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2018

NEW JERSEY
PROVIDER DIRECTORY

Bergen, Hudson, Passaic

CAD_24959M_1018 NJ8JMDDIR24959M_0002
©WellCare 2018
Table of Contents
Provider Directory
Introduction I
How to Read Our Provider Listings II
Icon Guide II

List of Plan Providers


Primary Care Physicians
Bergen 1
Hudson 23
Passaic 52
Specialty Physicians
Bergen 79
Hudson 158
Passaic 236
Hospitals
Bergen 306
Hudson 307
Passaic 308
Ancillary Providers
All 309
Bergen 310
Hudson 320
Passaic 327
Allied Providers
Bergen 335
Hudson 369
Passaic 389
Managed Long Term Services And Supports
All 406
Bergen 407
Hudson 461
Passaic 491
Pharmacy
Bergen 523
Hudson 533
Passaic 543

Indexes
Alternate Languages Index 550
Specialty Index 578

NJ8JMDDIR24959M_0002
Indexes
Extended Hours Index 584
Provider Index 601
Here is your WellCare of New Jersey provider directory. It lists all of the providers in our network. These
providers include:
• Primary care providers (PCPs) and specialists
• Hospitals
• Pharmacies
Each of these providers will make his or her own decisions about the care you need. WellCare of New Jersey is
not responsible for these decisions. Some providers may not perform certain services due to their religious or
moral beliefs.
We've listed all of the providers by county. Then we've grouped them together by the type of care or services
they give. We've also included:
• The providers' addresses and phone numbers
• Symbols to tell you whether the provider is accepting new patients, board certified or wheelchair
accessible
We have a provider look-up tool on our website. Go to www.wellcare.com/New-Jersey. Then click on the
"Find a Provider" icon. You'll be able to search for providers right in your area. This is the best place to get our
most current directory information.
Call us if you have questions about this directory. We can help you find a provider. We can even help set up
an appointment for you. Our toll-free number is 1-888-453-2534. TTY users can call 711. You can reach us
Monday-Friday, 8 a.m. to 6 p.m.
We wish you good health.

www.wellcare.com/New-Jersey | I
How to Read Our Provider Listings

Indicates provider is board certified


Indicates provider has wheelchair access
Provider name Smith, Joe, MD
Provider ID: 111111
Practice name Your Family Medical Center Indicates provider is not
Male accepting new patients
Provider gender
Provider
address and
phone number
{ 123 Main Street
Anytown, FL 12345
(555) 555-5555
00 Yrs/99 Yrs Ages of patients seen by provider
Sunshine Hospital Hospital the provider is associated with
Language: Spanish Language spoken by provider or staff
9:00 am-5:00 pm Hours of operation
PCMH: YES/NO. Level 1, 2, 3 Takes part in the PCMH* Model

Icon Guide

Indicates provider is board certified

Indicates provider has wheelchair access

Indicates provider is not accepting new patients

*PCMH stands for Patient Centered Medical Home. This is a way of giving care that
involves a team of health care professionals. The team works together to meet the needs
of each patient. Providers are placed in one of three levels; Level 1 (lowest), Level 2 and
Level 3 (highest).
www.wellcare.com/New-Jersey | II
Tabla de contenido
Directorio de proveedores
Introducción VI
Cómo leer nuestros listados de proveedores IV
Guía de íconos IV

Lista de proveedores del plan


Proveedores de cuidado primario 1
Specialty physicians 79
Hospitales 306
Ancillary providers 309
Allied providers 335
Managed long term services and supports 406
Farmacia 523

Índices
Índice de idiomas alternativos 550
Índice de especialidades 578
Índice de horarios extendidos 584
Índice de proveedores 601

NJ8JMDDIR24959M_0002
Este es su directorio de proveedores de WellCare of New Jersey. Aquí se listan todos los proveedores en
nuestra red. Estos proveedores incluyen:
• Proveedores de cuidado primario (PCP) y especialistas
• Hospitales
• Farmacias
Cada uno de estos proveedores tomará sus propias decisiones sobre el cuidado que usted necesita. WellCare
of New Jersey no es responsable de esas decisiones. Es posible que algunos proveedores no proporcionen
ciertos servicios debido a sus creencias religiosas o morales.
Hemos listado a todos los proveedores por condado. Luego los hemos agrupado por el tipo de cuidado o
servicios que ofrecen. También hemos incluido:
• Las direcciones y los números de teléfono de los proveedores
• Símbolos para indicarle si el proveedor está aceptando nuevos pacientes, si es certificado por una junta o
si cuenta con acceso para silla de ruedas
En nuestro sitio web contamos con una herramienta de búsqueda de proveedores. Visite
www.wellcare.com/New-Jersey. Luego haga clic en el icono “Find a Provider” (Buscar un proveedor). Usted
podrá buscar proveedores exactamente en su área. Este es el mejor lugar para obtener nuestra información
de directorio más actual.
Si tiene alguna pregunta sobre este directorio, llámenos. Podemos ayudarle a encontrar un proveedor. Incluso
podemos ayudarle a programar una cita. Nuestro número sin cargo es1-888-453-2534. Los usuarios de TTY
pueden llamar al 711. Puede comunicarse con nosotros de lunes a viernes de 8 a.m. a 6 p.m.
Le deseamos una buena salud.

www.wellcare.com/New-Jersey | III
Cómo leer nuestros listados de proveedores

Indica que el proveedor es certificado


por la junta médica
Indica que el proveedor tiene
Nombre del proveedor Smith, Joe, MD acceso para silla de ruedas
Provider ID: 111111
Nombre de la práctica Your Family Medical Center Indica que el proveedor no está
Sexo del proveedor Male aceptando a nuevos pacientes

{
Dirección y número 123 Main Street
de teléfono del Anytown, FL 12345
proveedor (555) 555-5555
00 Yrs/99 Yrs Edades de pacientes vistos por el proveedor
Sunshine Hospital Hospital con el que está asociado el proveedor
Language: Spanish Idioma hablado por el proveedor o personal
9:00 am-5:00 pm Horario de atención
PCMH: YES/NO. Level 1, 2, 3 Participa en el modelo PCMH*

Guía de íconos

Indica que el proveedor es certificado por la junta médica

Indica que el proveedor tiene acceso para silla de ruedas

Indica que el proveedor no está aceptando a nuevos pacientes

*PCMH se refiere a Hogar Médico Enfocado en el Paciente. Es una manera de proporcionar


cuidado que involucra a un equipo de profesionales de la salud. El equipo trabaja en
conjunto para satisfacer las necesidades de cada paciente. Los proveedores son asignados
a uno de tres niveles: Nivel 1 (el más bajo), Nivel 2 y Nivel 3 (el más alto).
www.wellcare.com/New-Jersey | IV
Spanish to English Provider Types*/Tipos de proveedores de español a inglés*
Español Inglés Español Inglés
Acupuntura Acupuncture Electrofisiología Cardiac
cardíaca Electrophysiology
Psiquiatría de Addiction Psychiatry
adicciones Monitoreo cardíaco Cardiac Monitoring
Medicina para Adolescent Cardiología Cardiology
adolescentes Medicine
Cirugía cardiovascular Cardiovascular
Servicios de Adult Companion Surgery
acompañante para Services
adultos Cirugía cardiovascular Cardiovascular
Surgery
Cuidado diurno para Adult Day Care
adultos Servicios de Case Management
administración Services
Hogar de cuidado Adult Foster Care de casos
sustituto para adultos Home
Pediatría de abuso Child Abuse
Cuidado médico Adult Medical Day infantil Pediatrics
diurno para adultos Care
Centro de desarrollo Child Development
Cuidado residencial Adult Residential para niños Center
para adultos Care Home Administración de Children Targeted
Administración de Adult Targeted Case casos enfocados Case Management
casos enfocados Management en niños
en adultos Niños con necesidades Children With
Centro para tratar AIDS Center especiales de cuidado Special Health Care
el SIDA de la salud Needs
Alergias e inmunología Allergy & Immunology Quiropráctica Chiropractic
Centro de cirugía Ambulatory Surgery Servicios de tareas Chore/Housekeeping
ambulatoria Center domésticas y limpieza Services
del hogar
Servicios de vida Assisted Living
asistida Services Clínica Clinic
Audiología Audiology Neurofisiología Clinical
clínica Neurophysiology
Asesoramiento Behavioral Health
en salud del Counseling Cirugía de colon Colon & Rectal
comportamiento y recto Surgery
Centro de salud del Behavioral Health Centro de salud Community Health
comportameinto Facility comunitario Center
Centro de salud Community Mental
Centro de maternidad Birthing Center mental comunitario Health Center
Laboratorio de Cardiac Cath Junta de servicios Community Service
cateterismo cardíaco Laboratory a la comunidad Board

www.wellcare.com/New-Jersey | V
Español Inglés Español Inglés
Cirugía cardíaca Congenital Cardiac Planificación familiar Family Planning
congénita Surgery Medicina familiar Family Practice
Servicios de Consumable Medical Servicios de Family Training
suministros médicos Supply Services capacitación familiar Services
descartables
Centro de salud con Federally Qualified
Clínica de cuidado Convenient Care calificación federal Health Center
conveniente Clinic
Hospital de acceso Critical Access Servicios de Financial Risk
crítico Hospital evaluación/reducción Assessment/Risk
de riesgos financieros Reduction Services
Odontología Dentistry
Centro de aptitud Fitness Center
Dermatología Dermatology física
Dermatopatología Dermatopathology Gastroenterología Gastroenterology
Centro designado Designated Aids Gastroenterología Gastroenterology &
para el sida Center y hepatología Hepatology
Educación sobre Diabetes Education Medicina general General Practice
la diabetes
Cirugía general General Surgery
Centro de diagnóstico Diagnostic And
y tratamiento Treatment Center Asesoramiento Genetic Counseling
genético
Centro de diagnóstico Diagnostic Center
Medicina geriátrica Geriatric Medicine
Diagnóstico por Diagnostic Imaging
imágenes Psiquiatría geriátrica Geriatric Psychiatry
Diálisis Dialysis Oncología Gynecological
ginecológica Oncology
Equipo médico Durable Medical
duradero Equipment Ginecología Gynecology
Otorrinolaringología Ear, Nose & Throat Cirugía de la mano Hand Surgery
Endocrinología, Endocrinology, Oncología de cabeza Head & Neck
diabetes, Diabetes, y cuello Oncology
metabolismo Metabolism Cirugía de cabeza Head & Neck
Endodoncia Endodontics y cuello Surgery
Servicios de Environmental Control de la Health Safety
adaptaciones de Accessibility seguridad de la salud Monitoring
accesibilidad al Adaptation Services
entorno Proveedor de Hearing Aid Supplier
audífonos
Servicios especiales EPSDT Special
de EPSDT Services Terapia y especialista Hearing Aid Therapy
en audífonos & Specialist
Servicios de Escort Services
acompañante Hematología Hematology

www.wellcare.com/New-Jersey | VI
Español Inglés Español Inglés
Hematología Hematology & Diagnóstico con Mobile Diagnostic
y oncología Oncology equipos portátiles
VIH/SIDA HIV/AIDS MRI, equipos abiertos MRI Open
Comidas entregadas Home-Delivered Medicina perinatal Neonatal Perinatal
a domicilio Meals neonatal Medicine
Cuidado de la salud Home Health Care Nefrología Nephrology
en el hogar Neurooncología Neuro Oncology
Hospicio Hospice Discapacidades Neurodevelopmental
Cuidado de hospicio Hospice & Palliative del desarrollo Disabilities
y paliativo Care neurológico
Hospital Hospital Neurodiagnóstico Neurodiagnostic
Servicios de limpieza Housekeeping/ Neurología Neurology
del hogar y tareas Chore Services Neurología/otología Neurology/Otology
domésticas
Medicina hiperbárica Hyperbaric Medicine Medicina Neuromuscular
neuromuscular Medicine
Enfermedades Infectious Disease Neurooncología Neuro-Oncology
infecciosas
Terapia de infusión Infusion Therapy Neuropsicología Neuropsychology
Medicina interna Internal Medicine Neurorradiología Neuroradiology
Pruebas de laboratorio Laboratory Neurocirugía Neurosurgery
de patología Pathology Testing Servicios de transporte Non-Emergency
Agencia licenciada Licensed Home Care sin carácter de Transportation
de servicios de Service Agency emergencia
cuidado en el hogar Cardiología nuclear Nuclear Cardiology
Litotripsia Lithotripsy Medicina nuclear Nuclear Medicine
Imágenes por Magnetic Resonance Radiología nuclear Nuclear Radiology
resonancia magnética Imaging
Enfermeras parteras Nurse Midwife
Mamografía Mammography
Nutrición Nutrition
Masoterapia Massage Therapy Obstetricia Obstetrics
Medicina Maternal Fetal Obstetricia/ Obstetrics/
maternofetal Medicine Ginecología Gynecology
Genética médica Medical Genetics Medicina ocupacional Occupational
Oncología médica Medical Oncology Medicine
Terapia ocupacional Occupational Therapy
Administración de Medication
medicamentos Administration Oftalmología Ophthalmology

www.wellcare.com/New-Jersey | VII
Español Inglés Español Inglés
Óptico Optician Hematología/ Pediatric Hematology/
Optometría Optometry oncología pediátricas Oncology
Cirugía oral y Oral & Maxillofacial Enfermedades Pediatric Infectious
maxilofacial Surgery infecciosas pediátricas Disease
Ortodoncia Orthodontics Nefrología pediátrica Pediatric Nephrology
Cirugía ortopédica Orthopaedic Surgery Neurología pediátrica Pediatric Neurology
Ortésica Orthotics Neurocirugía Pediatric Neurosurgery
Ortopedia y Orthotics & pediátrica
prostética Prosthetics
Oncología pediátrica Pediatric Oncology
Establecimiento Outpatient Surgical
quirúrgico Facility Oftalmología Pediatric
para pacientes pediátrica Ophthalmology
ambulatorios Ortopedia pediátrica Pediatric Orthopaedics
Tratamiento del Pain Management Cirugía ortopédica Pediatric Orthopedic
dolor pediátrica Surgery
Apoyo para el Pain Management Psiquiatría pediátrica Pediatric Psychiatry
tratamiento del Support
el dolor Neumonología Pediatric Pulmonology
pediátrica
Alergias e inmunología Pediatric Allergy
pediátricas & Immunology Medicina de Pediatric Rehabilitation
rehabilitación Medicine
Medicina pediátrica Pediatric Behavioral pediátrica
del comportamiento Medicine
Monitoreo cardíaco Pediatric Cardiac Reumatología Pediatric
pediátrico Monitoring pediátrica Rheumatology
Cardiología pediátrica Pediatric Cardiology Medicina deportiva Pediatric Sports
pediátrica Medicine
Cirugía cardiovascular Pediatric Cardiovascular
pediátrica Surgery Cirugía pediátrica Pediatric Surgery
Dermatología Pediatric Dermatology Hepatología pediátrica Pediatric Transplant
pediátrica y trasplante Hepatology
Otorrinolaringología Pediatric Ear, Nose Urología pediátrica Pediatric Urology
pediáatrica & Throat
Pediatría Pediatrics
Endocrinología Pediatric
pediátrica Endocrinology Comportamiento y Pediatrics Behavioral
desarollo pediátrico & Developmental
Gastroenterología Pediatric
pediátrica Gastroenterology Pedodoncia Pedodontics
Genética pediátrica Pediatric Genetics Periodoncia Periodontics

www.wellcare.com/New-Jersey | VIII
Español Inglés Español Inglés
Servicios de cuidado Personal Care Centro de Rehabilitation
personal Services rehabilitación Facility
Servicios personales Personal Emergency Medicina de Rehabilitation
de respuesta de Response System rehabilitación Medicine
emergencias Terapia de Rehabilitation
Farmacia Pharmacy rehabilitación Therapy
Medicina física Physical Medicine Endocrinología Reproductive
y rehabilitación & Rehabilitation reproductiva Endocrinology
Terapia respiratoria Respiratory Therapy
Terapia física Physical Therapy
Servicios de cuidado Respite Care
Laboratorio de Physiological Lab de relevo Services
fisiología
Reumatología Rheumatology
Cirugía plástica y Plastic &
reconstructiva Reconstructive Centro de salud rural Rural Health Center
Surgery Cuidado autodirigido Self-Directed Care
Podiatría Podiatry Centro de enfermería Skilled Nursing
Medicina preventiva Preventive Medicine especializada Facility
Centro de cuidado Primary Care Center Estudios de diagnóstico Sleep Diagnostic
primario del sueño Studies
Medicina del sueño Sleep Medicine
Aparatos protésicos Prosthetics
Cuidado diurno Social Day Care
Prostodoncia Prosthodontics
social
Psiquiatría Psychiatry Terapia del habla Speech Therapy
Psicología Psychology Medicina para Spinal Cord Injury
Medicina Psychosomatic lesiones de médula Medicine
psicosomática Medicine espinal
Enfermedad Pulmonary Disease Medicina deportiva Sports Medicine
pulmonar Cuidado subagudo Sub-Acute Care
Oncología Radiation Oncology Abuso de sustancias Substance Abuse
radioterápica
Oncología quirúrgica Surgical Oncology
Radioterapia Radiation Therapy
Monitoreo Tele-Cardiac
Centro de Radiation Therapy
telecardíaco Monitoring
radioterapia Center
Cirugía torácica Thoracic &
Radiología Radiology - y cardiovascular Cardiovascular Surgery
intervencional Interventional &
y vascular Vascular Cirugía torácica Thoracic Surgery

www.wellcare.com/New-Jersey | IX
Español Inglés Español Inglés
Tórax/sistema Thoracic/Vascular Oncología urológica Urology Oncology
vascular
Urología/ginecología Urology/Gynecology
Hepatología de Transplant
trasplante Hepatology Laboratorio vascular Vascular Lab
Centro de cuidado Urgent Care Center Medicina vascular Vascular Medicine
urgente Cirugía vascular Vascular Surgery
Urología Urology

*These are only some of the provider types. You can find a specific kind of provider in the
Specialty Index. It can be found in the back of this book.
*Estos son solo algunos de los tipos de proveedores. Usted puede encontrar un tipo específico
de proveedor en el Índice de especialidades que encontrará en la parte posterior de este libro.

www.wellcare.com/New-Jersey | X
List of Plan Providers
Updated: 11/26/2018

Primary Care Physicians


Bergen
Family Practice Bernardo, Dennis MD Cirignano, Barbara MD Fyffe, Ullanda MD
Provider ID: 1049164 Provider ID: 1344841
Abdeljaber, Basil MD Provider ID: 1456703 Gender: Female Gender: Female
Provider ID: 1594831 Gender: Male 705 Anderson Ave High Mountain Health PA
Gender: Male Medical Associates of Cliffside Park, NJ 07010 71 Crescent Ave
Prohealth Care Associates of Englewood PC (201) 943-3884 Waldwick, NJ 07463
NJ 70 Hilltop Rd Ste 3001 Fax: (201) 861-1853 (973) 445-1700
7505 Bergenline Ave Fl 1 Ramsey, NJ 74461 00 Yrs/130 Yrs 00 Yrs/130 Yrs
North Bergen, NJ 70475 (201) 934-0046 Palisades Medical Center St. Joseph's Hospital Reg
(201) 868-1950 Fax: (201) 934-6217 Languages: Spanish, French, Medical Center
Fax: (201) 868-5844 00 Yrs/130 Yrs Italian, Portuguese M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Englewood Hospital and M-F 9:00 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM Medical Center PCMH: No
PCMH: No M-F 9:00 AM - 5:00 PM Fyffe, Ullanda MD
PCMH: No Cirignano, Barbara MD Provider ID: 1714811
Abdulmassih, Sami MD Provider ID: 1049164 Gender: Female
Boja, Conrado MD Gender: Female Palisades Medical Associates,
Provider ID: 1696537 Provider ID: 1724247 Palisades Medical Associates LLC
Gender: Female Gender: Male 705B Anderson Ave 705B Anderson Ave
St Josephs Healhcare Inc Excelcare Medical Associates, Cliffside Park, NJ 07010 Cliffside Park, NJ 07010
289 Market St 2 PA (201) 861-1851 (201) 861-1851
Saddle Brook, NJ 07663 1150 Teaneck Rd Ste 1 Fax: (201) 861-1853 Fax: (201) 861-1853
(201) 587-9204 Teaneck, NJ 07666 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs (201) 833-9000 Palisades Medical Center AHS Hospital
St. Joseph's Hospital Reg Fax: (201) 833-9510 Languages: Spanish, French, Palisades Medical Center
Medical Center 00 Yrs/130 Yrs Italian, Portuguese M-F 9:00 AM - 5:00 PM
MTWTHFSatSun 9:00 AM - M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM PCMH: No
5:00 PM PCMH: No PCMH: No
PCMH: No Kantha Bhatnager, Rajashree
Boja, Michael DO Conte, Daniel DO MD
August, Elizabeth MD Provider ID: 1724252 Provider ID: 967090 Provider ID: 1034947
Gender: Male Gender: Male Gender: Female
Provider ID: 1607299 Excelcare Medical Associates, Dr Daniel Conte Bergen Regional Medical
Gender: Female PA 600 Midland Ave Ste 3 Center
Prohealth Care Associates of 1150 Teaneck Rd Ste 1 Garfield, NJ 07026 230 E Ridgewood Ave
New Je Teaneck, NJ 07666 (973) 478-1212 Paramus, NJ 07652
74 Oak St (201) 833-9000 Fax: (973) 478-9615 (201) 225-7130
Ridgewood, NJ 07450 Fax: (201) 833-9510 03 Yrs/100 Yrs Fax: (201) 225-7101
(201) 345-3481 00 Yrs/130 Yrs Prime Health Services-St 18 Yrs/130 Yrs
Fax: (201) 345-3689 M-F 9:00 AM - 5:00 PM Marys Hospital Bergen Regional Medical
18 Yrs/130 Yrs PCMH: No Languages: Spanish, Albanian Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-W 9:00 AM - 5:00 PM
PCMH: Yes, Level 3 Brahmbhatt, Gaurang MD PCMH: No PCMH: No

Erguder, Iris MD Koch, Donna DO


Provider ID: 1594897
Gender: Male Provider ID: 923203 Provider ID: 1565345
Prohealth Care Associates of Gender: Female Gender: Female
NJ Excelcare Medical Associates, Comprehensive Family Care
1 Maywood Ave PA LLC
Maywood, NJ 07607 143 Anderson Ave 297 Passaic St Ste 1
(201) 968-5345 Fairview, NJ 07022 Garfield, NJ 70261
Fax: (201) 968-5349 (201) 945-1400 (973) 777-2293
00 Yrs/130 Yrs Fax: (201) 945-4441 Fax: (973) 777-9117
M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs 00 Yrs/130 Yrs
PCMH: No Holy Name Medical Center Prime Health Services-St
M-F 9:00 AM - 5:00 PM Marys Hospital
PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 1
Updated: 11/26/2018

Primary Care Physicians


Bergen
Family Practice - cont. Shin, Seulkih MD Wilkin, Daniel DO Internal Medicine
Provider ID: 1468617 Provider ID: 1568287
Kodery, Chitra DO Gender: Female Gender: Male Abbassi, Samih MD
Provider ID: 1645509 Medical Associates of Medical Associates of Provider ID: 1594828
Gender: Female Englewood PC Englewood, PC Gender: Male
University Physicians 24 Elm St 350 Engle St Prohealth Care Associates of
Associates of Harrington Park, NJ 07640 Englewood, NJ 07631 NJ
230 E Ridgewood Ave (201) 784-0123 (201) 894-3202 7505 Bergenline Ave
Paramus, NJ 07652 Fax: (201) 784-0065 Fax: (201) 871-9227 North Bergen, NJ 07407
(201) 967-4000 00 Yrs/130 Yrs 00 Yrs/130 Yrs (201) 869-0037
Fax: (201) 967-4117 Englewood Hospital and Englewood Hospital and Fax: (201) 868-5844
00 Yrs/130 Yrs Medical Center Medical Center 00 Yrs/130 Yrs
University Hospital M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
M-TH 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No
PCMH: No
Wiener, Michael DO Yorio, David DO Adel, Nourihan MD
Levin, Susan MD Provider ID: 1723235 Provider ID: 1224199
Provider ID: 1456732 Provider ID: 1649768 Gender: Male Gender: Male
Gender: Female Gender: Male Yorio Family Medicine Nourihan Adel MD
Medical Associates of Prohealth Care Associates of 385 Clinton Ave Ste 3 230 E Ridgewood Ave Ste 6-2
Englewood PC New Je Wyckoff, NJ 07481 Paramus, NJ 07652
70 Hilltop Rd Ste 3001 299 Market St Ste 110 (201) 560-0001 (201) 225-4700
Ramsey, NJ 74461 Saddle Brook, NJ 07663 Fax: (973) 807-1886 Fax: (201) 225-4702
(201) 934-0046 (201) 368-1717 00 Yrs/130 Yrs 12 Yrs/130 Yrs
Fax: (201) 934-6217 Fax: (201) 368-9618 St. Joseph's Hospital Reg Bergen Regional Medical
00 Yrs/130 Yrs 12 Yrs/130 Yrs Medical Center Center
Englewood Hospital and M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 10:00 AM - 5:00 PM
Medical Center PCMH: No PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No Wilkin, Daniel DO Ysique, Jacqueline MD Agadi, Smitha MD
Provider ID: 1104295 Provider ID: 1432082 Provider ID: 1405158
Minhas, Navpreet MD Gender: Male Gender: Female Gender: Male
Provider ID: 1303505 Bergen Primary Care Medical Associates of Medical Associates of
Gender: Male Associates Englewood PC Englewood PC
Atlantic Medical Group 680 Kinderkamack Rd Ste 205 22-18 Broadway Ste 104 350 Engle St 5 Main
340C Ramapo Valley Rd Oradell, NJ 07649 Fair Lawn, NJ 07410 Englewood, NJ 07631
Oakland, NJ 07436 (201) 262-0608 (201) 797-4503 (201) 894-3364
(973) 962-6200 Fax: (201) 262-8689 Fax: (201) 797-4270 Fax: (201) 894-5693
Fax: (973) 962-0046 12 Yrs/130 Yrs 00 Yrs/130 Yrs 12 Yrs/130 Yrs
00 Yrs/130 Yrs Englewood Hospital and M-F 9:00 AM - 5:00 PM AHS Hospital
AHS Hospital Medical Center PCMH: Yes, Level 3 MTWTHFSatSun 6:00 AM -
M-F 8:00 AM - 5:00 PM MTTH 12:00 AM - 6:00 PM 6:00 PM
PCMH: No W 8:30 AM - 12:30 PM Ysique, Jacqueline MD PCMH: No
F 8:00 AM - 12:00 PM Provider ID: 1474466
Rodriguez, Reinerio MD PCMH: No Gender: Female Alday, Arnold MD
Medical Associates of Provider ID: 1432079
Provider ID: 1643784 Englewood PC Gender: Male
Gender: Male 22-18 Broadway Ste 101 Bhmg-United Medical
Prohealth Care Associates of Fair Lawn, NJ 07410 612 Rutherford Ave
NJ (201) 797-4503 Lyndhurst, NJ 07071
47 Orient Way Fl 3C Fax: (201) 797-4270 (201) 460-0063
Rutherford, NJ 07070 00 Yrs/130 Yrs Fax: (201) 460-7195
(201) 636-2653 M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs
Fax: (201) 636-2654 PCMH: Yes, Level 3 Languages: Tagalog
00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: Yes, Level 3

www.wellcare.com/New-Jersey | 2
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Bidol Lee, Sohee MD Blanch, Tanya MD Cadoo, Lisa MD
Provider ID: 1241696 Provider ID: 668181 Provider ID: 1432076
Arnouk, Munzer MD Gender: Female Gender: Female Gender: Female
Provider ID: 1696556 Excelcare Medical Associates Medical Associates of Bhmg- United Medical
Gender: Male PC Englewood PC 612 Rutherford Ave
St Josephs Healhcare Inc 30 W Century Rd Ste 212 350 Engle St 5 Main Lyndhurst, NJ 07071
289 Market St 2 Paramus, NJ 07652 Englewood, NJ 07631 (201) 460-0063
Saddle Brook, NJ 07663 (201) 632-5057 (201) 894-3364 Fax: (201) 460-1684
(201) 687-9204 Fax: (201) 483-9201 Fax: (201) 894-5693 16 Yrs/130 Yrs
00 Yrs/130 Yrs 18 Yrs/130 Yrs 12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM
St. Joseph's Hospital Reg Holy Name Medical Center M-F 8:00 AM - 5:00 PM PCMH: No
Medical Center M-F 9:00 AM - 5:00 PM PCMH: No
MTWTHFSatSun 9:00 AM - PCMH: No Candido, Frank MD
5:00 PM Boxer, Andrew MD Provider ID: 1418847
PCMH: No Bidol Lee, Sohee MD Provider ID: 967892 Gender: Male
Provider ID: 1306351 Gender: Male Frank M Candido MD
Atoot, Adam MD Gender: Female Gastroenterology Associates 466 Old Hook Rd Ste 12
Provider ID: 1694830 Excelcare Medical Assocs PC of New Emerson, NJ 07630
Gender: Male 718 Teaneck Rd 71 Union Ave Ste 210 (201) 265-4050
Prohealth Care Associates of Teaneck, NJ 07652 Rutherford, NJ 07070 Fax: (201) 265-5183
New Je (201) 632-5057 (201) 896-0400 16 Yrs/130 Yrs
935 River Rd Ste 301 Fax: (201) 483-9201 Fax: (201) 896-0863 Englewood Hospital and
Edgewater, NJ 07020 18 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center
(201) 917-3313 Holy Name Medical Center Bayonne Medical Center Languages: Italian
Fax: (201) 863-0488 M-F 9:00 AM - 5:00 PM Prime Health Services-St MWTH 9:00 AM - 5:00 PM
00 Yrs/130 Yrs PCMH: No Marys Hospital T 9:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No Biener, Alexander MD PCMH: No
Chessler, Richard MD
Barnes, Tanganyika MD Breitbart, Seth MD
Provider ID: 1169785
Gender: Male Provider ID: 674675 Provider ID: 1104296
Provider ID: 1408626 Sovereign Medical Group LLC Gender: Male Gender: Male
Gender: Female 50 Blanch Ave Medical Associates of The Gastroenterology Group
Medical Associates of Englewood PC of North
Closter, NJ 07624
Englewood PC 350 Engle St 420 Grand Ave Ste 101
(201) 505-9595
350 Engle St Englewood, NJ 07631 Englewood, NJ 07631
Fax: (201) 784-4043
Englewood, NJ 07631 (201) 894-3280 (201) 569-7044
16 Yrs/130 Yrs
(201) 894-3280 Fax: (201) 871-9227 Fax: (201) 569-1999
M 2:00 AM - 6:00 PM
Fax: (201) 271-9227 00 Yrs/130 Yrs 18 Yrs/130 Yrs
PCMH: No
18 Yrs/130 Yrs Englewood Hospital and Englewood Hospital and
Englewood Hospital and Biener, Alexander MD Medical Center Medical Center
Medical Center M-F 9:00 AM - 5:00 PM Holy Name Medical Center
M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
Provider ID: 1169790
PCMH: No Gender: Male PCMH: No
Bryan, Craigh MD
Sovereign Medical Group LLC Provider ID: 1406788
Becker, Alyssa MD
595 Chestnut Ridge Rd Ste 6 Gender: Male
Provider ID: 1512430 Woodcliff Lake, NJ 07677 Medical Associates of
Gender: Female (201) 505-9595 Englewood, PC
Sovereign Medical Group, LLC Fax: (201) 505-9474 350 Engle St
14-01 Broadway Ste 3 16 Yrs/130 Yrs Englewood, NJ 07631
Fair Lawn, NJ 07410 MT 9:00 AM - 5:00 PM (201) 894-3280
(201) 855-8455 W 2:00 AM - 7:00 PM Fax: (201) 871-9227
Fax: (201) 855-8454 PCMH: No 00 Yrs/130 Yrs
00 Yrs/130 Yrs
M 9:00 AM - 5:00 PM Englewood Hospital and
PCMH: No Medical Center
M-F 9:00 AM - 5:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 3
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Chung, Haeyang MD Desai, Viren MD Elkhalili, Walid MD
Provider ID: 1504889 Provider ID: 1321286
Chessler, Richard MD Provider ID: 922642 Gender: Male Gender: Male
Gender: Male Thoracic Medical Associates Apex Medical Professionals
Provider ID: 1104297 Dr Chung Medical Clinic PC LLC 6-20 Plaza Rd
Gender: Male 469 Livingston St 639 Ridge Rd Fair Lawn, NJ 74103
The Gastroenterology Group Norwood, NJ 07648 Lyndhurst, NJ 07071 (201) 797-2003
of North (201) 750-1600 (201) 460-1991 Fax: (201) 797-7003
140 Sylvan Ave Ste 101A Fax: (201) 750-1609 Fax: (201) 997-0013 18 Yrs/110 Yrs
Englewood Cliffs, NJ 07632 00 Yrs/130 Yrs 18 Yrs/130 Yrs Prime Health Services-St
(201) 945-6564 Holy Name Medical Center Clara Maass Medical Center Marys Hospital
Fax: (201) 461-9038 M 9:00 AM - 7:00 PM Prime Health Services-St St. Joseph's Hospital Reg
18 Yrs/130 Yrs T 9:00 AM - 8:00 PM Marys Hospital Medical Center
Englewood Hospital and St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
WTH 9:00 AM - 5:00 PM
Medical Center Medical Center PCMH: No
F 2:00 AM - 6:00 PM
Holy Name Medical Center M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 2:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No Elkhalili, Walid MD
PCMH: No
PCMH: No Provider ID: 1321287
Dhindsa, Sumeet MD Gender: Male
Co, John MD
Chouake, Benjamin MD Provider ID: 819177 6-20 Plaza Rd
Provider ID: 1520003 Fair Lawn, NJ 07410
Gender: Male
Provider ID: 943692 Gender: Female (201) 797-2003
223 N Van Dien Ave
Gender: Male Medical Associates of Fax: (201) 797-7003
Ridgewood, NJ 07450
Cliffside Medical LLC Englewood, PC 18 Yrs/110 Yrs
(201) 445-0405
663 Palisade Ave Ste 101 22-18 Broadway Ste 104 Prime Health Services-St
16 Yrs/130 Yrs
Cliffside Park, NJ 07010 Fair Lawn, NJ 07410 Marys Hospital
Languages: Spanish, Chinese
(201) 917-2246 (201) 797-4503 St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM Medical Center
Fax: (201) 917-2276 Fax: (201) 797-4270
PCMH: No M-F 9:00 AM - 5:00 PM
16 Yrs/130 Yrs 00 Yrs/130 Yrs
St Michael's Medical Center PCMH: No
Englewood Hospital and Co, John MD
Medical Center St. Joseph's Hospital Reg
Provider ID: 819177 Medical Center Erlebacher, Jay MD
Languages: Spanish, Italian Gender: Male M-F 9:00 AM - 5:00 PM Provider ID: 1429406
M 8:30 AM - 8:00 PM John A Co MD LLC PCMH: No Gender: Male
TWTHF 8:00 AM - 8:00 PM 140 Chestnut St Ste 202 Medical Associates of
Sat-Sun 8:00 AM - 4:00 PM Ridgewood, NJ 07450 Dmytrienko, Igor MD Englewood PC
PCMH: No (201) 445-0405 177 N Dean St Fl 1
Fax: (201) 445-4282 Provider ID: 945865 Englewood, NJ 07631
Chung, Haeyang MD 16 Yrs/130 Yrs Gender: Male (201) 569-4901
Provider ID: 922640 Languages: Spanish, Chinese Sovereign Medical Group LLC Fax: (201) 569-6111
Gender: Male M-F 9:00 AM - 5:00 PM 51 Chestnut St 18 Yrs/130 Yrs
Dr Chung's Medical Clinic PC PCMH: No Ridgewood, NJ 07450 Englewood Hospital and
17 Brinkerhoff Terrace
(201) 670-9215 Medical Center
Palisades Park, NJ 07650 Coppola, Peter MD
Fax: (201) 670-9280 MWF 9:00 AM - 5:00 PM
(201) 313-1500
18 Yrs/130 Yrs TTH 9:00 AM - 7:00 PM
Fax: (201) 941-4157 Provider ID: 1084180 St. Joseph's Hospital Reg PCMH: No
00 Yrs/130 Yrs Gender: Male Medical Center
Holy Name Medical Center Holy Name Primary Care and Languages: Spanish, Russian,
M 9:00 AM - 7:00 PM Specialt Polish, Ukrainian
T 9:00 AM - 8:00 PM 751 Teaneck Rd Ste E M-W 9:00 AM - 5:00 PM
WTH 9:00 AM - 5:00 PM Teaneck, NJ 76664 PCMH: No
F 2:00 AM - 6:00 PM (201) 837-3200
Sat 9:00 AM - 2:00 PM Fax: (201) 837-8993
PCMH: No 18 Yrs/130 Yrs
Holy Name Medical Center
MTF 9:00 AM - 5:00 PM
WTH 9:00 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 4
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Fleischer, Joseph MD Goldweit, Richard MD Gotdiener, Alexandra MD
Provider ID: 1460238
Farber, Liora MD Provider ID: 1429411 Gender: Male Provider ID: 1477924
Provider ID: 1351812 Gender: Male 350 Engle St Ste 1 Gender: Female
Gender: Female Medical Associates of Englewood, NJ 07631 Medical Associates of
Palisades Medical Associates Englewood PC (201) 894-3000 Englewood,PC
LLC 350 Engle St Dept of 18 Yrs/130 Yrs 350 Engle St Ste 3E
705B Anderson Ave Medicine Englewood Hospital and Englewood, NJ 07631
Cliffside Park, NJ 07010 Englewood, NJ 07631 Medical Center (201) 894-3329
(201) 861-1851 (201) 894-3364 M-F 9:00 AM - 5:00 PM Fax: (201) 894-0839
Fax: (201) 861-1853 18 Yrs/130 Yrs PCMH: No 18 Yrs/130 Yrs
18 Yrs/130 Yrs MTWTHFSatSun 6:00 AM - Englewood Hospital and
Palisades Medical Center 5:30 PM Goldweit, Richard MD Medical Center
MTWF 8:00 AM - 4:30 PM PCMH: No Languages: Spanish, Russian,
TH 11:00 AM - 7:00 PM Provider ID: 1460238 Arabic
PCMH: No Friedrich, Ivan MD Gender: Male M-F 9:00 AM - 5:00 PM
Provider ID: 1209606 Medical Associates of PCMH: No
Fiorillo, Marc MD Gender: Male Englewood PC
Provider ID: 1102273 The Gastroenterology Group 177 N Dean St Fl 1 Grossman, Steven MD
Gender: Male of North Englewood, NJ 07631 Provider ID: 674646
The Gastroenterology Group 420 Grand Ave Ste 101 (201) 569-4901 Gender: Male
of North Englewood, NJ 07631 Fax: (201) 569-6111 Medical Associates of
140 Sylvan Ave 101A (201) 569-7044 18 Yrs/130 Yrs Englewood PC
Englewood Cliffs, NJ 07632 Fax: (201) 569-1999 Englewood Hospital and 22-18 Broadway Ste 201
(201) 945-6564 18 Yrs/130 Yrs Medical Center Fair Lawn, NJ 07410
Fax: (201) 461-9038 Englewood Hospital and MWF 8:00 AM - 5:30 PM (201) 934-0043
18 Yrs/130 Yrs Medical Center TTH 8:00 AM - 8:00 PM Fax: (201) 475-5522
Englewood Hospital and Holy Name Medical Center PCMH: No 18 Yrs/130 Yrs
Medical Center M-TH 8:00 AM - 53:00 PM Englewood Hospital and
Holy Name Medical Center F 8:00 AM - 12:00 PM Gonzalez, Abel MD Medical Center
M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 1525385 St. Joseph's Hospital Reg
PCMH: No Gender: Male Medical Center
Galumyan, Yelena MD Sound Physicians M-F 9:00 AM - 5:00 PM
Fiorillo, Marc MD 30 Prospect Ave PCMH: No
Provider ID: 1105564 Provider ID: 1429416 Hackensack, NJ 07601
Gender: Male Gender: Female Gupta, Ajay MD
(551) 995-3664
The Gastroenterology Group Medical Associates of Fax: (551) 996-0536 Provider ID: 1120596
of North Englewood PC 00 Yrs/130 Yrs Gender: Male
420 Grand Ave 101 350 Engle St Holy Name Medical Center 350 Engle St
Englewood, NJ 07361 Englewood, NJ 07631 St. Joseph's Hospital Reg Englewood, NJ 07631
(201) 569-7044 (201) 894-3364 Medical Center (973) 595-5345
Fax: (201) 569-1999 Fax: (201) 894-5693 M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs
18 Yrs/130 Yrs 18 Yrs/130 Yrs PCMH: No Newark Beth Israel Med
Englewood Hospital and Englewood Hospital and Center
Medical Center Medical Center Prime Health Services-St
Holy Name Medical Center MTWTHFSatSun 8:00 AM - Marys Hospital
M-F 9:00 AM - 5:00 PM 4:00 PM St. Joseph's Hospital Reg
PCMH: No PCMH: No Medical Center
Languages: Hindi
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 5
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Hamilton, Monique MD Ibrahim, Ehab MD Joo, Richard MD
Provider ID: 548598 Provider ID: 1419061
Gupta, Ajay MD Provider ID: 1336066 Gender: Male Gender: Male
Provider ID: 1120608 Gender: Female North Jersey Internal Joo Medical Center
Gender: Male Medical Associates of Medicine 388 Broad Ave
350 Engle St Englewood PC 92 Summit Ave Leonia, NJ 07605
Englewood, NJ 07631 25 Rockwood Pl Ste 120 Hackensack, NJ 07601 (201) 292-1567
(973) 595-5345 Englewood, NJ 07631 (201) 342-0066 Fax: (201) 585-0692
12 Yrs/130 Yrs (201) 568-3335 Fax: (201) 342-0079 16 Yrs/130 Yrs
Newark Beth Israel Med Fax: (201) 568-2450 12 Yrs/130 Yrs Englewood Hospital and
Center 18 Yrs/130 Yrs Languages: Spanish, Arabic, Medical Center
Prime Health Services-St St. Joseph's Hospital Reg Greek Holy Name Medical Center
Marys Hospital Medical Center MTTHF 9:00 AM - 5:00 PM Languages: Korean
St. Joseph's Hospital Reg M-TH 9:00 AM - 7:30 PM W 1:00 AM - 7:00 PM MT 8:00 AM - 7:00 PM
Medical Center F 9:00 AM - 5:00 PM Sat 9:00 AM - 12:00 PM WTH 8:00 AM - 6:00 PM
Languages: Hindi PCMH: Yes, Level 3 PCMH: No F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM
PCMH: No Harris, Robert MD Jacobs, Stephen MD PCMH: No
Provider ID: 953070
Gupta, Ajay MD Kancherla, Sandarsh MD
Gender: Male Provider ID: 953538
Provider ID: 1456716 Bergen Regional Medical Gender: Male
Gender: Male Center Bergen Regional Medical Provider ID: 1101733
350 Engle St 230 E Ridgewood Ave Center Gender: Male
Englewood, NJ 07631 Paramus, NJ 07652 230 E Ridgewood Ave The Gastroenterology Group
(973) 595-5345 (201) 225-7130 Paramus, NJ 07652 of North
00 Yrs/130 Yrs Fax: (201) 225-7107 (201) 225-7130 420 Grand Ave Ste 101
Newark Beth Israel Med 18 Yrs/130 Yrs Fax: (201) 225-7101 Englewood, NJ 07631
Center Bergen Regional Medical 18 Yrs/130 Yrs (201) 569-7044
Prime Health Services-St Center Bergen Regional Medical Fax: (201) 569-1999
Marys Hospital M-F 9:00 AM - 5:00 PM Center 00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center PCMH: No PCMH: No Englewood Hospital and
M-F 9:00 AM - 5:00 PM Medical Center
Hasan, Munir MD Jathavedam, Ashwin MD Languages: Spanish
PCMH: No
Provider ID: 1627706 M-F 8:00 AM - 6:00 PM
Gura, Russell MD Gender: Male Provider ID: 1160565 PCMH: No
Provider ID: 962050 Prohealth Care Associates of Gender: Male
New Je Medical Associates of Kaplounov, Irina MD
Gender: Male
299 Market St Ste 110 Englewood PC
Medical Associates of
Englewood PC Saddle Brook, NJ 07663 25 Rockwood Pl Ste 120 Provider ID: 1100755
25 Rockwood Pl Ste 120 (201) 368-1717 Englewood, NJ 07631 Gender: Female
Englewood, NJ 07631 Fax: (201) 368-9618 (201) 568-3335 The Gastroenterology Group
(201) 568-3335 00 Yrs/130 Yrs Fax: (201) 568-2450 of North
Fax: (201) 568-2450 Holy Name Medical Center 16 Yrs/130 Yrs 420 Grand Ave Ste 101
16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Englewood Hospital and Englewood, NJ 07631
Englewood Hospital and PCMH: No Medical Center (201) 569-7044
Medical Center M-F 8:00 AM - 6:00 PM Fax: (201) 569-1999
Hyon, Joseph DO PCMH: Yes, Level 3 18 Yrs/130 Yrs
Languages: Spanish
M-F 8:00 AM - 6:00 PM Provider ID: 1603077 Englewood Hospital and
PCMH: Yes, Level 3 Gender: Male Medical Center
Joseph K Hyon DO PA Languages: Russian
555 Kinderkamack Rd Ste D M-F 8:00 AM - 6:00 PM
Oradell, NJ 07649 PCMH: No
(201) 265-1133
Fax: (201) 265-1135
12 Yrs/130 Yrs
M-F 10:00 AM - 4:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 6
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Kim, Ann MD Laiosa, Catherine MD Lee, Soo MD
Provider ID: 980399 Provider ID: 1477695
Karim, Karim MD Gender: Female Provider ID: 1139884 Gender: Female
Provider ID: 1551331 Ann Kim MD PC Gender: Female Excelcare Medical Associates
Gender: Male 44 Sylvan Ave Ste 2D Medical Associates of PA
Karim Karim Englewood Cliffs, NJ 07632 Englewood PC 15 Ver Valen St Ste 4
147 Cedar Ln (201) 585-0957 25 Rockwood Pl Ste 201 Closter, NJ 07624
Teaneck, NJ 07666 Fax: (201) 585-0902 Englewood, NJ 07631 (201) 784-3600
(201) 530-7134 18 Yrs/110 Yrs (201) 568-3335 Fax: (201) 784-5677
Fax: (201) 530-7135 Bergen Regional Medical 12 Yrs/130 Yrs 16 Yrs/130 Yrs
18 Yrs/130 Yrs Center Englewood Hospital and Holy Name Medical Center
Bergen Regional Medical Languages: Korean Medical Center Languages: Korean
Center MW 9:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Newton Medical Center TF 9:00 AM - 5:00 PM PCMH: Yes, Level 3 PCMH: No
St Michael's Medical Center TH 9:00 AM - 2:00 PM
Languages: Arabic Sat 9:00 AM - 12:00 PM Lazo, Angel MD Lee, Sung Won MD
M 9:00 AM - 2:00 PM PCMH: No Provider ID: 1278827
T 1:00 AM - 5:30 PM Gender: Male Provider ID: 664782
W 9:00 AM - 1:00 PM Kim, Anthony MD Medical Associates of Gender: Male
TH 10:00 AM - 1:00 PM Provider ID: 1342594 Englewood PC Sung Won Lee MD PC
PCMH: No Gender: Male 968 River Rd Ste 203 7 Broad Ave Ste 203
Medical Associates of Edgewater, NJ 07020 Palisades Park, NJ 07650
Katechis, Dennis DO Englewood PC (201) 869-5618 (201) 941-2486
Provider ID: 1343214 350 Engle St Fl 2N Fax: (201) 224-2405 Fax: (201) 941-1577
Gender: Male Englewood, NJ 76311 00 Yrs/130 Yrs 12 Yrs/130 Yrs
Medical Associates of (201) 894-3364 Bayonne Medical Center Holy Name Medical Center
Englewood PC Fax: (201) 894-5693 Christ Hospital Languages: Korean
220 Livingston St Ste 204 00 Yrs/130 Yrs Jersey City Medical Center MWTH 8:00 AM - 7:00 PM
Northvale, NJ 76471 Holy Name Medical Center M-F 9:00 AM - 5:00 PM TSat 8:00 AM - 12:00 PM
(551) 236-2200 M-F 9:00 AM - 5:00 PM PCMH: No F 8:00 AM - 5:00 PM
Fax: (201) 608-2581 PCMH: No PCMH: Yes, Level 1
00 Yrs/130 Yrs Leber, George MD
Englewood Hospital and Krisa, Paul MD Provider ID: 1412889 Li, Lin MD
Medical Center Provider ID: 398228 Gender: Male Provider ID: 1313301
M-F 9:00 AM - 5:00 PM Gender: Male 350 Engle St Gender: Female
PCMH: No Paul C Krisa MD PA Englewood, NJ 07631 Center For Asthma and
201 Rte 17 Fl 11 (201) 894-3000 Allergy
Katz, Manuel MD Rutherford, NJ 07070 00 Yrs/130 Yrs 71 S Maple Ave
Provider ID: 961870 (973) 471-8850 Englewood Hospital and Ridgewood, NJ 07450
Gender: Male Fax: (973) 471-5232 Medical Center (201) 445-4557
Medical Associates of 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 445-2365
Englewood PC St. Joseph's Hospital Reg PCMH: No 12 Yrs/130 Yrs
25 Rockwood Pl Ste 120 Medical Center Robert Wood Johnson
Englewood, NJ 07631 Languages: Spanish Leber, George MD University Hospital
(201) 568-3335 M-F 9:00 AM - 5:00 PM Provider ID: 1412889 M-F 9:00 AM - 5:00 PM
Fax: (201) 568-2450 PCMH: No Gender: Male PCMH: No
16 Yrs/130 Yrs Medical Associates of
Englewood Hospital and Englewood PC
Medical Center 177 N Dean St Ste 1
Languages: Spanish Englewood, NJ 07631
M-F 8:00 AM - 6:00 PM (201) 569-4901
PCMH: Yes, Level 3 Fax: (201) 569-6111
00 Yrs/130 Yrs
Englewood Hospital and
Medical Center
MWF 9:00 AM - 5:00 PM
TTH 9:00 AM - 7:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 7
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Lyons, William MD Mamji, Salman MD Mechineni, Ashesha MD
Provider ID: 1189476 Provider ID: 1642334
Lippe, Scott MD Gender: Male Gender: Male Provider ID: 1425676
Provider ID: 441085 Medical Associates of Prohealth Care Associates of Gender: Female
Gender: Male Englewood PC New Je Heart and Vascular Associates
Scott David Lippe MD 777 Terrace Ave Ste 311 718 Teaneck Rd of No
230 E Ridgewood Ave Ste 6-2 Hasbrouck Heights, NJ 07604 Teaneck, NJ 07666 22-18 Brdway
Paramus, NJ 07652 (201) 288-4252 (201) 833-3000 Fair Lawn, NJ 07410
(201) 225-4700 Fax: (201) 288-7172 00 Yrs/21 Yrs (201) 475-5050
Fax: (201) 225-4702 16 Yrs/130 Yrs Holy Name Medical Center Fax: (201) 797-4270
16 Yrs/130 Yrs Englewood Hospital and M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Bergen Regional Medical Medical Center PCMH: No St. Joseph's Hospital Reg
Center MTTH 8:00 AM - 5:00 PM Medical Center
M 10:00 AM - 6:00 PM WF 8:00 AM - 4:00 PM Matican, Jeffrey MD M-F 9:00 AM - 5:00 PM
TWTH 10:00 AM - 4:00 PM PCMH: No PCMH: No
F 10:00 AM - 3:00 PM Provider ID: 1417853
PCMH: No Malovany, Robert MD Gender: Male Mechineni, Ashesha MD
Medical Associates of
Liu, Mingkong MD Provider ID: 1464710 Englewood, PC Provider ID: 1522240
Provider ID: 1136711 Gender: Male 350 Engle St Gender: Female
Gender: Male Medical Associates of Englewood, NJ 07631 Medical Associates of
350 Engle St Fl 2 Englewood PC (201) 503-1920 Englewood, PC
Englewood, NJ 07631 180 Engle St 18 Yrs/130 Yrs 22-18 Broadway Ste 104
(201) 894-3000 Englewood, NJ 07631 Englewood Hospital and Fair Lawn, NJ 07410
18 Yrs/130 Yrs (201) 567-2050 Medical Center (201) 797-4503
Englewood Hospital and Fax: (201) 567-5070 M-F 9:00 AM - 5:00 PM Fax: (201) 797-4270
Medical Center 18 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs
Languages: Hindi Englewood Hospital and St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM Medical Center Matos-Cloke, Susan MD Medical Center
PCMH: No Holy Name Medical Center M-F 9:00 AM - 5:00 PM
MW 8:00 AM - 7:00 PM Provider ID: 1583308 PCMH: No
Lucev, Anthony MD T 8:00 AM - 5:30 PM Gender: Female
Provider ID: 1361998 TH 8:00 AM - 6:30 PM University Physician Mehta, Bijal MD
Gender: Male F 8:00 AM - 4:30 PM Associates Provider ID: 1146035
Medical Associates of PCMH: No 230 E. Ridgewood Ave Gender: Female
Englewood PC Paramus, NJ 07652 Montclair Health System LLC
350 Engle St Malovany, Robert MD (201) 967-4000 123 Highalnd Ave Ste Gr 1
Englewood, NJ 07631 Fax: (201) 967-4117 Carlstadt, NJ 07072
(201) 894-3364 Provider ID: 1464713 18 Yrs/130 Yrs (862) 333-4700
Fax: (201) 894-5693 Gender: Male University Hospital 12 Yrs/130 Yrs
00 Yrs/130 Yrs Medical Associates of M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM
Englewood Hospital and Englewoo PCMH: No PCMH: Yes, Level 2
Medical Center 1 N Washington Ave Fl 2
M-F 9:00 AM - 5:00 PM Bergenfield, NJ 07621
PCMH: No (201) 501-0082
18 Yrs/130 Yrs
Englewood Hospital and
Medical Center
Holy Name Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 8
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Mudry, Carolyn DO Oliver, Richard MD Parangi, Robert MD
Provider ID: 1303507 Provider ID: 690334
Meininger, Michael MD Gender: Female Gender: Male Provider ID: 1143806
Sovereign Medical Group, LLC Comprehensive Health Care Gender: Male
Provider ID: 1101751 127 Union St Ste 101 of New Je Yale Court Medical
Gender: Male Ridgewood, NJ 07450 22-18 Broadway Ste 104 9 Yale Ct Fl 1
The Gastroenterology Group (201) 444-5200 Fair Lawn, NJ 07410 Paramus, NJ 07652
of North Fax: (201) 444-2399 (201) 797-4503 (201) 265-7564
140 Sylvan Ave 101A 00 Yrs/130 Yrs Fax: (201) 797-4270 Fax: (201) 265-6991
Englewood Cliffs, NJ 07632 M 9:00 AM - 5:00 PM 12 Yrs/130 Yrs 16 Yrs/130 Yrs
(201) 945-6564 TW 9:00 AM - 8:00 PM St. Joseph's Hospital Reg Bergen Regional Medical
Fax: (201) 461-9038 TH 9:00 AM - 4:00 PM Medical Center Center
18 Yrs/130 Yrs PCMH: No Languages: Italian MTTHF 8:00 AM - 7:00 PM
Englewood Hospital and MTTH 10:00 AM - 6:00 PM W 4:30 AM - 7:00 PM
Medical Center Oliver, Richard MD WF 10:00 AM - 5:00 PM Sat 8:00 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 1278831 PCMH: Yes, Level 3 PCMH: No
PCMH: No Gender: Male
Medical Associates of Panagiotou, Demetrios MD Parikh, Coral MD
Meininger, Michael MD Englewood PC Provider ID: 1550708
22-18 Broadway Ste 104 Provider ID: 1569186 Gender: Female
Provider ID: 1187565 Fair Lawn, NJ 07410 Gender: Male Medical Associates of
Gender: Male (201) 797-4503 Medical Associates of Englewood, PC
The Gastroenterology Group Fax: (201) 797-4270 Englewood PC 350 Engle St 2 N Annex
of North 00 Yrs/130 Yrs 350 Engle St Englewood, NJ 07631
420 Grand Ave Ste 1 St. Joseph's Hospital Reg Englewood, NJ 07631 (201) 894-3364
Englewood, NJ 07631 Medical Center (201) 894-3364 Fax: (201) 894-5693
(201) 596-7044 M-F 9:00 AM - 5:00 PM Fax: (201) 894-5693 00 Yrs/130 Yrs
Fax: (201) 569-1999 PCMH: Yes, Level 3 00 Yrs/130 Yrs Englewood Hospital and
18 Yrs/130 Yrs Holy Name Medical Center Medical Center
Englewood Hospital and Oliver, Richard MD M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Medical Center Provider ID: 1477691 PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM Gender: Male
PCMH: No Medical Associates of Panella, Vincent MD Park, Anne DO
Englewood PC Provider ID: 1419051
Mitchel, Jeffrey MD 22-18 Broadway Ste 101 Provider ID: 1209992 Gender: Female
Fair Lawn, NJ 07410 Gender: Male Medical Associates of
Provider ID: 1417862 (201) 797-4503 The Gastroenterology Group Englewood,PC
Gender: Male Fax: (201) 797-4270 of North 350 Engle St
Medical Associates of 00 Yrs/130 Yrs 420 Grand Ave Ste 101 Englewood, NJ 07631
Englewood, PC St. Joseph's Hospital Reg Englewood, NJ 07631 (201) 894-3364
370 Grand Ave Ste 102 Medical Center (201) 569-7044 Fax: (201) 894-5693
Englewood, NJ 07631 M-F 9:00 AM - 5:00 PM Fax: (201) 569-1999 00 Yrs/130 Yrs
(201) 567-7576 PCMH: Yes, Level 3 18 Yrs/130 Yrs Englewood Hospital and
Fax: (201) 567-8628 Englewood Hospital and Medical Center
18 Yrs/130 Yrs Medical Center M-F 6:00 AM - 5:30 PM
Englewood Hospital and MTTH 8:00 AM - 5:30 PM PCMH: No
Medical Center W 8:00 AM - 6:00 PM
Holy Name Medical Center PCMH: No
MW 10:00 AM - 4:00 PM
T 12:00 AM - 6:00 PM
TH 10:00 AM - 3:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 9
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Perez, Ruben MD Psalidas, Panagiotis MD Rafeeuddin, Mohamed MD
Provider ID: 737593
Park, Byong MD Gender: Male Provider ID: 369423 Provider ID: 502352
Provider ID: 1429506 Pasteur Medical Group PA Gender: Male Gender: Male
Gender: Male 222 Cedar Ln Ste 204 Yee Medicine and Pediatric Ridgefield Park Medical
Bhmg - United Medical Teaneck, NJ 07666 Associat Services
612 Rutherford Ave Fl 1 (201) 866-2223 245 Madison Ave 92 Euclid Ave
Lyndhurst, NJ 70711 Fax: (201) 866-0449 Wyckoff, NJ 07481 Ridgefield Park, NJ 07660
(201) 460-0063 18 Yrs/130 Yrs (201) 904-2090 (201) 641-2884
Fax: (201) 460-1684 Palisades Medical Center Fax: (201) 904-2093 Fax: (201) 641-8246
16 Yrs/130 Yrs Languages: Spanish 00 Yrs/130 Yrs 18 Yrs/130 Yrs
Jersey City Medical Center M 1:00 AM - 7:00 PM Languages: Spanish, Greek Languages: Hindi, Urdu
Prime Health Services-St PCMH: No MT 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Marys Hospital W 10:00 AM - 7:00 PM PCMH: No
Saint Barnabas Medical Pomerantz, Mark MD TH 9:00 AM - 6:00 PM
Center Livingston F 10:00 AM - 3:00 PM Ramasubramaniam, Nagarani
Languages: Korean Provider ID: 1419054 PCMH: No MD
M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 1594976
PCMH: Yes, Level 3 Medical Associates of Psalidas, Panagiotis MD Gender: Female
Englewood, PC Prohealth Care Associates of
Patel, Dushyant MD NJ
350 Engle St Provider ID: 944876
Provider ID: 1317844 Englewood, NJ 07631 1 Maywood Ave
Gender: Male
Gender: Male (845) 353-5050 Maywood, NJ 07607
Yee Medicine and Pediatric
96 Pkwy Bldg 1 Fax: (845) 353-1285 Associat (201) 342-8130
Rochelle Park, NJ 07662 00 Yrs/130 Yrs 245 Engle St Ste 3 Fax: (201) 342-8130
(201) 845-0099 Englewood Hospital and Englewood, NJ 07631 12 Yrs/130 Yrs
00 Yrs/130 Yrs Medical Center (201) 569-9005 M-F 9:00 AM - 5:00 PM
M-F 1:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM Fax: (201) 569-9080 PCMH: No
PCMH: No PCMH: No 00 Yrs/130 Yrs
Languages: Spanish, Korean, Ravi, Nanjappa MD
Patel, Dushyant MD Prager, Roman MD Provider ID: 874002
Greek
Provider ID: 839472 MTTH 9:00 AM - 5:00 PM Gender: Male
Provider ID: 1317844 Gender: Male WF 10:00 AM - 6:00 PM Nanjappa Ravi MD
Gender: Male Hackensack NJ Medical Group PCMH: No 354 Old Hook Rd Ste 105
Om Medical Center LLC LTD Westwood, NJ 07675
12-15 Broadway Ste B 92 Summit Ave Qipo, Andi MD (201) 666-7200
Fair Lawn, NJ 07410 Hackensack, NJ 07601 Provider ID: 1553202 Fax: (201) 666-5612
(201) 773-6868 (201) 342-0066 Gender: Male 16 Yrs/130 Yrs
Fax: (201) 773-6867 Fax: (201) 342-0079 Medical Associates of Englewood Hospital and
00 Yrs/130 Yrs 18 Yrs/130 Yrs Englewood, PC Medical Center
M-F 1:00 AM - 5:00 PM Holy Name Medical Center 22-18 Broadway Ste 104 Languages: Spanish, Tagalog
PCMH: No Languages: Spanish Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM (201) 797-4503 PCMH: No
Pavon, Alex MD PCMH: No Fax: (201) 797-4270
Provider ID: 944453 00 Yrs/130 Yrs
Gender: Male St. Joseph's Hospital Reg
Alex R Pavon MD Medical Center
106 W Palisade Ave Ste 101 Languages: Italian, Albanian
Englewood, NJ 07631 M-F 8:00 AM - 4:00 PM
(201) 503-1000 PCMH: No
Fax: (201) 568-4300
16 Yrs/130 Yrs
Languages: Spanish
M 9:00 AM - 6:00 PM
TWTH 9:00 AM - 1:00 PM
F 9:00 AM - 2:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 10
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Saliba, Jehad MD Schair, Barry MD Sehgal, Evan MD
Provider ID: 1541951 Provider ID: 976344 Provider ID: 1181274
Rigolosi, Ronald MD Gender: Male Gender: Male Gender: Male
Provider ID: 670938 West Hudson Pulmonary St Josephs Phys Hlthcr Gp 350 Engle St Ste 1
Gender: Male Associates Sub Specialty: HIV/AIDS, Englewood, NJ 07631
Excelcare Medical Associates 25 Locust Ave Developmental Disabilities, (201) 288-4252
PA North Arlington, NJ 07031 Aged 00 Yrs/130 Yrs
4 Hunter St Ste 2A (201) 246-1111 19 Yawpo Ave Englewood Hospital and
Lodi, NJ 07644 Fax: (201) 955-7467 Oakland, NJ 07436 Medical Center
(973) 772-8585 16 Yrs/130 Yrs (973) 942-1141 M-F 9:00 AM - 5:00 PM
Fax: (973) 772-8586 Clara Maass Medical Center Fax: (973) 942-1250 PCMH: No
12 Yrs/130 Yrs St Michael's Medical Center 02 Yrs/130 Yrs
Holy Name Medical Center Languages: Arabic St. Joseph's Hospital Reg Sehgal, Evan MD
Languages: Spanish M-F 9:00 AM - 5:00 PM Medical Center Provider ID: 1181274
MW 1:00 AM - 7:00 PM PCMH: No Languages: Spanish Gender: Male
TTHF 9:00 AM - 1:00 PM M-F 9:00 AM - 5:00 PM Medical Associates of
PCMH: No Samuel, Anish MD PCMH: No Englewood PC
Provider ID: 1345559 777 Terrace Ave Ste 311
Rubin, Kenneth MD Gender: Male Schwarz, Michael MD Hasbrouck Heights, NJ 07604
Medical Associates of (201) 288-4252
Provider ID: 1209966 Englewood PC Provider ID: 456470 Fax: (201) 288-7172
Gender: Male 22-18 Broadway Ste 104 Gender: Male 00 Yrs/130 Yrs
The Gastroenterology Group Fair Lawn, NJ 07410 Michael Schwarz, MD Englewood Hospital and
of North (201) 797-4503 201 Rte 17 11th Fl Medical Center
420 Grand Ave Ste 101 Fax: (201) 797-4270 Rutherford, NJ 07070 MTTH 8:00 AM - 5:00 PM
Englewood, NJ 07631 00 Yrs/130 Yrs (973) 779-0019 WF 8:00 AM - 4:00 PM
(201) 569-7044 St. Joseph's Hospital Reg Fax: (973) 320-4080 PCMH: No
Fax: (201) 569-1999 Medical Center 12 Yrs/130 Yrs
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg Sen, Sourav MD
Englewood Hospital and PCMH: No Medical Center Provider ID: 1553208
Medical Center Languages: Spanish, Polish Gender: Male
Holy Name Medical Center Sapienza, Mark MD M-F 9:00 AM - 5:00 PM Medical Associates of
M-TH 8:00 AM - 5:30 PM PCMH: No Englewood, PC
PCMH: No Provider ID: 1212076 22-18 Broadway Ste 104
Gender: Male Segal, Shiri MD Fair Lawn, NJ 07410
Safa, Nina MD The Gastroenterology Group Provider ID: 1709145 (201) 797-4503
Provider ID: 1284200 of North Gender: Female Fax: (201) 797-4270
Gender: Female 420 Grand Ave Ste 101 University Physician 00 Yrs/130 Yrs
Sovereign Medical Group LLC Englewood, NJ 07631 Associates St. Joseph's Hospital Reg
14-01 Broadway Ste 3 (201) 569-7044 230 E Ridgewood Ave Medical Center
Fair Lawn, NJ 07410 Fax: (201) 569-1999 Paramus, NJ 07652 Languages: Hindi
(201) 855-8455 18 Yrs/130 Yrs (201) 225-7130 MTF 9:00 AM - 5:00 PM
Fax: (201) 855-8454 Englewood Hospital and Fax: (201) 967-4117 WTH 8:30 AM - 5:00 PM
00 Yrs/130 Yrs Medical Center 00 Yrs/130 Yrs PCMH: No
MTWF 8:30 AM - 4:00 PM Holy Name Medical Center University Hospital
THSat 8:30 AM - 12:00 PM MTTH 8:00 AM - 5:30 PM M-F 8:00 AM - 5:00 PM
PCMH: No W 8:00 AM - 6:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 11
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Shammash, Jonathan MD Shatzkes, Joseph MD Silkov, Andrey MD
Provider ID: 1339876 Provider ID: 1224362
Shah, Bankim MD Provider ID: 944192 Gender: Male Gender: Male
Provider ID: 1646437 Gender: Male Medical Associates of Medical Associates of
Gender: Male Englewood Medical Assoc Englewood PC Englewood PC
Prohealth Care Associates of 350 Engle St Fl 3 350 Engle St Ste 3 350 Engle St Fl 5
New Je Englewood, NJ 07631 Englewood, NJ 07631 Englewood, NJ 76311
1 Maywood Ave (201) 894-3259 (201) 894-3000 (201) 894-3359
Maywood, NJ 07607 Fax: (201) 894-0839 00 Yrs/130 Yrs Fax: (201) 541-2965
(201) 342-8130 18 Yrs/130 Yrs Englewood Hospital and 00 Yrs/130 Yrs
Fax: (201) 342-8130 Englewood Hospital and Medical Center Clara Maass Medical Center
00 Yrs/130 Yrs Medical Center M-F 9:00 AM - 5:00 PM Languages: Spanish, Russian,
Jersey City Medical Center Languages: Spanish PCMH: No Ukrainian
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Medical Center PCMH: No Sheth, Meetkumar MD PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No Shapnik, Bella MD Provider ID: 1457322 Singh, Amandeep MD
Provider ID: 909383 Gender: Male
Shaker, Safwat MD Gender: Female Medical Associates of Provider ID: 1432081
Provider ID: 527632 Bella Shapnik MD PA Englewood PC Gender: Male
Gender: Male 2150 Center Ave Ste B 22-18 Broadway Ste 104 Bhmg-United Medical
Safwat Shaker MD Fort Lee, NJ 07024 Fair Lawn, NJ 07410 612 Rutherford Ave Fl 1
38 Summit Ave (201) 461-2444 (201) 475-5050 Lyndhurst, NJ 07071
Hackensack, NJ 07601 Fax: (201) 461-7148 Fax: (201) 797-4270 (201) 460-0063
(201) 343-6360 16 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 460-1684
Fax: (201) 343-6367 Englewood Hospital and St. Joseph's Hospital Reg 16 Yrs/130 Yrs
16 Yrs/130 Yrs Medical Center Medical Center Jersey City Medical Center
Languages: Spanish, Arabic Languages: Russian M-F 9:00 AM - 5:00 PM Languages: Punjabi
M-F 9:00 AM - 5:00 PM MF 10:00 AM - 7:00 PM PCMH: Yes, Level 3 M-TH 8:00 AM - 7:00 PM
PCMH: No TTH 10:00 AM - 8:00 PM F 8:00 AM - 5:00 PM
W 10:00 AM - 6:00 PM Sheth, Meetkumar MD Sat 8:00 AM - 12:00 PM
Shammash, Jonathan MD Sat 10:00 AM - 2:00 PM PCMH: Yes, Level 3
PCMH: No Provider ID: 1474469
Provider ID: 1477926 Gender: Male Singh, Nidhi MD
Gender: Male Shatzkes, Joseph MD Medical Associates of Provider ID: 1419057
Medical Associates of Provider ID: 1339876 Englewood PC Gender: Female
Englewood,PC Gender: Male 22-18 Broadway Ste 101 Medical Associates of
350 Engle St Dept of Internal Medical Associates of Fair Lawn, NJ 07410 Englewood, PC
Medicine Englewood PC (201) 475-5050 350 Engle St
Englewood, NJ 07631 220 Livingston St Ste 204 Fax: (201) 797-4270 Englewood, NJ 07631
(201) 894-3329 Northvale, NJ 76471 00 Yrs/130 Yrs (201) 894-3364
Fax: (201) 894-0839 (551) 236-2200 St. Joseph's Hospital Reg Fax: (201) 894-5693
18 Yrs/130 Yrs Fax: (201) 608-2581 Medical Center 00 Yrs/130 Yrs
Englewood Hospital and 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Englewood Hospital and
Medical Center Englewood Hospital and PCMH: Yes, Level 3 Medical Center
M-F 9:00 AM - 5:00 PM Medical Center M-F 8:00 AM - 5:00 PM
PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 12
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Szewczyk-Szczech, Krystyna Tatevossian, Tiffany MD Vehra, Ijaz MD
MD Provider ID: 1456718
Spinnell, Mitchell MD Provider ID: 976480 Provider ID: 1592716 Gender: Male
Gender: Female Gender: Female Medical Associates of
Provider ID: 1213580 Clifton-Wallington Med Gp Medical Associates of Englewood PC
Gender: Male 160 Lanza Ave Englewood, PC 22-18 Broadway Ste 201
The Gastroenterology Group Garfield, NJ 07026 22-18 Broadway Ste 104 Fair Lawn, NJ 07410
of North (973) 473-4400 Fair Lawn, NJ 07410 (201) 475-5050
420 Grand Ave Ste 101 Fax: (973) 928-1987 (201) 797-4503 Fax: (201) 475-5522
Englewood, NJ 07631 12 Yrs/130 Yrs Fax: (201) 797-4270 00 Yrs/130 Yrs
(201) 945-6564 St. Joseph's Hospital Reg 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Fax: (201) 461-9038 Medical Center Englewood Hospital and Medical Center
18 Yrs/130 Yrs Languages: Russian, Polish Medical Center M-F 9:00 AM - 5:00 PM
Englewood Hospital and M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
Medical Center PCMH: No PCMH: No
MTTH 8:00 AM - 5:30 PM Virk, Hartaj MD
W 8:00 AM - 6:00 PM Taoudi Benchekroun, Tilson, Morris MD Provider ID: 1456722
PCMH: No Mohammed MD Provider ID: 1239450 Gender: Male
Provider ID: 1026240 Gender: Male Medical Associates of
Spinnell, Mitchell MD Gender: Male Sovereign Medical Group LLC Englewood PC
Medical Associates of 85 Harristown Rd Ste 104 22-18 Broadway Ste 201
Provider ID: 1213640 Englewo Glen Rock, NJ 07452 Fair Lawn, NJ 07410
Gender: Male 350 Engle St (201) 830-2292 (201) 475-5050
The Gastroenterology Group Englewood, NJ 07631 Fax: (201) 830-2291 Fax: (201) 475-5522
of North (201) 894-3000 18 Yrs/110 Yrs 00 Yrs/130 Yrs
140 Sylvan Ave 101A 00 Yrs/130 Yrs Languages: Spanish, Hebrew, St. Joseph's Hospital Reg
Englewood Cliffs, NJ 07632 Englewood Hospital and Yiddish Medical Center
(201) 945-6564 Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 461-9038 M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
18 Yrs/130 Yrs PCMH: No
Varghese, Vibu MD Wasserman, Kennneth MD
Englewood Hospital and Tartakovsky, Irina MD Provider ID: 1349909
Medical Center
M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 944710
PCMH: No Provider ID: 1605355 Medical Associates of Gender: Male
Gender: Female Englewood PC Comprehensive Med Care PC
Szewczyk-Szczech, Krystyna Medical Associates of 22-18 Broadway Ste 104 177 N Dean St 1st Fl
MD Englewood PC Fair Lawn, NJ 07410 Englewood, NJ 07631
Provider ID: 575608 370 Grand Ave Ste 202 (201) 797-4503 (201) 567-1140
Gender: Female Englewood, NJ 07631 Fax: (201) 797-4270 Fax: (201) 567-1998
Clifton-Wallington Medical (201) 408-6166 00 Yrs/130 Yrs 18 Yrs/130 Yrs
Group-Cl Fax: (201) 408-6163 St. Joseph's Hospital Reg Englewood Hospital and
60 Main Ave Ste 210 00 Yrs/130 Yrs Medical Center Medical Center
Wallington, NJ 07057 Englewood Hospital and M-F 9:00 AM - 5:00 PM Languages: Spanish
(973) 471-3555 Medical Center PCMH: No MW 9:00 AM - 5:00 PM
Fax: (973) 471-5353 M-F 9:00 AM - 5:00 PM T 10:00 AM - 6:30 PM
12 Yrs/130 Yrs PCMH: No TH 9:15 AM - 4:30 PM
Prime Health Services-St F 8:00 AM - 2:00 PM
Marys Hospital PCMH: No
Languages: Polish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 13
Updated: 11/26/2018

Primary Care Physicians


Bergen
Internal Medicine - cont. Williams, Karlene MD Zingler, Barry MD Obstetrics/Gynecology
Provider ID: 1096313
Weisholtz, Steven MD Provider ID: 1419058 Gender: Male Broizman, David MD
Provider ID: 1166592 Gender: Female The Gastroenterology Group Provider ID: 1241095
Gender: Male Medical Associates of of North Gender: Male
Medical Associates of Englewood, P. 420 Grand Ave 101 North Hudson Community
Englewood PC 350 Engle St Englewood, NJ 07631 Action Corp
25 Rockwood Pl Ste 120 Englewood, NJ 07631 (201) 569-7044 Sub Specialty: HIV/AIDs
Englewood, NJ 07631 (201) 894-3158 Fax: (201) 569-1999 535 Midland Ave
(201) 568-3335 Fax: (201) 894-5264 18 Yrs/130 Yrs Garfield, NJ 07026
Fax: (201) 568-2450 00 Yrs/130 Yrs Holy Name Medical Center (973) 340-1182
12 Yrs/130 Yrs Englewood Hospital and Languages: Spanish Fax: (973) 340-1156
Englewood Hospital and Medical Center M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Medical Center Morristown Memorial PCMH: No Englewood Hospital and
M-F 8:00 AM - 6:00 PM Hospital Medical Center
PCMH: Yes, Level 3 M-F 9:00 AM - 5:00 PM Zingler, Barry MD Languages: Spanish
PCMH: No Provider ID: 1096316 M-TH 8:30 AM - 7:00 PM
Weissman, Andrew MD Gender: Male F 8:30 AM - 5:00 PM
Yang, Yulong MD 350 Engle St Sat 8:30 AM - 3:00 PM
Provider ID: 1342514 Provider ID: 1710360 Englewood, NJ 07631 PCMH: No
Gender: Male Gender: Male (201) 894-3000
Medical Associates of MS Comprehensive Care 18 Yrs/130 Yrs Broizman, David MD
Englewood PC Center Holy Name Medical Center Provider ID: 1241096
220 Livingston St 718 Teaneck Rd Languages: Spanish Gender: Male
Northvale, NJ 07647 Teaneck, NJ 07666 M-F 9:00 AM - 5:00 PM North Hudson Community
(551) 236-2200 (201) 833-3396 PCMH: No Action Corp
Fax: (201) 608-2581 Fax: (201) 837-8504 Sub Specialty: HIV/AIDs
00 Yrs/130 Yrs 00 Yrs/130 Yrs Zingler, Barry MD 25 E Salem St Fl 6
Holy Name Medical Center M-F 9:00 AM - 5:00 PM Provider ID: 1096316 Hackensack, NJ 07601
M-F 9:00 AM - 5:00 PM PCMH: No Gender: Male (551) 996-2121
PCMH: No The Gastroenterology Group Fax: (551) 996-4435
Yeshou, Dima MD of North 00 Yrs/130 Yrs
Wien, Frederic MD Provider ID: 903793 140 Sylvan Ave 101A Englewood Hospital and
Provider ID: 1179652 Gender: Female Englewood Cliffs, NJ 07632 Medical Center
Gender: Male Bergen Endocrinology PC (201) 945-6564 Languages: Spanish
Sovereign Medical Group LLC 12-04 Saddle River Rd Fax: (201) 461-9038 MTTHFSat 8:30 AM - 5:00 PM
30 W Century Rd Ste 240 Fair Lawn, NJ 07410 18 Yrs/130 Yrs W 8:30 AM - 7:00 PM
Paramus, NJ 07652 (201) 773-8710 Holy Name Medical Center PCMH: No
(201) 265-7001 Fax: (201) 773-8711 Languages: Spanish
Fax: (201) 265-7078 16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Broizman, David MD
12 Yrs/130 Yrs Bergen Regional Medical PCMH: No Provider ID: 1241102
Languages: Spanish, French Center Gender: Male
M 2:00 AM - 8:00 PM Languages: Arabic North Hudson Community
T 10:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM Action Corp
PCMH: No PCMH: No Sub Specialty: HIV/AIDs
197 S Van Brunt St
Zingler, Barry MD Englewood, NJ 07631
Provider ID: 1096313 (201) 537-4442
Gender: Male Fax: (201) 568-1876
350 Engle St 00 Yrs/130 Yrs
Englewood, NJ 07631 Englewood Hospital and
(201) 894-3000 Medical Center
18 Yrs/130 Yrs Languages: Spanish
Holy Name Medical Center M-F 8:30 AM - 5:00 PM
Languages: Spanish PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 14
Updated: 11/26/2018

Primary Care Physicians


Bergen
Obstetrics/Gynecology - Migliaccio, Thomas MD Yahav, Eric MD Aliaga, Julie MD
cont. Provider ID: 1255701 Provider ID: 1095045
Provider ID: 1238095 Gender: Male Gender: Female
Fernandez, Osbert MD Gender: Male North Hudson Community North Hudson Community
Medical Associates of Action Corp Action Corp
Provider ID: 896186 Englewood PC Sub Specialty: HIV/AIDs 25 E Salem St 6th Fl
Gender: Male 968 River Rd Ste 203 197 S Van Brunt St Hackensack, NJ 07601
Njmha Edgewater, NJ 07020 Englewood, NJ 07631 (551) 996-2121
308 Willow Ave (201) 869-5618 (201) 537-4442 Fax: (551) 996-4435
North Arlington, NJ 07031 Fax: (201) 224-2405 Fax: (201) 568-1876 00 Yrs/18 Yrs
(201) 858-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs MTTHFSat 8:30 AM - 5:00 PM
Fax: (202) 858-7322 Hoboken University Medical Cooper University Health W 8:30 AM - 7:00 PM
00 Yrs/130 Yrs Center Care PCMH: No
Bayonne Medical Center Palisades Medical Center Languages: Hebrew
Hoboken University Medical M-F 9:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM Azzariti, George MD
Center PCMH: No PCMH: No Provider ID: 1594835
Palisades Medical Center Gender: Male
M-F 9:00 AM - 5:00 PM Yahav, Eric MD Pediatrics Prohealth Care Associates of
PCMH: No Provider ID: 1255692 NJ
Gender: Male Abbassi, Saeed MD 870 Palisade Ave Fl 3
Fernandez, Osbert North Hudson Community Provider ID: 1594822 Teaneck, NJ 76663
Provider ID: 896365 Action Corp Gender: Male (201) 692-1661
Gender: Male Sub Specialty: HIV/AIDs Prohealth Care Associates of Fax: (201) 692-9219
Njmha 535 Midland Ave NJ 00 Yrs/130 Yrs
142 Palisade Ave Garfield, NJ 07026 1187 Main Ave 2D M-F 9:00 AM - 5:00 PM
East Rutherford, NJ 07073 (973) 340-1182 North Bergen, NJ 07407 PCMH: No
(201) 706-4524 Fax: (973) 340-1156 (201) 869-0037
00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 868-5844 Azzariti, George MD
Bayonne Medical Center Cooper University Health 00 Yrs/130 Yrs Provider ID: 1594836
Hoboken University Medical Care M-F 9:00 AM - 5:00 PM Gender: Male
Center Languages: Hebrew PCMH: No Prohealth Care Associates of
Palisades Medical Center M-TH 8:30 AM - 7:00 PM NJ
M-F 9:00 AM - 5:00 PM F 8:30 AM - 5:00 PM Alexander, Leah MD 500 Piermont Rd Ste 102
PCMH: No Sat 8:30 AM - 3:00 PM Provider ID: 1303958 Closter, NJ 07624
PCMH: No Gender: Female (201) 784-3200
Migliaccio, Thomas MD Pediatricare Associates Fax: (201) 784-3321
Yahav, Eric MD 2020 Fair Lawn Ave Ste 101 00 Yrs/130 Yrs
Provider ID: 1238095 Provider ID: 1255694 Fair Lawn, NJ 74102 M-F 9:00 AM - 5:00 PM
Gender: Male Gender: Male (201) 791-4545 PCMH: No
Medical Associates of North Hudson Community Fax: (201) 791-3765
Englewood PC Action Corp 00 Yrs/21 Yrs Bhatty, Anis MD
1555 Center Ave Sub Specialty: HIV/AIDs AHS Hospital Provider ID: 1594844
Fort Lee, NJ 07024 25 E Salem St Fl 6 St. Joseph's Hospital Reg Gender: Female
(201) 659-7700 Hackensack, NJ 07601 Medical Center Prohealth Care Associates of
00 Yrs/130 Yrs (551) 996-2121 Languages: Spanish NJ
Hoboken University Medical Fax: (551) 996-4435 M-F 9:00 AM - 5:00 PM 870 Palisades Ave
Center 00 Yrs/130 Yrs PCMH: No Teaneck, NJ 07666
Palisades Medical Center Cooper University Health (201) 836-5655
M-F 9:00 AM - 5:00 PM Care Fax: (201) 836-5656
PCMH: No Languages: Hebrew 00 Yrs/130 Yrs
MTTHFSat 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
W 8:30 AM - 7:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 15
Updated: 11/26/2018

Primary Care Physicians


Bergen
Pediatrics - cont. Cardiello, Peter MD Chelliah, Padmini MD Chung, Haeyang MD
Provider ID: 945091 Provider ID: 922640
Bhatty, Anis MD Provider ID: 1096294 Gender: Female Gender: Male
Provider ID: 1594845 Gender: Male Holy Name Pediatric Dept. Dr Chung's Medical Clinic PC
Gender: Female North Hudson Community 718 Teaneck Rd 17 Brinkerhoff Terrace
Prohealth Care Associates of Action Corpo Teaneck, NJ 07666 Palisades Park, NJ 07650
NJ Sub Specialty: HIV/AIDs (201) 833-3090 (201) 313-1500
500 Piermont Rd Ste 102 535 Midland Ave Fax: (201) 833-7180 Fax: (201) 941-4157
Closter, NJ 07624 Garfield, NJ 07026 00 Yrs/18 Yrs 00 Yrs/130 Yrs
(201) 784-3200 (973) 340-1182 Holy Name Medical Center Holy Name Medical Center
00 Yrs/130 Yrs Fax: (973) 340-1156 M-F 9:00 AM - 5:00 PM M 9:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs PCMH: No T 9:00 AM - 8:00 PM
PCMH: No Jersey City Medical Center WTH 9:00 AM - 5:00 PM
Saint Barnabas Medical Chism, Melissa MD F 2:00 AM - 6:00 PM
Bienstock, Jeffrey MD Center Livingston Provider ID: 871594 Sat 9:00 AM - 2:00 PM
Provider ID: 830110 MTTHFSat 8:30 AM - 5:00 PM Gender: Female PCMH: No
Gender: Male W 8:30 AM - 7:00 PM Pediatricare Associates
Pediatricare Associates PCMH: No 2020 Fair Lawn Ave Ste 101 Chung, Haeyang MD
400 Franklin Tpke Ste 108 Fair Lawn, NJ 74102
Mahwah, NJ 74303 Cavalli, Nina MD (201) 791-4545 Provider ID: 922642
(201) 529-4545 Provider ID: 1607978 Fax: (201) 791-3765 Gender: Male
Fax: (201) 529-1596 Gender: Female 00 Yrs/21 Yrs Dr Chung Medical Clinic PC
00 Yrs/21 Yrs Prohealth Care Associates of St. Joseph's Hospital Reg 469 Livingston St
Morristown Memorial New Je Medical Center Norwood, NJ 07648
Hospital 500 Piermont Rd Ste 102 Languages: Spanish, French, (201) 750-1600
Languages: Spanish Closter, NJ 07624 Italian Fax: (201) 750-1609
M-F 9:00 AM - 5:00 PM (201) 784-3200 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No Fax: (201) 784-3321 PCMH: No Holy Name Medical Center
00 Yrs/21 Yrs M 9:00 AM - 7:00 PM
Bokhari, Naimat MD Englewood Hospital and Choi, Yoon Hee MD T 9:00 AM - 8:00 PM
Medical Center WTH 9:00 AM - 5:00 PM
Provider ID: 1602542 M-F 9:00 AM - 5:00 PM Provider ID: 1723920 F 2:00 AM - 6:00 PM
Gender: Male PCMH: No Gender: Female Sat 9:00 AM - 2:00 PM
Prohealth Care Associates of Evergreen Pediatrics, PC, PCMH: No
NJ Cerkvenik, Kathleen MD Yoon-He
1 Maywood Ave 1355 15th St Ste 190 Chung, Nam MD
Maywood, NJ 07607 Provider ID: 1016283 Fort Lee, NJ 07024 Provider ID: 1520004
(201) 342-8130 Gender: Female (201) 224-3344 Gender: Female
Fax: (201) 342-8130 Bergen West Pediatric Center Fax: (201) 224-4141 Medical Associates of
00 Yrs/21 Yrs PA 00 Yrs/130 Yrs Englewood,PC
Christ Hospital 541 Cedar Hill Ave Ste 1 M-F 9:00 AM - 5:00 PM 350 Engle St Rm 4270
M-F 9:00 AM - 5:00 PM Wyckoff, NJ 07481 PCMH: No Englewood, NJ 07631
PCMH: No (201) 652-0300 (201) 894-3280
Fax: (201) 444-6209 Fax: (201) 871-9227
Buono, Amy MD 00 Yrs/21 Yrs 00 Yrs/18 Yrs
Provider ID: 902246 MTHF 9:00 AM - 7:00 PM Englewood Hospital and
Gender: Female TW 9:00 AM - 6:00 PM Medical Center
Pediatricare Associates Sat-Sun 9:30 AM - 2:00 PM M-F 6:00 AM - 5:30 PM
2020 Fair Lawn Ave Ste 101 PCMH: No PCMH: No
Fair Lawn, NJ 74102
(201) 791-4545
Fax: (201) 791-3765
00 Yrs/21 Yrs
Languages: Spanish, French
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 16
Updated: 11/26/2018

