NJ 07105-5401 | 2016-10-24 |
| 1386192706 | Bai Li Medical Health Center | Point of Service | 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 | 2016-09-14 |
| 1053868513 | Feroza Hossain, Inc | Point of Service | 256 Bunn Drive, Suite 3a, Princeton, NJ 08540 | 2016-09-01 |
| 1801340567 | Independence: A Family of Services, Inc. | Point of Service | 15 Smalley Ter, Irvington, NJ 07111-3808 | 2016-08-11 |
| 1376990507 | Joan Asuncion | Point of Service | 224 Neptune Ave, Jersey City, NJ 07305-2508 | 2016-05-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PINE GROUP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.