Idalissie Altagracia Peguero (NPI# 1689154437, PAC ID# 8527311489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689154437 |
| PAC ID by PECOS | 8527311489 |
| Professional Enrollment ID | I20181024000014 |
| Full Name | Idalissie Altagracia Peguero |
| Organization Legal Name | G AND S MEDICAL ASSOCIATES, LLC |
| Address |
335 Passaic St Passaic NJ 07055-5818 |
| Phone Number | 9737795554 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0244404697 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 335 Passaic St, Passaic, NJ 07055-5818 | 9737795554 | G AND S MEDICAL ASSOCIATES, LLC |
| 91 Main St, Paterson, NJ 07505-1026 | 9735234000 | G AND S MEDICAL ASSOCIATES, LLC |
| Organization Legal Name | G AND S MEDICAL ASSOCIATES, LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karam Wehbeh | Nurse Practitioner | G and S Medical Associates, LLC | 606 Broadway, Paterson, NJ 07514-1916 |
| Wanda Hedian | Nurse Practitioner | G and S Medical Associates, LLC | 91 Main St, Paterson, NJ 07505-1026 |
| Stephanie Wanda Checo Nolasco | Nurse Practitioner | G and S Medical Associates, LLC | 335 Passaic St, Passaic, NJ 07055-5818 |
| Zsamae Garcia | Nurse Practitioner | G and S Medical Associates, LLC | 91 Main St, Paterson, NJ 07505-1026 |
| Mohamed Dahhan | Internal Medicine | G and S Medical Associates, LLC | 606 Broadway, Paterson, NJ 07514-1916 |
| Gammal A Hassanien | Internal Medicine | G and S Medical Associates, LLC | 91 Main St, Paterson, NJ 07505-1026 |
| Samir H Haddad | General Practice | G and S Medical Associates, LLC | 335 Passaic St, Passaic, NJ 07055-5818 |
| Hayde Bolanos | Nurse Practitioner | G and S Medical Associates, LLC | 91 Main St, Paterson, NJ 07505-1026 |
| Tara N Loaiza | Nurse Practitioner | G and S Medical Associates, LLC | 91 Main St, Paterson, NJ 07505-1026 |
| Soon Ja Oh | Nurse Practitioner | G and S Medical Associates, LLC | 91 Main St, Paterson, NJ 07505-1026 |
| 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 | |
| Russell Samofal | Podiatry | Podiatry Center of New Jersey 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 | NURSE PRACTITIONER |
| City + Specialty | PASSAIC + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Idalissie Altagracia Peguero.
| 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.