Primary Care Physicians


Bergen
Pediatrics - cont. Fenkart, Douglas MD Gupta, Raksha MD Hutton-Cassie, Donna MD
Provider ID: 1594904
Conde, Humberto MD Provider ID: 1012278 Gender: Female Provider ID: 1097979
Provider ID: 876370 Gender: Male Prohealth Care Associates of Gender: Female
Gender: Male Bergen West Pediatric Center NJ North Hudson Community
North Hudson Community PA 1 Maywood Ave Action Corpo
Health Center 541 Cedar Hill Ave Ste 1 Maywood, NJ 07607 197 S Van Brunt St
Sub Specialty: HIV/AIDs Wyckoff, NJ 07481 (201) 342-8130 Englewood, NJ 07631
25 E Salem St 6th Fl (201) 652-0300 Fax: (201) 342-8130 (201) 537-4442
Hackensack, NJ 07601 Fax: (201) 444-6209 00 Yrs/130 Yrs Fax: (201) 568-1876
(551) 996-2121 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs
Fax: (551) 996-4435 Languages: Spanish PCMH: No Palisades Medical Center
00 Yrs/21 Yrs M-F 9:00 AM - 6:00 PM MTWTHFSat 8:30 AM - 5:00
Palisades Medical Center Sat-Sun 11:00 AM - 2:00 PM Hecht, Stacey MD PM
Languages: Spanish PCMH: No Provider ID: 1358132 PCMH: No
MTTHFSat 8:30 AM - 5:00 PM Gender: Female
W 8:30 AM - 7:00 PM Ginart, Gaspar MD Live Well Pediatrics PC Jacob, Mariamma MD
PCMH: No Provider ID: 1096867 171 Franklin Tpke Ste 110 Provider ID: 1097969
Gender: Male Waldwick, NJ 07463 Gender: Female
Daici, Silvia MD North Hudson Community (201) 612-5100 North Hudson Community
Provider ID: 946498 Action Corpo Fax: (201) 612-4499 Action Corpo
Gender: Female 197 S Van Brunt St 00 Yrs/21 Yrs 25 E Salem St 6th Fl
Silvia Daici MD, LLC Englewood, NJ 07631 M-F 9:30 AM - 5:00 PM Hackensack, NJ 07601
401A S Van Brunt St Ste 201 (201) 537-4442 Sat 10:00 AM - 12:30 PM (551) 996-2121
Englewood, NJ 07631 Fax: (201) 568-1876 PCMH: No Fax: (551) 996-4435
(201) 894-8829 00 Yrs/18 Yrs 00 Yrs/21 Yrs
Fax: (201) 894-8859 St. Joseph's Hospital Reg Hetling, Kristina MD Hoboken University Medical
00 Yrs/21 Yrs Medical Center Provider ID: 871962 Center
Englewood Hospital and Languages: Spanish Gender: Female MTTHFSat 8:30 AM - 5:00 PM
Medical Center MTWTHFSat 8:30 AM - 5:00 Pediatricare Associates W 8:30 AM - 7:00 PM
Languages: Spanish, Romanian PM 400 Franklin Tpke PCMH: No
M-TH 9:00 AM - 5:00 PM PCMH: No Mahwah, NJ 07430
PCMH: No (201) 529-4545 Jacob, Mariamma MD
Gonzalez, Isabel MD Fax: (201) 529-1596 Provider ID: 1097972
Fayngersh, David MD 00 Yrs/21 Yrs Gender: Female
Provider ID: 839184 Morristown Memorial North Hudson Community
Provider ID: 1095012 Gender: Female Hospital Action Corpo
Gender: Male North Hudson Community Languages: Spanish, French 197 S Van Brunt St
North Hudson Community Action Corpo M-F 9:00 AM - 5:00 PM Englewood, NJ 07631
Action Corpo Sub Specialty: HIV/AIDs PCMH: No (201) 537-4442
25 E Salem St 25 E Salem St Fax: (201) 568-1876
Hackensack, NJ 07601 Hackensack, NJ 07601 Hutton-Cassie, Donna MD 00 Yrs/21 Yrs
(551) 996-2121 (201) 498-9080 Hoboken University Medical
Fax: (551) 996-4435 00 Yrs/18 Yrs Provider ID: 1097975 Center
00 Yrs/21 Yrs Palisades Medical Center Gender: Female MTWTHFSat 8:30 AM - 5:00
Palisades Medical Center Languages: Spanish North Hudson Community PM
Languages: Spanish, Russian M-F 9:00 AM - 5:00 PM Action Corpo PCMH: No
MTTHF 8:30 AM - 5:00 PM PCMH: No 25 E Salem St 6th Fl
W 8:30 AM - 7:00 PM Hackensack, NJ 07601
PCMH: No (551) 996-2121
Fax: (551) 996-4435
00 Yrs/21 Yrs
Palisades Medical Center
MTTHFSat 8:30 AM - 5:00 PM
W 8:30 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 17
Updated: 11/26/2018

Primary Care Physicians


Bergen
Pediatrics - cont. Knee, C. MD Kraut, Evelyn MD Lee, Clara MD
Provider ID: 1170450 Provider ID: 1594926 Provider ID: 1639618
John, Jeani MD Gender: Male Gender: Female Gender: Female
Provider ID: 1639113 C Michael Knee MD Prohealth Care Associates of Prohealth Care Associates of
Gender: Female 44 Godwin Ave Ste 103 NJ New Je
Prohealth Care Associates of Midland Park, NJ 07432 500 Piermond Rd Ste 102 200 Main St
New Je (201) 444-5004 Closter, NJ 07624 Ridgefield Park, NJ 07660
74 Oak St Fax: (201) 670-0356 (201) 784-3200 (201) 870-6099
Ridgewood, NJ 07450 00 Yrs/21 Yrs Fax: (201) 784-3321 Fax: (201) 870-6098
(201) 345-3481 St. Joseph's Hospital Reg 00 Yrs/18 Yrs 00 Yrs/18 Yrs
Fax: (201) 345-3482 Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
Hoboken University Medical PCMH: No
Center Kumar, Geeta DO Leykin, Tanya MD
M-F 8:00 AM - 7:00 PM Kolsky, Neil MD Provider ID: 1216221 Provider ID: 989416
PCMH: Yes, Level 3 Provider ID: 1594917 Gender: Female Gender: Female
Gender: Male Bridge Pediatrics LLC Rite Care Pediatrics LLC
Karim, Naheed MD Prohealth Care Associates of 2175 Lemoine Ave Ste 502 400 Palisade Ave Ste 2
Provider ID: 1639115 NJ Fort Lee, NJ 07024 Cliffside Park, NJ 07010
Gender: Female 870 Palisade Ave Ste 201 (201) 585-7337 (201) 945-8899
Prohealth Care Associates of Teaneck, NJ 76663 Fax: (201) 585-7333 Fax: (201) 945-8399
New Je (201) 692-1661 00 Yrs/21 Yrs 00 Yrs/21 Yrs
1 Maywood Ave Fax: (201) 928-0842 Englewood Hospital and Holy Name Medical Center
Maywood, NJ 07607 00 Yrs/21 Yrs Medical Center Languages: Russian
(201) 968-5345 M-F 9:00 AM - 5:00 PM MWF 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 968-5349 PCMH: No TTH 10:00 AM - 7:00 PM PCMH: No
00 Yrs/18 Yrs Sat 9:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM Kolsky, Neil MD PCMH: No Liberti, Lorraine MD
PCMH: No Provider ID: 1594918 Provider ID: 872147
Gender: Male Laufer, Ilene MD Gender: Female
Karim, Naheed MD Prohealth Care Associates of Provider ID: 1099625 Pediatricare Associates
Provider ID: 1639116 NJ Gender: Female 2020 Fair Lawn Ave Ste 101
Gender: Female 500 Piermond Rd Ste 102 North Hudson Community Fair Lawn, NJ 74102
Prohealth Care Associates of Closter, NJ 07624 Action Corpo (201) 791-4545
New Je (201) 784-3200 197 S Van Brunt St Fax: (201) 791-3765
74 Oak St Fax: (201) 784-3321 Englewood, NJ 07631 00 Yrs/21 Yrs
Ridgewood, NJ 07450 00 Yrs/21 Yrs (201) 537-4442 Languages: Spanish
(201) 345-3688 M-F 9:00 AM - 5:00 PM Fax: (201) 568-1876 M-F 9:00 AM - 5:00 PM
Fax: (201) 345-3689 PCMH: No 00 Yrs/21 Yrs PCMH: No
00 Yrs/18 Yrs MTWTHFSat 8:30 AM - 5:00
M-F 9:00 AM - 5:00 PM Kraut, Evelyn MD PM Lin, Tatiana MD
PCMH: No Provider ID: 1594925 PCMH: No Provider ID: 902089
Gender: Female Gender: Female
Kastner, Theodore MD Prohealth Care Associates of Lazieh, Janet MD Pediatricare Associates
Provider ID: 944470 NJ Provider ID: 990449 2020 Fair Lawn Ave Ste 101
Gender: Male 870 Palisades Ave Gender: Female Fair Lawn, NJ 74102
Devpmt Dis Health Services Teaneck, NJ 07666 Excelcare Medical Associates (201) 791-4545
211 Essex St Ste 304 (201) 836-5655 PA Fax: (201) 791-3765
Hackensack, NJ 07601 Fax: (201) 836-5656 2500 Lemoine Ave Ste 200 00 Yrs/21 Yrs
(201) 968-1871 00 Yrs/18 Yrs Fort Lee, NJ 07024 AHS Hospital
Fax: (856) 697-7494 M-F 9:00 AM - 5:00 PM (201) 592-9210 Languages: Spanish, Russian
00 Yrs/21 Yrs PCMH: No Fax: (201) 592-6539 M-F 9:00 AM - 5:00 PM
Englewood Hospital and 00 Yrs/18 Yrs PCMH: No
Medical Center St. Joseph's Hospital Reg
Languages: Spanish Medical Center
MW 8:30 AM - 4:30 PM Languages: Arabic
T 8:30 AM - 12:30 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 18
Updated: 11/26/2018

Primary Care Physicians


Bergen
Pediatrics - cont. Maldonado, Jose MD Monga, Ashmita MD Nghi, Phuong MD
Provider ID: 343978
Llamas, Eden MD Provider ID: 1097996 Provider ID: 1645298 Gender: Female
Provider ID: 945102 Gender: Male Gender: Female Medical Associates of
Gender: Female North Hudson Community Prohealth Care Associates of Englewood,PC
Holy Name Pediatric Dept Action Corpo New Je 350 Engle St Dept of
718 Teaneck Rd Sub Specialty: HIV/AIDs 1 Maywood Ave Pediatrics
Teaneck, NJ 07666 535 Midland Ave Maywood, NJ 07607 Englewood, NJ 07631
(201) 833-3900 Garfield, NJ 07026 (201) 342-8130 (201) 894-3158
Fax: (201) 541-5936 (973) 340-1182 Fax: (201) 342-5275 Fax: (201) 894-5649
00 Yrs/18 Yrs Fax: (973) 340-1156 00 Yrs/21 Yrs 00 Yrs/18 Yrs
Holy Name Medical Center 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM MTWTHFSatSun 6:30 AM -
M-F 9:00 AM - 5:00 PM Palisades Medical Center PCMH: No 5:30 PM
PCMH: No MTTHFSat 8:30 AM - 5:00 PM PCMH: No
W 8:30 AM - 7:00 PM Moshet, Osama MD
Long, Jessie MD Provider ID: 1078838 Onwuka, William MD
PCMH: No
Provider ID: 1304969 Gender: Male Provider ID: 906567
Gender: Female Mathew, Omana MD North Hudson Community Gender: Male
Pediatricare Associates Provider ID: 726492 Action Corpo Dr William Onwuka
2020 Fair Lawn Ave Ste 101 Gender: Male 535 Midland Ave 107 1st St
Fair Lawn, NJ 74102 Bergen Pediatric Center PC Garfield, NJ 07026 Hackensack, NJ 07601
(201) 791-4545 167 S Washington Ave (973) 340-1182 (201) 342-2212
Fax: (201) 791-3765 Bergenfield, NJ 07621 Fax: (973) 340-1156 Fax: (201) 546-1155
00 Yrs/21 Yrs (201) 384-8510 00 Yrs/18 Yrs 00 Yrs/21 Yrs
M-F 9:00 AM - 9:00 PM Fax: (201) 384-8511 Palisades Medical Center St. Joseph's Hospital Reg
Sat-Sun 8:30 AM - 12:00 PM 00 Yrs/18 Yrs MTTHFSat 8:30 AM - 5:00 PM Medical Center
PCMH: No Holy Name Medical Center W 8:30 AM - 7:00 PM Languages: Spanish
Languages: Malayalam PCMH: No M-F 9:00 AM - 5:00 PM
Long, Jessie MD M-F 10:00 AM - 6:00 PM PCMH: No
Provider ID: 1304978 Sat 11:00 AM - 2:00 PM Nasiek, Sara MD
Provider ID: 1101669 Owusu Boahen, Olivia MD
Gender: Female PCMH: No
Pediatricare Associates Gender: Female
400 Franklin Tpke Mathew, Omana MD North Hudson Community Provider ID: 1419050
Mahwah, NJ 07430 Provider ID: 944879 Action Corpo Gender: Female
(201) 529-4545 Gender: Female 197 S Van Brunt St Medical Associates of
Fax: (201) 529-1596 Bergen Pediatric Center Englewood, NJ 07631 Englewoo
00 Yrs/21 Yrs 167 S Washington Ave (201) 537-4442 350 Engle St Rm 427
M-F 9:00 AM - 5:00 PM Bergenfield, NJ 07621 Fax: (201) 568-1876 Englewood, NJ 07631
PCMH: No (201) 384-8510 00 Yrs/21 Yrs (201) 894-3158
Fax: (201) 384-8511 St. Joseph's Hospital Reg Fax: (201) 894-5649
Mahmoud, Ayesha MD 00 Yrs/19 Yrs Medical Center 00 Yrs/18 Yrs
Holy Name Medical Center MTWTHFSat 8:30 AM - 5:00 Englewood Hospital and
PM Medical Center
Provider ID: 1594932 Languages: Hindi, Tagalog
PCMH: No M-F 6:30 AM - 5:30 PM
Gender: Female M-F 10:00 AM - 6:30 PM
PCMH: No
Prohealth Care Associates of Sat 10:00 AM - 1:00 PM
NJ PCMH: No
1 Maywood Ave
Maywood, NJ 07607
(201) 342-8130
Fax: (201) 342-8130
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 19
Updated: 11/26/2018

Primary Care Physicians


Bergen
Pediatrics - cont. Parsi, Prakasham MD Psalidas, Panagiotis MD Rubia-Sazon, Elvira MD
Provider ID: 1110042
Pandey, Krishna MD Gender: Male Provider ID: 369423 Provider ID: 922916
Provider ID: 1099848 Lamington Pediatrics, PC Gender: Male Gender: Female
Gender: Male 101 Prospect Ave Ste 1C Yee Medicine and Pediatric North Hudson Community
House Physician Partners PC Hackensack, NJ 07601 Associat Action Corpo
718 Teaneck Rd (201) 487-5018 245 Madison Ave Sub Specialty: HIV/AIDs
Teaneck, NJ 07666 Fax: (201) 487-5020 Wyckoff, NJ 07481 535 Midland Ave
(201) 833-3090 00 Yrs/21 Yrs (201) 904-2090 Garfield, NJ 07026
Fax: (201) 541-5936 Saint Peter's University Fax: (201) 904-2093 (973) 340-1182
00 Yrs/18 Yrs Hospital 00 Yrs/130 Yrs Fax: (973) 340-1156
Prime Health Services-St Languages: Hindi Languages: Spanish, Greek 00 Yrs/21 Yrs
Marys Hospital M-TH 9:00 AM - 5:00 PM MT 9:00 AM - 5:00 PM Palisades Medical Center
Saint Clares Hospital F 9:00 AM - 1:00 PM W 10:00 AM - 7:00 PM Languages: Spanish, Filipino
St. Joseph's Hospital Reg PCMH: No TH 9:00 AM - 6:00 PM MTTHFSat 8:30 AM - 5:00 PM
Medical Center F 10:00 AM - 3:00 PM W 8:30 AM - 7:00 PM
M-F 8:00 AM - 6:00 PM Patel, Shilpa MD PCMH: No PCMH: No
PCMH: No Provider ID: 945659
Gender: Female Psalidas, Panagiotis MD Santos, Concepcion MD
Panem, Cheryl MD Northern Valley Pedi LLC
Provider ID: 1096325 22 Paris Ave Ste 204 Provider ID: 944876 Provider ID: 1602557
Gender: Female Rockleigh, NJ 07647 Gender: Male Gender: Female
North Hudson Community (201) 564-7377 Yee Medicine and Pediatric Prohealth Care Associates of
Action Corp Fax: (201) 564-7379 Associat NJ
25 E Salem St 6th Fl 00 Yrs/21 Yrs 245 Engle St Ste 3 935 River Rd Ste 301
Hackensack, NJ 07601 Languages: Hindi, Gujarati Englewood, NJ 07631 Edgewater, NJ 07020
(551) 996-2121 M-TH 10:00 AM - 5:00 PM (201) 569-9005 (201) 917-3313
Fax: (551) 996-4435 PCMH: No Fax: (201) 569-9080 Fax: (201) 917-3122
00 Yrs/21 Yrs 00 Yrs/130 Yrs 00 Yrs/21 Yrs
Palisades Medical Center Patel, Trupti MD Languages: Spanish, Korean, St. Joseph's Hospital Reg
Languages: Spanish, Tagalog Provider ID: 1594955 Greek Medical Center
MTTHFSat 8:30 AM - 5:00 PM Gender: Female MTTH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
W 8:30 AM - 7:00 PM Prohealth Care Associates of WF 10:00 AM - 6:00 PM PCMH: Yes, Level 3
PCMH: No NJ PCMH: No
1 Maywood Ave Santos, Concepcion MD
Park, Chong-Hyo MD Maywood, NJ 07607 Ramadi, Roula MD
Provider ID: 965717 (201) 342-8130 Provider ID: 1349998 Provider ID: 1602568
Gender: Male Fax: (201) 342-8130 Gender: Female Gender: Female
C Thomas Park Pediatrics 00 Yrs/130 Yrs Elite Pediatrics LLC Prohealth Care Associates of
44 Sylvan Ave Ste 2C M-F 9:00 AM - 5:00 PM 1 Broadway Ste 303 NJ
Englewood Cliffs, NJ 07632 PCMH: No Elmwood Park, NJ 07407 1 Maywood Ave
(201) 242-1002 (201) 794-8855 Maywood, NJ 07607
Fax: (201) 242-1012 Perez, Sania MD Fax: (201) 794-6988 (201) 342-8130
00 Yrs/21 Yrs Provider ID: 903801 00 Yrs/18 Yrs Fax: (201) 342-8130
Languages: Korean, Japanese Gender: Female St. Joseph's Hospital Reg 00 Yrs/21 Yrs
MWTH 9:00 AM - 5:00 PM Pediatricare Associates Medical Center St. Joseph's Hospital Reg
TF 9:00 AM - 6:00 PM 2020 Fair Lawn Ave Ste 101 M-F 9:00 AM - 5:00 PM Medical Center
Sat 9:00 AM - 1:00 PM Fair Lawn, NJ 74102 PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No (201) 791-4545 PCMH: No
Fax: (201) 791-3765
00 Yrs/21 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 20
Updated: 11/26/2018

Primary Care Physicians


Bergen
Pediatrics - cont. Steinbaum, Deborah MD Taneja, Uttama DO Torres-Soto, Eileen MD
Provider ID: 1648496
Segal, Melissa MD Provider ID: 983736 Gender: Female Provider ID: 1123116
Provider ID: 1356671 Gender: Female Prohealth Care Associates of Gender: Female
Gender: Female Pediatricare Associates New Je North Hudson Community
Live Well Pediatrics PC 2020 Fair Lawn Ave Ste 101 870 Palisade Ave Action Corpo
171 Franklin Tpke Ste 110 Fair Lawn, NJ 07410 Teaneck, NJ 07666 197 S Van Brunt St
Waldwick, NJ 07463 (201) 791-4545 (201) 928-1093 Englewood, NJ 07631
(201) 612-5100 Fax: (201) 791-3765 Fax: (201) 928-0842 (201) 537-4442
Fax: (201) 612-4499 00 Yrs/21 Yrs 00 Yrs/18 Yrs Fax: (201) 568-1876
00 Yrs/21 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs
M-F 9:30 AM - 5:00 PM M-TH 9:00 AM - 9:00 PM PCMH: No MTWTHFSat 8:30 AM - 5:00
Sat 9:30 AM - 12:00 PM F 9:00 AM - 5:00 PM PM
PCMH: No Sat-Sun 9:00 AM - 12:00 PM Tobias Quiroz, Aurea MD PCMH: No
PCMH: No
Shah, Sapna MD Provider ID: 1649742 Torres-Soto, Eileen MD
Provider ID: 1303975 Surti, Daxa MD Gender: Female
Gender: Female Provider ID: 1101696 Prohealth Care Associates of Provider ID: 917135
Pediatricare Associates Gender: Female New Je Gender: Female
400 Franklin Tpke North Hudson Community 870 Palisade Ave North Hudson Community
Mahwah, NJ 07430 Action Corpo Teaneck, NJ 07666 Action Corpo
(201) 529-4545 Sub Specialty: HIV/AIDs (201) 836-5655 535 Midland Ave
Fax: (201) 529-1596 197 S Van Brunt St Fax: (201) 836-5656 Garfield, NJ 07026
00 Yrs/21 Yrs Englewood, NJ 07631 00 Yrs/18 Yrs (973) 340-1182
AHS Hospital (201) 537-4442 M-F 9:00 AM - 5:00 PM Fax: (973) 340-1156
Languages: Faroese Fax: (201) 568-1876 PCMH: No 00 Yrs/21 Yrs
M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs Languages: Spanish
PCMH: No Palisades Medical Center Tomsa, Anca MD M-F 9:00 AM - 5:00 PM
Languages: Spanish Provider ID: 1649937 PCMH: No
Sliwowski, Martha MD MTWTHFSat 8:30 AM - 5:00 Gender: Female
Provider ID: 1142398 PM Prohealth Care Associates of Valdivieso, Yaira MD
Gender: Female PCMH: No New Je
Primecare Pediatrics PC 935 River Rd Ste 301 Provider ID: 1646429
42 Locust Ave Ste 5 Taneja, Uttama DO Edgewater, NJ 07020 Gender: Female
Wallington, NJ 07057 Provider ID: 1648486 (201) 917-3313 Prohealth Care Associates of
(973) 473-4033 Gender: Female Fax: (201) 863-0488 New Je
Fax: (973) 473-2988 Prohealth Care Associates of 00 Yrs/18 Yrs 1 Maywood Ave
00 Yrs/21 Yrs New Je M-F 9:00 AM - 5:00 PM Maywood, NJ 07607
St. Joseph's Hospital Reg 500 Piermont Rd Ste 102 PCMH: Yes, Level 3 (201) 342-8130
Medical Center Closter, NJ 07624 Fax: (201) 342-5275
MTTHF 9:30 AM - 6:30 PM (201) 784-3200 Toor, Khadija MD 00 Yrs/18 Yrs
W 9:00 AM - 2:00 PM Fax: (201) 784-3321 Provider ID: 1707358 M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 2:30 PM 00 Yrs/18 Yrs Gender: Female PCMH: No
PCMH: No M-F 9:00 AM - 5:00 PM Prohealth Care Associates of
PCMH: No NJ Vece, Lorrie MD
1 Maywood Ave Provider ID: 1649750
Maywood, NJ 07607 Gender: Female
(201) 464-4766 Prohealth Care Associates of
Fax: (201) 464-4768 New Je
00 Yrs/21 Yrs 200 Main St
M-F 9:00 AM - 5:00 PM Ridgefield Park, NJ 07660
PCMH: No (201) 870-6100
Fax: (201) 870-6101
00 Yrs/18 Yrs
Holy Name Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 21
Updated: 11/26/2018

Primary Care Physicians


Bergen
Pediatrics - cont. Williams, Karlene MD Yenukashvili, Nana MD Yucel, Cengiz MD
Provider ID: 1419058 Provider ID: 1189486
Vinokur, Anna DO Gender: Female Provider ID: 1092487 Gender: Male
Provider ID: 1176062 Medical Associates of Gender: Female Natural Pediatrics LLC
Gender: Female Englewood, P. Pedimedica PA 155 Polifly Rd Fl 2 Ste 204
House Physician Partners PC 350 Engle St 870 Palisade Ave Ste 201 Hackensack, NJ 07601
718 Teaneck Rd Englewood, NJ 07631 Teaneck, NJ 07666 (201) 525-0214
Teaneck, NJ 07666 (201) 894-3158 (201) 692-1661 00 Yrs/21 Yrs
(201) 833-3090 Fax: (201) 894-5264 Fax: (201) 928-0842 Holy Name Medical Center
Fax: (201) 541-5936 00 Yrs/130 Yrs 00 Yrs/21 Yrs Languages: Turkish
00 Yrs/21 Yrs Englewood Hospital and St. Joseph's Hospital Reg M-F 9:00 AM - 7:00 PM
Holy Name Medical Center Medical Center Medical Center Sat 9:00 AM - 4:00 PM
Languages: Russian Morristown Memorial Languages: Russian, Georgian PCMH: No
MTWTHFSatSun 6:00 AM - Hospital M-F 9:00 AM - 5:00 PM
6:00 PM M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM Zucker, Scott MD
PCMH: No PCMH: No PCMH: No Provider ID: 829766
Gender: Male
Wahba, Janette MD Yegen, Lonna MD Yenukashvili, Nana MD Pediatricare Associates
Provider ID: 943831 Provider ID: 1703457 400 Franklin Tpke Ste 108
Gender: Female Gender: Female Mahwah, NJ 07430
Provider ID: 1649943
525 Ridge Rd Prohealth Care Associates of (201) 529-4545
Gender: Female
Lyndhurst, NJ 07071 New Je
Prohealth Care Associates of Fax: (201) 529-1596
(201) 935-5512 500 Piermont Rd Ste 102 New Je 00 Yrs/21 Yrs
Fax: (201) 935-1914 Closter, NJ 07624 500 Piermont Rd Ste 102 St. Joseph's Hospital Reg
00 Yrs/18 Yrs (201) 784-3200 Medical Center
Closter, NJ 07624
Clara Maass Medical Center Fax: (201) 784-3321 Languages: Spanish, French,
(201) 784-3200
Languages: Spanish, Arabic 00 Yrs/18 Yrs Italian
Fax: (201) 784-3321
MTH 1:00 AM - 7:00 PM Englewood Hospital and M-F 9:00 AM - 5:00 PM
00 Yrs/18 Yrs
Medical Center PCMH: No
TW 2:30 AM - 6:30 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No
PCMH: No
Wieder, Jennifer MD Yenukashvili, Nana MD
Yegen, Lonna MD
Provider ID: 1485322
Provider ID: 1703462
Gender: Female Provider ID: 1649946
Gender: Female
Medical Associates of Gender: Female
Englewood PC Prohealth Care Associates of
New Je Prohealth Care Associates of
350 Engle St Rm 4270 New Je
870 Palisade Ave
Englewood, NJ 07631 870 Palisade Ave Ste 201
Teaneck, NJ 07666
(201) 894-3414 Teaneck, NJ 76663
(201) 836-5655
Fax: (201) 894-5649 (201) 692-1661
Fax: (201) 836-5656
00 Yrs/21 Yrs Fax: (201) 928-0842
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs
Englewood Hospital and
PCMH: No M-F 9:00 AM - 5:00 PM
Medical Center
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 22
Updated: 11/26/2018

Primary Care Physicians


Hudson
Family Practice Ali, Sabia MD Baker, Iyad MD Cortina, Osvaldo MD
Provider ID: 873467 Provider ID: 1594841 Provider ID: 441881
Abdeljaber, Basil MD Gender: Female Gender: Male Gender: Male
Provider ID: 1054964 New Jersey Medical and Prohealth Care Associates of Olvaldo Cortina MD PC
Gender: Male Health Assoc NJ 322 38th St
Abbassi Agrama MD PC 138 River Dr S 714 10th St Union City, NJ 07087
Sub Specialty: HIV/AIDs Jersey City, NJ 07310 Secaucus, NJ 07094 (201) 865-9491
7505 Bergenline Ave Fl 1 (201) 309-3000 (201) 876-3215 Fax: (201) 865-0306
North Bergen, NJ 07047 Fax: (201) 309-1300 Fax: (201) 863-5251 00 Yrs/130 Yrs
(201) 868-1950 00 Yrs/130 Yrs 00 Yrs/130 Yrs Hoboken University Medical
Fax: (201) 868-5844 Bayonne Medical Center M-F 9:00 AM - 5:00 PM Center
00 Yrs/130 Yrs Shore Memorial Hospital PCMH: No Languages: Spanish
Languages: Arabic M-F 9:00 AM - 5:00 PM M-F 3:30 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No Balacco, Leonard MD Sat 10:30 AM - 2:00 PM
Sat 9:00 AM - 12:00 PM Provider ID: 1571913 PCMH: No
PCMH: No Amin, Samirlal MD Gender: Male
Provider ID: 455992 Palisades Medical Associates Dejesus, Jennifer MD
Abdeljaber, Basil MD Gender: Male LLC
Provider ID: 1594829 Sub Specialty: HIV/AIDs 108 Washington St Ste B Provider ID: 1609772
Gender: Male 9245 Kennedy Blvd Hoboken, NJ 70304 Gender: Female
Prohealth Care Associates of North Bergen, NJ 07047 (201) 656-5688 Prohealth Care Associates of
NJ (201) 863-6844 Fax: (201) 656-8975 New Je
7500 Bergenline Ave Fax: (201) 854-0050 12 Yrs/130 Yrs 6045 Kennedy Blvd Ste A
North Bergen, NJ 07047 18 Yrs/130 Yrs Palisades Medical Center North Bergen, NJ 70473
(201) 537-6414 Palisades Medical Center Languages: Spanish (201) 861-4443
Fax: (201) 537-6411 Languages: Hindi, Gujarati, M-F 8:00 AM - 4:00 PM Fax: (201) 861-0941
00 Yrs/130 Yrs Swahili PCMH: No 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 10:00 AM - 5:00 PM Palisades Medical Center
PCMH: No Sat 10:00 AM - 1:00 PM Brahmbhatt, Gaurang MD M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No
Abubakar, Shaik MD Provider ID: 1594896
Provider ID: 967175 Babbar, Puneet MD Gender: Male Demarco, Angelo MD
Gender: Male Prohealth Care Associates of
Family Practice Center Provider ID: 936551 NJ Provider ID: 1570506
424 Central Ave Ste A Gender: Female 609 Washington St Gender: Male
Jersey City, NJ 07307 New Jersey Medical and Hoboken, NJ 07030 Palisades Medical Associates
(201) 222-0821 Health Assoc (201) 706-8490 LLC
Fax: (201) 222-1018 122-132 Clinton St Fax: (201) 706-8491 108 Washington St Ste B
00 Yrs/130 Yrs Hoboken, NJ 07030 00 Yrs/130 Yrs Hoboken, NJ 70304
Christ Hospital (201) 418-3100 M-F 9:00 AM - 5:00 PM (201) 656-5688
Jersey City Medical Center Fax: (201) 706-4519 PCMH: No Fax: (201) 656-8975
Languages: Spanish 00 Yrs/130 Yrs 12 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Hoboken University Medical Brahver, Danit MD Palisades Medical Center
PCMH: No Center Provider ID: 1690540 M-F 8:00 AM - 4:00 PM
Raritan Bay Medical Center Gender: Female PCMH: No
Perth Amboy Garden State Healthcare
Languages: Hindi Associates
M-F 9:00 AM - 5:00 PM 122-132 Clinton St
PCMH: No Hoboken, NJ 07030
(201) 216-3030
Fax: (201) 821-8953
00 Yrs/130 Yrs
Hoboken University Medical
Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 23
Updated: 11/26/2018

Primary Care Physicians


Hudson
Family Practice - cont. Fajardo, Gil MD Garcia, Steven MD Katsman, Tatyana DO
Provider ID: 464230 Provider ID: 1344800
Diaz, Francisco MD Gender: Male Gender: Male Provider ID: 406750
Provider ID: 839128 Bergenline Family Medicine New Jersey Medical and Gender: Female
Gender: Male LLC Health Assoc Quality Medical Care
New Jersey Medical and 333 60th St 122-132 Clinton St 2690 Kennedy Blvd
Health Assoc West New York, NJ 07093 Hoboken, NJ 07030 Jersey City, NJ 07306
391 Kennedy Blvd (201) 453-8777 (201) 418-3100 (201) 451-1601
Bayonne, NJ 07002 Fax: (201) 453-8804 Fax: (201) 418-3148 Fax: (201) 451-2031
(201) 858-4110 18 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 858-2240 Hoboken University Medical Hoboken University Medical Christ Hospital
00 Yrs/130 Yrs Center Center Languages: Russian
Bayonne Medical Center Languages: Spanish M-F 9:00 AM - 5:00 PM M 10:00 AM - 4:00 PM
Languages: Spanish, Italian M-TH 10:00 AM - 5:30 PM PCMH: No T 10:00 AM - 6:00 PM
M 10:00 AM - 7:00 PM F 10:00 AM - 2:30 PM WF 9:30 AM - 12:30 PM
T 10:00 AM - 12:00 PM PCMH: No Girgis, Marina DO TH 12:00 AM - 7:00 PM
W 10:00 AM - 5:00 PM Provider ID: 1709647 Sat 10:00 AM - 2:00 PM
TH 8:00 AM - 5:00 PM Fritz, John DO Gender: Female PCMH: No
F 9:00 AM - 4:00 PM Provider ID: 1430785 Prohealth Care Associates of
PCMH: No Gender: Male NJ Khalil, Samir MD
Hudson Primary Care 564 Broadway Provider ID: 1714788
Dube, Bianca MD Professionals Bayonne, NJ 07002 Gender: Male
Provider ID: 1441201 709 Newark Ave (201) 468-8888 Vytaliz Medical
Gender: Female Jersey City, NJ 07306 Fax: (201) 455-3083 89 Hudson St Ste 2
Horizon Health Center (201) 239-9200 00 Yrs/130 Yrs Hoboken, NJ 07030
714 Bergen Ave Fax: (201) 239-7788 Jersey City Medical Center (646) 779-4311
Jersey City, NJ 07306 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(201) 451-6300 Jersey City Medical Center PCMH: No Saint Barnabas Medical
Fax: (201) 451-8300 M 9:00 AM - 7:00 PM Center Livingston
00 Yrs/130 Yrs TWTHF 9:00 AM - 5:00 PM Goldstein, Marc DO M-F 9:00 AM - 5:00 PM
Jersey City Medical Center Sat 9:00 AM - 1:00 PM Provider ID: 971569 PCMH: No
University Hospital PCMH: No Gender: Male
M-F 9:00 AM - 5:00 PM 8100 Kennedy Blvd Knihnicky, Alexander DO
PCMH: No Garcia, Steven MD North Bergen, NJ 07047
Provider ID: 1199074 (201) 866-6770 Provider ID: 1450809
Dube, Bianca MD Gender: Male Fax: (201) 866-6771 Gender: Male
Provider ID: 1441228 Garden State Healthcare 00 Yrs/130 Yrs Garden State Healthcare
Gender: Female Associates Palisades Medical Center Associates
Horizon Health Center 122-132 Clinton St M-TH 11:00 AM - 6:00 PM 176 Palisade Ave
115 Christopher Columbus Dr Hoboken, NJ 07030 PCMH: No Jersey City, NJ 07306
Jersey City, NJ 07306 (201) 418-3100 (201) 795-5745
(201) 451-6300 Fax: (201) 418-3148 Jurado, Jerry MD Fax: (201) 795-8450
Fax: (201) 451-8300 00 Yrs/130 Yrs Provider ID: 452075 00 Yrs/130 Yrs
00 Yrs/130 Yrs Hoboken University Medical Gender: Male Christ Hospital
Jersey City Medical Center Center Riverview Healthcare M-F 9:00 AM - 5:30 PM
University Hospital M-F 9:00 AM - 5:00 PM Associates Sat 9:00 AM - 2:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No 2401 Palisade Ave PCMH: No
PCMH: No Union City, NJ 07087
(201) 867-5791
Fax: (201) 223-1905
12 Yrs/130 Yrs
Hoboken University Medical
Center
Languages: Spanish, Tagalog
M-F 9:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 24
Updated: 11/26/2018

Primary Care Physicians


Hudson
Family Practice - cont. Levine, Howard DO Matienzo, Ricardo MD Miqbel, Mohammad MD
Provider ID: 452394
Kumar, Harini MD Provider ID: 1087139 Gender: Male Provider ID: 1214344
Provider ID: 884666 Gender: Male 450 7th St LL9 Gender: Male
Gender: Female New Jersey Medical and Hoboken, NJ 07030 New Jersey Medical and
New Jersey Medical and Health Assoc (201) 659-0711 Health Assoc
Health Assoc 789 Ave C Fax: (201) 659-4117 113 14th St Ste A
122-132 Clinton St Bayonne, NJ 07002 18 Yrs/130 Yrs Hoboken, NJ 07030
Hoboken, NJ 07030 (201) 339-2620 Hoboken University Medical (201) 656-8353
(201) 418-3220 Fax: (201) 339-2785 Center Fax: (201) 656-8116
Fax: (201) 418-3148 00 Yrs/130 Yrs MTH 11:00 AM - 5:00 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs Bayonne Medical Center TW 10:00 AM - 6:00 PM Hoboken University Medical
Hoboken University Medical M-F 9:00 AM - 6:00 PM F 10:00 AM - 2:00 PM Center
Center PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No Levine, Howard DO Mendez, Carol MD
Provider ID: 1179656 Miqbel, Mohammad MD
Latorre, Juan MD Provider ID: 1087140 Gender: Female
Provider ID: 1203890 Gender: Male Garden State Healthcare Provider ID: 841534
Gender: Male New Jersey Medical and Associates Gender: Male
Garden State Healthcare Health Assoc 122 Clinton St New Jersey Medicaid and
Associates 789 Ave C Hoboken, NJ 07030 Health Assoc
122-132 Clinton St Bayonne, NJ 07002 (201) 418-3101 320 43rd St
Hoboken, NJ 07030 (201) 339-2620 Fax: (201) 418-3148 Union City, NJ 07087
(201) 418-3144 Fax: (201) 339-2785 00 Yrs/130 Yrs (201) 863-8032
Fax: (201) 418-3148 00 Yrs/130 Yrs Hoboken University Medical Fax: (201) 863-4359
00 Yrs/130 Yrs Bayonne Medical Center Center 00 Yrs/130 Yrs
Hoboken University Medical Christ Hospital Jersey City Medical Center Bayonne Medical Center
Center M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish, PCMH: No PCMH: No PCMH: No
Portuguese
M-F 9:00 AM - 5:00 PM Levine, Martin DO Mendez, Carol MD Mmereole, Robert MD
PCMH: No Provider ID: 1087142 Provider ID: 1343523
Gender: Male Gender: Female Provider ID: 1573482
Latorre, Juan MD New Jersey Medical and
New Jersey Medical and Gender: Male
Provider ID: 799386 Health Assoc Health Assoc Robert Mmereole, LLC
Gender: Male 789 Ave C 122-132 Clinton St 6101 Kennedy Blvd E Ste 1
New Jersey Medical and Bayonne, NJ 07002 Hoboken, NJ 07030 West New York, NJ 07093
Health Assoi (201) 339-2620 (201) 418-3100 (412) 607-5450
122-132 Clinton St 00 Yrs/130 Yrs Fax: (201) 418-3148 Fax: (201) 448-2804
Hoboken, NJ 07030 Bayonne Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 418-3101 Christ Hospital Hoboken University Medical M-F 9:00 AM - 5:00 PM
Fax: (201) 481-3148 M-F 9:00 AM - 5:00 PM Center
Sat 8:00 AM - 12:00 PM
00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No
Hoboken University Medical PCMH: No
Center
Languages: Spanish,
Portuguese
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 25
Updated: 11/26/2018

Primary Care Physicians


Hudson
Family Practice - cont. Paduszynski, Adam MD Pierre Louis, Marylin MD Primiani, Lisa MD
Provider ID: 1514704
Neopane, Padam MD Provider ID: 1071062 Provider ID: 928457 Gender: Female
Gender: Male Gender: Female Prohealth Care Associates of
Provider ID: 1429571 Iyengar Hematology New Jersey Medical and NJ
Gender: Male Oncology Medical Health Assoc 564 Broadway
Horizon Health Center 27 E 29th St 122-132 Clinton St Bayonne, NJ 07002
714 Bergen Ave Bayonne, NJ 07002 Hoboken, NJ 07030 (201) 468-8888
Jersey City, NJ 07306 (201) 858-1211 (201) 858-7805 Fax: (201) 455-3083
(201) 451-6300 Fax: (201) 858-4171 Fax: (201) 706-4519 00 Yrs/130 Yrs
Fax: (201) 451-8300 00 Yrs/130 Yrs 00 Yrs/130 Yrs Jersey City Medical Center
00 Yrs/130 Yrs Bayonne Medical Center Hoboken University Medical M-F 9:00 AM - 5:00 PM
Bayonne Medical Center Languages: Polish Center PCMH: No
University Hospital M-F 9:00 AM - 5:00 PM Languages: Spanish
Languages: Nepali PCMH: No M-F 9:00 AM - 5:00 PM Raffaelli, Anthony MD
M-F 8:00 AM - 8:00 PM PCMH: No Provider ID: 1173034
PCMH: No Panem, Flordeliz MD Gender: Male
Provider ID: 624408 Pineda, Veronica DO Hudson Primary Care
Neopane, Padam MD Gender: Female 1265 Paterson Plank Rd Fl 1
North Hudson Community Provider ID: 1645073 Secaucus, NJ 07094
Provider ID: 1429572 Action Corpo Gender: Female (201) 348-8828
Gender: Male 5301 Broadway Prohealth Care Associates of Fax: (201) 348-0026
Horizon Health Center West New York, NJ 07093 New Je 18 Yrs/130 Yrs
115 Christopher Columbus Dr (201) 866-9320 544 Broadway Palisades Medical Center
Jersey City, NJ 07302 Fax: (201) 866-7588 Bayonne, NJ 07002 Languages: Italian
(201) 451-6300 00 Yrs/130 Yrs (201) 535-5601 M-F 9:00 AM - 12:30 PM
Fax: (201) 451-8300 Jersey City Medical Center Fax: (201) 535-5602 PCMH: No
00 Yrs/130 Yrs Palisades Medical Center 00 Yrs/130 Yrs
Bayonne Medical Center Languages: Spanish, Tagalog Christ Hospital Rodriguez, Reinerio MD
University Hospital M-TH 8:30 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Languages: Nepali FSat 8:30 AM - 5:00 PM PCMH: Yes, Level 3 Provider ID: 1643782
MWF 9:00 AM - 5:00 PM PCMH: No Gender: Male
TTH 9:00 AM - 7:00 PM Potoczek Salahi, Jolanta MD Prohealth Care Associates of
PCMH: No Pierre Louis, Marylin MD NJ
Provider ID: 848313 6506 Park Ave
Orellana Chasi, Pamela MD Provider ID: 1201166 Gender: Female West New York, NJ 07093
Gender: Female New Jersey Medical and (201) 869-2965
Provider ID: 1695522 Garden State Healthcare Health Assoc 00 Yrs/21 Yrs
Gender: Female Associates 391 Kennedy Blvd M-F 9:00 AM - 5:00 PM
Palisades Medical Associates 122-132 Clinton St Bayonne, NJ 07002 PCMH: No
LLC Hoboken, NJ 07030 (201) 858-4110
4800 Park Ave (201) 418-3100 Fax: (201) 858-2240 Rotella, Frank DO
Weehawken, NJ 07086 Fax: (201) 418-3148 12 Yrs/130 Yrs Provider ID: 947995
(201) 330-8747 00 Yrs/130 Yrs Bayonne Medical Center Gender: Male
Fax: (201) 330-8947 Hoboken University Medical Languages: Russian, German, New Jersey Medical and
00 Yrs/130 Yrs Center Polish Health Assoc
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M 10:00 AM - 7:00 PM 600 Pavonia Ave
PCMH: No PCMH: No T 8:00 AM - 4:00 PM Jersey City, NJ 07306
W 2:00 AM - 9:00 PM (201) 216-3030
TH 9:00 AM - 4:00 PM Fax: (201) 499-0247
F 9:00 AM - 1:00 PM 00 Yrs/130 Yrs
PCMH: No Christ Hospital
Languages: Italian
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 26
Updated: 11/26/2018

Primary Care Physicians


Hudson
Family Practice - cont. Sanderson, James DO Schehr Kimble, Danielle DO Spivak, Dana MD
Provider ID: 1362040
Ruocco, Emmanuelle MD Provider ID: 1369603 Provider ID: 1336064 Gender: Female
Gender: Male Gender: Female New Jersey Medical and
Provider ID: 1512908 New Jersey Medical and New Jersey Medical and Health Assoc
Gender: Female Health Assoc Health Assoc 122-132 Clinton St
Horizon Health Center 142 Palisade Ave Ste 111 138 River DR S Hoboken, NJ 07030
714 Bergen Ave Jersey City, NJ 07306 Jersey City, NJ 07310 (201) 201-3030
Jersey City, NJ 07306 (201) 216-1505 (201) 309-3000 Fax: (201) 499-0247
(201) 451-6300 Fax: (201) 216-8803 Fax: (201) 309-1300 00 Yrs/130 Yrs
Fax: (201) 451-8300 12 Yrs/130 Yrs 00 Yrs/130 Yrs Hoboken University Medical
00 Yrs/130 Yrs Bayonne Medical Center Jersey City Medical Center Center
Jersey City Medical Center Christ Hospital M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No Sat 9:30 AM - 2:30 PM
PCMH: No PCMH: No PCMH: No
Schehr Kimble, Danielle DO
Ruocco, Emmanuelle MD Sanderson, James DO Spivak, Dana MD
Provider ID: 725570 Provider ID: 792995 Provider ID: 1444286
Provider ID: 1512909 Gender: Male Gender: Female Gender: Female
Gender: Female James G Sanderson DO Family New Jersey Medical and Garden State Healthcare
Practic Health Assoc Associates
Horizon Health Center
3 Webster Ave 150 Warren St 122-132 Clinton St
115 Christopher Columbus Dr
Jersey City, NJ 07307 Jersey City, NJ 07302 Hoboken, NJ 07030
Jersey City, NJ 07302
(201) 216-1505 (201) 309-3000 (201) 201-3030
(201) 451-6300
Fax: (201) 216-8803 Fax: (201) 309-1300 Fax: (201) 499-0247
Fax: (201) 451-8300
12 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs
Bayonne Medical Center Jersey City Medical Center Hoboken University Medical
Jersey City Medical Center
Christ Hospital M-F 9:00 AM - 5:00 PM Center
M-F 9:00 AM - 5:00 PM
Languages: Spanish PCMH: No M-F 9:00 AM - 5:30 PM
PCMH: No
M-F 1:00 AM - 6:00 PM Sat 9:30 AM - 2:30 PM
Sanderson, James DO PCMH: No Shah, Hemant MD PCMH: No
Provider ID: 1029112
Schehr Kimble, Danielle DO Subrati, Rahman MD
Provider ID: 1224190 Gender: Male
New Jersey Medical and Provider ID: 1003252
Gender: Male Gender: Male
Provider ID: 1249777 Health Assoc
New Jersey Medical and Astra Primary Care Associates
Health Assoc Gender: Female 297 Central Ave Ste A
New Jersey Medical and Jersey City, NJ 07307 95 Hudson St
550 Newark Ave Ste 407
Health Assoc (201) 420-7373 Hoboken, NJ 07030
Jersey City, NJ 07306
176 Palisade Ave Fax: (201) 795-0606 (201) 468-8888
(201) 656-2300
Jersey City, NJ 07306 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 656-2390
(201) 741-8550 Christ Hospital Morristown Memorial
12 Yrs/130 Yrs Hospital
Fax: (201) 603-6688 M-F 9:00 AM - 5:00 PM
Bayonne Medical Center M-F 9:00 AM - 5:00 PM
Christ Hospital 00 Yrs/130 Yrs PCMH: No
Christ Hospital PCMH: No
M-F 9:00 AM - 5:00 PM
Jersey City Medical Center Sheldon, Ira MD
PCMH: No
M-F 9:00 AM - 5:00 PM Provider ID: 1306346
PCMH: No Gender: Male
New Jersey Medical and
Health Assoc
122-132 Clinton St
Hoboken, NJ 07030
(201) 706-4524
00 Yrs/130 Yrs
Hoboken University Medical
Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 27
Updated: 11/26/2018

Primary Care Physicians


Hudson
Family Practice - cont. Veloso, Corazon MD Zaki, Isaac MD Neopane, Padam MD
Provider ID: 1649949
Subrati, Rahman MD Provider ID: 1332718 Gender: Male Provider ID: 1429572
Gender: Female Prohealth Care Associates of Gender: Male
Provider ID: 1020809 Horizon Health Center New Je Horizon Health Center
Gender: Male 714 Bergen Ave 1111 Hudson St 115 Christopher Columbus Dr
Astra Primary Care Associates Jersey City, NJ 07306 Hoboken, NJ 07030 Jersey City, NJ 07302
LLC (201) 451-6300 (201) 942-9314 (201) 451-6300
564 Broadway Fax: (201) 451-8300 Fax: (201) 942-9315 Fax: (201) 451-8300
Bayonne, NJ 07002 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 468-8888 Jersey City Medical Center Morristown Memorial Bayonne Medical Center
00 Yrs/130 Yrs MT 9:00 AM - 8:00 PM Hospital University Hospital
Morristown Memorial WTHF 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Nepali
Hospital PCMH: No PCMH: No MWF 9:00 AM - 5:00 PM
M-F 8:00 AM - 8:00 PM TTH 9:00 AM - 7:00 PM
Sat-Sun 9:00 AM - 3:00 PM Veloso, Corazon MD General Practice PCMH: No
PCMH: No
Jain, Doney MD Internal Medicine
Provider ID: 1332721
Taubman, Jessica MD Gender: Female Provider ID: 1096625
Horizon Health Center Gender: Male Abbassi, Samih MD
Provider ID: 1703447 115 Christopher Columbus Dr Urban Medical Center Provider ID: 1594827
Gender: Female Jersey City, NJ 07302 95 Martin Luther King Jr Dr Gender: Male
Prohealth Care Associates of (201) 451-6300 Jersey City, NJ 07305 Prohealth Care Associates of
New Je Fax: (201) 451-8300 (201) 332-7077 NJ
46 Essex St 00 Yrs/130 Yrs Fax: (201) 332-7003 7500 Bergenline Ave
Jersey City, NJ 07302 Jersey City Medical Center 02 Yrs/130 Yrs North Bergen, NJ 07047
(201) 984-0292 MWF 9:00 AM - 5:00 PM East Orange General Hospital (201) 537-6414
Fax: (201) 984-0298 Jersey City Medical Center Fax: (201) 537-6411
TTH 9:00 AM - 8:00 PM
18 Yrs/110 Yrs Languages: Spanish 00 Yrs/130 Yrs
PCMH: No
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM M-F 9:00 AM - 5:00 PM
PCMH: No Witt, Virginia MD Sat 9:00 AM - 5:00 PM PCMH: No
Provider ID: 1348148 PCMH: No
Thomas, Jessy MD Gender: Female Abbassi, Samih MD
Provider ID: 1649935 Neopane, Padam MD
New Jersey Medical and
Gender: Female Health Assoc Provider ID: 562210
Prohealth Care Associates of 122-132 Clinton St Provider ID: 1429571 Gender: Male
New Je Hoboken, NJ 07030 Gender: Male Abbassi Agrama MD PC
432 Broadway (201) 418-3100 Horizon Health Center Sub Specialty: Developmental
Bayonne, NJ 07002 Fax: (201) 418-3148 714 Bergen Ave Disabilities, Aged, HIV/AIDS
(201) 471-7015 00 Yrs/130 Yrs Jersey City, NJ 07306 7505 Bergenline Ave
Fax: (201) 471-7017 Christ Hospital (201) 451-6300 North Bergen, NJ 07047
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 451-8300 (201) 869-0037
M-F 9:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs Fax: (201) 868-5844
PCMH: No Bayonne Medical Center 12 Yrs/130 Yrs
Witt, Virginia MD University Hospital East Orange General Hospital
Provider ID: 1500754 Languages: Nepali St Michael's Medical Center
Gender: Female M-F 8:00 AM - 8:00 PM Languages: Arabic
Garden State Healthcare PCMH: No M-F 9:00 AM - 5:00 PM
Associates Sat 9:00 AM - 12:00 PM
1901 W. St PCMH: No
Union City, NJ 07087
(972) 646-5500
Fax: (201) 821-8680
00 Yrs/130 Yrs
Christ Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 28
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Ahmad, Muhammad MD Aman, Chaudhry MD Armas, Holger MD
Provider ID: 1303054 Provider ID: 531887
Acierno, Lynne MD Provider ID: 191943 Gender: Male Gender: Male
Gender: Male New Jersey Medical and Holger G Armas MD LLC
Provider ID: 406722 Muhammad A Ahmad Health Assoc 2911 Summit Ave Ste 105
Gender: Female 2440 Kennedy Blvd 176 Palisade Ave Union City, NJ 70872
Metropolitan Family Health Jersey City, NJ 07304 Jersey City, NJ 07306 (201) 558-7816
Network (201) 433-3316 (201) 795-8200 Fax: (201) 223-5745
935 Garfield Ave Fl 1 Fax: (201) 433-0185 Fax: (201) 795-8087 12 Yrs/130 Yrs
Jersey City, NJ 07304 18 Yrs/130 Yrs 00 Yrs/130 Yrs Palisades Medical Center
(201) 478-5800 Christ Hospital Christ Hospital Languages: Spanish
Fax: (201) 478-5872 Languages: Spanish, Hindi, M 9:00 AM - 5:30 PM MWF 9:00 AM - 5:00 PM
12 Yrs/130 Yrs Urdu, Persian - Farsi TTHF 9:00 AM - 6:00 PM TTH 10:00 AM - 8:00 PM
Jersey City Medical Center M-F 10:00 AM - 5:00 PM W 9:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM
Languages: Spanish Sat 10:00 AM - 1:00 PM PCMH: No PCMH: No
MWF 9:00 AM - 5:00 PM PCMH: No
TTH 9:00 AM - 7:00 PM Amin, Deepak MD Arteta, Pablo MD
Sat 9:00 AM - 3:00 PM Akhtar, Shahnaz MD Provider ID: 402426 Provider ID: 392327
PCMH: Yes, Level 3 Gender: Male Gender: Male
Provider ID: 398739 Deepak Amin MD LLC Pablo A Arteta MD PC
Acierno, Lynne MD Gender: Female 4522 Kennedy Blvd 426 57th St Fl 1
Shahnaz Akhtar MD Union City, NJ 07087 West New York, NJ 07093
Provider ID: 790917 16 E 29th St (201) 863-1797 (201) 869-6000
Gender: Female Bayonne, NJ 07002 Fax: (201) 863-6117 Fax: (201) 869-6622
Metropolitan Family Health (201) 339-1685 16 Yrs/130 Yrs 12 Yrs/130 Yrs
Network Fax: (201) 339-2557 Christ Hospital Palisades Medical Center
5300 Bergenline Ave 12 Yrs/130 Yrs Palisades Medical Center Languages: Spanish
West New York, NJ 07093 Bayonne Medical Center Languages: Spanish, Hindi, M-TH 9:00 AM - 5:30 PM
(201) 478-5800 Languages: Spanish, Hindi, Gujarati F 9:00 AM - 12:00 PM
12 Yrs/130 Yrs Urdu, Punjabi M 12:30 AM - 7:00 PM PCMH: No
Jersey City Medical Center MW 12:00 AM - 7:00 PM TTH 10:00 AM - 7:00 PM
Languages: Spanish TTH 10:00 AM - 5:00 PM WF 9:00 AM - 2:00 PM Assaleh, Marwan MD
MWF 9:00 AM - 5:00 PM F 11:00 AM - 3:00 PM Sat 9:00 AM - 12:00 PM Provider ID: 1594834
TTH 9:00 AM - 7:00 PM PCMH: No PCMH: No Gender: Male
Sat 9:00 AM - 3:00 PM Prohealth Care Associates of
Alfonso, Jesus MD Anton, Joseph MD NJ
PCMH: No
Provider ID: 1050139 Provider ID: 1573754 591 Summit Ave Ste 205
Adaniel, Victor MD Gender: Male Gender: Male Jersey City, NJ 07306
4800 Park Ave Harrison Medical Group, LLC (201) 653-9115
Provider ID: 676810 Weehawken, NJ 07086 332 Harrison Ave Fax: (201) 653-8119
Gender: Male (201) 330-8747 Harrison, NJ 07029 00 Yrs/130 Yrs
1166 Kennedy Blvd Fax: (201) 330-8947 (973) 484-2584 M-F 9:00 AM - 5:00 PM
Bayonne, NJ 07002 18 Yrs/130 Yrs Fax: (973) 484-9216 PCMH: No
(201) 339-1133 Palisades Medical Center 00 Yrs/130 Yrs
Fax: (201) 339-1073 Languages: Spanish MT 2:00 AM - 6:00 PM Assaleh, Marwan MD
12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 944761
Bayonne Medical Center PCMH: No Gender: Male
Jersey City Medical Center 591 Summit Ave 205
MT 11:00 AM - 7:30 PM Jersey City, NJ 07306
W 11:00 AM - 3:00 PM (201) 653-9115
TH 11:00 AM - 7:00 PM Fax: (201) 653-8119
F 11:00 AM - 5:30 PM 16 Yrs/130 Yrs
PCMH: No Languages: Spanish
M-F 9:00 AM - 7:00 PM
Sat 9:00 AM - 1:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 29
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Balasubramanian, Kanchana Barrientos, Monica MD Bellifemine, Morris MD
MD Provider ID: 961860 Provider ID: 445600
Atoot, Adam MD Provider ID: 1436834 Gender: Female Gender: Male
Provider ID: 1694827 Gender: Female 213 60th St Fl 2 Hudson Physicians Associates
Gender: Male Thoracic Medical Associates West New York, NJ 07093 209 60th St
Prohealth Care Associates of LLC (201) 590-8830 West New York, NJ 07093
New Je 221 Kearny Ave Fax: (201) 590-8831 (201) 854-2097
1111 Hudson St Kearny, NJ 07032 18 Yrs/100 Yrs Fax: (201) 854-2549
Hoboken, NJ 07030 (201) 997-0808 Palisades Medical Center 12 Yrs/130 Yrs
(201) 942-9314 Fax: (201) 997-0013 M-F 9:00 AM - 5:00 PM Prime Health Services-St
Fax: (201) 942-9315 21 Yrs/130 Yrs PCMH: No Marys Hospital
00 Yrs/130 Yrs St. Joseph's Hospital Reg Languages: Spanish
M-F 9:00 AM - 5:00 PM Medical Center Beaty, Patrick MD M-F 9:00 AM - 5:00 PM
PCMH: No M-F 9:00 AM - 5:00 PM Provider ID: 409209 PCMH: No
PCMH: No Gender: Male
Badin, Diane MD 935 Garfield Ave Benitez, Olga MD
Provider ID: 1425920 Balasubramanian, Kanchana Provider ID: 470898
Jersey City, NJ 07304
Gender: Female MD Gender: Female
(201) 478-5800
Michel S Badin MD PA Provider ID: 398127 Fax: (201) 478-5814 Olga Benitez MD
1947 John F Kennedy Blvd Gender: Female 12 Yrs/130 Yrs 411 43rd St Ste 1
Jersey City, NJ 07305 K. Balasubramanian, MD Palisades Medical Center Union City, NJ 07087
(201) 433-4848 221 Kearny Ave Languages: Spanish (201) 766-0377
Fax: (201) 360-0159 Kearny, NJ 07032 M-F 9:00 AM - 5:00 PM Fax: (201) 590-9175
00 Yrs/130 Yrs (201) 997-0808 PCMH: Yes, Level 3 12 Yrs/130 Yrs
Bayonne Medical Center Fax: (201) 997-0013 Palisades Medical Center
Christ Hospital 00 Yrs/130 Yrs Beaty, Patrick MD Languages: Spanish
Jersey City Medical Center St. Joseph's Hospital Reg Provider ID: 409209 M-TH 9:00 AM - 5:00 PM
M-F 10:00 AM - 6:00 PM Medical Center Gender: Male F 9:00 AM - 6:00 PM
PCMH: No M-F 9:00 AM - 5:00 PM Metropolitan Family Health Sat 9:00 AM - 1:00 PM
PCMH: No Network PCMH: No
Badin, Michel MD 5300 Bergenline Ave
Provider ID: 392315 Barber, Nathaniel MD Borghini, Margarita MD
West New York, NJ 07093
Gender: Male (201) 478-5800
Michel S Badin MD PA Provider ID: 441794 Fax: (201) 867-2767 Provider ID: 472505
Sub Specialty: Aged, Gender: Male 12 Yrs/130 Yrs Gender: Female
Developmental Disabilities, Metropolitan Family Health Palisades Medical Center Moreno Medical Assocaites
HIV/AIDS Network Languages: Spanish PC
1947 John F Kennedy Blvd Sub Specialty: Aged, M-W 9:00 AM - 5:00 PM 550 Newark Ave Ste 405
Jersey City, NJ 07305 Developmental Disabilities, TH 9:00 AM - 12:30 PM Jersey City, NJ 07306
(201) 433-4848 HIV/AIDS
PCMH: Yes, Level 2 (201) 222-9935
Fax: (201) 360-0159 935 Garfield Ave
Fax: (201) 222-7935
00 Yrs/130 Yrs Jersey City, NJ 07304 Bellifemine, Morris MD 12 Yrs/130 Yrs
Christ Hospital (201) 478-5800
Christ Hospital
Jersey City Medical Center Fax: (201) 478-5814
Provider ID: 1406689 Languages: Spanish
Languages: Arabic 12 Yrs/130 Yrs
Gender: Male M-TH 9:00 AM - 5:00 PM
M-F 10:00 AM - 6:00 PM Christ Hospital
Hudson Physicians Associates F 9:00 AM - 1:00 PM
PCMH: No Languages: Spanish
106 Centre Ave PCMH: No
MW 9:00 AM - 12:00 PM
Secaucus, NJ 07094
T 3:00 AM - 7:00 PM
(201) 864-4505
PCMH: Yes, Level 3
Fax: (201) 864-8782
12 Yrs/130 Yrs
Prime Health Services-St
Marys Hospital
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 30
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Cardiello, Gary MD Chinai, Ronak MD Da Silva, Robert MD
Provider ID: 1118303
Boylan, Edward MD Provider ID: 1101757 Gender: Male Provider ID: 1020799
Provider ID: 1054323 Gender: Male 129 Newark Ave Fl 1 Gender: Male
Gender: Male New Jersey Medical and Jersey City, NJ 07302 Astra Health Center of
New Jersey Medical and Health Assoc (201) 451-8867 Hoboken
Health Assoc 744 Broadway Rear Fax: (201) 451-2819 95 Hudson St
550 Newark Ave Ste 403 Bayonne, NJ 07002 12 Yrs/130 Yrs Hoboken, NJ 07030
Jersey City, NJ 07306 (201) 991-9090 Jersey City Medical Center (201) 942-9600
(201) 656-2300 Fax: (201) 438-6644 M-F 9:00 AM - 5:00 PM Fax: (201) 942-9601
Fax: (201) 656-2390 12 Yrs/130 Yrs PCMH: No 00 Yrs/21 Yrs
12 Yrs/130 Yrs Bayonne Medical Center MTWTHFSat 8:00 AM - 10:00
St. Joseph's Hospital Reg Clara Maass Medical Center Chinai, Ronak MD PM
Medical Center St Michael's Medical Center Provider ID: 1118303 Sun 8:00 AM - 8:00 PM
M-TH 9:00 AM - 5:00 PM Languages: Italian Gender: Male PCMH: No
F 9:00 AM - 12:00 PM M 9:30 AM - 7:00 PM Radhika Chinai LLC
PCMH: No T 8:00 AM - 7:00 PM 150 Warren St Damle, Vasanti MD
WFSat 9:30 AM - 1:30 PM Kearny, NJ 07032 Provider ID: 928372
Cabral, Cesar MD TH 11:00 AM - 7:00 PM (201) 451-8867 Gender: Female
Provider ID: 967180 PCMH: No Fax: (201) 451-2819 New Jersey Medical and
Gender: Male 12 Yrs/130 Yrs Health Assoc
Bayonne Medical Plaza LLC Cardiello, Gary MD Jersey City Medical Center 308 Willow Ave
449 Ave C M-F 9:00 AM - 6:00 PM Hoboken, NJ 07030
Bayonne, NJ 07002 Provider ID: 1431105 Sat 9:00 AM - 2:00 PM (201) 436-6100
(201) 823-2334 Gender: Male PCMH: No Fax: (201) 436-6101
Fax: (201) 823-2344 New Jersey Medical and 12 Yrs/130 Yrs
18 Yrs/130 Yrs Health Assoc Chinai, Ronak MD Hoboken University Medical
Christ Hospital 654 Broadway Provider ID: 859997 Center
Jersey City Medical Center Bayonne, NJ 07002 Gender: Male M-F 9:00 AM - 5:00 PM
Languages: Spanish (201) 436-8888 Newport Medical LLC PCMH: No
M-F 9:00 AM - 5:00 PM Fax: (201) 436-6644 610 Washington Blvd Fl 1
PCMH: No 12 Yrs/130 Yrs Jersey City, NJ 73101 Daoko, Joseph MD
Bayonne Medical Center (201) 222-1266 Provider ID: 1208162
Campoalegre, Maria MD Clara Maass Medical Center Fax: (201) 626-4548 Gender: Male
St Michael's Medical Center 12 Yrs/130 Yrs Emad Jacob MD PC
Provider ID: 944261 Languages: Italian Jersey City Medical Center 714 Kearny Ave
Gender: Female M-F 9:00 AM - 5:00 PM Languages: Hindi, Gujarati Kearny, NJ 07032
Adv Garden State Medicine PCMH: No M-F 8:00 AM - 8:00 PM (201) 772-5211
407 39th St Ste 301 Sat 8:00 AM - 2:00 PM Fax: (201) 428-1627
Union City, NJ 07087 Chatha, Anjum MD 00 Yrs/130 Yrs
PCMH: No
(201) 330-8080 Bergen Regional Medical
Fax: (201) 330-8111 Provider ID: 1608949 Correa, Luis MD Center
18 Yrs/130 Yrs Gender: Female Provider ID: 1608958 M-F 9:00 AM - 5:00 PM
Holy Name Medical Center Prohealth Care Associates of Gender: Male PCMH: No
Languages: Spanish New Je Prohealth Care Associates of
MTTHF 9:30 AM - 5:30 PM 506 Broadway New Je De Melo, Mauricio MD
W 9:30 AM - 2:00 PM Bayonne, NJ 07002 402 42nd St Ste 1
PCMH: No (201) 471-7015 Union City, NJ 70874 Provider ID: 1692825
Fax: (201) 471-7017 (201) 766-6568 Gender: Male
00 Yrs/130 Yrs Fax: (201) 766-6572 Prohealth Care Associates of
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs New Je
PCMH: No M-F 9:00 AM - 5:00 PM 6506 Park Ave
PCMH: No West New York, NJ 07093
(201) 662-1122
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 31
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Desai, Foram MD Dizon, Alita MD Dungo, Joven MD
Provider ID: 1609779 Provider ID: 1418423 Provider ID: 1343227
De Melo, Mauricio MD Gender: Female Gender: Female Gender: Male
Prohealth Care Associates of Metropolitan Family Health Dr Dungo Associates PC
Provider ID: 1692829 New Je Network 205 9th St
Gender: Male 324 Palisade Ave Fl 2 Sub Specialty: Aged, HIV/ Jersey City, NJ 07302
Prohealth Care Associates of Jersey City, NJ 73071 AIDS, Developmental (201) 653-1144
New Je (201) 386-1400 Disabilities Fax: (201) 653-6104
402 42nd St Ste 1 Fax: (201) 386-2343 857 Bergen Ave 12 Yrs/130 Yrs
Union City, NJ 70874 00 Yrs/130 Yrs Jersey City, NJ 07305 Christ Hospital
(201) 766-6568 M-F 9:00 AM - 5:00 PM (201) 478-5800 Jersey City Medical Center
Fax: (206) 766-6572 PCMH: No 00 Yrs/130 Yrs M-TH 10:00 AM - 6:00 PM
00 Yrs/130 Yrs Christ Hospital PCMH: No
M-F 9:00 AM - 5:00 PM Desai, Vikas MD Jersey City Medical Center
PCMH: No Provider ID: 1480621 Languages: Spanish, Tagalog Elamir, Mazhar MD
Gender: Male M 11:00 AM - 7:00 PM Provider ID: 1367033
Dedousis, John MD New Jersey Medical and T 9:00 AM - 6:00 PM Gender: Male
Health Assoc PCMH: No MM Jersey City Breathing
Provider ID: 847726 1 Journal Square Plz Ste 2 Center
Jersey City, NJ 07306 Dizon, Alita MD 1856 Kennedy Blvd
Gender: Male
(201) 216-3030 Provider ID: 626724 Jersey City, NJ 07305
Njmha
Fax: (201) 499-0247 Gender: Female (201) 333-7606
1166 Kennedy Blvd
00 Yrs/130 Yrs Metropolitan Family Health Fax: (201) 333-4710
Bayonne, NJ 07002
Bayonne Medical Center Network 18 Yrs/130 Yrs
(201) 339-1133
Christ Hospital 935 Garfield Ave Christ Hospital
Fax: (201) 339-1073
Hoboken University Medical Jersey City, NJ 07304 Saint Barnabas Medical
12 Yrs/130 Yrs Center (201) 478-5800 Center Livingston
Bayonne Medical Center M-F 9:00 AM - 5:30 PM Fax: (201) 478-5814 Languages: Arabic
M 11:00 AM - 7:00 PM Sat 9:30 AM - 2:30 PM 00 Yrs/130 Yrs M-F 2:00 AM - 7:00 PM
TTH 11:00 AM - 5:30 PM PCMH: No Christ Hospital Sat 10:00 AM - 2:00 PM
W 11:00 AM - 2:00 PM Jersey City Medical Center PCMH: No
F 11:00 AM - 5:00 PM Desai, Viren MD Languages: Spanish, Tagalog
PCMH: No Provider ID: 1504888 M 11:00 AM - 7:00 PM Elamir, Mazhar MD
Gender: Male T 9:00 AM - 6:00 PM Provider ID: 556293
Delacruz, Catalino MD
Thoracic Medical Associates PCMH: Yes, Level 3 Gender: Male
LLC MM Jersey City Breathing
Provider ID: 580246 221 Kearny Ave Doshi, Prakash MD Center
Gender: Male Kearny, NJ 07032 Provider ID: 1560668 550 Summit Ave 1st Fl
Harrison Medical Group LLC (201) 997-0808 Gender: Male Jersey City, NJ 07306
332 Harrison Ave Fax: (201) 997-0013 Premier Care Associates of (201) 222-5450
Harrison, NJ 07029 18 Yrs/130 Yrs West Hud Fax: (201) 333-4710
(973) 484-2584 Clara Maass Medical Center 512 Kearny Ave Ste B 12 Yrs/130 Yrs
Fax: (973) 484-9216 Prime Health Services-St Kearny, NJ 70322 Christ Hospital
18 Yrs/130 Yrs Marys Hospital (201) 998-7474 Saint Barnabas Medical
East Orange General Hospital M-F 9:00 AM - 5:00 PM Fax: (201) 998-6550 Center Livingston
Languages: Spanish, Tagalog PCMH: No 00 Yrs/130 Yrs Languages: Arabic
M-W 9:00 AM - 1:00 PM Clara Maass Medical Center M-F 9:00 AM - 5:00 PM
PCMH: No Saint Barnabas Medical PCMH: No
Center Livingston
MT 7:00 AM - 5:00 PM
W 2:00 AM - 7:00 PM
TH 7:00 AM - 3:00 PM
F 12:00 AM - 5:00 PM
Sat-Sun 9:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 32
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Elias, Sameh MD Finkel, Diana DO Fogari, Robert MD
Provider ID: 452363 Provider ID: 1369635 Provider ID: 477921
Elamir, Mohammed MD Gender: Male Gender: Female Gender: Male
Advanced Medical Care of Horizon Health Center Sub Specialty: Aged,
Provider ID: 1177907 Hudson LLC 714 Bergen Ave Developmental Disabilities,
Gender: Male 142 Palisade Ave Ste 218 Jersey City, NJ 07306 HIV/AIDS
MM Jersey City Breathing Jersey City, NJ 07306 (201) 451-6300 3053 John F Kennedy Blvd Fl 1
Center (201) 863-5696 Fax: (201) 451-8300 Jersey City, NJ 73063
192 Harrison Ave Fax: (201) 653-0035 18 Yrs/110 Yrs (201) 795-2999
Jersey City, NJ 07304 12 Yrs/130 Yrs Prime Health Services-St Fax: (201) 795-5211
(201) 333-5363 Christ Hospital Marys Hospital 12 Yrs/130 Yrs
Fax: (201) 333-4710 Languages: Spanish, Arabic St. Joseph's Hospital Reg Christ Hospital
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Medical Center Languages: Spanish
Jersey City Medical Center PCMH: No Languages: Spanish, Russian MTWTHFSat 11:00 AM - 4:30
Languages: Arabic M-F 9:00 AM - 5:00 PM PM
M-F 10:00 AM - 6:00 PM Faraz, Haroon MD PCMH: No PCMH: No
PCMH: No Provider ID: 1531038
Gender: Male Florentino, Hector MD Gabriel, Ahab MD
Elamir, Mohammed MD New Jersey Medicaid and Provider ID: 1037657 Provider ID: 944031
Health Assoc Gender: Male Gender: Male
Provider ID: 1177909 1 Journal Square Plz Fl 2 New Jersey Medical and Ahab Gabriel MD
Jersey City, NJ 07306 Health Assoc 255 Broadway
Gender: Male
(201) 795-8596 316 Monastery Pl Ste 318 Bayonne, NJ 07002
MM Jersey City Breathing
Center Fax: (201) 418-7067 Union City, NJ 07087 (201) 374-1103
550 Summit Ave 00 Yrs/130 Yrs (201) 867-3535 Fax: (201) 374-1563
Jersey City, NJ 07306 Bayonne Medical Center Fax: (201) 867-2433 18 Yrs/130 Yrs
(201) 222-5450 Hoboken University Medical 12 Yrs/130 Yrs Saint Peter's University
Fax: (201) 222-5468 Center Christ Hospital Hospital
Newark Beth Israel Med Hoboken University Medical Languages: Arabic
18 Yrs/130 Yrs Center Center MW 10:00 AM - 1:30 PM
Jersey City Medical Center M-F 9:00 AM - 5:00 PM Languages: Spanish T 3:00 AM - 6:00 PM
Languages: Arabic PCMH: No M-F 2:00 AM - 7:00 PM TH 1:30 AM - 6:00 PM
M-F 11:00 AM - 6:00 PM PCMH: No PCMH: No
PCMH: No Faraz, Haroon MD
Provider ID: 1568003 Florentino, Hector MD Gandhi, Kirit MD
Elias, Sameh MD
Gender: Male Provider ID: 1611970 Provider ID: 798875
Provider ID: 452356 New Jersey Medicaid and Gender: Male Gender: Male
Gender: Male Health Assoc New Jersey Medical and New Jersey Medical and
Advanced Medical Care of 8 Jordan Ave Health
Hudson LLC Healthassoic
Jersey City, NJ 07306 7600 River Rd 3665 John F Kennedy Blvd
1610 Summit Ave (201) 795-8596 North Bergen, NJ 07047 Jersey City, NJ 07307
Union City, NJ 07087 Fax: (201) 418-7067 (201) 854-5000 (201) 963-1155
(201) 863-5696 00 Yrs/130 Yrs 12 Yrs/130 Yrs Fax: (201) 963-7957
Fax: (201) 863-5612 Newark Beth Israel Med M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs
12 Yrs/130 Yrs Center PCMH: No Christ Hospital
Christ Hospital M-F 9:00 AM - 5:00 PM Jersey City Medical Center
Languages: Spanish, Arabic PCMH: No Saint Barnabas Medical
MWTH 11:00 AM - 3:00 PM Center Livingston
T 11:00 AM - 4:00 PM Languages: Hindi, Gujarati
F 10:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 12:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 33
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Gonzalez, Marcia MD Haddad, Bassam MD Hamsa, Gangaswamaiah MD
Provider ID: 971519
Goel, Narender MD Gender: Female Provider ID: 470238 Provider ID: 894960
Palisades Medical Billing LLC Gender: Male Gender: Female
Provider ID: 1523847 Sub Specialty: HIV/AIDs Bassam M Haddad MD PA Newport Medical LLC
Gender: Male 8100 Kennedy Blvd 26 Greenville Ave 610 Washington Blvd Fl 1
New Jersey Kidney Care LLC North Bergen, NJ 07047 Jersey City, NJ 07305 Jersey City, NJ 73101
510 31st St Bsmt (201) 866-6770 (201) 333-8222 (201) 222-1266
Union City, NJ 07087 Fax: (201) 866-6771 Fax: (201) 333-0095 Fax: (201) 626-4548
(201) 866-3322 12 Yrs/130 Yrs 12 Yrs/130 Yrs 18 Yrs/130 Yrs
Fax: (201) 866-2289 Palisades Medical Center Christ Hospital Jersey City Medical Center
18 Yrs/130 Yrs Languages: Spanish Languages: Arabic Languages: Spanish, Hindi,
Bayonne Medical Center M-F 8:00 AM - 5:00 PM M-F 12:00 AM - 6:00 PM Kannada
Christ Hospital PCMH: No PCMH: No MT 8:30 AM - 12:30 PM
Hoboken University Medical W 4:00 AM - 8:00 PM
Center Gosalia, Tanmay DO Haddad, Danny MD TH 8:30 AM - 2:00 PM
M-F 8:00 AM - 5:00 PM Provider ID: 1275108 F 1:00 AM - 5:00 PM
PCMH: No Gender: Male Provider ID: 933672 Sat 9:00 AM - 2:00 PM
Summit Medical Arts Gender: Male PCMH: No
Goel, Narender MD Associates Bassam M Haddad MD PA
9225 Kennedy Blvd 26 Greenville Ave Hidalgo, Maria MD
Provider ID: 1523848 North Bergen, NJ 07047 Jersey City, NJ 07305 Provider ID: 555716
Gender: Male (201) 453-2800 (201) 333-8222 Gender: Female
New Jersey Kidney Care LLC Fax: (201) 453-0182 Fax: (201) 333-0095 McAreh Medical PC
26 Greenville Ave 18 Yrs/110 Yrs 18 Yrs/130 Yrs 8425 Bergenline Ave
Jersey City, NJ 07305 Raritan Bay Medical Center Christ Hospital North Bergen, NJ 07047
(201) 333-8222 Perth Amboy Languages: Spanish, Arabic (201) 662-0065
Fax: (201) 333-0095 Languages: Spanish, French, M-F 12:00 AM - 6:00 PM Fax: (201) 662-0085
18 Yrs/130 Yrs Gujarati 12 Yrs/130 Yrs
PCMH: No
Bayonne Medical Center M-TH 9:00 AM - 5:00 PM Hoboken University Medical
Christ Hospital F 9:00 AM - 10:00 PM Hamadeh, Randa MD Center
Hoboken University Medical Sat 9:00 AM - 1:00 PM Languages: Spanish
Center PCMH: No M-F 9:00 AM - 6:00 PM
Provider ID: 1429499
M-F 8:00 AM - 5:00 PM Sat 9:00 AM - 12:30 PM
Haddad, Bassam MD Gender: Female
PCMH: No PCMH: No
Bhmg - United Medical
Provider ID: 470238
Goldstein, Steven MD 988 Broadway Ste 201
Gender: Male Hoffman, Mark MD
Bayonne, NJ 07002
308 Willow Ave
(201) 339-6111
Provider ID: 1495540 Hoboken, NJ 07030 Provider ID: 1432078
Fax: (201) 339-6333
Gender: Male (201) 418-1000 Gender: Male
00 Yrs/130 Yrs
East Hudson Medical Care of 12 Yrs/130 Yrs Bhmg - United Medical
NJ LLC Jersey City Medical Center
Christ Hospital 988 Broadway Ste 201
St. Joseph's Hospital Reg
3196 Kennedy Blvd 2nd Fl Languages: Arabic Bayonne, NJ 07002
Medical Center
Union City, NJ 07087 M-F 12:00 AM - 6:00 PM (201) 339-6111
Languages: French, Arabic
(201) 325-9393 PCMH: No Fax: (201) 339-6333
M-F 9:00 AM - 5:00 PM
Fax: (201) 325-0696 16 Yrs/130 Yrs
PCMH: Yes, Level 3
00 Yrs/130 Yrs Bayonne Medical Center
Hoboken University Medical Languages: Spanish
Center M-TH 8:00 AM - 7:00 PM
MTH 10:00 AM - 7:00 PM F 8:00 AM - 5:00 PM
TF 9:00 AM - 3:00 PM Sat 8:00 AM - 12:00 PM
W 9:30 AM - 2:00 PM PCMH: Yes, Level 3
PCMH: No

