Todd M Zoltack (NPI# 1366699084, PAC ID# 1456400332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1366699084 |
| PAC ID by PECOS | 1456400332 |
| Professional Enrollment ID | I20170210000593 |
| Full Name | Todd M Zoltack |
| Organization Legal Name | ST LUKES WARREN PHYSICIAN GROUP PC |
| Address |
37 Rupell Rd Hampton NJ 08827-4017 |
| Phone Number | 9087357060 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739093675 |
| Number of Group Practice Members | 210 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310060 | ST. LUKE'S WARREN HOSPITAL |
| 390049 | ST LUKE'S HOSPITAL BETHLEHEM |
| Address | Phone | Organization |
|---|---|---|
| 37 Rupell Rd, Hampton, NJ 08827-4017 | 9087357060 | ST LUKES WARREN PHYSICIAN GROUP PC |
| 200 Strykers Rd, Phillipsburg, NJ 08865-9488 | 9088471035 | ST LUKES WARREN PHYSICIAN GROUP PC |
| 200 Strykers Rd, Suite 1, Phillipsburg, NJ 08865-9488 | 9088476568 | ST LUKES WARREN PHYSICIAN GROUP PC |
| 207 Strykers Rd, Phillipsburg, NJ 08865-5401 | 9088476568 | ST LUKES WARREN PHYSICIAN GROUP PC |
| Organization Legal Name | ST LUKES WARREN PHYSICIAN GROUP PC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shilpa Reddy | Family Medicine | St Lukes Warren Physician Group PC | 802 Milford Warren Glen Rd, Milford, NJ 08848-1648 |
| Raymond J Rivera | Physician Assistant | St Lukes Warren Physician Group PC | 123 Roseberry St, Phillipsburg, NJ 08865-1629 |
| Amanda Gourniak | Nurse Practitioner | St Lukes Warren Physician Group PC | 37 Rupell Rd, Hampton, NJ 08827-4017 |
| Tracy L Lee | Nurse Practitioner | St Lukes Warren Physician Group PC | 315 State Route 31 S, Washington, NJ 07882-4069 |
| Ajaz M Siddiqui | Pain Management | St Lukes Warren Physician Group PC | 315 State Rt 315, Washington, NJ 07882-0000 |
| Alan H Remde | Family Medicine | St Lukes Warren Physician Group PC | 755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865-2748 |
| Raymond S Buch | Family Medicine | St Lukes Warren Physician Group PC | 22 Walmart Plz, Clinton, NJ 08809-1263 |
| Livia E Bratis | Pulmonary Disease | St Lukes Warren Physician Group PC | 123 B Roseberry St, Phillipsburg, NJ 08865-1629 |
| Timothy Oskin | Vascular Surgery | St Lukes Warren Physician Group PC | 185 Roseberry St, Phillipsburg, NJ 08865-1690 |
| Laura Kropf | Family Medicine | St Lukes Warren Physician Group PC | 207 Strykers Rd, Phillipsburg, NJ 08865-5401 |
| Street Address |
37 RUPELL RD |
| City | HAMPTON |
| State | NJ |
| Zip | 08827-4017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Gourniak | Nurse Practitioner | St Lukes Warren Physician Group PC | 37 Rupell Rd, Hampton, NJ 08827-4017 |
| Jenna M Wilson | Physician Assistant | St Lukes Warren Physician Group PC | 37 Rupell Rd, Hampton, NJ 08827-4017 |
| Gerard J Delmonico | Family Medicine | St Lukes Warren Physician Group PC | 37 Rupell Rd, Hampton, NJ 08827-4017 |
| Frank Sforza | Family Medicine | St Lukes Warren Physician Group PC | 37 Rupell Rd, Hampton, NJ 08827-4017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane M Hooks | Clinical Social Worker | 422 Charlestown Rd, Hampton, NJ 08827-2535 | |
| Paul P Madura Jr. | Family Medicine | 450 Charlestown Rd, Hampton, NJ 08827-2535 | |
| Shivani Thakur | Family Medicine | Hunterdon Primary Care PC | 61 Frontage Rd, Hampton, NJ 08827-4001 |
| Wenshin M Bucuk | Nurse Practitioner | Hunterdon Primary Care PC | 61 Frontage Rd, Hampton, NJ 08827-4001 |
| Scott Berk | Family Medicine | 33 B Rupell Rd, Hampton, NJ 08827-4017 | |
| Anthony Todaro | Psychologist, Clinical | 3 Manor Dr, Hampton, NJ 08827-5409 |
| City | HAMPTON |
| Zip Code | 08827 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HAMPTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Todd M Zoltack.
| 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.