Adryanna Tavares (NPI# 1205202090, PAC ID# 6002122975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205202090 |
| PAC ID by PECOS | 6002122975 |
| Professional Enrollment ID | I20150909000535 |
| Full Name | Adryanna Tavares |
| Organization Legal Name | HUMC MEDICAL OBSERVATION |
| Address |
30 Prospect Ave Hackensack NJ 07601-1915 |
| Phone Number | 5519965045 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8729104021 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310001 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 30 Prospect Ave, Hackensack, NJ 07601-1915 | 5519965045 | HUMC MEDICAL OBSERVATION |
| 30 Prospect Ave, Hackensack, NJ 07601-1915 | HACKENSACK UNIVERSITY MEDICAL GROUP PC |
| Organization Legal Name | HUMC MEDICAL OBSERVATION |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miyasari Ranoewidjojo | Physician Assistant | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Suzanne M Marcellaro | Nurse Practitioner | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Jeffrey Heilpern | Nurse Practitioner | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Svetlana Zakharchenko | Emergency Medicine | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Melissa Cobos | Nurse Practitioner | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Mark Brubaker | Internal Medicine | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Margaret M Fleming-keane | Nurse Practitioner | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Jun Jie Han | Internal Medicine | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Anna Yarygina | Emergency Medicine | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Mariam S Said | Nurse Practitioner | Humc Medical Observation | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Street Address |
30 PROSPECT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip | 07601-1915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesus R Alvarez Perez | Obstetrics/gynecology | Hackensack University Medical Group PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Hong Cheng | Pathology | Hackensack Pathology Associates, LLC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Parul P Lakhlani | Anesthesiology | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| Paarth Raj | Emergency Medicine | Hackensack University Medical Group PC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Duncan S Eckhardt | Certified Registered Nurse Anesthetist (crna) | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| Philip O Eck | Anesthesiology | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| David K Chen | Anesthesiology | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| Somdatta Gupta | Anesthesiology | New Jersey Healthcare Specialists PC | 30 Prospect Ave, Hackensack, NJ 07601-1914 |
| Ellen A Ronnen | Medical Oncology | Regional Cancer Care Associates LLC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Mukesh Solanky | Neurology | Hackensack Non Invasive Vascular Laboratory Associates | 30 Prospect Ave, Rm G231, Hackensack, NJ 07601-1915 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Kimberly Rozzelle | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| Robert Mateo | Nurse Practitioner | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 | |
| Geraldine Charles | Nurse Practitioner | Housecalls for The Homebound Medicine Nj PC | 2 University Plaza Dr, Suite 204, Hackensack, NJ 07601 |
| David J Bikoff | Plastic and Reconstructive Surgery | 146 Rt 17, 3rd Floor, Hackensack, NJ 07601-1038 | |
| John J Vaccaro | Plastic and Reconstructive Surgery | 146 N State Rt, Suite 3, Hackensack, NJ 07601-1038 | |
| Arie Rosen | Otolaryngology | 2 S Summit Ave, Hackensack, NJ 07601-1117 | |
| Jeffrey Schlesinger | Chiropractic | 5 Summit Ave, Suite 101, Hackensack, NJ 07601-1214 | |
| Rey I Pella | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Julie Y An | Nurse Practitioner | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Joseph C Yu | Cardiovascular Disease (cardiology) | Mulkay Cardiology Consultants At Holy Name Medical Center, PC | 493 Essex St, Hackensack, NJ 07601-1215 |
| Find all physicians in zip 07601 | |||
| City | HACKENSACK |
| Zip Code | 07601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HACKENSACK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Adryanna Tavares.
| 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.