www.wellcare.com/New-Jersey | 34
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Jacob, Emad MD Lamba, Renu MD Lazo, Angel MD
Provider ID: 528264 Provider ID: 1096672 Provider ID: 348668
Ibrahim, Mary MD Gender: Male Gender: Female Gender: Male
Provider ID: 382375 Emad Jacob MD PC New Era Hemonc Angel Lazo
Gender: Female 714 Kearny Ave Sub Specialty: Aged, HIV/ 3196 Kennedy Blvd Ste 3
130 Bentley Ave Kearny, NJ 07032 AIDS, Developmental Union City, NJ 07087
Jersey City, NJ 07304 (201) 772-5211 Disabilities (201) 520-7474
(201) 434-9110 Fax: (201) 428-1627 473 Broadway Ste 411 Fax: (201) 864-1485
Fax: (201) 918-5118 12 Yrs/130 Yrs Bayonne, NJ 07002 12 Yrs/130 Yrs
12 Yrs/130 Yrs St Michael's Medical Center (201) 285-5972 Bayonne Medical Center
Christ Hospital Languages: Portuguese Fax: (908) 691-3661 Christ Hospital
Languages: Arabic MWTHF 10:00 AM - 7:00 PM 18 Yrs/130 Yrs Jersey City Medical Center
MW 10:00 AM - 4:00 PM T 9:00 AM - 3:00 PM Bayonne Medical Center Languages: Spanish
TTH 3:00 AM - 8:00 PM Sat 10:00 AM - 3:00 PM M-F 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
F 10:00 AM - 1:00 PM PCMH: No PCMH: No PCMH: No
PCMH: No
Jennis, Andrew MD Laufer, Beatrice MD Luhana, Manish MD
Ijaz, Muhammad MD Provider ID: 1051584 Provider ID: 1015234 Provider ID: 859804
Gender: Male Gender: Female Gender: Male
Provider ID: 1583447 Regional Cancer Care Palisades Medical Billing LLC Newport Medical LLC
Gender: Male Associates LLC 8100 Kennedy Blvd 610 Washington Blvd
Gold Standard Medical Group 7650 River Rd Ste 200 North Bergen, NJ 07047 Jersey City, NJ 07310
PC North Bergen, NJ 07047 (201) 866-6770 (201) 222-1266
450 Ocean Ave (201) 464-0008 Fax: (201) 866-6771 Fax: (201) 626-4548
Jersey City, NJ 07305 Fax: (551) 996-8578 12 Yrs/130 Yrs 12 Yrs/130 Yrs
(551) 486-1385 18 Yrs/130 Yrs Palisades Medical Center Jersey City Medical Center
Fax: (866) 832-2584 Holy Name Medical Center M-F 8:00 AM - 5:00 PM St. Joseph's Hospital Reg
00 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM PCMH: No Medical Center
Newton Medical Center PCMH: No Languages: Hindi, Gujarati,
St. Joseph's Hospital Reg Lazo, Angel MD Sindhi
Medical Center Khalil, Steve MD Provider ID: 1196284 MTWTHFSat 8:00 AM - 8:00
M-W 9:00 AM - 5:00 PM Provider ID: 1525438 Gender: Male PM
PCMH: No Gender: Male Angel Lazo MD PA PCMH: No
New Jersey Kidney Care LLC 1265 Paterson Plank Rd Ste 3E
Inguaggiato, Anthony MD Mahmood, Saleem MD
26 Greenville Ave Secaucus, NJ 07094
Jersey City, NJ 07305 (201) 978-7740
Provider ID: 239382 (201) 333-8222 Fax: (201) 864-5038 Provider ID: 392326
Gender: Male Fax: (201) 333-0095 12 Yrs/130 Yrs Gender: Male
Anthony Inguaggiato MD LLC 00 Yrs/130 Yrs Bayonne Medical Center 176 Palisade Ave
4302 Palisade Ave Ste 1 Robert Wood Johnson Christ Hospital Jersey City, NJ 07304
Union City, NJ 07087 University Hospital Jersey City Medical Center (201) 432-5744
(201) 863-5673 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (201) 432-2720
Fax: (201) 863-1372 PCMH: No PCMH: No 12 Yrs/130 Yrs
18 Yrs/130 Yrs Christ Hospital
Palisades Medical Center Khalil, Steve MD Languages: Urdu
Languages: Spanish Provider ID: 1525439 M-F 9:00 AM - 5:00 PM
M-W 9:00 AM - 7:00 PM Gender: Male PCMH: No
PCMH: No New Jersey Kidney Care LLC
510 31st St Bsmt
Union City, NJ 07087
(201) 866-3322
Fax: (201) 866-2289
00 Yrs/130 Yrs
Robert Wood Johnson
University Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 35
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Mayorquin, Bertha MD Milazzo, Carmelo MD Murillo, Narcisa MD
Provider ID: 1592684 Provider ID: 467941
Majmundar, Sapan DO Gender: Female Provider ID: 392359 Gender: Female
Metropolitan Family Health Gender: Male N Murillo Complete Medical
Provider ID: 1122034 Network Carmelo Milazzo MD Facp Center
Gender: Female 5300 Bergline Ave 2124 New York Ave Sub Specialty: Developmental
New Jersey Medical and West New York, NJ 07093 Union City, NJ 07087 Disabilities, HIV/AIDS, Aged
Health Assoc (201) 478-5800 (201) 864-6492 507 48th St Fl 1
113 14th St Fax: (201) 478-5872 Fax: (201) 865-3207 Union City, NJ 07087
Hoboken, NJ 07030 18 Yrs/130 Yrs 12 Yrs/130 Yrs (201) 867-7600
(201) 656-8353 Jersey City Medical Center Christ Hospital Fax: (201) 867-7602
Fax: (201) 656-8116 M-F 9:00 AM - 5:00 PM Hoboken University Medical 12 Yrs/130 Yrs
16 Yrs/130 Yrs PCMH: No Center St. Joseph's Hospital Reg
Hoboken University Medical Languages: Spanish, Italian Medical Center
Center Mayorquin, Bertha MD MW 9:00 AM - 6:30 PM Languages: Spanish
Newton Medical Center Provider ID: 945875 TTH 8:30 AM - 5:30 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Gender: Female PCMH: No Sat 9:00 AM - 1:00 PM
PCMH: No Pulmonary Sleep Care PCMH: No
377 Jersey Ave Ste 470 Mirza, Muhammed MD
Mangia, Anthony MD Jersey City, NJ 07302 Natarajan, Sekar MD
Provider ID: 394405 (201) 918-2239 Provider ID: 403478
Gender: Male Fax: (201) 918-2243 Gender: Male Provider ID: 1042590
Anthony J Inverno MD & 18 Yrs/130 Yrs 503 Jersey Ave Gender: Male
Associates Jersey City Medical Center Jersey City, NJ 07302 Bayonne Medical Plaza, LLC
239 Washington St Ste 101 Languages: Spanish (201) 433-1317 449 Ave C
Jersey City, NJ 07302 M-F 9:00 AM - 5:00 PM Fax: (201) 433-7919 Bayonne, NJ 07002
(201) 521-1100 PCMH: No 12 Yrs/130 Yrs (201) 823-2334
Fax: (201) 521-1236 Christ Hospital Fax: (201) 823-2344
12 Yrs/130 Yrs Mayorquin, Bertha MD Palisades Medical Center 12 Yrs/130 Yrs
Christ Hospital Provider ID: 967066 Languages: Spanish, Hindi, Christ Hospital
Languages: Spanish Gender: Female Urdu, Punjabi Jersey City Medical Center
M 10:00 AM - 8:00 PM Pulmonary Sleep Care M-TH 10:30 AM - 7:30 PM M-F 9:00 AM - 5:00 PM
T 9:00 AM - 7:00 PM 377 Jersey Ave Ste 590 F 10:30 AM - 6:30 PM PCMH: No
WTHF 9:00 AM - 2:00 PM Jersey City, NJ 07302 PCMH: No
PCMH: No (201) 942-5333 Natarajan, Sekar MD
Fax: (201) 763-6062 Moussa, Ghias MD Provider ID: 945833
Mayorquin, Bertha MD 18 Yrs/100 Yrs Provider ID: 1469921 Gender: Male
Provider ID: 1592683 Jersey City Medical Center Gender: Male Sekar Nataraja MD LLC
Gender: Female Languages: Spanish Ghias Moussa MD 142 Palisade Ave Ste 213
Metropolitan Family Health M-F 9:00 AM - 5:00 PM 30 Greenville Ave Ste B Jersey City, NJ 07306
Network PCMH: No Jersey City, NJ 73052 (201) 653-4247
935 Garfield Ave (201) 333-3311 Fax: (201) 426-2349
Jersey City, NJ 07304 Fax: (201) 333-4831 18 Yrs/130 Yrs
(201) 478-5800 18 Yrs/130 Yrs Christ Hospital
Fax: (201) 478-5872 Christ Hospital Jersey City Medical Center
18 Yrs/130 Yrs Jersey City Medical Center Languages: Spanish, Tamil,
Jersey City Medical Center Languages: Spanish Telugu
M-F 9:00 AM - 5:00 PM MT 10:00 AM - 4:30 PM M 9:00 AM - 5:30 PM
PCMH: No W 3:00 AM - 8:00 PM T 9:00 AM - 1:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 36
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Nwigwe, Genevieve MD Padilla, Adrian MD Pathak, Sonal MD
Provider ID: 1358130 Provider ID: 963905
Neno, Rosa DO Provider ID: 1443600 Gender: Male Gender: Female
Provider ID: 1432074 Gender: Female New Jersey Medical and Palisades Medical Associates
Gender: Female Metropolitan Family Health Health Assoc Sub Specialty: HIV/AIDs
Bhmg - United Medical Network 1 Journal Square Plz 2nd Fl 6045 Kennedy Blvd Ste B
988 Broadway Ste 201 857 Bergen Ave Jersey City, NJ 07306 North Bergen, NJ 07047
Bayonne, NJ 07002 Jersey City, NJ 07306 (201) 216-3030 (201) 453-0322
(201) 339-6111 (201) 478-5800 Fax: (201) 603-6688 Fax: (201) 453-0325
Fax: (201) 339-6333 Fax: (201) 478-5814 00 Yrs/130 Yrs 12 Yrs/130 Yrs
00 Yrs/130 Yrs 12 Yrs/130 Yrs Hoboken University Medical Palisades Medical Center
Bayonne Medical Center JFK Medical Center Center Languages: Spanish
Hoboken University Medical M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM M-F 8:00 AM - 4:00 PM
Center PCMH: Yes, Level 2 Sat 9:30 AM - 2:00 PM PCMH: No
Saint Barnabas Medical PCMH: No
Center Livingston Okoya, Jackson MD Perez, Ruben MD
Languages: Portuguese Provider ID: 432285 Park, Byong MD Provider ID: 511868
M-TH 8:00 AM - 7:00 PM Gender: Male Provider ID: 1429505 Gender: Male
F 8:00 AM - 5:00 PM 209 60th St Gender: Male Pasteur Medical Group
Sat 8:00 AM - 12:00 PM West New York, NJ 07093 Bhmg - United Medical 525 42nd St
PCMH: Yes, Level 3 (973) 416-6981 988 Broadway Ste 201 Union City, NJ 07087
Fax: (201) 854-2549 Bayonne, NJ 07002 (201) 866-2223
Nwigwe, Genevieve MD (201) 339-6111
12 Yrs/130 Yrs Fax: (201) 866-0449
East Orange General Hospital Fax: (201) 339-6333 18 Yrs/130 Yrs
Provider ID: 1443597 Languages: Spanish 16 Yrs/130 Yrs Palisades Medical Center
Gender: Female M-F 9:00 AM - 5:00 PM Jersey City Medical Center Languages: Spanish
Metropolitan Family Health PCMH: No Prime Health Services-St M 9:00 AM - 6:00 PM
Network Marys Hospital TTH 9:00 AM - 7:00 PM
935 Garfield Ave Owusu, Solomon MD Saint Barnabas Medical W 9:00 AM - 5:00 PM
Jersey City, NJ 07304 Center Livingston
Provider ID: 392363 F 9:00 AM - 3:00 PM
(201) 478-5800 Languages: Korean
Gender: Male PCMH: No
12 Yrs/130 Yrs M-TH 8:00 AM - 7:00 PM
Solomon Owusu, MD DBA
JFK Medical Center Neighborhood F 8:00 AM - 5:00 PM Pinal, Jose MD
M-F 9:00 AM - 5:00 PM 559 W Side Ave Sat 8:00 AM - 12:00 PM Provider ID: 1097995
PCMH: Yes, Level 3 Jersey City, NJ 07304 PCMH: No Gender: Male
(201) 432-5300 New Jersey Medical and
Nwigwe, Genevieve MD Patel, Jayeshkumar MD
Fax: (201) 432-4630 Health Assoc
00 Yrs/130 Yrs Sub Specialty: HIV/AIDS,
Provider ID: 1443599 Christ Hospital Provider ID: 550852 Developmental Disabilities,
Gender: Female M-TH 11:00 AM - 6:00 PM Gender: Male Aged
Metropolitan Family Health FSat 11:00 AM - 2:00 PM Yogi Medical Care 526 42nd St Ste 1
Network PCMH: No 550 Summit Ave Ste B1 Union City, NJ 07087
5300 Bergenline Ave Jersey City, NJ 07306 (201) 865-9195
West New York, NJ 07093 (201) 209-1802 Fax: (201) 865-4416
(201) 478-5800 Fax: (201) 604-7764 18 Yrs/110 Yrs
Fax: (201) 478-5814 16 Yrs/130 Yrs Hoboken University Medical
12 Yrs/130 Yrs Christ Hospital Center
JFK Medical Center Languages: Spanish, Hindi, Palisades Medical Center
M-F 9:00 AM - 5:00 PM Gujarati M-F 9:00 AM - 5:00 PM
PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 37
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Rastogi, Sadhna MD Reisner, Michelle MD Richard, Merwin MD
Provider ID: 1451072
Pinal, Jose MD Provider ID: 477559 Provider ID: 1091735 Gender: Male
Provider ID: 474388 Gender: Female Gender: Female Advanced Garden State
Gender: Male 524 43rd St 196 Jewett Ave Cardiology
Jose Pinal MD PC Union City, NJ 07087 Jersey City, NJ 07304 550 Newark Ave Ste 307
Sub Specialty: HIV/AIDs (201) 866-6221 (201) 332-3354 Jersey City, NJ 07306
526 42nd St Ste 1 Fax: (201) 868-3235 Fax: (201) 332-0180 (201) 418-9111
Union City, NJ 07087 12 Yrs/130 Yrs 12 Yrs/130 Yrs Fax: (201) 418-9118
(201) 865-9195 Languages: Spanish, Hindi Jersey City Medical Center 18 Yrs/130 Yrs
Fax: (201) 865-4416 M 11:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Christ Hospital
18 Yrs/130 Yrs T 9:30 AM - 1:00 PM PCMH: No Languages: Tamil
Palisades Medical Center PCMH: No M-F 9:00 AM - 5:00 PM
Languages: Spanish Reisner, Michelle MD PCMH: No
M-TH 1:00 AM - 6:00 PM Rastogi, Sadhna MD Provider ID: 1091735
PCMH: No Gender: Female Richard, Merwin MD
Provider ID: 477559 525 Monmouth St Provider ID: 1470861
Rabago Reyes, Cassandra MD Gender: Female Jersey City, NJ 07302 Gender: Male
8306 Kennedy Blvd (201) 653-8800 Advanced Garden State
Provider ID: 1014676 North Bergen, NJ 07047 Fax: (201) 653-3074 Cardiology
Gender: Female (201) 866-6221 12 Yrs/130 Yrs Sub Specialty: HIV/AIDs
Palisades Medical Associates Fax: (201) 868-3235 Jersey City Medical Center 3916 Kennedy Blvd Fl 1
8100 Kennedy Blvd 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Union City, NJ 07087
North Bergen, NJ 07047 Languages: Spanish, Hindi PCMH: No (201) 624-1877
(201) 866-6770 M 9:00 AM - 7:00 PM Fax: (201) 624-1879
Fax: (201) 866-6771 TTH 11:00 AM - 7:00 PM Reisner, Michelle MD 18 Yrs/130 Yrs
12 Yrs/130 Yrs W 11:00 AM - 4:00 PM Provider ID: 451626 Christ Hospital
Palisades Medical Center PCMH: No Gender: Female Languages: Tamil
M-F 8:00 AM - 5:00 PM 196 Jewett Ave M-F 9:00 AM - 5:00 PM
PCMH: No Rastogi, Surender MD Jersey City, NJ 07304 PCMH: No
(201) 332-3354
Ramasubramaniam, Nagarani Fax: (201) 332-0180 Richard, Merwin MD
Provider ID: 398681
MD 18 Yrs/130 Yrs Provider ID: 1470862
Gender: Male
Provider ID: 1594972 Jersey City Medical Center Gender: Male
Surender M Rastogi MD
Gender: Female M-F 9:00 AM - 5:00 PM Advanced Garden State
8306 Kennedy Blvd
Prohealth Care Associates of PCMH: No Cardiology
North Bergen, NJ 07047
NJ 550 Newark Ave Ste 307
(201) 866-6221
714 10th St Reisner, Michelle MD Jersey City, NJ 07306
Fax: (201) 868-3235
Secaucus, NJ 07094 Provider ID: 451626 (201) 418-9111
12 Yrs/130 Yrs
(201) 863-3346 Gender: Female Fax: (201) 418-9118
Christ Hospital
Fax: (201) 863-5251 525 Monmouth St 18 Yrs/130 Yrs
Palisades Medical Center
12 Yrs/130 Yrs Jersey City, NJ 07302 Christ Hospital
Languages: Hindi
M-F 9:00 AM - 5:00 PM (201) 653-8800 Languages: Tamil
M 9:00 AM - 4:00 PM
PCMH: No Fax: (201) 653-3074 M-F 9:00 AM - 5:00 PM
TTH 11:00 AM - 7:00 PM
18 Yrs/130 Yrs PCMH: No
W 11:00 AM - 4:00 PM
PCMH: No Jersey City Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 38
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Saleeb, Joseph MD Shah, Bankim MD Shah, Rohitkumar MD
Provider ID: 944917 Provider ID: 1646435 Provider ID: 1137709
Riotto, Lorraine MD Gender: Male Gender: Male Gender: Male
Provider ID: 1057329 St George Clinic Prohealth Care Associates of New Jersey Medical and
Gender: Female 862 Broadway New Je Health Assoc
Hudson Hematology Bayonne, NJ 07002 714 10th St 297 Central Ave Ste A
Oncology Associat (201) 339-4811 Secaucus, NJ 07094 Jersey City, NJ 07307
27 E 29th St Fax: (201) 339-4402 (201) 863-3346 (201) 420-7373
Bayonne, NJ 07002 16 Yrs/130 Yrs Fax: (201) 863-5251 Fax: (201) 795-0606
(201) 858-1211 Bayonne Medical Center 00 Yrs/130 Yrs 12 Yrs/130 Yrs
Fax: (844) 241-7242 Christ Hospital Jersey City Medical Center Christ Hospital
18 Yrs/130 Yrs Hoboken University Medical St. Joseph's Hospital Reg MTWTHFSat 8:30 AM - 5:30
Bayonne Medical Center Center Medical Center PM
M-F 9:00 AM - 6:00 PM Languages: Spanish, Arabic M-F 9:00 AM - 5:00 PM Sun 8:30 AM - 12:30 PM
PCMH: No MTTH 11:00 AM - 4:00 PM PCMH: No PCMH: No
W 2:00 AM - 6:30 PM
Roque Dieguez, Hilda MD F 10:00 AM - 1:00 PM Shah, Deepak MD Shukla, Paresh MD
PCMH: No Provider ID: 450389 Provider ID: 923173
Provider ID: 440411 Gender: Male Gender: Male
Gender: Female Saliba, Jehad MD Deepak Shah MD PA New Jersey Medical and
Hilda R. Roque Dieguez Provider ID: 1541947 143 Palisade Ave Health Assoc
317 60th St Gender: Male Jersey City, NJ 07306 316 Monastery Pl Ste 318
West New York, NJ 07093 West Hudson Pulmonary (201) 792-2727 Union City, NJ 07087
(201) 864-0757 Associates Fax: (201) 653-3420 (201) 866-8626
Fax: (201) 861-3126 816 Kearny Ave Ste B 12 Yrs/130 Yrs Fax: (201) 866-2556
60 Yrs/130 Yrs Kearny, NJ 70323 Christ Hospital 12 Yrs/130 Yrs
Palisades Medical Center (201) 991-4544 Jersey City Medical Center Christ Hospital
Languages: Spanish Fax: (201) 991-8524 Languages: Spanish, Gujarati Palisades Medical Center
M 8:30 AM - 7:00 PM 16 Yrs/130 Yrs M 9:00 AM - 1:00 PM Languages: Spanish
TTHF 9:00 AM - 5:00 PM Clara Maass Medical Center TTH 1:00 AM - 7:00 PM MWF 9:30 AM - 2:30 PM
St Michael's Medical Center W 1:00 AM - 6:00 PM TTH 1:30 AM - 6:30 PM
W 10:00 AM - 7:00 PM
Languages: Arabic F 1:30 AM - 1:00 PM Sat 10:00 AM - 1:00 PM
PCMH: No
M 9:00 AM - 1:00 PM PCMH: No PCMH: No
Ryngel, Henry MD T 1:00 AM - 7:00 PM
WTH 2:00 AM - 6:00 PM Shah, Kamalesh MD Simon, Elizabeth DO
Provider ID: 786636
Gender: Male PCMH: No Provider ID: 1169770 Provider ID: 1648254
Henry J Ryngel MD PC Gender: Male Gender: Female
Seman, Ahmed MD Summit Medical Arts Prohealth Care Associates of
28 Harrison Ave Apt 1
Associates LLC New Je
Harrison, NJ 07029
Provider ID: 1249159 9225 Kennedy Blvd Ste B 6045 Kennedy Blvd Ste A
(973) 484-2929
Gender: Male North Bergen, NJ 07047 North Bergen, NJ 70473
Fax: (973) 484-4280
Community Primary Care PC (201) 453-2800 (201) 861-4443
18 Yrs/130 Yrs
377 Jersey Ave Ste 590 Fax: (201) 453-0182 Fax: (201) 861-0941
St Michael's Medical Center
Jersey City, NJ 07302 18 Yrs/130 Yrs 00 Yrs/130 Yrs
Languages: Spanish,
Portuguese (201) 744-9306 Holy Name Medical Center Palisades Medical Center
Fax: (201) 710-7165 Palisades Medical Center M-F 9:00 AM - 5:00 PM
MT 10:00 AM - 4:30 PM
18 Yrs/130 Yrs Languages: Hindi, Gujarati PCMH: No
WTHF 10:00 AM - 2:00 PM
Jersey City Medical Center MTTH 9:00 AM - 5:00 PM
PCMH: No
Languages: Arabic, Amharic W 10:00 AM - 6:30 PM
MT 2:00 AM - 6:00 PM F 9:00 AM - 4:30 PM
W 2:00 AM - 6:30 PM Sat 9:00 AM - 1:00 PM
TH 9:00 AM - 1:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 39
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Syed, Saquiba MD Syed, Saquiba MD Vazquez Falcon, Luis MD
Provider ID: 1436503 Provider ID: 673389
Stadler, Isaac MD Gender: Female Gender: Female Provider ID: 554802
Provider ID: 946332 Metropolitan Family Health Barnabas Health Medical Gender: Male
Gender: Male Network Group North Luis E Vazquez Falcon MD LLC
Isaac Stadler MD 935 Garfield Ave 634 Summit Ave 7225 Bergenline Ave 1st Fl
7501 Bergenline Ave Ste 2B Jersey City, NJ 07304 Jersey City, NJ 07306 North Bergen, NJ 07047
North Bergen, NJ 07047 (201) 478-5800 (201) 897-7700 (201) 758-8012
(201) 696-8438 Fax: (201) 478-5814 Fax: (201) 217-9455 Fax: (201) 758-8013
Fax: (201) 224-3021 12 Yrs/130 Yrs 12 Yrs/130 Yrs 12 Yrs/130 Yrs
16 Yrs/130 Yrs Jersey City Medical Center Christ Hospital Palisades Medical Center
Christ Hospital M-F 9:00 AM - 5:00 PM Jersey City Medical Center Languages: Spanish
Languages: Spanish PCMH: No Languages: Spanish, Hindi, M-F 12:00 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM Urdu, Punjabi Sat 9:00 AM - 5:00 PM
PCMH: No Syed, Saquiba MD M-F 9:00 AM - 6:00 PM PCMH: No
Provider ID: 1509594 PCMH: No
Sullivan, Gregory MD Gender: Female Velpari, Sudarshan MD
Provider ID: 1714791 Barnabas Health Medical Vaiana, Paul MD
Gender: Male Group North Provider ID: 1707346 Provider ID: 1112385
Vytaliz Medical 355 Grand St Gender: Male Gender: Male
89 Hudson St Fl 2 Jersey City, NJ 07302 Summit Medical Arts Radhika Chinai LLC
Hoboken, NJ 07030 (201) 915-2430 Association LLC
129 Newark Ave Fl 1
(201) 205-2628 Fax: (201) 915-2157 9225 Kennedy Blvd
Jersey City, NJ 07302
Fax: (844) 750-6904 00 Yrs/130 Yrs North Bergen, NJ 07047
(201) 451-8867
00 Yrs/130 Yrs Jersey City Medical Center (201) 453-2800
Fax: (201) 451-2819
Prime Health Services-St M-F 9:00 AM - 5:00 PM Fax: (201) 453-0182
12 Yrs/130 Yrs
Marys Hospital PCMH: No 00 Yrs/130 Yrs
Christ Hospital
M-F 9:00 AM - 5:00 PM Trinitas Regional Medical Cent Jersey City Medical Center
PCMH: No Syed, Saquiba MD M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: 562021 Sat 9:00 AM - 1:00 PM PCMH: No
Sullivan, Gregory MD Gender: Female PCMH: No
Provider ID: 1714795 Barnabas Health Medical Wassef, Wagih MD
Gender: Male Group North Vaswani, Rani MD
Provider ID: 477498
Vytaliz Medical 303 Grand St Unit G Provider ID: 1474451 Gender: Male
89 Hudson St Fl 2 Jersey City, NJ 07302 Gender: Female Montville Park Physician
Hoboken, NJ 07030 (201) 897-7800 New Jersey Medical and Associate
(201) 205-2628 Fax: (201) 516-2577 Health Assoc 1999 Kennedy Blvd
Fax: (844) 750-6904 12 Yrs/130 Yrs 654 Broadway Jersey City, NJ 07305
00 Yrs/130 Yrs Christ Hospital Bayonne, NJ 07002 (201) 433-3535
Prime Health Services-St Jersey City Medical Center (201) 436-8888 Fax: (201) 333-9325
Marys Hospital Languages: Spanish, Hindi, Fax: (201) 436-6644 12 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Urdu, Punjabi 00 Yrs/130 Yrs Jersey City Medical Center
PCMH: No M-F 9:00 AM - 6:00 PM East Orange General Hospital St Michael's Medical Center
PCMH: No M-F 9:00 AM - 6:00 PM Languages: Spanish, Arabic,
Syed, Amer MD PCMH: No Tagalog
Provider ID: 1436511 M-F 9:00 AM - 3:00 PM
Gender: Male PCMH: No
Metropolitan Family Health
Network
935 Garfield Ave
Jersey City, NJ 07304
(201) 478-5800
Fax: (201) 478-5814
12 Yrs/130 Yrs
Jersey City Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 40
Updated: 11/26/2018

Primary Care Physicians


Hudson
Internal Medicine - cont. Obstetrics/Gynecology Broizman, David MD Broizman, David MD
Provider ID: 1241094 Provider ID: 1241104
Wilcox, Ellis MD Amponsah, Kwame MD Gender: Male Gender: Male
Provider ID: 420779 North Hudson Community North Hudson Community
Gender: Male Provider ID: 1304153 Action Corp Action Corp
Hudson Physicians Assoc Gender: Male Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
209 60th St New Jersey Medical and 5301 Broadway 324 Palisade Ave
West New York, NJ 07093 Health Assoc West New York, NJ 07093 Jersey City, NJ 07307
(201) 854-2097 Sub Specialty: HIV/AIDs (201) 866-9320 (201) 459-8888
Fax: (201) 854-2549 142 Palisade Ave Ste 200 Fax: (201) 866-7588 Fax: (201) 239-0318
12 Yrs/130 Yrs Jersey City, NJ 07306 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Christ Hospital (201) 479-5202 Englewood Hospital and Englewood Hospital and
East Orange General Hospital Fax: (201) 795-5523 Medical Center Medical Center
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Spanish Languages: Spanish
PCMH: No Christ Hospital M-TH 8:30 AM - 7:00 PM M-F 8:30 AM - 5:00 PM
Hoboken University Medical F 8:30 AM - 5:00 PM PCMH: No
Wilcox, Ellis MD Center Sat 8:30 AM - 3:00 PM
Provider ID: 496637 Palisades Medical Center PCMH: No Broizman, David MD
Gender: Male M-F 9:00 AM - 5:00 PM Provider ID: 1241105
Hudson Physicians Assoc PCMH: No Broizman, David MD Gender: Male
106 Centre Ave Provider ID: 1241098 North Hudson Community
Secaucus, NJ 07094 Amponsah, Kwame MD Gender: Male Action Corp
(201) 854-2097 North Hudson Community Sub Specialty: HIV/AIDs
Fax: (201) 854-2549 Provider ID: 1304154 Action Corp 2500 Kennedy Blvd
12 Yrs/130 Yrs Gender: Male Sub Specialty: HIV/AIDs Union City, NJ 07087
Christ Hospital New Jersey Medical and 1116 43rd St (201) 553-7888
East Orange General Hospital Health Assoc North Bergen, NJ 07047 Fax: (201) 553-7885
Hoboken University Medical Sub Specialty: HIV/AIDs (201) 330-2632 00 Yrs/130 Yrs
Center 1 Journal Square Plz Fax: (201) 330-2638 Englewood Hospital and
M-F 9:00 AM - 5:00 PM Jersey City, NJ 07306 00 Yrs/130 Yrs Medical Center
PCMH: No (201) 216-3030 Englewood Hospital and Languages: Spanish
Fax: (201) 499-0247 Medical Center MTTHFSat 8:30 AM - 5:00 PM
Zubair, Mohammad MD 00 Yrs/130 Yrs Languages: Spanish W 8:30 AM - 7:00 PM
Christ Hospital MTTHF 8:30 AM - 5:00 PM PCMH: No
Provider ID: 1132958 Hoboken University Medical W 8:30 AM - 7:00 PM
Gender: Male Center PCMH: No Chu, Mary MD
New Jersey Medical and Palisades Medical Center Provider ID: 1254936
Health Assoc M-F 9:00 AM - 5:00 PM Broizman, David MD Gender: Female
Sub Specialty: HIV/AIDS, PCMH: No Provider ID: 1241099 Palisades Medical Associates
Developmental Disabilities, Gender: Male LLC
Aged Amponsah, Kwame MD North Hudson Community 7650 River Rd Ste 230
16 E 29th St Action Corp North Bergen, NJ 07047
Bayonne, NJ 07002 Provider ID: 852749 Sub Specialty: HIV/AIDs (201) 868-6755
(973) 926-8203 Gender: Male 714 31st St Fax: (201) 868-8442
Fax: (973) 923-5688 New Jersey Medical and Union City, NJ 07087 00 Yrs/130 Yrs
12 Yrs/130 Yrs Health Assoc (201) 863-7077 Overlook Hospital
Languages: Spanish, Hindi 142 Palisade Ave Ste 219 Fax: (201) 863-1470 M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Jersey City, NJ 07306 00 Yrs/130 Yrs PCMH: No
PCMH: No (201) 479-5207 Englewood Hospital and
Fax: (201) 918-5509 Medical Center
00 Yrs/130 Yrs Languages: Spanish
Christ Hospital MTWFSat 8:30 AM - 5:00 PM
Hoboken University Medical TH 8:30 AM - 7:00 PM
Center PCMH: No
Palisades Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 41
Updated: 11/26/2018

Primary Care Physicians


Hudson
Obstetrics/Gynecology - Fernandez, Osbert MD Migliaccio, Thomas MD Yahav, Eric MD
cont. Provider ID: 1255696
Provider ID: 896368 Provider ID: 1238095 Gender: Male
Chu, Mary MD Gender: Male Gender: Male North Hudson Community
Provider ID: 1333336 Njmha Medical Associates of Action Corp
Gender: Female 29 E 29th St Ave 200 Englewood PC Sub Specialty: HIV/AIDs
Palisades Medical Associates Bayonne, NJ 07002 542 Broadway 714 31st St
LLC (201) 706-4524 Bayonne, NJ 07002 Union City, NJ 07087
1499 Park Ave Fax: (201) 858-7322 (201) 659-7700 (201) 863-7077
Hoboken, NJ 07030 00 Yrs/130 Yrs Fax: (201) 858-1638 Fax: (201) 863-1470
(201) 850-1084 Bayonne Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 683-7311 Hoboken University Medical Hoboken University Medical Cooper University Health
00 Yrs/130 Yrs Center Center Care
Overlook Hospital M-F 9:00 AM - 5:00 PM Palisades Medical Center Languages: Hebrew
M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM MTWFSat 8:30 AM - 5:00 PM
PCMH: No PCMH: No TH 8:30 AM - 7:00 PM
Hessami, Sam MD PCMH: No
Fernandez, Osbert MD Provider ID: 1581426 Yahav, Eric MD
Gender: Male Provider ID: 1255691 Yahav, Eric MD
Provider ID: 780567 Palisades Medical Associates Gender: Male Provider ID: 1255703
Gender: Male LLC North Hudson Community Gender: Male
Njmha 7650 River Rd Ste 230 Action Corp North Hudson Community
4522 Kennedy Blvd Ste 200 North Bergen, NJ 07047 Sub Specialty: HIV/AIDs Action Corp
Union City, NJ 07087 (201) 520-4790 5301 Broadway Sub Specialty: HIV/AIDs
(201) 706-4524 Fax: (201) 868-8442 West New York, NJ 07093 324 Palisade Ave
Fax: (201) 858-7322 02 Yrs/130 Yrs (201) 866-9320 Jersey City, NJ 07307
00 Yrs/130 Yrs Palisades Medical Center Fax: (201) 866-7588 (201) 459-8888
Bayonne Medical Center MF 9:00 AM - 4:00 PM 00 Yrs/130 Yrs Fax: (201) 239-0318
Hoboken University Medical T 10:00 AM - 3:00 PM Cooper University Health 00 Yrs/130 Yrs
Center W 9:00 AM - 12:00 PM Care Cooper University Health
Palisades Medical Center TH 3:00 AM - 6:00 PM Languages: Hebrew Care
M-F 9:00 AM - 5:00 PM PCMH: No M-TH 8:30 AM - 7:00 PM Languages: Hebrew
PCMH: No F 8:30 AM - 5:00 PM M-F 8:30 AM - 5:00 PM
Marki, Richard MD Sat 8:30 AM - 3:00 PM PCMH: No
Fernandez, Osbert Provider ID: 1430805 PCMH: No
Provider ID: 896361 Gender: Male Yahav, Eric MD
Gender: Male Bhmg - United Medical Yahav, Eric MD Provider ID: 1255704
Njmha 988 Broadway Ste 201 Provider ID: 1255695 Gender: Male
5 Marine View Plz Ste 105 Bayonne, NJ 07002 Gender: Male North Hudson Community
Hoboken, NJ 07030 (201) 339-6111 North Hudson Community Action Corp
(201) 706-4524 Fax: (201) 339-6333 Action Corp Sub Specialty: HIV/AIDs
Fax: (201) 963-3924 16 Yrs/130 Yrs Sub Specialty: HIV/AIDs 2500 Kennedy Blvd
00 Yrs/130 Yrs Bayonne Medical Center 1116 43rd St Union City, NJ 07087
Bayonne Medical Center Overlook Hospital North Bergen, NJ 07047 (201) 553-7888
Hoboken University Medical Saint Barnabas Medical (201) 330-2632 Fax: (201) 553-7885
Center Center Livingston Fax: (201) 330-2638 00 Yrs/130 Yrs
Palisades Medical Center Languages: Polish 00 Yrs/130 Yrs Cooper University Health
M-F 9:00 AM - 5:00 PM M-TH 8:00 AM - 7:00 PM Cooper University Health Care
PCMH: No F 8:00 AM - 5:00 PM Care Languages: Hebrew
Sat 8:00 AM - 12:00 PM Languages: Hebrew M-F 8:30 AM - 5:00 PM
PCMH: No MTTHF 8:30 AM - 5:00 PM PCMH: No
W 8:30 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 42
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics Al Haddawi, Anwar MD Anam, Sadrul MD Ansay, Editha MD
Provider ID: 1606828 Provider ID: 904630
Abbassi, Saeed MD Provider ID: 1597384 Gender: Male Gender: Female
Provider ID: 945485 Gender: Male Prohealth Care Associates of Total Care Pediatrics
Gender: Male Prohealth Care Associates of New Je 377 Jersey Ave Ste 420
Saeed Abbassi MD New Je 4201 New York Ave Fl 1 Jersey City, NJ 07302
Sub Specialty: HIV/AIDs 402 42nd St Union City, NJ 70874 (201) 333-0003
7505 Bergenline Ave Fl 1 Union City, NJ 07087 (201) 601-9515 Fax: (201) 333-0006
North Bergen, NJ 07047 (201) 766-6568 Fax: (201) 601-9516 00 Yrs/21 Yrs
(201) 868-1950 Fax: (201) 766-6572 00 Yrs/21 Yrs Jersey City Medical Center
Fax: (201) 868-5844 00 Yrs/21 Yrs Palisades Medical Center MTWTHFSat 9:00 AM - 7:00
00 Yrs/21 Yrs Palisades Medical Center St. Joseph's Hospital Reg PM
Palisades Medical Center M-F 9:00 AM - 5:00 PM Medical Center PCMH: No
Languages: Spanish, Russian, PCMH: No M-F 9:00 AM - 5:00 PM
Arabic PCMH: No Azhar, Sarwat MD
M-F 9:00 AM - 7:00 PM Aliaga, Julie MD Provider ID: 1151024
Sat 9:00 AM - 1:00 PM Provider ID: 1095064 Ansay, Editha MD Gender: Female
PCMH: No Gender: Female Provider ID: 904628 Pediatric Care PA
North Hudson Community Gender: Female 3342 John F Kennedy Blvd
Aguayofigueroa, Lourdes MD Action Corp 550 Newark Ave Ste 207 Jersey City, NJ 07307
5301 Broadway Jersey City, NJ 07306 (201) 653-8999
Provider ID: 1486848 West New York, NJ 07093 (201) 714-7902 Fax: (201) 653-4477
Gender: Female (551) 208-1770 00 Yrs/21 Yrs 00 Yrs/21 Yrs
St Joseph's Healthcare Ice Fax: (201) 867-9183 Jersey City Medical Center JFK Medical Center
158 14th St 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM M-F 12:00 AM - 6:00 PM
Hoboken, NJ 07030 MTTHF 8:30 AM - 5:00 PM PCMH: No Sat 10:30 AM - 2:00 PM
(973) 249-8100 W 10:30 AM - 7:00 PM PCMH: No
PCMH: No Ansay, Editha MD
Fax: (973) 249-8110
00 Yrs/21 Yrs Provider ID: 904628 Baker, Azzam MD
Prime Health Services-St Anam, Khalid MD Gender: Female Provider ID: 1607300
Marys Hospital Provider ID: 1690788 Total Care Pediatrics Gender: Male
St. Joseph's Hospital Reg Gender: Female 610 Washington Blvd Fl 1 Prohealth Care Associates of
Medical Center Prohealth Care Associates of Jersey City, NJ 07310 New Je
M-F 9:00 AM - 5:00 PM New Je (201) 222-1266 714 10th St
PCMH: No 7505 Bergenline Ave Fax: (201) 626-4548 Secaucus, NJ 07094
North Bergen, NJ 07047 00 Yrs/21 Yrs (201) 863-3346
Al Haddawi, Anwar MD (201) 868-1950 Jersey City Medical Center Fax: (201) 863-5251
Fax: (201) 868-5844 MTWTHFSat 9:00 AM - 7:00 00 Yrs/21 Yrs
Provider ID: 1597383 00 Yrs/21 Yrs PM Holy Name Medical Center
Gender: Male M-F 9:00 AM - 5:00 PM PCMH: No Palisades Medical Center
Prohealth Care Associates of PCMH: No M-F 9:00 AM - 5:00 PM
New Je Ansay, Editha MD PCMH: No
4201 Bergenline Ave Anam, Sadrul MD Provider ID: 904630
Union City, NJ 07087 Provider ID: 1606827 Gender: Female Baker, Iyad MD
(201) 601-9515 Gender: Male 550 Newark Ave Ste 207 Provider ID: 1594841
Fax: (201) 601-9516 Prohealth Care Associates of Jersey City, NJ 07306 Gender: Male
00 Yrs/21 Yrs New Je (201) 714-7902 Prohealth Care Associates of
Palisades Medical Center 402 42nd St 00 Yrs/21 Yrs NJ
M-F 9:00 AM - 5:00 PM Union City, NJ 07087 Jersey City Medical Center 714 10th St
PCMH: No (201) 766-6568 M-F 9:00 AM - 5:00 PM Secaucus, NJ 07094
Fax: (201) 766-6572 PCMH: No (201) 876-3215
00 Yrs/21 Yrs Fax: (201) 863-5251
Palisades Medical Center 00 Yrs/130 Yrs
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 43
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics - cont. Bokhari, Naimat MD Casia, Jeffrey MD Castillo, Rodrigo MD
Provider ID: 925285 Provider ID: 1099840
Baker, Omar MD Provider ID: 1602531 Gender: Male Gender: Male
Provider ID: 1606824 Gender: Male Casia Pediatrics LLC Castillo and Castillo MD PA
Gender: Male Prohealth Care Associates of 67 Central Ave 39 1/2 2nd Ave
Prohealth Care Associates of NJ Jersey City, NJ 07306 Secaucus, NJ 07094
NJ 324 Palisade Ave Fl 2 (201) 798-6161 (201) 869-4044
1111 Hudson St Jersey City, NJ 73071 Fax: (201) 798-0432 Fax: (201) 869-4105
Hoboken, NJ 07030 (201) 386-1400 00 Yrs/21 Yrs 00 Yrs/21 Yrs
(201) 942-9320 Fax: (201) 386-2343 Christ Hospital Palisades Medical Center
Fax: (201) 942-9321 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/21 Yrs Christ Hospital PCMH: No PCMH: No
Hoboken University Medical M-F 9:00 AM - 5:00 PM
Center PCMH: No Castillo, Elma MD Castillo, Rodrigo MD
Jersey City Medical Center Provider ID: 1156801 Provider ID: 945994
M-F 9:00 AM - 5:00 PM Bravo, Holanda MD Gender: Female Gender: Male
PCMH: No Castillo & Castillo, MDPA Castillo & Castillo MDPA
Provider ID: 1108662 39 1/2 2nd Ave 5801 Broadway
Baker, Zeyad MD Secaucus, NJ 07094 West New York, NJ 07093
Gender: Female
Provider ID: 1606834 North Bergen Pediatrics PA (201) 617-1996 (201) 869-4044
Gender: Male Sub Specialty: HIV/AIDs Fax: (201) 617-1710 Fax: (201) 869-4105
Prohealth Care Associates of 3196 John F Kennedy Blvd FL2 00 Yrs/130 Yrs 00 Yrs/21 Yrs
New Je M-F 9:00 AM - 5:00 PM Palisades Medical Center
Union City, NJ 07087
714 10th St PCMH: No Languages: Spanish, Tagalog
(201) 552-9233
Secaucus, NJ 07094 M-F 9:00 AM - 4:30 PM
Fax: (201) 552-9238
(201) 863-3346 Castillo, Elma MD Sat 9:00 AM - 11:30 PM
00 Yrs/21 Yrs
Fax: (201) 863-5251 Provider ID: 961907 PCMH: No
St. Joseph's Hospital Reg
00 Yrs/21 Yrs Medical Center Gender: Female
Hoboken University Medical M-F 9:00 AM - 5:00 PM Castillo & Castillo, MDPA Catalano, Mariano MD
Center 5801 Broadway Provider ID: 946668
PCMH: No
Holy Name Medical Center West New York, NJ 07093 Gender: Male
M-F 9:00 AM - 5:00 PM Butterman, Clifford MD (201) 869-4044 Mariano Catalano MD LLC
PCMH: No Fax: (201) 869-4105 119 Ocean Ave Ste 1
Bansil, Noel MD Provider ID: 757128 00 Yrs/20 Yrs Jersey City, NJ 07305
Gender: Male Palisades Medical Center (201) 332-6677
Provider ID: 1606835
Clifford Butterman Languages: Spanish, Tagalog Fax: (201) 332-6680
Gender: Male
228 60th St Ste 1 M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs
Prohealth Care Associates of
New Je West New York, NJ 07093 Sat 9:00 AM - 12:00 PM Christ Hospital
324 Palisade Ave Fl 2 (201) 868-1120 PCMH: No M-F 8:00 AM - 4:00 PM
Jersey City, NJ 73071 Fax: (201) 868-5801 PCMH: No
00 Yrs/130 Yrs Castillo, Marianne MD
(201) 386-1400
Hoboken University Medical Provider ID: 1068353 Coleman, Reginald MD
Fax: (201) 386-2343
Center Gender: Female
00 Yrs/21 Yrs
M-F 10:00 AM - 6:00 PM 39 1/2 2nd Ave Provider ID: 1692790
Christ Hospital
Holy Name Medical Center Sat 10:00 AM - 3:00 PM Secaucus, NJ 07094 Gender: Male
M-F 9:00 AM - 5:00 PM PCMH: No (201) 869-4044 Prohealth Care Associates of
PCMH: No Fax: (201) 869-4105 New Je
00 Yrs/130 Yrs 324 Palisade Ave
Languages: Spanish, Tagalog Jersey City, NJ 07307
M-F 5:30 AM - 7:00 PM (201) 656-0001
PCMH: No Fax: (201) 656-0093
00 Yrs/18 Yrs
Jersey City Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 44
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics - cont. Desai, Vijaya MD Doss, Nermine MD Eltemsah, Nagi MD
Provider ID: 941000 Provider ID: 1610222
Coleman, Reginald MD Gender: Female Gender: Female Provider ID: 760625
Vijaya Desai MD Prohealth Care Associates of Gender: Male
Provider ID: 1692796 145 Saint Pauls Ave New Je Pediatricsa1 LLC
Gender: Male Jersey City, NJ 07306 714 10th St Ste 3 2775 Kennedy Blvd
Prohealth Care Associates of (201) 792-4286 Secaucus, NJ 70942 Jersey City, NJ 07306
New Je Fax: (201) 659-1004 (201) 863-3346 (201) 222-7899
2440 John F Kennedy Blvd 00 Yrs/21 Yrs Fax: (201) 863-5251 Fax: (201) 222-7554
Jersey City, NJ 07304 Christ Hospital 00 Yrs/130 Yrs 00 Yrs/21 Yrs
(201) 433-3316 Languages: Spanish, Hindi, M-F 9:00 AM - 5:00 PM Christ Hospital
Fax: (201) 433-0185 Gujarati PCMH: No Jersey City Medical Center
00 Yrs/18 Yrs MWF 12:00 AM - 5:00 PM St. Joseph's Hospital Reg
Jersey City Medical Center TTH 12:00 AM - 6:00 PM Elliston, Jason MD Medical Center
M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 2:00 PM Provider ID: 1418435 Languages: Spanish, Urdu,
PCMH: No PCMH: No Gender: Male Arabic, Tagalog
Metropolitan Family Health M-F 10:00 AM - 5:00 PM
Da Silva, Robert MD Desai, Vijaya MD Network Sat 10:00 AM - 1:00 PM
Provider ID: 945894 5300 Bergenline Ave PCMH: No
Provider ID: 1020799 Gender: Female West New York, NJ 07093
Vijaya Desai, MD (201) 478-5810 Endaya-Aguila, Thelma MD
Gender: Male
Astra Health Center of 145 Saint Pauls Ave Fax: (201) 478-5814
Hoboken Jersey City, NJ 07306 00 Yrs/130 Yrs Provider ID: 946114
95 Hudson St (201) 792-4286 Jersey City Medical Center Gender: Female
Hoboken, NJ 07030 Fax: (201) 659-1004 M-F 9:00 AM - 5:00 PM Sub Specialty: HIV/AIDs
(201) 942-9600 00 Yrs/18 Yrs PCMH: No 550 Newark Ave Ste 305
Fax: (201) 942-9601 Christ Hospital Jersey City, NJ 07306
00 Yrs/21 Yrs Languages: Spanish, Hindi, Elliston, Jason MD (201) 963-2320
MTWTHFSat 8:00 AM - 10:00 Gujarati Provider ID: 802358 Fax: (201) 222-2099
PM MWF 12:00 AM - 5:00 PM Gender: Male 00 Yrs/18 Yrs
Sun 8:00 AM - 8:00 PM TTH 12:00 AM - 6:00 PM Metropolitan Family Health Christ Hospital
PCMH: No Sat 10:00 AM - 2:00 PM Network Palisades Medical Center
PCMH: No 935 Garfield Ave Languages: Filipino
Delgado, Wilson MD Jersey City, NJ 07304 M-TH 11:00 AM - 5:00 PM
Dimaculangan, Nelo MD (201) 478-5800 F 9:00 AM - 1:00 PM
Provider ID: 1609775 Fax: (201) 478-5814 PCMH: No
Gender: Male Provider ID: 1705347 00 Yrs/21 Yrs
Prohealth Care Associates of Gender: Male Jersey City Medical Center Ghaly, Maged MD
New Je Old Bergen Pediatrics PA Languages: Spanish, Italian, Provider ID: 1248006
4201 Bergenline Ave 4 Highland Ave Hindi, Urdu Gender: Male
Union City, NJ 07087 Jersey City, NJ 07306 M-F 9:00 AM - 5:00 PM Maged Ghaly, MD
(201) 601-9515 (201) 434-3997 PCMH: Yes, Level 3 Sub Specialty: HIV/AIDs
Fax: (201) 601-9516 Fax: (201) 434-3304 840 Bergen Ave Fl 1
00 Yrs/18 Yrs 00 Yrs/21 Yrs Jersey City, NJ 07306
M-F 9:00 AM - 5:00 PM M-TH 11:00 AM - 5:30 PM (201) 333-5934
PCMH: No F 10:00 AM - 10:00 PM Fax: (201) 333-5953
PCMH: No 00 Yrs/18 Yrs
Jersey City Medical Center
Saint Barnabas Medical
Center Livingston
Languages: Arabic
MTWTHFSat 10:00 AM - 5:00
PM
PCMH: No

www.wellcare.com/New-Jersey | 45
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics - cont. Hutton-Cassie, Donna MD Kucharski, Jarrod MD Laufer, Ilene MD
Provider ID: 915180
Gonzalez, Isabel MD Provider ID: 505213 Provider ID: 1639610 Gender: Female
Provider ID: 839174 Gender: Female Gender: Male North Hudson Community
Gender: Female North Hudson Community Prohealth Care Associates of Action Corpo
North Hudson Community Action Corp New Je 5301 Broadway
Action Corp 5301 Broadway 232 Clinton St West New York, NJ 07093
5301 Broadway West New York, NJ 07093 Hoboken, NJ 07030 (201) 866-9320
West New York, NJ 07093 (201) 866-9320 (201) 876-3215 Fax: (201) 392-9084
(201) 866-9320 Fax: (201) 866-7588 Fax: (201) 876-3218 00 Yrs/21 Yrs
Fax: (201) 866-7588 00 Yrs/21 Yrs 00 Yrs/18 Yrs Languages: Spanish
00 Yrs/18 Yrs M-TH 8:30 AM - 7:00 PM Saint Clares Hospital M-TH 8:30 AM - 7:00 PM
Palisades Medical Center FSat 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM FSat 8:30 AM - 5:00 PM
Languages: Spanish PCMH: No PCMH: No PCMH: No
M-TH 8:30 AM - 7:00 PM
FSat 8:30 AM - 5:00 PM Jain, Doney MD Kucharski, Jarrod MD Lipert, Zofia MD
PCMH: No Provider ID: 1096625 Provider ID: 819176
Gender: Male Provider ID: 1639612 Gender: Female
Hernandez, Jacqueline DO Urban Medical Center Gender: Male Total Care Pediatrics
95 Martin Luther King Jr Dr Prohealth Care Associates of 550 Newark Ave Ste 207
Provider ID: 1108655 Jersey City, NJ 07305 New Je Jersey City, NJ 07306
Gender: Female (201) 332-7077 609 Washington St (201) 714-7902
North Bergen Pediatrics PA Fax: (201) 332-7003 Hoboken, NJ 07030 Fax: (201) 795-4999
Sub Specialty: HIV/AIDs 02 Yrs/130 Yrs (201) 706-8488 00 Yrs/21 Yrs
3196 John F Kennedy Blvd FL2 East Orange General Hospital Fax: (201) 706-8489 Jersey City Medical Center
Union City, NJ 07087 Jersey City Medical Center 00 Yrs/18 Yrs Languages: Spanish, Polish
(201) 552-9233 Languages: Spanish Saint Clares Hospital M-TH 8:30 AM - 7:30 PM
Fax: (201) 552-9238 M-F 9:00 AM - 5:30 PM M-F 9:00 AM - 5:00 PM F 8:30 AM - 3:00 PM
00 Yrs/21 Yrs Sat 9:00 AM - 5:00 PM PCMH: No Sat 9:00 AM - 2:00 PM
St. Joseph's Hospital Reg PCMH: No PCMH: No
Medical Center LA Rosa, Niurka MD
M-F 9:00 AM - 5:00 PM Jean Philippe, Carolyne MD Provider ID: 788067 Lipert, Zofia MD
PCMH: No Gender: Female Provider ID: 904586
Provider ID: 1565924 LA Rosa Pediatrics Gender: Female
Huang, Grace DO Gender: Female 6900 Park Ave Ste 3 Total Care Pediatrics
Provider ID: 1695068 New Jersey Medical and Guttenberg, NJ 07093 377 Jersey Ave Ste 420
Gender: Female Health Assoc (201) 766-0086 Jersey City, NJ 07302
Prohealth Care Associates of 1 Journal Square Plz Ste 2 Fax: (201) 766-0094 (201) 333-0003
New Je Jersey City, NJ 07306 00 Yrs/21 Yrs Fax: (201) 333-0006
714 10th St (201) 216-3030 St. Joseph's Hospital Reg 00 Yrs/21 Yrs
Secaucus, NJ 07094 Fax: (201) 821-8953 Medical Center Jersey City Medical Center
(201) 865-2050 00 Yrs/130 Yrs Languages: Spanish M-TH 8:30 AM - 7:30 PM
Fax: (201) 865-0015 M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 6:00 PM F 8:30 AM - 3:00 PM
00 Yrs/18 Yrs Sat 9:00 AM - 2:30 PM Sat 9:00 AM - 2:00 PM Sat 9:00 AM - 2:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 46
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics - cont. Mangosing, Emma MD Meszaros, Beata MD Munoz Llaverias, Altagracia
Provider ID: 892052 MD
Mahmoud, Ayesha MD Gender: Female Provider ID: 1642502 Provider ID: 941002
Total Care Pediatrics Gender: Female Gender: Female
Provider ID: 1594931 377 Jersey Ave Ste 420 Prohealth Care Associates of Healthy Child Pediatrics LLC
Gender: Female Jersey City, NJ 07302 New Je 217 60th St Fl 1
Prohealth Care Associates of (201) 333-0003 506 Broadway West New York, NJ 07093
NJ Fax: (201) 333-0006 Bayonne, NJ 07002 (201) 869-1108
506 Broadway 00 Yrs/21 Yrs (201) 471-7012 Fax: (201) 869-1088
Bayonne, NJ 07002 Jersey City Medical Center Fax: (201) 471-7014 00 Yrs/18 Yrs
(201) 471-7012 Languages: Tagalog 00 Yrs/21 Yrs Palisades Medical Center
Fax: (201) 471-7014 M-TH 9:00 AM - 8:00 PM JFK Medical Center Languages: Spanish
00 Yrs/18 Yrs F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM M-F 10:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 2:00 PM PCMH: No Sat 10:00 AM - 2:00 PM
PCMH: No PCMH: No PCMH: No
Mico, Mario MD
Maldonado, Jose MD Mayo, Yilda MD Provider ID: 976428 Murray-Burton, Carolyn MD
Provider ID: 923395 Gender: Male
Provider ID: 508198 Gender: Female North Bergen Pediatrics PA Provider ID: 1418428
Gender: Male Building Blocks Pediatric Sub Specialty: HIV/AIDs Gender: Female
North Hudson Community Group LLC 3196 John F Kennedy Blvd FL2 Metropolitan Family Health
Action Corp. 215 Harrison Ave Union City, NJ 07087 Network
Sub Specialty: HIV/AIDs Harrison, NJ 07029 (201) 552-9233 Sub Specialty: HIV/AIDs
5301 Broadway (862) 955-3183 Fax: (201) 552-9238 935 Garfield Ave
West New York, NJ 07093 Fax: (862) 955-3189 00 Yrs/21 Yrs Jersey City, NJ 07304
(201) 866-9320 00 Yrs/21 Yrs St. Joseph's Hospital Reg (201) 478-5800
Fax: (201) 866-7588 Clara Maass Medical Center Medical Center Fax: (201) 478-5823
00 Yrs/18 Yrs St. Joseph's Hospital Reg Languages: Spanish 00 Yrs/130 Yrs
Palisades Medical Center Medical Center M-F 9:00 AM - 5:00 PM Jersey City Medical Center
M-TH 8:30 AM - 7:00 PM Languages: Spanish PCMH: No M-W 8:30 AM - 5:00 PM
FSat 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3
PCMH: No Sat 9:00 AM - 2:00 PM Mucha, Samantha DO
PCMH: No Provider ID: 1708880 Murray-Burton, Carolyn MD
Mangosing, Emma MD Gender: Female
Provider ID: 891631 Mena, Maria MD Prohealth Care Associates of Provider ID: 959609
Gender: Female Provider ID: 1642499 NJ Gender: Female
Total Care Pediatrics Gender: Female 609 Washington St Metropolitan Family Health
550 Newark Ave Ste 409 Prohealth Care Associates of Hoboken, NJ 07030 Network
Jersey City, NJ 07306 New Je (201) 706-8488 5300 Bergenline Ave
(201) 714-7902 7505 Bergenline Ave Fax: (201) 706-8489 West New York, NJ 07093
Fax: (201) 795-4999 North Bergen, NJ 07047 00 Yrs/21 Yrs (201) 478-5800
00 Yrs/21 Yrs (201) 868-5391 M-F 9:00 AM - 5:00 PM Fax: (201) 478-5814
Jersey City Medical Center Fax: (201) 868-5844 PCMH: No 00 Yrs/21 Yrs
Languages: Tagalog 00 Yrs/21 Yrs Jersey City Medical Center
M-TH 9:00 AM - 8:00 PM M-F 9:00 AM - 5:00 PM Mucha, Samantha DO M-W 8:30 AM - 5:00 PM
F 9:00 AM - 6:00 PM PCMH: No Provider ID: 1708886 PCMH: Yes, Level 2
Sat 10:00 AM - 2:00 PM Gender: Female
PCMH: No Prohealth Care Associates of
NJ
232 Clinton St
Hoboken, NJ 07030
(201) 917-3313
Fax: (201) 876-3218
00 Yrs/21 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 47
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics - cont. Nagorna, Malgorzata MD Oko, Piotr MD Panem, Cheryl MD
Provider ID: 1167797 Provider ID: 489670
Nagorna, Malgorzata MD Provider ID: 903913 Gender: Male Gender: Female
Provider ID: 903903 Gender: Female New Jersey Medical and North Hudson Community
Gender: Female Total Care Pediatrics Health Assoc Action Corp
550 Newark Ave Ste 207 377 Jersey Ave Ste 420 138 River Dr S 5301 Broadway
Jersey City, NJ 07306 Jersey City, NJ 07302 Jersey City, NJ 07310 West New York, NJ 07093
(201) 714-7902 (201) 333-0003 (201) 884-5351 (201) 866-9320
00 Yrs/21 Yrs Fax: (201) 333-0006 Fax: (201) 626-6453 Fax: (201) 866-7588
Jersey City Medical Center 00 Yrs/21 Yrs 00 Yrs/18 Yrs 00 Yrs/21 Yrs
Languages: Spanish, Russian Jersey City Medical Center M-F 9:00 AM - 5:00 PM Palisades Medical Center
M-F 9:00 AM - 5:00 PM Languages: Russian PCMH: No Languages: Spanish, Tagalog
PCMH: No M-TH 9:00 AM - 7:00 PM M-TH 8:30 AM - 7:00 PM
F 9:00 AM - 3:00 PM Oropeza, Maria MD FSat 8:30 AM - 5:00 PM
Nagorna, Malgorzata MD Sat 9:00 AM - 2:00 PM Provider ID: 1234258 PCMH: No
PCMH: No Gender: Female
Provider ID: 903903 WNY Pediatrics LLC Parikh, Chaula MD
Gender: Female Najib, Nabeel MD 5809 Madison St Ste 1 Provider ID: 1645304
Total Care Pediatrics Provider ID: 1322493 West New York, NJ 07093 Gender: Female
610 Washington Blvd Ste 200 Gender: Male (917) 207-5923 Prohealth Care Associates of
Jersey City, NJ 07310 Hudson Pediatrics Fax: (201) 330-0161 New Je
(201) 222-1266 6914 Jackson St Fl 1 00 Yrs/21 Yrs 232 Clinton St
Fax: (201) 626-4548 Guttenberg, NJ 07093 Languages: Spanish Hoboken, NJ 07030
00 Yrs/21 Yrs (201) 662-1520 MTWF 8:00 AM - 5:00 PM (201) 876-3215
Jersey City Medical Center Fax: (201) 662-8938 TH 10:00 AM - 7:00 PM Fax: (201) 876-3218
Languages: Spanish, Russian 00 Yrs/21 Yrs PCMH: No 00 Yrs/21 Yrs
M-TH 9:00 AM - 7:00 PM Palisades Medical Center Hoboken University Medical
F 9:00 AM - 3:00 PM Languages: Spanish, Arabic Owusu, Solomon MD Center
Sat 9:00 AM - 2:00 PM M-W 10:00 AM - 5:00 PM Provider ID: 392363 M-F 9:00 AM - 5:00 PM
PCMH: No TH 2:00 AM - 7:00 PM Gender: Male PCMH: No
F 9:00 AM - 1:00 PM Solomon Owusu, MD DBA
Nagorna, Malgorzata MD Neighborhood Patel, Trupti MD
PCMH: No
Provider ID: 903913 559 W Side Ave Provider ID: 1594943
Gender: Female Nasiek, Sara MD Jersey City, NJ 07304 Gender: Female
550 Newark Ave Ste 207 Provider ID: 1101652 (201) 432-5300 Prohealth Care Associates of
Fax: (201) 432-4630 NJ
Jersey City, NJ 07306 Gender: Female
00 Yrs/130 Yrs 324 Palisade Ave Fl 2
(201) 714-7902 North Hudson Community
Action Corpo Christ Hospital Jersey City, NJ 73071
00 Yrs/21 Yrs
5301 Broadway M-TH 11:00 AM - 6:00 PM (201) 386-1400
Jersey City Medical Center
West New York, NJ 07093 FSat 11:00 AM - 2:00 PM Fax: (201) 386-2343
Languages: Russian
(201) 866-9320 PCMH: No 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
Fax: (201) 866-7588 M-F 9:00 AM - 5:00 PM
PCMH: No
00 Yrs/21 Yrs Palmiery Jr, Ponciano MD PCMH: No
St. Joseph's Hospital Reg
Provider ID: 923413 Pathak, Vineeta MD
Medical Center
M-TH 8:30 AM - 7:00 PM Gender: Male Provider ID: 1645308
FSat 8:30 AM - 5:00 PM 332 Harrison Ave Apt 1 Gender: Female
PCMH: No Harrison, NJ 07029 Prohealth Care Associates of
(973) 484-2584 New Je
Fax: (973) 484-9216 232 Clinton St
00 Yrs/21 Yrs Hoboken, NJ 07030
Saint Barnabas Medical (201) 863-3346
Center Livingston Fax: (201) 876-3218
Languages: Spanish, 00 Yrs/18 Yrs
Portuguese, Tagalog Community Medical Center
M-F 1:30 AM - 8:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 48
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics - cont. Rao, Gunjan MD Rodriguez, Maria MD Satwani, Sunita MD
Provider ID: 1418436 Provider ID: 962019
Pradhan, Gunjan MD Gender: Female Gender: Female Provider ID: 1645329
Provider ID: 1065296 Metropolitan Family Health Mundo Chico Pedi Assc Gender: Female
Gender: Female Network 1617 Bergenline Ave Prohealth Care Associates of
Metropolitan Family Health 5300 Bergenline Ave Union City, NJ 07087 New Je
Network West New York, NJ 07093 (201) 590-9490 506 Broadway
935 Garfield Ave (201) 478-5800 Fax: (201) 590-9489 Bayonne, NJ 07002
Jersey City, NJ 07304 Fax: (201) 478-5814 00 Yrs/21 Yrs (201) 863-3346
(201) 478-5800 00 Yrs/21 Yrs St. Joseph's Hospital Reg Fax: (201) 471-7014
Fax: (201) 478-5814 Jersey City Medical Center Medical Center 00 Yrs/130 Yrs
00 Yrs/21 Yrs M-TH 9:00 AM - 5:00 PM Languages: Spanish Christ Hospital
Jersey City Medical Center F 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
M-TH 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM PCMH: No PCMH: No
F 9:00 AM - 9:00 PM PCMH: No
Sat 9:00 AM - 1:00 PM Rubia-Sazon, Elvira MD Sodhi, Surinder MD
PCMH: No Rivera, Roger MD Provider ID: 800973
Provider ID: 991014 Provider ID: 501540 Gender: Female
Raghu, Shalini MD Gender: Male Gender: Female Horizon Health Center
Provider ID: 1278835 Building Blocks Pediatric North Hudson Community 714 Bergen Ave
Gender: Female Group LLC Action Corpo Jersey City, NJ 07306
Bayonne Pediatrics Practice 215 Harrison Ave Sub Specialty: HIV/AIDs (201) 451-6300
LLC Harrison, NJ 07029 5301 Broadway Fax: (201) 451-0619
765 John F Kennedy Blvd (862) 955-3183 West New York, NJ 07093 00 Yrs/130 Yrs
Bayonne, NJ 07002 Fax: (862) 955-3189 (201) 866-9320 Jersey City Medical Center
(201) 823-4141 00 Yrs/21 Yrs Fax: (201) 866-7588 M-F 8:30 AM - 7:30 PM
Fax: (201) 823-1141 Languages: Spanish 00 Yrs/21 Yrs Sat 10:00 AM - 2:00 PM
00 Yrs/18 Yrs M-F 8:30 AM - 5:30 PM Palisades Medical Center PCMH: No
Trinitas Regional Medical Cent Sat 9:00 AM - 2:00 PM Languages: Spanish, Filipino
Languages: Hindi, Tamil, PCMH: No M-TH 8:30 AM - 7:00 PM Surti, Daxa MD
Kannada FSat 8:30 AM - 5:00 PM Provider ID: 511802
M-F 9:00 AM - 5:00 PM Rivera, Seetha MD PCMH: No Gender: Female
PCMH: No Provider ID: 1048211 North Hudson Community
Gender: Female Rubia-Sazon, Elvira MD Action Corp
Raha, Bandana MD Building Blocks Pediatric Sub Specialty: HIV/AIDs
Provider ID: 786617 Group LLC Provider ID: 922966 5301 Broadway
Gender: Female 215 Harrison Ave Gender: Female West New York, NJ 07093
Jersey City Pediatrics PA Harrison, NJ 07029 North Hudson Community (201) 866-9320
550 Newark Ave Ste 401 (862) 955-3183 Action Corpo Fax: (201) 866-7588
Jersey City, NJ 07306 Fax: (862) 955-3189 Sub Specialty: HIV/AIDs 00 Yrs/18 Yrs
(201) 963-0080 00 Yrs/21 Yrs 324 Palisade Ave Ste 1 Palisades Medical Center
Fax: (201) 963-0085 Holy Name Medical Center Jersey City, NJ 07307 Languages: Spanish
00 Yrs/21 Yrs Languages: Spanish (201) 459-8888 M-TH 8:30 AM - 7:00 PM
Christ Hospital M-F 9:00 AM - 5:00 PM Fax: (201) 386-5291 FSat 8:30 AM - 5:00 PM
Languages: Spanish, Hindi, Sat 9:00 AM - 2:00 PM 00 Yrs/21 Yrs PCMH: No
Bengali PCMH: No Palisades Medical Center
M 9:00 AM - 4:00 PM Languages: Spanish, Filipino
TF 9:00 AM - 1:00 PM MTWFSat 8:30 AM - 5:00 PM
W 9:00 AM - 7:00 PM TH 8:30 AM - 7:00 PM
TH 9:00 AM - 6:00 PM PCMH: No
Sat 1:00 AM - 12:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 49
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics - cont. Ucheagwu, Hyacinth MD Ventura, Evelyn MD Woolbright, William MD
Provider ID: 1108661
Tandra, Suneela MD Provider ID: 677600 Gender: Female Provider ID: 1592589
Gender: Male North Bergen Pediatrics PA Gender: Male
Provider ID: 1067831 Urban Medical Center Inc. Sub Specialty: HIV/AIDs St Joseph Healthcare Inc
Gender: Female 95 Martin Luther King Jr Dr 3196 John F Kennedy Blvd Fl 2 158 14th St
New Jersey Medical and Jersey City, NJ 07305 Union City, NJ 07087 Hoboken, NJ 07030
Health Assoc (201) 332-7077 (201) 552-9233 (973) 754-5780
5 Marine View Plz Fax: (201) 332-7003 Fax: (201) 552-9238 Fax: (973) 754-3331
Hoboken, NJ 07030 00 Yrs/21 Yrs 00 Yrs/21 Yrs 00 Yrs/18 Yrs
(201) 798-1333 Jersey City Medical Center St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Fax: (201) 798-5333 Languages: Spanish Medical Center Medical Center
00 Yrs/18 Yrs M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish Sat 9:00 AM - 5:00 PM PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No Wassef, Inas MD Wosu, Carolee MD
Umali, Winston MD Provider ID: 1217473 Provider ID: 1430789
Toor, Khadija MD Provider ID: 906279 Gender: Female Gender: Female
Provider ID: 1707352 Gender: Male Pediatrics Adolescent Saint We Care Pediatrics
Gender: Female 176 Palisade Ave Mary C 7505 Bergenline Ave
Prohealth Care Associates of Jersey City, NJ 07306 65 Kearny Ave North Bergen, NJ 07047
NJ (201) 795-8200 Kearny, NJ 07032 (201) 868-1950
1425 Bloomfield St 00 Yrs/18 Yrs (201) 210-8520 Fax: (201) 868-5844
Hoboken, NJ 07030 M-F 9:00 AM - 5:00 PM Fax: (844) 303-0305 00 Yrs/21 Yrs
(551) 257-7005 PCMH: No 00 Yrs/21 Yrs Christ Hospital
Fax: (201) 293-0402 Languages: Arabic MTWTHFSatSun 9:00 AM -
00 Yrs/21 Yrs Umali, Winston MD M 5:30 AM - 8:00 PM 5:00 PM
M-F 9:00 AM - 5:00 PM T 5:30 AM - 8:30 PM PCMH: No
PCMH: No Provider ID: 906279 W 9:00 AM - 12:00 PM
Gender: Male TH 2:00 AM - 6:00 PM Wosu, Carolee MD
Torres-Soto, Eileen MD Winston C Umali MD PC PCMH: No Provider ID: 1649770
395 Danforth Ave Gender: Female
Provider ID: 917143 Wassef, Inas MD Prohealth Care Associates of
Jersey City, NJ 07305
Gender: Female (201) 209-9007 Provider ID: 1261573 New Je
North Hudson Community Fax: (201) 432-5142 Gender: Female 7505 Bergenline Ave
Action Corpo 00 Yrs/18 Yrs Pediatrics Adolescent Saint North Bergen, NJ 07047
714 31st St Mary C (201) 868-1950
M-F 9:00 AM - 5:00 PM
Union City, NJ 07087 654 Ave C Ste 203 Fax: (201) 868-5844
Sat 9:00 AM - 1:00 PM
(201) 863-7077 Bayonne, NJ 07002 00 Yrs/18 Yrs
PCMH: No
Fax: (201) 863-1470 (201) 210-8520 St. Joseph's Hospital Reg
00 Yrs/21 Yrs Velickovic, Marina MD Fax: (844) 303-0305 Medical Center
Languages: Spanish 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Arabic PCMH: No
Provider ID: 1649752
PCMH: No M 4:30 AM - 8:00 PM
Gender: Female
TTHF 11:30 AM - 3:30 PM
Prohealth Care Associates of
New Je W 4:30 AM - 8:30 PM
46 Essex St Sat 4:30 AM - 7:30 PM
Jersey City, NJ 07302 PCMH: No
(201) 360-2228
Fax: (201) 360-2258
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 50
Updated: 11/26/2018

Primary Care Physicians


Hudson
Pediatrics - cont.
Yenukashvili, Nana MD

Provider ID: 938318


Gender: Female
New Jersey Medical and
Health LLC
1327 Willow Ave
Hoboken, NJ 07030
(201) 821-8911
00 Yrs/21 Yrs
St. Joseph's Hospital Reg
Medical Center
Languages: Russian
M-F 9:00 AM - 5:00 PM
PCMH: No

Yu, William MD
Provider ID: 903872
Gender: Male
Total Care Pediatrics
377 Jersey Ave Ste 420
Jersey City, NJ 07302
(201) 333-0003
Fax: (201) 333-0006
00 Yrs/21 Yrs
Jersey City Medical Center
Palisades Medical Center
M-TH 9:00 AM - 8:00 PM
F 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
PCMH: No

Yu, William MD
Provider ID: 903873
Gender: Male
Total Care Pediatrics
550 Newark Ave Ste 409
Jersey City, NJ 07306
(201) 714-7902
Fax: (201) 795-4999
00 Yrs/21 Yrs
Jersey City Medical Center
Palisades Medical Center
M-TH 9:00 AM - 8:00 PM
F 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 51
Updated: 11/26/2018

Primary Care Physicians


Passaic
Family Practice Bock, Robert MD Crabtree, Shawn MD Demuro, Paul MD
Provider ID: 1225825 Provider ID: 469315
Abdulmassih, Sami MD Gender: Male Provider ID: 1268806 Gender: Male
Atlantic Medical Group Gender: Female Demuro and Associates LLC
Provider ID: 1696529 1055 Hamburg Tpke Ste 300 Atlantic Medical Group Sub Specialty: HIV/AIDs
Gender: Female Wayne, NJ 07470 1055 Hamburg Tpke Ste 300 338 Chestnut St Ste 1
St Josephs Healhcare Inc (973) 904-1177 Wayne, NJ 07470 Passaic, NJ 07055
502 Hamburg Turnpike Ste 108 Fax: (973) 904-1166 (973) 904-1177 (973) 471-9494
Wayne, NJ 07470 18 Yrs/130 Yrs Fax: (973) 904-1166 Fax: (973) 778-4649
(973) 942-5224 MW 9:00 AM - 7:00 PM 00 Yrs/130 Yrs 12 Yrs/130 Yrs
00 Yrs/130 Yrs TTH 9:00 AM - 6:00 PM AHS Hospital St. Joseph's Hospital Reg
St. Joseph's Hospital Reg F 9:00 AM - 3:00 PM St. Joseph's Hospital Reg Medical Center
Medical Center PCMH: No Medical Center MW 11:00 AM - 6:00 PM
MTWTHFSatSun 9:00 AM - MTWF 8:30 AM - 5:00 PM TTHF 9:00 AM - 3:00 PM
5:00 PM Cergnul, Irene MD TH 12:00 AM - 8:00 PM PCMH: No
PCMH: No Provider ID: 1436819 PCMH: No
Gender: Female Doroudi, Shideh MD
Allegra, Diane MD Evas Village Inc Delisi, Michael MD Provider ID: 1183903
Provider ID: 1228215 20 Jackson St Provider ID: 398168 Gender: Female
Gender: Female Paterson, NJ 07501 Gender: Male St Josephs Healthcare Inc
Eva's Village Inc (973) 523-6220 703 Main St 1135 Broad St Ste 201 2nd Fl
20 Jackson St Fax: (973) 825-7201 Paterson, NJ 07503 Clifton, NJ 07013
Paterson, NJ 07501 02 Yrs/130 Yrs (973) 754-2000 (973) 754-4100
(973) 523-6220 St. Joseph's Hospital Reg 00 Yrs/130 Yrs Fax: (973) 754-4190
Fax: (973) 825-7201 Medical Center St. Joseph's Hospital Reg 00 Yrs/130 Yrs
00 Yrs/130 Yrs M 1:00 AM - 9:00 PM Medical Center St. Joseph's Hospital Reg
St. Joseph's Hospital Reg TWTH 9:30 AM - 3:30 PM M-F 9:00 AM - 5:00 PM Medical Center
Medical Center PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM
M 1:00 AM - 9:00 PM PCMH: Yes, Level 3
TWTH 9:30 AM - 3:30 PM Chow, Jessica DO Delisi, Michael MD
PCMH: No Provider ID: 1440181 Provider ID: 398168 Fyffe, Ullanda MD
Gender: Female Gender: Male Provider ID: 1344840
Bhaskarabhatla, Krishna MD Health Consultants of North St Josephs Healthcare Inc Gender: Female
Jersey 1135 Broad St Ste 201 High Mountain Health PA
Provider ID: 398137 516 Hamburg Tpke Ste 5 Clifton, NJ 07013 246 Hamburg Tpke Ste 205
Gender: Male Wayne, NJ 07470 (973) 754-4100 Wayne, NJ 07470
Surya Health Care LLC (973) 925-7770 Fax: (973) 754-4191 (973) 389-1800
1031 McBride Ave Ste D208 Fax: (973) 807-1647 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Woodland Park, NJ 07424 00 Yrs/130 Yrs St. Joseph's Hospital Reg St. Joseph's Hospital Reg
(973) 790-3111 Prime Health Services-St Medical Center Medical Center
Fax: (973) 272-1123 Marys Hospital M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs St. Joseph's Hospital Reg F 9:00 AM - 12:00 PM PCMH: No
St. Joseph's Hospital Reg Medical Center PCMH: Yes, Level 3
Medical Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 52
Updated: 11/26/2018

Primary Care Physicians


Passaic
Family Practice - cont. Gupta, Vikram MD Kazmouz, Hasna MD Magnusen, Mary DO
Provider ID: 667631 Provider ID: 946325
Gloria, Stephen DO Gender: Male Gender: Female Provider ID: 1606829
Gmed Healthcare PC Kazmouz Medical Center Gender: Female
Provider ID: 1721649 246 Clifton Ave Ste 4 7 Lee Pl Skylands Medical Group, PA
Gender: Male Clifton, NJ 07011 Paterson, NJ 07505 5678 Berkshire Valley Rd Ste 1
Skylands Medical Group, PA (973) 928-2715 (973) 742-1824 Oak Ridge, NJ 74389
5678 Berkshire Valley Rd Fax: (201) 621-6102 Fax: (973) 742-1818 (973) 697-0200
Oak Ridge, NJ 07438 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (973) 697-6844
(973) 697-0200 St. Joseph's Hospital Reg St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Fax: (973) 697-6844 Medical Center Medical Center Newton Medical Center
00 Yrs/130 Yrs Languages: Russian, Hindi, Languages: Spanish, Arabic Saint Clares Hospital
Newton Medical Center Punjabi, Ukrainian M-F 9:00 AM - 5:00 PM MW 9:00 AM - 9:00 PM
Saint Clares Hospital M-F 9:00 AM - 5:00 PM PCMH: No T 9:00 AM - 8:00 PM
MW 9:00 AM - 9:00 PM PCMH: No TH 9:00 AM - 6:00 PM
TTHF 9:00 AM - 8:00 PM Khalil, Samir MD F 9:00 AM - 5:00 PM
PCMH: Yes, Level 3 Jenkins, Lisa MD Provider ID: 1714790 PCMH: Yes, Level 3
Provider ID: 498728 Gender: Male
Gorgy, Raafat DO Gender: Female Vytaliz Medical Makar, Gamil MD
Provider ID: 1149336 North Hudson Community 1117 Rte 46 Ste 202 Provider ID: 462477
Gender: Male Action Corp Clifton, NJ 07013 Gender: Male
Paterson Community Health 220 Passaic St (201) 205-2628 1700 Rte 3
Center In Passaic, NJ 07055 Fax: (844) 750-6904 Clifton, NJ 07013
32 Clinton St (201) 210-0200 00 Yrs/130 Yrs (862) 249-4901
Paterson, NJ 07522 Fax: (973) 955-4264 Saint Barnabas Medical Fax: (973) 928-2650
(973) 790-6594 00 Yrs/21 Yrs Center Livingston 00 Yrs/130 Yrs
Fax: (973) 720-5747 St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
00 Yrs/130 Yrs Medical Center PCMH: No Medical Center
St. Joseph's Hospital Reg Languages: Spanish Languages: Arabic
Medical Center MTWFSat 8:30 AM - 5:00 PM Lucila, Rafael MD M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM TH 8:30 AM - 7:00 PM Provider ID: 398247 Sat 10:00 AM - 5:00 PM
PCMH: No PCMH: No Gender: Male PCMH: No
780 Allwood Rd
Gorgy, Raafat DO Kazmouz, Hasna MD Clifton, NJ 07012 Makui, Sheyda MD
Provider ID: 1149338 (973) 249-6202 Provider ID: 1244546
Gender: Male Provider ID: 496813 Fax: (973) 249-6203 Gender: Female
Paterson Community Health Gender: Female 00 Yrs/130 Yrs North Hudson Community
Center In North Hudson Community St. Joseph's Hospital Reg Action Corp
227 Broadway Action Corp Medical Center 220 Passaic St
Paterson, NJ 07501 220 Passaic St Languages: Spanish, Filipino Passaic, NJ 07055
(973) 278-2600 Passaic, NJ 07055 M 8:00 AM - 6:30 PM (201) 210-0200
Fax: (973) 278-8279 (201) 210-0200 T 1:00 AM - 6:30 PM Fax: (973) 955-4264
00 Yrs/130 Yrs Fax: (973) 955-4264 WTHF 5:00 AM - 6:30 PM 00 Yrs/130 Yrs
St. Joseph's Hospital Reg 00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM Jersey City Medical Center
Medical Center St. Joseph's Hospital Reg PCMH: No Languages: Persian - Farsi,
M-F 9:00 AM - 5:00 PM Medical Center Turkish
PCMH: No Languages: Arabic MTTHF 8:30 AM - 5:00 PM
MTWTHFSat 8:30 AM - 5:00 W 8:30 AM - 7:00 PM
PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 53
Updated: 11/26/2018

Primary Care Physicians


Passaic
Family Practice - cont. Mao, Cheng-An MD Nabulsi, Omar MD Rae, Susan MD
Provider ID: 914828 Provider ID: 625010 Provider ID: 1573757
Maneyapanda, Mukundha MD Gender: Male Gender: Male Gender: Female
871 Allwood Rd Ste 2 Angela Family Care Medical Associates of
Provider ID: 1127836 Clifton, NJ 07012 516 Hamburg Turnpike Ste 5 Englewood, PC
Gender: Male (862) 249-4904 Wayne, NJ 07470 1031 McBride Ave Ste D210
St Josephs Healthcare Inc Fax: (862) 249-4903 (973) 925-7770 Woodland Park, NJ 74242
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs Fax: (973) 925-7772 (973) 812-9091
1135 Broad St Ste 201 St. Joseph's Hospital Reg 00 Yrs/130 Yrs Fax: (973) 339-9040
Clifton, NJ 07013 Medical Center Prime Health Services-St 00 Yrs/130 Yrs
(973) 754-4100 M-TH 9:00 AM - 5:00 PM Marys Hospital St. Joseph's Hospital Reg
Fax: (973) 754-4191 F 9:00 AM - 12:00 PM Languages: Arabic Medical Center
00 Yrs/130 Yrs PCMH: Yes, Level 3 M-F 9:00 AM - 5:00 PM Languages: Arabic
St. Joseph's Hospital Reg PCMH: No M-F 9:00 AM - 5:00 PM
Medical Center Muccino, Gary MD PCMH: No
M-F 9:00 AM - 5:00 PM Provider ID: 1430807 Patel, Puja MD
PCMH: Yes, Level 3 Gender: Male Provider ID: 1651380 Rae, Susan MD
Bhmg - United Medical Gender: Female Provider ID: 398297
Maneyapanda, Mukundha MD 533 Lexington Ave Atlantic Medical Group Gender: Female
Clifton, NJ 07011 650 Union Blvd Unit 16 Ipanj
Provider ID: 1175303 (973) 546-6844 Totowa, NJ 07512 1031 McBride Ave Ste D210
Gender: Male Fax: (973) 546-7707 (973) 938-5200 Woodland Park, NJ 07424
Maneyapanda LLC 00 Yrs/130 Yrs Fax: (973) 938-5191 (973) 812-9091
1135 Clifton Ave Ste 201 Jersey City Medical Center 00 Yrs/130 Yrs Fax: (973) 339-9040
Clifton, NJ 07013 Prime Health Services-St AHS Hospital 00 Yrs/130 Yrs
(973) 754-4100 Marys Hospital M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Saint Barnabas Medical PCMH: No Medical Center
Fax: (973) 754-4191 Center Livingston Languages: Arabic
00 Yrs/130 Yrs Languages: Spanish Perdomo, Louis MD M-F 9:00 AM - 4:00 PM
St. Joseph's Hospital Reg M-TH 8:00 AM - 7:00 PM Provider ID: 1646455 Sat 9:00 AM - 1:00 PM
Medical Center
F 8:00 AM - 5:00 PM Gender: Male PCMH: No
M-F 8:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM Sovereign Medical Group
PCMH: No
PCMH: Yes, Level 3 1900 Union Valley Rd Ravi, Venkata MD
Mao, Cheng An MD Hewitt, NJ 07421 Provider ID: 961851
Nabulsi, Omar MD Gender: Male
Provider ID: 1278842 (973) 728-5930
Provider ID: 1441229 Fax: (973) 728-0809 Ravi Physician PC
Gender: Male
Gender: Male 00 Yrs/130 Yrs 350 21st Ave
Medical Associates of
Englewood PC Health Consultants of North M-F 9:00 AM - 5:00 PM Paterson, NJ 07501
Jersey (973) 345-1044
871 Allwood Rd Ste 2 PCMH: No
516 Hamburg Tpke Ste 5 Fax: (973) 345-3943
Clifton, NJ 07012
Wayne, NJ 07470 Pudinak, Anna MD 00 Yrs/130 Yrs
(862) 249-4904
(973) 925-7770 Provider ID: 1144925 St. Joseph's Hospital Reg
Fax: (862) 249-4903
Fax: (973) 925-7772 Gender: Female Medical Center
00 Yrs/130 Yrs
00 Yrs/130 Yrs Ap Health LLC M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg
Medical Center Prime Health Services-St 1135 Clifton Ave Ste 203 PCMH: No
Marys Hospital
M-F 9:00 AM - 5:00 PM Clifton, NJ 07013
St. Joseph's Hospital Reg
PCMH: Yes, Level 3 Medical Center (862) 414-3335
M-F 9:00 AM - 5:00 PM Fax: (201) 583-1811
PCMH: No 00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 11:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 54
Updated: 11/26/2018

Primary Care Physicians


Passaic
Family Practice - cont. Shraytman, Arkadiy MD Soliman, Ishak MD Woo, James MD
Provider ID: 976841 Provider ID: 398356
Revoredo, Fred MD Provider ID: 1488539 Gender: Male Gender: Male
Gender: Male Immedi-Health & Wellness Wayne Medical Care Inc
Provider ID: 963528 High Mountain Health PA 201 Lower Notch Rd Ste 101 342 Hamburg Tpke Ste 101
Gender: Male 468 Parish Dr Ste 1 Little Falls, NJ 07424 Wayne, NJ 07470
425 15th Ave Ste 2 Wayne, NJ 07470 (973) 812-0600 (973) 942-4140
Paterson, NJ 07504 (973) 305-8300 Fax: (973) 777-8929 Fax: (973) 942-5070
(973) 345-4024 Fax: (973) 305-8157 17 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 673-3025 00 Yrs/130 Yrs Prime Health Services-St St. Joseph's Hospital Reg
00 Yrs/130 Yrs St. Joseph's Hospital Reg Marys Hospital Medical Center
Languages: Spanish Medical Center Languages: Spanish, Arabic Languages: Korean
MWTH 9:30 AM - 6:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM
TF 9:30 AM - 5:30 PM PCMH: No PCMH: No F 9:00 AM - 12:00 PM
PCMH: No PCMH: No
Shraytman, Arkadiy MD Tindoc, Lorelane MD
Riesenman, Joseph MD Yorio, David DO
Provider ID: 1488545 Provider ID: 633448 Provider ID: 1587530
Provider ID: 1643069 Gender: Male Gender: Female Gender: Male
Gender: Male High Mountain Health PA Lucila Medical PC Yorio Family Medicine
Skylands Medical Group, PA 721 Clifton Ave Ste 2A 780 Allwood Rd 220 Hamburg Tpke Ste 18B
5678 Berkshire Valley Rd Ste 1 Clifton, NJ 07013 Clifton, NJ 07012 Wayne, NJ 07470
Oak Ridge, NJ 74389 (973) 777-7727 (973) 249-6202 (973) 826-0068
(973) 697-0200 Fax: (973) 779-7906 Fax: (973) 249-6203 Fax: (973) 807-1886
Fax: (973) 697-6844 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs St. Joseph's Hospital Reg St. Joseph's Hospital Reg M 9:00 AM - 5:00 PM
Morristown Memorial Medical Center Medical Center TW 1:00 AM - 6:00 PM
Hospital M-F 9:00 AM - 5:00 PM Languages: Spanish, Filipino TH 9:00 AM - 3:00 PM
Saint Clares Hospital PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No
MW 9:00 AM - 9:00 PM PCMH: No
TF 9:00 AM - 8:00 PM Soliman, Ishak MD Yorio, David DO
TH 9:00 AM - 6:00 PM Provider ID: 456435 Vitale, Joseph MD Provider ID: 1723234
PCMH: Yes, Level 3 Gender: Male Provider ID: 967195 Gender: Male
Passaic Primary Care Gender: Male Yorio Family Medicine
Shraytman, Arkadiy MD Physicians W Paterson Family Center PA 220 Hamburg Turnpike
140 Passaic Ave Ste A 1031 McBride Ave Ste D109 Wayne, NJ 07470
Provider ID: 1488537 Passaic, NJ 07055 Woodland Park, NJ 07424 (973) 826-0068
Gender: Male (973) 777-8900 (973) 785-4020 Fax: (973) 807-1886
High Mountain Health PA Fax: (973) 777-8929 Fax: (973) 785-3186 00 Yrs/130 Yrs
246 Hamburg Tpke Ste 205 17 Yrs/130 Yrs 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Wayne, NJ 07470 St. Joseph's Hospital Reg St. Joseph's Hospital Reg Medical Center
(973) 389-1800 Medical Center Medical Center M-F 9:00 AM - 5:00 PM
Fax: (973) 305-8157 Languages: Spanish, Arabic Languages: Spanish PCMH: No
00 Yrs/130 Yrs MWTH 12:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg T 11:00 AM - 1:00 PM PCMH: No
Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM Wong, Irene MD
PCMH: No Provider ID: 1592574
Gender: Female
Atlantic Medical Group
650 Union Blvd Unit 16
Totowa, NJ 07512
(973) 938-5200
Fax: (973) 938-5191
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 55
Updated: 11/26/2018

