Russell Samofal (NPI# 1982968517, PAC ID# 5294041752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1982968517 |
| PAC ID by PECOS | 5294041752 |
| Professional Enrollment ID | I20150904001511 |
| Full Name | Russell Samofal |
| Organization Legal Name | PODIATRY CENTER OF NEW JERSEY LLC |
| Address |
335 Passaic St Passaic NJ 07055-5818 |
| Phone Number | 9739254111 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7719293745 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 335 Passaic St, Passaic, NJ 07055-5818 | 9739254111 | PODIATRY CENTER OF NEW JERSEY LLC |
| 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033 | 7184314979 | PODIATRY CENTER OF NEW JERSEY LLC |
| 6122 Bergenline Ave, West New York, NJ 07093-1521 | 9739254111 | PODIATRY CENTER OF NEW JERSEY LLC |
| Organization Legal Name | PODIATRY CENTER OF NEW JERSEY LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris Obiarinze Jr. | Podiatry | Podiatry Center of New Jersey LLC | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033 |
| Magdalena Marcinek | Podiatry | Podiatry Center of New Jersey LLC | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033 |
| Dolan K Chowdhury | Podiatry | Podiatry Center of New Jersey LLC | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033 |
| Jaclyn J Ramirez | Podiatry | Podiatry Center of New Jersey LLC | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033 |
| Street Address |
335 PASSAIC ST |
| City | PASSAIC |
| State | NJ |
| Zip | 07055-5818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akshaykumar Patel | Physical Therapy | Gands Pt LLC | 335 Passaic St, Passaic, NJ 07055-5818 |
| Stephanie Wanda Checo Nolasco | Nurse Practitioner | G and S Medical Associates, LLC | 335 Passaic St, Passaic, NJ 07055-5818 |
| Janki Patel | Physical Therapy | Gands Pt LLC | 335 Passaic St, Passaic, NJ 07055-5818 |
| Samir H Haddad | General Practice | G and S Medical Associates, LLC | 335 Passaic St, Passaic, NJ 07055-5818 |
| Javier R Ponce | Podiatry | 335 Passaic St, Passaic, NJ 07055-5818 | |
| Idalissie Altagracia Peguero | Nurse Practitioner | G and S Medical Associates, LLC | 335 Passaic St, Passaic, NJ 07055-5818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaakov Siegel | Psychologist, Clinical | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Kelly B Hargadon | Psychologist, Clinical | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Sherri S Tucker | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Kristin Ann Motta | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Sherri C Goldstein | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Amanda Romeo | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Elizabeth C Miller | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Heather Miller | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Daria Malinchak Mcphee | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Sarah C. Hiller | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Find all physicians in zip 07055 | |||
| City | PASSAIC |
| Zip Code | 07055 |
| Specialty | PODIATRY |
| City + Specialty | PASSAIC + PODIATRY |
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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.