Primary Care Physicians


Passaic
Family Practice - cont. Zaina, Samir MD Internal Medicine Abutabikh, Nael MD
Provider ID: 785816
Yussaf, Shiraz MD Gender: Male Abbasi, Tareef MD Provider ID: 451656
Provider ID: 1278836 NJ Medical Professional LLC Provider ID: 656189 Gender: Male
Gender: Male 1020 Main St Ste C Gender: Male Passaic Medical Center
Medical Associates of Paterson, NJ 07503 Abbasi Medical Group, LLC 362 Monroe St Fl 1
Englewood PC (862) 336-1200 1300 Main Ave Apt 2D Passaic, NJ 07055
1225 McBride Ave Ste 200 Fax: (862) 336-1202 Clifton, NJ 07011 (973) 777-3222
Little Falls, NJ 07424 00 Yrs/130 Yrs (973) 928-5500 Fax: (973) 777-3225
(973) 256-5557 St. Joseph's Hospital Reg Fax: (973) 928-5505 12 Yrs/130 Yrs
Fax: (973) 256-5036 Medical Center 12 Yrs/130 Yrs St. Joseph's Hospital Reg
00 Yrs/130 Yrs Languages: Russian, Arabic St. Joseph's Hospital Reg Medical Center
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Medical Center Languages: Arabic
Medical Center PCMH: No Languages: Arabic M-F 9:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 2:00 PM
PCMH: Yes, Level 3 General Practice PCMH: No PCMH: No
Yussaf, Shiraz MD Baquiran, Henry MD Abbassi, Sonja MD Abutabikh, Nael MD
Provider ID: 1278837 Provider ID: 1105048 Provider ID: 1722655
Gender: Male Gender: Male Gender: Female Provider ID: 451659
Medical Associates of Sovereign Medical Group Sonja Abbassi Gender: Male
Englewood PC 1900 Union Valley Rd 1618 Main Ave Passaic Medical Center
34 Main St Ste A Hewitt, NJ 07421 Clifton, NJ 07011 Sub Specialty: HIV/AIDS,
Bloomingdale, NJ 07403 (973) 728-5930 (973) 253-3400 Developmental Disabilities,
(973) 838-0714 Fax: (973) 728-0809 00 Yrs/130 Yrs Aged
Fax: (973) 838-7940 02 Yrs/130 Yrs St. Joseph's Hospital Reg 608 21st Ave Ste 2
00 Yrs/130 Yrs Newark Beth Israel Med Medical Center Paterson, NJ 07513
St. Joseph's Hospital Reg Center M-F 9:00 AM - 5:00 PM (973) 977-2266
Medical Center MTTH 9:00 AM - 6:00 PM PCMH: No Fax: (973) 977-2267
M-F 9:00 AM - 5:00 PM WF 9:00 AM - 5:00 PM 12 Yrs/130 Yrs
PCMH: No Sat 9:00 AM - 4:00 PM Abdalla, Majdi MD St. Joseph's Hospital Reg
PCMH: No Provider ID: 1564506 Medical Center
Zaina, Samir MD Gender: Male Languages: Arabic
Provider ID: 1276319 Sacristan, Carlos MD Cogent Healthcare of New M-F 10:00 AM - 2:00 PM
Gender: Male Provider ID: 940445 Jersey PC PCMH: No
NJ Medical Professional LLC Gender: Male 703 Main St
1020 Main St Ste C Carlos Sacristan MD LLC Paterson, NJ 07503 Afonja, Richards MD
Paterson, NJ 07503 17-19 Howe Ave Ste 17 (253) 341-6327 Provider ID: 1142080
(862) 336-1200 Passaic, NJ 07055 Fax: (253) 203-3505 Gender: Male
Fax: (862) 336-1202 (973) 473-4399 00 Yrs/130 Yrs Fastmed of NJ LLC
00 Yrs/130 Yrs Fax: (973) 473-4430 St. Joseph's Hospital Reg 476 Colfax Ave Ste 101
St. Joseph's Hospital Reg 12 Yrs/130 Yrs Medical Center Clifton, NJ 07013
Medical Center Prime Health Services-St M-F 9:00 AM - 5:00 PM (973) 594-7977
Languages: Russian, Arabic Marys Hospital PCMH: No Fax: (973) 925-2044
M-F 9:00 AM - 5:00 PM Languages: Spanish 12 Yrs/130 Yrs
PCMH: No M-F 9:00 AM - 5:00 PM Hoboken University Medical
PCMH: No Center
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 56
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Alday, Arnold MD Al-Shrouf, Amal MD Aqel, Mahmoud MD
Provider ID: 1432080 Provider ID: 1301589
Agarwal, Ashoke MD Gender: Male Gender: Female Provider ID: 1321277
Bhmg-United Medical Medical Associates of Gender: Male
Provider ID: 1265228 533 Lexington Ave Englewood, PC Medical Associates of
Gender: Male Clifton, NJ 07011 37 Crooks Ave Ste 43 Englewood, PC
MD Partners of Englewood (973) 546-6844 Paterson, NJ 07503 355 21st Ave Ste 1
Sub Specialty: Developmental Fax: (973) 546-7707 (973) 685-9922 Paterson, NJ 75013
Disabilities, Aged, HIV/AIDS 16 Yrs/130 Yrs Fax: (973) 685-9920 (973) 523-9090
680 Broadway Ste 116B Languages: Tagalog 00 Yrs/130 Yrs Fax: (973) 523-5222
Paterson, NJ 07514 M-F 8:00 AM - 5:00 PM St. Joseph's Hospital Reg 00 Yrs/130 Yrs
(973) 684-8617 Sat 8:00 AM - 12:00 PM Medical Center St. Joseph's Hospital Reg
Fax: (973) 523-6037 PCMH: Yes, Level 3 M-F 9:00 AM - 5:00 PM Medical Center
12 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Alfakir, Maria MD PCMH: No
Medical Center Provider ID: 946349 Al-Shrouf, Amal MD
M-F 9:00 AM - 5:00 PM Gender: Female Arnouk, Munzer MD
PCMH: No Medical Group of Northern Provider ID: 786560 Provider ID: 1696548
New Jerse Gender: Female Gender: Male
Agarwal, Ashoke MD Sub Specialty: Aged, Paterson Community Clinic St Josephs Healhcare Inc
Provider ID: 439344 Developmental Disabilities, 355 21st Ave Ste 1 502 Hamburg Turnpike Ste 108
Gender: Male HIV/AIDS Paterson, NJ 75013 Wayne, NJ 07470
Heart & Vascular Assoc. 378 Belmont Ave (973) 523-9090 (973) 942-5224
Sub Specialty: Aged, Haledon, NJ 07508 Fax: (973) 523-5222 00 Yrs/130 Yrs
Developmental Disabilities, (973) 925-4848 05 Yrs/130 Yrs St. Joseph's Hospital Reg
HIV/AIDS Fax: (973) 925-4851 St. Joseph's Hospital Reg Medical Center
680 Broadway Ste 116B 00 Yrs/130 Yrs Medical Center MTWTHFSatSun 9:00 AM -
Paterson, NJ 07514 St. Joseph's Hospital Reg Languages: Spanish, Arabic 5:00 PM
(973) 684-8617 Medical Center MWF 12:00 AM - 5:00 PM PCMH: No
Fax: (973) 523-6037 Languages: Spanish, Arabic TTH 10:00 AM - 3:00 PM
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Asokan, Rengaswamy MD
Languages: Hindi, Bengali PCMH: No
M-F 9:00 AM - 5:00 PM Aqel, Mahmoud MD Provider ID: 398121
PCMH: No Al-Shrouf, Amal MD Gender: Male
Provider ID: 1301588 Provider ID: 1321276 Hearts and Vascular
Ahmad, Fuad MD Gender: Female Gender: Male Associates of N
Provider ID: 430291 Medical Associates of Medical Associates of 183 Illinois Ave
Gender: Male Englewood, PC Englewood, PC Paterson, NJ 07503
191 Hamburg Tpke Ste 2 355 21st Ave Ste 1 37-43 Crooks Ave (973) 523-3400
Pompton Lakes, NJ 07442 Paterson, NJ 75013 Paterson, NJ 07503 Fax: (973) 523-8431
(973) 831-6557 (973) 523-9090 (973) 685-9922 12 Yrs/130 Yrs
Fax: (973) 831-6552 Fax: (973) 523-5222 Fax: (973) 685-9920 St. Joseph's Hospital Reg
18 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center
St. Joseph's Hospital Reg St. Joseph's Hospital Reg St. Joseph's Hospital Reg M-TH 9:00 AM - 5:00 PM
Medical Center Medical Center Medical Center F 9:00 AM - 12:00 PM
M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3
Sat 10:00 AM - 2:00 PM PCMH: No PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 57
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Banerjee, Indrani DO Bauer, Francis MD Bernstein, Stanley MD
Provider ID: 967095
Avancha, Amarnath MD Provider ID: 1643067 Gender: Male Provider ID: 1341711
Gender: Female New Jersey Medical and Gender: Male
Provider ID: 1264903 Atlantic Medical Group Health Assoc Atlantic Medical Group
Gender: Male 17 Wanaque Ave 1225 McBride Ave Ste 200 1055 Hamburg Tpke Ste 200
MD Partners of Englewood Pompton Lakes, NJ 07442 Little Falls, NJ 07424 Wayne, NJ 07470
Hospital (973) 617-1750 (973) 256-5557 (973) 248-1440
124 Gregory Ave Ste 101 Fax: (973) 617-1751 Fax: (973) 256-5036 Fax: (973) 248-1448
Passaic, NJ 07055 00 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs
(973) 777-1132 AHS Hospital St. Joseph's Hospital Reg AHS Hospital
Fax: (973) 458-9850 M-F 8:00 AM - 5:00 PM Medical Center MTH 8:30 AM - 5:00 PM
12 Yrs/130 Yrs PCMH: No M 9:30 AM - 6:00 PM TW 8:00 AM - 5:00 PM
St. Joseph's Hospital Reg T 1:00 AM - 6:00 PM F 9:00 AM - 3:00 PM
Medical Center Barrientos, Monica MD W 9:30 AM - 5:00 PM PCMH: No
Languages: Hindi Provider ID: 961860 TH 1:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM Gender: Female F 9:30 AM - 1:00 PM Bhuiyan, Shamsul MD
PCMH: No 48 Park Ave Ste 1 PCMH: Yes, Level 3
Paterson, NJ 07501 Provider ID: 1654392
Avancha, Amarnath MD (973) 782-4077 Bellardini, Angelo MD Gender: Male
Fax: (973) 782-4078 Beat Medical Care PLLC
Provider ID: 1467557 18 Yrs/100 Yrs Provider ID: 1244536 428 Union Ave
Gender: Male Palisades Medical Center Gender: Male Paterson, NJ 07502
Medical Associates of M-F 9:00 AM - 5:00 PM Medical Associates of (973) 553-1904
Englewood,PC PCMH: No Englewood PC Fax: (917) 722-0426
37-43 Crooks Ave 1225 McBride Ave Ste 200 00 Yrs/130 Yrs
Paterson, NJ 07503 Bauer, Francis MD Woodland Park, NJ 07424 Holy Name Medical Center
(973) 685-9922 Provider ID: 1277773 (973) 256-5557 St. Joseph's Hospital Reg
Fax: (973) 685-9920 Gender: Male Fax: (973) 256-5036 Medical Center
12 Yrs/130 Yrs Medical Associates of 00 Yrs/130 Yrs M-F 6:00 AM - 9:00 PM
St. Joseph's Hospital Reg Englewood PC Englewood Hospital and Sat 12:00 AM - 3:00 PM
Medical Center 1225 McBride Ave Ste 200 Medical Center PCMH: No
Languages: Hindi Woodland Park, NJ 07424 St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM (973) 256-5557 Medical Center Bleeker, David MD
PCMH: No Fax: (973) 256-5036 M-F 9:00 AM - 5:00 PM Provider ID: 967059
00 Yrs/130 Yrs PCMH: Yes, Level 3 Gender: Male
Balboul, Elsaid MD St. Joseph's Hospital Reg St Josephs Healthcare Inc
Provider ID: 461272 Berkel, Reyhan MD
Medical Center 11 Getty Ave Bldg Ste 275, Fl 2
Gender: Male M-F 9:00 AM - 5:00 PM Paterson, NJ 07501
Elsaid A Balboul MD PA PCMH: Yes, Level 3 Provider ID: 923583 (973) 754-4200
508 Hamburg Tpke Ste 201 Gender: Female Fax: (973) 754-4201
Wayne, NJ 07470 NJ Independent Internal 12 Yrs/130 Yrs
(973) 942-1340 Medicine PC St. Joseph's Hospital Reg
Fax: (973) 942-1360 1300 Main Ave Ste 2A Medical Center
12 Yrs/130 Yrs Clifton, NJ 07011 M-TH 9:00 AM - 5:00 PM
AHS Hospital (973) 340-0160 PCMH: No
Languages: Spanish, French, Fax: (201) 270-5112
Arabic 18 Yrs/130 Yrs
M 12:00 AM - 7:00 PM Prime Health Services-St
T 9:30 AM - 1:00 PM Marys Hospital
W 9:30 AM - 12:00 PM MTWTHFSat 9:00 AM - 5:00
TH 9:30 AM - 5:00 PM PM
F 10:00 AM - 4:00 PM PCMH: No
Sat 10:00 AM - 1:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 58
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Chatterjee, Deelip MD Cho, Soung MD Cronin, Stephen MD
Provider ID: 1267934 Provider ID: 901315
Bollu, Janardhan MD Provider ID: 632609 Gender: Male Gender: Male
Provider ID: 404385 Gender: Male Medical Associates of Stephen R Cronin MD
Gender: Male Med Solutions, LLC Englewood PC 625 Broadway Ste 1
32 Hine St Ste 10 680 Broadway Ste 506 680 Broadway Ste 116B Paterson, NJ 07514
Paterson, NJ 07503 Paterson, NJ 07514 Paterson, NJ 07514 (973) 278-1100
(973) 754-9600 (973) 977-2250 (973) 684-8617 Fax: (973) 278-1646
Fax: (973) 754-9700 Fax: (201) 956-0397 Fax: (973) 523-6037 16 Yrs/130 Yrs
00 Yrs/130 Yrs 12 Yrs/130 Yrs 12 Yrs/130 Yrs Prime Health Services-St
St. Joseph's Hospital Reg Languages: Spanish, Hindi Christ Hospital Marys Hospital
Medical Center M-F 9:00 AM - 5:00 PM Englewood Hospital and M 1:00 AM - 6:00 PM
Surgicare Surgical Assoc of PCMH: No Medical Center T 9:00 AM - 5:00 PM
Wayne LLC M-F 9:00 AM - 5:00 PM W 9:00 AM - 12:00 PM
MT 8:30 AM - 5:00 PM Chennapragada, Kausalya MD PCMH: No TH 9:00 AM - 2:00 PM
WTHSat 8:00 AM - 1:00 PM F 9:00 AM - 1:00 PM
F 8:30 AM - 4:00 PM Chowdhury, Shamima MD PCMH: No
Provider ID: 1198037
PCMH: No Gender: Female
Surya Health Care LLC Provider ID: 1607967 Das, Dhirendra MD
Boxer, Andrew MD Gender: Female Provider ID: 1456709
1031 McBride Ave Ste D208
Provider ID: 967890 Medical Associates of Gender: Male
Woodland Park, NJ 07424
Gender: Male Englewood, PC Medical Associates of
(973) 790-3111
Gastroenterology Associates 680 Broadway Ste 116A Englewood PC
Fax: (973) 272-1123
of New Paterson, NJ 07514 342 Hamburg Tpke Ste 208
05 Yrs/130 Yrs
1011 Clifton Ave Ste 1 (973) 684-3663 Wayne, NJ 07470
St. Joseph's Hospital Reg
Clifton, NJ 07013 Fax: (973) 684-0054 (973) 790-5357
Medical Center
(973) 471-8200 00 Yrs/130 Yrs Fax: (973) 790-0007
M-F 9:00 AM - 5:00 PM
Fax: (973) 471-3032 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No
00 Yrs/130 Yrs PCMH: No Englewood Hospital and
Bayonne Medical Center Chennapragada, Kausalya Medical Center
Prime Health Services-St Cooper, Harvey MD Newark Beth Israel Med
Marys Hospital Provider ID: 1603786 Center
M-F 9:00 AM - 5:00 PM Provider ID: 1242367 St. Joseph's Hospital Reg
Gender: Male
PCMH: No Gender: Female Medical Center
St Joseph Healthcare Inc
St. Joseph's Healthcare Inc M-F 9:00 AM - 5:00 PM
220 Hamburg Tpke Ste 3
Cecere, Antoinette MD 1031 McBride Park Ste D208 PCMH: No
Wayne, NJ 07470
Woodland Park, NJ 07424
(973) 942-0040
Provider ID: 398151 (973) 790-3111 De LA Cruz, Angel MD
Fax: (973) 942-4741
Gender: Female Fax: (973) 272-1123 Provider ID: 707518
00 Yrs/130 Yrs
IPA of North Jersey 12 Yrs/130 Yrs Gender: Male
St. Joseph's Hospital Reg
1195 Clifton Ave St. Joseph's Hospital Reg A and S General Physcian, LLC
Medical Center
Medical Center Sub Specialty: HIV/AIDs
Clifton, NJ 07013 M-F 9:00 AM - 5:00 PM
MTWTHFSat 9:00 AM - 5:00 1137 Main Ave Ste 1
(973) 471-4004 PCMH: No
PM Clifton, NJ 70112
Fax: (973) 471-1180 PCMH: No (973) 773-0303
00 Yrs/130 Yrs Costello Jr, Robert MD
St. Joseph's Hospital Reg Provider ID: 1224375 Fax: (973) 773-0004
Medical Center Gender: Male 12 Yrs/130 Yrs
M 1:00 AM - 6:30 PM Roberto Costello MD LLC St. Joseph's Hospital Reg
T 10:00 AM - 5:00 PM 220 Hamburg Tpke Ste 8 Medical Center
W 10:30 AM - 4:00 PM Wayne, NJ 07470 Languages: Spanish
TH 10:00 AM - 3:00 PM (973) 942-5230 M-F 8:00 AM - 5:00 PM
PCMH: No Fax: (973) 942-6652 PCMH: Yes, Level 2
12 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 59
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Ferraro, Lisa MD Finkel, Diana DO Grossman, Matthew MD
Provider ID: 398184 Provider ID: 1369636
Desueza, Juan MD Gender: Female Gender: Female Provider ID: 1591607
Provider ID: 479389 IPA of North Jersey Inc Horizon Health Center Gender: Male
Gender: Male 414 Broadway 975 Clifton Ave Ste 2 St Josephs Healthcare Inc
Centro Medico Paterson, NJ 07501 Clifton, NJ 07013 703 Main St
Iberoamericano (973) 742-1761 (973) 778-8666 Paterson, NJ 07503
416 Park Ave Fax: (973) 742-2033 Fax: (973) 778-7559 (973) 569-6118
Paterson, NJ 07504 00 Yrs/130 Yrs 18 Yrs/110 Yrs Fax: (973) 754-4533
(973) 684-8138 St. Joseph's Hospital Reg Prime Health Services-St 00 Yrs/130 Yrs
Fax: (973) 684-0032 Medical Center Marys Hospital St. Joseph's Hospital Reg
12 Yrs/130 Yrs Languages: Spanish, Italian St. Joseph's Hospital Reg Medical Center
St. Joseph's Hospital Reg M-TH 9:00 AM - 5:00 PM Medical Center M-F 9:00 AM - 5:00 PM
Medical Center F 9:00 AM - 12:00 PM Languages: Spanish, Russian PCMH: No
Languages: Spanish PCMH: No M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 6:00 PM PCMH: No Grossman, Matthew MD
Sat 9:00 AM - 2:00 PM Figueroa, Nilka MD
PCMH: No Provider ID: 1603084 Gold, Jeffrey MD Provider ID: 1591608
Gender: Female Provider ID: 1488542 Gender: Male
Di Giorgio, Christopher MD St Josephs Healthcare Inc Gender: Male St Josephs Healthcare Inc
11 Getty Ave Bldg 275 2nd Fl High Mountain Health PA 224 Hamburg Tpke
Provider ID: 1328482 Paterson, NJ 07503 468 Parish Dr Ste 1 Wayne, NJ 07470
Gender: Male (973) 754-4701 Wayne, NJ 07470 (973) 569-6118
Medical Assoc of Englewood Fax: (973) 754-4740 (973) 305-8300 Fax: (973) 754-4533
PC 00 Yrs/130 Yrs Fax: (973) 305-8157 00 Yrs/130 Yrs
1033 US Hwy 46 Ste G1 St. Joseph's Hospital Reg 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Clifton, NJ 07013 Medical Center St. Joseph's Hospital Reg Medical Center
(973) 777-3711 M-F 9:00 AM - 5:00 PM Medical Center M-F 9:00 AM - 5:00 PM
Fax: (973) 472-3938 PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No
00 Yrs/130 Yrs PCMH: No
Englewood Hospital and Figueroa, Nilka MD Gundavaram, Pawan MD
Medical Center Provider ID: 1603085 Goodman, Paul MD
M-F 9:00 AM - 5:00 PM Gender: Female Provider ID: 557525 Provider ID: 1164522
PCMH: No St Josephs Healthcare Inc Gender: Male Gender: Male
703 Main St Paul E Goodman MD Fastmed of NJ LLC
Fazio, Ignazio MD Paterson, NJ 07503 220 Hamburg Tpke Ste 18B 476 Colfax Ave Fl 1
Provider ID: 1169996 (973) 754-2000 Wayne, NJ 07470 Clifton, NJ 70131
Gender: Male Fax: (973) 754-4740 (973) 826-0068 (973) 594-7977
St. Joseph's Healthcare Inc 00 Yrs/130 Yrs Fax: (973) 807-1886 Fax: (973) 594-9983
Sub Specialty: Aged, St. Joseph's Hospital Reg 12 Yrs/130 Yrs 12 Yrs/130 Yrs
Developmental Disabilities, Medical Center St. Joseph's Hospital Reg St. Joseph's Hospital Reg
HIV/AIDS M-F 9:00 AM - 5:00 PM Medical Center Medical Center
11 Getty Ave Bldg 275 2nd Fl PCMH: No M 9:00 AM - 5:00 PM MTWTHFSat 8:00 AM - 6:00
Paterson, NJ 07501 TW 1:00 AM - 6:00 PM PM
(973) 754-2528 TH 9:00 AM - 3:00 PM Sun 8:00 AM - 4:00 PM
00 Yrs/130 Yrs PCMH: No PCMH: No
Newark Beth Israel Med
Center
St. Joseph's Hospital Reg
Medical Center
MTWTHFSatSun 9:00 AM -
5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 60
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Gupta, Ajay MD Habib, Michael MD Hamadeh, Randa MD
Provider ID: 1120608 Provider ID: 1133255
Gundavaram, Pawan MD Gender: Male Gender: Male Provider ID: 1429498
New Jersey Medical and Mh Medical Center LLC Gender: Female
Provider ID: 1201379 Health Assoc Sub Specialty: Developmental Bhmg - United Medical
Gender: Male 50 Mount Prospect Ave Ste Disabilities, Aged, HIV/AIDS 533 Lexington Ave
Fastmed of NJ LLC 101 680 Broadway Ste 503 Clifton, NJ 07011
476 Colfax Ave Fl 1 Clifton, NJ 07013 Paterson, NJ 07514 (973) 546-6844
Clifton, NJ 70131 (973) 779-8887 (973) 653-5867 Fax: (973) 546-7707
(973) 594-7977 Fax: (973) 595-5069 Fax: (973) 653-5868 00 Yrs/130 Yrs
Fax: (973) 594-9983 12 Yrs/130 Yrs 12 Yrs/130 Yrs Jersey City Medical Center
12 Yrs/130 Yrs Newark Beth Israel Med Prime Health Services-St St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Center Marys Hospital Medical Center
Medical Center Prime Health Services-St Saint Peter's University Languages: French, Arabic
Marys Hospital Hospital M-F 9:00 AM - 5:00 PM
MTWTHFSat 8:00 AM - 6:00 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
PM PCMH: No
Medical Center Medical Center
Sun 8:00 AM - 4:00 PM Languages: Hindi M-F 9:00 AM - 5:00 PM Hassanien, Gammal DO
PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No
Gupta, Ajay MD PCMH: No
Hafez, Nagwa MD Provider ID: 690378
Provider ID: 1120596 Gupta, Ajay MD Gender: Male
Provider ID: 967164
Gender: Male 91 Main St Fl 1
Provider ID: 1456716 Gender: Female
New Jersey Medical and Paterson, NJ 07505
Gender: Male Advanced Geriatrics Inc
Health Assoc (973) 523-4000
Medical Associates of Sub Specialty: HIV/AIDs
401 Hamburg Tpke Ste 109 Fax: (973) 689-3081
Englewood PC 246 Hamburg Tpke Ste 208
Wayne, NJ 07470 05 Yrs/130 Yrs
401 Hamburg Tpke Ste 109 Wayne, NJ 07470
(973) 779-8887 St. Joseph's Hospital Reg
Wayne, NJ 07470 (973) 790-3433
Fax: (973) 595-5069 Medical Center
(973) 779-8887 Fax: (973) 790-0433
12 Yrs/130 Yrs Languages: Arabic
Fax: (973) 595-5069 12 Yrs/130 Yrs
Newark Beth Israel Med M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs St. Joseph's Hospital Reg
Center PCMH: No
Prime Health Services-St Newark Beth Israel Med Medical Center
Marys Hospital Center M-F 9:00 AM - 5:00 PM
Prime Health Services-St Hassanien, Gammal DO
St. Joseph's Hospital Reg PCMH: No
Medical Center Marys Hospital
St. Joseph's Hospital Reg Hajjar, Bassam MD Provider ID: 690378
Languages: Hindi Medical Center Gender: Male
M-F 9:00 AM - 5:00 PM Provider ID: 992653
M-F 9:00 AM - 5:00 PM G and S Medical Associates
PCMH: No Gender: Male
PCMH: No LLC
Carepoint Gastroenterology
Center P 335 Passaic St Fl 1
Gupta, Manju MD Passaic, NJ 70555
1300 Main Ave Ste 1B
Provider ID: 620434 (973) 779-5554
Clifton, NJ 07011
Gender: Female Fax: (973) 779-1990
(973) 689-6700
Manju Gupta MD 05 Yrs/130 Yrs
Fax: (973) 689-6582
332 Lafayette Ave Fl 1 St. Joseph's Hospital Reg
16 Yrs/130 Yrs
Hawthorne, NJ 07506 Medical Center
St. Joseph's Hospital Reg
(973) 423-0145 Medical Center Languages: Arabic
Fax: (973) 423-0667 Surgicare Surgical Assoc of M-F 9:00 AM - 6:00 PM
00 Yrs/130 Yrs Wayne LLC Sat-Sun 9:00 AM - 2:00 PM
St. Joseph's Hospital Reg Languages: Spanish, French, PCMH: No
Medical Center Arabic
Languages: Hindi MTTHF 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM W 9:00 AM - 5:30 PM
PCMH: No Sat 9:00 AM - 2:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 61
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Ismail, Medhat MD Karadsheh, Tawfiq MD Kopelan, Leah MD
Provider ID: 1526755 Provider ID: 1603761
Hazzah, Marwa MD Provider ID: 848532 Gender: Male Gender: Male
Gender: Male Cogent Healthcare of New St Joseph Healthcare Inc
Provider ID: 1436468 246 Hamburg Tpke Ste 208 Jersey PC 11 Getty Ave Bldg 275 2nd Fl
Gender: Female Wayne, NJ 07470 703 Main St Paterson, NJ 07503
Bhmg - United Medical (973) 790-3433 Paterson, NJ 07503 (973) 754-4200
533 Lexington Ave Fax: (973) 790-0433 (973) 754-2000 Fax: (973) 754-4201
Clifton, NJ 07011 12 Yrs/130 Yrs Fax: (253) 203-3505 00 Yrs/130 Yrs
(973) 546-6844 St. Joseph's Hospital Reg 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Fax: (973) 546-7707 Medical Center St. Joseph's Hospital Reg Medical Center
16 Yrs/130 Yrs Languages: Arabic Medical Center M-F 9:00 AM - 5:00 PM
Saint Barnabas Medical MF 2:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
Center Livingston T 1:30 AM - 6:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM W 3:00 AM - 6:30 PM Kumar, Anand MD
PCMH: Yes, Level 3 TH 11:00 AM - 3:30 PM Khaddash, Saleh MD Provider ID: 398230
PCMH: No Gender: Male
Hossain, Shahreen MD Provider ID: 455128 St Josephs Healthcare Inc
Provider ID: 1337859 Ismail, Mourad MD Gender: Male 11 Getty Ave Bldg Ste 275, Fl 2
Gender: Female Saleh T Khaddash Paterson, NJ 07501
St Josephs Healthcare Inc Provider ID: 1072221 969 Paulison Ave Fl 1 (973) 754-4200
11 Getty Ave Bldg 275 2nd Fl Gender: Male Clifton, NJ 07011 Fax: (973) 754-4201
Paterson, NJ 07503 St. Joseph's Healthcare Inc (973) 546-3355 00 Yrs/130 Yrs
(973) 754-4200 Sub Specialty: HIV/AIDS, Fax: (973) 546-8501 St. Joseph's Hospital Reg
Fax: (973) 754-4201 Developmental Disabilities, 18 Yrs/130 Yrs Medical Center
00 Yrs/130 Yrs Aged St. Joseph's Hospital Reg Languages: Hindi, Tamil
St. Joseph's Hospital Reg 703 Main St Medical Center M-TH 9:00 AM - 5:00 PM
Medical Center Paterson, NJ 07503 Languages: Spanish, Arabic, PCMH: No
M-F 9:00 AM - 5:00 PM (201) 468-3158 Polish
PCMH: No 00 Yrs/130 Yrs MT 1:00 AM - 6:00 PM Kumar, Anand MD
St. Joseph's Hospital Reg W 10:00 AM - 4:00 PM Provider ID: 967203
Hossain, Shahreen MD Medical Center TH 12:00 AM - 6:00 PM Gender: Male
Provider ID: 1337863 MTWTHFSatSun 9:00 AM - F 2:00 AM - 6:00 PM Family Health Center
Gender: Female 5:00 PM PCMH: No 21 Market St
St Josephs Healthcare Inc PCMH: No Paterson, NJ 07501
703 Main St Khalil, Chaza MD (973) 754-4200
Paterson, NJ 07503 Kahf, Amr MD Fax: (973) 754-4201
(973) 754-4200 Provider ID: 541741 Provider ID: 1557329 12 Yrs/130 Yrs
Fax: (973) 754-4201 Gender: Male Gender: Female St. Joseph's Hospital Reg
00 Yrs/130 Yrs Medical Group of North Atlantic Medical Group Medical Center
St. Joseph's Hospital Reg Jersey LLC 1055 Hamburg Tpke Ste 200 Languages: Spanish, Tamil
Medical Center 401 Haledon Ave Ste 2 Wayne, NJ 07470 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Haledon, NJ 07508 (973) 248-1440 PCMH: No
PCMH: No (973) 942-3767 Fax: (973) 248-1448
Fax: (973) 942-1027 18 Yrs/130 Yrs Lahita, Robert MD
12 Yrs/130 Yrs AHS Hospital Provider ID: 1591605
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Gender: Male
Medical Center PCMH: No St Josephs Healthcare Inc
M-F 9:00 AM - 5:00 PM 11 Getty Ave Bldg 275 2nd Fl
PCMH: No Paterson, NJ 07503
(973) 754-2270
Fax: (973) 754-4392
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 62
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Llacuna, Florencio MD Luna, Luis MD Mallouhi, Samuel MD
Provider ID: 521937 Provider ID: 651093
Lashin, Waleed MD Gender: Male Gender: Male Provider ID: 150345
Florencio Llacuna,MD 34A Mill St Gender: Male
Provider ID: 474376 1100 Clifton Ave Ste 1 Paterson, NJ 07501 Primary Care Medical Practice
Gender: Male Clifton, NJ 07013 (973) 341-3782 1031 McBride Ave Ste D205
Internal Medicine and (973) 594-8444 Fax: (973) 341-3783 West Paterson, NJ 07424
Geriatrics Pr Fax: (973) 773-4491 18 Yrs/130 Yrs (973) 237-9055
1414 Main Ave Ste B 12 Yrs/130 Yrs St. Joseph's Hospital Reg Fax: (973) 237-9053
Clifton, NJ 07011 Languages: Polish, Tagalog Medical Center 12 Yrs/130 Yrs
(973) 253-6000 M-F 9:00 AM - 5:00 PM Languages: Spanish Languages: Arabic
Fax: (973) 253-6009 PCMH: No M-F 9:00 AM - 7:00 PM M-W 10:00 AM - 5:00 PM
12 Yrs/130 Yrs Sat 10:00 AM - 5:00 PM TH 10:00 AM - 7:00 PM
St. Joseph's Hospital Reg Loughlin, Bruce DO PCMH: No F 9:00 AM - 4:00 PM
Medical Center PCMH: No
Languages: Arabic Provider ID: 1282657 Mainero, Michael MD
MTTH 10:00 AM - 5:00 PM Gender: Male Provider ID: 398249 Manickam, Rajapriya MD
W 3:00 AM - 8:00 PM Atlantic Medical Group Gender: Male
FSat 9:00 AM - 1:00 PM 1055 Hamburg Tpke Ste 300 Gastroenterology Associates Provider ID: 1696603
PCMH: No Wayne, NJ 07470 of NJ Gender: Female
(973) 904-1177 205 Browertown Rd Ste 102 St Josephs Healhcare Inc
Liu, Mingkong MD Fax: (973) 904-1166 Woodland Park, NJ 07424 703 Main St
Provider ID: 1136711 18 Yrs/130 Yrs (973) 890-4780 Paterson, NJ 07503
Gender: Male MTTH 7:30 AM - 4:00 PM Fax: (973) 890-1097 (973) 754-5475
Medical Associates of W 11:30 AM - 7:30 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Englewood PC F 8:00 AM - 12:00 PM St. Joseph's Hospital Reg St. Joseph's Hospital Reg
37 43 Crooks Ave PCMH: No Medical Center Medical Center
Paterson, NJ 07503 Languages: Spanish MTWTHFSatSun 9:00 AM -
(973) 523-9090 Lubansky, Kenneth MD M-F 9:00 AM - 5:00 PM 5:00 PM
Fax: (973) 523-5222 PCMH: No PCMH: No
18 Yrs/130 Yrs Provider ID: 1228920
Englewood Hospital and Mainero, Michael MD Manickam, Rajapriya MD
Gender: Male
Medical Center Provider ID: 398249
Atlantic Medical Group
Languages: Hindi Gender: Male Provider ID: 1696604
2025 Hamburg Tpke Ste D
M-F 9:00 AM - 5:00 PM IPA of North Jersey Inc Gender: Female
Wayne, NJ 07470
PCMH: No 871 Allwood Rd St Josephs Healhcare Inc
(973) 839-5070
Clifton, NJ 07012 11 Getty Ave Bldg 275 2nd Fl
Fax: (973) 839-0084
Liu, Ying MD (973) 785-0102
12 Yrs/130 Yrs Paterson, NJ 07503
Provider ID: 1072225 Fax: (973) 785-2205 (973) 754-2727
AHS Hospital
Gender: Female 00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 4:30 PM
St. Joseph's Healthcare Inc St. Joseph's Hospital Reg St. Joseph's Hospital Reg
PCMH: No
Sub Specialty: Aged, HIV/ Medical Center Medical Center
AIDS, Developmental Luna, Luis MD Languages: Spanish MTWTHFSatSun 9:00 AM -
Disabilities M-TH 9:00 AM - 5:00 PM 5:00 PM
Provider ID: 1092946
220 Hamburg Tpke Ste 3 F 9:00 AM - 12:00 PM PCMH: No
Gender: Male
Wayne, NJ 07470 PCMH: No
185 6th Ave Ste 1
(973) 942-0040
Paterson, NJ 07524
Fax: (973) 956-3786
(973) 782-5550
00 Yrs/130 Yrs
Fax: (973) 782-5548
St. Joseph's Hospital Reg
Medical Center 18 Yrs/130 Yrs
MTWTHFSatSun 9:00 AM - St. Joseph's Hospital Reg
5:00 PM Medical Center
PCMH: No Languages: Spanish
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 3:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 63
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Marton, Lewis MD Natelli, Anthony MD Nwosu-Nelson, Joel MD
Provider ID: 1241344 Provider ID: 398269
Marani Dicovskiy, Marcela MD Gender: Male Gender: Male Provider ID: 483170
St Josephs Healthcare Inc IPA of North Jersey Inc Gender: Male
Provider ID: 398251 11 Getty Ave Bldg 275 2nd Fl 2035 Hamburg Tpke Ste A Joel E Nwosu-Nelson MD
Gender: Female Paterson, NJ 07503 Wayne, NJ 07470 1033 Rte 46 Ste A205
681 Broadway (973) 754-4701 (973) 835-2844 Clifton, NJ 07013
Paterson, NJ 07514 Fax: (973) 754-4740 Fax: (973) 835-6955 (973) 910-8400
(973) 278-1000 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (973) 894-3232
Fax: (973) 278-1709 St. Joseph's Hospital Reg St. Joseph's Hospital Reg 12 Yrs/130 Yrs
00 Yrs/130 Yrs Medical Center Medical Center Languages: Spanish
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Languages: Italian M 9:00 AM - 6:00 PM
Medical Center PCMH: No M-TH 9:00 AM - 5:00 PM T 9:00 AM - 5:00 PM
Languages: Spanish F 9:00 AM - 12:00 PM WF 10:00 AM - 6:00 PM
MTH 9:00 AM - 8:00 PM Morecraft, John MD PCMH: No TH 2:00 AM - 8:00 PM
TWF 9:00 AM - 7:00 PM PCMH: No
Sat 9:00 AM - 4:00 PM Provider ID: 976818 Neilan, Martin MD
PCMH: No Gender: Male Provider ID: 539670 Odorczuk, Marzena MD
Sjrmc Gender: Male
Maron, Edward MD 703 Main St 516 Hamburg Tpke Ste 13 Provider ID: 557531
Provider ID: 819276 Paterson, NJ 07503 Wayne, NJ 07470 Gender: Female
Gender: Male (973) 754-2222 (973) 790-8585 Internal Medicine of Totowa
Paterson Community Health Fax: (973) 754-2249 Fax: (973) 790-1105 LLC
Center In 02 Yrs/130 Yrs 00 Yrs/130 Yrs 426 Union Blvd
32 Clinton St Newton Medical Center Newark Beth Israel Med Totowa, NJ 07512
Paterson, NJ 07522 M-F 9:00 AM - 5:00 PM Center (973) 595-8400
(973) 790-6594 PCMH: No M-F 9:00 AM - 5:00 PM Fax: (973) 595-8501
12 Yrs/130 Yrs PCMH: No 12 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Murillo, Narcisa MD Languages: Polish
PCMH: No Provider ID: 464281 Nil, Pudchong MD M-F 9:00 AM - 5:00 PM
Gender: Female Provider ID: 449702 PCMH: No
Maron, Edward MD N Murillo Complete Medical Gender: Male
Provider ID: 989470 Cn 561 E 28th St Okoye, Frederick MD
Gender: Male Sub Specialty: Developmental Paterson, NJ 07504
Paterson Community Health Disabilities, HIV/AIDS, Aged (973) 278-4673 Provider ID: 398274
Center I 463 Clifton Ave Ste 1 Fax: (973) 278-0450 Gender: Male
227 Broadway Clifton, NJ 07011 12 Yrs/130 Yrs IPA of North Jersey Inc
Paterson, NJ 07501 (973) 546-2400 St. Joseph's Hospital Reg 642 Broad St Ste 1
(973) 790-6594 Fax: (973) 546-2441 Medical Center Clifton, NJ 07013
Fax: (973) 389-2197 12 Yrs/130 Yrs Languages: Thai (973) 249-1855
12 Yrs/130 Yrs St. Joseph's Hospital Reg M-TH 9:00 AM - 5:00 PM Fax: (973) 249-1856
M-F 9:00 AM - 5:00 PM Medical Center F 9:00 AM - 3:00 PM 12 Yrs/130 Yrs
PCMH: No Languages: Spanish PCMH: No St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM Medical Center
Marton, Lewis MD PCMH: No MTTHF 9:00 AM - 5:00 PM
Provider ID: 1241344 WSat 8:30 AM - 1:30 PM
Gender: Male PCMH: No
703 Main St Ste 619
Paterson, NJ 07503
(973) 754-3213
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 64
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Panah, Manizheh MD Pichardo, Nelson MD Qipo, Andi MD
Provider ID: 398279 Provider ID: 1553206
Onat, Nermi MD Gender: Female Provider ID: 1539522 Gender: Male
Provider ID: 398277 IPA of North Jersey Inc Gender: Male Medical Associates of
Gender: Male 516 Hamburg Tpke Ste 11 Integral Healthcare Englewood, PC
Nermi Onat MD Primary Care Wayne, NJ 07470 147 Hamilton Ave 871 Allwood Rd
Partners (973) 790-0006 Passaic, NJ 07055 Clifton, NJ 07012
239 Lakeview Ave Fax: (973) 790-0450 (973) 594-0808 (862) 249-4904
Clifton, NJ 07011 00 Yrs/130 Yrs Fax: (973) 594-0508 Fax: (862) 249-4903
(973) 253-9666 St. Joseph's Hospital Reg 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (973) 253-0088 Medical Center Languages: Spanish St. Joseph's Hospital Reg
12 Yrs/130 Yrs M-TH 9:00 AM - 5:00 PM MTWTHFSat 9:00 AM - 6:00 Medical Center
St. Joseph's Hospital Reg F 9:00 AM - 12:00 PM PM Languages: Italian, Albanian
Medical Center PCMH: No Sun 9:00 AM - 2:00 PM M-F 8:00 AM - 4:00 PM
Languages: Turkish PCMH: No PCMH: No
MTHF 10:00 AM - 5:00 PM Park, Byong MD
T 11:00 AM - 5:00 PM Provider ID: 1429508 Platt, Robert MD Rabbat, Mohamed MD
W 1:00 AM - 5:00 PM Gender: Male Provider ID: 797682 Provider ID: 976836
Sat 10:00 AM - 1:00 PM Bhmg - United Medical Gender: Male Gender: Male
PCMH: No 533 Lexington Ave Comprehensive Healthcare of 703 Main St Ste 619
Clifton, NJ 07011 New Jer Paterson, NJ 07503
O'Neal, Issac MD (973) 546-6844 1485 Union Valley Rd Ste D (973) 754-3213
Provider ID: 1475263 Fax: (973) 546-7707 West Milford, NJ 07480 02 Yrs/130 Yrs
Gender: Male 16 Yrs/130 Yrs (973) 728-1880 St. Joseph's Hospital Reg
Paterson Community Health Jersey City Medical Center Fax: (973) 728-1559 Medical Center
Center Prime Health Services-St 00 Yrs/130 Yrs Languages: Arabic
227 Broadway Marys Hospital AHS Hospital M-F 9:00 AM - 5:00 PM
Paterson, NJ 07501 Saint Barnabas Medical M-F 9:00 AM - 5:00 PM PCMH: No
(973) 278-2600 Center Livingston PCMH: No
Fax: (973) 483-3787 Languages: Korean Rabbat, Mohamed MD
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Prakash, Atul MD
Newark Beth Israel Med PCMH: No Provider ID: 1343234 Provider ID: 976836
Center Gender: Male Gender: Male
M-F 9:00 AM - 5:00 PM Pensabeni Jasper, Tiziana MD
Cardiac Arrhythmia Specialists St Josephs Healthcare Inc
Sat 9:00 AM - 3:00 PM PC 11 Getty Ave Bldg Ste 275, Fl 2
PCMH: No Provider ID: 1720275 905 Allwood Rd Ste 103 Paterson, NJ 07501
Gender: Female Clifton, NJ 07012 (973) 754-4200
Onyeador, Beatrice MD Medical Associates of (973) 253-8600 Fax: (973) 754-4201
Englewood, PC Fax: (973) 340-1518 02 Yrs/130 Yrs
Provider ID: 489794 179 Cahill Cross Rd 18 Yrs/110 Yrs St. Joseph's Hospital Reg
Gender: Female West Milford, NJ 07480 Prime Health Services-St Medical Center
Freedom Medical Clinic Inc (973) 728-1880 Marys Hospital Languages: Arabic
304 Lakeview Ave Ste B Fax: (973) 728-1559 St. Joseph's Hospital Reg M-TH 9:00 AM - 5:00 PM
Clifton, NJ 07011 00 Yrs/130 Yrs Medical Center PCMH: No
(973) 478-8600 Prime Health Services-St Languages: Spanish
Fax: (973) 340-2110 Marys Hospital M 8:00 AM - 1:00 PM Rabbat, Mohamed MD
16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM T 2:00 AM - 7:00 PM Provider ID: 976839
Prime Health Services-St PCMH: No W 2:00 AM - 6:30 PM Gender: Male
Marys Hospital PCMH: No 703 Main St Ste 619
MF 12:00 AM - 3:00 PM Paterson, NJ 07503
T 1:00 AM - 4:00 PM (973) 754-3213
W 11:00 AM - 7:00 PM 12 Yrs/130 Yrs
TH 3:00 AM - 7:00 PM St. Joseph's Hospital Reg
PCMH: No Medical Center
Languages: Arabic
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 65
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Rizvi, Syed MD Sanchez-Pena, Jose MD Schwarz, Michael MD
Provider ID: 295574
Rabbat, Mohamed MD Gender: Male Provider ID: 967909 Provider ID: 760997
383 Clifton Ave Gender: Male Gender: Male
Provider ID: 976839 Clifton, NJ 07011 Integrated Medical Services 1135 Broad St Ste 205
Gender: Male (973) 546-3024 PC Clifton, NJ 07013
Sjrmc Fax: (973) 546-4046 583 Broadway Fl 2 (973) 471-8850
57 Willowbrook Blvd Ste 303 12 Yrs/130 Yrs Paterson, NJ 07514 Fax: (973) 471-8850
Wayne, NJ 07470 Prime Health Services-St (973) 278-8818 12 Yrs/130 Yrs
(973) 754-4060 Marys Hospital Fax: (973) 278-6841 St. Joseph's Hospital Reg
Fax: (973) 754-4007 Languages: Hindi, Urdu 12 Yrs/130 Yrs Medical Center
12 Yrs/130 Yrs MTH 10:00 AM - 3:00 PM Prime Health Services-St M-F 8:00 AM - 4:00 PM
St. Joseph's Hospital Reg TW 10:00 AM - 7:00 PM Marys Hospital PCMH: No
Medical Center F 9:30 AM - 1:00 PM Languages: Spanish
Languages: Arabic PCMH: No MT 9:00 AM - 6:00 PM Scopulovic-Nikolic, Biljana
M-F 9:00 AM - 5:00 PM W 9:00 AM - 2:00 PM MD
PCMH: No Rizzo, Robert MD PCMH: No Provider ID: 1047572
Provider ID: 1531036 Gender: Female
Raouf, Medhat MD Gender: Male Sandoval, Ramon MD Palisades Medical Associates
Provider ID: 1706761 Medical Associates of Sub Specialty: Developmental
Gender: Male Englewood, PC Provider ID: 435747 Disabilities, HIV/AIDS, Aged
Atlantic Medical Group 680 Broadway Ste 116A Gender: Male 1081 Paulison Ave
60 Skyline Dr Paterson, NJ 07514 Centro Medico Clifton, NJ 07011
Ringwood, NJ 07456 (973) 684-3663 Iberoamericano (973) 779-7999
(973) 962-4000 Fax: (862) 264-2386 416 Park Ave Fax: (973) 779-7939
Fax: (973) 962-6451 00 Yrs/130 Yrs Paterson, NJ 07504 12 Yrs/130 Yrs
00 Yrs/130 Yrs St. Joseph's Hospital Reg (973) 684-8138 Palisades Medical Center
AHS Hospital Medical Center Fax: (973) 684-0032 M 1:00 AM - 5:00 PM
MW 11:30 AM - 6:00 PM M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs T 8:00 AM - 5:00 PM
T 9:00 AM - 4:00 PM PCMH: Yes, Level 3 St. Joseph's Hospital Reg W 12:00 AM - 5:00 PM
TH 11:30 AM - 4:00 PM Medical Center PCMH: No
Rubino, Gennaro MD Languages: Spanish
F 9:00 AM - 1:00 PM
PCMH: No Provider ID: 398309 M-F 9:00 AM - 6:00 PM Sen, Sourav MD
Gender: Male Sat 9:00 AM - 2:00 PM Provider ID: 1553210
Rey, Ricardo MD Cecere & Rubino Internal PCMH: No Gender: Male
Provider ID: 765639 Medicine A Medical Associates of
Gender: Male 1195 Clifton Ave Schair, Barry MD Englewood, PC
Ricardo Rey, MD Clifton, NJ 07013 Provider ID: 976350 871 Allwood Rd
960 Paulison Ave (973) 471-4004 Gender: Male Clifton, NJ 07012
Clifton, NJ 07011 Fax: (973) 471-1180 St Josephs Phys Hlthcr Gp (862) 249-4904
(973) 773-7713 12 Yrs/130 Yrs Sub Specialty: Aged, Fax: (862) 249-4903
Fax: (973) 773-7723 St. Joseph's Hospital Reg Developmental Disabilities, 00 Yrs/130 Yrs
Medical Center HIV/AIDS St. Joseph's Hospital Reg
00 Yrs/130 Yrs
Languages: Italian 224 Hamburg Tpke Medical Center
Prime Health Services-St
Marys Hospital M-F 9:00 AM - 5:00 PM Wayne, NJ 07470 Languages: Hindi
Languages: Spanish PCMH: No (973) 942-1141 MTF 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Fax: (973) 942-1250 WTH 8:30 AM - 5:00 PM
PCMH: No 02 Yrs/130 Yrs PCMH: No
St. Joseph's Hospital Reg
Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 66
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Silva, Waldemar MD Sullivan, Gregory MD Taclob, Erlinda MD
Provider ID: 1714794 Provider ID: 486210
Shah, Nalini MD Provider ID: 1103204 Gender: Male Gender: Female
Provider ID: 967089 Gender: Male Vytaliz Medical LLC Erlinda V Taclob MD
Gender: Female Paterson Community Health 1117 Rte 46 Ste 2020 100 Main St Ste 1
415 21st Ave Center In Clifton, NJ 07013 Paterson, NJ 07505
Paterson, NJ 07513 32 Clinton St (201) 205-2628 (973) 523-0317
(973) 345-2142 Paterson, NJ 07522 Fax: (844) 750-6904 Fax: (973) 684-8590
Fax: (973) 345-1626 (973) 389-2187 00 Yrs/130 Yrs 12 Yrs/130 Yrs
12 Yrs/130 Yrs Fax: (973) 389-2186 Prime Health Services-St St. Joseph's Hospital Reg
St. Joseph's Hospital Reg 12 Yrs/130 Yrs Marys Hospital Medical Center
Medical Center Newark Beth Israel Med M-F 9:00 AM - 5:00 PM Languages: Spanish, Tagalog
M-F 9:00 AM - 5:00 PM Center PCMH: No M-F 9:00 AM - 6:00 PM
PCMH: No Languages: Spanish Sat 9:00 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM Sullivan, Gregory MD PCMH: No
Shah, Shipra MD PCMH: No Provider ID: 1714798
Provider ID: 1342592 Gender: Male Taclob, Lowell MD
Gender: Female Singhal, Monisha MD Vytaliz Medical LLC Provider ID: 478722
Atlantic Medical Group Provider ID: 1072229 1117 Rte 46 Ste 2020 Gender: Male
1055 Hamburg Tpke Ste 200 Gender: Female Clifton, NJ 07013 Lowell T Taclob MD
Wayne, NJ 07470 St. Joseph's Healthcare Inc (201) 205-2628 100 Main St Ste 1
(973) 248-1440 703 Main St Fax: (844) 750-6904 Paterson, NJ 07505
Fax: (973) 248-1448 Paterson, NJ 07503 00 Yrs/130 Yrs (973) 523-0317
00 Yrs/130 Yrs (973) 754-2431 Prime Health Services-St Fax: (973) 684-8590
AHS Hospital 00 Yrs/130 Yrs Marys Hospital 12 Yrs/130 Yrs
M-F 8:00 AM - 5:00 PM St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No Medical Center PCMH: No Medical Center
MTWTHFSatSun 9:00 AM - Languages: Tagalog
Sheth, Meetkumar MD 5:00 PM Szewczyk-Szczech, Krystyna M-F 3:00 AM - 6:00 PM
PCMH: No MD PCMH: No
Provider ID: 1457323 Provider ID: 575608
Gender: Male Srisethnil, Pudchong MD Gender: Female Tatevossian, Tiffany MD
Medical Associates of 1033 Clifton Ave Ste 210
Englewood PC Provider ID: 449726 Clifton, NJ 07013 Provider ID: 1592715
871 Allwood Rd Gender: Male (973) 473-4400 Gender: Female
Clifton, NJ 07012 342 Hamburg Tpke Ste Ste 107 Fax: (973) 473-4547 Medical Associates of
(862) 249-4904 Wayne, NJ 07470 12 Yrs/130 Yrs Englewood, PC
Fax: (862) 249-4903 (973) 278-4673 Prime Health Services-St 1225 McBride Ave Ste 200
00 Yrs/130 Yrs Fax: (973) 278-0450 Marys Hospital Woodland Park, NJ 07424
St. Joseph's Hospital Reg 12 Yrs/130 Yrs Languages: Polish (973) 256-5557
Medical Center St Michael's Medical Center M-F 9:00 AM - 5:00 PM Fax: (973) 256-5036
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg PCMH: No 00 Yrs/130 Yrs
PCMH: No Medical Center Englewood Hospital and
Languages: Thai Szewczyk-Szczech, Krystyna Medical Center
M 12:00 AM - 5:00 PM MD M-F 9:00 AM - 5:00 PM
PCMH: No Provider ID: 976480 PCMH: No
Gender: Female
1033 Clifton Ave Ste 210
Clifton, NJ 07013
(973) 473-4400
Fax: (973) 473-4547
12 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
Languages: Russian, Polish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 67
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Urena, Julio MD Varoqua, Sabah MD Zahran, Ali MD
Provider ID: 1649938 Provider ID: 1637263 Provider ID: 398362
Tejeda, Carlos MD Gender: Male Gender: Male Gender: Male
Provider ID: 1106637 Prohealth Care Associates of Crossroads Medical Group St Josephs Healthcare Inc
Gender: Male New Je 975 Clifton Ave 11 Getty Ave Bldg Ste 275, Fl 2
Center For Med Care PC 40 Union Ave Clifton, NJ 07013 Paterson, NJ 07501
293 Passaic St Ste 2 Clifton, NJ 07011 (973) 778-8666 (973) 754-4701
Passaic, NJ 07055 (973) 574-0010 Fax: (973) 778-7559 Fax: (973) 754-4740
(973) 365-1377 Fax: (973) 574-0031 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (973) 773-0336 18 Yrs/130 Yrs Prime Health Services-St St. Joseph's Hospital Reg
18 Yrs/130 Yrs St. Joseph's Hospital Reg Marys Hospital Medical Center
St. Joseph's Hospital Reg Medical Center M 9:00 AM - 12:00 PM MTWTHFSat 9:00 AM - 5:00
Medical Center M-F 9:00 AM - 5:00 PM T 1:00 AM - 4:00 PM PM
Languages: Spanish PCMH: Yes, Level 3 W 1:00 AM - 3:00 PM PCMH: No
M-F 5:00 AM - 9:00 PM PCMH: No
Sat 9:30 AM - 3:00 PM Valencia, Bienvenido MD Zahran, Ali MD
PCMH: No Provider ID: 967209 Weiss, Jeffrey MD Provider ID: 967210
Gender: Male Provider ID: 1309881 Gender: Male
Tejeda, Carlos MD 363 21st Ave Gender: Male 703 Main St Ste 619
Provider ID: 471856 Paterson, NJ 07501 Jeffrey A Wess MD LLC Paterson, NJ 07503
Gender: Male (973) 881-0279 842 Clifton Ave Ste 5 (973) 754-3213
Center For Adult Medicine & Fax: (973) 881-7512 Clifton, NJ 07013 00 Yrs/130 Yrs
Prevent 12 Yrs/130 Yrs (973) 777-2440 St. Joseph's Hospital Reg
916-922 Main Ave Ste 1A St. Joseph's Hospital Reg Fax: (973) 777-2427 Medical Center
Passaic, NJ 07055 Medical Center 00 Yrs/130 Yrs Languages: Arabic
(973) 773-0334 Languages: Spanish M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Fax: (973) 773-0336 M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
00 Yrs/130 Yrs PCMH: No
St. Joseph's Hospital Reg Yung, York-Mui MD Zahran, Ali MD
Medical Center Varghese, Vibu MD Provider ID: 967210
Languages: Spanish Provider ID: 909375 Gender: Male
M 12:00 AM - 7:00 PM Provider ID: 1349908 Gender: Female Comprehensive Care Center
TWTHF 9:00 AM - 7:00 PM Gender: Male Ipanj 160 Market St
Sat 12:00 AM - 4:00 PM Medical Associates of 227 Broadway Paterson, NJ 07505
PCMH: Yes, Level 2 Englewood PC Paterson, NJ 07501 (973) 754-4701
Sub Specialty: Developmental (973) 278-2600 Fax: (973) 279-3618
Tieng, Fortunata MD Disabilities, Aged, HIV/AIDS Fax: (973) 278-8279 00 Yrs/130 Yrs
Provider ID: 854194 871 Allwood Rd 12 Yrs/130 Yrs St. Joseph's Hospital Reg
Gender: Female West Milford, NJ 07012 St. Joseph's Hospital Reg Medical Center
Fortunata T Tieng MD (862) 249-4904 Medical Center Languages: Arabic
91 Main St Fl 2 Fax: (862) 424-9490 Languages: Spanish, Chinese M-F 9:00 AM - 5:00 PM
Paterson, NJ 07505 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
(973) 278-3800 St. Joseph's Hospital Reg PCMH: No
Fax: (862) 264-4652 Medical Center
12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Zahran, Ali MD
M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 398362
PCMH: No Gender: Male
703 Main St Ste 619
Paterson, NJ 07503
(973) 754-3213
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 68
Updated: 11/26/2018

Primary Care Physicians


Passaic
Internal Medicine - cont. Yahav, Eric MD Abbassi, Saeed MD Acosta, Katiusca MD
Provider ID: 1255697 Provider ID: 945489 Provider ID: 1108656
Zwitiashvili, Robert MD Gender: Male Gender: Male Gender: Female
North Hudson Community Saeed Abbassum MD Passaic Pediatrics II
Provider ID: 724269 Action Corp Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Gender: Male Sub Specialty: HIV/AIDs 1187 Main Ave 2nd Fl 913 Main Ave Apt 1
Comprehensive Medical 220 Passaic St Clifton, NJ 07011 Passaic, NJ 07055
Evaluation of Passaic, NJ 07055 (201) 868-1950 (973) 458-8000
583 Broadway Ste 2 (201) 210-0200 Fax: (201) 868-5844 Fax: (973) 458-8425
Paterson, NJ 07514 Fax: (973) 955-4264 00 Yrs/21 Yrs 00 Yrs/21 Yrs
(973) 278-8818 00 Yrs/130 Yrs Palisades Medical Center St. Joseph's Hospital Reg
Fax: (973) 278-6841 Cooper University Health Languages: Spanish, Russian, Medical Center
12 Yrs/130 Yrs Care Arabic M-F 9:00 AM - 5:00 PM
Prime Health Services-St Languages: Hebrew M-F 9:00 AM - 7:00 PM PCMH: No
Marys Hospital MTWFSat 8:30 AM - 5:00 PM Sat 9:00 AM - 1:00 PM
Languages: Russian, Laotian TH 8:30 AM - 7:00 PM PCMH: No Aguayofigueroa, Lourdes MD
M-F 9:00 AM - 6:00 PM PCMH: No
Sat 9:00 AM - 1:00 PM Abdulmasih, Yousef MD Provider ID: 1303511
PCMH: No Yahav, Eric MD Provider ID: 455086 Gender: Female
Provider ID: 1255699 Gender: Male St Joseph Healthcare Inc
Obstetrics/Gynecology Gender: Male IPA of North Jersey Inc 11 Getty Ave Bldg 275 2nd Fl
North Hudson Community 290 Union Blvd Ste 2 Paterson, NJ 07503
Broizman, David MD Action Corp Totowa, NJ 07512 (973) 249-8100
Provider ID: 1241100 Sub Specialty: HIV/AIDs (973) 595-0600 00 Yrs/21 Yrs
Gender: Male 220 Passaic St Fax: (973) 989-3651 Prime Health Services-St
North Hudson Community Passaic, NJ 07055 00 Yrs/21 Yrs Marys Hospital
Action Corp (201) 210-0200 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Sub Specialty: HIV/AIDs Fax: (973) 955-4264 Medical Center Medical Center
220 Passaic St 00 Yrs/130 Yrs Languages: French, Arabic, M-F 9:00 AM - 5:00 PM
Passaic, NJ 07055 Cooper University Health Romanian PCMH: No
(201) 210-0200 Care M-F 9:00 AM - 5:00 PM
Fax: (973) 955-4264 Languages: Hebrew PCMH: No Aguayofigueroa, Lourdes MD
00 Yrs/130 Yrs M 8:30 AM - 7:00 PM
Englewood Hospital and TWTHF 8:30 AM - 5:30 PM Acosta, Katiusca MD Provider ID: 1316488
Medical Center PCMH: No Provider ID: 1108654 Gender: Female
Languages: Spanish Gender: Female St Josephs Healthcare Inc
MTTHF 8:30 AM - 5:00 PM Pediatrics North Bergen Pediatrics PA 1350 Rte 23
W 8:30 AM - 7:00 PM Sub Specialty: HIV/AIDs Wayne, NJ 07470
PCMH: No Abbassi, Saeed MD 913 Main Ave FL2 (973) 754-2541
Provider ID: 1594823 Passaic, NJ 07055 Fax: (973) 754-2548
Broizman, David MD Gender: Male (973) 458-8000 00 Yrs/21 Yrs
Provider ID: 1241101 Prohealth Care Associates of Fax: (973) 458-8425 Prime Health Services-St
Gender: Male NJ 00 Yrs/21 Yrs Marys Hospital
North Hudson Community 7505 Bergenline Ave Fl 1 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Action Corp North Bergen, NJ 70475 Medical Center Medical Center
Sub Specialty: HIV/AIDs (201) 868-1950 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
220 Passaic St Fax: (201) 868-5844 PCMH: No PCMH: No
Passaic, NJ 07055 00 Yrs/130 Yrs
(201) 210-0200 M-F 9:00 AM - 5:00 PM
Fax: (973) 955-4264 PCMH: No
00 Yrs/130 Yrs
Englewood Hospital and
Medical Center
Languages: Spanish
M 8:30 AM - 7:00 PM
TWTHF 8:30 AM - 5:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 69
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Almanzar, Raul MD Aryal, Sunita MD Baluyot, Helen MD
Provider ID: 1153691 Provider ID: 976362
Aguayofigueroa, Lourdes MD Provider ID: 976367 Gender: Female Gender: Female
Gender: Male Srs Pediatric Care PC St Josephs Healthcare Inc
Provider ID: 766265 North Bergen Pediatrics PA 53 Passaic Ave 11 Getty Ave Bldg Ste 275 2nd
Gender: Female Sub Specialty: HIV/AIDs Passaic, NJ 07055 Fl
Passaic Pediatrics PA 913 Main Ave (732) 640-6421 Paterson, NJ 07503
200 Gregory Ave 2nd Fl Passaic, NJ 07055 Fax: (973) 767-2939 (973) 754-4690
Passaic, NJ 07055 (973) 458-8000 00 Yrs/21 Yrs Fax: (973) 754-2579
(973) 249-8100 Fax: (973) 458-8425 Clara Maass Medical Center 00 Yrs/18 Yrs
Fax: (973) 249-8110 00 Yrs/21 Yrs St. Joseph's Hospital Reg St. Joseph's Hospital Reg
00 Yrs/21 Yrs St. Joseph's Hospital Reg Medical Center Medical Center
Prime Health Services-St Medical Center M-F 9:00 AM - 5:00 PM Languages: Spanish
Marys Hospital Languages: Spanish PCMH: No M-TH 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM
Medical Center PCMH: No Ayodeji, Olutope MD PCMH: No
Languages: Spanish Provider ID: 873321
M-F 9:00 AM - 5:00 PM Alvarez, Marie MD Gender: Female Baluyot, Helen MD
PCMH: Yes, Level 3 Provider ID: 1021484 Paterson Community Health
Gender: Male Center Provider ID: 982282
Almanzar, Raul MD Marie Emma B Alvarez 32 Clinton St Gender: Female
Provider ID: 455089 1455 Main Ave Fl 1 Paterson, NJ 07522 St Josephs Healthcare Inc
Gender: Male Clifton, NJ 07011 (973) 790-6594 Sub Specialty: HIV/AIDs
93 Market St (862) 225-9852 Fax: (973) 389-2197 703 Main St
Passaic, NJ 07055 Fax: (862) 225-9853 00 Yrs/21 Yrs Paterson, NJ 07503
(862) 238-8333 00 Yrs/21 Yrs St. Joseph's Hospital Reg (973) 754-4690
00 Yrs/21 Yrs University Hospital Medical Center Fax: (973) 754-2579
St. Joseph's Hospital Reg Languages: Spanish, Tagalog Languages: Spanish 00 Yrs/18 Yrs
Medical Center M 8:30 AM - 4:00 PM M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Languages: Spanish TWTHF 8:30 AM - 3:00 PM PCMH: No Medical Center
M-F 9:30 AM - 7:00 PM Sat 9:00 AM - 12:00 PM M-F 6:00 AM - 6:00 PM
Sat 9:00 AM - 12:00 PM Ayodeji, Olutope MD PCMH: No
PCMH: No
PCMH: No Provider ID: 989395
Anam, Khalid MD Gender: Female Basta, Janette MD
Almanzar, Raul MD Provider ID: 1690801 Paterson Community Health Provider ID: 455091
Provider ID: 455089 Center Gender: Female
Gender: Female
Gender: Male 227 Broadway 1035 US Hwy 46 Ste G1
Prohealth Care Associates of
Passaic Pediatrics II New Je Paterson, NJ 07501 Clifton, NJ 07013
913 Main Ave 280 E 33rd St (973) 790-6594 (973) 249-9620
Passaic, NJ 07055 Paterson, NJ 07504 Fax: (973) 389-2176 Fax: (973) 249-9621
(973) 458-8000 (973) 684-0606 00 Yrs/21 Yrs 00 Yrs/18 Yrs
Fax: (973) 458-8425 Fax: (973) 684-5575 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
00 Yrs/21 Yrs Medical Center Medical Center
00 Yrs/21 Yrs
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Languages: Spanish, Arabic
M-F 9:00 AM - 5:00 PM
Medical Center PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No
Languages: Spanish PCMH: No
M-F 8:00 AM - 7:00 PM
Sat 9:00 AM - 3:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 70
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Blaustein, Silvia MD Brault, Peter MD Camilo, Antonio MD
Provider ID: 989388 Provider ID: 496061
Basta, Magdy MD Provider ID: 785560 Gender: Male Gender: Male
Provider ID: 522318 Gender: Female Paterson Community Health Passaic Pedicatrics III PA
Gender: Male Ipanj Center In 298 Passaic St
1035 Rte 46 Ste G01 11 Getty Ave Sub Specialty: HIV/AIDs Passaic, NJ 07055
Clifton, NJ 07013 Paterson, NJ 07503 227 Broadway (973) 249-8100
(973) 249-9620 (973) 754-4690 Paterson, NJ 07501 Fax: (973) 249-8110
Fax: (973) 249-9621 Fax: (973) 754-2579 (732) 790-6594 00 Yrs/21 Yrs
00 Yrs/21 Yrs 00 Yrs/21 Yrs Fax: (973) 389-2176 St. Joseph's Hospital Reg
St. Joseph's Hospital Reg St. Joseph's Hospital Reg 00 Yrs/21 Yrs Medical Center
Medical Center Medical Center St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
Languages: Spanish, Arabic M-TH 9:00 AM - 5:00 PM Medical Center PCMH: Yes, Level 3
MF 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM
TTH 9:00 AM - 7:00 PM PCMH: No PCMH: No Cardiello, Peter MD
W 9:00 AM - 7:30 PM
Sat 9:00 AM - 1:00 PM Brault, Peter MD Bravo, Holanda MD Provider ID: 1096301
PCMH: No Provider ID: 1499462 Gender: Male
Gender: Male Provider ID: 1108663 North Hudson Community
Batista, Jose MD Wanaque Center For Nursing Gender: Female Action Corpo
Provider ID: 962031 and Reha Passaic Pediatrics II Sub Specialty: HIV/AIDs
Gender: Male 1433 Ringwood Ave Sub Specialty: HIV/AIDs 220 Passaic St
Batista Pediatrics LLC Haskell, NJ 07420 913 Main Ave Apt 1 Passaic, NJ 07055
315 Main St Ste 2A (973) 839-2119 Passaic, NJ 07055 (201) 210-0200
Paterson, NJ 07505 Fax: (973) 839-5358 (973) 458-8000 Fax: (973) 955-4264
(973) 742-7720 00 Yrs/18 Yrs Fax: (973) 458-8425 00 Yrs/21 Yrs
Fax: (866) 547-2623 St. Joseph's Hospital Reg 00 Yrs/21 Yrs Jersey City Medical Center
00 Yrs/21 Yrs Medical Center St. Joseph's Hospital Reg Saint Barnabas Medical
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Medical Center Center Livingston
Medical Center PCMH: No M-F 9:00 AM - 5:00 PM M 8:30 AM - 7:00 PM
Languages: Spanish PCMH: No TWTHF 8:30 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Brault, Peter MD PCMH: No
PCMH: No Provider ID: 989388 Camilo, Antonio MD
Gender: Male Deshmukh, Pratibha MD
Blaustein, Silvia MD Sub Specialty: HIV/AIDs Provider ID: 1107809
32 Clinton St Gender: Male Provider ID: 801151
Provider ID: 728438 Paterson, NJ 07522 Passaic Pedicatrics III PA Gender: Female
Gender: Female (973) 790-6594 200 Gregory Ave 2nd Fl Dp Pediatrics LLC
Ipanj Fax: (973) 389-2191 Passaic, NJ 07055 142 Totowa Rd Ste 8
703 Main St 00 Yrs/21 Yrs (973) 249-8100 Totowa, NJ 07512
Paterson, NJ 07503 St. Joseph's Hospital Reg Fax: (973) 249-8110 (973) 904-1000
(973) 754-2510 Medical Center 00 Yrs/21 Yrs Fax: (973) 904-1480
Fax: (973) 754-8649 M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg 00 Yrs/18 Yrs
00 Yrs/21 Yrs PCMH: No Medical Center Prime Health Services-St
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Marys Hospital
Medical Center PCMH: Yes, Level 3 St. Joseph's Hospital Reg
M-TH 9:00 AM - 5:00 PM Medical Center
F 9:00 AM - 12:00 PM Languages: Hindi
PCMH: No M-F 9:00 AM - 7:30 PM
Sat 9:00 AM - 3:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 71
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Fayngersh, David MD Fernandez, Yocasta MD Ferrer, Angel MD
Provider ID: 496069
Dimurro, Madeline DO Provider ID: 1095006 Provider ID: 1165145 Gender: Male
Gender: Male Gender: Female Passaic Pediatrics PA
Provider ID: 1708751 North Hudson Community Kindcare Pediatric Center 298 Passaic St
Gender: Female Action Corpo 424 River St Passaic, NJ 07055
Paterson Community Health 220 Passaic St Paterson, NJ 07524 (973) 249-8100
Center Passaic, NJ 07055 (973) 742-0214 Fax: (973) 249-8110
32 Clinton St (201) 210-0200 Fax: (973) 742-3358 00 Yrs/21 Yrs
Paterson, NJ 07522 Fax: (973) 955-4264 00 Yrs/21 Yrs St. Joseph's Hospital Reg
(973) 790-6594 00 Yrs/21 Yrs St. Joseph's Hospital Reg Medical Center
Fax: (973) 389-2195 Palisades Medical Center Medical Center M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Languages: Spanish, Russian M-F 9:00 AM - 5:00 PM PCMH: Yes, Level 3
M-F 9:00 AM - 5:00 PM M 8:30 AM - 7:00 PM PCMH: No
PCMH: No TW 8:30 AM - 5:00 PM Gadalla, Hisham MD
PCMH: No Fernandez, Yocasta MD
Eisenstein, Elliot MD Provider ID: 455114
Provider ID: 961767 Fernandes, Rinet MD Provider ID: 961848 Gender: Male
Gender: Male Gender: Female 1135 Main Ave Fl 2
516 Hamburg Tpke Ste 3 Provider ID: 632584 Kindcare Pediatric Center Clifton, NJ 07011
Wayne, NJ 07470 Gender: Female 63 Central Ave Fl 1 (973) 928-3388
(973) 696-4145 St Josephs Healthcare Inc Passaic, NJ 70558 Fax: (862) 225-9574
Fax: (973) 720-9991 703 Main St (973) 574-8688 00 Yrs/18 Yrs
00 Yrs/21 Yrs Paterson, NJ 07503 Fax: (973) 249-8799 St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM (973) 754-4690 00 Yrs/21 Yrs Medical Center
PCMH: No Fax: (973) 754-2579 St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
00 Yrs/21 Yrs Medical Center PCMH: No
Elias, Maurice MD St. Joseph's Hospital Reg Languages: Spanish
Provider ID: 455110 Medical Center M-F 9:00 AM - 5:00 PM Ginart, Gaspar MD
Gender: Male Languages: Hindi, Kannada PCMH: No Provider ID: 1143907
IPA of North Jersey Inc M-F 6:00 AM - 6:00 PM Gender: Male
290 Union Blvd Ste 2 PCMH: No Ferrer, Angel MD Paterson Community Health
Totowa, NJ 07512 Provider ID: 455112 Center
(973) 595-0600 Fernandes, Rinet MD Gender: Male 227 Broadway
Fax: (973) 595-0206 Passaic Pediatrics PA Paterson, NJ 07501
00 Yrs/21 Yrs Provider ID: 967076 200 Gregory Ave 2nd Fl (973) 278-2600
St. Joseph's Hospital Reg Gender: Female Passaic, NJ 07055 Fax: (973) 278-8279
Medical Center Depaul Ambulatory Center (973) 249-8100 00 Yrs/21 Yrs
Languages: Arabic 11 Getty Ave Bldg Ste 275 2nd Fax: (973) 249-8110 St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM Fl 00 Yrs/21 Yrs Medical Center
PCMH: No Paterson, NJ 07503 St. Joseph's Hospital Reg Languages: Spanish
(973) 754-4200 Medical Center M-F 9:00 AM - 5:00 PM
Fax: (973) 754-2579 M-F 9:00 AM - 5:00 PM PCMH: No
00 Yrs/21 Yrs PCMH: Yes, Level 3
St. Joseph's Hospital Reg
Medical Center
Languages: Hindi, Kannada
M-F 8:30 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 72
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Grullon Okumus, Ariolis MD Hernandez, Jacqueline MD Iwelumo, Ifeoma MD

Gonzalez, Isabel MD Provider ID: 954361 Provider ID: 1108659 Provider ID: 722321
Provider ID: 1097097 Gender: Female Gender: Female Gender: Female
Gender: Female Healthy Happy Children Passaic Pediatrics II 266 Lakeview Ave
North Hudson Community Medical Services Sub Specialty: HIV/AIDs Clifton, NJ 07011
Action Corpo 1300 Main Ave Ste 2C 913 Main Ave (973) 340-1222
220 Passaic St Clifton, NJ 07011 Passaic, NJ 07055 Fax: (973) 246-9742
Passaic, NJ 07055 (973) 218-5972 (973) 458-8000 00 Yrs/21 Yrs
(201) 210-0200 Fax: (973) 900-8840 Fax: (973) 458-8425 Languages: Spanish
Fax: (973) 955-4264 00 Yrs/21 Yrs 00 Yrs/21 Yrs M-F 10:00 AM - 6:00 PM
00 Yrs/18 Yrs St. Joseph's Hospital Reg St. Joseph's Hospital Reg Sat 10:00 AM - 2:00 PM
Palisades Medical Center Medical Center Medical Center PCMH: No
MTTHF 8:30 AM - 5:00 PM Languages: Spanish M-F 9:00 AM - 5:00 PM
W 8:30 AM - 7:00 PM M-TH 9:00 AM - 7:00 PM PCMH: No Jacob, Mariamma MD
PCMH: No F 9:00 AM - 5:00 PM Provider ID: 1097962
Sat 9:00 AM - 1:00 PM Hutton-Cassie, Donna MD Gender: Female
Gonzalez, Isabel MD PCMH: No North Hudson Community
Provider ID: 1097100 Provider ID: 1097981 Action Corpo
Gender: Female Gunn, Angela MD Gender: Female 220 Passaic St
North Hudson Community Provider ID: 961987 North Hudson Community Passaic, NJ 07055
Action Corpo Gender: Female Action Corpo (201) 210-0200
220 Passaic St St Josephs Medical Cntr 220 Passaic St Fax: (973) 955-4264
Passaic, NJ 07055 703 Main St Passaic, NJ 07055 00 Yrs/21 Yrs
(201) 210-0200 Paterson, NJ 07503 (201) 210-0200 Hoboken University Medical
Fax: (973) 955-4264 (973) 754-2000 Fax: (973) 955-4264 Center
00 Yrs/18 Yrs 00 Yrs/21 Yrs 00 Yrs/21 Yrs M 8:30 AM - 7:00 PM
Palisades Medical Center St. Joseph's Hospital Reg Palisades Medical Center TWTHF 8:30 AM - 5:00 PM
M 8:30 AM - 7:00 PM Medical Center M 8:30 AM - 7:00 PM PCMH: No
TWTHF 8:30 AM - 5:00 PM Languages: Spanish TWTHF 8:30 AM - 5:00 PM
PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No Jacob, Mariamma MD
PCMH: No Provider ID: 1097964
Gruczynski, Tomasz MD Hutton-Cassie, Donna MD Gender: Female
Gupta, Punita MD North Hudson Community
Provider ID: 455119 Provider ID: 1242363 Provider ID: 1097982 Action Corpo
Gender: Male Gender: Female Gender: Female 220 Passaic St
North Wayne Pediatrics LLC St. Joseph's Healthcare Inc North Hudson Community Passaic, NJ 07055
508 Hamburg Tpke Ste 106 11 Getty Ave Bldg 275 2nd Fl Action Corpo (201) 210-0200
Wayne, NJ 07470 Paterson, NJ 07503 220 Passaic St Fax: (973) 955-4264
(973) 942-7800 (973) 754-2727 Passaic, NJ 07055 00 Yrs/21 Yrs
Fax: (973) 942-9680 00 Yrs/21 Yrs (201) 210-0200 Hoboken University Medical
00 Yrs/21 Yrs St. Joseph's Hospital Reg Fax: (973) 955-4264 Center
St. Joseph's Hospital Reg Medical Center 00 Yrs/21 Yrs MTTHF 8:30 AM - 5:00 PM
Medical Center MTWTHFSatSun 9:00 AM - Palisades Medical Center W 8:30 AM - 7:00 PM
Languages: Polish 5:00 PM MTTHF 8:30 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No W 8:30 AM - 7:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 73
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Japa Camilo, Judelka MD Jedlinski, Tadeusz MD Khan, Ferhana MD
Provider ID: 989461
Jadhav, Latha MD Provider ID: 1107810 Provider ID: 944595 Gender: Female
Provider ID: 967152 Gender: Female Gender: Male Paterson Community Health
Gender: Female Passaic Pedicatrics III PA Tadeusz Jedlinski MD Center
Just Kidz Pediatrics 200 Gregory Ave 2nd Fl 50 Mount Prospect Ave Ste Sub Specialty: HIV/AIDs
715 Broadway Ste 2 Passaic, NJ 07055 202 32 Clinton St
Paterson, NJ 07514 (973) 249-8100 Clifton, NJ 07013 Paterson, NJ 07522
(973) 279-2294 Fax: (973) 249-8110 (973) 458-0407 (973) 268-2600
Fax: (973) 279-7341 00 Yrs/21 Yrs Fax: (973) 458-0889 00 Yrs/21 Yrs
00 Yrs/21 Yrs St. Joseph's Hospital Reg 00 Yrs/21 Yrs St. Joseph's Hospital Reg
Saint Barnabas Medical Medical Center St. Joseph's Hospital Reg Medical Center
Center Livingston M-F 9:00 AM - 5:00 PM Medical Center Languages: Hindi
St. Joseph's Hospital Reg PCMH: Yes, Level 3 Languages: Spanish, Russian, M-F 9:00 AM - 5:00 PM
Medical Center Polish PCMH: No
Languages: Spanish, Hindi, Japa Camilo, Judelka MD MT 10:00 AM - 7:00 PM
Punjabi, Telugu Provider ID: 961946 WF 10:00 AM - 6:00 PM Kim, Claudia MD
M-F 9:00 AM - 5:00 PM Gender: Female TH 10:00 AM - 4:00 PM Provider ID: 976339
PCMH: No Passaic Pediatrics III PA Sat 10:00 AM - 12:00 PM Gender: Female
298 Passaic St PCMH: No St Josephs Healthcare Inc
Jadun, Wamiq MD 11 Getty Ave Bldg Ste 275 2nd
Passaic, NJ 07055
Provider ID: 1639109 (973) 249-8100 Kellum, Sandra MD Fl
Gender: Male Fax: (973) 249-8110 Provider ID: 1603087 Paterson, NJ 07503
Prohealth Care Associates of 00 Yrs/21 Yrs Gender: Female (973) 754-4200
NJ St Josephs Healthcare Inc Fax: (973) 754-2579
St. Joseph's Hospital Reg
98 Broadway Medical Center 11 Getty Ave Bldg 275 2nd Fl 00 Yrs/18 Yrs
Passaic, NJ 07055 Languages: Spanish Paterson, NJ 07503 St. Joseph's Hospital Reg
(973) 836-5577 M-F 9:00 AM - 5:00 PM (973) 754-2573 Medical Center
Fax: (973) 815-0747 PCMH: Yes, Level 3 Fax: (973) 754-2579 Languages: Spanish, Korean
00 Yrs/18 Yrs 00 Yrs/18 Yrs M-TH 9:00 AM - 5:00 PM
Holy Name Medical Center Jariwala, Nilesh MD St. Joseph's Hospital Reg F 9:00 AM - 12:00 PM
Palisades Medical Center Provider ID: 455125 Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM Gender: Male M-F 9:00 AM - 5:00 PM
PCMH: No Preakness Pediatric Associates PCMH: No Kim, Claudia MD
PA Provider ID: 976340
Jadun, Wamiq MD Khan, Ferhana MD Gender: Female
150 Hinchman Ave Ste 4
Provider ID: 1639111 Wayne, NJ 07470 Provider ID: 836371 St Josephs Regional Center
Gender: Male (973) 595-6996 Gender: Female 703 Main St
Prohealth Care Associates of Fax: (973) 595-6706 Paterson Community Health Paterson, NJ 07503
NJ Center (973) 754-2000
00 Yrs/21 Yrs
280 E 33rd St Sub Specialty: HIV/AIDs Fax: (973) 574-4259
AHS Hospital
Paterson, NJ 07504 St. Joseph's Hospital Reg 227 Broadway 00 Yrs/21 Yrs
(973) 684-0606 Medical Center Paterson, NJ 07501 St. Joseph's Hospital Reg
Fax: (973) 684-5575 Languages: Hindi (973) 278-2600 Medical Center
00 Yrs/18 Yrs M-TH 10:00 AM - 6:00 PM Fax: (973) 278-9129 Languages: Spanish, Korean
Holy Name Medical Center F 10:00 AM - 5:00 PM 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM
Palisades Medical Center Sat 10:00 AM - 1:30 PM St. Joseph's Hospital Reg PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No Medical Center
PCMH: No Languages: Hindi, Urdu
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 74
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Lugo, Mirian MD Mallamuci, Carmen MD Mejia, Edgar MD
Provider ID: 946479 Provider ID: 455140
Knee, C. MD Gender: Female Provider ID: 976821 Gender: Male
Provider ID: 1242351 L & L Ped Gender: Female Kiddy Clinic
Gender: Male 344 Clifton Ave Great Falls Pediatrics 760 Market St
St. Joseph's Healthcare Inc Clifton, NJ 07011 641 Main St Paterson, NJ 07513
703 Main St Paterson (973) 435-4545 Paterson, NJ 07503 (973) 523-8083
Paterson, NJ 07503 Fax: (973) 928-1899 (973) 754-2575 Fax: (973) 523-1133
(973) 754-4702 00 Yrs/20 Yrs 00 Yrs/21 Yrs 00 Yrs/19 Yrs
00 Yrs/18 Yrs Holy Name Medical Center St. Joseph's Hospital Reg St. Joseph's Hospital Reg
St. Joseph's Hospital Reg St. Joseph's Hospital Reg Medical Center Medical Center
Medical Center Medical Center Languages: Spanish Languages: Spanish
MTWTHFSatSun 9:00 AM - Languages: Spanish M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No Sat 10:00 AM - 1:00 PM
PCMH: No PCMH: No PCMH: No
Matta, Rana MD
Kortowska, Malgorzata MD Maguina, Juan MD Provider ID: 1606126 Mejia, Gloria MD
Provider ID: 1583354 Gender: Female Provider ID: 941826
Provider ID: 902720 Gender: Male Nuheights Pediatrics Gender: Female
Gender: Female Passaic Pediatrics, PA 2 Brighton Rd Ste 404 Kiddy Clinic
Lakeview Pediatrics 298 Passaic St Clifton, NJ 07012 760 Market St
266 Lakeview Ave Passaic, NJ 07055 (973) 250-2970 Paterson, NJ 07513
Clifton, NJ 07011 (973) 249-8100 Fax: (973) 250-2971 (973) 523-8083
(973) 340-6225 Fax: (973) 249-8110 00 Yrs/130 Yrs Fax: (973) 523-1133
Fax: (973) 340-0665 00 Yrs/18 Yrs St. Joseph's Hospital Reg 00 Yrs/18 Yrs
00 Yrs/21 Yrs St. Joseph's Hospital Reg Medical Center St. Joseph's Hospital Reg
Prime Health Services-St Medical Center M-F 9:00 AM - 5:00 PM Medical Center
Marys Hospital M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 6:00 PM
MF 9:00 AM - 6:00 PM PCMH: Yes, Level 3 Sat 10:00 AM - 1:00 PM
T 9:00 AM - 7:00 PM Matta, Rana MD PCMH: No
WTH 9:00 AM - 5:00 PM Maguina, Juan MD Provider ID: 1606131
PCMH: No Provider ID: 1707104 Gender: Female Mico, Mario MD
Gender: Male Nuheights Pediatrics Provider ID: 474377
Lin, Tatiana MD Passaic Pediatrics, PA 1115 Clifton Ave Ste 101 Gender: Male
Provider ID: 1330161 200 Gregory Ave 2nd Fl Clifton, NJ 07013 Passaic Pediatrics II PA
Gender: Female Passaic, NJ 07055 (973) 250-2970 913 Main Ave
Pediatricare Associates (973) 249-8100 Fax: (973) 250-2571 Passaic, NJ 07055
1225 McBride Ave Ste 1 Fax: (973) 249-8110 00 Yrs/130 Yrs (973) 458-8000
Woodland Park, NJ 07424 00 Yrs/18 Yrs St. Joseph's Hospital Reg Fax: (973) 458-8425
(973) 256-4646 St. Joseph's Hospital Reg Medical Center 00 Yrs/21 Yrs
Fax: (973) 826-8600 Medical Center M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Medical Center
AHS Hospital PCMH: Yes, Level 3 M-F 8:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM Mediterraneo, Susan MD Sat 9:00 AM - 3:00 PM
PCMH: No Mallamaci, Carmen MD PCMH: No
Provider ID: 455138
Long, Jessie MD Provider ID: 1696602 Gender: Female
Provider ID: 1304992 Gender: Female IPA of North Jersey Inc
Gender: Female St Josephs Healhcare Inc 1037 US Hwy 46 Ste 201
Pediatricare Associates 11 Getty Ave Bldg 275 2nd Fl Clifton, NJ 07013
1225 McBride Ave Ste 1 Paterson, NJ 07503 (973) 779-3911
Woodland Park, NJ 07424 (973) 754-4247 Fax: (973) 471-2730
(201) 791-4545 00 Yrs/21 Yrs 00 Yrs/18 Yrs
Fax: (973) 826-8600 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
00 Yrs/21 Yrs Medical Center Medical Center
M-F 9:00 AM - 9:00 PM MTWTHFSatSun 9:00 AM - M-F 9:00 AM - 5:00 PM
PCMH: No 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 75
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Naim, Suprema MD Pertubal, Maria MD Rasheed, Fouad MD

Moises, Rodulfo MD Provider ID: 1583355 Provider ID: 1100766 Provider ID: 965392
Gender: Female Gender: Female Gender: Male
Provider ID: 979659 Passaic Pediatrics, PA Allwood Pediatrics, PA Future Pediatric Group
Gender: Male 298 Passaic St 89 Main St 2nd Fl 1414 Main Ave Ste 14
1040 Clifton Ave Passaic, NJ 07055 Paterson, NJ 07505 Clifton, NJ 07011
Clifton, NJ 07013 (973) 249-8100 (973) 742-7880 (973) 772-6999
(973) 574-8060 Fax: (973) 249-8110 Fax: (973) 247-0770 Fax: (973) 772-6899
Fax: (973) 574-8061 00 Yrs/18 Yrs 00 Yrs/21 Yrs 00 Yrs/21 Yrs
00 Yrs/21 Yrs St. Joseph's Hospital Reg St. Joseph's Hospital Reg St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Medical Center Medical Center Medical Center
Medical Center M-F 9:00 AM - 5:00 PM MTWTHFSat 9:00 AM - 3:00 Languages: Spanish, Arabic
Languages: Spanish, Tagalog PCMH: No PM M-F 9:00 AM - 5:00 PM
M-F 10:00 AM - 6:00 PM PCMH: No PCMH: No
Sat 10:00 AM - 1:00 PM Naim, Suprema MD
PCMH: No Pinili Valencia, Teresita MD Razzak, Mannan MD
Provider ID: 1711927 Provider ID: 1054974
Naficy, Parvin MD Gender: Female Provider ID: 967208 Gender: Male
Provider ID: 961871 Passaic Pedicatrics III PA Gender: Female Express Pediatrics LLC
Gender: Female 200 Gregory Ave 2nd Fl Bc Tp Valencia MD PA 1042 Main St Fl 3
Alan Doktor Parvin Naficy Passaic, NJ 07055 363 21st Ave Paterson, NJ 07503
Sub Specialty: HIV/AIDs (973) 249-8100 Paterson, NJ 07501 (973) 510-2444
665 Broadway Fax: (973) 249-8110 (973) 881-0279 Fax: (973) 278-2818
Paterson, NJ 07514 00 Yrs/18 Yrs Fax: (973) 881-7512 00 Yrs/21 Yrs
(973) 278-8885 St. Joseph's Hospital Reg 00 Yrs/21 Yrs Newark Beth Israel Med
Fax: (973) 278-9434 Medical Center St. Joseph's Hospital Reg Center
00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM Medical Center St. Joseph's Hospital Reg
St. Joseph's Hospital Reg PCMH: No Languages: Spanish Medical Center
Medical Center M-F 9:00 AM - 5:00 PM Languages: Bengali
Languages: Spanish, Persian - Patel, Shivani MD PCMH: No M-F 9:00 AM - 6:00 PM
Farsi Provider ID: 1592595 Sat-Sun 9:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM Gender: Male Rasheed, Fouad MD PCMH: No
PCMH: No St Joseph Healthcare Inc
11 Getty Ave Bldg 275 2nd Fl Provider ID: 962059 Razzak, Mannan MD
Naim, Farid MD Paterson, NJ 07503 Gender: Male Provider ID: 967071
Provider ID: 1591606 (973) 754-2270 Future Pediatric Group Gender: Male
Gender: Male Fax: (973) 754-7167 240 N 8th St Ste 240 Woodland Park Pediatrics
St Josephs Healthcare Inc 00 Yrs/18 Yrs Prospect Park, NJ 75082 205 Browertown Rd Ste 001
703 Main St XG21-26 Ground St. Joseph's Hospital Reg (973) 942-2131 Woodland Park, NJ 07424
Fl Medical Center Fax: (973) 942-6269 (973) 582-0644
Paterson, NJ 07503 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Fax: (973) 582-0605
(866) 212-8744 PCMH: No St. Joseph's Hospital Reg 00 Yrs/21 Yrs
Fax: (973) 754-2249 Medical Center St. Joseph's Hospital Reg
00 Yrs/18 Yrs Pertubal, Maria MD Languages: Spanish, Arabic Medical Center
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM University Hospital
Medical Center Provider ID: 1100761 PCMH: No Languages: Hindi, Bengali
M-F 9:00 AM - 5:00 PM Gender: Female M-F 9:00 AM - 5:00 PM
PCMH: No Allwood Pediatrics, PA PCMH: No
1040 Clifton Ave
Clifton, NJ 07013
(973) 574-8060
Fax: (973) 574-8061
00 Yrs/21 Yrs
MTWTHFSat 9:00 AM - 2:00
PM
PCMH: No

www.wellcare.com/New-Jersey | 76
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Rubia-Sazon, Elvira MD Shafi, Heather MD Steinbaum, Deborah MD
Provider ID: 1311460
Razzak, Nadia MD Provider ID: 922950 Gender: Female Provider ID: 1330158
Provider ID: 961963 Gender: Female Pediatricare Associates Gender: Female
Gender: Female North Hudson Community 1225 McBride Ave Ste 1 Pediatricare Associates
Woodland Park Pediatrics Action Corpo Woodland Park, NJ 07424 1225 McBride Ave Ste 1
205 Browertown Rd Ste 001 Sub Specialty: HIV/AIDs (201) 791-4545 Woodland Park, NJ 07424
Little Falls, NJ 07424 220 Passaic St Fax: (973) 826-8600 (201) 791-4545
(973) 582-0644 Passaic, NJ 07055 00 Yrs/21 Yrs Fax: (973) 826-8600
Fax: (973) 582-0605 (201) 210-0200 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs
00 Yrs/21 Yrs Fax: (973) 955-4264 PCMH: No M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg 00 Yrs/21 Yrs PCMH: No
Medical Center Palisades Medical Center Shah, Sapna MD
Languages: Hindi, Bengali Languages: Spanish, Filipino Provider ID: 1303986 Sutter, John MD
M-F 9:00 AM - 5:00 PM M 8:30 AM - 7:00 PM Gender: Female Provider ID: 1606133
PCMH: No TWTHF 8:30 AM - 5:00 PM Pediatricare Associates Gender: Male
PCMH: No 1225 McBride Ave Ste 1 Nuheights Pediatrics
Rivera-Penera, Maria MD Woodland Park, NJ 07424 2 Brighton Rd Ste 404
Samuel, Hala MD (973) 256-4545 Clifton, NJ 07012
Provider ID: 976370 Provider ID: 962005 Fax: (973) 826-8600 (973) 250-2970
Gender: Female Gender: Female 00 Yrs/21 Yrs 00 Yrs/130 Yrs
Sjrmc Parkview Pediatrics AHS Hospital St. Joseph's Hospital Reg
703 Main St 32 Hine St Ste 209 Languages: Faroese Medical Center
Paterson, NJ 07503 Paterson, NJ 07503 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(973) 754-2504 (973) 345-2420 PCMH: No PCMH: No
Fax: (973) 754-3013 Fax: (973) 345-3786
00 Yrs/21 Yrs 00 Yrs/21 Yrs Siddiqui, Rehma MD Sutter, John MD
Childrens Ambulatory Surgery St. Joseph's Hospital Reg Provider ID: 1606136
Center of NJ Medical Center Provider ID: 712365 Gender: Male
Languages: Spanish, Greek Languages: Spanish, Arabic Gender: Female Nuheights Pediatrics
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 703 Main St 1115 Clifton Ave Ste 101
PCMH: No PCMH: No Paterson, NJ 07503 Clifton, NJ 07013
(973) 754-4690 (973) 250-2970
Rodriguez, Magdelyn MD Sarigul, Melih MD Fax: (973) 754-2579 Fax: (973) 250-2571
Provider ID: 961759 00 Yrs/21 Yrs 00 Yrs/130 Yrs
Provider ID: 1232453 Gender: Male St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Gender: Female Clifton Pediatrics Medical Center Medical Center
Passaic Pediatrics II 296 Clifton Ave Ste 2 Languages: Urdu M-F 9:00 AM - 5:00 PM
913 Main Ave Clifton, NJ 07011 M-F 6:00 AM - 6:00 PM PCMH: No
Passaic, NJ 07055 (973) 249-8211 PCMH: No
(973) 458-8000 Fax: (973) 249-8611 Syed, Khalid MD
Fax: (973) 458-8425 00 Yrs/21 Yrs Siddiqui, Rehma MD Provider ID: 765659
00 Yrs/21 Yrs St. Joseph's Hospital Reg Gender: Male
St. Joseph's Hospital Reg Medical Center Provider ID: 967211 Pasaic Pediatrics Passaic
Medical Center Languages: Spanish, Turkish Gender: Female 200 Gregory Ave Fl 2
Languages: Spanish M-F 9:00 AM - 5:00 PM St Josephs Healthcare Inc Passaic, NJ 07055
M-F 9:00 AM - 5:00 PM PCMH: No 11 Getty Ave Bldg Ste 275 2nd (973) 249-8100
PCMH: No Fl Fax: (973) 249-8110
Paterson, NJ 07503 00 Yrs/21 Yrs
(973) 754-4690 St. Joseph's Hospital Reg
Fax: (973) 754-2579 Medical Center
00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg PCMH: Yes, Level 3
Medical Center
Languages: Urdu
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 77
Updated: 11/26/2018

Primary Care Physicians


Passaic
Pediatrics - cont. Thomas, Mary MD Vasena Marengo, Maria MD Wosu, Carolee MD
Provider ID: 1606450 Provider ID: 1649773
Tengson, Roger MD Gender: Female Provider ID: 1168162 Gender: Female
Provider ID: 398338 Nuheights Pediatrics Gender: Female Prohealth Care Associates of
Gender: Male 2 Brighton Rd Ste 404 Hawthorne Pediatrics New Je
Tengson Medical Offices LLC Clifton, NJ 07012 330 Lafayette Ave 1187 Main Ave
32 Hine St Ste 210 (973) 250-2970 Hawthorne, NJ 07506 Clifton, NJ 07011
Paterson, NJ 07503 00 Yrs/21 Yrs (973) 841-5112 (978) 478-9299
(973) 742-0046 St. Joseph's Hospital Reg Fax: (973) 826-5064 Fax: (978) 478-9652
Fax: (973) 742-5824 Medical Center 00 Yrs/21 Yrs 00 Yrs/18 Yrs
00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Holy Name Medical Center PCMH: No Medical Center Medical Center
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Medical Center Tokat, Ikbal MD PCMH: No PCMH: No
Languages: Filipino, Tagalog
M-W 10:00 AM - 6:00 PM Provider ID: 1594112 Wahba, Janette MD Yung, York-Mui MD
TH 10:00 AM - 8:00 PM Gender: Female Provider ID: 1029173
F 9:00 AM - 4:00 PM Neheights Pediatrics Gender: Female Provider ID: 989487
Sat 10:00 AM - 2:00 PM 2 Brighton Rd Ste 404 Paterson Community Health Gender: Female
PCMH: No Clifton, NJ 07012 Center In Ipanj
(973) 250-2970 32 Clinton St 32 Clinton St
Thomas, Abraham MD Fax: (973) 250-2571 Paterson, NJ 07522 Paterson, NJ 07522
Provider ID: 961770 00 Yrs/21 Yrs (973) 790-6594 (973) 278-2600
Gender: Male M-F 9:00 AM - 5:00 PM Fax: (973) 389-2197 Fax: (973) 278-8279
Peds Assoc of Patterson PCMH: No 00 Yrs/21 Yrs 00 Yrs/21 Yrs
Sub Specialty: HIV/AIDs Clara Maass Medical Center St. Joseph's Hospital Reg
675 Broadway Ste 2 Torres-Soto, Eileen MD Languages: Spanish, Arabic Medical Center
Paterson, NJ 07514 M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM
(973) 523-1213 Provider ID: 917144 PCMH: No F 9:00 AM - 12:00 PM
Fax: (973) 881-7661 Gender: Female PCMH: No
00 Yrs/21 Yrs North Hudson Community Wahba, Janette MD
St. Joseph's Hospital Reg Action Corpo Provider ID: 1038486 Zucker, Scott MD
Medical Center 220 Passaic St Gender: Female Provider ID: 1330165
Languages: Spanish Passaic, NJ 07055 Paterson Community Health Gender: Male
M-F 9:00 AM - 5:00 PM (201) 210-0200 Center In Pediatricare Associates
PCMH: No Fax: (973) 955-4264 227 Broadway 1225 McBride Ave
00 Yrs/21 Yrs Paterson, NJ 07501 Woodland Park, NJ 07424
Thomas, Mary MD Languages: Spanish (973) 278-2600 (201) 791-4545
Provider ID: 1603693 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Fax: (973) 826-8600
Gender: Female PCMH: No Clara Maass Medical Center 00 Yrs/21 Yrs
Nuheights Pediatrics M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
1115 Clifton Ave Ste 101 Turizo, Maria MD PCMH: No Medical Center
Clifton, NJ 07013 Provider ID: 1242339 M-F 9:00 AM - 5:00 PM
(973) 250-2970 Gender: Female Wosu, Carolee MD PCMH: No
Fax: (973) 250-2971 St. Joseph's Healthcare Inc Provider ID: 1430787
00 Yrs/21 Yrs 703 Main St Paterson Gender: Female
St. Joseph's Hospital Reg Paterson, NJ 07503 We Care Pediatrics
Medical Center (973) 233-5494 1187 Main Ave Ste 2D
M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs Clifton, NJ 07011
PCMH: No MTWTHFSat 9:00 AM - 5:00 (973) 478-9299
PM Fax: (973) 478-9652
PCMH: No 00 Yrs/21 Yrs
Christ Hospital
MTWTHFSatSun 9:00 AM -
5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 78
Updated: 11/26/2018

Specialty Physicians
Bergen
Addiction Psychiatry Chang, Cindy MD Golbert, Thomas MD Kosinski, Slawomir MD
Provider ID: 1722685 Provider ID: 398227
Reddy, Srikanth MD Gender: Female Provider ID: 438865 Gender: Male
Allergy Partners of New Jersey Gender: Male Ipanj
Provider ID: 271911 553 Cedar Lane Ste A Center For Asthma and Sub Specialty: HIV/AIDs
Gender: Male Teaneck, NJ 07666 Allergy 30 W Century Rd Ste 2
Bergen Regional Medical (201) 836-6400 Sub Specialty: HIV/AIDs Paramus, NJ 07652
Center Fax: (201) 836-0399 71 S Maple Ave (973) 754-5830
230 E Ridgewood Ave 00 Yrs/130 Yrs Ridgewood, NJ 07450 Fax: (973) 754-5849
Paramus, NJ 07652 St. Joseph's Hospital Reg (201) 445-4557 00 Yrs/130 Yrs
(800) 730-2762 Medical Center Fax: (201) 445-2365 St. Joseph's Hospital Reg
Fax: (201) 225-7101 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Medical Center
18 Yrs/130 Yrs PCMH: No Centra State Medical Center Languages: Russian, Polish
Bergen Regional Medical Raritan Bay Medical Center M-TH 9:00 AM - 5:00 PM
Center Dangelo, Salvatore MD Perth Amboy F 9:00 AM - 12:00 PM
M-F 8:00 AM - 4:00 PM Provider ID: 437113 Rwiuh At Hamilton PCMH: No
PCMH: No Gender: Male M-F 9:00 AM - 5:00 PM
Center For Asthma and PCMH: No Li, Lin MD
Allergy & Immunology Allergy Provider ID: 1097116
71 S Maple Ave Goodstein, Carolyn MD Gender: Female
Blume, Jessica MD Ridgewood, NJ 07450 Center For Asthma and
Provider ID: 1649165 (201) 445-4557 Provider ID: 944856 Allergy
Gender: Female Fax: (201) 445-2365 Gender: Female 71 S Maple Ave
Sovereign Medical Group, LLC 00 Yrs/130 Yrs 180 N Dean St Ste 1S Ridgewood, NJ 07450
85 Harristown Rd Ste 102 M-F 9:00 AM - 5:00 PM Englewood, NJ 07631 (201) 445-4557
Glen Rock, NJ 07452 PCMH: No (201) 871-4755 Fax: (201) 445-2365
(201) 855-8491 Fax: (201) 871-8389 00 Yrs/130 Yrs
Golbert, Thomas MD 03 Yrs/130 Yrs Robert Wood Johnson
Fax: (201) 857-2641
00 Yrs/130 Yrs Provider ID: 438865 Englewood Hospital and University Hospital
M 9:00 AM - 5:00 PM Gender: Male Medical Center M-F 9:00 AM - 5:00 PM
T 9:00 AM - 7:00 PM Center For Asthma and Languages: Spanish PCMH: No
Allergy MW 9:00 AM - 8:45 PM
W 9:00 AM - 4:00 PM
Sub Specialty: HIV/AIDs T 1:00 AM - 5:45 PM Li, Wei MD
PCMH: No
1 Sears Dr 4th Fl TH 2:00 AM - 4:45 PM Provider ID: 1028375
Chang, Cindy MD Paramus, NJ 07652 PCMH: No Gender: Female
Provider ID: 1722685 (201) 445-7772 Comprehensive Allergy and
Gender: Female 00 Yrs/130 Yrs Gutin, Faina MD Asthma Ca
Allergy Partners of New Jersey Centra State Medical Center Provider ID: 725612 725 River Rd Ste 208
185 Cedar Ln Ste 2 Raritan Bay Medical Center Gender: Female Edgewater, NJ 07020
Teaneck, NJ 07666 Perth Amboy Center For Asthma and (732) 328-9363
Rwiuh At Hamilton Allergy Fax: (201) 840-7808
(201) 836-6400
M-F 9:00 AM - 5:00 PM 71 S Maple Ave 00 Yrs/130 Yrs
Fax: (201) 836-0399
PCMH: No Ridgewood, NJ 07450 Hoboken University Medical
00 Yrs/130 Yrs
St. Joseph's Hospital Reg (201) 445-4557 Center
Medical Center Fax: (201) 445-2365 Languages: Chinese
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M 8:30 AM - 6:00 PM
PCMH: No Inspira Medical Center T 10:00 AM - 3:00 PM
Vineland W 9:00 AM - 6:00 PM
Languages: Russian TH 1:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM F 8:00 AM - 12:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 79
Updated: 11/26/2018

Specialty Physicians
Bergen
Allergy & Immunology - Pine, Martin MD Tahzib, Munirih MD Cardiac Electrophysiology
cont. Provider ID: 1062082
Gender: Male Provider ID: 700455 Desai, Shalin MD
Li, Wei MD Center For Asthma and Gender: Female Provider ID: 1080352
Provider ID: 765361 Allergy Center For Asthma and Gender: Male
Gender: Female 71 S Maple Ave Allergy Holy Name Cardiology
Center For Asthma and Ridgewood, NJ 07450 71 S Maple Ave Associates PC
Allergy (201) 445-4557 Ridgewood, NJ 07450 550 Kinderkamack Rd
71 S Maple Ave Fax: (201) 445-2365 (201) 455-4557 Oradell, NJ 07649
Ridgewood, NJ 07450 00 Yrs/130 Yrs Fax: (201) 445-2365 (201) 833-2300
(201) 445-4557 Englewood Hospital and 00 Yrs/130 Yrs Fax: (201) 833-7600
Fax: (201) 445-2365 Medical Center JFK Medical Center 18 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Englewood Hospital and
Hoboken University Medical PCMH: No PCMH: No Medical Center
Center Holy Name Medical Center
Languages: Spanish, Chinese, Sheen, Eun MD Varghese, Mathew MD M-F 9:00 AM - 5:00 PM
Hindi, Gujarati Provider ID: 443282 PCMH: No
M-F 9:00 AM - 5:00 PM Gender: Female Provider ID: 786699
PCMH: No Center For Asthma and Desai, Shalin MD
Gender: Male
Allergy Northern Valley Allergy Provider ID: 1080352
Maccia, Clement MD 71 S Maple Ave Asthma Sin Gender: Male
Ridgewood, NJ 07450 136 N Washington Ave Ste 203 Holy Name Cardiology
Provider ID: 1211058 (201) 445-4557 Bergenfield, NJ 07621 Associates PC
Gender: Male Fax: (201) 445-2365 (201) 374-1718 954 Teaneck Rd
Center For Asthma and 00 Yrs/130 Yrs Fax: (201) 374-1719 Teaneck, NJ 07666
Allergy Holy Name Medical Center 00 Yrs/130 Yrs (201) 833-2300
71 S Maple Ave Languages: Korean Englewood Hospital and Fax: (201) 833-7600
Ridgewood, NJ 07450 M-F 9:00 AM - 5:00 PM Medical Center 18 Yrs/130 Yrs
(201) 455-4557 PCMH: No Holy Name Medical Center Englewood Hospital and
Fax: (201) 445-2365 Palisades Medical Center Medical Center
00 Yrs/130 Yrs Suliaman, Fawzi MD Languages: Spanish, Holy Name Medical Center
JFK Medical Center Malayalam M-TH 9:00 AM - 5:00 PM
Robert Wood Johnson Provider ID: 650932 M-F 10:00 AM - 6:30 PM F 9:00 AM - 1:00 PM
University Hospital Gender: Male Sat 9:00 AM - 2:00 PM PCMH: No
Languages: Italian Center For Asthma and PCMH: No
M-F 9:00 AM - 5:00 PM Allergy Cardiology
PCMH: No 71 S Maple Ave Witkowska, Renata MD
Ridgewood, NJ 07450 Angeli, Stephen MD
Perin, Patrick MD (201) 445-4557 Provider ID: 375013
Provider ID: 398289 Fax: (201) 445-2365 Gender: Female Provider ID: 946781
Gender: Male 00 Yrs/130 Yrs Center For Asthma and Gender: Male
IPA of North Jersey Inc Christ Hospital Allergy Holy Name Cardiology
185 Cedar Ln Ste 2 Hoboken University Medical 71 S Maple Ave Associates PC
Teaneck, NJ 07666 Center Ridgewood, NJ 07450 1640 Schlosser St Ste C3
(201) 836-6400 Languages: Arabic (201) 445-4557 Fort Lee, NJ 07024
Fax: (201) 836-0399 M-F 9:00 AM - 5:00 PM Fax: (201) 445-2365 (201) 808-8600
00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs Fax: (201) 482-0171
St. Joseph's Hospital Reg Robert Wood Johnson 16 Yrs/130 Yrs
Medical Center University Hospital Englewood Hospital and
Languages: French Languages: Spanish Medical Center
M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Holy Name Medical Center
F 9:00 AM - 12:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 80
Updated: 11/26/2018

Specialty Physicians
Bergen
Cardiology - cont. Bikkina, Mahesh MD Chabbott, David MD Cohen, Michael MD
Provider ID: 1472141
Angeli, Stephen MD Provider ID: 398139 Gender: Male Provider ID: 912230
Gender: Male Medical Associates of Gender: Male
Provider ID: 946781 Heart and Vascular Associates Englewood PC Mulkay Cardiology
Gender: Male of No 22-18 Broadway Ste 201 Consultants At Ho
Holy Name Cardiology 22-18 Broadway Ste 201 Fair Lawn, NJ 07410 Sub Specialty: HIV/AIDs
Associates PC Fair Lawn, NJ 07410 (201) 475-5050 15 Vervalen St
954 Teaneck Rd (201) 475-5050 Fax: (201) 475-5522 Closter, NJ 07624
Teaneck, NJ 07666 Fax: (201) 475-5522 00 Yrs/130 Yrs (201) 996-9255
(201) 833-2300 00 Yrs/130 Yrs Englewood Hospital and Fax: (201) 996-9257
Fax: (201) 833-7600 St. Joseph's Hospital Reg Medical Center 18 Yrs/130 Yrs
16 Yrs/130 Yrs Medical Center M-F 9:00 AM - 5:00 PM Holy Name Medical Center
Englewood Hospital and M-TH 9:00 AM - 5:00 PM PCMH: No Palisades Medical Center
Medical Center F 9:00 AM - 12:00 PM M-F 9:00 AM - 6:00 PM
Holy Name Medical Center PCMH: No Chung, Jaehoon MD PCMH: No
M-TH 9:00 AM - 6:00 PM
F 9:00 AM - 1:00 PM Blood, David MD Provider ID: 1351815 Cohen, Michael MD
PCMH: No Provider ID: 943820 Gender: Male
Gender: Male Medical Associates of Provider ID: 912230
Benoff, Lane MD 163 Engle St Bldg 1C Englewood PC Gender: Male
Provider ID: 1181809 Englewood, NJ 07631 218 Rte 17 North Ste 310 Mulkay Cardiology
Gender: Male (201) 569-3313 Rochelle Park, NJ 07662 Consultants At Ho
Medical Associates of Fax: (201) 569-8703 (201) 845-3535 Sub Specialty: HIV/AIDs
Englewood PC 21 Yrs/130 Yrs Fax: (201) 845-4040 493 Essex St
777 Terrace Ave Ste 311 Englewood Hospital and 00 Yrs/130 Yrs Hackensack, NJ 07601
Hasbrouck Heights, NJ 07604 Medical Center Englewood Hospital and (201) 996-9244
(201) 288-4252 M-W 1:00 AM - 6:00 PM Medical Center Fax: (201) 996-9243
Fax: (201) 288-7172 PCMH: No Palisades Medical Center 18 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Holy Name Medical Center
MTTH 8:00 AM - 5:00 PM Chaaban, Fadi MD PCMH: No Palisades Medical Center
WF 8:00 AM - 4:00 PM Provider ID: 1549472 M-F 9:00 AM - 6:00 PM
PCMH: No Gender: Male Cohen, David MD PCMH: No
West Hudson Pulmonary Provider ID: 943798
Bikkina, Mahesh MD Associates Gender: Male Dailey Sterling, Felix MD
Provider ID: 1275602 25 Locust Ave Circulatory Care of NJ
Gender: Male North Arlington, NJ 07031 275 Forest Ave 205 Provider ID: 1608963
Medical Associates of (732) 853-8401 Paramus, NJ 07652 Gender: Male
Englewood PC Fax: (732) 587-5486 (201) 265-5300 Prohealth Care Associates of
22-18 Broadway Ste 104 00 Yrs/130 Yrs Fax: (201) 265-5350 New Je
Fair Lawn, NJ 07410 Clara Maass Medical Center 18 Yrs/130 Yrs 10 1st St
(201) 475-5050 St Michael's Medical Center St. Joseph's Hospital Reg Hackensack, NJ 07601
Fax: (201) 475-5522 M-F 9:00 AM - 5:00 PM Medical Center (201) 744-2266
00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM Fax: (201) 744-2269
St. Joseph's Hospital Reg PCMH: No 16 Yrs/130 Yrs
Medical Center St Michael's Medical Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 81
Updated: 11/26/2018

Specialty Physicians
Bergen
Cardiology - cont. Desai, Shalin MD Evans, Frank MD Gorelik, Dmitry MD
Provider ID: 1080352 Provider ID: 1610227
Daoko, Joseph MD Gender: Male Gender: Male Provider ID: 1540059
Provider ID: 1407619 Holy Name Cardiology Prohealth Care Associates of Gender: Male
Gender: Male Associates PC New Je Sovereign Medical Group, LLC
Heart Med LLC 954 Teaneck Rd 62 Ridge Rd 85 Harristown Rd Ste 104
230 E Ridgewood Ave Bldg 6 Teaneck, NJ 07666 North Arlington, NJ 07031 Glen Rock, NJ 07452
2nd Fl (201) 833-2300 (201) 991-8565 (973) 423-9388
Paramus, NJ 07652 Fax: (201) 833-7600 Fax: (201) 991-2408 Fax: (973) 423-2502
(201) 225-4700 18 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 225-4702 Englewood Hospital and M-F 9:00 AM - 5:00 PM Clara Maass Medical Center
00 Yrs/130 Yrs Medical Center PCMH: No Languages: Spanish, Russian
Bergen Regional Medical Holy Name Medical Center M-F 9:00 AM - 5:00 PM
Center M-TH 9:00 AM - 5:00 PM Goldweit, Richard MD PCMH: No
M-F 9:00 AM - 5:00 PM F 9:00 AM - 1:00 PM Provider ID: 1460235
PCMH: No PCMH: No Gender: Male Grossman, Steven MD
350 Engle St Ste 1
Das, Dhirendra MD Eichman, Gerard MD Englewood, NJ 07631 Provider ID: 1258479
Provider ID: 1087115 Provider ID: 946782 (201) 894-3000 Gender: Male
Gender: Male Gender: Male 18 Yrs/130 Yrs Medical Associates of
New Jersey Medical and Holy Name Medical Center Englewood Hospital and Englewood PC
Health Assoc 954 Teaneck Rd Medical Center Sub Specialty: HIV/AIDs
22-18 Broadway Ste 201 Teaneck, NJ 07666 M-F 9:00 AM - 5:00 PM 22-18 Broadway Ste 201
Fair Lawn, NJ 07410 (201) 833-2300 PCMH: No Fair Lawn, NJ 07410
(201) 475-5050 Fax: (201) 833-7600 (201) 934-0043
Fax: (201) 475-5522 16 Yrs/130 Yrs Goldweit, Richard MD Fax: (201) 475-5522
18 Yrs/130 Yrs Holy Name Medical Center 18 Yrs/130 Yrs
Englewood Hospital and Languages: Spanish, Italian, Provider ID: 1460235 Englewood Hospital and
Medical Center Polish Gender: Male Medical Center
Newark Beth Israel Med M-F 9:00 AM - 5:00 PM Medical Associates of St. Joseph's Hospital Reg
Center PCMH: No Englewood PC Medical Center
St. Joseph's Hospital Reg 177 N Dean St Fl 1 M-F 9:00 AM - 5:00 PM
Medical Center Erlebacher, Jay MD Englewood, NJ 07631 PCMH: No
Languages: Spanish, Hindi Provider ID: 1429402 (201) 569-4901
M-F 9:00 AM - 5:00 PM Gender: Male Grossman, Steven MD
Fax: (201) 569-6111
PCMH: No Medical Associates of 18 Yrs/130 Yrs
Englewood PC Englewood Hospital and Provider ID: 398199
Desai, Shalin MD 177 N Dean St Fl 1 Medical Center Gender: Male
Provider ID: 1080352 Englewood, NJ 07631 MWF 8:00 AM - 5:30 PM Heart and Vascular Associates
Gender: Male (201) 569-4901 TTH 8:00 AM - 8:00 PM of No
Holy Name Cardiology Fax: (201) 569-6111 PCMH: No 22-18 Broadway Ste 201
Associates PC 00 Yrs/130 Yrs
550 Kinderkamack Rd Fair Lawn, NJ 07410
Englewood Hospital and Gorelik, Dmitry MD (201) 934-0043
Oradell, NJ 07649 Medical Center
(201) 833-2300 Fax: (201) 475-5522
MWF 9:00 AM - 5:00 PM Provider ID: 1540059 00 Yrs/130 Yrs
Fax: (201) 833-7600 TTH 9:00 AM - 7:00 PM Gender: Male Englewood Hospital and
18 Yrs/130 Yrs PCMH: No Sovereign Medical Group, LLC Medical Center
Englewood Hospital and
555 Kinderkamack Rd Ste D St. Joseph's Hospital Reg
Medical Center
Oradell, NJ 07649 Medical Center
Holy Name Medical Center
(973) 423-9388 Languages: Italian
M-F 9:00 AM - 5:00 PM
Fax: (973) 423-2502 M-TH 9:00 AM - 5:00 PM
PCMH: No
00 Yrs/130 Yrs F 9:00 AM - 12:00 PM
Clara Maass Medical Center PCMH: No
Languages: Spanish, Russian
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 82
Updated: 11/26/2018

Specialty Physicians
Bergen
Cardiology - cont. Husain, Syed MD Karl, Justin MD Karl, Justin MD
Provider ID: 1636941 Provider ID: 1587901 Provider ID: 1587901
Gupta, Ajay MD Gender: Male Gender: Male Gender: Male
Provider ID: 1007279 Heart Care PC Medical Associates of Medical Associates of
Gender: Male 147 Cedar Ln Englewood, PC Englewood, PC
Sub Specialty: HIV/AIDs Teaneck, NJ 07666 220 Livingston St 350 Engle St
350 Engle St (201) 357-4888 Northvale, NJ 07647 Englewood, NJ 07631
Englewood, NJ 07631 Fax: (914) 920-3050 (551) 236-2200 (201) 568-3690
(973) 595-5345 00 Yrs/130 Yrs Fax: (201) 608-2581 Fax: (201) 568-3667
00 Yrs/130 Yrs Holy Name Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Newark Beth Israel Med M-F 4:00 AM - 7:00 PM Englewood Hospital and Englewood Hospital and
Center PCMH: No Medical Center Medical Center
Prime Health Services-St Holy Name Medical Center Holy Name Medical Center
Marys Hospital Jhun, Steve MD M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Provider ID: 943658 PCMH: No PCMH: No
Medical Center Gender: Male
Languages: Hindi 21 Grand Ave Ste 501 Karl, Justin MD Karl, Justin MD
M-F 9:00 AM - 5:00 PM Palisades Park, NJ 07650 Provider ID: 1587901 Provider ID: 1587901
PCMH: No (201) 943-0021 Gender: Male Gender: Male
Fax: (201) 943-0029 Medical Associates of Medical Associates of
Gupta, Ajay MD Englewood, PC Englewood, PC
18 Yrs/130 Yrs
Provider ID: 1456727 25 Rockwood Pl Ste 440 596 Anderson Ave Ste 216
Holy Name Medical Center
Gender: Male Prime Health Services-St Englewood, NJ 07631 Cliffside Pk, NJ 07010
350 Engle St Marys Hospital (201) 568-3690 (201) 568-3690
Englewood, NJ 07631 Languages: Korean Fax: (201) 568-3667 Fax: (201) 568-3667
(973) 595-5345 MTWF 9:00 AM - 1:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs TH 9:00 AM - 4:00 PM Englewood Hospital and Englewood Hospital and
Newark Beth Israel Med PCMH: No Medical Center Medical Center
Center Holy Name Medical Center Holy Name Medical Center
Prime Health Services-St Kaplan, Sarah MD M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Marys Hospital PCMH: No PCMH: No
Provider ID: 1332704
St. Joseph's Hospital Reg
Medical Center Gender: Female
Karl, Justin MD Karl, Justin MD
M-F 9:00 AM - 5:00 PM 25 Rockwood Pl Ste 440
Englewood, NJ 07631 Provider ID: 1587901 Provider ID: 1587901
PCMH: No Gender: Male Gender: Male
(201) 568-3690
Fax: (201) 568-3667 Medical Associates of Medical Associates of
Hamada, Murray MD Englewood, PC Englewood, PC
Provider ID: 413176 00 Yrs/130 Yrs
30 Prospect Ave 718 Teaneck Rd
Gender: Male Englewood Hospital and
Medical Center Hackensack, NJ 07601 Teaneck, NJ 07666
Cliffside Medical, LLC (551) 996-2000 (201) 833-3000
663 Palisade Ave Ste 101 M-F 9:00 AM - 5:00 PM
PCMH: No Fax: (551) 996-3473 Fax: (201) 833-7095
Cliffside Park, NJ 07010 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 917-2246 Englewood Hospital and Englewood Hospital and
Karl, Justin MD
Fax: (201) 917-2276 Medical Center Medical Center
Provider ID: 1587901
12 Yrs/130 Yrs Holy Name Medical Center Holy Name Medical Center
Gender: Male
Holy Name Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Medical Associates of
Languages: Spanish PCMH: No PCMH: No
Englewood, PC
MTWTHFSatSun 8:00 AM - 1555 Center Ave
8:00 PM
Fort Lee, NJ 07024
PCMH: No
(201) 510-0200
Fax: (201) 482-8198
00 Yrs/130 Yrs
Englewood Hospital and
Medical Center
Holy Name Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 83
Updated: 11/26/2018

Specialty Physicians
Bergen
Cardiology - cont. Lala, Lekhraj MD Lee, Terrance MD Mathew, Alexander MD
Provider ID: 1487945 Provider ID: 944096
Katdare, Umesh MD Gender: Male Gender: Male Provider ID: 1433421
Lekhraj K Lala MD New Jersey Medical Group Gender: Male
Provider ID: 1639603 541 Cedar Hill Ave Ste 4 464 Hudson Ter 201 Bhmg - United Medical
Gender: Male Wyckoff, NJ 74812 Englewood Cliffs, NJ 07632 612 Rutherford Ave
Prohealth Care Associates of (201) 447-4600 (201) 503-0828 Lyndhurst, NJ 07071
NJ Fax: (201) 447-9787 Fax: (201) 503-0848 (201) 460-0063
10 1st St 18 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 460-1684
Hackensack, NJ 07601 MTH 9:00 AM - 4:00 PM Saint Barnabas Medical 00 Yrs/130 Yrs
(201) 744-2266 T 10:00 AM - 8:00 PM Center Livingston East Orange General Hospital
Fax: (201) 968-5348 W 9:00 AM - 3:00 PM Languages: Korean Saint Barnabas Medical
00 Yrs/130 Yrs F 10:00 AM - 4:00 PM M 3:30 AM - 7:30 PM Center Livingston
M-F 9:00 AM - 5:00 PM PCMH: No T 9:30 AM - 5:30 PM St Michael's Medical Center
PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM
Leber, George MD PCMH: No
Katechis, Dennis DO Provider ID: 1412908 Lyons, William MD
Gender: Male Provider ID: 1189478 Matican, Jeffrey MD
Provider ID: 1343213 350 Engle St Gender: Male
Gender: Male Englewood, NJ 07631 Medical Associates of Provider ID: 1417858
Medical Associates of (201) 894-3000 Englewood PC Gender: Male
Englewood PC 00 Yrs/130 Yrs 777 Terrace Ave Ste 311 Medical Associates of
220 Livingston St Ste 204 Englewood Hospital and Hasbrouck Heights, NJ 07604 Englewood, PC
Northvale, NJ 76471 Medical Center (201) 288-4252 309 Engle St Ste 5
(551) 236-2200 M-F 9:00 AM - 5:00 PM Fax: (201) 288-7172 Englewood, NJ 07631
Fax: (201) 608-2581 PCMH: No 00 Yrs/130 Yrs (201) 503-1920
00 Yrs/130 Yrs Englewood Hospital and Fax: (201) 503-0222
Englewood Hospital and Leber, George MD Medical Center 18 Yrs/130 Yrs
Medical Center Provider ID: 1412908 MTTH 8:00 AM - 5:00 PM Englewood Hospital and
M-F 9:00 AM - 5:00 PM Gender: Male WF 8:00 AM - 4:00 PM Medical Center
PCMH: No Medical Associates of PCMH: No M-F 9:00 AM - 5:00 PM
Englewood PC PCMH: No
Khalid, Khaula MD 177 N Dean St Ste 1 Maresca, Warren MD
Provider ID: 1594910 Englewood, NJ 07631 Provider ID: 398252 Matican, Jeffrey MD
Gender: Female (201) 569-4901 Gender: Male
Prohealth Care Associates of Fax: (201) 569-6111 IPA of North Jersey Inc Provider ID: 1417858
NJ 00 Yrs/130 Yrs Sub Specialty: HIV/AIDs Gender: Male
1 Maywood Ave Englewood Hospital and 4-14 Saddle River Rd Ste 102 Medical Associates of
Maywood, NJ 07607 Medical Center Fair Lawn, NJ 07410 Englewood, PC
(201) 968-5345 MWF 9:00 AM - 5:00 PM (201) 794-3987 350 Engle St
Fax: (201) 968-5349 TTH 9:00 AM - 7:30 PM Fax: (201) 794-1404 Englewood, NJ 07631
12 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs (201) 503-1920
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg 18 Yrs/130 Yrs
PCMH: No Lee, Nellie MD Medical Center Englewood Hospital and
Provider ID: 1637182 M-TH 9:00 AM - 5:00 PM Medical Center
Khalid, Khaula MD Gender: Female F 9:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: 1594910 Excelcare Medical Associates, PCMH: No PCMH: No
Gender: Female PA
Prohealth Care Associates of 190 Euclid Ave
NJ Ridgefield Park, NJ 07660
62 Ridge Rd (201) 440-3366
North Arlington, NJ 07031 Fax: (201) 807-0705
(201) 991-8565 16 Yrs/130 Yrs
Fax: (201) 991-2408 Holy Name Medical Center
12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 84
Updated: 11/26/2018

Specialty Physicians
Bergen
Cardiology - cont. Motivala, Apurva MD Nadiminti, Sheila MD Obeleniene, Rimvida MD

Mazza, Victor MD Provider ID: 1315949 Provider ID: 1430988 Provider ID: 1028640
Provider ID: 1594938 Gender: Male Gender: Female Gender: Female
Gender: Male Medical Associates of Bhmg - United Medical New Jersey Medical and
Prohealth Care Associates of Englewood PC 612 Rutherford Ave Fl 1 Health Assoc
NJ 70 Hilltop Rd Lyndhurst, NJ 07071 70 Hilltop Rd
1 Maywood Ave Ramsey, NJ 07446 (201) 460-0063 Ramsey, NJ 07446
Maywood, NJ 07607 (201) 934-0043 Fax: (201) 460-1684 (201) 934-0043
(201) 968-5345 Fax: (201) 934-6217 00 Yrs/130 Yrs Fax: (201) 934-6217
Fax: (201) 968-5349 00 Yrs/130 Yrs Jersey City Medical Center 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Saint Barnabas Medical St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM PCMH: No Center Livingston Medical Center
PCMH: No St. Joseph's Hospital Reg Languages: Spanish, Russian,
Mulkay, Angel MD Medical Center Lithuanian
Mazza, Victor MD Provider ID: 221501 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: 1594938 Gender: Male PCMH: No PCMH: No
Gender: Male Mulkay Cardiology
Prohealth Care Associates of Consultants Obeleniene, Rimvida MD Obeleniene, Rimvida MD
NJ 493 Essex St Fl 2
62 Ridge Rd Hackensack, NJ 07601 Provider ID: 1028640 Provider ID: 398271
North Arlington, NJ 07031 (201) 996-9244 Gender: Female Gender: Female
(201) 991-8565 Fax: (201) 996-9243 New Jersey Medical and Heart and Vascular Associates
Fax: (201) 991-2408 18 Yrs/130 Yrs Health Assoc of No
00 Yrs/130 Yrs Palisades Medical Center 22 18 Broadway Ste 201 22-18 Broadway Ste 201
M-F 9:00 AM - 5:00 PM Languages: Spanish Fair Lawn, NJ 07410 Fair Lawn, NJ 07410
PCMH: No M-F 10:00 AM - 6:00 PM (201) 475-5050 (201) 475-5050
PCMH: No Fax: (201) 475-5522 Fax: (201) 475-5522
Motivala, Apurva MD 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Mulkay, Angel MD St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Provider ID: 1315949 Provider ID: 923190 Medical Center Medical Center
Gender: Male Gender: Male Languages: Spanish, Russian, M-TH 9:00 AM - 5:00 PM
Medical Associates of Mulkay Cardiology Lithuanian F 9:00 AM - 12:00 PM
Englewood PC Consultants At Ho M-TH 9:00 AM - 5:00 PM PCMH: No
22 18 Broadway Ste 1 718 Teaneck Rd F 9:00 AM - 12:00 PM
Fair Lawn, NJ 07410 Teaneck, NJ 07666 PCMH: No Park, Soo MD
(201) 475-5050 (201) 996-9255 Provider ID: 925640
Fax: (201) 475-5522 Fax: (201) 996-9257 Obeleniene, Rimvida MD Gender: Female
00 Yrs/130 Yrs 18 Yrs/130 Yrs Mulkay Cardiology
M-F 9:00 AM - 5:00 PM Palisades Medical Center Provider ID: 1028640 Consultants At Ho
PCMH: No Languages: Spanish Gender: Female Sub Specialty: HIV/AIDs
M-F 10:00 AM - 6:00 PM New Jersey Medical and 15 Vervalen St
Motivala, Apurva MD PCMH: No Health Assoc Closter, NJ 07624
223 N Van Dien Ave (201) 660-8777
Provider ID: 1315949 Ridgewood, NJ 07450 Fax: (201) 660-8776
Gender: Male (201) 475-5050 18 Yrs/130 Yrs
Medical Associates of Fax: (201) 475-5522 Palisades Medical Center
Englewood PC 00 Yrs/130 Yrs Languages: Spanish
350 Engle St St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
Englewood, NJ 07631 Medical Center PCMH: No
(201) 894-3158 Languages: Spanish, Russian,
Fax: (201) 894-0453 Lithuanian
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 85
Updated: 11/26/2018

Specialty Physicians
Bergen
Cardiology - cont. Patel, Rima MD Raza, Jaffar MD Schwarcz, Aron MD
Provider ID: 1460320 Provider ID: 1645080 Provider ID: 1337850
Park, Soo MD Gender: Female Gender: Male Gender: Male
Provider ID: 925640 Medical Associates of Prohealth Care Associates of 25 Rockwood Pl Ste 440
Gender: Female Englewood PC New Je Englewood, NJ 07631
Mulkay Cardiology 22-18 Broadway Ste 101 62 Ridge Rd (201) 568-3690
Consultants At Ho Fair Lawn, NJ 07410 North Arlington, NJ 07031 Fax: (201) 568-3667
Sub Specialty: HIV/AIDs (201) 475-5050 (201) 991-8565 00 Yrs/130 Yrs
493 Essex St Fl 2 Fax: (201) 797-8877 Fax: (201) 991-2408 Englewood Hospital and
Hackensack, NJ 07601 00 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center
(201) 996-9244 Englewood Hospital and M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 996-9243 Medical Center PCMH: No PCMH: No
18 Yrs/130 Yrs MTWTHFSat 9:00 AM - 5:00
Palisades Medical Center PM Ruffo, Scott MD Schwarcz, Aron MD
Languages: Spanish PCMH: No Provider ID: 912228
M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 1337850
PCMH: No Patel, Rima MD Mulkay Cardiology Gender: Male
Provider ID: 1460320 Consultants At Ho Medical Associates of
Park, Soo MD Gender: Female 493 Essex St Fl 2 Englewood PC
Provider ID: 925640 Medical Associates of Hackensack, NJ 07601 220 Livingston St
Gender: Female Englewood PC (201) 996-9244 Northvale, NJ 07647
Mulkay Cardiology 22-18 Broadway Ste 201 Fax: (201) 996-9243 (551) 236-2200
Consultants At Ho Fair Lawn, NJ 07410 18 Yrs/130 Yrs Fax: (201) 608-2581
Sub Specialty: HIV/AIDs (201) 475-5050 Palisades Medical Center 00 Yrs/130 Yrs
718 Teaneck Rd Fax: (201) 475-5522 M-F 9:00 AM - 5:00 PM Englewood Hospital and
Teaneck, NJ 07666 00 Yrs/130 Yrs PCMH: No Medical Center
(201) 996-9255 Englewood Hospital and M-F 9:00 AM - 5:00 PM
Fax: (201) 996-9257 Medical Center Santana, Jose MD PCMH: No
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 1645316
Palisades Medical Center PCMH: No Gender: Male Sehgal, Evan MD
Languages: Spanish Prohealth Care Associates of Provider ID: 1181277
Pomerantz, Mark MD New Je Gender: Male
M-F 9:00 AM - 5:00 PM
PCMH: No 10 1st St 350 Engle St Ste 1
Provider ID: 1419056 Hackensack, NJ 07601 Englewood, NJ 07631
Patel, Rajiv DO Gender: Male (201) 744-2266 (201) 288-4252
Provider ID: 1562318 Medical Associates of Fax: (201) 968-5348 00 Yrs/130 Yrs
Gender: Male Englewood, PC 00 Yrs/130 Yrs Englewood Hospital and
Bergen Heart Associates, LLC 350 Engle St Hoboken University Medical Medical Center
211 Essex St Ste 104 Englewood, NJ 07631 Center M-F 9:00 AM - 5:00 PM
Hackensack, NJ 07601 (845) 353-5050 St Michael's Medical Center PCMH: No
(201) 489-3888 Fax: (845) 353-1285 M-F 9:00 AM - 5:00 PM
Fax: (201) 301-7351 00 Yrs/130 Yrs PCMH: No Sehgal, Evan MD
00 Yrs/130 Yrs Englewood Hospital and Provider ID: 1181277
Medical Center Schair, Barry MD Gender: Male
M-F 9:00 AM - 5:00 PM
PCMH: No M-F 9:00 AM - 6:00 PM Provider ID: 976351 Medical Associates of
PCMH: No Gender: Male Englewood PC
St Josephs Phys Hlthcr Gp 777 Terrace Ave Ste 311
Sub Specialty: HIV/AIDs Hasbrouck Heights, NJ 07604
19 Yawpo Ave (201) 288-4252
Oakland, NJ 07436 Fax: (201) 288-7172
(973) 942-1141 00 Yrs/130 Yrs
Fax: (973) 942-1250 Englewood Hospital and
02 Yrs/130 Yrs Medical Center
St. Joseph's Hospital Reg MTTH 8:00 AM - 5:00 PM
Medical Center WF 8:00 AM - 4:00 PM
Languages: Spanish PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 86
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Specialty Physicians
Bergen
Cardiology - cont. Smith, John DO Syed, Tariqshah MD Vehra, Ijaz MD
Provider ID: 1360700 Provider ID: 946784 Provider ID: 398346
Shah, Anuj MD Gender: Male Gender: Male Gender: Male
Provider ID: 1181442 John P Smith Cardiology Holy Name Cardio Assoc PC Heart and Vascular Associates
Gender: Male 15-01 Broadway Ste 4 954 Teaneck Rd of No
Mulkay Cardiology Fair Lawn, NJ 07410 Teaneck, NJ 07666 Sub Specialty: HIV/AIDs
Consultants At Ho (201) 794-6505 (201) 833-2300 22-18 Broadway Ste 201
493 Essex St Fl 2 Fax: (201) 794-1167 Fax: (201) 833-7600 Fair Lawn, NJ 07410
Hackensack, NJ 76011 00 Yrs/130 Yrs 16 Yrs/130 Yrs (201) 475-5050
(201) 996-9244 St. Joseph's Hospital Reg Englewood Hospital and Fax: (201) 475-5522
Fax: (201) 996-9243 Medical Center Medical Center 00 Yrs/130 Yrs
18 Yrs/130 Yrs MT 9:00 AM - 4:00 PM Holy Name Medical Center St. Joseph's Hospital Reg
Holy Name Medical Center PCMH: No Languages: Hindi, Urdu Medical Center
M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM Languages: Urdu, Punjabi
PCMH: No Suede, Samuel MD PCMH: No M-TH 9:00 AM - 5:00 PM
Provider ID: 944374 F 9:00 AM - 12:00 PM
Shah, Anuj MD Gender: Male Tiyyagura, Satish MD PCMH: No
Provider ID: 1181442 Cardiology Associates of N.
Gender: Male Jersey Provider ID: 1221518 Weissman, Andrew MD
Mulkay Cardiology 25 Rockwood Pl Fl 4 Ste 440 Gender: Male
Consultants At Ho Englewood, NJ 07631 Comprehensive Health Care Provider ID: 1342513
89 Anderson Ave (201) 568-3690 of New Je Gender: Male
Fairview, NJ 07022 Fax: (201) 568-3667 Sub Specialty: HIV/AIDs Medical Associates of
(201) 996-9244 18 Yrs/110 Yrs 22-18 Broadway Ste 103 Englewood PC
Fax: (201) 996-9243 Englewood Hospital and Fair Lawn, NJ 07410 220 Livingston St
18 Yrs/130 Yrs Medical Center (201) 773-8185 Northvale, NJ 07647
Holy Name Medical Center Languages: Spanish Fax: (201) 475-5522 (551) 236-2200
M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (201) 608-2581
PCMH: No PCMH: No St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Medical Center Holy Name Medical Center
Shim, Mark MD Suede, Samuel MD M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: 946322 Provider ID: 944374 PCMH: No PCMH: No
Gender: Male Gender: Male
Cardio Cnslt of Englewood Medical Associates of Tiyyagura, Satish MD Wild, David MD
700 E Palisade Ave 1st Fl Englewood, PC Provider ID: 946786
Englewood Cliffs, NJ 07632 596 Anderson Ave Ste 216 Provider ID: 608610 Gender: Male
(201) 569-1800 Cliffside Park, NJ 07010 Gender: Male Holy Name Cardio Assoc PC
Fax: (201) 569-1880 (201) 568-3690 22-18 Broadway Ste 201 954 Teaneck Rd
18 Yrs/130 Yrs Fax: (201) 568-3667 Fair Lawn, NJ 07410 Teaneck, NJ 07666
Englewood Hospital and 18 Yrs/110 Yrs (201) 475-5050 (201) 833-2300
Medical Center Englewood Hospital and Fax: (973) 928-2215 Fax: (201) 833-7600
Languages: Korean Medical Center 00 Yrs/130 Yrs 16 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Languages: Spanish St. Joseph's Hospital Reg Holy Name Medical Center
PCMH: No M-F 9:00 AM - 5:00 PM Medical Center Languages: Hebrew
PCMH: No M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No
Sullivan, Brendan MD
Provider ID: 1298969
Gender: Male
85 Harristown Rd Ste 104
Glen Rock, NJ 07452
(973) 423-9388
Fax: (201) 857-2641
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 87
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Specialty Physicians
Bergen
Cardiology - cont. Williams, Marcus MD Child Neurology Paolicchi, Juliann MD
Provider ID: 1429446
Wild, David MD Gender: Male Paolicchi, Juliann MD Provider ID: 1104287
Provider ID: 946786 Marcus L.Williams DBA Gender: Female
Gender: Male Horizon Cardi Provider ID: 1104287 Epilepsy and Neurophysiology
Holy Name Cardiology 10-14 Saddle River Rd Gender: Female Medica
Associates PC Fair Lawn, NJ 07410 Epilepsy and Neurophysiology 400 Old Hook Rd Ste 1-1
550 Kinderkamack Rd (551) 264-2008 Medica Westwood, NJ 07675
Oradell, NJ 07649 Fax: (201) 703-1100 20 Prospect Ave Ste 800 (201) 343-6676
(201) 379-5700 00 Yrs/130 Yrs Hackensack, NJ 07601 Fax: (201) 343-6689
Fax: (201) 833-7600 AHS Hospital (201) 343-6676 00 Yrs/18 Yrs
16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 343-6689 Morristown Memorial
Holy Name Medical Center PCMH: No 00 Yrs/18 Yrs Hospital
Languages: Hebrew Morristown Memorial M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Ziolo, Gregory MD Hospital PCMH: No
PCMH: No Provider ID: 1242816 M-F 9:00 AM - 5:00 PM
Gender: Male PCMH: No Segal, Eric MD
Wilkenfeld, Craig MD 379 Main Ave Ste 3 Provider ID: 797263
Provider ID: 1337854 Wallington, NJ 07057 Paolicchi, Juliann MD Gender: Male
Gender: Male (973) 898-1220 Epilepsy and Neurophysiology
177 N Dean St Fl 1 00 Yrs/130 Yrs Provider ID: 1104287 Medica
Englewood, NJ 07631 Morristown Memorial Gender: Female 20 Prospect Ave Ste 800
(201) 569-4901 Hospital Epilepsy and Neurophysiology Hackensack, NJ 07601
Fax: (201) 569-6111 Saint Clares Hospital Medica (201) 343-6676
16 Yrs/130 Yrs Languages: Polish 20 Prospect Ave Ste 801 Fax: (201) 343-6689
Englewood Hospital and PCMH: No Hackensack, NJ 07601 00 Yrs/130 Yrs
Medical Center (201) 343-6676 Holy Name Medical Center
M-F 9:00 AM - 5:00 PM Cardiovascular Surgery Fax: (201) 343-6689 Languages: Spanish
PCMH: No 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM
Lakhanpal, Sanjiv MD Morristown Memorial PCMH: No
Wilkenfeld, Craig MD Hospital
Provider ID: 1059523 M-F 9:00 AM - 5:00 PM Segal, Eric MD
Provider ID: 1337854 Gender: Male PCMH: No Provider ID: 797263
Gender: Male Center For Vein Restoration Gender: Male
Medical Associates of NJ LLC Paolicchi, Juliann MD Epilepsy and Neurophysiology
Englewood PC 211 Essex St Ste 403 Medica
220 Livingston St Ste 204 Hackensack, NJ 07601 Provider ID: 1104287 400 Frank W Burr Blvd
Northvale, NJ 76471 (855) 830-8346 Gender: Female Teaneck, NJ 07666
(551) 236-2200 Fax: (240) 473-4321 Epilepsy and Neurophysiology (201) 343-6676
Fax: (201) 608-2581 00 Yrs/130 Yrs Medica Fax: (201) 343-6689
16 Yrs/130 Yrs Monmouth Medical Center 400 Frank W Burr Blvd 00 Yrs/130 Yrs
Englewood Hospital and M-F 8:00 AM - 5:00 PM Teaneck, NJ 07666 Holy Name Medical Center
Medical Center PCMH: No (201) 343-6676 Languages: Spanish
M-F 9:00 AM - 5:00 PM Fax: (201) 343-6689 M-F 9:00 AM - 5:00 PM
PCMH: No 00 Yrs/18 Yrs PCMH: No
Morristown Memorial
Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 88
Updated: 11/26/2018

Specialty Physicians
Bergen
Child Neurology - cont. Kantzilieris, Panagiotis DC Mariniello, Shannon DC Laban-Grant, Olgica MD

Segal, Eric MD Provider ID: 1138870 Provider ID: 989751 Provider ID: 797256
Provider ID: 797263 Gender: Male Gender: Male Gender: Female
Gender: Male Next Step Chiropractic LLC Chiropractic and Epilepsy and Neurophysiology
Epilepsy and Neurophysiology 237 W Midland Ave Unit 2 Rehabilitation Center Medica
Medica Paramus, NJ 07652 227 Market St 20 Prospect Ave Ste 801
400 Old Hook Rd Ste 1-1 (201) 857-5279 Elmwood Park, NJ 07407 Hackensack, NJ 07601
Westwood, NJ 07675 Fax: (201) 857-5281 (201) 797-2554 (201) 343-6676
(201) 343-6676 00 Yrs/130 Yrs Fax: (201) 794-9244 Fax: (201) 343-6689
Fax: (201) 343-6689 MT 10:00 AM - 6:30 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs W 10:00 AM - 7:30 PM MW 10:00 AM - 7:00 PM Morristown Memorial
Holy Name Medical Center TH 10:00 AM - 5:00 PM TTH 3:00 AM - 7:00 PM Hospital
Languages: Spanish F 10:00 AM - 1:00 PM F 10:00 AM - 1:00 PM Overlook Hospital
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No
Kim, Sung-Dong DC Markowitz, Ross DC
Chiropractic Provider ID: 1024682 Provider ID: 1167794 Laban-Grant, Olgica MD
Gender: Male Gender: Male
Gurman, Cathy DC New Hope Chiropractic PC Tenafly Chiropractic Center Provider ID: 797256
Provider ID: 1604495 111 Charlotte Pl Ste 301 32 Washington St Ste 2A Gender: Female
Gender: Female Englewood Cliffs, NJ 07632 Tenafly, NJ 07670 Epilepsy and Neurophysiology
Westwood Family (201) 227-8636 (201) 568-5711 Medica
Chiropractic Fax: (201) 227-8639 00 Yrs/130 Yrs 400 Frank W Burr Blvd
99 Kinderkamack Rd Ste 112 00 Yrs/130 Yrs M-TH 9:00 AM - 7:00 PM Teaneck, NJ 07666
Westwood, NJ 07675 M-F 10:00 AM - 8:00 PM F 9:00 AM - 1:00 PM (201) 343-6676
(201) 664-4488 Sat 10:00 AM - 3:00 PM PCMH: No Fax: (201) 343-6689
Fax: (201) 664-4501 PCMH: No 00 Yrs/130 Yrs
00 Yrs/130 Yrs Clinical Neurophysiology Morristown Memorial
MWTH 8:30 AM - 7:00 PM Kim, Sungsik DC Hospital
T 3:00 AM - 6:30 PM Provider ID: 1328852 Feoli, Enrique MD Overlook Hospital
F 8:00 AM - 10:00 PM Gender: Male Provider ID: 565754 M-F 9:00 AM - 5:00 PM
PCMH: No Bareun Spine Clinic, Inc Gender: Male PCMH: No
21 Grand Ave 1FL Ste 516 Epilepsy and Neurophysiology
Gurman, Jett DC Medica Lancman, Marcelo MD
Palisades Park, NJ 07650
Provider ID: 1608302 20 Prospect Ave Ste 800 Provider ID: 239669
(201) 313-0313
Gender: Male Hackensack, NJ 07601 Gender: Male
Fax: (201) 313-0806
Westwood Family (201) 343-6676 Epilepsy and Neurophysiology
00 Yrs/130 Yrs
Chiropractic, LLC Fax: (201) 343-6689 Medica
M-F 9:00 AM - 9:00 PM
99 Kinderkamack Rd Ste 112 00 Yrs/130 Yrs 20 Prospect Ave Ste 800
Sat 9:00 AM - 3:00 PM
Westwood, NJ 07675 Morristown Memorial Hackensack, NJ 07601
PCMH: No
(201) 664-4488 Hospital (201) 343-6676
Fax: (201) 664-4501 Mariano, Daniel DC Overlook Hospital Fax: (201) 343-6689
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Provider ID: 1016764
MWTH 8:30 AM - 7:00 PM PCMH: No Morristown Memorial
Gender: Male
T 4:00 AM - 6:30 PM Hospital
Daniel V Mariano Overlook Hospital
F 8:00 AM - 10:00 PM 60 Union Ave
PCMH: No M-F 9:00 AM - 4:00 PM
Rutherford, NJ 07070 PCMH: No
(201) 935-4466
Fax: (201) 507-0135
00 Yrs/130 Yrs
MWF 9:00 AM - 8:00 PM
TTHSat 9:00 AM - 11:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 89
Updated: 11/26/2018

Specialty Physicians
Bergen
Clinical Neurophysiology Segal, Eric MD Colon & Rectal Surgery Seo, Christina MD
- cont. Provider ID: 797263 Provider ID: 944849
Gender: Male Seo, Christina MD Gender: Female
Puntambekar, Preeti MD Epilepsy and Neurophysiology Provider ID: 1566519 216 Engle St 203
Medica Gender: Female Englewood, NJ 07631
Provider ID: 975660 20 Prospect Ave Ste 800 Excelcare Medical Associates (201) 567-7615
Gender: Female Hackensack, NJ 07601 PA Fax: (201) 567-8033
Epilepsy and Neurophysiology (201) 343-6676 127 Union St 12 Yrs/130 Yrs
Medica Fax: (201) 343-6689 Ridgewood, NJ 07450 Bergen Regional Medical
400 Old Hook Rd Ste 1-1 00 Yrs/130 Yrs (201) 447-4466 Center
Westwood, NJ 07675 Holy Name Medical Center Fax: (201) 493-1718 Englewood Hospital and
(201) 343-6676 Languages: Spanish 00 Yrs/130 Yrs Medical Center
Fax: (201) 343-6689 M-F 9:00 AM - 5:00 PM Bayonne Medical Center Languages: Spanish, Korean
00 Yrs/130 Yrs PCMH: No Englewood Hospital and M 9:00 AM - 12:00 PM
Languages: Hindi, Marathi Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM Segal, Eric MD M-F 9:00 AM - 5:00 PM
Provider ID: 797263 PCMH: No Serur, Anna MD
PCMH: No
Gender: Male Provider ID: 1358125
Puntambekar, Preeti MD Epilepsy and Neurophysiology Seo, Christina MD Gender: Female
Medica Provider ID: 1566519 Medical Associates of
400 Frank W Burr Blvd Gender: Female Englewood PC
Provider ID: 975660
Teaneck, NJ 07666 Excelcare Medical Associates 22-18 Broadway Ste 301
Gender: Female
(201) 343-6676 PA Fair Lawn, NJ 07410
Epilepsy Neurophysiology
Fax: (201) 343-6689 216 Engle St Ste 203 (212) 524-7727
Medical Co
00 Yrs/130 Yrs Englewood, NJ 76312 Fax: (212) 524-7788
20 Prospect Ave Ste 800
Holy Name Medical Center (201) 567-7615 00 Yrs/130 Yrs
Hackensack, NJ 76011
Languages: Spanish Fax: (201) 567-8033 Englewood Hospital and
(201) 343-6676
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Medical Center
Fax: (201) 343-6689
PCMH: No Bayonne Medical Center Languages: Russian
00 Yrs/130 Yrs Englewood Hospital and M-F 8:00 AM - 5:00 PM
Languages: Hindi, Marathi Medical Center
Segal, Eric MD PCMH: No
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No Provider ID: 797263
Gender: Male PCMH: No Serur, Anna MD
Epilepsy and Neurophysiology Provider ID: 1358125
Puntambekar, Preeti MD Seo, Christina MD
Medica Gender: Female
400 Old Hook Rd Ste 1-1 Provider ID: 944849 Medical Associates of
Provider ID: 975660 Gender: Female Englewood PC
Westwood, NJ 07675
Gender: Female 127 Union St 350 Engle St 2 NW
(201) 343-6676
Epilepsy Neurophysiology Ridgewood, NJ 07450 Englewood, NJ 07631
Medical Co Fax: (201) 343-6689
00 Yrs/130 Yrs (201) 447-4466 (212) 524-7727
400 Frank W Burr Blvd Fax: (201) 493-1718 Fax: (212) 524-7788
Teaneck, NJ 07666 Holy Name Medical Center
Languages: Spanish 12 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 343-6676 Bergen Regional Medical Englewood Hospital and
Fax: (201) 343-6689 M-F 9:00 AM - 5:00 PM
PCMH: No Center Medical Center
00 Yrs/130 Yrs Englewood Hospital and Languages: Russian
Languages: Hindi, Marathi Medical Center M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish, Korean PCMH: No
PCMH: No M 1:00 AM - 4:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 90
Updated: 11/26/2018

Specialty Physicians
Bergen
Colon & Rectal Surgery - Goldberg, David MD Handler, Marc MD Lee, Hyun-Soo MD
cont. Provider ID: 1255708 Provider ID: 945043
Provider ID: 1005228 Gender: Male Gender: Male
White, Ronald MD Gender: Male Skin Laser and Surgery Hyun Soo Lee MD PA
Provider ID: 1651268 Skin Laser Surgery Specialists Specialists 500 Grand Ave 201
Gender: Male of 20 Prospect Ave Ste 702 Englewood, NJ 07631
Excelcare Medical Associates, 20 Prospect Ave Ste 702 Hackensack, NJ 07601 (201) 886-9000
PA Hackensack, NJ 07601 (201) 441-9890 Fax: (201) 227-1789
718 Teaneck Rd (201) 441-9890 Fax: (201) 441-9893 00 Yrs/130 Yrs
Teaneck, NJ 07666 Fax: (201) 441-9893 00 Yrs/130 Yrs Languages: Spanish, Korean
(201) 530-7918 00 Yrs/130 Yrs Robert Wood Johnson M 8:00 AM - 11:00 PM
Fax: (201) 357-8207 Robert Wood Johnson University Hospital T 8:00 AM - 6:00 PM
00 Yrs/130 Yrs University Hospital MTTHF 8:30 AM - 5:00 PM W 9:00 AM - 6:00 PM
Holy Name Medical Center Languages: Spanish W 8:30 AM - 5:30 PM TH 8:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM M-TH 8:00 AM - 6:00 PM PCMH: No PCMH: No
PCMH: No F 8:00 AM - 5:00 PM
Sat 8:00 AM - 1:00 PM Hershenbaum, Esther MD Lolis, Margarita MD
Dermatology PCMH: No
Provider ID: 943698 Provider ID: 1069815
Bonney, David DO Gordon, Karen MD Gender: Female Gender: Female
Provider ID: 943764 Provider ID: 943775 Cliffside Medical LLC Skin Laser Surgery Specialists
Gender: Male Gender: Female 663 Palisade Ave Ste 202 of
The Dermatology Group 30 W Century Rd Fl 2 Cliffside Park, NJ 07010 20 Prospect Ave Ste 702
140 N Rte 17 Ste 200 Paramus, NJ 07652 (201) 945-6500 Hackensack, NJ 07601
Paramus, NJ 07652 (973) 571-2121 Fax: (201) 945-1157 (201) 441-9890
(201) 986-0700 Fax: (201) 986-0702 12 Yrs/130 Yrs Fax: (201) 441-9893
Fax: (201) 986-0702 00 Yrs/130 Yrs Holy Name Medical Center 00 Yrs/130 Yrs
00 Yrs/130 Yrs Clara Maass Medical Center Languages: Spanish Languages: Spanish
Clara Maass Medical Center M-F 9:00 AM - 5:00 PM M 3:00 AM - 8:00 PM M-F 9:00 AM - 5:30 PM
Jersey City Medical Center PCMH: No TWTHFSatSun 8:00 AM - 8:00 PCMH: No
M-F 9:00 AM - 5:00 PM PM
PCMH: No Hadi, Ahmed MD PCMH: No Mastromonaco, Denise DO
Provider ID: 1653482
Chouake, Jason MD Gender: Male Katz, James MD Provider ID: 1101749
Provider ID: 1530786 Sovereign Medical Group, LLC Provider ID: 945132 Gender: Female
Gender: Male 85 Harristown Rd Ste 101 Gender: Male Skin Laser Surgery Specialists
Cliffside Medical LLC Glen Rock, NJ 07452 James M Katz MD PA of
663 Palisade Ave Ste 201 (201) 834-1100 15-01 Broadway Ste 38 20 Prospect Ave Ste 702
Cliffside Pk, NJ 70103 Fax: (201) 621-0854 Fair Lawn, NJ 07410 Hackensack, NJ 07601
(201) 945-6500 00 Yrs/130 Yrs (201) 797-4009 (201) 441-9890
Fax: (201) 945-1157 M-TH 11:00 AM - 7:00 PM Fax: (201) 791-4973 Fax: (201) 441-9893
00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Holy Name Medical Center Languages: Arabic M-F 9:00 AM - 5:00 PM
Languages: Spanish M-F 1:00 AM - 6:00 PM PCMH: No
M-F 8:00 AM - 8:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 91
Updated: 11/26/2018

Specialty Physicians
Bergen
Dermatology - cont. Ear, Nose & Throat Kim, Steve MD Moon, Taewon MD
Provider ID: 1343531 Provider ID: 946047
Rapaport, Jeffrey MD Davis, Orrin MD Gender: Male Gender: Male
Provider ID: 532970 Provider ID: 1162966 Steve Y Kim MD PC 464 Hudson Ter 102
Gender: Male Gender: Male 2185 Lemoine Ave Ste 1P Englewood Cliffs, NJ 07632
Dermatology Center Sovereign Medical Group LLC Fort Lee, NJ 07024 (201) 503-0066
333 Sylvan Ave Ste 207 44 Godwin Ave Ste 300 (201) 569-9130 Fax: (201) 503-0190
Englewood Cliffs, NJ 07632 Midland Park, NJ 07432 Fax: (201) 569-9131 00 Yrs/130 Yrs
(201) 224-6655 (201) 445-2900 00 Yrs/130 Yrs Englewood Hospital and
Fax: (201) 227-8313 Fax: (201) 445-8679 Englewood Hospital and Medical Center
00 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center Languages: Korean
Englewood Hospital and MTTHF 9:00 AM - 5:00 PM M 9:00 AM - 3:00 PM MWTH 9:00 AM - 5:00 PM
Medical Center W 2:00 AM - 5:00 PM T 9:00 AM - 10:30 PM T 9:00 AM - 7:00 PM
Holy Name Medical Center PCMH: No PCMH: No F 9:00 AM - 12:00 PM
Languages: Spanish PCMH: No
M-W 9:00 AM - 5:00 PM Davis, Orrin MD Lehrer, Joel MD
TH 9:00 AM - 1:00 PM Provider ID: 1162966 Provider ID: 1162972 Respler, Don MD
PCMH: No Gender: Male Gender: Male Provider ID: 1365588
Sovereign Medical Group LLC 44 Godwin Ave Ste 300 Gender: Male
Zemel, Mathias MD 85 Harristown Rd Ste 104 and Midland Park, NJ 07432 Bergen Regional Medical
Provider ID: 208418 2nd Fl (201) 445-2900 Center
Gender: Male Glen Rock, NJ 07451 Fax: (201) 445-8679 230 E Ridgewood Ave
Dr Mathias Zemel LLC (201) 445-2900 00 Yrs/130 Yrs Ridgewood, NJ 07450
33-00 Broadway Ste 204 Fax: (201) 445-8679 Holy Name Medical Center (201) 225-7130
Fair Lawn, NJ 07410 00 Yrs/130 Yrs Languages: Spanish, Urdu 18 Yrs/110 Yrs
(201) 703-9697 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Holy Name Medical Center
Fax: (973) 279-5001 PCMH: No PCMH: No M 8:00 AM - 12:00 PM
00 Yrs/130 Yrs PCMH: No
Languages: Spanish, Hebrew Katz, Harry MD Lehrer, Joel MD
M 1:00 AM - 7:00 PM Provider ID: 1162969 Provider ID: 1162972 Rosen, Arie MD
PCMH: No Gender: Male Gender: Male Provider ID: 1074432
Sovereign Medical Group LLC Sovereign Medical Group LLC Gender: Male
Dermatopathology 44 Godwin Ave Ste 300 1 Degraw Ave Ste B Bergen Regional Medical
Midland Park, NJ 07432 Teaneck, NJ 07666 Center
Li, Yongming MD (201) 445-2900 (201) 837-2174 230 E Ridgewood Ave
Provider ID: 1082018 Fax: (201) 445-8679 Fax: (201) 836-7838 Paramus, NJ 07653
Gender: Male 00 Yrs/130 Yrs 00 Yrs/130 Yrs (201) 225-7130
Skin Laser Surgery Specialists MW 8:30 AM - 4:30 PM Holy Name Medical Center 18 Yrs/110 Yrs
of T 1:00 AM - 5:30 PM Languages: Spanish, Urdu Bergen Regional Medical
20 Prospect Ave Ste 702 TH 9:00 AM - 4:00 PM MW 9:00 AM - 12:00 PM Center
Hackensack, NJ 07601 F 8:30 AM - 11:30 PM T 9:00 AM - 6:00 PM Englewood Hospital and
(201) 441-9890 Medical Center
PCMH: No PCMH: No
Fax: (201) 441-9893 M 8:00 AM - 12:00 PM
00 Yrs/130 Yrs Katz, Harry MD PCMH: No
Languages: Chinese Provider ID: 1162969 Samadi, Sharyar MD
M-F 9:00 AM - 5:00 PM Gender: Male
PCMH: No Sovereign Medical Group LLC
85 Harristown Rd 2nd Fl Provider ID: 1225809
Glen Rock, NJ 07451 Gender: Male
(201) 445-2900 Daniel Samadi MD PC
Fax: (201) 445-8679 10 Forest Ave 100
00 Yrs/130 Yrs Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM (201) 996-1505
PCMH: No Fax: (201) 996-1605
00 Yrs/130 Yrs
M 8:00 AM - 8:00 PM
TWTHF 8:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 92
Updated: 11/26/2018

Specialty Physicians
Bergen
Endocrinology, Diabetes, Kim, Christian MD Yeshou, Dima MD Family Practice
Metabolism Provider ID: 1642501 Provider ID: 911721
Gender: Male Gender: Female Castro, Rodrigo DO
Eliades, Myrto MD Christian Kim MD, PC Bergen Endocrinology PC
Provider ID: 1436835 1608 Lemoine Ave Ste 203 12-04 Saddle River Rd Provider ID: 1183610
Gender: Female Fort Lee, NJ 07024 Fair Lawn, NJ 07410 Gender: Male
Bhmg - United Medical (201) 944-8400 (201) 773-8710 Medexpress Urgent Care -
612 Rutherford Ave Fax: (201) 944-8811 Fax: (201) 773-8711 Lodi
Lyndhurst, NJ 07071 00 Yrs/130 Yrs 16 Yrs/130 Yrs 184 Essex St Space F1
(201) 460-0063 Englewood Hospital and Bergen Regional Medical Lodi, NJ 07644
Fax: (201) 460-1684 Medical Center Center (201) 843-3207
16 Yrs/130 Yrs M-F 9:00 AM - 6:00 PM Languages: Arabic Fax: (201) 843-3215
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No PCMH: No PCMH: No Overlook Hospital
MTWTHFSatSun 9:00 AM -
Goykhman, Stanislav MD Sandhu, Narinder MD Yeshou, Dima MD 9:00 PM
Provider ID: 911721 PCMH: No
Provider ID: 1422107 Provider ID: 1566513 Gender: Female
Gender: Male Gender: Female Bergen Endocrinology, PC Chaudry, Samia DO
Bhmg-United Medical Bhmg United Medical 230 E Ridgewood Ave Bldg 6
612 Rutherford Ave Fl 1 612 Rutherford Ave Fl 1 2nd Fl Provider ID: 905621
Lyndhurst, NJ 07071 Lyndhurst, NJ 70711 Paramus, NJ 07652 Gender: Female
(201) 460-0063 (201) 460-0063 (201) 967-4000 Samia R Chaudry DO LLC
Fax: (201) 460-1684 Fax: (201) 460-1684 Fax: (201) 483-7546 41-04 Goldblatt Terrace
00 Yrs/130 Yrs 18 Yrs/130 Yrs 16 Yrs/130 Yrs Fair Lawn, NJ 07410
Bayonne Medical Center M-TH 8:00 AM - 7:00 PM Bergen Regional Medical (201) 797-7129
Palisades Medical Center F 8:00 AM - 5:00 PM Center Fax: (201) 703-6982
Languages: Russian Sat 8:00 AM - 12:00 PM Languages: Arabic 00 Yrs/130 Yrs
M-F 8:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No PCMH: No Medical Center
Strizhevsky, Marina DO Languages: Spanish, Urdu
Kim, Christian MD Endodontics M-F 9:00 AM - 5:00 PM
Provider ID: 1522243 Provider ID: 1430986 PCMH: No
Smiley, Stephen DDS
Gender: Male Gender: Female
Medical Associates of Bhmg - United Medical Provider ID: TPVP39399-01 Chiusano, Emi MD
Englewood, PC 612 Rutherford Ave Fl 1 Gender: Male Provider ID: 1186056
350 Engle St 2 N Annex Lyndhurst, NJ 07071 Stephen Smiley DDS LLC Gender: Female
Englewood, NJ 07631 (201) 460-0063 541 Cedar Hill Ave Medexpress Urgent Care -
(201) 894-3364 Fax: (201) 460-1684 Wyckoff, NJ 07481 Lodi
00 Yrs/130 Yrs 18 Yrs/130 Yrs (201) 251-3888 Sub Specialty: HIV/AIDs
Englewood Hospital and Jersey City Medical Center Fax: (201) 251-2245 184 Essex St Space F1
Medical Center Saint Barnabas Medical 00 Yrs/99 Yrs Lodi, NJ 07644
M-F 9:00 AM - 5:00 PM Center Livingston M-F 9:00 AM - 5:00 PM (201) 843-3207
PCMH: No Languages: Russian PCMH: No Fax: (201) 843-3215
M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No Smiley, Stephen DDS Inspira Medical Center
Provider ID: TPVP39399-02 Woodbury
Gender: Male Languages: Japanese
Stephen Smiley DDS LLC MTWTHFSatSun 8:00 AM -
1 Broadway Ste 405 8:00 PM
Elmwood Park, NJ 07407 PCMH: No
(201) 791-7700
Fax: (201) 251-2245
00 Yrs/99 Yrs
MTTHF 9:00 AM - 5:00 PM
W 9:00 AM - 8:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 93
Updated: 11/26/2018

Specialty Physicians
Bergen
Family Practice - cont. Lee, Mark DO Saros, Cathleen DO Taranath, Dheeraj DO
Provider ID: 1186016 Provider ID: 1704198
Ferrell, David MD Gender: Male Gender: Female Provider ID: 1183607
Provider ID: 1187120 Medexpress Urgent Care - Drx Paramus, LLC Gender: Male
Gender: Male Lodi 67 E Ridgewood Ave Unit C Medexpress Urgent Care -
Medexpress Urgent Care - Sub Specialty: HIV/AIDs Paramus, NJ 07652 Lodi
Lodi 184 Essex St Space F1 (201) 262-2010 Sub Specialty: HIV/AIDs
Sub Specialty: HIV/AIDs Lodi, NJ 07644 Fax: (201) 262-2040 184 Essex St Space F1
184 Essex St Space F1 (201) 843-3207 00 Yrs/130 Yrs Lodi, NJ 07644
Lodi, NJ 07644 Fax: (201) 843-3215 AHS Hospital (201) 843-3207
(201) 843-3207 00 Yrs/130 Yrs St. Joseph's Hospital Reg Fax: (201) 843-3215
Fax: (201) 843-3215 MTWTHFSatSun 9:00 AM - Medical Center 00 Yrs/130 Yrs
00 Yrs/130 Yrs 9:00 PM M-TH 8:00 AM - 8:00 PM Virtua West Jersey Health
Inspira Medical Center PCMH: No F 9:00 AM - 8:00 PM System Inc
Vineland Sat 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Languages: American Sign Norton, Kevin DO Sun 8:00 AM - 6:00 PM PCMH: No
Language Provider ID: 1183611 PCMH: No
MTWTHFSatSun 8:00 AM - Gender: Male Gastroenterology
8:00 PM Medexpress Urgent Care - Sirajuddin, Syed MD
PCMH: No Lodi Biener, Alexander MD
Sub Specialty: HIV/AIDs Provider ID: 1648638 Provider ID: 1169795
Healy, Christine DO 184 Essex St Space F1 Gender: Male Gender: Male
Provider ID: 961902 Lodi, NJ 07644 Prohealth Care Associates of 555 Kinderkamack Rd Ste D
Gender: Female (201) 843-3207 New Je Oradell, NJ 07649
Medical Associates of Fax: (201) 843-3215 30 Prospect Ave (201) 265-8173
Englewood PC 00 Yrs/130 Yrs Hackensack, NJ 07601 Fax: (201) 830-2294
25 Rockwood Pl Ste 120 Virtua West Jersey Health (551) 996-2000 16 Yrs/130 Yrs
Englewood, NJ 07631 System Inc 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 568-3335 MTWTHFSatSun 9:00 AM - M-F 9:00 AM - 5:00 PM PCMH: No
Fax: (201) 568-2450 9:00 PM PCMH: No
16 Yrs/130 Yrs PCMH: No Biener, Alexander MD
Bayonne Medical Center Suri, Ritu MD
Languages: Spanish Reddy, Sureka MD Provider ID: 1583251 Provider ID: 1169795
M-F 8:00 AM - 6:00 PM Provider ID: 1188476 Gender: Female Gender: Male
PCMH: Yes, Level 3 Gender: Female Medical Associates of Sovereign Medical Group LLC
Medexpress Urgent Care - Englewood, PC 50 Blanch Ave
Kaul, Rachna MD Lodi 350 Engle St 2 N Annex Closter, NJ 07624
Provider ID: 1704203 Sub Specialty: HIV/AIDs Englewood, NJ 07631 (201) 784-9400
Gender: Male 184 Essex St Space F1 (201) 894-3364 Fax: (201) 784-4043
Drx Paramus, LLC Lodi, NJ 07644 Fax: (201) 894-5693 16 Yrs/130 Yrs
67 E Ridgewood Ave Unit C (201) 843-3207 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 Fax: (201) 843-3215 Englewood Hospital and PCMH: No
(201) 262-2010 00 Yrs/130 Yrs Medical Center
Fax: (201) 262-2040 Hackettstown Community M-F 9:00 AM - 5:00 PM Biener, Alexander MD
00 Yrs/130 Yrs Hospital DBA Hack PCMH: No
M-TH 8:00 AM - 8:00 PM MTWTHFSatSun 8:00 AM -
8:00 PM Provider ID: 1169795
F 9:00 AM - 8:00 PM
PCMH: No Gender: Male
Sat 9:00 AM - 6:00 PM Sovereign Medical Group LLC
Sun 8:00 AM - 6:00 PM 595 Chestnut Ridge Rd Ste 6
PCMH: No Woodcliff Lake, NJ 07677
(201) 505-9595
Fax: (201) 505-9474
16 Yrs/130 Yrs
MT 9:00 AM - 5:00 PM
W 2:00 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 94
Updated: 11/26/2018

Specialty Physicians
Bergen
Gastroenterology - cont. Fiorillo, Marc MD Gronowitz, Steven MD Kahn, Simon MD
Provider ID: 1102272 Provider ID: 1226453
Candido, Frank MD Gender: Male Provider ID: 1422103 Gender: Male
Provider ID: 945219 The Gastroenterology Group Gender: Male Simon J Kahn MD PC
Gender: Male of North Bhmg - United Medical 464 Hudson Ter Ste 201
Frank M Candido MD 420 Grand Ave 101 612 Rutherford Ave Fl 1 Englewood Cliffs, NJ 07632
466 Old Hook Rd Ste 12 Englewood, NJ 07631 Lyndhurst, NJ 07071 (201) 503-0828
Emerson, NJ 07630 (201) 569-7044 (201) 460-0063 Fax: (201) 503-0848
(201) 265-4050 18 Yrs/130 Yrs Fax: (201) 460-1684 18 Yrs/130 Yrs
Fax: (201) 265-5183 Englewood Hospital and 00 Yrs/130 Yrs Holy Name Medical Center
16 Yrs/130 Yrs Medical Center Bayonne Medical Center Languages: Korean
Englewood Hospital and M-F 9:00 AM - 5:00 PM Jersey City Medical Center MT 9:00 AM - 5:00 PM
Medical Center PCMH: No Prime Health Services-St W 9:00 AM - 3:00 PM
Languages: Italian Marys Hospital TH 9:00 AM - 6:00 PM
MWTH 9:00 AM - 5:00 PM Fishbein, Susan MD Languages: Hebrew PCMH: No
T 9:00 AM - 7:00 PM M-F 8:00 AM - 5:00 PM
PCMH: No Provider ID: 977405 PCMH: No Kancherla, Sandarsh MD
Gender: Female
Chessler, Richard MD Cliffside Medical LLC Gupta, Ramesh MD Provider ID: 1101731
663 Palisade Ave Ste 101 Provider ID: 398200 Gender: Male
Provider ID: 1104299 Cliffside Park, NJ 07010 Gender: Male The Gastroenterology Group
Gender: Male (201) 945-0491 IPA of North Jersey Inc of North
The Gastroenterology Group Fax: (201) 945-1157 15-01 Broadway Ste 28 420 Grand Ave Ste 101
of North 12 Yrs/130 Yrs Fair Lawn, NJ 07410 Englewood, NJ 07631
140 Sylvan Ave Ste 101A Holy Name Medical Center (201) 794-8900 (201) 569-7044
Englewood Cliffs, NJ 07632 Palisades Medical Center Fax: (201) 794-9424 Fax: (201) 569-1999
(201) 945-6564 Languages: Hebrew 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 461-9038 M-F 8:00 AM - 8:00 PM St. Joseph's Hospital Reg Englewood Hospital and
18 Yrs/130 Yrs Sat-Sun 8:00 AM - 4:00 PM Medical Center Medical Center
Englewood Hospital and PCMH: No Surgicare Surgical Assoc of Languages: Spanish
Medical Center Wayne LLC M-F 8:00 AM - 6:00 PM
Holy Name Medical Center Friedrich, Ivan MD Languages: Spanish, Hindi PCMH: No
M-F 9:00 AM - 5:00 PM Provider ID: 1101743 M-TH 9:00 AM - 5:00 PM
PCMH: No Gender: Male F 9:00 AM - 12:00 PM Kaplounov, Irina MD
The Gastroenterology Group PCMH: No
Fiorillo, Marc MD of North Provider ID: 1100753
Provider ID: 1102272 420 Grand Ave Ste 101 Jasutkar, Niren MD
Gender: Female
Gender: Male Englewood, NJ 07631 Provider ID: 1639107 The Gastroenterology Group
The Gastroenterology Group (201) 569-7044 Gender: Male of North
of North Fax: (201) 569-1999 Prohealth Care Associates of 420 Grand Ave Ste 101
140 Sylvan Ave 101A 18 Yrs/130 Yrs New Je Englewood, NJ 07631
Englewood Cliffs, NJ 07632 Englewood Hospital and 1 Maywood Ave (201) 569-7044
(201) 945-6564 Medical Center Maywood, NJ 07607 Fax: (201) 569-1999
Fax: (201) 461-9038 Holy Name Medical Center (973) 836-5577 18 Yrs/130 Yrs
18 Yrs/130 Yrs MTTH 8:00 AM - 5:30 PM Fax: (973) 815-0747 Englewood Hospital and
Englewood Hospital and W 8:00 AM - 6:00 PM 18 Yrs/130 Yrs Medical Center
Medical Center PCMH: No M 80:0 AM - 5:00 PM Languages: Russian
M-F 9:00 AM - 5:00 PM TWTHF 8:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM
PCMH: No PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 95
Updated: 11/26/2018

Specialty Physicians
Bergen
Gastroenterology - cont. Roth, Joseph MD Sapienza, Mark MD Zapiach, Leonidas MD
Provider ID: 582832 Provider ID: 945121
Meininger, Michael MD Gender: Male Provider ID: 1097126 Gender: Male
Gastroenterology Associates Gender: Male Zapiach & Ramos MD Ptr
Provider ID: 1101746 of New The Gastroenterology Group 810 Main St
Gender: Male 71 Union Ave Ste 201 of North Hackensack, NJ 07601
The Gastroenterology Group Rutherford, NJ 07070 420 Grand Ave Ste 101 (201) 854-4740
of North (201) 842-0020 Englewood, NJ 07631 Fax: (201) 854-3203
140 Sylvan Ave Ste 101A Fax: (201) 842-0010 (201) 569-7044 16 Yrs/130 Yrs
Englewood, NJ 07632 18 Yrs/130 Yrs Fax: (201) 569-1999 Englewood Hospital and
(201) 945-6564 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Medical Center
Fax: (201) 461-9038 PCMH: No Holy Name Medical Center Languages: Spanish
18 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Englewood Hospital and Rubin, Kenneth MD PCMH: No PCMH: No
Medical Center
M-F 9:00 AM - 5:00 PM Provider ID: 1094983 Spinnell, Mitchell MD Zapiach, Mauricio MD
PCMH: No Gender: Male Provider ID: 945122
The Gastroenterology Group Provider ID: 1095870 Gender: Male
Meininger, Michael MD of North Gender: Male Zapiach & Ramos MD Ptr
420 Grand Ave Ste 101 The Gastroenterology Group 810 Main St
Provider ID: 1101746 Englewood, NJ 07631 of North Hackensack, NJ 07601
Gender: Male (201) 569-7044 420 Grand Ave Ste 101 (201) 854-4740
The Gastroenterology Group Fax: (201) 569-1999 Englewood, NJ 07631 Fax: (201) 854-3203
of North 18 Yrs/130 Yrs (201) 945-6564 16 Yrs/130 Yrs
420 Grand Ave Ste 101 Holy Name Medical Center Fax: (201) 461-9038 Languages: Spanish
Englewood, NJ 07631 M-TH 8:00 AM - 6:00 PM 18 Yrs/130 Yrs M 2:00 AM - 5:00 PM
(201) 945-6564 PCMH: No Englewood Hospital and PCMH: No
Fax: (201) 461-9038 Medical Center
18 Yrs/130 Yrs Ruiz, Frank MD Languages: Spanish Zierer, Kenneth MD
Englewood Hospital and Provider ID: 582721 M-F 9:00 AM - 5:00 PM
Medical Center Gender: Male PCMH: No Provider ID: 465284
M-F 9:00 AM - 5:00 PM Gastroenterology Associates Gender: Male
PCMH: No of Newj Spinnell, Mitchell MD Gastroenterology Associates
71 Union Ave Ste 201 Provider ID: 944795 of New
Panella, Vincent MD Rutherford, NJ 07070 Gender: Male 71 Union Ave Ste 201
(201) 842-0020 140 Sylvan Ave Ste 101A Rutherford, NJ 07070
Provider ID: 1099843 Fax: (201) 842-0010 Englewood Cliffs, NJ 07632 (201) 842-0020
Gender: Male 18 Yrs/130 Yrs (201) 945-6564 Fax: (201) 842-0010
The Gastroenterology Group St. Joseph's Hospital Reg Fax: (201) 461-9038 18 Yrs/130 Yrs
of North Medical Center 21 Yrs/130 Yrs Prime Health Services-St
420 Grand Ave Ste 101 Languages: Spanish Englewood Hospital and Marys Hospital
Englewood, NJ 07631 M-F 9:00 AM - 5:00 PM Medical Center M-F 9:00 AM - 5:00 PM
(201) 569-7044 PCMH: No Languages: Spanish PCMH: No
Fax: (201) 569-1999 M-F 8:00 AM - 6:00 PM
18 Yrs/130 Yrs PCMH: No Zingler, Barry MD
Englewood Hospital and Provider ID: 1096312
Medical Center Gender: Male
M-F 8:00 AM - 6:00 PM 350 Engle St
PCMH: No Englewood, NJ 07631
(201) 894-3000
18 Yrs/130 Yrs
Holy Name Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 96
Updated: 11/26/2018

Specialty Physicians
Bergen
Gastroenterology - cont. Alexander, Victoria DDS Blades, Brandon DMD Chong, Sarah DDS
Provider ID: TPVP39445-01 Provider ID: TPVP32665-01
Zingler, Barry MD Provider ID: TPVP169355-01 Gender: Male Gender: Female
Provider ID: 1096312 Gender: Female Brandon Blades DMD Bo Orthodontics
Gender: Male Laser Dentistry For Children 757 Teaneck Rd 269 Livingston St Unit G
The Gastroenterology Group 751 Teaneck Rd Teaneck, NJ 07666 Northvale, NJ 07647
of North Teaneck, NJ 07666 (201) 837-1666 (201) 784-1930
140 Sylvan Ave 101A (201) 837-1612 Fax: (201) 837-1012 Fax: (201) 784-1939
Englewood Cliffs, NJ 07632 Fax: (201) 837-8651 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 945-6564 00 Yrs/99 Yrs M 9:00 AM - 6:00 PM Languages: Korean
Fax: (201) 461-9038 MTH 10:00 AM - 6:00 PM T 1:00 AM - 6:00 PM MTTHF 10:00 AM - 7:00 PM
18 Yrs/130 Yrs TWF 11:00 AM - 6:00 PM W 9:00 AM - 2:00 PM W 10:00 AM - 8:00 PM
Holy Name Medical Center Sat 9:00 AM - 2:00 PM PCMH: No Sat 9:00 AM - 4:00 PM
Languages: Spanish PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM Blades, Brandon DMD
PCMH: No Aviarbakh, Hanna DDS Provider ID: TPVP39445-02 Choudhary, Geeta DDS
Provider ID: TPVP143802-01 Gender: Male Provider ID: TPVP41580-01
Zingler, Barry MD Gender: Female Laser Dentistry For Children Gender: Male
Provider ID: 1096312 All Family Dental Center LLC 751 Teaneck Rd Choudhany Geeta DDS PC
Gender: Male 45 US Hwy 46 Teaneck, NJ 07666 422 Pascack Rd 2nd Fl
The Gastroenterology Group Ridgefield Park, NJ 07660 (201) 837-1612 Township of Washington, NJ
of North (201) 440-2100 Fax: (201) 837-8651 07676
420 Grand Ave 101 Fax: (201) 440-1279 00 Yrs/99 Yrs (201) 497-3990
Englewood, NJ 07631 00 Yrs/99 Yrs MTH 10:00 AM - 6:00 PM Fax: (201) 825-5999
(201) 569-7044 Languages: Russian TWF 11:00 AM - 6:00 PM 00 Yrs/99 Yrs
Fax: (201) 569-1999 M-F 10:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM Languages: Spanish
18 Yrs/130 Yrs PCMH: No PCMH: No M-F 10:00 AM - 5:00 PM
Holy Name Medical Center PCMH: No
Languages: Spanish Aviarbakh, Hanna DDS Botero-Mondul, Claudia DDS
M-F 9:00 AM - 5:00 PM Provider ID: TPVP143802-02 Drutsko, Sergey DMD
PCMH: No Gender: Female Provider ID: TPVP33556-01 Provider ID: TPVP136131-02
Aesthetic Dental Center of Gender: Female Gender: Male
General Dentistry Hackensack LLC Dental Health Care PC All Family Dental Center LLC
163 Main St 45 US Hwy 46
190 Main St Ste 302
Aboelsaad, Mohamed DDS Hackensack, NJ 07601 Ridgefield Park, NJ 07660
Hackensack, NJ 07601
(201) 488-8866 (201) 440-2100
(201) 343-5363
Provider ID: TPVP166428-01 Fax: (201) 488-7663 Fax: (201) 440-1279
Fax: (201) 343-5916
Gender: Male 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs
Saddle Brook Dental Languages: Russian Languages: Russian
Languages: Spanish
Associates LLC M-F 10:00 AM - 6:00 PM M-F 10:00 AM - 6:00 PM
M-TH 10:00 AM - 5:00 PM
220 5th St PCMH: No PCMH: No
F 10:00 AM - 2:00 PM
Saddle Brook, NJ 07663 PCMH: No
(973) 478-1616 Barysenka, Alena DDS Edalat, Fariba DDS
Fax: (973) 478-1732 Provider ID: TPVP140701-01 Carto, Faith DMD Provider ID: TPVP136125-02
00 Yrs/99 Yrs Gender: Female Gender: Female
Provider ID: TPVP39226-01
Languages: Arabic All Family Dental Center LLC Cozy Dentistry LLC
Gender: Female
M-TH 9:00 AM - 8:00 PM 45 US Hwy 46 174 Main St
Main Street Dental LLC
F 9:00 AM - 5:00 PM Ridgefield Park, NJ 07660 Ridgefield Park, NJ 07660
131 Main St Dental Ste 110
Sat 9:00 AM - 3:00 PM (201) 440-2100 (201) 267-6700
Hackensack, NJ 07601
PCMH: No Fax: (201) 440-1279 Fax: (201) 267-6701
(201) 488-0008
00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs
Languages: Russian MT 10:00 AM - 7:00 PM
M-TH 9:30 AM - 2:30 PM
M-F 10:00 AM - 6:00 PM W 2:00 AM - 7:00 PM
F 9:00 AM - 2:00 PM
PCMH: No TH 11:00 AM - 6:00 PM
PCMH: No
F 9:00 AM - 2:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 97
Updated: 11/26/2018

Specialty Physicians
Bergen
General Dentistry - cont. Estedrak, Maryz DDS Hur, Eun DMD Jahansouz, Maryam DDS
Provider ID: TPVP155881-01 Provider ID: TPVP158812-01 Provider ID: TPVP41473-01
Eldin, Khaled DDS Gender: Male Gender: Female Gender: Female
Provider ID: TPVP33368-01 Ever Smile Dental Bo Orthodontics Sunflower Dental Group of
Gender: Male 479 N Midland Ave 269 Livingston St Unit G Westwood PC
Saddle Brook Dental Saddle Brook, NJ 07663 Northvale, NJ 07647 316 C Kinderkamack Rd
Associates LLC (201) 773-3992 (201) 784-1930 Westwood, NJ 07675
220 5th St Fax: (551) 224-8426 Fax: (201) 784-1939 (201) 497-6532
Saddle Brook, NJ 07663 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 488-1137
(973) 478-1616 Languages: Arabic Languages: Korean 00 Yrs/99 Yrs
Fax: (973) 478-1732 MTH 9:00 AM - 8:00 PM MTTHF 10:00 AM - 7:00 PM Languages: Persian - Farsi
00 Yrs/99 Yrs TWF 9:00 AM - 5:00 PM W 10:00 AM - 8:00 PM M 9:30 AM - 5:00 PM
Languages: Arabic Sat 9:00 AM - 3:00 PM Sat 9:00 AM - 4:00 PM T 9:30 AM - 4:00 PM
M-TH 9:00 AM - 8:00 PM PCMH: No PCMH: No W 9:30 AM - 2:00 PM
F 9:00 AM - 5:00 PM TH 9:30 AM - 1:00 PM
Sat 9:00 AM - 3:00 PM Fine, Craig DDS Igdalev, Igor DMD F 8:00 AM - 2:00 PM
PCMH: No Provider ID: TPVP41325-01 Provider ID: TPVP153278-01 PCMH: No
Gender: Male Gender: Male
Elfar, Mina DMD Fine Family Dentistry Painless DDS PC Kim, Yoojin DDS
Provider ID: TPVP157892-01 240 E Palisades Ave Ste 11C 1625 Anderson Ave Ste 202 Provider ID: TPVP141581-01
Gender: Male Englewood, NJ 07631 Fort Lee, NJ 07024 Gender: Female
DS Dental Arts LLC (201) 569-9393 (201) 224-9444 Bo Orthodontics
634 Anderson Ave Fax: (201) 541-9164 Fax: (201) 224-9422 269 Livingston St Unit G
Cliffside Park, NJ 07010 00 Yrs/99 Yrs 00 Yrs/99 Yrs Northvale, NJ 07647
(201) 945-1119 Languages: Spanish Languages: Russian (201) 784-1930
Fax: (201) 945-1411 M-TH 9:00 AM - 4:00 PM MSat 9:00 AM - 3:00 PM Fax: (201) 784-1939
00 Yrs/99 Yrs F 9:00 AM - 2:00 PM TWTHF 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
Languages: Arabic PCMH: No PCMH: No Languages: Korean
M-F 10:00 AM - 6:00 PM MTTHF 10:00 AM - 7:00 PM
PCMH: No Gerges, Nabil DDS Igdalev, Julia DDS W 10:00 AM - 8:00 PM
Provider ID: TPVP39415-01 Provider ID: TPVP41059-01 Sat 9:00 AM - 4:00 PM
Espinosa-Dovale, Maria DDS Gender: Male Gender: Female PCMH: No
St Mary St Katherine Dental Painless DDS PC
Provider ID: TPVP103703-01 Associates LLC 1625 Anderson Ave Ste 202 Lavandeira, Janet DMD
Gender: Female 167 Grove St Fort Lee, NJ 07024
North Hudson Community Lodi, NJ 07644 (201) 224-9444 Provider ID: TPVP41652-01
Action Corporation (973) 458-1156 Fax: (201) 224-9422 Gender: Female
535 Midland Ave Fax: (973) 458-1155 00 Yrs/99 Yrs North Hudson Community
Garfield, NJ 07026 00 Yrs/99 Yrs Languages: Russian Action Corporation
(973) 340-1182 Languages: Arabic MSat 9:00 AM - 3:00 PM 535 Midland Ave
Fax: (973) 340-1156 MTTH 4:00 AM - 8:00 PM TWTHF 9:00 AM - 6:00 PM Garfield, NJ 07026
00 Yrs/99 Yrs WF 9:00 AM - 2:00 PM PCMH: No (973) 340-1182
Languages: Spanish PCMH: No Fax: (973) 340-1156
MTTHFSat 8:30 AM - 5:00 PM 00 Yrs/99 Yrs
W 8:30 AM - 7:00 PM Halim, Katerine DMD Languages: Spanish
PCMH: No Provider ID: TPVP156809-02 MTTHFSat 8:30 AM - 5:00 PM
Gender: Female W 8:30 AM - 7:00 PM
Great Expressions Dental PCMH: No
Centers
370 Pleasantview Ave Ste 14A
Hackensack, NJ 07601
(201) 843-4800
Fax: (201) 843-4773
00 Yrs/99 Yrs
MTTHF 8:00 AM - 5:00 PM
W 8:00 AM - 8:00 PM
PCMH: No

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Specialty Physicians
Bergen
General Dentistry - cont. Morcos, Safinaz DDS Rahman, Mohammed DDS Rehman, Aneeza DMD
Provider ID: TPVP39829-01 Provider ID: TPVP175522-01 Provider ID: TPVP144704-02
Lazar, Jonathan DMD Gender: Female Gender: Male Gender: Female
Provider ID: TPVP157904-01 Gentle Dental Service Saddle Brook Dental Aesthetic Dental Center of
Gender: Male 32 Anderson St Associates LLC Hackensack LLC
Wallington Family Dentistry Hackensack, NJ 07601 220 5th St 163 Main St
172 Maple Ave (201) 457-1010 Saddle Brook, NJ 07663 Hackensack, NJ 07601
Wallington, NJ 07057 Fax: (201) 457-1540 (973) 478-1616 (201) 488-8866
(973) 778-0918 00 Yrs/99 Yrs Fax: (973) 478-1732 Fax: (201) 488-7663
Fax: (973) 778-9275 Languages: Arabic 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-TH 10:00 AM - 7:00 PM Languages: Arabic Languages: Russian, Arabic
Languages: Persian - Farsi F 9:00 AM - 2:00 PM M-TH 9:00 AM - 8:00 PM M-F 10:00 AM - 6:00 PM
MT 9:00 AM - 7:00 PM PCMH: No F 9:00 AM - 5:00 PM PCMH: No
PCMH: No Sat 9:00 AM - 3:00 PM
Ouhame, Nisrine DDS PCMH: No Rosenblatt, Debra DDS
Margolin, Jerome DDS Provider ID: TPVP158795-01 Provider ID: TPVP39059-02
Provider ID: TPVP40609-01 Gender: Female Rao, Nirmala DMD Gender: Female
Gender: Male United Dental Group Provider ID: TPVP139294-02 The Smile Spa of North Jersey
Margolin Dental Assoc LLC 946 Main St Gender: Female LLC
620 Palisade Ave Hackensack, NJ 07601 Great Expressions Dental 251 Godwin Ave
Englewood Cliffs, NJ 07632 (201) 464-4783 Centers Midland Park, NJ 07432
(201) 567-0405 Fax: (844) 631-0047 370 Pleasantview Ave Ste 14A (201) 445-2797
Fax: (201) 541-7070 00 Yrs/99 Yrs Hackensack, NJ 07601 Fax: (201) 445-8340
00 Yrs/99 Yrs Languages: Arabic (201) 843-4800 00 Yrs/99 Yrs
Languages: Spanish M-TH 9:00 AM - 6:00 PM Fax: (201) 843-4773 MTTHF 9:00 AM - 5:00 PM
M-W 7:30 AM - 7:00 PM F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs W 9:00 AM - 12:00 PM
TH 7:00 AM - 5:00 PM PCMH: No MTTHF 8:00 AM - 5:00 PM PCMH: No
F 8:00 AM - 3:00 PM W 8:00 AM - 8:00 PM
PCMH: No Petlyuk, Nataliya DDS PCMH: No Rozehzadeh, Joseph DDS
Provider ID: TPVP170022-01
Meskin, Vladimir DDS Gender: Female Redzio, Ursula DDS Provider ID: TPVP41793-03
Provider ID: TPVP37146-01 All Family Dental Center LLC Provider ID: TPVP35641-01 Gender: Male
Gender: Male 45 US Hwy 46 Gender: Female Wallington Family Dentistry
All Family Dental Center LLC Ridgefield Park, NJ 07660 Family Dental Care - Urszula 172 Maple Ave
45 US Hwy 46 (201) 440-2100 Redzio Wallington, NJ 07057
Ridgefield Park, NJ 07660 Fax: (201) 440-1279 235 Wessington Ave (973) 778-0918
(201) 440-2100 00 Yrs/99 Yrs Garfield, NJ 07026 Fax: (973) 778-9275
Fax: (201) 440-1279 Languages: Russian (973) 772-0026 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-F 10:00 AM - 6:00 PM Fax: (973) 772-0336 Languages: Persian - Farsi
Languages: Russian PCMH: No 00 Yrs/99 Yrs MT 9:00 AM - 7:00 PM
M-F 10:00 AM - 6:00 PM Languages: Polish PCMH: No
PCMH: No Pizzano, Marc DDS M-TH 10:00 AM - 8:00 PM
Provider ID: TPVP40387-01 F 10:00 AM - 2:00 PM Ruggiero, James DMD
Meskin, Vladimir DDS Gender: Male PCMH: No Provider ID: TPVP132181-01
Provider ID: TPVP37146-03 Parkview Dental Gender: Male
Gender: Male 1200 E Ridgewood Ave Ste 215 Center For Dentistry
Aesthetic Dental Center of W Wing 30 Prospect Ave
Hackensack LLC Ridgewood, NJ 07450 Hackensack, NJ 07601
163 Main St (201) 857-5777 (551) 996-2111
Hackensack, NJ 07601 Fax: (201) 857-5778 Fax: (551) 996-0530
(201) 488-8866 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 488-7663 Languages: Spanish Languages: Spanish
00 Yrs/99 Yrs M-TH 10:00 AM - 7:00 PM M-F 8:00 AM - 4:30 PM
Languages: Russian F 10:00 AM - 6:00 PM PCMH: No
M-F 10:00 AM - 6:00 PM Sat 12:00 AM - 3:30 PM
PCMH: No PCMH: No

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Specialty Physicians
Bergen
General Dentistry - cont. Yapor, Eddy DDS Zakjyev, Rustam DMD Brower, Steven MD
Provider ID: TPVP103705-01 Provider ID: TPVP146310-01 Provider ID: 1315969
Severe, Martha DDS Gender: Male Gender: Male Gender: Female
Provider ID: TPVP33674-02 North Hudson Community Aesthetic Dental Center of Medical Assocates of
Gender: Female Action Corporation Hackensack LLC Englewood PC
Hudson Hackensack Dental 535 Midland Ave 163 Main St 22-18 Broadway Ste 301
133 Hudson St Ste 1 Garfield, NJ 07026 Hackensack, NJ 07601 Fair Lawn, NJ 07410
Hackensack, NJ 07601 (973) 340-1182 (201) 488-8866 (973) 321-2755
(201) 389-4080 Fax: (973) 340-1156 Fax: (201) 488-7663 Fax: (973) 321-2750
Fax: (201) 596-3130 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/130 Yrs
00 Yrs/99 Yrs Languages: Spanish Languages: Russian Englewood Hospital and
M-W 9:00 AM - 3:00 PM MTTHFSat 8:30 AM - 5:00 PM M-F 10:00 AM - 6:00 PM Medical Center
PCMH: No W 8:30 AM - 7:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No
Shin, Hyun Won DDS General Practice
Provider ID: TPVP28680-01 Yu, Seo DDS Cioroiu, Michael MD
Gender: Female Provider ID: TPVP138289-01 Borkowski, Douglas MD
Modern Dental Gender: Female Provider ID: 1226451
422 Main St1st Fl Bo Orthodontics Provider ID: 1704192 Gender: Male
Fort Lee, NJ 07024 269 Livingston St Unit G Gender: Male Medical Associates of
(201) 585-1838 Northvale, NJ 07647 Drx Paramus, LLC Englewood PC
Fax: (201) 585-1719 (201) 784-1930 67 E Ridgewood Ave Unit C 350 Engle St Ste 3E
00 Yrs/99 Yrs Fax: (201) 784-1939 Paramus, NJ 07652 Englewood, NJ 07631
Languages: Korean 00 Yrs/99 Yrs (201) 262-2010 (201) 894-3361
M 9:00 AM - 6:00 PM Languages: Korean Fax: (201) 262-2040 Fax: (201) 894-1392
TWTH 10:00 AM - 7:00 PM MTTHF 10:00 AM - 7:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
F 10:00 AM - 2:00 PM W 10:00 AM - 8:00 PM St. Joseph's Hospital Reg Languages: Spanish,
PCMH: No Sat 9:00 AM - 4:00 PM Medical Center Hungarian, Romanian
PCMH: No M-TH 8:00 AM - 8:00 PM M-F 9:00 AM - 5:00 PM
Tadros, Jacklyn DDS F 9:00 AM - 8:00 PM PCMH: No
Provider ID: TPVP108954-01 Yun, Sung DDS Sat 9:00 AM - 6:00 PM
Gender: Female Provider ID: TPVP41776-01 Sun 8:00 AM - 6:00 PM Eid, Sebastian MD
Jacklyn Tadros DDS LLC Gender: Male PCMH: No Provider ID: 1273078
379 Main Ave Ste 2 Bo Orthodontics Gender: Male
Wallington, NJ 07057 269 Livingston St Unit G General Surgery Advanced Laparoscopic
(973) 778-7800 Northvale, NJ 07647 Associates
Fax: (973) 778-7811 (201) 784-1930 Brower, Steven MD 81 E Rte 4 Ste 401
00 Yrs/99 Yrs Fax: (201) 784-1939 Provider ID: 1315969 Paramus, NJ 07652
Languages: Arabic 00 Yrs/99 Yrs Gender: Female (201) 646-1121
M-W 9:00 AM - 6:00 PM Languages: Korean 350 Engle St Fl 6 Fax: (201) 646-1110
THF 9:00 AM - 5:00 PM MTTHF 10:00 AM - 7:00 PM Englewood, NJ 07631 00 Yrs/130 Yrs
PCMH: No W 10:00 AM - 8:00 PM (201) 608-2800 St. Joseph's Hospital Reg
Sat 9:00 AM - 4:00 PM 00 Yrs/130 Yrs Medical Center
Xenakis, George DDS PCMH: No Englewood Hospital and M-F 9:00 AM - 5:00 PM
Provider ID: TPVP35812-01 Medical Center PCMH: No
Gender: Male Zakaim, Elvis DMD M-F 9:00 AM - 5:00 PM
United Dental Group Provider ID: TPVP39078-02 PCMH: No
946 Main St Gender: Male
Hackensack, NJ 07601 Elvis Zakaim DMD
(201) 464-4783 413 Farview Ave
Fax: (844) 631-0047 Paramus, NJ 07652
00 Yrs/99 Yrs (201) 261-0216
Languages: Arabic Fax: (201) 261-5187
M-TH 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
F 9:00 AM - 5:00 PM MTTHF 8:00 AM - 5:00 PM
PCMH: No W 8:00 AM - 8:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 100
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Specialty Physicians
Bergen
General Surgery - cont. Ibrahim, Ibrahim MD Longo Salvador, Jose MD Mendoza, Lynette DO
Provider ID: 944189 Provider ID: 1500764
Harris, Michael MD Gender: Male Provider ID: 943702 Gender: Female
Laparoscopy & Bariatric Gender: Male Excelcare Medical Associates
Provider ID: 1581652 97 Engle St Fl 2 Cliffside Medical LLC PA
Gender: Male Englewood, NJ 07631 663 Palisade Ave Ste 101 718 Teaneck Rd
Medical Associates of (201) 227-5533 Cliffside Park, NJ 07010 Teaneck, NJ 07666
Englewood PC Fax: (201) 227-5537 (201) 945-0491 (201) 833-3357
350 Engle St 18 Yrs/130 Yrs Fax: (201) 945-1157 Fax: (201) 227-6207
Englewood, NJ 07631 Englewood Hospital and 00 Yrs/130 Yrs 18 Yrs/130 Yrs
(201) 608-2455 Medical Center Holy Name Medical Center Holy Name Medical Center
00 Yrs/130 Yrs Languages: Spanish Languages: Spanish, Italian M-F 9:00 AM - 5:00 PM
Englewood Hospital and M 10:00 AM - 5:00 PM M-F 8:00 AM - 8:00 PM PCMH: No
Medical Center PCMH: No Sat-Sun 8:00 AM - 4:00 PM
M-F 8:00 AM - 5:00 PM Morales-Ribeiro, Celines MD
PCMH: No
PCMH: No Kim, Sanghyun MD
Provider ID: 1181225 Magrino, Michael DO Provider ID: 944191
Ibrahim, Ibrahim MD Gender: Male Provider ID: 1342170 Gender: Female
Sanghyun Kim, MD Gender: Male Bergen Lap Bari Assoc LLC
Provider ID: 1591234 350 Engle St 375 Engle St 97 Engle St Fl 2
Gender: Male Englewood, NJ 07631 Englewood, NJ 07631 Englewood, NJ 07631
Medical Associates of (513) 593-1380 (201) 894-0400 (201) 227-5533
Englewood, PC Fax: (516) 566-2375 Fax: (201) 894-1022 Fax: (201) 227-5537
22-18 Broadway Ste 301 00 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/85 Yrs
Fair Lawn, NJ 07410 Englewood Hospital and Englewood Hospital and Englewood Hospital and
(201) 227-5533 Medical Center Medical Center Medical Center
Fax: (201) 227-5537 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish
00 Yrs/130 Yrs PCMH: No PCMH: No M 10:00 AM - 4:00 PM
Englewood Hospital and T 10:00 AM - 3:00 PM
Medical Center Kim, Sanghyun MD Magrino, Michael DO PCMH: No
Holy Name Medical Center Provider ID: 1181225 Provider ID: 1342170
M-F 9:00 AM - 5:00 PM Gender: Male Gender: Male Narvaez, Guillermo MD
PCMH: No Sanghyun Kim, MD Medical Associates of
630 E Palisade Ave Ste 2 Englewood PC Provider ID: 1704201
Ibrahim, Ibrahim MD Englewood Cliffs, NJ 07632 22-18 Broadway Ste 301 Gender: Male
(201) 259-7371 Fair Lawn, NJ 07410 Drx Paramus, LLC
Provider ID: 1591234 Fax: (201) 503-1514 (973) 321-2755 67 E Ridgewood Ave Unit C
Gender: Male 00 Yrs/130 Yrs Fax: (973) 321-2750 Paramus, NJ 07652
Medical Associates of Englewood Hospital and 00 Yrs/130 Yrs (201) 262-2010
Englewood, PC Medical Center Englewood Hospital and Fax: (201) 262-2040
350 Engle St Ste 2NW M 8:00 AM - 1:00 PM Medical Center 00 Yrs/130 Yrs
Englewood, NJ 07631 T 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-TH 8:00 AM - 8:00 PM
(201) 227-5533 PCMH: No PCMH: No F 9:00 AM - 8:00 PM
Fax: (201) 227-5537 Sat 9:00 AM - 6:00 PM
00 Yrs/130 Yrs McGinty, James MD
Sun 8:00 AM - 6:00 PM
Englewood Hospital and PCMH: No
Medical Center Provider ID: 1431999
Holy Name Medical Center Gender: Male
M-F 9:00 AM - 5:00 PM Medical Associates of
PCMH: No Englewood PC
350 Engle St 2NW
Englewood, NJ 07631
(201) 608-2848
00 Yrs/130 Yrs
M-F 8:00 AM - 6:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 101
Updated: 11/26/2018

Specialty Physicians
Bergen
General Surgery - cont. Sherman, Jingjing MD Strain, Jeffrey MD Strain, Jeffrey MD
Provider ID: 1585529 Provider ID: 944193
Poole, John MD Provider ID: 1592706 Gender: Male Gender: Male
Provider ID: 1336054 Gender: Female Medical Associates of Laparoscopy & Bariatric
Gender: Male Medical Associates of Englewood, PC Sub Specialty: ENDOCRINE
Excelcare Medical Associates Englewood, PC 22-18 Broadway Ste 301 SURGERY
PA 22-18 Broadway Ste 301 Fair Lawn, NJ 07410 97 Engle St 2nd Fl
83 Summit Ave Fair Lawn, NJ 07410 (201) 227-5533 Englewood, NJ 07631
Hackensack, NJ 07601 (201) 227-5533 Fax: (201) 227-5537 (201) 227-5533
(201) 646-0010 Fax: (201) 227-5537 00 Yrs/130 Yrs Fax: (201) 541-6446
Fax: (201) 646-0600 00 Yrs/130 Yrs Englewood Hospital and 18 Yrs/130 Yrs
00 Yrs/130 Yrs Englewood Hospital and Medical Center Englewood Hospital and
Holy Name Medical Center Medical Center Holy Name Medical Center Medical Center
M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish
PCMH: No PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No
Seo, Christina MD Sherman, Jingjing MD Strain, Jeffrey MD
Provider ID: 944849 Provider ID: 1585529 Sussman, Barry MD
Gender: Female Provider ID: 1592706 Gender: Male Provider ID: 1344850
127 Union St Gender: Female Medical Associates of Gender: Male
Ridgewood, NJ 07450 Medical Associates of Englewood, PC 375 Engle St
(201) 447-4466 Englewood, PC 350 Engle St Ste 2NW Englewood, NJ 07631
Fax: (201) 493-1718 350 Engle St Ste 2NW Englewood, NJ 07631 (201) 894-0400
12 Yrs/130 Yrs Englewood, NJ 07631 (201) 227-5533 Fax: (201) 894-1022
Bergen Regional Medical (201) 227-5533 Fax: (201) 227-5537 18 Yrs/130 Yrs
Center Fax: (201) 227-5537 00 Yrs/130 Yrs Englewood Hospital and
Englewood Hospital and 00 Yrs/130 Yrs Englewood Hospital and Medical Center
Medical Center Englewood Hospital and Medical Center M-F 9:00 AM - 5:00 PM
Languages: Spanish, Korean Medical Center Holy Name Medical Center PCMH: No
M 1:00 AM - 4:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No PCMH: No Sussman, Barry MD

Seo, Christina MD Sherman, Jingjing MD Strain, Jeffrey MD Provider ID: 1344850


Provider ID: 944849 Provider ID: 1585529 Gender: Male
Gender: Female Gender: Male Medical Associates of
Provider ID: 1592706
216 Engle St 203 Medical Associates of Englewood PC
Gender: Female
Englewood, NJ 07631 Englewood, PC 350 Engle St 4th Fl Berrie Bldg
Medical Associates of
(201) 567-7615 97 Engle St Englewood, NJ 07631
Englewood, PC
Fax: (201) 567-8033 Englewood, NJ 07631 (201) 894-3364
97 Engle St
12 Yrs/130 Yrs (201) 227-5533 Fax: (201) 894-5693
Englewood, NJ 07631
Bergen Regional Medical Fax: (201) 541-6446 18 Yrs/130 Yrs
(201) 227-5533
Center 00 Yrs/130 Yrs Englewood Hospital and
Fax: (201) 227-5537
Englewood Hospital and Englewood Hospital and Medical Center
00 Yrs/130 Yrs
Medical Center Medical Center M-F 9:00 AM - 5:00 PM
Englewood Hospital and Holy Name Medical Center
Languages: Spanish, Korean Medical Center PCMH: No
M 9:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 102
Updated: 11/26/2018

Specialty Physicians
Bergen
General Surgery - cont. Geriatric Medicine Miller, Richard MD Wolf, Edward MD
Provider ID: 946461 Provider ID: 946466
Wolodiger, Fred MD Adel, Nourihan MD Gender: Male Gender: Male
Provider ID: 1581653 Provider ID: 1022053 Bergen Perinatal Assoc Bergen Perinatal Assoc
Gender: Male Gender: Not Available 718 Teaneck Rd 3rd Fl 718 Teaneck Rd 3rd Fl
Medical Associates of Nourihan Adel MD Teaneck, NJ 07666 Teaneck, NJ 07666
Englewood PC 230 E Ridgewood Ave Ste 6-2 (201) 833-3535 (201) 833-3535
350 Engle St 2 Main Paramus, NJ 07652 Fax: (201) 833-3554 Fax: (201) 833-3554
Englewood, NJ 07631 (201) 225-4700 12 Yrs/130 Yrs 12 Yrs/130 Yrs
(201) 569-4901 Fax: (201) 225-4702 Saint Barnabas Medical Englewood Hospital and
Fax: (201) 894-3764 18 Yrs/110 Yrs Center Livingston Medical Center
00 Yrs/130 Yrs Bergen Regional Medical M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Englewood Hospital and Center PCMH: No PCMH: No
Medical Center M-F 10:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM PCMH: No Pelaez, Linda MD Hematology
PCMH: No Provider ID: 946462
Gynecological Oncology Gender: Female Goy, Andre MD
Yang, Hee MD Bergen Perinatal Assoc Provider ID: 1277084
Provider ID: 944463 Lewin, Sharyn MD 718 Teaneck Rd 3rd Fl Gender: Male
Gender: Male Provider ID: 1005839 Teaneck, NJ 07666 30 Prospect Ave
Hee K Yang MD FACS Gender: Female (201) 833-3535 Hackensack, NJ 07601
464 Hudson Ter 101 Excelcare Medical Associates Fax: (201) 833-3554 (201) 996-2000
Englewood Cliffs, NJ 07632 PA 12 Yrs/130 Yrs 18 Yrs/110 Yrs
(201) 567-7747 718 Teaneck Rd Saint Barnabas Medical M-F 9:00 AM - 5:00 PM
Fax: (201) 567-3916 Teaneck, NJ 07666 Center Livingston PCMH: No
00 Yrs/130 Yrs (201) 227-6200 M-F 9:00 AM - 5:00 PM
Englewood Hospital and Fax: (201) 227-6209 PCMH: No Goy, Andre MD
Medical Center 00 Yrs/130 Yrs Provider ID: 1277084
Holy Name Medical Center Holy Name Medical Center Smith, Leon MD Gender: Male
Languages: Korean Languages: Spanish, Korean Provider ID: 946463 Regional Cancer Care
M 9:30 AM - 12:00 PM M-F 9:00 AM - 5:00 PM Gender: Male Associates LLC
T 11:00 AM - 5:00 PM PCMH: No Bergen Perinatal Assoc 7650 River Rd Ste 200
PCMH: No 718 Teaneck Rd 3rd Fl River Road, NJ 07047
Gynecology Teaneck, NJ 07666 (201) 464-0008
Yang, Hee MD (201) 833-3535 Fax: (201) 662-1267
Provider ID: 944463 Bauer, Christopher MD Fax: (201) 833-3554 18 Yrs/110 Yrs
Gender: Male 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Hee K. Yang MD, FACS Provider ID: 1555837 M-F 9:00 AM - 5:00 PM PCMH: No
718 Teaneck Rd Gender: Male PCMH: No
Teaneck, NJ 07666 Goy, Andre MD
Atlantic Medical Group
(201) 541-6336 340C Ramapo Valley Rd Warren, Wendy MD Provider ID: 1277084
Fax: (201) 567-3916 Oakland, NJ 07436 Provider ID: 946465 Gender: Male
00 Yrs/130 Yrs (973) 694-2222 Gender: Female Regional Cancer Care
Englewood Hospital and Bergen Perinatal Assoc Associates LLC
Fax: (973) 694-7664
Medical Center 718 Teaneck Rd 3rd Fl 92 2nd St
00 Yrs/130 Yrs
Holy Name Medical Center Teaneck, NJ 07666 Hackensack, NJ 07601
AHS Hospital
Languages: Korean (201) 833-3535 (551) 996-3033
M-F 7:30 AM - 6:00 PM
M 1:00 AM - 5:00 PM Fax: (201) 833-3554 Fax: (551) 996-0574
PCMH: No
PCMH: No 12 Yrs/130 Yrs 18 Yrs/110 Yrs
Overlook Hospital M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 103
Updated: 11/26/2018

Specialty Physicians
Bergen
Hematology & Oncology Proverbssingh, Tracy MD Infectious Disease Internal Medicine
Druck, Mark MD Provider ID: 1534566 Hamadeh, Randa MD Barr, Jerome MD
Provider ID: 438767 Gender: Female Provider ID: 799084
Gender: Male Regional Cancer Care Provider ID: 818671 Gender: Male
Combined Hematology Associates, LL Gender: Female Bergen Arthritis and
Oncology Practi 92 2nd St Bhmg United Medical Rheumatism Rel
663 Palisade Ave Ste 205 Hackensack, NJ 07601 612 Rutherford Ave 17-15 Maple Ave Ste 2
Cliffside Park, NJ 07010 (551) 996-5900 Lyndhurst, NJ 07071 Fair Lawn, NJ 07410
(201) 945-1429 Fax: (551) 996-8578 (201) 460-0063 (201) 677-8759
Fax: (201) 945-3278 18 Yrs/130 Yrs Fax: (201) 460-1684 Fax: (201) 654-7489
21 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs 12 Yrs/130 Yrs
Christ Hospital PCMH: No Jersey City Medical Center St. Joseph's Hospital Reg
Languages: Spanish St. Joseph's Hospital Reg Medical Center
M 8:00 AM - 3:00 PM Siegel, David MD Medical Center M-F 9:00 AM - 5:00 PM
PCMH: No Provider ID: 1550693 Languages: French, Arabic PCMH: No
Gender: Male M-F 9:00 AM - 5:00 PM
Harper, Harry MD Regional Cancer Care PCMH: No Batchu, Priyanka MD
Provider ID: 1550694 Associates LLC
Gender: Male 92 2nd St Jathavedam, Ashwin MD Provider ID: 1701369
Regional Cancer Care Hackensack, NJ 07601 Gender: Female
Associates LLC (551) 996-8704 Provider ID: 1160566 Medical Associates of
92 2nd St Fax: (551) 996-0574 Gender: Male Englewood, PC
Hackensack, NJ 07601 18 Yrs/130 Yrs Medical Associates of 350 Engle St 2 N Annex
(201) 996-5900 M-F 9:00 AM - 3:00 PM Englewood PC Englewood, NJ 07631
Fax: (551) 996-0574 PCMH: No 25 Rockwood Pl Ste 120 (201) 894-3364
18 Yrs/130 Yrs Englewood, NJ 07631 Fax: (201) 894-5693
M-TH 8:00 AM - 5:00 PM Upadhyaya, Hitendrakumar (201) 568-3335 00 Yrs/130 Yrs
F 8:00 AM - 4:30 PM MD Fax: (201) 568-2450 Englewood Hospital and
PCMH: No Provider ID: 1705852 00 Yrs/130 Yrs Medical Center
Gender: Male Englewood Hospital and M-F 9:00 AM - 5:00 PM
Min, Christina MD Medical Associates of Medical Center PCMH: No
Provider ID: 1205878 Englewood, PC M-F 8:00 AM - 6:00 PM
Gender: Female 350 Engle St Ste 6 PCMH: Yes, Level 3 Blackwell, Lauren MD
Regional Cancer Care Englewood, NJ 07631
Associates LLC (201) 608-2800 Weisholtz, Steven MD Provider ID: 1566515
260 Old Hook Rd Ste 301 Fax: (201) 608-2478 Provider ID: 1166595 Gender: Female
Westwood, NJ 07675 00 Yrs/130 Yrs Gender: Male Medical Associates of
(201) 383-4840 M-F 9:00 AM - 5:00 PM Medical Associates of Englewood, PC
Fax: (201) 383-4824 PCMH: No Englewood PC 350 Engle St Fl 2N
18 Yrs/130 Yrs 25 Rockwood Pl Ste 120 Englewood, NJ 76311
Languages: Korean Englewood, NJ 07631 (201) 894-3364
M-F 9:00 AM - 5:00 PM (201) 568-3335 Fax: (201) 894-5693
PCMH: No Fax: (201) 568-2450 00 Yrs/130 Yrs
12 Yrs/130 Yrs Englewood Hospital and
Englewood Hospital and Medical Center
Medical Center M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 6:00 PM PCMH: No
PCMH: Yes, Level 3

www.wellcare.com/New-Jersey | 104
Updated: 11/26/2018

Specialty Physicians
Bergen
Internal Medicine - cont. Dave, Vinnidhy MD Han, Eugene MD Kahn, Simon MD
Provider ID: 1609767 Provider ID: 1226453
Cristescu, Corina MD Provider ID: 1429397 Gender: Male Gender: Male
Provider ID: 1518433 Gender: Male The Gastroenterology Group Simon J Kahn MD PC
Gender: Female Medical Associates of of North 464 Hudson Ter Ste 201
Medical Associates of Englewood PC 140 Sylvan Ave Ste 101A Englewood Cliffs, NJ 07632
Englewood, PC 350 Engle St Lowr Lvl Englewood, NJ 07632 (201) 503-0828
350 Engle St Ste 5 Englewood, NJ 07631 (201) 569-7044 Fax: (201) 503-0848
Englewood, NJ 07631 (201) 894-3359 Fax: (201) 569-1999 18 Yrs/130 Yrs
(201) 894-3364 00 Yrs/130 Yrs 16 Yrs/130 Yrs Holy Name Medical Center
Fax: (201) 894-5693 Englewood Hospital and Englewood Hospital and Languages: Korean
00 Yrs/130 Yrs Medical Center Medical Center MT 9:00 AM - 5:00 PM
Englewood Hospital and M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM W 9:00 AM - 3:00 PM
Medical Center PCMH: No PCMH: No TH 9:00 AM - 6:00 PM
Languages: French, Romanian PCMH: No
M-F 7:00 AM - 9:00 PM Dave, Vinnidhy MD Han, Eugene MD
Sat-Sun 8:00 AM - 6:00 PM Provider ID: 1609767 Kallini, Ronnie MD
PCMH: No Provider ID: 1429397 Gender: Male Provider ID: 1724243
Gender: Male The Gastroenterology Group Gender: Male
Dailey Sterling, Felix MD Medical Associates of of North Medical Associates of
Englewood, PC 420 Grand Ave Ste 101 Englewood, PC
Provider ID: 1608963 309 Engle St Ste 7 Englewood, NJ 07631 350 Engle St 2 N Annex
Gender: Male Englewood, NJ 07631 (201) 569-7044 Englewood, NJ 07631
Prohealth Care Associates of (201) 487-7246 Fax: (201) 569-1999 (201) 894-3364
New Je Fax: (201) 225-0207 16 Yrs/130 Yrs Fax: (201) 894-5693
10 1st St 00 Yrs/130 Yrs Englewood Hospital and 00 Yrs/130 Yrs
Hackensack, NJ 07601 Englewood Hospital and Medical Center Morristown Memorial
(201) 744-2266 Medical Center M-F 8:00 AM - 5:30 PM Hospital
Fax: (201) 744-2269 M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
16 Yrs/130 Yrs PCMH: No PCMH: No
St Michael's Medical Center Hastings, Ramin MD
M-F 9:00 AM - 5:00 PM Glassman, Yosef MD Kim, Christian MD
PCMH: No Provider ID: 1224206 Provider ID: 1522243
Provider ID: 1533505 Gender: Male Gender: Male
Das, Shyunti MD Gender: Male Medical Associates of Medical Associates of
Provider ID: 1581641 Medical Associates of Englewood PC Englewood, PC
Gender: Female Englewood, PC 777 Terrace Ave Ste 311 350 Engle St 2 N Annex
Medical Associates of 350 Engle St 2 N Annex Hasbrouck Heights, NJ 07604 Englewood, NJ 07631
Englewood PC Englewood, NJ 07631 (201) 288-4252 (201) 894-3364
350 Engle St Fl 4 (201) 894-3364 Fax: (201) 288-7172 00 Yrs/130 Yrs
Englewood, NJ 76311 Fax: (201) 894-5693 18 Yrs/130 Yrs Englewood Hospital and
(201) 894-3364 00 Yrs/130 Yrs Jersey City Medical Center Medical Center
Fax: (201) 894-5693 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs PCMH: No PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No Jung, Jaehwan MD
Provider ID: 1719715
Gender: Male
Medical Associates of
Englewood, PC
350 Engle St 2 N Annex
Englewood, NJ 07631
(201) 894-3364
Fax: (201) 894-5693
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 105
Updated: 11/26/2018

Specialty Physicians
Bergen
Internal Medicine - cont. Mangone, Kevin DO Park, Paul MD Pavon, Alex MD
Provider ID: 1583106 Provider ID: 1573093 Provider ID: 1580178
Kim, Christian MD Gender: Male Gender: Male Gender: Male
Provider ID: 1642501 Medical Associates of Medical Associates of Medical Associates of
Gender: Male Englewood, PC Englewood, PC Englewood, PC
Christian Kim MD, PC 350 Engle St 5 Main 350 Engle St 350 Engle St
1608 Lemoine Ave Ste 203 Englewood, NJ 07631 Englewood, NJ 07631 Englewood, NJ 07631
Fort Lee, NJ 07024 (201) 894-3364 (201) 894-3364 (201) 894-3359
(201) 944-8400 Fax: (201) 894-5693 Fax: (201) 894-5693 00 Yrs/130 Yrs
Fax: (201) 944-8811 00 Yrs/130 Yrs 00 Yrs/130 Yrs Englewood Hospital and
00 Yrs/130 Yrs Englewood Hospital and Englewood Hospital and Medical Center
Englewood Hospital and Medical Center Medical Center M-F 9:00 AM - 5:00 PM
Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 6:00 PM PCMH: No PCMH: No
Sat 9:00 AM - 2:00 PM Roth, Joseph MD
PCMH: No Min, Christina MD Park, Soo MD Provider ID: 582832
Provider ID: 1205878 Provider ID: 817597 Gender: Male
Kocher, Jeffery MD Gender: Female Gender: Female Gastroenterology Associates
Regional Cancer Care Mulkay Cardiology of New
Provider ID: 1149334 Associates LLC Consultants 71 Union Ave Ste 201
Gender: Male 260 Old Hook Rd Ste 301 Sub Specialty: HIV/AIDS, Rutherford, NJ 07070
Medical Associates of Westwood, NJ 07675 Developmental Disabilities, (201) 842-0020
Englewood PC (201) 383-4840 Aged Fax: (201) 842-0010
25 Rockwood Pl Ste 120 Fax: (201) 383-4824 493 Essex St Fl 2 18 Yrs/130 Yrs
Englewood, NJ 07631 18 Yrs/130 Yrs Hackensack, NJ 07601 M-F 9:00 AM - 5:00 PM
(201) 568-3335 Languages: Korean (201) 996-9244 PCMH: No
Fax: (201) 568-2450 M-F 9:00 AM - 5:00 PM Fax: (201) 996-9243
12 Yrs/130 Yrs PCMH: No 18 Yrs/130 Yrs Sabi, Majdouline MD
Englewood Hospital and Palisades Medical Center Provider ID: 1258007
Medical Center Mulkay, Angel MD Languages: Spanish Gender: Female
M-F 8:00 AM - 6:00 PM Provider ID: 1201160 M-F 9:00 AM - 5:00 PM Medical Associates of
PCMH: Yes, Level 3 Gender: Male PCMH: No Englewood PC
Hackensack Interventional 350 Engle St Fl 5
Levin, Daniel MD Institute Patel, Amar MD Englewood, NJ 76311
Provider ID: 440293 493 Essex St Fl 2 Provider ID: 1514729 (201) 894-3359
Gender: Male Hackensack, NJ 07601 Gender: Male 12 Yrs/130 Yrs
Sub Specialty: HIV/AIDs (201) 996-9244 North Jersey Nephrology Englewood Hospital and
22-18 Broadway Ste 103 Fax: (201) 996-9243 Associates Medical Center
Fair Lawn, NJ 07410 18 Yrs/130 Yrs 22-18 Broadway Ste 301 Languages: French, Arabic
(201) 773-8185 Holy Name Medical Center Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
Fax: (201) 773-8187 M-F 9:00 AM - 5:00 PM (973) 653-3366 PCMH: No
16 Yrs/130 Yrs PCMH: No Fax: (973) 653-3365
18 Yrs/130 Yrs Shah, Anuj MD
Languages: Russian
M-F 9:00 AM - 5:00 PM Paralkar, Mayur MD AHS Hospital Provider ID: 1580358
Prime Health Services-St Gender: Male
PCMH: No
Provider ID: 1702765 Marys Hospital Shah Anuj MD PC
St. Joseph's Hospital Reg 217 Hergesell Ave
Gender: Male Medical Center Maywood, NJ 07607
Medical Associates of M-F 9:00 AM - 5:00 PM (201) 209-1802
Englewood, PC
PCMH: No Fax: (201) 604-7764
350 Engle St 2 N Annex
Englewood, NJ 07631 00 Yrs/130 Yrs
(201) 894-3364 M-F 9:00 AM - 5:00 PM
Fax: (201) 894-5693 PCMH: No
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 106
Updated: 11/26/2018

Specialty Physicians
Bergen
Internal Medicine - cont. Silberstein, Stuart MD Terner, Sofia MD Yousef, Nadia MD
Provider ID: 1220528 Provider ID: 1720854
Shatzkes, Joseph MD Provider ID: 946823 Gender: Female Gender: Female
Provider ID: 1339878 Gender: Male Medical Associates of North Jersey Nephrology
Gender: Male Holy Name Pulm Assoc PC Englewood PC Associates
177 N Dean St Fl 1 180 N Dean St Fl 2 350 Engle St 22-18 Broadway Ste 301
Englewood, NJ 07631 Englewood, NJ 07631 Englewood, NJ 07631 Fair Lawn, NJ 07410
(201) 569-4901 (201) 871-8366 (201) 894-3364 (973) 653-3366
Fax: (201) 569-6111 Fax: (201) 871-8356 00 Yrs/130 Yrs Fax: (973) 653-3365
00 Yrs/130 Yrs 16 Yrs/130 Yrs Englewood Hospital and 02 Yrs/130 Yrs
Englewood Hospital and Holy Name Medical Center Medical Center M-F 9:00 AM - 5:00 PM
Medical Center M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
PCMH: No Zezon, Anna MD
Tassan, Robert MD Tlamsa, Aileen MD Provider ID: 1513702
Shatzkes, Joseph MD Provider ID: 1311563 Provider ID: 1654567 Gender: Female
Provider ID: 1339878 Gender: Male Gender: Female Medical Associates of
Gender: Male 795 Franklin Ave Ste 1A Medical Associates of Englewood, PC
350 Engle St Ste 3 Franklin Lakes, NJ 07417 Englewood, PC 22-18 Broadway Ste 101
Englewood, NJ 07631 (201) 848-8791 25 Rockwood Pl Ste 120 Fair Lawn, NJ 07410
(201) 894-3000 Fax: (201) 848-9604 Englewood, NJ 07631 (201) 773-0887
00 Yrs/130 Yrs 18 Yrs/110 Yrs (201) 568-3335 Fax: (201) 797-8877
Englewood Hospital and PCMH: No Fax: (201) 568-2450 00 Yrs/130 Yrs
Medical Center 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Tassan, Robert MD M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No Provider ID: 1311563 PCMH: No
Gender: Male Zezon, Anna MD
Shatzkes, Joseph MD Regional Cancer Care Vehra, Ijaz MD Provider ID: 1513702
Associates LLC Provider ID: 1456729 Gender: Female
Provider ID: 1339878 260 Old Hook Rd Ste 301 Gender: Male Medical Associates of
Gender: Male Westwood, NJ 07675 Medical Associates of Englewood, PC
Medical Associates of (201) 383-4840 Englewood PC 22-18 Broadway Ste 102
Englewood PC Fax: (201) 383-4824 22-18 Broadway Ste 201 Fair Lawn, NJ 07410
220 Livingston St Ste 204 18 Yrs/110 Yrs Fair Lawn, NJ 07410 (201) 773-0887
Northvale, NJ 76471 MF 8:00 AM - 4:00 PM (201) 475-5050 Fax: (201) 797-8877
(551) 236-2200 TWTH 8:00 AM - 5:00 PM Fax: (201) 475-5522 00 Yrs/130 Yrs
Fax: (201) 608-2581 PCMH: No 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs St. Joseph's Hospital Reg PCMH: No
Englewood Hospital and Tassan, Robert MD Medical Center
Medical Center Provider ID: 1311563 M-F 9:00 AM - 5:00 PM Zezon, Anna MD
M-F 9:00 AM - 5:00 PM Gender: Male PCMH: No Provider ID: 1513702
PCMH: No Regional Cancer Care Gender: Female
Associates LLC Yang, Annie MD Medical Associates of
Shin, Peter MD 92 2nd St Provider ID: 1591247 Englewood, PC
Provider ID: 1434325 Hackensack, NJ 07601 Gender: Female 22-18 Broadway Ste 301
Gender: Male (551) 996-4202 Medical Associates of Fair Lawn, NJ 07410
Medical Associates of Fax: (551) 996-0573 Englewood, PC (973) 321-2755
Englewood PC 18 Yrs/110 Yrs 350 Engle St 2 N Annex Fax: (973) 321-2750
350 Engle St M-F 9:00 AM - 5:00 PM Englewood, NJ 07631 00 Yrs/130 Yrs
Englewood, NJ 07631 PCMH: No (201) 894-3364 M-F 9:00 AM - 5:00 PM
(201) 894-3202 Fax: (201) 894-5693 PCMH: No
Fax: (201) 871-9227 00 Yrs/130 Yrs
00 Yrs/130 Yrs Englewood Hospital and
Englewood Hospital and Medical Center
Medical Center M-F 9:00 AM - 5:00 PM
MTWTHFSatSun 6:00 AM - PCMH: No
5:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 107
Updated: 11/26/2018

Specialty Physicians
Bergen
Interventional Cardiology Duvvuri, Krishna MD Hastings, Ramin MD Motivala, Apurva MD
Provider ID: 1694087
Angeli, Stephen MD Gender: Male Provider ID: 1224206 Provider ID: 1315949
Medical Associates of Gender: Male Gender: Male
Provider ID: 946781 Englewood, PC Medical Associates of Medical Associates of
Gender: Male 22-18 Broadway Ste 201 Englewood PC Englewood PC
Holy Name Cardiology Fair Lawn, NJ 07410 777 Terrace Ave Ste 311 70 Hilltop Rd
Associates PC (201) 475-5050 Hasbrouck Heights, NJ 07604 Ramsey, NJ 07446
1640 Schlosser St Ste C3 Fax: (201) 475-5522 (201) 288-4252 (201) 934-0043
Fort Lee, NJ 07024 18 Yrs/130 Yrs Fax: (201) 288-7172 Fax: (201) 934-6217
(201) 808-8600 AHS Hospital 18 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 482-0171 M-F 9:00 AM - 5:00 PM Jersey City Medical Center M-F 9:00 AM - 5:00 PM
16 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No
Englewood Hospital and PCMH: No
Medical Center Gupta, Ajay MD Shah, Anuj MD
Holy Name Medical Center Provider ID: 1456727 Kovar, Lance MD Provider ID: 1181442
M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 1272451 Gender: Male
PCMH: No 350 Engle St Gender: Male Mulkay Cardiology
Englewood, NJ 07631 Medical Associates of Consultants At Ho
Angeli, Stephen MD (973) 595-5345 Englewood PC 493 Essex St Fl 2
00 Yrs/130 Yrs 350 Engle St 5th Fl Ste 5216 Hackensack, NJ 76011
Provider ID: 946781 Newark Beth Israel Med Englewood, NJ 07631 (201) 996-9244
Gender: Male Center (201) 894-3636 Fax: (201) 996-9243
Holy Name Cardiology Prime Health Services-St Fax: (201) 541-2188 18 Yrs/130 Yrs
Associates PC Marys Hospital 00 Yrs/130 Yrs Holy Name Medical Center
954 Teaneck Rd St. Joseph's Hospital Reg Englewood Hospital and M-F 9:00 AM - 6:00 PM
Teaneck, NJ 07666 Medical Center Medical Center PCMH: No
(201) 833-2300 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 833-7600 PCMH: No PCMH: No Shah, Anuj MD
16 Yrs/130 Yrs Provider ID: 1181442
Hasan, Omar MD Motivala, Apurva MD
Englewood Hospital and Gender: Male
Medical Center Provider ID: 1351173 Mulkay Cardiology
Holy Name Medical Center Gender: Male Consultants At Ho
Provider ID: 1315949
M-TH 9:00 AM - 6:00 PM Medical Associates of 89 Anderson Ave
Gender: Male
F 9:00 AM - 1:00 PM Englewood PC
Medical Associates of Fairview, NJ 07022
PCMH: No 218 Rte 17 North Ste 310 Englewood PC (201) 996-9244
Rochelle Park, NJ 07662 22 18 Broadway Ste 1 Fax: (201) 996-9243
Divagno, Leonardo MD (201) 845-3535 Fair Lawn, NJ 07410 18 Yrs/130 Yrs
Fax: (201) 845-4040 (201) 475-5050 Holy Name Medical Center
Provider ID: 1364385 18 Yrs/130 Yrs Fax: (201) 475-5522 M-F 9:00 AM - 6:00 PM
Gender: Male Englewood Hospital and 00 Yrs/130 Yrs PCMH: No
Medical Center
Medical Associates of M-F 9:00 AM - 5:00 PM
Holy Name Medical Center
Englewood PC PCMH: No Syed, Tariqshah MD
Palisades Medical Center
218 Rte 17 North Ste 310 Provider ID: 946784
MTTHF 9:00 AM - 5:00 PM
Rochelle Park, NJ 07662 Motivala, Apurva MD Gender: Male
W 9:30 AM - 5:00 PM
(201) 845-3535 Holy Name Cardio Assoc PC
PCMH: No
Fax: (201) 845-4040 Provider ID: 1315949 954 Teaneck Rd
00 Yrs/130 Yrs Gender: Male Teaneck, NJ 07666
Englewood Hospital and Medical Associates of (201) 833-2300
Medical Center Englewood PC Fax: (201) 833-7600
Palisades Medical Center 350 Engle St 16 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Englewood, NJ 07631 Englewood Hospital and
PCMH: No (201) 894-3158 Medical Center
Fax: (201) 894-0453 Holy Name Medical Center
00 Yrs/130 Yrs Languages: Hindi, Urdu
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 108
Updated: 11/26/2018

Specialty Physicians
Bergen
Licensed Marriage and Licensed Professional Pelaez, Linda MD Medical Oncology
Family Therapist Counselor Provider ID: 946462
Gender: Female Gorshein, Dov MD
Van Blarcom, Toni LAC Golfinopoulos, Catherine Pn Bergen Perinatal Assoc Provider ID: 1645322
Provider ID: 1429448 718 Teaneck Rd 3rd Fl Gender: Male
Gender: Female Provider ID: 951801 Teaneck, NJ 07666 Hackensack Radiation Therapy
Care Plus NJ Inc Gender: Female (201) 833-3535 20 Woodridge Ave
17-07 Romaine St A G Psychotherapy and Fax: (201) 833-3554 Hackensack, NJ 07601
Fair Lawn, NJ 07410 Counseling S 12 Yrs/130 Yrs (201) 880-7580
(201) 986-5000 240 Frisch Ct Ste 304 Saint Barnabas Medical Fax: (201) 880-7585
00 Yrs/130 Yrs Paramus, NJ 07652 Center Livingston 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM (201) 291-4100 M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No Fax: (201) 291-4108 PCMH: No Medical Center
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Van Blarcom, Toni LAC Languages: Greek Smith, Leon MD PCMH: No
Provider ID: 1429448 M-F 9:00 AM - 9:00 PM Provider ID: 946463
Gender: Female Gender: Male Goy, Andre MD
Sat 9:00 AM - 3:00 PM
Care Plus NJ Inc Bergen Perinatal Assoc Provider ID: 1277084
PCMH: No
230 E. Ridgewood Ave 718 Teaneck Rd 3rd Fl Gender: Male
Paramus, NJ 07652 Maternal Fetal Medicine Teaneck, NJ 07666 30 Prospect Ave
(201) 986-5000 (201) 833-3535 Hackensack, NJ 07601
00 Yrs/130 Yrs Miller, Richard MD Fax: (201) 833-3554 (201) 996-2000
M-F 9:00 AM - 5:00 PM Provider ID: 946461 12 Yrs/130 Yrs 18 Yrs/110 Yrs
PCMH: No Gender: Male M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Bergen Perinatal Assoc PCMH: No PCMH: No
Van Blarcom, Toni LAC 718 Teaneck Rd 3rd Fl
Warren, Wendy MD Goy, Andre MD
Provider ID: 1429448 Teaneck, NJ 07666
Gender: Female Provider ID: 946465 Provider ID: 1277084
(201) 833-3535
Care Plus NJ Inc Gender: Female Gender: Male
Fax: (201) 833-3554
610 Valley Health Plaza Bergen Perinatal Assoc Regional Cancer Care
12 Yrs/130 Yrs
718 Teaneck Rd 3rd Fl Associates LLC
Paramus, NJ 07652 Saint Barnabas Medical
Teaneck, NJ 07666 7650 River Rd Ste 200
(201) 986-5000 Center Livingston
(201) 833-3535 River Road, NJ 07047
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (201) 833-3554 (201) 464-0008
M-F 9:00 AM - 5:00 PM PCMH: No
12 Yrs/130 Yrs Fax: (201) 662-1267
PCMH: No
Monteagudo, Ana MD Overlook Hospital 18 Yrs/110 Yrs
Van Blarcom, Toni LAC M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: 1429448 PCMH: No PCMH: No
Provider ID: 1597380
Gender: Female Gender: Female
Wolf, Edward MD Goy, Andre MD
Care Plus NJ Inc Medical Associates of
Provider ID: 946466 Provider ID: 1277084
611 Rte 46 W. Ste 100 Englewood PC
Gender: Male Gender: Male
Hasbrouck Heights, NJ 07604 350 Engle St Rm 4213
Bergen Perinatal Assoc Regional Cancer Care
(201) 986-5000 Englewood, NJ 07631
718 Teaneck Rd 3rd Fl Associates LLC
00 Yrs/130 Yrs (201) 894-3669
Teaneck, NJ 07666 92 2nd St
M-F 9:00 AM - 5:00 PM Fax: (201) 818-3350
(201) 833-3535 Hackensack, NJ 07601
PCMH: No 00 Yrs/130 Yrs
Fax: (201) 833-3554 (551) 996-3033
Englewood Hospital and
12 Yrs/130 Yrs Fax: (551) 996-0574
Medical Center
Englewood Hospital and 18 Yrs/110 Yrs
M-F 9:00 AM - 5:00 PM
Medical Center M-F 9:00 AM - 5:00 PM
PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 109
Updated: 11/26/2018

Specialty Physicians
Bergen
Neonatal Perinatal Lee, Hyejin DO McDonald, Kathleen MD Nandigam, Purna MD
Medicine Provider ID: 945099
Gender: Female Provider ID: 1041457 Provider ID: 1333982
Bhat, Kiran MD House Physician Partners Gender: Female Gender: Female
Provider ID: 1033747 718 Teaneck Rd Onsite Neonatal PA North Jersey Nephrology
Gender: Female Teaneck, NJ 07666 250 Old Hook Rd Assoc
Onsite Neonatal PA (201) 833-3090 Westwood, NJ 07675 22-18 Broadway Ste 301
250 Old Hook Rd Fax: (201) 833-7180 (856) 782-2212 Fair Lawn, NJ 07410
Westwood, NJ 07675 00 Yrs/18 Yrs Fax: (856) 782-2266 (973) 653-3366
(856) 782-2212 Holy Name Medical Center 00 Yrs/130 Yrs Fax: (973) 653-3365
Fax: (856) 782-2266 Saint Barnabas Medical Community Medical Center 18 Yrs/130 Yrs
00 Yrs/21 Yrs Center Livingston Languages: Spanish St. Joseph's Hospital Reg
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM PCMH: No Medical Center
Medical Center PCMH: No M 9:00 AM - 5:00 PM
PCMH: No Rosen, Harel MD PCMH: No
Lee, Hyejin DO Provider ID: 1037454
Cruz, Florencia MD Provider ID: 995792 Gender: Male Notkin, Alicia MD
Provider ID: 502657 Gender: Female Onsite Neonatal PA Provider ID: 1346099
Gender: Female Onsite Neonatal PA 250 Old Hook Rd Gender: Female
Onsite Neonatal PA 250 Old Hook Rd Westwood, NJ 07675 North Jersey Nephrology
250 Old Hook Rd Westwood, NJ 07675 (856) 782-2212 Associates
Westwood, NJ 07675 (856) 782-2212 Fax: (856) 782-2266 Sub Specialty: HIV/AIDs
(856) 782-2212 Fax: (856) 782-2266 00 Yrs/130 Yrs 22-18 Broadway Ste 301
Fax: (856) 782-2266 00 Yrs/18 Yrs Community Medical Center Fair Lawn, NJ 07410
00 Yrs/18 Yrs Holy Name Medical Center Languages: French, Hebrew (973) 653-3366
Languages: Spanish Languages: Korean PCMH: No Fax: (973) 653-3365
PCMH: No PCMH: No 00 Yrs/130 Yrs
Nephrology St. Joseph's Hospital Reg
Deluca, Loren DO Lespinasse, Antoine MD Medical Center
Provider ID: 1519525 Abbasi, Arshia MD M 1:00 AM - 5:00 PM
Gender: Female Provider ID: 468542 Provider ID: 1708996 PCMH: No
Medical Associates of Gender: Female Gender: Female
Englewood,PC Onsite Neonatal PA Patel, Amar MD
University Physician
350 Engle St Rm 4270 250 Old Hook Rd Associates Provider ID: 1514729
Englewood, NJ 07631 Westwood, NJ 07675 230 E Ridgewood Ave Gender: Male
(201) 894-3414 (856) 782-2212 Paramus, NJ 07652 North Jersey Nephrology
Fax: (201) 894-5649 Fax: (856) 782-2266 (201) 225-7130 Associates
00 Yrs/21 Yrs 00 Yrs/18 Yrs Fax: (201) 967-4117 22-18 Broadway Ste 301
Englewood Hospital and Languages: French 18 Yrs/130 Yrs Fair Lawn, NJ 07410
Medical Center PCMH: No Newark Beth Israel Med (973) 653-3366
M-TH 6:00 AM - 5:30 PM Center Fax: (973) 653-3365
PCMH: No Margolis, Eric MD M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs
Provider ID: 1033724 PCMH: No AHS Hospital
Goil, Sunita MD Gender: Male Prime Health Services-St
Provider ID: 1134687 Onsite Neonatal PA Marys Hospital
Gender: Female St. Joseph's Hospital Reg
250 Old Hook Rd Medical Center
Onsite Neonatal PA Westwood, NJ 07675 M-F 9:00 AM - 5:00 PM
250 Old Hook Rd (856) 782-2212 PCMH: No
Westwood, NJ 07675 Fax: (856) 782-2266
(856) 782-2212 00 Yrs/18 Yrs
Fax: (856) 782-2266 PCMH: No
00 Yrs/18 Yrs
Morristown Memorial
Hospital
PCMH: No

www.wellcare.com/New-Jersey | 110
Updated: 11/26/2018

Specialty Physicians
Bergen
Nephrology - cont. Connors, Robert MD Douyon, Philippe MD Fallil, Zianka MD
Provider ID: 1177902
Shah, Sanjay MD Provider ID: 1098042 Provider ID: 988668 Gender: Female
Provider ID: 560529 Gender: Male Gender: Male Epilepsy and Neurophysiology
Gender: Male Progressive Neurology PC Epilepsy and Neurophysiology Medica
North Jersey Nephrology 260 Old Hook Rd Ste 200 Medica 20 Prospect Ave Ste 800
Associates Westwood, NJ 07675 400 Frank W Burr Blvd Hackensack, NJ 07601
22-18 Broadway Ste 301 (201) 546-8510 Teaneck, NJ 07666 (201) 343-6676
Fair Lawn, NJ 07410 Fax: (201) 957-7316 (201) 343-6676 Fax: (201) 343-6689
(973) 653-3366 00 Yrs/130 Yrs Fax: (201) 343-6689 00 Yrs/130 Yrs
Fax: (973) 653-3365 M-TH 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs F 9:00 AM - 5:30 PM M-F 9:00 AM - 5:00 PM PCMH: No
St. Joseph's Hospital Reg PCMH: No PCMH: No
Medical Center Feoli, Enrique MD
M-F 9:00 AM - 5:00 PM Connors, Robert MD Douyon, Philippe MD Provider ID: 565754
PCMH: No Gender: Male
Provider ID: 1098042 Provider ID: 988668 Epilepsy and Neurophysiology
Yousef, Nadia MD Medica
Gender: Male Gender: Male
Provider ID: 1720854
Progressive Neurology PC Epilepsy and Neurophysiology 20 Prospect Ave Ste 800
Gender: Female Medica Hackensack, NJ 07601
381 Park St Ste 200
North Jersey Nephrology 400 Old Hook Rd Ste 1-1 (201) 343-6676
Associates Hackensack, NJ 07601
(201) 546-8510 Westwood, NJ 07675 Fax: (201) 343-6689
22-18 Broadway Ste 301 00 Yrs/130 Yrs
Fax: (201) 957-7316 (201) 343-6676
Fair Lawn, NJ 07410 Morristown Memorial
00 Yrs/130 Yrs Fax: (201) 343-6689
(973) 653-3366 Hospital
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Fax: (973) 653-3365 Overlook Hospital
PCMH: No M-F 9:00 AM - 5:00 PM
02 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No
Craciun, Liviu MD
PCMH: No Ebersole, John MD
Provider ID: 1432505 Geller, Aaron MD
Neurology Gender: Male Provider ID: 1135882
Gender: Male Provider ID: 1652220
Epilepsy Neurophysiology
Med Cnslt Epilepsy and Neurophysiology Gender: Male
Altschul, Dorothea MD Epilepsy and Neurophysiology
20 Prospect Ave Ste 800 Medica
20 Prospect Ave Ste 800 Medica
Hackensack, NJ 07601
Provider ID: 945569 Hackensack, NJ 07601 20 Prospect Ave Ste 800
(201) 996-3205
Gender: Female (201) 343-6676 Hackensack, NJ 07601
Fax: (914) 428-2948
Neurosurgical Assc NJ PC Fax: (201) 343-6689 (201) 343-6676
12 Yrs/130 Yrs
1200 E Ridgewood Ave 200 00 Yrs/130 Yrs Fax: (201) 343-6689
M-F 9:00 AM - 5:00 PM
Ridgewood, NJ 07450 Overlook Hospital 00 Yrs/130 Yrs
PCMH: No
(201) 327-8600 M-F 9:00 AM - 5:00 PM Morristown Memorial
Fax: (201) 327-8225 Hospital
Douyon, Philippe MD PCMH: No
00 Yrs/130 Yrs Overlook Hospital
Provider ID: 988668 M-F 9:00 AM - 5:00 PM
Languages: Spanish, German Gender: Male Ebersole, John MD
M-W 9:00 AM - 5:00 PM PCMH: No
Epilepsy and Neurophysiology Provider ID: 1135882
PCMH: No Medica Gender: Male
20 Prospect Ave Ste 800 Epilepsy and Neurophysiology
Asta, Charles MD Medica
Hackensack, NJ 07601
Provider ID: 1284834 (201) 343-6676 400 Frank W Burr Blvd
Gender: Male Fax: (201) 343-6689 Teaneck, NJ 07666
Sovereign Medical Group LLC 00 Yrs/130 Yrs (201) 343-6676
14-01 Broadway 3rd Fl M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 PCMH: No Overlook Hospital
(201) 855-8455 M-F 9:00 AM - 5:00 PM
Fax: (201) 855-8454 PCMH: No
16 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 111
Updated: 11/26/2018

Specialty Physicians
Bergen
Neurology - cont. Ghacibeh, Georges MD Jacobs, Niama MD Laban-Grant, Olgica MD
Provider ID: 1653509
Geller, Aaron MD Provider ID: 1150124 Gender: Female Provider ID: 797256
Provider ID: 1652220 Gender: Male Medical Associates of Gender: Female
Gender: Male Progressive Neurology PC Englewood, PC Epilepsy and Neurophysiology
Epilepsy and Neurophysiology 381 Park St Ste 200 25 Rockwood Pl Ste 205 Medica
Medica Hackensack, NJ 07601 Englewood, NJ 07631 20 Prospect Ave Ste 801
400 Frank W Burr Blvd (201) 546-8510 (201) 292-1400 Hackensack, NJ 07601
Teaneck, NJ 07666 Fax: (201) 957-7316 Fax: (201) 894-0479 (201) 343-6676
(201) 343-6676 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 343-6689
Fax: (201) 343-6689 Holy Name Medical Center Englewood Hospital and 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Medical Center Morristown Memorial
Morristown Memorial PCMH: No M-F 9:00 AM - 5:00 PM Hospital
Hospital PCMH: No Overlook Hospital
Overlook Hospital Hanna, Amir MD M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 400501 Kakkar, Pankaj MD PCMH: No
PCMH: No Gender: Male Provider ID: 1099975
579 Bergen Blvd Gender: Male Laban-Grant, Olgica MD
Geller, Aaron MD Progressive Neurology PC
Ridgefield, NJ 07657
Provider ID: 1652220 (201) 876-5550 260 Old Hook Rd Ste 200 Provider ID: 797256
Gender: Male Fax: (201) 876-8995 Westwood, NJ 07675 Gender: Female
Epilepsy and Neurophysiology 00 Yrs/130 Yrs (201) 546-8510 Epilepsy and Neurophysiology
Medica Fax: (201) 957-7316 Medica
Christ Hospital
77 Prospect Ave 00 Yrs/130 Yrs 400 Frank W Burr Blvd
Languages: Spanish, French,
Hackensack, NJ 07601 Arabic M 9:00 AM - 5:30 PM Teaneck, NJ 07666
(201) 343-6676 MT 9:00 AM - 8:00 PM TWTHF 9:00 AM - 5:00 PM (201) 343-6676
Fax: (201) 343-6689 WTH 8:00 AM - 9:00 PM PCMH: No Fax: (201) 343-6689
00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs
Morristown Memorial Kakkar, Pankaj MD Morristown Memorial
Hospital Ibrahim, Ayman DO Provider ID: 1099975 Hospital
Overlook Hospital Gender: Male Overlook Hospital
Provider ID: 1321691
M-F 9:00 AM - 5:00 PM Progressive Neurology PC M-F 9:00 AM - 5:00 PM
Gender: Male
PCMH: No 381 Park St Ste 200 PCMH: No
Neurology Consultants of
North Jers Hackensack, NJ 07601
Ghacibeh, Georges MD Lancman, Marcelo MD
92 Summit Ave 2nd Fl (201) 546-8510
Hackensack, NJ 07601 Fax: (201) 957-7316
Provider ID: 1150124 (973) 680-8400 00 Yrs/130 Yrs Provider ID: 239669
Gender: Male Fax: (201) 630-0014 M-F 9:00 AM - 5:00 PM Gender: Male
Progressive Neurology PC 00 Yrs/130 Yrs PCMH: No Epilepsy and Neurophysiology
260 Old Hook Rd Ste 200 Clara Maass Medical Center Medica
Westwood, NJ 07675 Languages: Arabic Ko, James MD 20 Prospect Ave Ste 800
(201) 546-8510 M 11:00 AM - 5:00 PM Provider ID: 975448 Hackensack, NJ 07601
Fax: (201) 503-8142 PCMH: No Gender: Male (201) 343-6676
00 Yrs/130 Yrs James H Ko MD LLC Fax: (201) 343-6689
Holy Name Medical Center 177 N Dean St Ste 201 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Englewood, NJ 07631 Morristown Memorial
PCMH: No (201) 347-4012 Hospital
Fax: (201) 503-0065 Overlook Hospital
00 Yrs/130 Yrs M-F 9:00 AM - 4:00 PM
Englewood Hospital and PCMH: No
Medical Center
Languages: Korean
M-F 9:00 AM - 4:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 112
Updated: 11/26/2018

Specialty Physicians
Bergen
Neurology - cont. Mittelmann, Eric MD Politsky, Jeffrey MD Puntambekar, Preeti MD
Provider ID: 1345533
Lazar, Lorraine MD Gender: Male Provider ID: 799592 Provider ID: 975660
Provider ID: 1044340 Progressive Neurology PC Gender: Male Gender: Female
Gender: Female 260 Old Hook Rd Ste 200 Epilepsy and Neurophysiology Epilepsy Neurophysiology
Sub Specialty: HIV/AIDs Westwood, NJ 07675 Medica Medical Co
20 Prospect Ave Ste 800 (201) 546-8510 400 Frank W Burr Blvd 20 Prospect Ave Ste 800
Hackensack, NJ 76011 Fax: (201) 503-8142 Teaneck, NJ 07666 Hackensack, NJ 76011
(201) 343-6676 16 Yrs/130 Yrs (201) 343-6676 (201) 343-6676
Fax: (201) 343-6689 M-F 9:00 AM - 5:00 PM Fax: (201) 343-6689 Fax: (201) 343-6689
00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Morristown Memorial Overlook Hospital Languages: Hindi, Marathi
Hospital Mittelmann, Eric MD M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Saint Peter's University Provider ID: 1345533 PCMH: No PCMH: No
Hospital Gender: Male
M-F 9:00 AM - 5:00 PM Progressive Neurology PC Politsky, Jeffrey MD Puntambekar, Preeti MD
PCMH: No 381 Park St Ste 200
Hackensack, NJ 07601 Provider ID: 799592 Provider ID: 975660
Mesad, Salah MD (201) 546-8510 Gender: Male Gender: Female
Provider ID: 1057790 Fax: (201) 957-7316 Epilepsy and Neurophysiology Epilepsy Neurophysiology
Gender: Male 16 Yrs/130 Yrs Medica Medical Co
Epilepsy and Neurophysiology M-F 9:00 AM - 5:00 PM 400 Old Hook Rd Ste 1-1 400 Frank W Burr Blvd
Medica PCMH: No Westwood, NJ 07676 Teaneck, NJ 07666
20 Prospect Ave Ste 800 (201) 343-6676 (201) 343-6676
Hackensack, NJ 07601 Nangia, Arun MD Fax: (201) 343-6689 Fax: (201) 343-6689
(201) 343-6676 Provider ID: 944224 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 343-6689 Gender: Male Overlook Hospital Languages: Hindi, Marathi
00 Yrs/130 Yrs North Jersey Neur Care PA M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Jersey City Medical Center 15 Anderson St PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM Hackensack, NJ 07601
PCMH: No (973) 471-3730 Puntambekar, Preeti MD Puthiyathu, Manoj MD
Fax: (973) 471-9129 Provider ID: 1560648
Mian, Fawad MD 18 Yrs/130 Yrs Provider ID: 975660 Gender: Male
Provider ID: 658668 Holy Name Medical Center Bergen Psychiatric Care LLC
Gender: Female
Gender: Male MW 1:30 AM - 4:00 PM Epilepsy and Neurophysiology 65 N Maple Ave Ste 104
Passaic Sleep Medicine and TTH 9:00 AM - 5:00 PM Medica Ridgewood, NJ 07450
Neurolog PCMH: No 400 Old Hook Rd Ste 1-1 (201) 956-9483
Sub Specialty: HIV/AIDs Westwood, NJ 07675 Fax: (201) 288-5262
201 Rte 17 Fl 11 Politsky, Jeffrey MD (201) 343-6676 18 Yrs/130 Yrs
Rutherford, NJ 07070 Fax: (201) 343-6689 Prime Health Services-St
(973) 928-3288 Marys Hospital
Provider ID: 799592 00 Yrs/130 Yrs
Fax: (973) 928-3286 M-F 9:00 AM - 5:30 PM
Gender: Male Languages: Hindi, Marathi
00 Yrs/130 Yrs PCMH: No
Epilepsy and Neurophysiology M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Medica PCMH: No
PCMH: No 20 Prospect Ave Ste 800 Segal, Olga MD
Hackensack, NJ 76011 Provider ID: 1520605
Miric, Slobodan MD
(201) 343-6676 Gender: Female
Provider ID: 945605 Epilepsy and Neurophysiology
Fax: (201) 343-6689
Gender: Male Med Co
00 Yrs/130 Yrs
401 S Van Brunt St Ste A 20 Prospect Ave Ste 800
Overlook Hospital
Englewood, NJ 07631 Hackensack, NJ 07601
M-F 9:00 AM - 5:00 PM
(201) 871-1400 (201) 343-6676
PCMH: No
Fax: (201) 408-2220 Fax: (201) 343-6689
00 Yrs/130 Yrs 02 Yrs/130 Yrs
Morristown Memorial M-F 9:00 AM - 5:00 PM
Hospital PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 113
Updated: 11/26/2018

Specialty Physicians
Bergen
Neurology - cont. Tikoo, Ravinder MD Vora, Puja MD Neuropsychology
Provider ID: 1587115 Provider ID: 1261121
Segal, Olga MD Gender: Male Gender: Female Bashist, Debra PHD
Provider ID: 1520605 Bergen Neurology and Pain Epilepsy Neurophsysiology Provider ID: 1281396
Gender: Female Managemen Medical Gender: Female
Epilepsy and Neurophysiology 230 E Ridgewood Ave Bldg 400 Frank W Burr Blvd Kessler Professional Services
Med Co 6-2 Teaneck, NJ 07666 LLC
400 Frank W Burr Blvd Paramus, NJ 07652 (201) 343-6676 300 Market St
Teaneck, NJ 07666 (201) 967-4700 Fax: (201) 343-6689 Saddle Brook, NJ 07663
(201) 343-6676 Fax: (646) 755-9346 00 Yrs/130 Yrs (201) 368-6000
Fax: (201) 343-6689 00 Yrs/130 Yrs Jersey City Medical Center Fax: (973) 677-4253
02 Yrs/130 Yrs Bergen Regional Medical M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Center PCMH: No Kessler Institute For
PCMH: No M-F 9:00 AM - 5:00 PM Rehabilitation
PCMH: No Vora, Puja MD M-F 9:00 AM - 5:00 PM
Segal, Olga MD Provider ID: 1261121 PCMH: No
Provider ID: 1520605 Tsai, Joyce MD Gender: Female
Gender: Female Provider ID: 1562339 Epilepsy Neurophsysiology Benoff, Keith PHD
Epilepsy and Neurophysiology Gender: Female Medical Provider ID: 1277094
Med Co Progressive Neurology, PC 400 Old Hook Rd Ste 1-1 Gender: Male
77 Prospect Ave 381 Park St Ste 200 Westwood, NJ 07675 Kessler Professional Services
Hackensack, NJ 07601 Hackensack, NJ 07601 (201) 343-6676 LLC
(201) 343-6676 (201) 546-8510 Fax: (201) 343-6689 300 Market St
Fax: (201) 343-6689 Fax: (201) 957-7316 00 Yrs/130 Yrs Saddle Brook, NJ 07663
02 Yrs/130 Yrs 00 Yrs/130 Yrs Jersey City Medical Center (201) 368-6000
M-F 9:00 AM - 5:00 PM Holy Name Medical Center M-F 9:00 AM - 5:00 PM Fax: (973) 324-3641
PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No 16 Yrs/130 Yrs
PCMH: No Languages: Hebrew
Taha, Firas MD Woo, Judy MD M-F 9:00 AM - 5:00 PM
Provider ID: 1135891 Tsai, Joyce MD Provider ID: 976356 PCMH: No
Gender: Male Provider ID: 1562339 Gender: Female
Epilepsy and Neurophysiology Gender: Female 17-15 Maple Ave Ste 203 Neurosurgery
Medica Prpogressive Neurology, PC Fair Lawn, NJ 07410
20 Prospect Ave Ste 800 260 Old Hook Rd Ste 200 (201) 796-9500 El Khashab, Mostafa MD
Hackensack, NJ 07601 Westwood, NJ 07675 Fax: (201) 796-9509
(201) 343-6676 (201) 546-8510 00 Yrs/18 Yrs Provider ID: 1580539
Fax: (201) 343-6689 Fax: (201) 503-8142 St. Joseph's Hospital Reg Gender: Male
00 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center Advanced Neurosurgery
Jersey City Medical Center Holy Name Medical Center Languages: Cantonese, Associates PC
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Mandarin 20 Prospect Ave Ste 905
PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM Hackensack, NJ 07601
PCMH: No (551) 996-5251
Taha, Firas MD Vora, Puja MD Fax: (201) 457-0049
Provider ID: 1135891 Provider ID: 1261121 00 Yrs/130 Yrs
Gender: Male Gender: Female Jersey City Medical Center
Epilepsy and Neurophysiology Epilepsy Neurophsysiology Saint Peter's University
Medica Medical Hospital
400 Frank W Burr Blvd 20 Prospect Ave Ste 800 M-F 9:00 AM - 5:00 PM
Teaneck, NJ 07666 Hackensack, NJ 07601 PCMH: No
(201) 343-6676 (201) 343-6676
00 Yrs/130 Yrs Fax: (201) 343-6689
Jersey City Medical Center 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Jersey City Medical Center
PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 114
Updated: 11/26/2018

Specialty Physicians
Bergen
Neurosurgery - cont. Ramakrishnan, Vivek DO Rathmann, Allison DO Wild, David MD
Provider ID: 946786
El Khashab, Mostafa MD Provider ID: 1580536 Provider ID: 1581353 Gender: Male
Gender: Male Gender: Female Holy Name Cardio Assoc PC
Provider ID: 1580539 Advanced Neurosurgery Advanced Neurosurgery 954 Teaneck Rd
Gender: Male Associates Associates Teaneck, NJ 07666
Advanced Neurosurgery 20 Prospect Ave Ste 905 201 Rte 17 Ste 501 (201) 833-2300
Associates PC Hackensack, NJ 07601 Rutherford, NJ 07070 Fax: (201) 833-7600
201 Rte 17 Ste 501 (551) 996-5251 (201) 457-0044 16 Yrs/130 Yrs
Rutherford, NJ 07070 Fax: (201) 457-0049 Fax: (201) 457-0049 Holy Name Medical Center
(201) 457-0044 00 Yrs/130 Yrs 00 Yrs/130 Yrs Languages: Hebrew
Fax: (201) 457-0049 M-F 9:00 AM - 5:00 PM Saint Peter's University M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs PCMH: No Hospital PCMH: No
Jersey City Medical Center M-F 9:00 AM - 5:00 PM
Saint Peter's University Ramakrishnan, Vivek DO PCMH: No Wild, David MD
Hospital Provider ID: 946786
M-F 9:00 AM - 5:00 PM Provider ID: 1580536 Nuclear Cardiology Gender: Male
PCMH: No Gender: Male Holy Name Cardiology
Advanced Neurosurgery Blood, David MD Associates PC
Fried, Arno MD Associates Provider ID: 943820 550 Kinderkamack Rd
Provider ID: 1580531 201 Rte 17 Ste 501 Gender: Male Oradell, NJ 07649
Gender: Male Rutherford, NJ 07070 163 Engle St Bldg 1C (201) 379-5700
Advanced Neurosurgery (201) 457-0044 Englewood, NJ 07631 Fax: (201) 833-7600
Associates Fax: (201) 457-0049 (201) 569-3313 16 Yrs/130 Yrs
20 Prospect Ave Ste 905 00 Yrs/130 Yrs Fax: (201) 569-8703 Holy Name Medical Center
Hackensack, NJ 07601 M-F 9:00 AM - 5:00 PM 21 Yrs/130 Yrs Languages: Hebrew
(551) 996-5251 PCMH: No Englewood Hospital and M-F 9:00 AM - 5:00 PM
Fax: (201) 457-0049 Medical Center PCMH: No
00 Yrs/130 Yrs Rathmann, Allison DO M-W 1:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No Nuclear Medicine
PCMH: No Provider ID: 1581353
Gender: Female Ding, You-Guang MD Ding, You-Guang MD
Fried, Arno MD Provider ID: 946351 Provider ID: 946351
Advanced Neurosurgery
Provider ID: 1580531 Associates Gender: Female Gender: Female
Gender: Male 20 Prospect Ave Ste 905 44 Sylvan Ave 1E 44 Sylvan Ave 1E
Advanced Neurosurgery Hackensack, NJ 07601 Englewood Cliffs, NJ 07632 Englewood Cliffs, NJ 07632
Associates (551) 996-5251 (201) 585-9980 (201) 585-9980
201 Rte 17 Ste 501 Fax: (201) 457-0049 Fax: (201) 632-7000 Fax: (201) 632-7000
Rutherford, NJ 07070 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 457-0044 Saint Peter's University Holy Name Medical Center Holy Name Medical Center
Fax: (201) 457-0049 Hospital Languages: Cantonese, Languages: Cantonese,
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Mandarin Mandarin
M-F 9:00 AM - 5:00 PM PCMH: No M-W 9:00 AM - 5:00 PM M-W 9:00 AM - 5:00 PM
PCMH: No PCMH: No PCMH: No
Holy Name Peace Health
Partners PC
Provider ID: 944592
718 Teaneck Rd
Teaneck, NJ 07666
(201) 833-3280
Fax: (201) 541-5291
00 Yrs/130 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 115
Updated: 11/26/2018

Specialty Physicians
Bergen
Obstetrics Adu-Amankwa, Bernice MD Asulin, Yitzhack MD Banzon, Manuel MD
Provider ID: 946415
Cocoziello, Ramin MD Provider ID: 979298 Gender: Male Provider ID: 1306371
Gender: Female Yitzhack Asulin MD PC Gender: Male
Provider ID: 968004 Excelcare Medical Associates Sub Specialty: HIV/AIDs Medical Assocs of Englewood
Gender: Male PA 145 S Dean St PC
12-15 Broadway Ste E 718 Teaneck Rd Englewood, NJ 07631 968 River Rd Ste 203
Fair Lawn, NJ 07410 Teaneck, NJ 07666 (201) 308-5591 Edgewater, NJ 07020
(201) 794-0910 (201) 833-3386 Fax: (201) 308-5592 (201) 869-5618
Fax: (201) 794-2164 Fax: (201) 541-5991 12 Yrs/130 Yrs Fax: (201) 224-2405
00 Yrs/130 Yrs 00 Yrs/130 Yrs Christ Hospital 00 Yrs/130 Yrs
Languages: Spanish Holy Name Medical Center Englewood Hospital and Englewood Hospital and
MT 1:00 AM - 7:00 PM Languages: Spanish Medical Center Medical Center
W 10:00 AM - 7:00 PM M-F 9:00 AM - 9:00 PM Hoboken University Medical M-F 9:00 AM - 5:00 PM
PCMH: No Center PCMH: No
TH 1:00 AM - 6:00 PM
Languages: Spanish, Hebrew
PCMH: No
Asulin, Yitzhack MD M-W 9:00 AM - 5:00 PM Bennett, Bruce MD
Obstetrics/Gynecology PCMH: No
Provider ID: 1123645 Provider ID: 883037
Adu Amankwa, Bernice MD Balazs, Peter MD
Gender: Male Gender: Male
Provider ID: 915606 North Hudson Community
New Jersey Medical and
Health Assoc Gender: Male Action Corp
Provider ID: 1712871
Sub Specialty: HIV/AIDs North Hudson Community Sub Specialty: HIV/AIDs
Gender: Female Action Corpo
Womens Clinic Partners, PC 106 Grand Ave Ste 450 197 S Van Brunt St
Sub Specialty: HIV/AIDs Passaic, NJ 07631
718 Teaneck Rd Englewood, NJ 07631
197 S Van Brunt St (201) 537-4442
Teaneck, NJ 07666 (201) 880-5578
Englewood, NJ 07631 Fax: (201) 568-1876
(201) 833-3122 Fax: (201) 308-5592
(201) 537-4442 00 Yrs/130 Yrs
Fax: (201) 833-7068 16 Yrs/130 Yrs
Fax: (201) 568-1876 Prime Health Services-St
00 Yrs/130 Yrs Christ Hospital
Englewood Hospital and 00 Yrs/130 Yrs Marys Hospital
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No Medical Center MTTHFSat 8:30 AM - 5:00 PM
Hoboken University Medical Medical Center W 8:30 AM - 7:00 PM
Center Languages: Hungarian PCMH: No
Adu-Amankwa, Bernice MD
Languages: Spanish, Hebrew MTWTHFSat 8:30 AM - 5:00
M-F 9:00 AM - 5:00 PM PM Bennett, Bruce MD
Provider ID: 979298 PCMH: No
PCMH: No
Gender: Female
Excelcare Medical Associates Balazs, Peter MD Provider ID: 883037
Asulin, Yitzhack MD Gender: Male
PA Provider ID: 915606
Provider ID: 1304156 North Hudson Community
574 Anderson Ave Gender: Male
Gender: Male Action Corp
Cliffside Park, NJ 07010 North Hudson Community
Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
(201) 943-4884 Action Corpo
145 S Dean St 25 E Salem St
Fax: (201) 943-4839 Sub Specialty: HIV/AIDs
Englewood, NJ 07631 Hackensack, NJ 07601
00 Yrs/130 Yrs 535 Midland Ave
(201) 308-5591 (201) 464-7844
Holy Name Medical Center Garfield, NJ 07026
Fax: (201) 308-5592 Fax: (201) 487-1582
Languages: Spanish (973) 340-1182
16 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Fax: (973) 340-1156
Christ Hospital Prime Health Services-St
PCMH: No Englewood Hospital and 00 Yrs/130 Yrs Marys Hospital
Medical Center St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
Hoboken University Medical Medical Center
PCMH: No
Center Languages: Hungarian
M-F 9:00 AM - 5:00 PM MTTHFSat 8:30 AM - 5:00 PM
PCMH: No W 8:30 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 116
Updated: 11/26/2018

Specialty Physicians
Bergen
Obstetrics/Gynecology - Borja, Manuel MD Brescia, Mark MD Chinn, Natasha MD
cont. Provider ID: 1099603 Provider ID: 1233941
Gender: Male Gender: Male Provider ID: 1233944
Bennett, Bruce MD North Hudson Community Medical Associates of Gender: Male
Action Corpo Englewood PC Medical Associates of
Provider ID: 883037 25 E Salem St Fl 6 Sub Specialty: HIV/AIDs Englewood PC
Gender: Male Hackensack, NJ 07601 968 River Rd Ste 203 Sub Specialty: HIV/AIDs
North Hudson Community (551) 996-2121 Edgewater, NJ 07020 968 River Rd Ste 203
Action Corp Fax: (551) 996-4435 (201) 869-5618 Edgewater, NJ 07020
Sub Specialty: HIV/AIDs 18 Yrs/130 Yrs Fax: (201) 224-2405 (201) 659-7700
535 Midland Ave Christ Hospital 00 Yrs/130 Yrs Fax: (201) 869-0094
Garfield, NJ 07026 Languages: Spanish, Russian Palisades Medical Center 00 Yrs/130 Yrs
(973) 340-1182 MTTHFSat 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Englewood Hospital and
Fax: (973) 340-1156 W 8:30 AM - 7:00 PM PCMH: No Medical Center
00 Yrs/130 Yrs PCMH: No Hoboken University Medical
Prime Health Services-St Broizman, David MD Center
Marys Hospital Borja, Manuel MD Provider ID: 1581955 M-F 9:00 AM - 5:00 PM
MTTHFSat 8:30 AM - 5:00 PM Provider ID: 1099603 Gender: Male PCMH: No
W 8:30 AM - 7:00 PM Gender: Male Medical Associates of
North Hudson Community Englewood, PC Fernandez-Cos, Henry MD
PCMH: No
Action Corpo 2 Dean Dr Ste 2 Provider ID: 425800
Bentolila, Eric MD 535 Midland Ave Tenafly, NJ 76702 Gender: Male
Provider ID: 1265912 Garfield, NJ 07026 (201) 569-3300 Womens Clinic Partners PC
Gender: Male (973) 340-1182 Fax: (201) 569-7649 718 Teaneck Rd
Eric Bentolila MD Fax: (973) 340-1156 00 Yrs/130 Yrs Teaneck, NJ 07666
615 Franklin Tpke Ste B 18 Yrs/130 Yrs Englewood Hospital and (201) 861-9229
Ridgewood, NJ 07450 Christ Hospital Medical Center Fax: (201) 833-7248
(201) 447-1700 Languages: Spanish, Russian M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Fax: (201) 447-9386 MTTHFSat 8:30 AM - 5:00 PM PCMH: No Holy Name Medical Center
00 Yrs/130 Yrs W 8:30 AM - 7:00 PM Languages: Spanish, Korean
PCMH: No Broizman, David MD M-F 9:00 AM - 5:00 PM
MTWF 9:00 AM - 6:00 PM
TH 9:30 AM - 6:00 PM Provider ID: 1581955 PCMH: No
PCMH: No Brescia, Mark MD Gender: Male
Provider ID: 1233941 Medical Associates of Fox, Nathan MD
Borja, Manuel MD Gender: Male Englewood, PC Provider ID: 1530129
Provider ID: 1099603 Medical Associates of 350 Engle St Gender: Male
Gender: Male Englewood PC Englewood, NJ 07631 Medical Associates of
North Hudson Community Sub Specialty: HIV/AIDs (201) 894-3158 Englewood, PC
Action Corpo 1555 Center Ave Fax: (201) 894-0453 350 Engle St Rm 4213
197 S Van Brunt St Fort Lee, NJ 07024 00 Yrs/130 Yrs Englewood, NJ 07631
Englewood, NJ 07631 (201) 659-7700 Englewood Hospital and (201) 894-3669
(201) 537-4442 00 Yrs/130 Yrs Medical Center 00 Yrs/130 Yrs
Fax: (201) 568-1876 Palisades Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
Christ Hospital PCMH: No
Languages: Spanish, Russian
MTWTHFSat 8:30 AM - 5:00
PM
PCMH: No

www.wellcare.com/New-Jersey | 117
Updated: 11/26/2018

Specialty Physicians
Bergen
Obstetrics/Gynecology - Kamal, Roohi MD Knause, Rita MD Lowe, Samantha DO
cont. Provider ID: 945552 Provider ID: 582112 Provider ID: 1233938
Gender: Female Gender: Female Gender: Male
Gaafer-Ahmed, Hany MD Roohi Kamal North Hudson Community Medical Associates of
331 Summit Ave Action Corpo Englewood PC
Provider ID: 1425674 Hackensack, NJ 07601 Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Gender: Male (201) 457-2300 197 S Van Brunt St 1555 Center Ave
Advanced Obsterics and Fax: (201) 457-1715 Englewood, NJ 07631 Fort Lee, NJ 07024
Gynecology C 12 Yrs/130 Yrs (201) 537-4442 (201) 659-7700
20 Prospect Ave Ste 711 Clara Maass Medical Center Fax: (201) 568-1876 00 Yrs/130 Yrs
Hackensack, NJ 07601 Holy Name Medical Center 00 Yrs/130 Yrs Hoboken University Medical
(201) 343-1962 St. Joseph's Hospital Reg Holy Name Medical Center Center
Fax: (855) 577-7381 Medical Center MTWTHFSat 8:30 AM - 5:00 Palisades Medical Center
12 Yrs/130 Yrs Languages: Spanish, Hindi, PM M-F 9:00 AM - 5:00 PM
Urdu PCMH: No PCMH: No
St. Joseph's Hospital Reg
Medical Center MSat 9:30 AM - 6:30 PM
TTH 9:30 AM - 8:00 PM Knause, Rita MD Lowe, Samantha DO
M-F 9:00 AM - 5:00 PM
PCMH: No WF 9:30 AM - 4:30 PM Provider ID: 582112 Provider ID: 1233938
PCMH: No Gender: Female Gender: Male
Goldman, Faith MD North Hudson Community Medical Associates of
Kithinji, Kagendo MD Action Corpo Englewood PC
Provider ID: 1520615 Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Provider ID: 1140874
Gender: Female 25 E Salem St 968 River Rd Ste 203
Gender: Female
2 Dean Dr Ste 2 Hackensack, NJ 07601 Edgewater, NJ 07020
Medical Associates of
Englewood PC Tenafly, NJ 07670 (551) 996-2121 (201) 659-7700
350 Engle St Ste 4503 (201) 569-3300 Fax: (551) 996-4432 Fax: (201) 224-2405
Englewood, NJ 07631 Fax: (201) 569-7649 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 894-3202 00 Yrs/130 Yrs Holy Name Medical Center Hoboken University Medical
Englewood Hospital and MTTHFSat 8:30 AM - 5:00 PM Center
Fax: (201) 818-3350
Medical Center W 8:30 AM - 7:00 PM Palisades Medical Center
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
Englewood Hospital and
PCMH: No PCMH: No
Medical Center
MWF 8:00 AM - 4:00 PM Knause, Rita MD
Kithinji, Kagendo MD Provider ID: 582112 Mann, Manpreet MD
T 8:00 AM - 5:00 PM
TH 9:00 AM - 5:00 PM Gender: Female
Provider ID: 1520615 North Hudson Community Provider ID: 1333713
PCMH: No
Gender: Female Action Corpo Gender: Female
Gupta, Simi MD Medical Associates of Sub Specialty: HIV/AIDs Mann and Sharma LLC
Provider ID: 1520011 Englewood, PC 535 Midland Ave 370 A Market St
Gender: Female 350 Engle St Garfield, NJ 07026 Saddle Brook, NJ 07663
Medical Associates of Englewood, NJ 07631 (973) 340-1182 (201) 880-8955
Englewood, PC (201) 569-4901 Fax: (973) 340-1156 Fax: (201) 880-8953
350 Engle St Rm 4213 Fax: (201) 894-3764 00 Yrs/130 Yrs 12 Yrs/130 Yrs
Englewood, NJ 07631 00 Yrs/130 Yrs Holy Name Medical Center Christ Hospital
(201) 894-3669 Englewood Hospital and MTTHFSat 8:30 AM - 5:00 PM Monmouth Medical Center
Fax: (201) 541-3445 Medical Center W 8:30 AM - 7:00 PM M-F 9:00 AM - 6:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No Sat 9:00 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 118
Updated: 11/26/2018

Specialty Physicians
Bergen
Obstetrics/Gynecology - Milanes Roberts, Norma MD Picard, Johan MD Rivera Segarra, Stephanie MD
cont. Provider ID: 1233940
Provider ID: 1261565 Gender: Female Provider ID: 1520002
Milanes Roberts, Norma MD Gender: Female Medical Associates of Gender: Female
North Hudson Community Englewood PC Medical Associates of
Provider ID: 1261565 Action Corp 1555 Center Ave Englewood, PC
Gender: Female Sub Specialty: HIV/AIDs Fort Lee, NJ 07024 350 Engle St
North Hudson Community 535 Midland Ave (201) 659-7700 Englewood, NJ 07631
Action Corp Garfield, NJ 07026 00 Yrs/130 Yrs (201) 894-3158
Sub Specialty: HIV/AIDs (973) 340-1182 Palisades Medical Center Fax: (201) 894-0453
197 S Van Brunt St Fax: (973) 340-1156 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Englewood, NJ 07631 00 Yrs/130 Yrs PCMH: No Englewood Hospital and
(201) 537-4442 Newark Beth Israel Med Medical Center
Fax: (201) 568-1876 Center Picard, Johan MD M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs St Michael's Medical Center Provider ID: 1233940 PCMH: No
Newark Beth Israel Med Languages: Spanish Gender: Female
Center MTTHF 8:30 AM - 5:00 PM Medical Associates of Rizk, Naglaa MD
St Michael's Medical Center W 8:30 AM - 7:00 PM Englewood PC Provider ID: 1709135
Languages: Spanish PCMH: No 968 River Rd Ste 203 Gender: Female
MTTHF 8:30 AM - 5:00 PM Edgewater, NJ 07020 University Physician
W 8:30 AM - 7:00 PM Moon, Jeremy MD (201) 659-7700 Associates
PCMH: No Provider ID: 1233937 Fax: (201) 224-2405 230 E Ridgewood Ave
Gender: Male 00 Yrs/130 Yrs Paramus, NJ 07652
Milanes Roberts, Norma MD Medical Associates of Palisades Medical Center (201) 225-7130
Englewood PC M-F 9:00 AM - 5:00 PM Fax: (201) 967-4117
Provider ID: 1261565 Sub Specialty: HIV/AIDs PCMH: No 00 Yrs/130 Yrs
Gender: Female 968 River Rd Ste 203 University Hospital
North Hudson Community Edgewater, NJ 07020 Ramirez, Elizabeth MD M-F 8:00 AM - 4:00 PM
Action Corp (201) 659-7700 Provider ID: 728608 PCMH: No
Sub Specialty: HIV/AIDs Fax: (201) 224-2405 Gender: Female
25 E Salem St Fl 6 00 Yrs/130 Yrs 1235 River Rd Saltzman, Daniel MD
Hackensack, NJ 07601 Englewood Hospital and Fair Lawn, NJ 07410
(551) 996-2121 Medical Center (201) 217-5600 Provider ID: 1540047
Fax: (551) 996-4435 Hoboken University Medical 00 Yrs/130 Yrs Gender: Male
Center Christ Hospital Medical Associates of
00 Yrs/130 Yrs Palisades Medical Center Languages: Spanish Englewood, PC
Newark Beth Israel Med M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 350 Engle St Rm 4213
Center
St Michael's Medical Center PCMH: No PCMH: No Englewood, NJ 07631
Languages: Spanish (201) 894-3669
Penmatsa, Tanuja MD Rebarber, Andrei MD
MTTHF 8:30 AM - 5:00 PM Fax: (201) 818-3350
W 8:30 AM - 7:00 PM 18 Yrs/110 Yrs
Sat 8:30 AM - 3:00 PM Provider ID: 1311787 Provider ID: 1530797 Englewood Hospital and
PCMH: No Gender: Female Gender: Male Medical Center
Medical Associates of Medical Associates of M-F 9:00 AM - 5:00 PM
Englewood PC Englewood, PC PCMH: No
Sub Specialty: HIV/AIDs 350 Engle St Rm 4213
968 River Rd Ste 203 Englewood, NJ 07631
Edgewater, NJ 07020 (201) 894-3669
(201) 869-5618 Fax: (201) 818-3350
Fax: (201) 224-2405 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Palisades Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 119
Updated: 11/26/2018

Specialty Physicians
Bergen
Obstetrics/Gynecology - Angioletti, Louis MD Badami, Avni MD Bailey, Tehara MD
cont. Provider ID: 1711955 Provider ID: TPV046483037582
Provider ID: 1369729 Gender: Female Gender: Female
Scheller, Tracy MD Gender: Male NJ Eye and Ear LLC Englewood Eye Center
Provider ID: 1695062 Retina Center of NJ 245 Engle St 245 Engle St
Gender: Female 1086 Teaneck Rd Ste 2A Englewood, NJ 07631 Englewood, NJ 07631
Medical Associates of Teaneck, NJ 07666 (201) 568-0770 (201) 568-0770
Englewood, PC (201) 871-3414 Fax: (201) 408-4452 Fax: (201) 568-4233
350 Engle St 6th Fl Berrie Fax: (201) 871-4830 00 Yrs/130 Yrs 00 Yrs/99 Yrs
Englewood, NJ 07631 00 Yrs/130 Yrs St. Joseph's Hospital Reg www.englewoodeyecenter.
(201) 608-2377 Englewood Hospital and Medical Center com
Fax: (201) 608-2399 Medical Center M-F 8:00 AM - 6:00 PM PCMH: No
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM
Englewood Hospital and PCMH: No PCMH: No Bailey, Tehara MD
Medical Center Provider ID:
M-F 9:00 AM - 5:00 PM Angioletti, Louis MD Badami, Avni MD TPV046483042896
PCMH: No Provider ID: 1711955 Gender: Female
Provider ID: 1369729 Gender: Female NJ Eye and Ear LLC
Ophthalmology Gender: Male NJ Eye and Ear LLC 23 W Palisades Ave
Retina Center of NJ 71 Grand Ave Englewood, NJ 07631
Angioletti, Lee MD 5OO N Franklin Tpke Ste 205 Englewood, NJ 07631 (204) 408-4441
Ramsey, NJ 07446 (201) 408-4441 Fax: (201) 408-4452
Provider ID: 1367390 (201) 962-9396 Fax: (201) 408-4452 00 Yrs/99 Yrs
Gender: Male Fax: (201) 474-7048 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM
Retina Center of NJ 00 Yrs/130 Yrs St. Joseph's Hospital Reg Sat 8:00 AM - 12:00 PM
1086 Teaneck Rd Ste 2A Englewood Hospital and Medical Center PCMH: No
Teaneck, NJ 07666 Medical Center M-F 8:00 AM - 6:00 PM
(201) 871-3414 M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Brazzo, Brian MD
Fax: (201) 871-4830 PCMH: No PCMH: No Provider ID: 701684
05 Yrs/130 Yrs Gender: Male
MT 8:00 AM - 11:00 PM Badami, Avni MD Bailey, Tehara MD Phillips Eye Specialists
W 8:30 AM - 5:30 PM Provider ID: 1711955 Provider ID: 1559303 619 River Dr FL2
THF 8:00 AM - 5:30 PM Gender: Female Gender: Female Elmwood Park, NJ 07407
PCMH: No NJ Eye and Ear LLC NJ Eye and Ear, LLC (201) 703-2900
23 W Palisade Ave 23 W Palisades Ave Fax: (201) 703-1780
Angioletti, Lee MD Englewood, NJ 07631 Englewood, NJ 07631 00 Yrs/130 Yrs
(201) 408-4441 (973) 546-5700 River Drive Surgery Center
Provider ID: 1367390 Fax: (201) 408-4452 Fax: (973) 772-8875 LLC
Gender: Male 00 Yrs/130 Yrs 00 Yrs/130 Yrs Languages: Spanish, Russian,
St. Joseph's Hospital Reg Prime Health Services-St Italian, Hindi
Retina Center of NJ
Medical Center Marys Hospital M 8:00 AM - 6:00 PM
500 N Franklin Tpke Ste 205
M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM TWTH 8:00 AM - 5:00 PM
Ramsey, NJ 07446
Sat 8:00 AM - 12:00 PM Sat 8:00 AM - 12:00 PM F 8:00 AM - 4:00 PM
(201) 962-9396
PCMH: No PCMH: No PCMH: No
Fax: (201) 474-7048
05 Yrs/130 Yrs Bailey, Tehara MD
M 9:80 AM - 10:00 PM
Provider ID: TPV046483017655
T 8:30 AM - 11:00 PM
Gender: Female
W 8:00 AM - 11:00 PM
Englewood Eye Center
PCMH: No
71 Grand Ave
Englewood, NJ 07631
(201) 408-4441
Fax: (201) 408-4452
00 Yrs/99 Yrs
www.englewoodeyecenter.
com
PCMH: No

www.wellcare.com/New-Jersey | 120
Updated: 11/26/2018

Specialty Physicians
Bergen
Ophthalmology - cont. Burrows, Adria MD Bush, Nahndi MD Chechik, Daniel MD
Provider ID: TPV035440017655 Provider ID: 1199261 Provider ID: 1559322
Burrows, Adria MD Gender: Female Gender: Female Gender: Male
Provider ID: 1559321 Englewood Eye Center Englewood Eye Center LLC NJ Eye and Ear, LLC
Gender: Female 71 Grand Ave 71 Grand Ave 23 W Palisades Ave
NJ Eye and Ear, LLC Englewood, NJ 07631 Englewood, NJ 07631 Englewood, NJ 07631
23 W Palisade Ave (201) 408-4441 (201) 408-4441 (973) 546-5700
Englewood, NJ 07631 Fax: (201) 408-4452 Fax: (201) 408-4452 Fax: (973) 772-8875
(973) 546-5700 00 Yrs/99 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (973) 772-8875 www.englewoodeyecenter. East Orange General Hospital Englewood Hospital and
00 Yrs/130 Yrs com M 8:00 AM - 7:00 PM Medical Center
MT 7:30 AM - 7:00 PM Languages: Russian T 9:00 AM - 7:00 PM Holy Name Medical Center
W 8:00 AM - 6:30 PM PCMH: No W 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
TH 8:30 AM - 6:30 PM TH 7:30 AM - 6:00 PM PCMH: No
F 7:30 AM - 6:00 PM Burrows, Andrew MD F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM Provider ID: 946251 Sat 8:00 AM - 12:00 PM Chechik, Daniel MD
PCMH: No Gender: Male PCMH: No
Macula Retina PC Provider ID: 789156
Burrows, Adria MD 276 Oriental Pl Ste A Bush, Nahndi MD Gender: Male
Provider ID: 932031 Lyndhurst, NJ 07071 Provider ID: 1559318 Englewood Eye Center LLC
Gender: Female (201) 546-9355 Gender: Female 71 Grand Ave
Sub Specialty: HIV/AIDs Fax: (201) 299-7772 NJ Eye and Ear, LLC Englewood, NJ 07631
71 Grand Ave 00 Yrs/130 Yrs 23 W Palisade Ave (202) 408-4441
Englewood, NJ 07631 Englewood Hospital and Englewood, NJ 07631 Fax: (201) 408-4452
(201) 408-4441 Medical Center (204) 408-4441 00 Yrs/130 Yrs
Fax: (201) 408-4452 Languages: Spanish, Japanese Fax: (204) 408-4452 Englewood Hospital and
00 Yrs/130 Yrs M 9:00 AM - 8:00 PM 00 Yrs/130 Yrs Medical Center
Englewood Hospital and T 9:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Holy Name Medical Center
Medical Center PCMH: No Sat 8:00 AM - 12:00 PM Languages: Spanish, Russian,
Languages: Spanish, Russian PCMH: No Italian, Hebrew
M 2:30 AM - 7:30 PM Bush, Nahndi MD M-F 9:00 AM - 6:00 PM
PCMH: No Provider ID: 1199261 Campolattaro, Brian MD Sat 8:30 AM - 12:00 PM
Gender: Female PCMH: No
Burrows, Adria MD Englewood Eye Center LLC Provider ID: 681691
Provider ID: 245 Engle St Chechik, Daniel MD
Gender: Male
TPV035440004246 Englewood, NJ 07631 Provider ID:
Phillips Eye Center
Gender: Female (201) 568-0770 TPV029769002865
619 River Dr Fl 2
NJ Eye and Ear LLC Fax: (201) 568-4233 Gender: Male
Elmwood Park, NJ 07407
71 Grand Ave 00 Yrs/130 Yrs NJ Eye and Ear LLC
(201) 796-2020
Englewood, NJ 07631 East Orange General Hospital 245 Engle St
Fax: (201) 796-3644
(201) 408-4441 M-F 8:00 AM - 6:00 PM Englewood, NJ 07631
00 Yrs/21 Yrs
Fax: (201) 408-4452 Sat 8:00 AM - 12:00 PM (201) 568-0770
Clara Maass Medical Center
00 Yrs/99 Yrs PCMH: No Fax: (201) 568-4233
Languages: Spanish
Languages: Russian 00 Yrs/99 Yrs
M-F 8:00 AM - 5:00 PM
M-F 8:00 AM - 6:00 PM Languages: Spanish, Hebrew
PCMH: No
Sat 8:00 AM - 12:00 PM M-F 8:00 AM - 6:00 PM
PCMH: No Sat 8:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 121
Updated: 11/26/2018

Specialty Physicians
Bergen
Ophthalmology - cont. Cuttler, Nirupa MD Eichler, Joel MD Eichler, Joel MD
Provider ID: 546830 Provider ID: 546830
Chechik, Daniel MD Provider ID: 1221478 Gender: Male Gender: Male
Provider ID: Gender: Male Hackensack University River Drive Surgery and Laser
TPV029769042896 Englewood Eye Center LLC Medical Center Center
Gender: Male 71 Grand Ave 30 Prospect Ave 619 River Dr FL1
NJ Eye and Ear LLC Englewood, NJ 07631 Hackensack, NJ 07601 Elmwood Park, NJ 07407
23 W Palisades Ave (201) 408-4452 (201) 292-3100 (201) 703-2900
Englewood, NJ 07631 Fax: (201) 408-4452 05 Yrs/130 Yrs 05 Yrs/130 Yrs
(204) 408-4441 00 Yrs/130 Yrs River Drive Surgery Center River Drive Surgery Center
Fax: (201) 408-4452 St. Joseph's Hospital Reg LLC LLC
00 Yrs/99 Yrs Medical Center Languages: Spanish Languages: Spanish
Languages: Spanish, Hebrew M-F 9:00 AM - 5:00 PM M 8:30 AM - 6:00 PM M 8:30 AM - 6:00 PM
M-F 8:00 AM - 6:00 PM PCMH: No TWTH 8:30 AM - 5:00 PM TWTH 8:30 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM F 8:30 AM - 4:00 PM F 8:30 AM - 4:00 PM
PCMH: No Cuttler, Nirupa MD PCMH: No PCMH: No
Provider ID: 1559325
Cuttler, Nirupa MD Gender: Male Eichler, Joel MD Fishkin, Joseph MD
NJ Eye and Ear, LLC Provider ID: 546830 Provider ID: 945897
Provider ID: 1105059 23 W Palisade Ave Gender: Male Gender: Male
Gender: Male Englewood, NJ 07631 Hudson Crossing Surery Joseph Fishkin MD LLC
Englewood Eye Center LLC (973) 546-5700 Center 85 Kinderkamack Rd Ste 201
Sub Specialty: HIV/AIDs Fax: (973) 772-8875 2 Executive Dr Emerson, NJ 07630
71 Grand Ave 00 Yrs/130 Yrs Fort Lee, NJ 07024 (201) 383-9140
Englewood, NJ 07631 St. Joseph's Hospital Reg (201) 292-3100 Fax: (201) 262-7800
(201) 408-4452 Medical Center 05 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 408-4452 M-F 8:00 AM - 6:00 PM River Drive Surgery Center Languages: Spanish, Hebrew
00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM LLC M-TH 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg PCMH: No Languages: Spanish F 8:00 AM - 3:00 PM
Medical Center M 8:30 AM - 6:00 PM Sat 9:00 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM Doshi, Vatsal MD TWTH 8:30 AM - 5:00 PM PCMH: No
PCMH: No Provider ID: 557537 F 8:30 AM - 4:00 PM
Gender: Male PCMH: No Freilich, Benjamin MD
Cuttler, Nirupa MD Brar Parekh Eye Associates Provider ID: 946774
Sub Specialty: HIV/AIDs Eichler, Joel MD Gender: Male
Provider ID: 1221478 1031 McBride Ave Ste D106 Provider ID: 546830 15 Engle St Ste 106
Gender: Male Woodland Park, NJ 07424 Gender: Male Englewood, NJ 07631
Englewood Eye Center LLC (973) 279-7303 Phillips Eye Center (201) 871-9595
245 Engle St Fax: (973) 279-4580 619 River Dr FL2 Fax: (201) 871-2323
Englewood, NJ 07631 00 Yrs/130 Yrs Elmwood Park, NJ 07407 00 Yrs/130 Yrs
(201) 568-0770 St. Joseph's Hospital Reg (201) 796-3330 Englewood Hospital and
Fax: (201) 568-4233 Medical Center Fax: (201) 796-3644 Medical Center
00 Yrs/130 Yrs Languages: Spanish, Hindi, 05 Yrs/130 Yrs Languages: Spanish, Hebrew
St. Joseph's Hospital Reg Gujarati River Drive Surgery Center M-TH 9:00 AM - 5:00 PM
Medical Center M 8:00 AM - 5:00 PM LLC PCMH: No
M-F 9:00 AM - 5:00 PM T 9:00 AM - 5:00 PM Languages: Spanish
PCMH: No PCMH: No M 8:00 AM - 6:00 PM
TWTH 8:00 AM - 5:00 PM
F 8:00 AM - 4:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 122
Updated: 11/26/2018

Specialty Physicians
Bergen
Ophthalmology - cont. Gabay, Jacqueline MD Gutman, Justin MD Higgins, Patrick MD
Provider ID: 306536 Provider ID: 441808
Frempong, Tamiesha MD Gender: Female Provider ID: 1460254 Gender: Male
River Drive Surgery and Laser Gender: Male Retina Center of NJ
Provider ID: 885236 Center Retina Center of New Jersey Sub Specialty: HIV/AIDs
Gender: Female 619 River Dr FL1 LLC 500 N Franklin Tpke Ste 205
Englewood Eye Center LLC Elmwood Park, NJ 07407 1086 Teaneck Rd Ste 2A Ramsey, NJ 07446
71 Grand Ave (201) 703-2900 Teaneck, NJ 07666 (201) 962-9396
Englewood, NJ 07631 00 Yrs/130 Yrs (201) 871-3414 Fax: (201) 474-7048
(201) 408-4441 River Drive Surgery Center Fax: (201) 871-4830 00 Yrs/130 Yrs
Fax: (201) 408-4452 LLC 12 Yrs/130 Yrs M 4:00 AM - 7:00 PM
00 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM TW 8:00 AM - 12:00 PM
Englewood Hospital and M 8:30 AM - 6:00 PM PCMH: No PCMH: No
Medical Center TWTH 8:30 AM - 5:00 PM
Prime Health Services-St F 8:30 AM - 4:00 PM Gutman, Justin MD Jackson, Kurt MD
Marys Hospital PCMH: No Provider ID: 800149
M 8:00 AM - 5:00 PM Provider ID: 1460254 Gender: Male
PCMH: No Goldfarb, Mark MD Gender: Male Retina Center of NJ
Retina Center of New Jersey Sub Specialty: HIV/AIDs
Frempong, Tamiesha MD Provider ID: 904306 LLC 1086 Teaneck Rd Ste 2A
Provider ID: TPV029871017655 Gender: Male 5OO N Franklin Tpke Ste 205 Teaneck, NJ 07666
Gender: Female Mark Goldfarb MD Ramsey, NJ 07446 (201) 871-3414
Englewood Eye Center 130 Kinderkamack Rd Ste 205 (201) 962-9396 Fax: (866) 806-3675
71 Grand Ave River Edge, NJ 07661 Fax: (201) 474-7048 00 Yrs/130 Yrs
Englewood, NJ 07631 (201) 488-2020 12 Yrs/130 Yrs Clara Maass Medical Center
(201) 408-4441 Fax: (201) 488-1582 M-F 9:00 AM - 5:00 PM Languages: Spanish
Fax: (201) 408-4452 00 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM
00 Yrs/99 Yrs Languages: Spanish, Russian PCMH: No
www.englewoodeyecenter. M-F 9:00 AM - 5:00 PM Higgins, Patrick MD
com PCMH: No Provider ID: 441808 Jackson, Kurt MD
PCMH: No Gender: Male Provider ID: 800149
Grayson, Douglas MD Sub Specialty: HIV/AIDs Gender: Male
Frempong, Tamiesha MD Provider ID: 944505 523 Forest Ave Retina Center of NJ
Provider ID: TPV029871037582 Gender: Male Paramus, NJ 07652 Sub Specialty: HIV/AIDs
Gender: Female Omni Eye Specialists PA (201) 262-5070 500 N Franklin Tpke Ste 205
Englewood Eye Center Sub Specialty: HIV/AIDs Fax: (201) 262-5933 Ramsey, NJ 07446
245 Engle St 218 State Rt 17 N Ste 3 00 Yrs/130 Yrs (201) 962-9396
Englewood, NJ 07631 Rochelle Park, NJ 07662 M-F 9:00 AM - 5:00 PM Fax: (201) 474-7048
(201) 568-0770 (201) 368-2444 PCMH: No 00 Yrs/130 Yrs
Fax: (201) 568-4233 Fax: (201) 368-0254 Clara Maass Medical Center
00 Yrs/99 Yrs 00 Yrs/130 Yrs Higgins, Patrick MD Languages: Spanish
www.englewoodeyecenter. Morristown Memorial Provider ID: 441808 M 4:00 AM - 7:00 PM
com Hospital Gender: Male TW 8:00 AM - 12:00 PM
PCMH: No M 9:00 AM - 5:00 PM Retina Center of NJ PCMH: No
PCMH: No Sub Specialty: HIV/AIDs
1086 Teaneck Rd Ste 2A
Teaneck, NJ 07666
(201) 871-3414
Fax: (866) 806-3675
00 Yrs/130 Yrs
M-W 8:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 123
Updated: 11/26/2018

Specialty Physicians
Bergen
Ophthalmology - cont. Kamthan, Gautam MD Kayserman, Larisa MD Kazam, Tal MD
Provider ID: 1567395 Provider ID: 1711951
Jee, Jimmy MD Gender: Male Provider ID: 1342179 Gender: Female
Provider ID: 946297 NJ Eye and Ear, LLC Gender: Female NJ Eye and Ear LLC
Gender: Male 23 W Palisades Ave Retina Consultants PA II 71 Grand Ave
Pediatric Eyecare NJ PC Englewood, NJ 07631 Sub Specialty: HIV/AIDs Englewood, NJ 07631
401A S Van Brunt St 200 (204) 408-4441 1200 E Ridgewood Ave Ste (201) 408-4441
Englewood, NJ 07631 Fax: (204) 408-4452 207 Fax: (201) 408-4452
(201) 541-6806 00 Yrs/130 Yrs Ridgewood, NJ 07450 00 Yrs/130 Yrs
Fax: (201) 541-6807 M-F 9:00 AM - 5:00 PM (201) 612-9600 St. Joseph's Hospital Reg
00 Yrs/130 Yrs PCMH: No Fax: (201) 612-0428 Medical Center
Englewood Hospital and 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM
Medical Center Kamthan, Gautam MD M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM
Languages: Korean Provider ID: TPV051316004246 PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM Gender: Male
PCMH: No NJ Eye and Ear LLC Kazam, Tal MD Kim, Daniel MD
71 Grand Ave Provider ID: 1711951 Provider ID: 944343
Kallina, Lauren MD Englewood, NJ 07631 Gender: Female Gender: Male
Provider ID: 1181263 (201) 408-4441 NJ Eye and Ear LLC Daniel Y Kim MD PA
Gender: Female Fax: (201) 408-4452 23 W Palisade Ave 540 Bergen Blvd
Retina Center of NJ 00 Yrs/99 Yrs Englewood, NJ 07631 Palisades Park, NJ 07650
Sub Specialty: HIV/AIDs Languages: Chinese, Albanian (201) 408-4441 (201) 461-3970
1086 Teaneck Rd Ste 2A M-F 8:00 AM - 6:00 PM Fax: (201) 408-4452 Fax: (201) 242-9061
Teaneck, NJ 07666 Sat 8:00 AM - 12:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 871-3414 PCMH: No St. Joseph's Hospital Reg Englewood Hospital and
Fax: (866) 806-3675 Medical Center Medical Center
00 Yrs/130 Yrs Kamthan, Gautam MD M-F 8:00 AM - 6:00 PM Languages: Korean
Clara Maass Medical Center Provider ID: TPV051316042896 Sat 8:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish Gender: Male PCMH: No Sat 9:00 AM - 1:00 PM
M-F 8:00 AM - 5:00 PM NJ Eye and Ear LLC PCMH: No
PCMH: No 23 W Palisades Ave Kazam, Tal MD
Englewood, NJ 07631 Provider ID: 1711951 Kim, John MD
Kallina, Lauren MD (204) 408-4441 Gender: Female Provider ID: 1618945
Provider ID: 1181263 Fax: (201) 408-4452 NJ Eye and Ear LLC Gender: Male
Gender: Female 00 Yrs/99 Yrs 245 Engle St John S Kim MD
Retina Center of NJ Languages: Chinese, Albanian Englewood, NJ 07631 2500 Lemoine Ave Ste 1
Sub Specialty: HIV/AIDs M-F 8:00 AM - 6:00 PM (201) 568-0770 Fort Lee, NJ 70246
500 N Franklin Tpke Ste 205 Sat 8:00 AM - 12:00 PM Fax: (201) 408-4452 (201) 461-8110
Ramsey, NJ 07446 PCMH: No 00 Yrs/130 Yrs Fax: (201) 461-3614
(201) 962-9396 St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Fax: (201) 474-7048 Kayserman, Larisa MD Medical Center M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM PCMH: No
Clara Maass Medical Center Provider ID: 1342179 Sat 8:00 AM - 12:00 PM
Languages: Spanish Gender: Female PCMH: No Kirszrot, James MD
M 4:00 AM - 7:00 PM Retina Consultants PA II Provider ID: 1604010
TW 8:00 AM - 12:00 PM Sub Specialty: HIV/AIDs Gender: Male
PCMH: No 119 Prospect St Ste 1 NJ Eye and Ear, LLC
Ridgewood, NJ 07450 23 W Palisade Ave
(201) 444-3878 Englewood, NJ 07631
Fax: (973) 751-6989 (201) 408-4441
00 Yrs/130 Yrs Fax: (201) 408-4452
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 124
Updated: 11/26/2018

Specialty Physicians
Bergen
Ophthalmology - cont. Lee, Paul MD Lee, Sangwoo MD Lipka, Andrew MD
Provider ID: 1571010 Provider ID: 1643787 Provider ID: 1451130
Kirszrot, James MD Gender: Male Gender: Male Gender: Male
Provider ID: 1604010 Englewood Eye Center, LLC Daniel Y Kim MD PA 7631
Gender: Male 71 Grand Ave 540 Bergen Blvd 245 Engle St
NJ Eye and Ear, LLC Englewood, NJ 07631 Palisades Park, NJ 07650 Englewood, NJ 07631
245 Engle St (201) 408-4441 (201) 461-3970 (201) 568-0770
Englewood, NJ 07631 Fax: (201) 408-4452 Fax: (201) 242-9061 Fax: (800) 878-2811
(201) 568-0770 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Englewood Hospital and
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Medical Center
PCMH: No M-F 9:00 AM - 5:00 PM
Lee, Paul MD Lee, Song MD PCMH: No
Kirszrot, James MD Provider ID: TPV048833017655 Provider ID: 1224193
Provider ID: 1604010 Gender: Male Gender: Female Lipka, Andrew MD
Gender: Male Englewood Eye Center Vitreoretinal Associates Provider ID: 1451130
NJ Eye and Ear, LLC 71 Grand Ave Sub Specialty: HIV/AIDs Gender: Male
71 Grand Ave Englewood, NJ 07631 119 Prospect St 1st Fl Englewood Eye Center, LLC
Englewood, NJ 07631 (201) 408-4441 Ridgewood, NJ 07450 71 Grand Ave
(201) 408-4441 Fax: (201) 408-4452 (973) 751-8808 Englewood, NJ 07631
Fax: (201) 408-4452 00 Yrs/99 Yrs Fax: (973) 751-6989 (201) 408-4441
00 Yrs/130 Yrs www.englewoodeyecenter. 00 Yrs/130 Yrs Fax: (201) 408-4452
M-F 9:00 AM - 5:00 PM com Clara Maass Medical Center 00 Yrs/130 Yrs
PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM Englewood Hospital and
PCMH: No Medical Center
Latkany, Robert MD Lee, Paul MD M-F 9:00 AM - 5:00 PM
Provider ID: TPV048833037582 Lee, Song MD PCMH: No
Provider ID: 950767 Gender: Male Provider ID: 1342508
Gender: Male Englewood Eye Center Gender: Female Lipka, Andrew MD
Phillips Eye Center 245 Engle St Retina Consultants PA II Provider ID: 1559307
619 River Dr Fl 2 Englewood, NJ 07631 Sub Specialty: HIV/AIDs Gender: Male
Elmwood Park, NJ 07407 (201) 568-0770 119 Prospect St Ste 1 NJ Eye and Ear LLC
(201) 796-2020 Fax: (201) 568-4233 Ridgewood, NJ 07450 245 Engle St
Fax: (201) 796-2833 00 Yrs/99 Yrs (973) 751-8808 Englewood, NJ 07631
00 Yrs/130 Yrs www.englewoodeyecenter. Fax: (973) 751-6989 (201) 568-0770
MT 8:00 AM - 5:30 PM com 00 Yrs/130 Yrs Fax: (800) 878-2811
W 8:00 AM - 5:00 PM PCMH: No Clara Maass Medical Center 00 Yrs/130 Yrs
THF 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Englewood Hospital and
Lee, Paul MD PCMH: No Medical Center
PCMH: No
Provider ID: M-F 8:00 AM - 6:00 PM
Lee, Paul MD TPV048833042896 Lee, Song MD Sat 8:00 AM - 12:00 PM
Provider ID: 1567150 Gender: Male Provider ID: 1342508 PCMH: No
Gender: Male NJ Eye and Ear LLC Gender: Female
23 W Palisades Ave Retina Consultants PA II Lipka, Andrew MD
NJ Eye and Ear, LLC
23 W Palisades Ave Englewood, NJ 07631 Sub Specialty: HIV/AIDs Provider ID: 1559307
Englewood, NJ 07631 (204) 408-4441 1200 E Ridgewood Ave Ste Gender: Male
(204) 408-4441 Fax: (201) 408-4452 207 NJ Eye and Ear, LLC
Fax: (204) 084-452 00 Yrs/99 Yrs Ridgewood, NJ 07450 23 W Palisade Ave
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM (201) 612-9600 Englewood, NJ 07631
M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Fax: (201) 612-0428 (973) 546-5700
PCMH: No PCMH: No 00 Yrs/130 Yrs Fax: (973) 772-8875
Clara Maass Medical Center 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Englewood Hospital and
PCMH: No Medical Center
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 125
Updated: 11/26/2018

Specialty Physicians
Bergen
Ophthalmology - cont. Liva, Bradford MD Lyu, Theodore MD Matta, Ayman MD
Provider ID: 1534530 Provider ID: Provider ID: TPV035427008757
Lipka, Andrew MD Gender: Male TPV046594004246 Gender: Male
Provider ID: 1559310 Retina Consultants, PA II Gender: Male New Jersey Eye Institute
Gender: Male 1200 E Ridgewood Ave Ste NJ Eye and Ear LLC 350 Ramapo Valley Rd
7631 207 71 Grand Ave Oakland, NJ 07436
245 Engle St Ridgewood, NJ 07450 Englewood, NJ 07631 (973) 472-3937
Englewood, NJ 07631 (973) 751-8808 (201) 408-4441 Fax: (973) 472-3938
(201) 568-0770 Fax: (973) 751-6989 Fax: (201) 408-4452 00 Yrs/99 Yrs
Fax: (800) 878-2811 00 Yrs/130 Yrs 00 Yrs/99 Yrs Languages: Spanish, Arabic
00 Yrs/130 Yrs Clara Maass Medical Center Languages: Spanish, Korean M 9:00 AM - 4:00 PM
Englewood Hospital and Saint Clares Hospital M-F 8:00 AM - 6:00 PM PCMH: No
Medical Center M-F 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No Milite, James MD
PCMH: No Provider ID: 944508
Liva, Bradford MD Lyu, Theodore MD Gender: Male
Lipka, Andrew MD Provider ID: 946271 Provider ID: Omni Eye Specialists PA
Provider ID: TPV046511037582 Gender: Male TPV046594042896 Sub Specialty: HIV/AIDs
Gender: Male Bradford C Liva MD PA Gender: Male 218 State Rt 17 N Ste 3
Englewood Eye Center 1 W Ridgewood Ave Ste 205 NJ Eye and Ear LLC Rochelle Park, NJ 07662
245 Engle St Paramus, NJ 07652 23 W Palisades Ave (201) 368-2444
Englewood, NJ 07631 (201) 444-1185 Englewood, NJ 07631 Fax: (201) 368-0254
(201) 568-0770 Fax: (201) 444-1403 (204) 408-4441 00 Yrs/130 Yrs
Fax: (201) 568-4233 00 Yrs/130 Yrs Fax: (201) 408-4452 Saint Barnabas Medical
00 Yrs/99 Yrs Clara Maass Medical Center 00 Yrs/99 Yrs Center Livingston
www.englewoodeyecenter. Saint Clares Hospital Languages: Spanish, Korean M 9:00 AM - 5:00 PM
com M-W 9:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM PCMH: No
PCMH: No PCMH: No Sat 8:00 AM - 12:00 PM
PCMH: No Morgan, Charles MD
Lipka, Andrew MD Lyu, Theodore MD Provider ID: TPV004554017655
Provider ID: TPV046511042896 Provider ID: 1559306 Maley, Michael MD Gender: Male
Gender: Male Gender: Male Englewood Eye Center
NJ Eye and Ear LLC NJ Eye and Ear, LLC Provider ID: 461945 71 Grand Ave
23 W Palisades Ave 23 W Palisade Ave Gender: Male Englewood, NJ 07631
Englewood, NJ 07631 Englewood, NJ 07631 Phillips Eye Center (201) 408-4441
(204) 408-4441 (973) 546-5700 619 River Dr Ste 3 Fax: (201) 408-4452
Fax: (201) 408-4452 Fax: (973) 772-8875 Elmwood Park, NJ 07407 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/130 Yrs (201) 601-2020 www.englewoodeyecenter.
M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Fax: (201) 601-9722 com
Sat 8:00 AM - 12:00 PM Sat 8:00 AM - 12:00 PM 00 Yrs/130 Yrs Languages: Spanish
PCMH: No PCMH: No River Drive Surgery Center PCMH: No
LLC
Liva, Bradford MD Lyu, Theodore MD M 8:30 AM - 6:00 PM
Provider ID: 1534530 Provider ID: 1578181 TWTH 8:30 AM - 5:00 PM
Gender: Male Gender: Male F 8:00 AM - 4:00 PM
Retina Consultants, PA II Daniel Y Kim MD PA PCMH: No
119 Prospect St Ste 1 540 Bergen Blvd
Ridgewood, NJ 07450 Palisades Park, NJ 07650
(201) 444-3878 (201) 461-3970
Fax: (201) 444-4035 Fax: (201) 242-9061
00 Yrs/130 Yrs 00 Yrs/130 Yrs
Clara Maass Medical Center Holy Name Medical Center
Saint Clares Hospital M-W 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 126
Updated: 11/26/2018

Specialty Physicians
Bergen
Ophthalmology - cont. Richard, Michael MD Richard, Michael MD Salzano, Brian MD
Provider ID: 1559312 Provider ID: Provider ID: 1559324
Phillips, Hadley DO Gender: Male TPV045976042896 Gender: Male
NJ Eye and Ear, LLC Gender: Male NJ Eye and Ear, LLC
Provider ID: 432849 245 Engle St NJ Eye and Ear LLC 71 Grand Ave
Gender: Male Englewood, NJ 07631 23 W Palisades Ave Englewood, NJ 07631
Phillips Eye Center (973) 546-5700 Englewood, NJ 07631 (973) 546-5700
619 River Dr Fl 2 Fax: (973) 772-8875 (204) 408-4441 Fax: (973) 772-8875
Elmwood Park, NJ 07407 00 Yrs/130 Yrs Fax: (201) 408-4452 00 Yrs/130 Yrs
(201) 703-2900 MTWTHFSat 8:00 AM - 12:00 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM
Fax: (201) 703-1780 PM M-F 8:00 AM - 6:00 PM PCMH: No
00 Yrs/130 Yrs PCMH: No Sat 8:00 AM - 12:00 PM
River Drive Surgery Center PCMH: No Salzano, Brian MD
LLC Richard, Michael MD Provider ID: TPV015385017655
Languages: Spanish Provider ID: 1559312 Rothman, Murray MD Gender: Male
M 8:00 AM - 6:00 PM Gender: Male Englewood Eye Center
TWTH 8:00 AM - 5:00 PM NJ Eye and Ear, LLC Provider ID: 666420 71 Grand Ave
F 8:00 AM - 4:00 PM 71 Grand Ave Gender: Male Englewood, NJ 07631
PCMH: No Englewood, NJ 07631 Murray H Rothman MD (201) 408-4441
(201) 408-4441 17 W Passaic Ave Fax: (201) 408-4452
Reing, Charles MD Fax: (201) 408-4452 Rutherford, NJ 07070 00 Yrs/99 Yrs
Provider ID: 539677 00 Yrs/130 Yrs (201) 460-8630 www.englewoodeyecenter.
Gender: Male MT 7:30 AM - 7:00 PM Fax: (201) 460-9003 com
18-01 Pollitt Dr Ste 4 W 8:00 AM - 6:30 PM 00 Yrs/130 Yrs PCMH: No
Fair Lawn, NJ 07410 TH 8:30 AM - 6:30 PM M 1:00 AM - 7:00 PM
(201) 794-8444 F 7:30 AM - 6:00 PM TW 9:00 AM - 5:00 PM Salzano, Brian MD
Fax: (201) 398-9132 Sat 8:00 AM - 12:00 PM TH 8:00 AM - 3:30 PM Provider ID: TPV015385042896
00 Yrs/130 Yrs PCMH: No PCMH: No Gender: Male
Languages: Spanish NJ Eye and Ear LLC
M-F 9:00 AM - 5:00 PM Richard, Michael MD Salzano, Brian MD 23 W Palisades Ave
PCMH: No Provider ID: 1559314 Provider ID: 1559324 Englewood, NJ 07631
Gender: Male Gender: Male (204) 408-4441
Richard, Michael MD Englewood Eye Center NJ Eye and Ear, LLC Fax: (201) 408-4452
Provider ID: 1559312 71 Grand Ave 23 W Palisade Ave 00 Yrs/99 Yrs
Gender: Male Englewood, NJ 07631 Englewood, NJ 07631 M-F 8:00 AM - 6:00 PM
NJ Eye and Ear, LLC (201) 408-4441 (973) 546-5700 Sat 8:00 AM - 12:00 PM
23 W Palisades Ave Fax: (201) 408-4452 Fax: (973) 772-8875 PCMH: No
Englewood, NJ 07631 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(204) 408-4441 M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM Stegman, Daniel MD
Fax: (204) 408-4452 PCMH: No Sat 8:00 AM - 12:00 PM
00 Yrs/130 Yrs PCMH: No Provider ID: 1198619
MT 7:30 AM - 7:00 PM Richard, Michael MD Gender: Male
W 8:00 AM - 6:30 PM Provider ID: Salzano, Brian MD Englewood Eye Center LLC
TH 8:30 AM - 6:30 PM TPV045976004246 Provider ID: 1559324 71 Grand Ave
F 7:30 AM - 6:00 PM Gender: Male Gender: Male Englewood, NJ 07631
Sat 7:30 AM - 1:00 PM NJ Eye and Ear LLC NJ Eye and Ear, LLC (201) 408-4441
PCMH: No 71 Grand Ave 245 Engle St Fax: (201) 408-4452
Englewood, NJ 07631 Englewood, NJ 07631 00 Yrs/130 Yrs
(201) 408-4441 (973) 546-5700 St. Joseph's Hospital Reg
Fax: (201) 408-4452 Fax: (973) 772-8875 Medical Center
00 Yrs/99 Yrs 00 Yrs/130 Yrs MTH 8:30 AM - 6:00 PM
M-F 8:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM TWF 9:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM PCMH: No Sat 8:00 AM - 1:00 PM
PCMH: No Sun 8:30 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 127
Updated: 11/26/2018

Specialty Physicians
Bergen
Ophthalmology - cont. Stegman, Daniel MD Vallar, Robert MD Angel, Shirley OD
Provider ID: TPV031109017655 Provider ID: 1342507 Provider ID:
Stegman, Daniel MD Gender: Male Gender: Male TPV006226045265
Provider ID: 1559319 Englewood Eye Center Retina Consultants PA II Gender: Female
Gender: Male 71 Grand Ave 1200 E Ridgewood Ave Ste Optometrist Next To
NJ Eye and Ear, LLC Englewood, NJ 07631 207 Walmart 3159
23 W Palisade Ave (201) 408-4441 Ridgewood, NJ 07450 1 Teterboro Landing Dr
Englewood, NJ 07631 Fax: (201) 408-4452 (201) 612-9600 Teterboro, NJ 07608
(204) 408-4441 00 Yrs/99 Yrs Fax: (201) 612-0428 (201) 375-4005
Fax: (204) 408-4452 www.englewoodeyecenter. 00 Yrs/130 Yrs Fax: (201) 288-4269
00 Yrs/130 Yrs com Clara Maass Medical Center 00 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM Languages: French, Hebrew M-F 9:00 AM - 5:00 PM Languages: Spanish
Sat 8:00 AM - 12:00 PM PCMH: No PCMH: No MW 10:00 AM - 6:00 PM
PCMH: No T 10:30 AM - 6:30 PM
Stegman, Daniel MD Weinberg, Martin MD TH 9:00 AM - 4:00 PM
Stegman, Daniel MD Provider ID: TPV031109042896 Provider ID: 945482 F 9:00 AM - 2:00 PM
Provider ID: 1559319 Gender: Male Gender: Male PCMH: No
Gender: Male NJ Eye and Ear LLC 405 Cedar Ln Ste 5
23 W Palisades Ave Teaneck, NJ 07666 Ariola, Jennifer OD
NJ Eye and Ear, LLC
245 Engle St Englewood, NJ 07631 (201) 836-8333 Provider ID: 1536376
Englewood, NJ 07631 (204) 408-4441 Fax: (201) 836-7301 Gender: Female
(201) 408-4441 Fax: (201) 408-4452 12 Yrs/130 Yrs Englewood Eye Center, LLC
00 Yrs/130 Yrs 00 Yrs/99 Yrs Englewood Hospital and 245 Engle St
MT 8:30 AM - 6:00 PM Languages: French, Hebrew Medical Center Englewood, NJ 07631
W 9:00 AM - 7:00 PM PCMH: No M-F 8:00 AM - 6:00 PM (201) 568-0770
TH 8:30 AM - 6:30 PM Sat 8:00 AM - 4:00 PM Fax: (201) 568-4233
F 7:30 AM - 6:00 PM Tannen, Bradford MD PCMH: No 00 Yrs/130 Yrs
Sat 8:00 AM - 12:00 PM Provider ID: TPV038364017655 M-F 8:00 AM - 6:00 PM
PCMH: No Gender: Male Optometry Sat 8:00 AM - 12:00 PM
Englewood Eye Center PCMH: No
Stegman, Daniel MD 71 Grand Ave Andron, Adam OD
Englewood, NJ 07631 Provider ID: TPV007859020433 Ariola, Jennifer OD
(201) 408-4441 Gender: Male Provider ID: 1536376
Provider ID: 1559320
Fax: (201) 408-4452 Eye To Eye Vision Center Gender: Female
Gender: Male
00 Yrs/99 Yrs Garden State Plz Rte 4 & Rte Englewood Eye Center, LLC
Englewood Eye Center LLC
www.englewoodeyecenter. 17 71 Grand Ave
245 Engle St
com Paramus, NJ 07652 Englewood, NJ 07631
Englewood, NJ 07631
Languages: Spanish (201) 845-8408 (201) 408-4441
(201) 408-4441
PCMH: No Fax: (201) 845-8685 Fax: (201) 408-4452
00 Yrs/130 Yrs 00 Yrs/99 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
Vallar, Robert MD www.eyezeyevision.com M-F 8:00 AM - 6:00 PM
PCMH: No
Provider ID: 1342507 M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM
Stegman, Daniel MD Gender: Male PCMH: No PCMH: No
Provider ID: TPV031109004246 Retina Consultants PA II
119 Prospect St Ste 1 Ariola, Jennifer OD
Gender: Male
Ridgewood, NJ 07450 Provider ID: 1559768
NJ Eye and Ear LLC
(201) 444-3878 Gender: Female
71 Grand Ave
Fax: (201) 444-4035 NJ Eye and Ear, LLC
Englewood, NJ 07631
00 Yrs/130 Yrs 23 W Palisade Ave
(201) 408-4441
Clara Maass Medical Center Englewood, NJ 07631
Fax: (201) 408-4452
M-F 9:00 AM - 5:00 PM (973) 546-5700
00 Yrs/99 Yrs
PCMH: No Fax: (973) 772-8875
Languages: French, Hebrew
00 Yrs/130 Yrs
M-F 8:00 AM - 6:00 PM
St. Joseph's Hospital Reg
Sat 8:00 AM - 12:00 PM Medical Center
PCMH: No M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 128
Updated: 11/26/2018

Specialty Physicians
Bergen
Optometry - cont. Ariola, Jennifer OD Caloras, Steven OD Choi, Seung-Hee OD
Provider ID: TPV006473017655 Provider ID: TPV018847006097 Provider ID: 1727544
Ariola, Jennifer OD Gender: Female Gender: Male Gender: Female
Provider ID: 1559768 Englewood Eye Center Dp 17 Optometric Associates Daniel Y Kim, MD, PA
Gender: Female 71 Grand Ave 875 State Rt 17 540 Bergen Blvd
NJ Eye and Ear, LLC Englewood, NJ 07631 Ramsey, NJ 07446 Palisades Pk, NJ 07650
245 Engle St (201) 408-4441 (201) 236-1444 (718) 661-3800
Englewood, NJ 07631 Fax: (201) 408-4452 Fax: (201) 236-8500 Fax: (718) 661-3812
(201) 568-0770 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/130 Yrs
Fax: (201) 568-4233 www.englewoodeyecenter. Languages: Spanish MTWTHFSat 10:00 AM - 7:00
00 Yrs/130 Yrs com PCMH: No PM
St. Joseph's Hospital Reg Languages: Spanish Sun 11:00 AM - 6:00 PM
Medical Center PCMH: No Cardona, Maria OD PCMH: No
MTTH 8:30 AM - 6:00 PM Provider ID: TPV023750007351
Ariola, Jennifer OD Gender: Female Choi-Lee, Jessica OD
W 8:30 AM - 7:00 PM
Provider ID: TPV006473037582 Maria I Cardona OD Provider ID: TPV035627019794
F 8:00 AM - 6:00 PM
Gender: Female 74 S Paramus Rd Gender: Female
Sat 8:00 AM - 12:00 PM
Englewood Eye Center Paramus, NJ 07652 Englewood Vision Care
PCMH: No
245 Engle St (201) 712-0101 200 Engle St Ste 12
Ariola, Jennifer OD Englewood, NJ 07631 Fax: (201) 712-0123 Englewood, NJ 07631
Provider ID: 1559768 (201) 568-0770 00 Yrs/99 Yrs (201) 569-2442
Gender: Female Fax: (201) 568-4233 Languages: Spanish Fax: (201) 408-4452
NJ Eye and Ear, LLC 00 Yrs/99 Yrs PCMH: No 00 Yrs/99 Yrs
71 Grand Ave www.englewoodeyecenter. Languages: Spanish, Korean
com Chang, Yang OD
Englewood, NJ 07631 PCMH: No
Languages: Spanish Provider ID: TPV002746043520
(201) 408-4441
PCMH: No Gender: Female Craft, Arnold OD
Fax: (201) 408-4452
00 Yrs/130 Yrs Accurate Eyecare LLC Provider ID:
Bhattacharjee, Shrabanti OD 81 E Rte 4 Ste 402B TPV004625005748
St. Joseph's Hospital Reg Provider ID:
Medical Center Paramus, NJ 07652 Gender: Male
TPV048677005608
M-F 9:00 AM - 5:00 PM (201) 871-3937 Dr Arnold D Craft
Gender: Female
Sat 8:30 AM - 12:00 PM Fax: (201) 871-6009 201A Market St
Visionworks Drs of
PCMH: No 00 Yrs/99 Yrs Elmwood Park, NJ 07407
Optometry 461
Languages: Chinese (201) 796-0030
501 N State Rt 17
Ariola, Jennifer OD PCMH: No Fax: (201) 796-3448
Paramus, NJ 07652
Provider ID: 00 Yrs/99 Yrs
(201) 265-9400 Chocky, Michael OD
TPV006473004246 PCMH: No
Fax: (201) 265-3078 Provider ID:
Gender: Female
00 Yrs/99 Yrs TPV030042007776 Cummins, Charles OD
NJ Eye and Ear LLC
www.ecca.com Gender: Male Provider ID:
71 Grand Ave
PCMH: No Resident Eye Care Associates TPV016498005608
Englewood, NJ 07631
(201) 408-4441 LLC Gender: Male
Brody-Sendroff, Joie OD 4-14 Saddle River Rd Ste 202
Fax: (201) 408-4452 Visionworks Drs of
Provider ID: TPV046489005123 Fair Lawn, NJ 07410 Optometry 461
00 Yrs/99 Yrs Gender: Female
Languages: Spanish (201) 797-2747 501 N State Rt 17
Bergen Optometry LLC Fax: (201) 797-5809 Paramus, NJ 07652
M-F 8:00 AM - 6:00 PM 348 Main St
Sat 8:00 AM - 12:00 PM 00 Yrs/99 Yrs (201) 265-9400
Hackensack, NJ 07601 Languages: Spanish Fax: (201) 265-3078
PCMH: No (201) 342-4255 PCMH: No 00 Yrs/99 Yrs
Fax: (201) 487-4886 www.ecca.com
00 Yrs/99 Yrs PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 129
Updated: 11/26/2018

Specialty Physicians
Bergen
Optometry - cont. Desai, Heema OD Domingues, Maria OD Ehrenworth, Steven OD
Provider ID: 1339505 Provider ID: TPV007522016796 Provider ID: TPV034319005123
Cusenza, Chelsea OD Gender: Female Gender: Female Gender: Male
Provider ID: TPV041176006045 Englewood Eye Center LLC Pink Vision Associates Bergen Optometry LLC
Gender: Not Available 71 Grand Ave 1562 Lemoine Ave 348 Main St
Marie R Levine OD Englewood, NJ 07631 Fort Lee, NJ 07024 Hackensack, NJ 07601
33 Lincoln Ave Ste 3 (201) 408-4441 (201) 461-7595 (201) 342-4255
Rutherford, NJ 07070 Fax: (201) 408-4452 Fax: (201) 461-7565 Fax: (201) 487-4886
(201) 438-4418 00 Yrs/130 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 438-3082 M-F 9:00 AM - 5:00 PM Languages: Spanish, French PCMH: No
00 Yrs/99 Yrs PCMH: No PCMH: No
www.levineeyecenter.com Erlich, Sara OD
M-F 9:00 AM - 5:00 PM Desai, Heema OD Domingues, Maria OD Provider ID: TPV028092000104
Sat 9:00 AM - 1:00 PM Provider ID: 1559315 Provider ID: TPV007522019287 Gender: Female
PCMH: No Gender: Female Gender: Female Erlich Eye Associates
NJ Eye and Ear, LLC Pink Vision Associates 57 Main St
Cuttler, Nirupa OD 23 W Palisades Ave 348 Ridge Rd Hackensack, NJ 07601
Provider ID: TPV033184004246 Englewood, NJ 07631 Lyndhurst, NJ 07071 (201) 242-8785
Gender: Female (204) 408-4441 (201) 438-8668 Fax: (205) 345-3896
NJ Eye and Ear LLC Fax: (204) 408-4452 Fax: (201) 438-8670 00 Yrs/99 Yrs
71 Grand Ave 00 Yrs/130 Yrs 00 Yrs/99 Yrs www.saraerlichod.com
Englewood, NJ 07631 MT 7:30 AM - 7:00 PM Languages: Spanish, French PCMH: No
(201) 408-4441 W 8:00 AM - 6:30 PM PCMH: No
Fax: (201) 408-4452 TH 8:30 AM - 6:30 PM Friedman, Stephen OD
00 Yrs/99 Yrs Dorman, Alicia OD Provider ID: TPV040121002531
F 7:30 AM - 6:00 PM
M-F 8:00 AM - 6:00 PM Provider ID: TPV021620006701 Gender: Male
Sat 7:30 AM - 1:00 PM
Sat 8:00 AM - 12:00 PM Gender: Male In Style Optical
PCMH: No
PCMH: No Anthony J Boni Alicia N 370 Essex St Ground Fl
Desai, Heema OD Dorma Lodi, NJ 07644
Cuttler, Nirupa OD 40 Mayhill St (201) 712-1990
Provider ID: 1559315
Provider ID: TPV033184017655 Saddle Brook, NJ 07663 Fax: (201) 712-1990
Gender: Female
Gender: Female (201) 845-6634 00 Yrs/99 Yrs
NJ Eye and Ear, LLC
Englewood Eye Center Fax: (201) 621-0299 Languages: Spanish
245 Engle St
71 Grand Ave 00 Yrs/99 Yrs PCMH: No
Englewood, NJ 07631
Englewood, NJ 07631 PCMH: No
(973) 546-5700
(201) 408-4441 Fruchtman, William OD
Fax: (973) 772-8875 Dorse, Jennine OD
Fax: (201) 408-4452 Provider ID: TPV018572005182
00 Yrs/130 Yrs Provider ID:
00 Yrs/99 Yrs Gender: Male
M-F 8:00 AM - 6:00 PM TPV046056007776
www.englewoodeyecenter. William Fruchtman OD
com Sat 8:00 AM - 12:00 PM Gender: Female
PCMH: No 196 Paterson Ave
PCMH: No Resident Eye Care Associates
LLC East Rutherford, NJ 07073
Cuttler, Nirupa OD Desai, Heema OD 4-14 Saddle River Rd Ste 202 (201) 392-0990
Provider ID: TPV033184042896 Provider ID: 1559315 Fair Lawn, NJ 07410 Fax: (201) 728-9229
Gender: Female Gender: Female (201) 797-2747 00 Yrs/99 Yrs
NJ Eye and Ear LLC NJ Eye and Ear, LLC Fax: (201) 797-5809 www.drfruchtman.com
23 W Palisades Ave 71 Grand Ave 00 Yrs/99 Yrs Languages: Spanish, Polish
Englewood, NJ 07631 Englewood, NJ 07631 PCMH: No M-TH 9:00 AM - 6:00 PM
(204) 408-4441 (973) 546-5700 F 9:00 AM - 12:00 PM
Fax: (201) 408-4452 Fax: (973) 772-8875 Sat 8:00 AM - 12:00 PM
00 Yrs/99 Yrs 00 Yrs/130 Yrs PCMH: No
M-F 8:00 AM - 6:00 PM M 8:00 AM - 7:00 PM
Sat 8:00 AM - 12:00 PM T 9:00 AM - 7:00 PM
PCMH: No W 9:00 AM - 6:00 PM
TH 7:30 AM - 6:00 PM
F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 130
Updated: 11/26/2018

Specialty Physicians
Bergen
Optometry - cont. Hrymack, Kyle OD Kim, Debbie OD Kim, Martin OD
Provider ID: TPV031853007776 Provider ID: Provider ID: TPV033727006250
Fures, Denise OD Gender: Male TPV020426007735 Gender: Male
Provider ID: TPV027101005608 Resident Eye Care Associates Gender: Female Martin S Kim OD Inc
Gender: Female LLC Debbie Kim OD 121 Broad Ave
Visionworks Drs of 4-14 Saddle River Rd Ste 202 520 Durie Ave Palisades Park, NJ 07650
Optometry 461 Fair Lawn, NJ 07410 Closter, NJ 07624 (201) 421-9319
501 N State Rt 17 (201) 797-2747 (201) 768-2020 00 Yrs/99 Yrs
Paramus, NJ 07652 Fax: (201) 797-5809 Fax: (201) 768-5797 Languages: Spanish, Korean
(201) 265-9400 00 Yrs/99 Yrs 00 Yrs/99 Yrs PCMH: No
Fax: (201) 265-3078 PCMH: No PCMH: No
00 Yrs/99 Yrs Kim, Martin OD
www.ecca.com Hwang, Jeslyn OD Kim, Debbie OD Provider ID: TPV033727018424
PCMH: No Provider ID: TPV046145007776 Provider ID: TPV020426011003 Gender: Male
Gender: Female Gender: Female Optical Outlet
Goldsmith, William OD Resident Eye Care Associates 9 W Eyecare LLC 222 Bergen Blvd Ste 1
Provider ID: LLC 44 Sylvan Ave Ste 1B Fairview, NJ 07022
TPV008666006715 4-14 Saddle River Rd Ste 202 Englewood Cliffs, NJ 07632 (201) 945-2525
Gender: Male Fair Lawn, NJ 07410 (201) 592-1998 Fax: (201) 945-2528
Dr William B Goldsmith (201) 797-2747 00 Yrs/99 Yrs 00 Yrs/99 Yrs
13-36 River Rd Fax: (201) 797-5809 PCMH: No Languages: Spanish, Korean
Fair Lawn, NJ 07410 00 Yrs/99 Yrs M-F 10:00 AM - 7:00 PM
(201) 797-2020 PCMH: No Kim, Diane OD Sat 10:00 AM - 5:00 PM
Fax: (973) 345-3333 Provider ID: TPV030160010661 PCMH: No
00 Yrs/99 Yrs Insight Optical Gender: Female
Languages: Spanish Provider ID: Fort Lee Vision LLC Kim, Sarah OD
PCMH: No TPV028526007945 2151 Lemoine Ave Provider ID: TPV012718005608
740 Anderson Ave Fort Lee, NJ 07024 Gender: Female
Graves, Jeanine OD Cliffside Park, NJ 07010 (201) 346-9000 Visionworks Drs of
Provider ID: (201) 313-0303 Fax: (201) 346-9001 Optometry 461
TPV008860006233 Fax: (201) 313-9461 00 Yrs/99 Yrs 501 N State Rt 17
Gender: Female 00 Yrs/99 Yrs www.fortleevision.com Paramus, NJ 07652
Jeanine E Graves Languages: Spanish Languages: Spanish, Korean (201) 265-9400
11-11 River Rd MTTHF 10:00 AM - 6:00 PM M-F 10:00 AM - 7:30 PM Fax: (201) 265-3078
Fair Lawn, NJ 07410 W 10:00 AM - 7:00 PM Sat 10:00 AM - 7:00 PM 00 Yrs/99 Yrs
(201) 796-2036 Sat 10:00 AM - 5:00 PM PCMH: No www.ecca.com
Fax: (201) 796-2205 PCMH: No PCMH: No
00 Yrs/99 Yrs Kim, Dong OD
Languages: Spanish Kateman, Russell OD Provider ID: Kim, Yoonsung OD
PCMH: No Provider ID: TPV039579003067 TPV046069007776 Provider ID: TPV041211011003
Gender: Male Gender: Male Gender: Male
Hodle, Mary OD Cohens Fashion Optical Resident Eye Care Associates 9 W Eyecare LLC
Provider ID: TPV019346007776 1 Garden State Plz Ste T13a LLC 44 Sylvan Ave Ste 1B
Gender: Female Paramus, NJ 07652 4-14 Saddle River Rd Ste 202 Englewood Cliffs, NJ 07632
Resident Eye Care Associates (201) 587-0122 Fair Lawn, NJ 07410 (201) 592-1998
LLC Fax: (201) 587-1301 (201) 797-2747 00 Yrs/99 Yrs
4-14 Saddle River Rd Ste 202 00 Yrs/99 Yrs Fax: (201) 797-5809 Languages: Chinese
Fair Lawn, NJ 07410 Languages: Spanish 00 Yrs/99 Yrs PCMH: No
(201) 797-2747 M-F 10:00 AM - 7:00 PM Languages: Spanish, Russian,
Fax: (201) 797-5809 Sat 10:00 AM - 8:00 PM Korean, Hebrew
00 Yrs/99 Yrs PCMH: No PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 131
Updated: 11/26/2018

Specialty Physicians
Bergen
Optometry - cont. Lee, Ji OD Lee, Ji Yun OD Libassi, David OD
Provider ID: TPV001682002865 Provider ID: 1559305 Provider ID: TPV020835006701
Koukas, Aikaterini OD Gender: Female Gender: Female Gender: Male
Provider ID: 1687131 NJ Eye and Ear LLC NJ Eye and Ear, LLC Anthony J Boni Alicia N
Gender: Female 245 Engle St 23 W Palisade Ave Dorma
Phillips Eye Center Englewood, NJ 07631 Englewood, NJ 07631 40 Mayhill St
619 River Dr Fl 2 (201) 568-0770 (973) 546-5700 Saddle Brook, NJ 07663
Elmwood Park, NJ 07407 Fax: (201) 568-4233 Fax: (973) 772-8875 (201) 845-6634
(201) 796-2020 00 Yrs/99 Yrs 00 Yrs/130 Yrs Fax: (201) 621-0299
Fax: (201) 796-2833 Languages: Korean M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM PCMH: No
PCMH: No Linenberg, Catherine OD
PCMH: No
Lee, Ji Yun OD Provider ID: TPV019787006701
Kowalik, Ronald OD Lee, Ji Yun OD Gender: Female
Provider ID: 1559305
Provider ID: 1277776 Anthony J Boni Alicia N
Provider ID: TPV019134003525 Gender: Female
Gender: Female Dorma
Gender: Male NJ Eye and Ear, LLC
Englewood Eye Center LLC 40 Mayhill St
Ronald Kowalik OD 245 Engle St
245 Engle St Saddle Brook, NJ 07663
57 Belmont Ave Englewood, NJ 07631
Englewood, NJ 07631 (201) 845-6634
Garfield, NJ 07026 (973) 546-5700
(201) 408-4441 Fax: (201) 621-0299
(973) 340-0489 Fax: (973) 772-8875
00 Yrs/130 Yrs 00 Yrs/99 Yrs
Fax: (973) 546-1708 00 Yrs/130 Yrs
M-F 8:00 AM - 6:00 PM PCMH: No
00 Yrs/99 Yrs M-F 8:00 AM - 6:00 PM
Languages: Spanish Sat 8:00 AM - 12:00 PM Sat 8:00 AM - 4:30 PM Ly-Schroeder, Emily My OD
PCMH: No PCMH: No PCMH: No Provider ID: TPV026385006701
Gender: Female
Krav, Veronika OD Lee, Ji Yun OD Lee, Ji Yun OD Anthony J Boni Alicia N
Provider ID: TPV041977005608 Provider ID: 1277776 Provider ID: 1559305 Dorma
Gender: Female Gender: Female Gender: Female 40 Mayhill St
Visionworks Drs of Englewood Eye Center LLC NJ Eye and Ear, LLC Saddle Brook, NJ 07663
Optometry 461 71 Grand Ave 71 Grand Ave (201) 845-6634
501 N State Rt 17 Englewood, NJ 07631 Englewood, NJ 07631 Fax: (201) 621-0299
Paramus, NJ 07652 (201) 408-4441 (973) 546-5700 00 Yrs/99 Yrs
(201) 265-9400 Fax: (201) 408-4452 Fax: (973) 772-8875 Languages: Chinese, Swedish
Fax: (201) 265-3078 00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 6:00 PM
www.ecca.com PCMH: No Sat 8:00 AM - 12:00 PM Maimone, Terrylee OD
PCMH: No PCMH: No Provider ID: TPV010985016362
Lee, Ji Yun OD Gender: Female
Lee, Jennifer OD Provider ID: 1559304 Levine, Marie OD Maimone Vision Associates
Provider ID: TPV024417011003 Gender: Female Provider ID: 1135 Main Ave
Gender: Female NJ Eye and Ear, LLC TPV006646006045 Clifton, NJ 07011
9 W Eyecare LLC 23 W Palisade Ave Gender: Female (201) 489-8868
44 Sylvan Ave Ste 1B Englewood, NJ 07631 Marie R Levine OD Fax: (201) 489-9642
Englewood Cliffs, NJ 07632 (204) 408-4441 33 Lincoln Ave Ste 3 00 Yrs/99 Yrs
(201) 592-1998 Fax: (204) 408-4452 Rutherford, NJ 07070 PCMH: No
00 Yrs/99 Yrs 00 Yrs/130 Yrs (201) 438-4418
PCMH: No M-F 9:00 AM - 5:00 PM Fax: (201) 438-3082 Maimone, Terrylee OD
PCMH: No 00 Yrs/99 Yrs Provider ID: TPV010985045242
www.levineeyecenter.com Gender: Female
M-F 9:00 AM - 5:00 PM Maimone Vision Associates
Sat 9:00 AM - 1:00 PM LLC
PCMH: No 240 Rock Rd
Glen Rock, NJ 07452
(201) 447-3138
00 Yrs/99 Yrs
PCMH: No

www.wellcare.com/New-Jersey | 132
Updated: 11/26/2018

Specialty Physicians
Bergen
Optometry - cont. Naumova, Yulia OD Patel, Hiral OD Raeva, Natalia OD
Provider ID: TPV000106041005 Provider ID: Provider ID: TPV021227008090
Mermelstein, Jack OD Gender: Female TPV023792005608 Gender: Female
Provider ID: Visiting Vision Services, PC Gender: Female Natalia Raeva OD
TPV007705007776 222 Bergen Blvd, Ste 1 Visionworks Drs of 32-01 Broadway
Gender: Male Fairview, NJ 07022 Optometry 461 Fair Lawn, NJ 07410
Resident Eye Care Associates (201) 421-9321 501 N State Rt 17 (201) 791-6625
LLC Fax: (201) 482-8543 Paramus, NJ 07652 Fax: (201) 791-6626
4-14 Saddle River Rd Ste 202 00 Yrs/99 Yrs (201) 265-9400 00 Yrs/99 Yrs
Fair Lawn, NJ 07410 Languages: Russian Fax: (201) 265-3078 wwwvisualeffectseyecare.
(201) 797-2747 PCMH: No 00 Yrs/99 Yrs com
Fax: (201) 797-5809 www.ecca.com Languages: Russian
00 Yrs/99 Yrs O'Hara, Michael OD PCMH: No PCMH: No
PCMH: No Provider ID: TPV010201005608
Gender: Male Patel, Nimali OD Ramirez, Joanne OD
Milov, Lyudmila OD Visionworks Drs of Provider ID: TPV030107005608 Provider ID:
Provider ID: TPV036864006701 Optometry 461 Gender: Female TPV045659006055
Gender: Female 501 N State Rt 17 Visionworks Drs of Gender: Female
Anthony J Boni Alicia N Paramus, NJ 07652 Optometry 461 Optical Techniques
Dorma (201) 265-9400 501 N State Rt 17 286 Market St
40 Mayhill St Fax: (201) 265-3078 Paramus, NJ 07652 Elmwood Park, NJ 07407
Saddle Brook, NJ 07663 00 Yrs/99 Yrs (201) 265-9400 (201) 797-5835
(201) 845-6634 www.ecca.com Fax: (201) 265-3078 00 Yrs/99 Yrs
Fax: (201) 621-0299 PCMH: No 00 Yrs/99 Yrs Languages: Spanish
00 Yrs/99 Yrs www.ecca.com PCMH: No
PCMH: No Panaretos, Harry John OD PCMH: No
Provider ID: TPV025510007776 Ramsarat, Veronica OD
Moon, Carolyn OD Gender: Male Patel, Urvashi OD
Provider ID: Resident Eye Care Associates Provider ID: TPV047314005608
Provider ID: 1429374
TPV040900017666 LLC Gender: Female
Gender: Female
Gender: Female 4-14 Saddle River Rd Ste 202 Visionworks Drs of
Optometry 461 Englewood Eye Center LLC
Coopercrwn NJ Fair Lawn, NJ 07410
501 N State Rt 17 71 Grand Ave
225 Broad Ave Ste 206 (201) 797-2747
Paramus, NJ 07652 Englewood, NJ 07631
Palisades Park, NJ 07650 Fax: (201) 797-5809
(201) 265-9400 (201) 408-4441
(201) 585-1337 00 Yrs/99 Yrs
Fax: (201) 265-3078 Fax: (201) 408-4452
Fax: (201) 585-2998 PCMH: No
00 Yrs/99 Yrs 00 Yrs/130 Yrs
00 Yrs/99 Yrs
Papaiya, Nilesh OD www.ecca.com M-F 9:00 AM - 5:00 PM
Languages: Korean
Provider ID: TPV043274039554 PCMH: No PCMH: No
PCMH: No
Gender: Male
Raeva, Natalia OD Ramsarat, Veronica OD
Morillo, Christian OD Edgewater Eyecare
Provider ID: TPV024660002159 75 River Rd Ste 210 Provider ID: TPV021227007914
Edgewater, NJ 07020 Gender: Female Provider ID: 1559311
Gender: Male
(201) 340-6406 Natalia Raeva OD Gender: Female
Christian Morillo
Fax: (201) 340-6407 24-03 Broadway NJ Eye and Ear, LLC
2100 Paramus Park Mall
00 Yrs/99 Yrs Fair Lawn, NJ 07410 23 W Palisades Ave
Paramus, NJ 07652
Languages: Spanish, Gujarati (201) 509-8300 Englewood, NJ 07631
(201) 291-9136
PCMH: No Fax: (201) 509-8301 (973) 546-5700
Fax: (201) 712-9848
00 Yrs/99 Yrs Fax: (973) 772-8875
00 Yrs/99 Yrs
wwwvisualeffectseyecare. 00 Yrs/130 Yrs
MT 2:00 AM - 7:00 PM
com M-F 8:00 AM - 6:00 PM
PCMH: No
Languages: Russian Sat 8:00 AM - 12:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 133
Updated: 11/26/2018

Specialty Physicians
Bergen
Optometry - cont. Rocha, Gary OD Sholomon, Robert OD Tortorici, Michael OD
Provider ID: Provider ID: TPV028343007776 Provider ID: 689127
Ramsarat, Veronica OD TPV048562042872 Gender: Male Gender: Male
Provider ID: TPV046079017655 Gender: Male Resident Eye Care Associates Phillips Eye Center
Gender: Female Rocha Family Eye Care LLC 619 River Dr Ste 3
Englewood Eye Center 322 Rte 4 4-14 Saddle River Rd Ste 202 Elmwood Park, NJ 07407
71 Grand Ave Paramus, NJ 07652 Fair Lawn, NJ 07410 (201) 796-3330
Englewood, NJ 07631 (201) 489-8868 (201) 797-2747 Fax: (201) 796-3644
(201) 408-4441 Fax: (201) 489-9642 Fax: (201) 797-5809 00 Yrs/130 Yrs
Fax: (201) 408-4452 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Chinese, Italian,
00 Yrs/99 Yrs PCMH: No Languages: Spanish, Russian Hindi, Arabic
www.englewoodeyecenter. PCMH: No M 8:00 AM - 6:00 PM
com Saferstein, Mitchell OD TWTH 8:00 AM - 5:00 PM
PCMH: No Provider ID: Sultani, Attefa OD F 8:00 AM - 4:00 PM
TPV002669005394 Provider ID: TPV031370013390 PCMH: No
Ramsarat, Veronica OD Gender: Male Gender: Female
Provider ID: TPV046079037582 Professional Eyecare Family Eye Health Vision Trajkovska, Violeta OD
Gender: Female Associates Inc Center LLC Provider ID:
Englewood Eye Center 275 Forest Ave 174 Passaic St TPV022939005608
245 Engle St Paramus, NJ 07652 Garfield, NJ 07026 Gender: Female
Englewood, NJ 07631 (201) 986-0202 (973) 330-3554 Visionworks Drs of
(201) 568-0770 Fax: (201) 986-0977 Fax: (973) 773-0816 Optometry 461
Fax: (201) 568-4233 00 Yrs/99 Yrs 00 Yrs/99 Yrs 501 N State Rt 17
00 Yrs/99 Yrs PCMH: No www. Paramus, NJ 07652
www.englewoodeyecenter. familyeyehealthandvision.com (201) 265-9400
com Scharf, Larry OD Languages: Spanish, French Fax: (201) 265-3078
PCMH: No Provider ID: M-W 11:00 AM - 7:45 PM 00 Yrs/99 Yrs
TPV022534005608 TH 10:00 AM - 6:00 PM www.ecca.com
Razmandi, Azadeh OD Gender: Male F 10:00 AM - 5:30 PM PCMH: No
Provider ID: Visionworks Drs of PCMH: No
TPV002356007776 Optometry 461 Trieu, MA-Le OD
Gender: Female 501 N State Rt 17 Sunga, Epifanio OD Provider ID: TPV001106007634
Resident Eye Care Associates Paramus, NJ 07652 Provider ID: TPV019096006744 Gender: Female
LLC (201) 265-9400 Gender: Male Optical Outlet
4-14 Saddle River Rd Ste 202 Fax: (201) 265-3078 Dumont Eyecare 200 Engle St Ste 12
Fair Lawn, NJ 07410 00 Yrs/99 Yrs 52 Grant Ave Englewood, NJ 07631
(201) 797-2747 www.ecca.com Dumont, NJ 07628 (201) 569-2442
Fax: (201) 797-5809 PCMH: No (201) 385-3055 00 Yrs/99 Yrs
00 Yrs/99 Yrs Fax: (201) 385-3011 Languages: Spanish
PCMH: No Shah, Renu OD 00 Yrs/99 Yrs PCMH: No
Provider ID: TPV010062005394 Languages: Spanish
Robbins, Sandra OD Gender: Male PCMH: No Tsai, Judy OD
Provider ID: Professional Eyecare Provider ID:
TPV025725005608 Associates Inc Tapia, Taryn OD TPV034827005608
Gender: Female 275 Forest Ave Provider ID: Gender: Female
Visionworks Drs of Paramus, NJ 07652 TPV020855004493 Visionworks Drs of
Optometry 461 (201) 986-0202 Gender: Female Optometry 461
501 N State Rt 17 Fax: (201) 986-0977 Eyemedics 501 N State Rt 17
Paramus, NJ 07652 00 Yrs/99 Yrs 898 River Rd Paramus, NJ 07652
(201) 265-9400 Languages: Gujarati Edgewater, NJ 07020 (201) 265-9400
Fax: (201) 265-3078 PCMH: No (201) 941-7331 Fax: (201) 265-3078
00 Yrs/99 Yrs
Fax: (201) 941-7344 00 Yrs/99 Yrs
www.ecca.com
00 Yrs/99 Yrs www.ecca.com
PCMH: No
Languages: Spanish PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 134
Updated: 11/26/2018

Specialty Physicians
Bergen
Optometry - cont. Youngewirth, Maty OD Zolot, Charles OD Orthodontics
Provider ID: TPV022248001971 Provider ID:
Visionworks Drs of Gender: Female TPV022840002060 Berk, Jason DDS
Optometry 461 Optical Palace Gender: Male Provider ID: TPVP153167-03
Provider ID: 6 Briarcliffe Rd Dr Charles Zolot Gender: Male
TPV039285005608 Bergenfield, NJ 07621 22 Madison Ave Ste 105 Diamond Braces of
501 N State Rt 17 (917) 548-5083 Paramus, NJ 07652 Hackensack
Paramus, NJ 07652 00 Yrs/99 Yrs (201) 845-7110 17 Summit Ave
(201) 265-9400 Languages: Yiddish Fax: (201) 909-8618 Hackensack, NJ 07601
Fax: (201) 265-3078 PCMH: No 00 Yrs/99 Yrs (201) 996-0770
00 Yrs/99 Yrs PCMH: No Fax: (888) 292-7017
www.ecca.com Youngewirth, Maty OD 00 Yrs/99 Yrs
PCMH: No Provider ID: TPV022248022226 Oral & Maxillofacial Languages: Russian
Gender: Female Surgery MTHF 10:00 AM - 6:00 PM
Weiss, Harvey OD Optical Advantage PC TW 11:00 AM - 7:00 PM
Provider ID: TPV037491005130 6 Briarcliffe Rd Lee, Alexander DDS Sat 9:00 AM - 4:00 PM
Gender: Male Bergenfield, NJ 07621 Provider ID: TPVP135234-02 PCMH: No
Dr Harvey Weiss (917) 548-5083 Gender: Male
14 Elm St Fax: (718) 253-2333 Advanced Dental Specialty Castronova, John DMD
Oakland, NJ 07436 00 Yrs/99 Yrs Group
(201) 337-2227 Languages: Yiddish 7 Sylvan Ave Provider ID: TPVP142597-04
Fax: (201) 337-1834 M-F 9:00 AM - 5:00 PM Englewood Cliffs, NJ 07632 Gender: Male
00 Yrs/99 Yrs Sat 9:00 AM - 1:00 PM (201) 302-0700 Diamond Braces of
PCMH: No PCMH: No Fax: (201) 302-9857 Hackensack
00 Yrs/99 Yrs 17 Summit Ave
Weiss, Harvey OD Zabarko, Diana OD
Provider ID: TPV003104016946 Languages: Korean Hackensack, NJ 07601
Provider ID: TPV037491006701
MT 10:00 AM - 6:00 PM (201) 996-0770
Gender: Male Gender: Female
W 10:00 AM - 2:00 PM Fax: (888) 292-7017
Anthony J Boni Alicia N Diana Zabarko OD
Dorma PCMH: No 00 Yrs/99 Yrs
286 Market St
40 Mayhill St Languages: Russian
Elmwood Park, NJ 07407 Wuebbels, Nathan DDS
Saddle Brook, NJ 07663 MTHF 10:00 AM - 6:00 PM
(201) 773-8885
(201) 845-6634 TW 11:00 AM - 7:00 PM
Fax: (201) 797-2066
Fax: (201) 621-0299 Provider ID: TPVP78735-01 Sat 9:00 AM - 4:00 PM
00 Yrs/99 Yrs
00 Yrs/99 Yrs Gender: Male PCMH: No
www.opticaltechniques.com
PCMH: No Barbieri Colameo Berardo
Languages: Spanish, Russian Huh, Ahrin DDS
Associates In Oral Max
M 12:00 AM - 4:30 PM Surgery
Wong, Carson OD Provider ID: TPVP125725-13
T 9:00 AM - 1:30 PM 605 Broad Ave Ste 101
Provider ID: TPV026775016642 Gender: Female
PCMH: No Ridgefield, NJ 07657
Gender: Male Laser Dentistry For Children
Sylvan Family Eyecare Zaky, Jackline OD (201) 941-9494 751 Teaneck Rd
44 Sylvan Ave Ste 1B Provider ID: Fax: (201) 941-1246 Teaneck, NJ 07666
Englewood Cliffs, NJ 07632 TPV049765005608 00 Yrs/99 Yrs (201) 837-1612
(201) 592-1982 Gender: Female M-F 9:00 AM - 5:00 PM Fax: (201) 837-8651
Fax: (201) 592-1983 Visionworks Drs of PCMH: No 00 Yrs/99 Yrs
00 Yrs/99 Yrs Optometry 461 Languages: Arabic
Languages: Spanish, Chinese 501 N State Rt 17 MTH 10:00 AM - 6:00 PM
MTWTHFSat 10:00 AM - 6:00 Paramus, NJ 07652 TWF 11:00 AM - 6:00 PM
PM (201) 265-9400 Sat 9:00 AM - 2:00 PM
PCMH: No Fax: (201) 265-3078 PCMH: No
00 Yrs/99 Yrs
www.ecca.com
PCMH: No

www.wellcare.com/New-Jersey | 135
Updated: 11/26/2018

Specialty Physicians
Bergen
Orthodontics - cont. Sullivan, Sara DDS Pediatric Allergy & Galeano, Narmer MD
Provider ID: TPVP150717-04 Immunology Provider ID: 462471
Kim, Jung DDS Gender: Female Gender: Male
Provider ID: TPVP121620-01 Diamond Braces of Bokhari, Tahira MD Ipanj
Gender: Male Hackensack Provider ID: 945420 30 W Century Rd Fl 2
Kim Orthodontics 17 Summit Ave Gender: Female Paramus, NJ 07652
2182 Lemoine Ave 2nd Fl Hackensack, NJ 07601 17-15 Maple Ave Ste 110 (973) 754-5830
Fort Lee, NJ 07024 (201) 996-0770 Fair Lawn, NJ 74101 Fax: (973) 754-5849
(201) 585-1247 Fax: (888) 292-7017 (201) 703-9447 00 Yrs/18 Yrs
Fax: (201) 585-1379 00 Yrs/99 Yrs Fax: (201) 703-9097 St. Joseph's Hospital Reg
00 Yrs/99 Yrs Languages: Russian 00 Yrs/21 Yrs Medical Center
Languages: Korean MTHF 10:00 AM - 6:00 PM St. Joseph's Hospital Reg Languages: Spanish
MTWF 10:00 AM - 5:00 PM TW 11:00 AM - 7:00 PM Medical Center M-F 9:00 AM - 5:00 PM
TH 10:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM Languages: Spanish, Urdu PCMH: No
Sat 9:00 AM - 5:00 PM PCMH: No MT 10:00 AM - 2:00 PM
PCMH: No WTH 10:30 AM - 6:30 PM Kern, Jeffrey MD
Orthopaedic Surgery F 10:00 AM - 1:00 PM Provider ID: 945674
McCarthy, Karen DMD PCMH: No Gender: Male
Provider ID: TPVP39316-01 Patterson, Francis MD Bergen Pediatric Card LLC
Gender: Female Pediatric Cardiology 200 Grand Ave Ste 202
Dr Karen A McCarthy Provider ID: 1193065 Englewood, NJ 07631
Orthodontics LLC Gender: Male Alenick, D. MD (201) 389-6842
31 Sheridan Ave Ste 2 University Physician Provider ID: 797993 Fax: (201) 389-6843
Ho Ho Kus, NJ 07423 Associates Gender: Male 00 Yrs/21 Yrs
(201) 612-1322 Sub Specialty: HIV/AIDs New Jersey Pediatric Holy Name Medical Center
Fax: (201) 612-0219 433 Hackensack Ave Fl 2 Cardiology,PC Languages: Spanish, Hebrew
00 Yrs/99 Yrs Hackensack, NJ 07601 333 Old Hook Rd Ste 101 M 9:00 AM - 5:00 PM
Languages: Spanish (973) 972-2150 Westwood, NJ 07675 PCMH: No
M-W 8:30 AM - 6:00 PM Fax: (973) 972-2155 (201) 497-6255
PCMH: No 00 Yrs/130 Yrs Fax: (201) 497-6256 Kiblawi, Fuad MD
Newark Beth Israel Med 00 Yrs/130 Yrs Provider ID: 455130
Rabinovich, Martin DMD Center Raritan Bay Medical Center Gender: Male
M-F 9:00 AM - 5:00 PM Perth Amboy IPA of North Jersey Inc
Provider ID: TPVP174195-01 PCMH: No Trinitas Regional Medical Cent 1 Broadway 2nd Fl
Gender: Male M-F 9:00 AM - 5:00 PM Elmwood Park, NJ 07407
Diamond Braces of Pain Management PCMH: No (973) 569-6250
Hackensack Fax: (973) 569-6270
17 Summit Ave Park, Kenneth DO Galeano, Narmer MD 00 Yrs/18 Yrs
Hackensack, NJ 07601 Provider ID: 1570109 Provider ID: 462471 St. Joseph's Hospital Reg
(201) 996-0770 Gender: Male Gender: Male Medical Center
Fax: (888) 292-7017 Medical Associates of IPA of North Jersey Inc M-F 8:30 AM - 5:00 PM
00 Yrs/99 Yrs Englewood, PC 186 Rochelle Ave PCMH: No
Languages: Russian 350 Engle St Ste 7 Rochelle Park, NJ 07662
MTHF 10:00 AM - 6:00 PM Englewood, NJ 07631 (973) 754-2503 Messina, John MD
TW 11:00 AM - 7:00 PM (201) 487-7246 00 Yrs/18 Yrs Provider ID: 455141
Sat 9:00 AM - 4:00 PM Fax: (201) 225-0207 St. Joseph's Hospital Reg Gender: Male
PCMH: No 00 Yrs/130 Yrs Medical Center IPA of North Jersey Inc
Englewood Hospital and Languages: Spanish 1 Broadway 2nd Fl
Medical Center M-F 9:00 AM - 5:00 PM Elmwood Park, NJ 07407
M-F 9:00 AM - 5:00 PM PCMH: No (973) 569-6250
PCMH: No Fax: (973) 569-6270
00 Yrs/18 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 8:30 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 136
Updated: 11/26/2018

Specialty Physicians
Bergen
Pediatric Cardiology - Samadi, Sharyar MD Galeano, Narmer MD Zawahir, Shamila MD
cont. Provider ID: 462471
Provider ID: 1225809 Gender: Male Provider ID: 1702769
Myridakis, Dorothy MD Gender: Male IPA of North Jersey Inc Gender: Female
Daniel Samadi MD PC 186 Rochelle Ave Medical Associates of
Provider ID: 455144 10 Forest Ave 100 Rochelle Park, NJ 07662 Englewood, PC
Gender: Female Paramus, NJ 07652 (973) 754-2503 350 Engle St 3 East
IPA of North Jersey Inc (201) 996-1505 00 Yrs/18 Yrs Englewood, NJ 07631
1 Broadway 2nd Fl Fax: (201) 996-1605 St. Joseph's Hospital Reg (201) 608-2775
Elmwood Park, NJ 07407 00 Yrs/130 Yrs Medical Center Fax: (201) 894-5286
(973) 569-6250 M 8:00 AM - 8:00 PM Languages: Spanish 00 Yrs/130 Yrs
Fax: (973) 569-6270 TWTHF 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/18 Yrs PCMH: No PCMH: No PCMH: No
St. Joseph's Hospital Reg
Medical Center Pediatric Endocrinology Galeano, Narmer MD Pediatric Hematology/
Languages: Greek Oncology
M-F 8:30 AM - 5:00 PM Kaul, Sushma MD Provider ID: 462471
PCMH: No Provider ID: 944832 Gender: Male Barilari, Rafael MD
Gender: Female Ipanj Provider ID: 976396
Parness, Ira MD Edgewater Ped PC 30 W Century Rd Fl 2 Gender: Male
Provider ID: 946754 115 River Rd 1003 Paramus, NJ 07652 St Joseph Regional Med CT
Gender: Male Edgewater, NJ 07020 (973) 754-5830 30 W Century Rd
350 Engle St (201) 945-9453 Fax: (973) 754-5849 Paramus, NJ 07652
Englewood, NJ 07631 Fax: (201) 945-9484 00 Yrs/18 Yrs (973) 754-5830
(201) 794-3000 00 Yrs/18 Yrs St. Joseph's Hospital Reg Fax: (973) 754-5849
00 Yrs/18 Yrs Englewood Hospital and Medical Center 00 Yrs/18 Yrs
Englewood Hospital and Medical Center Languages: Spanish St. Joseph's Hospital Reg
Medical Center Languages: Spanish, Hindi M-F 9:00 AM - 5:00 PM Medical Center
M-F 9:00 AM - 5:00 PM MW 9:00 AM - 8:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No TTH 9:00 AM - 2:30 PM PCMH: No
F 10:00 AM - 1:00 PM Toor, Khadija MD
Pediatric Ear, Nose & PCMH: No Provider ID: 1707358 Bhatty, Anis MD
Throat Gender: Female Provider ID: 1594844
Pediatric Prohealth Care Associates of Gender: Female
Hassan, Sherif MD Gastroenterology NJ Prohealth Care Associates of
Provider ID: 945508 1 Maywood Ave NJ
Gender: Male Abdelwahab, Ayman MD Maywood, NJ 07607 870 Palisades Ave
The Family Center For (201) 464-4766 Teaneck, NJ 07666
Otolaryngolog Provider ID: 1596496 Fax: (201) 464-4768 (201) 836-5655
47 Orient Way Gender: Male 00 Yrs/21 Yrs Fax: (201) 836-5656
Rutherford, NJ 07070 Prohealth Care Associates of M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(201) 935-5508 New Je PCMH: No M-F 9:00 AM - 5:00 PM
Fax: (201) 935-4166 1 Maywood Ave PCMH: No
00 Yrs/130 Yrs Zawahir, Shamila MD
Maywood, NJ 07607
MT 9:00 AM - 6:00 PM (551) 257-7005 Bhatty, Anis MD
PCMH: No Fax: (551) 293-0402 Provider ID: 1702769 Provider ID: 1594845
00 Yrs/130 Yrs Gender: Female Gender: Female
M-TH 8:00 AM - 10:00 PM Medical Associates of Prohealth Care Associates of
F 7:30 AM - 10:00 PM Englewood, PC NJ
Sat 8:00 AM - 2:00 PM 350 Engle St 500 Piermont Rd Ste 102
PCMH: No Englewood, NJ 07631 Closter, NJ 07624
(201) 894-3202 (201) 784-3200
Fax: (201) 871-9227 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 137
Updated: 11/26/2018

Specialty Physicians
Bergen
Pediatric Infectious Pediatric Nephrology Pediatric Ophthalmology Pediatric Rheumatology
Disease
Jodorkovsky, Roberto MD Napolitano, Joseph MD Knee, C. MD
Goldberg, David MD Provider ID: 976388
Provider ID: 976827 Provider ID: 944511 Gender: Male
Provider ID: 511505 Gender: Male Gender: Male 44 Godwin Ave Ste 103
Gender: Male St Joseph Regional Med CT Omni Eye Specialist Midland Park, NJ 07432
Ipanj 30 W Century Rd 218 State Rt 17 N Ste 2 (201) 444-5004
Sub Specialty: HIV/AIDs Paramus, NJ 07652 Rochelle Park, NJ 07662 Fax: (201) 670-0356
30 W Century Rd Fl 2 (973) 754-5830 (201) 368-2444 12 Yrs/130 Yrs
Paramus, NJ 07652 Fax: (973) 754-5849 Fax: (201) 368-0254 St. Joseph's Hospital Reg
(973) 754-5830 00 Yrs/21 Yrs 00 Yrs/21 Yrs Medical Center
Fax: (973) 754-5849 St. Joseph's Hospital Reg Languages: Spanish, M-F 9:00 AM - 5:00 PM
00 Yrs/21 Yrs Medical Center Portuguese PCMH: No
Morristown Memorial M-F 9:00 AM - 5:00 PM M 8:00 AM - 5:00 PM
Hospital PCMH: No PCMH: No Pediatric Urology
M-F 9:00 AM - 5:00 PM
PCMH: No Kulikova-Schupak, Romana Pediatric Pulmonology Fine, Ronnie MD
MD Provider ID: 1580394
Kest, Helen MD Provider ID: 976397 Blechner, Michael MD Gender: Female
Provider ID: 511402 Gender: Female Provider ID: 1183906 Pediatric Urology Associates
Gender: Female 30 W Century Rd Ste 215 Gender: Male of New
Ipanj Paramus, NJ 07652 St Josephs Healthcare Inc 350 Engle St Ste 5N
Sub Specialty: HIV/AIDs (973) 754-2528 30 W Century Rd Englewood, NJ 07631
30 W Century Rd Fl 2 00 Yrs/18 Yrs Paramus, NJ 07652 (201) 894-3690
Paramus, NJ 07652 St. Joseph's Hospital Reg (973) 754-2250 00 Yrs/21 Yrs
(973) 754-5830 Medical Center Fax: (973) 754-2548 St. Joseph's Hospital Reg
Fax: (973) 754-5849 M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs Medical Center
00 Yrs/21 Yrs PCMH: No St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Medical Center PCMH: No
Medical Center Pediatric Neurosurgery M-F 9:00 AM - 5:00 PM
PCMH: No Freyle, Jaime MD
M-F 9:00 AM - 5:00 PM
PCMH: No Anderson, Richard MD Provider ID: 1580397
Provider ID: 945572 Nachajon, Roberto MD Gender: Male
Shah, Falguni MD Gender: Male Pediatric Urology Associates
Provider ID: 818672 Neurosurgical Assoc of NJ PC Provider ID: 225105 of New
Gender: Female 1200 E Ridgewood Ave Ste Gender: Male 350 Engle St Ste 5N
Travel Health and Infectious 200 30 W Century Rd Fl 2 Englewood, NJ 07631
Diseas Ridgewood, NJ 07450 Paramus, NJ 07652 (201) 894-3690
Sub Specialty: HIV/AIDs (201) 327-8600 (973) 754-5830 00 Yrs/21 Yrs
541 Cedar Hill Ave Fax: (201) 327-8225 Fax: (973) 754-5849 St. Joseph's Hospital Reg
Wyckoff, NJ 07481 00 Yrs/18 Yrs Medical Center
00 Yrs/130 Yrs
(973) 580-6575 Saint Barnabas Medical M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg
Fax: (201) 444-6209 Center Livingston Medical Center PCMH: No
00 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM
MTH 10:00 AM - 5:00 PM Gitlin, Jordan MD
Saint Barnabas Medical PCMH: No
Center Livingston T 3:00 AM - 5:00 PM Provider ID: 1580399
M-W 8:30 AM - 2:00 PM W 1:00 AM - 5:00 PM Gender: Male
PCMH: No PCMH: No Pediatric Urology Associates
of New
350 Engle St Ste 5N
Englewood, NJ 07631
(201) 894-3690
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 138
Updated: 11/26/2018

Specialty Physicians
Bergen
Pediatric Urology - cont. Zelkovic, Paul MD Colletti, Mario MD Khan, Yusra MD
Provider ID: 1580414 Provider ID: 1582839 Provider ID: 1581954
Schlussel, Richard MD Gender: Male Gender: Male Gender: Female
Pediatric Urology Associates Medical Associates of Medical Associates of
Provider ID: 1580401 of New Englewood, PC Englewood, PC
Gender: Male 350 Engle St Ste 5N 350 Engle St Rm 4270 350 Engle St Rm 4270
Pediatric Urology Associates Englewood, NJ 07631 Englewood, NJ 07631 Englewood, NJ 07631
of NJ (201) 894-3690 (201) 894-3414 (201) 894-3414
350 Engle St Ste 5N 00 Yrs/21 Yrs Fax: (201) 894-5649 00 Yrs/130 Yrs
Englewood, NJ 07631 St. Joseph's Hospital Reg 00 Yrs/18 Yrs Englewood Hospital and
(201) 894-3690 Medical Center Englewood Hospital and Medical Center
00 Yrs/18 Yrs M 9:00 AM - 5:00 PM Medical Center M-F 9:00 AM - 5:00 PM
Englewood Hospital and PCMH: No University Hospital PCMH: No
Medical Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Pediatrics PCMH: No Mazin, Howard MD
PCMH: No Provider ID: 1520617
Bokhari, Tahira MD Delgado, Mercedes MD Gender: Male
Tennenbaum, Steven MD Provider ID: 945420 Medical Associates of
Provider ID: 1248711 Gender: Female Provider ID: 1522256 Englewood, PC
Gender: Male Sub Specialty: HIV/AIDs Gender: Female 350 Engle St Rm 427
140 East Ridgewood Ave 17-15 Maple Ave Ste 110 Medical Associates of Englewood, NJ 76311
Paramus, NJ 07652 Fair Lawn, NJ 74101 Englewood PC (201) 894-3414
(201) 692-9550 (201) 703-9447 350 Engle St Rm 4270 - Main Fax: (201) 894-5649
Fax: (201) 692-1353 Fax: (201) 703-9097 Bldg 00 Yrs/130 Yrs
00 Yrs/21 Yrs 00 Yrs/21 Yrs Englewood, NJ 07631 Englewood Hospital and
Holy Name Medical Center St. Joseph's Hospital Reg (201) 894-3158 Medical Center
M-F 9:00 AM - 5:00 PM Medical Center Fax: (201) 569-5983 M-F 9:00 AM - 5:00 PM
PCMH: No Languages: Spanish, Urdu 00 Yrs/18 Yrs PCMH: No
MT 10:00 AM - 2:00 PM Englewood Hospital and
Tennenbaum, Steven MD WTH 10:30 AM - 6:30 PM Medical Center Rao, Harini MD
F 10:00 AM - 1:00 PM MTWTHFSatSun 6:00 AM - Provider ID: 1580440
Provider ID: 1248711 PCMH: No 5:30 PM Gender: Female
Gender: Male PCMH: No Medical Associates of
Steven Y Tennenbaum MD Cardiello, Peter MD Englewood, PC
Provider ID: 946519 Deluca, Loren DO 350 Engle St 4 North W. Rm
699 Teaneck Rd
Teaneck, NJ 07666 Gender: Male Provider ID: 1519525 4270 Main Bldg
(201) 692-9550 Holley Center Gender: Female Englewood, NJ 07631
Fax: (201) 836-0083 Sub Specialty: HIV/AIDs Medical Associates of (201) 894-3158
260 Union St Englewood,PC Fax: (201) 894-0453
00 Yrs/21 Yrs
Hackensack, NJ 07601 350 Engle St Rm 4270 00 Yrs/130 Yrs
Holy Name Medical Center
(973) 672-2770 Englewood, NJ 07631 Englewood Hospital and
M 7:30 AM - 5:00 PM
00 Yrs/21 Yrs (201) 894-3414 Medical Center
TTH 1:00 AM - 5:00 PM
Saint Barnabas Medical Fax: (201) 894-5649 MTWTHFSat 9:00 AM - 5:00
W 9:00 AM - 5:00 PM
Center Livingston 00 Yrs/21 Yrs PM
F 7:30 AM - 4:00 PM
Languages: Thai Englewood Hospital and PCMH: No
PCMH: No
M-F 9:00 AM - 5:00 PM Medical Center
PCMH: No M-TH 6:00 AM - 5:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 139
Updated: 11/26/2018

Specialty Physicians
Bergen
Pediatrics - cont. Pedodontics Husain, Qudsia DDS Patel, Amy DMD
Provider ID: TPVP150687-01 Provider ID: TPVP169514-02
Rumbak, Dania MD Ambrose, Terri DDS Gender: Female Gender: Female
Provider ID: TPVP150719-01 Laser Dentistry For Children All Family Dental Center LLC
Provider ID: 1573758 Gender: Female 751 Teaneck Rd 45 US Hwy 46
Gender: Female Laser Dentistry For Children Teaneck, NJ 07666 Ridgefield Park, NJ 07660
Medical Associates of 751 Teaneck Rd (201) 837-1612 (201) 440-2100
Englewood, PC Teaneck, NJ 07666 Fax: (201) 837-8651 Fax: (201) 440-1279
350 Engle St Rm 4270 (201) 837-1612 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Englewood, NJ 07631 Fax: (201) 837-8651 MTH 10:00 AM - 6:00 PM Languages: Russian
(201) 894-3414 00 Yrs/99 Yrs TWF 11:00 AM - 6:00 PM M-F 10:00 AM - 6:00 PM
Fax: (201) 894-5649 MTH 10:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM PCMH: No
00 Yrs/21 Yrs TWF 11:00 AM - 6:00 PM PCMH: No
Englewood Hospital and Sat 9:00 AM - 2:00 PM Shah, Rajvi DMD
Medical Center PCMH: No Jacobson, Barry DDS Provider ID: TPVP156673-01
M-F 9:00 AM - 5:00 PM Provider ID: TPVP31636-01 Gender: Female
PCMH: No Cohen, Daniel DDS Gender: Male Laser Dentistry For Children
Provider ID: TPVP32352-01 Laser Dentistry For Children 751 Teaneck Rd
Sliwowski, Stanilaw MD Gender: Male 751 Teaneck Rd Teaneck, NJ 07666
Dental Care 4 Kids Teaneck, NJ 07666 (201) 837-1612
Provider ID: 961686 180 N Dean St Ste 1N (201) 837-1612 Fax: (201) 837-8651
Gender: Male Englewood, NJ 07631 Fax: (201) 837-8651 00 Yrs/99 Yrs
Primecare Pediatrics (201) 569-5437 00 Yrs/99 Yrs MTH 10:00 AM - 6:00 PM
42 Locust Ave Ste 5 Fax: (201) 731-3567 MTH 10:00 AM - 6:00 PM TWF 11:00 AM - 6:00 PM
Wallington, NJ 07057 00 Yrs/99 Yrs TWF 11:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM
(973) 473-4033 M-TH 9:00 AM - 7:00 PM Sat 9:00 AM - 2:00 PM PCMH: No
Fax: (973) 473-2988 F 9:00 AM - 6:00 PM PCMH: No
00 Yrs/21 Yrs Sat 8:00 AM - 3:00 PM Shon, Nicholle DDS
Prime Health Services-St PCMH: No Kleyman, Boris DDS Provider ID: TPVP146293-01
Marys Hospital Provider ID: TPVP151752-02 Gender: Female
St. Joseph's Hospital Reg Estelle, Kyle DMD Gender: Male Laser Dentistry For Children
Medical Center Provider ID: TPVP177825-01 DS Dental Arts LLC 751 Teaneck Rd
Languages: Spanish Gender: Male 634 Anderson Ave Teaneck, NJ 07666
M-F 9:00 AM - 5:00 PM Bergen Pediatric Dental LLC Cliffside Park, NJ 07010 (201) 837-1612
PCMH: No 634 Anderson Ave (201) 945-1119 Fax: (201) 837-8651
Cliffside Park, NJ 07010 Fax: (201) 945-1411 00 Yrs/99 Yrs
Pediatrics Behavioral and (201) 945-1119 00 Yrs/99 Yrs MTH 10:00 AM - 6:00 PM
Developmental Fax: (201) 945-1411 Languages: Arabic TWF 11:00 AM - 6:00 PM
00 Yrs/99 Yrs M-F 10:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM
Hernandez Santana, Nydia Languages: Russian PCMH: No PCMH: No
MD M-F 10:00 AM - 6:00 PM
Provider ID: 1627708 PCMH: No Lee, Judyth DDS Sioson-Maser, Patricia DDS
Gender: Female Provider ID: TPVP156810-01
Prohealth Care Associates of Estelle, Kyle DMD Gender: Female Provider ID: TPVP41732-01
New Je Provider ID: TPVP177825-02 Laser Dentistry For Children Gender: Female
10 1st St Gender: Male 751 Teaneck Rd Laser Dentistry For Children
Hackensack, NJ 07601 DS Dental Arts LLC Teaneck, NJ 07666 751 Teaneck Rd
(201) 744-2266 634 Anderson Ave (201) 837-1612 Teaneck, NJ 07666
Fax: (201) 968-5348 Cliffside Park, NJ 07010 Fax: (201) 837-8651 (201) 837-1612
00 Yrs/18 Yrs (201) 945-1119 00 Yrs/99 Yrs Fax: (201) 837-8651
M-F 9:00 AM - 5:00 PM Fax: (201) 945-1411 MTH 10:00 AM - 6:00 PM 00 Yrs/99 Yrs
PCMH: No 00 Yrs/99 Yrs TWF 11:00 AM - 6:00 PM MTH 10:00 AM - 6:00 PM
Languages: Arabic Sat 9:00 AM - 2:00 PM TWF 11:00 AM - 6:00 PM
M-F 10:00 AM - 6:00 PM PCMH: No Sat 9:00 AM - 2:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 140
Updated: 11/26/2018

Specialty Physicians
Bergen
Pedodontics - cont. Physical Medicine & Dharia, Amishi DO Lee, Anthony MD
Rehabilitation Provider ID: 1525376 Provider ID: 1270718
Stillman, Dmitry DDS Gender: Female Gender: Male
Provider ID: TPVP36296-03 Adamova, Yelizaveta DO National Health Rehabilitation Kessler Professional Services
Gender: Male 103 River Rd Ste 101 LLC
DS Dental Arts LLC Provider ID: 1566499 Edgewater, NJ 07020 300 Market St
634 Anderson Ave Gender: Female (201) 308-8995 Saddle Brook, NJ 07663
Cliffside Park, NJ 07010 Kessler Professional Services, Fax: (844) 849-5175 (201) 368-6021
(201) 945-1119 LLC 00 Yrs/130 Yrs Fax: (973) 324-3695
Fax: (201) 945-1411 300 Market St M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs
00 Yrs/99 Yrs Saddle Brook, NJ 07663 PCMH: No Kessler Institute For
Languages: Russian, Arabic (201) 368-6000 Rehabilitation
M-F 10:00 AM - 6:00 PM 16 Yrs/130 Yrs Dovlatyan, Raida MD M-F 9:00 AM - 5:00 PM
PCMH: No Kessler Institute For PCMH: No
Rehabilitation Provider ID: 1261135
Stillman, Dmitry DDS M-F 9:00 AM - 5:00 PM Gender: Female Logvinenko, Andrei MD
Provider ID: TPVP36296-07 PCMH: No Kessler Professional Services Provider ID: 943742
Gender: Male LLC Gender: Male
Bergen Pediatric Dental LLC Adler, Uri MD 300 Market St Medicine & Rehab Assoc PC
634 Anderson Ave Provider ID: 1270678 Saddle Brook, NJ 07663 14-25 Plaza Rd Ste S 3-1
Cliffside Park, NJ 07010 Gender: Male (201) 368-6000 Fair Lawn, NJ 07410
(201) 945-1119 Kessler Professional Services Fax: (201) 368-6135 (201) 797-2050
Fax: (201) 945-1411 LLC 16 Yrs/130 Yrs Fax: (201) 797-2051
00 Yrs/99 Yrs 300 Market St Kessler Institute For 18 Yrs/130 Yrs
Languages: Russian Saddle Brook, NJ 07663 Rehabilitation Englewood Hospital and
M-F 10:00 AM - 6:00 PM (201) 368-6021 M-F 9:00 AM - 5:00 PM Medical Center
PCMH: No Fax: (973) 324-3695 PCMH: No M 9:00 AM - 8:00 PM
18 Yrs/130 Yrs T 9:00 AM - 6:00 PM
Periodontics Kessler Institute For Hanna, Madouna DO W 9:00 AM - 5:00 PM
Rehabilitation Provider ID: 1610090 PCMH: No
Obiechina, Nkemjika DMD Languages: Spanish Gender: Female
M-F 9:00 AM - 5:00 PM University Physician OH Park, Mooyeon MD
Provider ID: TPVP28739-01 PCMH: No Associates Provider ID: 1260015
Gender: Female 230 E. Ridgewood Ave Gender: Female
Gentle Dental Service Averill, Allison MD Paramus, NJ 07652 300 Market St
32 Anderson St Provider ID: 1264908 (201) 967-4000 Saddle Brook, NJ 07663
Hackensack, NJ 07601 Gender: Female Fax: (201) 967-4117 (201) 368-6000
(201) 457-1010 Kessler Professional Services 00 Yrs/130 Yrs 16 Yrs/130 Yrs
Fax: (201) 457-1540 LLC University Hospital Kessler Institute For
300 Market St M-F 9:00 AM - 5:00 PM Rehabilitation
00 Yrs/99 Yrs
Saddle Brook, NJ 07663 PCMH: No M-F 9:00 AM - 5:00 PM
Languages: Arabic
(201) 368-6000 PCMH: No
M-TH 10:00 AM - 7:00 PM
Fax: (201) 368-6135 Howell, Melanie DO
F 9:00 AM - 2:00 PM
PCMH: No 18 Yrs/110 Yrs Provider ID: 1325498
Kessler Institute For Gender: Female
Rehabilitation Medical Associates of
M-F 9:00 AM - 5:00 PM Englewood, PC
PCMH: No 274 County Rd Ste A
Tenafly, NJ 07670
(201) 568-0493
Fax: (201) 568-0483
00 Yrs/130 Yrs
Jersey City Medical Center
M-F 8:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 141
Updated: 11/26/2018

Specialty Physicians
Bergen
Physical Medicine & Pomeranz, Bruce MD Seidel, Benjamin DO Plastic & Reconstructive
Rehabilitation - cont. Surgery
Provider ID: 1261157 Provider ID: 1264925
Pak, Hong MD Gender: Male Gender: Male Podda, Silvio MD
Provider ID: 945765 Kessler Professional Services, Kessler Professional Services Provider ID: 398291
Gender: Male LLC LLC Gender: Male
Hong Sik Pak MD PC 300 Market St 300 Market St Ipanj
725 Grand Ave 105 Saddle Brook, NJ 07663 Saddle Brook, NJ 07663 30 W Century Rd Ste 2
Ridgefield, NJ 07657 (201) 368-6000 (201) 368-6000 Paramus, NJ 07652
(201) 840-5055 Fax: (201) 368-6135 16 Yrs/130 Yrs (973) 754-5830
Fax: (201) 840-5065 16 Yrs/130 Yrs Kessler Institute For Fax: (973) 754-5849
05 Yrs/130 Yrs Kessler Institute For Rehabilitation 00 Yrs/130 Yrs
Holy Name Medical Center Rehabilitation Languages: French Childrens Ambulatory Surgery
Languages: Korean M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Center of NJ
MWF 9:00 AM - 9:00 PM PCMH: No PCMH: No St. Joseph's Hospital Reg
TTH 9:00 AM - 7:00 PM Medical Center
Sat 9:00 AM - 2:00 PM Putcha, Nitin DO Valenza, Joseph MD Languages: Spanish, Italian
PCMH: No Provider ID: 1525374 Provider ID: 1264911 M-F 9:00 AM - 5:00 PM
Gender: Male Gender: Male PCMH: No
Parikh, Shailesh MD National Health Rehabilitation 300 Market St
103 River Rd Ste 101 Saddle Brook, NJ 07663 Weber, Renata MD
Provider ID: 1260018 Edgewater, NJ 07020 (201) 368-6000 Provider ID: 1203896
Gender: Male (201) 308-8995 16 Yrs/130 Yrs Gender: Female
Kessler Professional Services Fax: (201) 917-3603 Kessler Institute For Multi Disciplinary Specialists
LLC 00 Yrs/130 Yrs Rehabilitation LLC
300 Market St Palisades Medical Center M-F 9:00 AM - 5:00 PM Sub Specialty: HIV/AIDs
Saddle Brook, NJ 07663 M 9:00 AM - 4:00 PM PCMH: No 201 Rte 17 Fl 11
(201) 368-6000 T 8:30 AM - 1:00 PM Rutherford, NJ 07070
W 8:00 AM - 6:30 PM Vij, Raman MD (201) 549-8860
Fax: (201) 368-6135
16 Yrs/130 Yrs PCMH: No Provider ID: 1261578 Fax: (201) 549-8861
Kessler Institute For Gender: Female 00 Yrs/130 Yrs
Rehabilitation Rivera, Leonora MD Kessler Professional Services Christ Hospital
M-F 9:00 AM - 5:00 PM LLC Languages: Spanish, Italian
PCMH: No Provider ID: 1261577 300 Market St M-F 9:00 AM - 5:00 PM
Gender: Female Saddle Brook, NJ 07663 PCMH: No
Pfisterer, Christine DO Kessler Professional Services (201) 368-6000
LLC 16 Yrs/130 Yrs Podiatry
Provider ID: 1330836 300 Market St Kessler Institute For
Saddle Brook, NJ 07663 Rehabilitation Annillo, Donna DPM
Gender: Female
(201) 368-6000 M-F 9:00 AM - 5:00 PM Provider ID: 945467
Kessler Professional Services,
LLC Fax: (201) 368-6135 PCMH: No Gender: Female
300 Market St 18 Yrs/130 Yrs Donna Annillo DPM
Saddle Brook, NJ 07663 Kessler Institute For 933 Garrison Ave
(201) 368-6000 Rehabilitation Teaneck, NJ 07666
Fax: (201) 368-6135 M-F 9:00 AM - 5:00 PM (201) 836-0003
16 Yrs/130 Yrs PCMH: No Fax: (201) 836-0003
Holy Name Medical Center 18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Hoboken University Medical
PCMH: No Center
Languages: Spanish
M 9:00 AM - 6:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 142
Updated: 11/26/2018

Specialty Physicians
Bergen
Podiatry - cont. Buttigheri, Joseph DPM Gilels, Alex DPM Haspel, Marc DPM
Provider ID: 945706 Provider ID: 1207585
Becker, Simon DPM Provider ID: 1602606 Gender: Male Gender: Male
Provider ID: 992110 Gender: Male Alex Gilels DPM PC Marc Haspel DPM
Gender: Male Prohealth Care Associates of 596 Anderson Ave Ste 104 Sub Specialty: HIV/AIDs
Foot Care 2 You Inc NJ Cliffside Park, NJ 07010 810 Abbott Blvd Ste G4
1 Broadway Ste 402 10 1st St (201) 941-8008 Fort Lee, NJ 07024
Elmwood Park, NJ 07407 Hackensack, NJ 07601 Fax: (201) 941-3880 (201) 346-1221
(862) 766-6055 (201) 744-2266 05 Yrs/130 Yrs Fax: (973) 777-8298
Fax: (201) 797-3310 Fax: (201) 968-5348 Englewood Hospital and 00 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center Languages: French
Prime Health Services-St M-F 9:00 AM - 5:00 PM Languages: Russian M 2:00 AM - 7:00 PM
Marys Hospital PCMH: No M 9:00 AM - 6:00 PM PCMH: No
Languages: Russian PCMH: No
M-F 9:00 AM - 5:00 PM Buttigheri, Joseph DPM Hilaris, Peter DPM
PCMH: No Goler, Scott DPM Provider ID: 977377
Provider ID: 1602606 Provider ID: 1168316 Gender: Male
Bonnin Bethea, Denise DPM Gender: Male Gender: Male Peter B Hilaris
Prohealth Care Associates of Sovereign Medical Group LLC 51 Summit Ave
Provider ID: 977002 NJ 299 Forest Ave Ste A Hackensack, NJ 07601
Gender: Female 200 Main St Paramus, NJ 07652 (201) 343-5277
Foot Care 2 You Inc Ridgefield Park, NJ 07660 (973) 684-1011 Fax: (201) 343-0878
1 Broadway Ste 402 (201) 870-6099 Fax: (201) 599-1422 00 Yrs/130 Yrs
Elmwood Park, NJ 07407 Fax: (201) 870-6098 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(862) 766-6055 00 Yrs/130 Yrs Prime Health Services-St PCMH: No
Fax: (201) 797-3310 M-F 9:00 AM - 5:00 PM Marys Hospital
00 Yrs/130 Yrs PCMH: No Languages: Spanish Jeon, Jiyong DPM
Saint Clares Hospital M 3:00 AM - 8:00 PM Provider ID: 1528732
Languages: Spanish Chung, Caleb DPM T 9:00 AM - 12:00 PM Gender: Male
M-F 9:00 AM - 5:00 PM PCMH: No Bergen Foot and Ankle Group
PCMH: No Provider ID: 944555 2175 Lemoine Ave Ste 302
Gender: Male Han, Yoon DPM Fort Lee, NJ 07024
Briganti, Robert DPM Caleb Y Chung DPM PC Provider ID: 1726265 (201) 944-4477
Provider ID: 1436469 Sub Specialty: HIV/AIDs Gender: Female Fax: (201) 944-9998
Gender: Male 570 Main St Ste 101 Jsy Englewood Foot and Ankle 00 Yrs/130 Yrs
Bhmg - United Medical Fort Lee, NJ 07024 Center Holy Name Medical Center
612 Rutherford Ave Fl 1 (201) 363-1200 15 Engle St Ste 202 M-F 9:00 AM - 6:00 PM
Lyndhurst, NJ 07071 Fax: (201) 363-1600 Englewood, NJ 07631 PCMH: No
(201) 460-0063 00 Yrs/130 Yrs (201) 227-0700
Fax: (201) 460-1684 St. Joseph's Hospital Reg Fax: (201) 227-0703 Kaufman, Sean DPM
00 Yrs/130 Yrs Medical Center 00 Yrs/130 Yrs
Saint Barnabas Medical Languages: Korean Holy Name Medical Center Provider ID: 943562
Center Livingston M-F 9:00 AM - 6:00 PM MTWTHFSat 9:00 AM - 5:00 Gender: Male
M-F 9:00 AM - 5:00 PM PCMH: No PM Daniel Brandwein DPM And
PCMH: No PCMH: No Sean Kaufm
274 Main St
Little Ferry, NJ 07643
(201) 440-9444
Fax: (201) 440-3713
00 Yrs/130 Yrs
Overlook Hospital
Trinitas Regional Medical Cent
Languages: Spanish, Greek
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 143
Updated: 11/26/2018

Specialty Physicians
Bergen
Podiatry - cont. Kwon, Jake DPM Levine, Peter DPM Parekh, Kirten DPM
Provider ID: 1184231 Provider ID: 449889 Provider ID: 1467243
Khaimov, Gavriil DPM Gender: Male Gender: Male Gender: Male
Provider ID: 945702 Foot Care of Flushing PC Alpine Medical Associates PC Medical Associates of
Gender: Male 725 Grand Ave Ste 101/102 Sub Specialty: HIV/AIDs Englewood PC
Foot and Ankle Center Ft Lee Ridgefield, NJ 07657 711 Kearny Ave 22-18 Broadway Ste 101
185 Bridge Plz N 4 (201) 840-8105 North Arlington, NJ 07031 Fair Lawn, NJ 07410
Fort Lee, NJ 07024 Fax: (201) 840-8107 (201) 222-9370 (201) 773-0887
(201) 363-9844 00 Yrs/130 Yrs Fax: (240) 715-9178 Fax: (201) 797-8877
Fax: (201) 363-9662 Languages: Korean 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-W 10:00 AM - 7:00 PM St Michael's Medical Center M-F 9:00 AM - 5:00 PM
Englewood Hospital and PCMH: No Languages: Spanish PCMH: No
Medical Center M-F 9:00 AM - 5:00 PM
Languages: Russian, Korean Labruna, Vincent DPM PCMH: No Parekh, Kirten DPM
M 9:00 AM - 3:00 PM Provider ID: 943800 Provider ID: 1467243
T 1:00 AM - 7:00 PM Gender: Male Manno, Helene DPM Gender: Male
W 9:00 AM - 8:00 PM Sub Specialty: HIV/AIDs Medical Associates of
TH 10:00 AM - 2:00 PM 43 Yawpo Ave 11 Provider ID: 972469 Englewood PC
PCMH: No Oakland, NJ 07436 Gender: Female 600 Kinderkamack Rd
(201) 337-5150 Dr Helene D Manno DPM Oradell, NJ 07649
Kim, Dae Sik Alex DPM Fax: (973) 761-7449 542 Anderson Ave (201) 967-0002
00 Yrs/130 Yrs Cliffside Park, NJ 07010 00 Yrs/130 Yrs
Provider ID: 1708873 Newark Beth Israel Med (201) 943-7977 M-F 9:00 AM - 5:00 PM
Gender: Male Center Fax: (201) 945-4650 PCMH: No
Prohealth Care Associates of Saint Barnabas Medical 00 Yrs/130 Yrs
NJ Center Livingston Patel, Rajan DPM
Palisades Medical Center
1 Maywood Ave St Michael's Medical Center Provider ID: 1585612
M 9:30 AM - 6:00 PM
Maywood, NJ 07607 Languages: Spanish, Italian, Gender: Male
T 8:30 AM - 4:00 PM
(201) 968-5345 Hindi Rajan Patel, DPM
W 10:00 AM - 6:00 PM
Fax: (201) 968-5349 MT 9:00 AM - 7:00 PM 160 Ridge Rd
TH 8:30 AM - 3:30 PM
00 Yrs/130 Yrs PCMH: No Lyndhurst, NJ 07071
F 8:30 AM - 11:30 PM
M-F 9:00 AM - 5:00 PM PCMH: No (201) 939-9098
Leodori, Mark DPM Fax: (201) 939-5614
PCMH: No
Provider ID: 398239 00 Yrs/130 Yrs
Marcus, Robert DPM
Kotzias, Georgios DPM Gender: Male Raritan Bay Medical Center
IPA of North Jersey Inc Perth Amboy
10 Wilsey Sq Provider ID: 1525812
Provider ID: 1584988 M 9:00 AM - 7:00 PM
Ridgewood, NJ 07450 Gender: Male
Gender: Male T 8:00 AM - 5:00 PM
(973) 790-1303 Foot and Ankle Center of
North Jersey Podiatry Teaneck W 9:00 AM - 5:00 PM
Specialists L Fax: (973) 790-5033 TH 8:00 AM - 10:30 PM
185 Cedar Ln Ste U5
16 Arcadian Way Ste C6 00 Yrs/130 Yrs PCMH: No
Teaneck, NJ 07666
Paramus, NJ 07652 St. Joseph's Hospital Reg
Medical Center (201) 928-0808
(201) 310-0954 Perlman, Michael DPM
M-TH 9:00 AM - 5:00 PM Fax: (201) 928-0929
Fax: (201) 255-4023 00 Yrs/130 Yrs
F 9:00 AM - 12:00 PM Provider ID: 1594964
00 Yrs/130 Yrs MTH 9:00 AM - 5:00 PM
Trinitas Regional Medical Cent PCMH: No T 1:00 AM - 8:00 PM Gender: Male
M-F 8:00 AM - 5:00 PM W 9:00 AM - 8:00 PM Prohealth Care Associates of
Sat 8:00 AM - 12:00 PM NJ
PCMH: No
PCMH: No 1 Maywood Ave
Maywood, NJ 07607
(201) 968-5345
Fax: (201) 968-5349
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 144
Updated: 11/26/2018

Specialty Physicians
Bergen
Podiatry - cont. Richardson, James DPM Salazar, James DPM Simon, Jeffrey DPM
Provider ID: 943795
Rallatos, Michael DPM Provider ID: 1687192 Gender: Male Provider ID: 524735
Provider ID: 943563 Gender: Male James Salazar DPM PC Gender: Male
Gender: Male James M. Richardson 440 Blvd Jeffrey L Simon
Daniel Brandwein DPM And 228 Grand Ave Hasbrouck Heights, NJ 07604 28-02 Broadway
Sean Kaufm Englewood, NJ 07631 (201) 288-5888 Fair Lawn, NJ 07410
274 Main St (201) 569-4080 Fax: (201) 288-2359 (201) 791-6267
Little Ferry, NJ 07643 Fax: (973) 807-7722 02 Yrs/130 Yrs Fax: (201) 791-6667
(201) 440-9444 00 Yrs/130 Yrs Languages: Spanish 00 Yrs/130 Yrs
Fax: (201) 440-3713 St. Joseph's Hospital Reg MTTHF 9:00 AM - 5:00 PM Prime Health Services-St
00 Yrs/130 Yrs Medical Center W 9:00 AM - 7:30 PM Marys Hospital
Saint Barnabas Medical M-F 9:00 AM - 5:00 PM PCMH: No M 2:00 AM - 9:00 PM
Center Livingston PCMH: No TTHF 9:00 AM - 1:00 PM
Trinitas Regional Medical Cent Scollo, Paul DPM W 9:00 AM - 7:00 PM
Languages: Greek, Swedish Rosenblum, Michael DPM Provider ID: 1209609 PCMH: No
M-F 9:00 AM - 5:00 PM Gender: Male
PCMH: No Provider ID: 970771 Paul Scollo DPM Slomowitz, Henry DPM
Gender: Male 184 Blvd
Ramirez, Lenny DPM Hasbrouck Heights, NJ 07604
Michael Rosenblum DPM Provider ID: 398329
Provider ID: 1594982 Sub Specialty: HIV/AIDs (201) 727-0020 Gender: Male
Gender: Male 14-25 Plaza Rd Ste S21 Fax: (201) 462-0234 IPA of North Jersey Inc
Prohealth Care Associates of Fair Lawn, NJ 07410 00 Yrs/130 Yrs 299 Forest Ave Ste A
NJ Saint Clares Hospital
(201) 773-8686 Paramus, NJ 07652
1 Maywood Ave M-W 9:00 AM - 4:00 PM
Fax: (201) 773-8683 (201) 599-9255
Maywood, NJ 07607 PCMH: No
00 Yrs/130 Yrs Fax: (201) 599-1422
(201) 968-5345 Prime Health Services-St 00 Yrs/130 Yrs
Fax: (201) 968-5349 Marys Hospital Sears, Michael DPM St. Joseph's Hospital Reg
00 Yrs/130 Yrs Languages: Spanish Provider ID: 945769 Medical Center
M-F 9:00 AM - 5:00 PM MW 9:30 AM - 5:00 PM Gender: Male M-TH 9:00 AM - 5:00 PM
PCMH: No T 9:00 AM - 8:00 PM 230 E Ridgewood Ave 6 2 F 9:00 AM - 12:00 PM
TH 9:00 AM - 1:00 PM Paramus, NJ 07652 PCMH: No
Ramirez, Lenny DPM
F 1:00 AM - 5:30 PM (201) 225-4700
Provider ID: 1594982 Fax: (201) 225-4702 Tievsky, Alex DPM
Sat 8:30 AM - 1:00 PM
Gender: Male 00 Yrs/130 Yrs Provider ID: 1610403
PCMH: No
Prohealth Care Associates of Bergen Regional Medical Gender: Male
NJ Rossi, Peter DPM Center Tievsky Podiatry LLC
10 First St Languages: Spanish
Provider ID: 946800 140 N Rte 17 Ste 103
Hackensack, NJ 07601 M 1:00 AM - 6:00 PM
Gender: Male Paramus, NJ 07652
(201) 744-2266 T 8:00 AM - 5:00 PM
Affiliated Foot Surg PA (833) 439-3668
Fax: (201) 968-5348 W 9:00 AM - 1:00 PM
Sub Specialty: HIV/AIDs Fax: (833) 439-3668
00 Yrs/130 Yrs PCMH: No
263 Washington Ave 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Dumont, NJ 07628 M 8:00 AM - 1:00 PM
PCMH: No (201) 384-1050 T 9:00 AM - 1:00 PM
Fax: (201) 384-3898 PCMH: No
00 Yrs/130 Yrs
Bayonne Medical Center
MT 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 145
Updated: 11/26/2018

Specialty Physicians
Bergen
Podiatry - cont. Psychiatry Hall, Edward MD Kim, Charles MD
Provider ID: 1052836 Provider ID: 1368817
Welch, Matthew DPM Airapetian, Karine MD Gender: Male Gender: Male
Bergen Regional Medical Care Plus NJ Inc
Provider ID: 1649763 Provider ID: 947245 Center 230 E Ridgewood Ave
Gender: Male Gender: Female 230 E Ridgewood Ave Paramus, NJ 07652
Prohealth Care Associates of Bergen Regional Medical Paramus, NJ 07652 (201) 986-5000
New Je Center (800) 730-2762 00 Yrs/130 Yrs
1 Maywood Ave 230 E Ridgewood Ave Fax: (201) 225-7101 Holy Name Medical Center
Maywood, NJ 07607 Paramus, NJ 07652 05 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 968-5345 (201) 967-4000 Bergen Regional Medical PCMH: No
Fax: (201) 968-5349 Fax: (201) 225-7101 Center
00 Yrs/130 Yrs 18 Yrs/130 Yrs M-F 9:00 AM - 12:00 PM Kim, Charles MD
Palisades Medical Center Languages: Russian, Armenian PCMH: No Provider ID: 1368817
Prime Health Services-St M-F 7:00 AM - 3:00 PM Gender: Male
Marys Hospital PCMH: No Hossain, Asghar MD Care Plus NJ Inc
M-F 9:00 AM - 5:00 PM 610 Valley Health Plz
PCMH: No Czartorysky, Bohdan MD Provider ID: 408051 Paramus, NJ 07652
Gender: Male (201) 986-5000
Yi, Yoon DPM Provider ID: 1164792 Bergen Regional Medical 00 Yrs/130 Yrs
Provider ID: 1183441 Gender: Male Center Holy Name Medical Center
Gender: Male Bridgeway Rehabilitation 230 E Ridgewood Ave M-F 9:00 AM - 5:00 PM
Foot Care of Flushing PC Services Paramus, NJ 07652 PCMH: No
725 Grand Ave Unit 101/102 611 Rte 46 Ste 210 (800) 730-2762
Ridgefield, NJ 07657 Hasbrouck Heights, NJ 07604 Fax: (201) 225-7107 Kim, Charles MD
(201) 840-8105 (201) 880-8321 18 Yrs/130 Yrs Provider ID: 1368817
Fax: (201) 840-8107 18 Yrs/130 Yrs Bergen Regional Medical Gender: Male
00 Yrs/130 Yrs Trinitas Regional Medical Cent Center Care Plus NJ Inc
Holy Name Medical Center PCMH: No Languages: Bengali 611 Rte 46 W. Ste 100
Languages: Korean PCMH: No Hasbrouck Heights, NJ 07604
M-F 9:30 AM - 5:00 PM Hadjiesmaeiloo, Bahar MD (201) 986-5000
Sat 9:30 AM - 2:00 PM Jacobs, Niama MD 00 Yrs/130 Yrs
PCMH: No Provider ID: 1631047 Provider ID: 1653509 Holy Name Medical Center
Gender: Female Gender: Female M-F 9:00 AM - 5:00 PM
Preventive Medicine Prohealth Care Associates of Medical Associates of PCMH: No
New Je Englewood, PC
Adair, Robert MD 221 Park Ave 25 Rockwood Pl Ste 205 Kruse, George MD
Provider ID: 1259214 Rutherford, NJ 07070 Englewood, NJ 07631 Provider ID: 897002
Gender: Male (201) 293-0976 (201) 292-1400 Gender: Male
Excelcare Medical Associates Fax: (201) 293-0977 Fax: (201) 894-0479 Care Plus NJ Inc
PA 00 Yrs/130 Yrs 00 Yrs/130 Yrs 610 Valley Health Plz
222 Cedar Ln Ste 111 M-F 9:00 AM - 5:00 PM Englewood Hospital and Paramus, NJ 07652
Teaneck, NJ 07666 Medical Center (201) 986-5042
PCMH: No
(201) 836-7970 M-F 9:00 AM - 5:00 PM Fax: (201) 265-7645
Fax: (201) 836-7973 PCMH: No 00 Yrs/130 Yrs
16 Yrs/130 Yrs Holy Name Medical Center
Englewood Hospital and Khoshnu, Esha MD
M 9:00 AM - 5:00 PM
Medical Center Provider ID: 485341 TW 9:00 AM - 8:00 PM
Holy Name Medical Center Gender: Female TH 9:00 AM - 2:00 PM
Languages: Spanish Esha Khoshnu MD PCMH: No
M 8:00 AM - 12:00 PM 294 State St 2nd Fl
TW 8:00 AM - 4:00 PM Hackensack, NJ 07601
PCMH: No (973) 575-1107
Fax: (973) 575-1107
00 Yrs/130 Yrs
Overlook Hospital
M-F 9:00 AM - 10:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 146
Updated: 11/26/2018

Specialty Physicians
Bergen
Psychiatry - cont. Lewis, Tanya MD Morris, Craig MD Palkhiwala, Bharati MD
Provider ID: 1249145 Provider ID: 900144
Levinson, Ilan MD Gender: Female Gender: Male Provider ID: 982866
Provider ID: 1425685 Care Plus NJ Inc Care Plus NJ Inc Gender: Female
Gender: Male 611 Rte 46 W Ste 100 610 Valley Health Plz Bergen Regional Medical
Isl LTD Hasbrouck Heights, NJ 07604 Paramus, NJ 07652 Center
300 Knickerbocker Rd Ste (201) 986-5000 (201) 265-8200 230 E Ridgewood Ave
2800 1st Fl 00 Yrs/130 Yrs Fax: (201) 265-0366 Paramus, NJ 07652
Cresskill, NJ 07626 Holy Name Medical Center 00 Yrs/130 Yrs (800) 730-2762
(201) 608-5210 M-F 9:00 AM - 5:00 PM MTTH 9:00 AM - 3:00 PM Fax: (201) 225-7101
Fax: (201) 608-5211 PCMH: No W 11:00 AM - 1:00 PM 18 Yrs/130 Yrs
00 Yrs/130 Yrs PCMH: No Bergen Regional Medical
M 8:00 AM - 5:30 PM Miric, Slobodan MD Center
PCMH: No Provider ID: 945605 Morris, Craig MD MT 9:00 AM - 6:00 PM
Gender: Male Provider ID: 900144 PCMH: No
Lewis, Tanya MD 401 S Van Brunt St Ste A Gender: Male
Provider ID: 1249145 Englewood, NJ 07631 Care Plus NJ Inc Palmer, Barbara MD
Gender: Female (201) 871-1400 611 Rte 46 W Ste 100
Care Plus NJ Inc Fax: (201) 408-2220 Hasbrouck Heights, NJ 07604 Provider ID: 929722
17-07 Romaine St 00 Yrs/130 Yrs (201) 986-5000 Gender: Female
Fair Lawn, NJ 07410 Morristown Memorial 00 Yrs/130 Yrs Bergen Regional Medical
(201) 986-5000 Hospital M-F 9:00 AM - 5:00 PM Center
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No 230 E Ridgewood Ave
Holy Name Medical Center PCMH: No Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM Nair, Prathila MD (800) 730-2762
PCMH: No Morris, Craig MD Provider ID: 1045840 Fax: (201) 225-7101
Provider ID: 900144 Gender: Female 18 Yrs/130 Yrs
Lewis, Tanya MD Gender: Male Bergen Regional Medical Bergen Regional Medical
Provider ID: 1249145 Care Plus NJ Inc Center Center
Gender: Female 17 07 Romaine St 230 E Ridgewood Ave Languages: Spanish
Care Plus NJ Inc Fair Lawn, NJ 07410 Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
230 E Ridgewood Ave (201) 797-2660 (201) 967-4000 PCMH: No
Paramus, NJ 07652 Fax: (201) 797-5025 Fax: (201) 225-7101
(201) 986-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs Primak, Dmitry MD
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Bergen Regional Medical
Holy Name Medical Center PCMH: No Center Provider ID: 463142
M-F 9:00 AM - 5:00 PM Languages: Hindi Gender: Male
PCMH: No Morris, Craig MD M-F 7:00 AM - 3:00 PM Bergen Regional Medical
Provider ID: 900144 PCMH: No Center
Lewis, Tanya MD Gender: Male 230 E Ridgewood Ave
Provider ID: 1249145 Care Plus NJ Inc Ostrowski, Dora MD Paramus, NJ 07652
Gender: Female 230 E Ridgewood Ave Provider ID: 943755 (201) 967-4000
Care Plus NJ Inc Paramus, NJ 07652 Gender: Female Fax: (201) 225-7101
610 Valley Health Plz (201) 986-5000 3050 Edwin Ave 4B 00 Yrs/130 Yrs
Paramus, NJ 07652 00 Yrs/130 Yrs Fort Lee, NJ 07024 Bergen Regional Medical
(201) 986-5042 M-F 9:00 AM - 5:00 PM (201) 944-0272 Center
Fax: (201) 265-7645 PCMH: No Fax: (201) 944-5225 M-F 7:00 AM - 3:30 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No
Holy Name Medical Center Holy Name Medical Center
M-TH 9:00 AM - 9:00 PM Languages: Spanish
FSat 9:00 AM - 5:00 PM M 4:30 AM - 7:30 PM
PCMH: No T 1:30 AM - 7:30 PM
W 8:30 AM - 3:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 147
Updated: 11/26/2018

Specialty Physicians
Bergen
Psychiatry - cont. Ragheb, Sameh MD Ramay, Mohammad MD Saiz Quintana, Maria MD

Prince, Leonie MD Provider ID: 897017 Provider ID: 477405 Provider ID: 707065
Provider ID: 1259231 Gender: Male Gender: Male Gender: Female
Gender: Female Care Plus NJ Inc Bergen Regional Medical Bergen Regional Medical
Care Plus NJ Inc 17 07 Romaine St Center Center
610 Valley Health Plz Fair Lawn, NJ 07410 230 E Ridgewood Ave 230 E Ridgewood Ave
Paramus, NJ 07652 (201) 986-5000 Paramus, NJ 07652 Paramus, NJ 07652
(201) 986-5000 00 Yrs/130 Yrs (201) 967-4000 (800) 730-2762
Fax: (201) 265-0366 Languages: Spanish, Russian Fax: (201) 225-7101 Fax: (201) 225-7101
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs 18 Yrs/130 Yrs
Saint Clares Hospital PCMH: No Bergen Regional Medical Bergen Regional Medical
Languages: Spanish Center Center
MF 9:00 AM - 5:00 PM Ragheb, Sameh MD M-F 9:00 AM - 5:00 PM Languages: Spanish
TWTH 9:00 AM - 9:00 PM Provider ID: 897017 PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No Gender: Male PCMH: No
Care Plus NJ Inc Reddy, Srikanth MD
Puthiyathu, Manoj MD 230 E Ridgewood Ave Sandoval Castellanos, Oscar
Paramus, NJ 07652 Provider ID: 271911 MD
Provider ID: 1247903 (201) 986-5000 Gender: Male Provider ID: 653107
Gender: Male 00 Yrs/130 Yrs Bergen Regional Medical Gender: Male
Bergen Regional Medical Languages: Spanish, Russian Center O.E. Sandoval MD PC
Center M-F 9:00 AM - 5:00 PM 230 E Ridgewood Ave 365 Franklin Ave
230 E Ridgewood Ave PCMH: No Paramus, NJ 07652 Wyckoff, NJ 07481
Paramus, NJ 07652 (800) 730-2762 (201) 866-6970
(800) 730-2762 Ragheb, Sameh MD Fax: (201) 225-7101 Fax: (201) 866-7144
Fax: (201) 225-7101 18 Yrs/130 Yrs 18 Yrs/80 Yrs
18 Yrs/130 Yrs Provider ID: 897017 Bergen Regional Medical M-F 9:00 AM - 5:00 PM
Bergen Regional Medical Gender: Male Center PCMH: No
Center Care Plus NJ Inc M-F 8:00 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No Santos, Frank MD
610 Valley Health Plz
PCMH: No Paramus, NJ 07652 Provider ID: 445651
Ruvolo, Michelle MD Gender: Male
(201) 265-8200
Puthiyathu, Manoj MD Fax: (201) 265-0366 Provider ID: 950363 Palisades Medical Associates
Gender: Female LLC
00 Yrs/130 Yrs
Provider ID: 1560648 Bergen Regional Medical 115 River Rd Ste 305
Languages: Spanish, Russian
Gender: Male Center Edgewater, NJ 07020
MF 9:00 AM - 5:00 PM
Bergen Psychiatric Care LLC 230 E Ridgewood Ave (201) 941-4405
TWTH 9:00 AM - 9:00 PM
65 N Maple Ave Ste 104 Paramus, NJ 07652 Fax: (201) 941-4408
PCMH: No
Ridgewood, NJ 07450 (800) 730-2762 00 Yrs/130 Yrs
(201) 956-9483 Ragheb, Sameh MD Fax: (201) 225-7101 Palisades Medical Center
Fax: (201) 288-5262 18 Yrs/130 Yrs Languages: Spanish
18 Yrs/130 Yrs Bergen Regional Medical M-F 8:00 AM - 3:00 PM
Provider ID: 897017
Prime Health Services-St Center PCMH: No
Gender: Male
Marys Hospital M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc
M-F 9:00 AM - 5:30 PM PCMH: No
611 Rte 46 W Ste 100
PCMH: No Hasbrouck Heights, NJ 07604
(201) 986-5000
00 Yrs/130 Yrs
Languages: Spanish, Russian
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 148
Updated: 11/26/2018

Specialty Physicians
Bergen
Psychiatry - cont. Shah, Pritesh MD Thorpe, Michelle MD Vaynberg, Dina MD
Provider ID: 948390 Provider ID: 1041322 Provider ID: 901988
Santos, Frank MD Gender: Male Gender: Female Gender: Female
Provider ID: 797956 Holy Name Primary Care and Bergen Regional Medical Care Plus NJ Inc
Gender: Male Specialt Center 230 E Ridgewood Ave
North Hudson Community 354 Old Hook Rd Ste 102 230 E Ridgewood Ave Paramus, NJ 07652
Action Corp Westwood, NJ 07675 Paramus, NJ 07652 (201) 986-5000
197 S Van Brunt St (201) 358-0400 (800) 730-2762 18 Yrs/130 Yrs
Englewood, NJ 07631 Fax: (201) 358-6114 Fax: (201) 225-7101 Languages: Russian
(201) 537-4442 00 Yrs/130 Yrs 05 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (201) 568-1876 Holy Name Medical Center Bergen Regional Medical PCMH: No
00 Yrs/130 Yrs Languages: Hindi, Gujarati Center
Palisades Medical Center M 9:00 AM - 7:00 PM MWTH 7:00 AM - 12:30 PM Vaynberg, Dina MD
Languages: Spanish TTH 10:00 AM - 4:00 PM T 1:00 AM - 7:00 PM Provider ID: 901988
MTWTHFSat 8:30 AM - 5:00 W 9:00 AM - 6:00 PM F 1:00 AM - 5:00 PM Gender: Female
PM F 10:00 AM - 2:00 PM PCMH: No Care Plus NJ Inc
PCMH: No PCMH: No 610 Valley Health Plz
Valiveti, Sailaja MD Paramus, NJ 07652
Santos, Frank MD Surahio, Ali MD (201) 986-5042
Provider ID: 797956 Provider ID: 1343513 Provider ID: 961048 Fax: (201) 265-7645
Gender: Male Gender: Male Gender: Female 18 Yrs/130 Yrs
North Hudson Community Holy Name Primary Care Spec Bergen Regional Medical Languages: Russian
Action Corp Assoc Center M 9:00 AM - 6:00 PM
25 E Salem St 6th Fl 185 Cedar Ln 230 E Ridgewood Ave PCMH: No
Hackensack, NJ 07601 Teaneck, NJ 07666 Paramus, NJ 07652
(551) 996-2121 (201) 385-0400 (800) 730-2762 Vaynberg, Dina MD
Fax: (551) 996-4435 Fax: (201) 358-6114 Fax: (201) 225-7101 Provider ID: 901988
00 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/110 Yrs Gender: Female
Palisades Medical Center Summit Oaks Hospitalinc Bergen Regional Medical Care Plus NJ Inc
Languages: Spanish M-F 9:00 AM - 5:00 PM Center 611 Rte 46 W Ste 100
MTTHFSat 8:30 AM - 5:00 PM PCMH: No M-TH 8:00 AM - 4:30 PM Hasbrouck Heights, NJ 07604
W 8:30 AM - 7:00 PM F 8:00 AM - 12:00 PM (201) 986-5000
PCMH: No Surahio, Ali MD PCMH: No 18 Yrs/130 Yrs
Provider ID: 1343513 Languages: Russian
Shah, Pritesh MD Gender: Male Vaynberg, Dina MD M-F 9:00 AM - 5:00 PM
Provider ID: 948390 Holy Name Primary Care Spec Provider ID: 901988 PCMH: No
Gender: Male Assoc Gender: Female
Holy Name Primary Care and 354 Old Hook Rd Ste 102 Care Plus NJ Inc Wang, Wei MD
Specialt Westwood, NJ 07675 17 07 Romaine St Provider ID: 1101734
185 Cedar Ln Ste U6 (201) 358-0400 Fair Lawn, NJ 07410 Gender: Female
Teaneck, NJ 07666 Fax: (201) 358-6114 (201) 797-2660 North Hudson Community
(201) 836-3000 00 Yrs/130 Yrs Fax: (201) 797-5025 Action Corpo
Fax: (201) 836-5000 Summit Oaks Hospitalinc 18 Yrs/130 Yrs 197 S Van Brunt St
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Languages: Russian Englewood, NJ 07631
Holy Name Medical Center PCMH: No M-F 9:00 AM - 5:00 PM (201) 537-4442
Languages: Hindi, Gujarati PCMH: No Fax: (201) 568-1876
M 10:00 AM - 6:00 PM 00 Yrs/130 Yrs
PCMH: No Englewood Hospital and
Medical Center
MTWTHFSat 8:30 AM - 5:00
PM
PCMH: No

www.wellcare.com/New-Jersey | 149
Updated: 11/26/2018

Specialty Physicians
Bergen
Psychiatry - cont. Donohue, Gerard PHD Parra, Guillermo PHD Trobliger, Robert PHD
Provider ID: 1271289 Provider ID: 1255711 Provider ID: 808297
Wang, Wei MD Gender: Male Gender: Male Gender: Male
Provider ID: 1101734 Kessler Professional Services North Hudson Community Epilepsy and Neurophysiology
Gender: Female LLC Action Corp Medica
North Hudson Community 300 Market St 25 E Salem St Fl 6 400 Frank W Burr Blvd Ste 55
Action Corpo Saddle Brook, NJ 07663 Hackensack, NJ 07601 Teaneck, NJ 07666
25 E Salem St Fl 6 (201) 368-6000 (551) 996-2121 (201) 343-6676
Hackensack, NJ 07601 Fax: (973) 677-4253 Fax: (551) 996-4435 Fax: (201) 357-4641
(551) 996-2121 16 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (551) 996-4435 M-F 9:00 AM - 5:00 PM Englewood Hospital and M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs PCMH: No Medical Center PCMH: No
Englewood Hospital and M-TH 8:30 AM - 7:00 PM
Medical Center Griswold, Germaine PHD F 8:30 AM - 5:00 PM Trobliger, Robert PHD
MTTHFSat 8:30 AM - 5:00 PM Sat 8:30 AM - 3:00 PM Provider ID: 808297
W 8:30 AM - 7:00 PM Provider ID: 673721 PCMH: No Gender: Male
PCMH: No Gender: Female Epilepsy and Neurophysiology
North Hudson Community Parra, Guillermo PHD Medica
Wang, Wei MD Action Corpo Provider ID: 1255711 77 Prospect Ave
Provider ID: 1101734 25 E Salem St 6th Fl Gender: Male Hackensack, NJ 07601
Gender: Female Hackensack, NJ 07601 North Hudson Community (201) 343-6676
North Hudson Community (551) 996-2121 Action Corp Fax: (201) 343-6689
Action Corpo Fax: (551) 996-4435 535 Midland Ave 00 Yrs/130 Yrs
535 Midland Ave 00 Yrs/130 Yrs Garfield, NJ 07026 M-F 9:00 AM - 5:00 PM
Garfield, NJ 07026 Palisades Medical Center (973) 340-1182 PCMH: No
(973) 340-1182 MTTHFSat 8:30 AM - 5:00 PM Fax: (973) 340-1156
Fax: (973) 340-1156 W 8:30 AM - 7:00 PM 00 Yrs/130 Yrs Vaccarella, Gerard PHD
00 Yrs/130 Yrs PCMH: No Englewood Hospital and
Englewood Hospital and Medical Center Provider ID: 800286
Medical Center Parra, Guillermo PHD M-TH 8:30 AM - 7:00 PM Gender: Male
MTTHFSat 8:30 AM - 5:00 PM Provider ID: 1255711 F 8:30 AM - 5:00 PM Gerard Vaccarella
W 8:30 AM - 7:00 PM Gender: Male Sat 8:30 AM - 3:00 PM 248 Blvd
PCMH: No North Hudson Community PCMH: No Hasbrouck Heights, NJ 07604
Action Corp (201) 288-4611
Psychology 197 S Van Brunt St Trobliger, Robert PHD Fax: (201) 288-8107
Englewood, NJ 07631 Provider ID: 808297 00 Yrs/130 Yrs
Borer, Gary PHD (201) 537-4442 Gender: Male M-TH 9:00 AM - 9:00 PM
Provider ID: 840117 Fax: (201) 568-1876 Epilepsy and Neurophysiology F 9:00 AM - 5:00 PM
Gender: Male 00 Yrs/130 Yrs Medica PCMH: No
Gary S Borer PC Englewood Hospital and 20 Prospect Ave Ste 800
0028 Pine Ave Medical Center Hackensack, NJ 07601 Wu, Ho Shyuan PHD
Fair Lawn, NJ 07410 M-F 8:30 AM - 5:00 PM (201) 343-6676 Provider ID: 1277093
(201) 791-4116 PCMH: No Fax: (201) 343-6689 Gender: Female
Fax: (201) 796-2615 00 Yrs/130 Yrs Kessler Professional Services
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM LLC
M-F 9:30 AM - 10:00 PM PCMH: No 300 Market St
PCMH: No Saddle Brook, NJ 07663
(201) 368-6000
Fax: (973) 677-4253
16 Yrs/130 Yrs
Englewood Hospital and
Medical Center
Languages: Mandarin
M-TH 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 150
Updated: 11/26/2018

Specialty Physicians
Bergen
Pulmonary Disease Karetzky, Monroe MD Malovany, Robert MD Silberstein, Stuart MD

Ashtyani, Hormoz MD Provider ID: 874061 Provider ID: 1464714 Provider ID: 946823
Gender: Male Gender: Male Gender: Male
Provider ID: 1603070 Monroe Karetzky MD Medical Associates of Holy Name Pulm Assoc PC
Gender: Male 200 Engle St Ste 10 Englewood PC 180 N Dean St Fl 2
Prohealth Care Associates of Englewood, NJ 07631 180 Engle St Englewood, NJ 07631
New Je (201) 569-0404 Englewood, NJ 07631 (201) 871-8366
1 Maywood Ave Fax: (718) 299-6065 (201) 567-2050 Fax: (201) 871-8356
Maywood, NJ 07607 18 Yrs/130 Yrs Fax: (201) 567-5070 16 Yrs/130 Yrs
(201) 968-5345 Englewood Hospital and 18 Yrs/130 Yrs Holy Name Medical Center
Fax: (201) 968-5349 Medical Center Englewood Hospital and M-TH 9:00 AM - 5:00 PM
12 Yrs/130 Yrs Newark Beth Israel Med Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM Center Holy Name Medical Center
PCMH: No University Hospital MW 8:00 AM - 7:00 PM Wardeh, Ghassan MD
M-F 9:00 AM - 5:00 PM T 8:00 AM - 5:30 PM
Jo, Young MD PCMH: No TH 8:00 AM - 6:30 PM Provider ID: 1649754
Provider ID: 946425 F 8:00 AM - 4:30 PM Gender: Male
Gender: Male Levin, Daniel MD PCMH: No Prohealth Care Associates of
464 Hudson Ter Ste 201 Provider ID: 440293 New Je
Englewood Cliffs, NJ 07632 Gender: Male Saliba, Jehad MD 1 Maywood Ave
(201) 568-2665 22-18 Broadway Ste 103 Provider ID: 1541953 Maywood, NJ 07607
Fax: (973) 778-2665 Fair Lawn, NJ 07410 Gender: Male (201) 968-5345
16 Yrs/130 Yrs (201) 773-8185 West Hudson Pulmonary Fax: (201) 968-5349
Prime Health Services-St Fax: (201) 773-8187 Associates 00 Yrs/130 Yrs
Marys Hospital 16 Yrs/130 Yrs 25 Locust Ave Newton Medical Center
Languages: Korean Languages: Russian North Arlington, NJ 07031 M-F 9:00 AM - 5:00 PM
MT 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (201) 246-1111 PCMH: No
PCMH: No PCMH: No Fax: (201) 955-7467
16 Yrs/130 Yrs Wardeh, Ghassan MD
Jo, Young MD Malovany, Robert MD Clara Maass Medical Center
Provider ID: 946425 St Michael's Medical Center Provider ID: 1649754
Gender: Male Provider ID: 1464714 Languages: Arabic Gender: Male
Young I. Jo, MD Gender: Male M-F 9:00 AM - 5:00 PM Prohealth Care Associates of
71 Union Ave Ste 210 Medical Associates of PCMH: No New Je
Rutherford, NJ 07070 Englewoo 200 Main St
(973) 778-2665 1 N Washington Ave Fl 2 Shatkin, Jason MD
Ridgefield Park, NJ 07660
Fax: (973) 778-9753 Bergenfield, NJ 07621 Provider ID: 1303510 (201) 870-6099
16 Yrs/130 Yrs (201) 501-0082 Gender: Male Fax: (201) 870-6098
Prime Health Services-St 18 Yrs/130 Yrs Sovereign Medical Group, LLC 00 Yrs/130 Yrs
Marys Hospital Englewood Hospital and 1 Sears Dr Ste 306 Newton Medical Center
Languages: Korean Medical Center Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
M 3:30 AM - 5:30 PM Holy Name Medical Center (201) 830-2287 PCMH: No
TW 9:30 AM - 5:30 PM M-F 9:00 AM - 5:00 PM Fax: (201) 830-2286
TH 11:00 AM - 2:00 PM PCMH: No 00 Yrs/130 Yrs
PCMH: No MT 10:00 AM - 5:00 PM
W 11:00 AM - 6:00 PM
TH 9:00 AM - 12:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 151
Updated: 11/26/2018

Specialty Physicians
Bergen
Radiation Oncology Godfrey, Loren MD Rosenbluth, Benjamin MD Zhang, Mei MD
Provider ID: 945433
Dubin, David MD Provider ID: 1270676 Provider ID: 509028 Gender: Female
Provider ID: 945430 Gender: Male Gender: Male Englewood Radiation Onco
Gender: Male Regional Cancer Care Radiation Oncology Partners 350 Engle St
Englewood Radiation Oncol Associates LLC PC Englewood, NJ 07631
350 Engle St Sub Specialty: HIV/AIDs 718 Teaneck Rd (201) 894-3125
Englewood, NJ 07631 92 2nd St Radiation Therapy Teaneck, NJ 07666 Fax: (201) 894-0152
(201) 894-3125 Hackensack, NJ 07601 (201) 541-5900 18 Yrs/130 Yrs
Fax: (201) 894-0152 (551) 996-2210 Fax: (201) 541-6305 Englewood Hospital and
18 Yrs/130 Yrs Fax: (551) 996-0730 18 Yrs/130 Yrs Medical Center
Englewood Hospital and 18 Yrs/110 Yrs Holy Name Medical Center Languages: Cantonese,
Medical Center M-F 9:00 AM - 5:00 PM Languages: Hebrew Mandarin, Yiddish
Languages: Spanish, Hebrew, PCMH: No M-F 7:30 AM - 5:00 PM M-F 8:00 AM - 4:00 PM
Yiddish PCMH: No PCMH: No
M-F 8:00 AM - 4:00 PM Ingenito, Anthony MD
PCMH: No Shaiman, Alan MD Radiation Therapy
Provider ID: 1285401 Provider ID: 895046
Gejerman, Glen MD Gender: Male Gender: Male Blank, Kenneth MD
Provider ID: 1270697 Regional Cancer Care Hackensack Radiation Therapy
Gender: Male Associates LLC 20 Woodridge Ave Provider ID: 641286
Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs Hackensack, NJ 07601 Gender: Male
155 State St 92 2nd St Dept Radiation (201) 880-7580 Hackensack Radiation Therapy
Hackensack, NJ 07601 Therapy Fax: (201) 880-7585 LLC
(551) 996-2210 Hackensack, NJ 07601 00 Yrs/130 Yrs 20 Woodridge Ave
Fax: (551) 996-0730 (551) 996-2210 Christ Hospital Hackensack, NJ 07601
02 Yrs/130 Yrs Fax: (551) 996-0730 M-F 8:30 AM - 5:00 PM (201) 880-7580
M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs PCMH: No Fax: (201) 794-6970
PCMH: No M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No Vialotti, Charles MD M-F 9:00 AM - 5:00 PM
Gejerman, Glen MD Provider ID: 896636 PCMH: No
Knoll, Miriam MD Gender: Male
Provider ID: 1270697 Provider ID: 1534561 Radiation Oncology Partners Goodman, Robert MD
Gender: Male Gender: Female PC
Regional Cancer Care Regional Cancer Care 718 Teaneck Rd Provider ID: 886680
Associates LLC Associates, LL Teaneck, NJ 07666 Gender: Male
Sub Specialty: HIV/AIDs 92 2nd St (201) 541-5900 Hackensack Radiation Therapy
92 2nd St Hackensack, NJ 07601 Fax: (201) 541-6305 LLC
Hackensack, NJ 07601 (551) 996-5900 18 Yrs/130 Yrs 20 Woodridge Ave
(551) 996-2464 Fax: (551) 996-9246 Holy Name Medical Center Hackensack, NJ 07601
Fax: (551) 996-0730 18 Yrs/130 Yrs Languages: Chinese, Hebrew (201) 880-7580
02 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (201) 880-7585
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No 00 Yrs/130 Yrs
PCMH: No M-F 9:00 AM - 5:00 PM
Lewis, Brett MD PCMH: No
Provider ID: 1265252
Gender: Male
Regional Cancer Care
Associates LLC
Sub Specialty: HIV/AIDs
92 2nd St
Hackensack, NJ 07601
(551) 996-2210
Fax: (551) 996-0730
18 Yrs/110 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 152
Updated: 11/26/2018

Specialty Physicians
Bergen
Radiation Therapy - cont. Edelman, Mark MD Park, Peter MD Ewald, Edward MD
Provider ID: 1186051 Provider ID: 398177
Gorshein, Dov MD Provider ID: 1063529 Gender: Male Gender: Male
Provider ID: 1645322 Gender: Male Vascular and Interventional IPA of North Jersey Inc
Gender: Male Center For Vein Restoration Special 127 Union St Ste 103
Hackensack Radiation Therapy NJ LLC Sub Specialty: HIV/AIDs Ridgewood, NJ 74504
20 Woodridge Ave 211 Essex St Ste 403 2175 Lemoine Ave (201) 447-0660
Hackensack, NJ 07601 Hackensack, NJ 07601 Fort Lee, NJ 07024 Fax: (201) 447-2830
(201) 880-7580 (855) 830-8346 (732) 727-8346 00 Yrs/130 Yrs
Fax: (201) 880-7585 Fax: (240) 473-4321 00 Yrs/130 Yrs St. Joseph's Hospital Reg
00 Yrs/130 Yrs 00 Yrs/130 Yrs Overlook Hospital Medical Center
St. Joseph's Hospital Reg M-TH 7:00 AM - 5:30 PM Shore Memorial Hospital M-TH 9:00 AM - 5:00 PM
Medical Center PCMH: No M-F 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
PCMH: No Gallo, Vincent MD
Provider ID: 1325499 Rheumatology Knee, C. MD
Radiology - Interventional Gender: Male Provider ID: 976388
& Vascular Peace Health Partners Barr, Jerome MD Gender: Male
230 E Ridgewood Ave Bldg 8 Provider ID: 799084 44 Godwin Ave Ste 103
Bahramipour, Phillip MD Fl 1 Gender: Male Midland Park, NJ 07432
Paramus, NJ 07652 Bergen Arthritis and (201) 444-5004
Provider ID: 1594840 (201) 833-3310 Rheumatism Rel Fax: (201) 670-0356
Gender: Male Fax: (201) 541-5910 17-15 Maple Ave Ste 2 12 Yrs/130 Yrs
Prohealth Care Associates of 00 Yrs/130 Yrs Fair Lawn, NJ 07410 St. Joseph's Hospital Reg
NJ Holy Name Medical Center (201) 677-8759 Medical Center
201 Rte 17 Fl 11 M-F 8:00 AM - 6:00 PM Fax: (201) 654-7489 M-F 9:00 AM - 5:00 PM
Rutherford, NJ 07070 PCMH: No 12 Yrs/130 Yrs PCMH: No
(201) 549-8990 St. Joseph's Hospital Reg
00 Yrs/130 Yrs Gallo, Vincent MD Medical Center Mody, Sushama MD
M-F 9:00 AM - 5:00 PM Provider ID: 1325499 M-F 9:00 AM - 5:00 PM
PCMH: No Gender: Male PCMH: No Provider ID: 1642021
Peace Health Partners Gender: Female
Bahramipour, Phillip MD 718 Teaneck Rd Cholhan, Ruth MD Prohealth Care Associates of
Teaneck, NJ 07666 Provider ID: 944798 New Je
(201) 833-3310 Gender: Female 62 Ridge Rd
Provider ID: 1594840
Fax: (201) 541-5910 385 Sylvan Ave Ste 26 North Arlington, NJ 07031
Gender: Male
00 Yrs/130 Yrs Englewood Cliffs, NJ 07632 (201) 991-8565
Prohealth Care Associates of
NJ Holy Name Medical Center (201) 871-0223 Fax: (201) 991-2408
62 Ridge Rd M-F 8:00 AM - 6:00 PM Fax: (201) 871-1117 18 Yrs/130 Yrs
North Arlington, NJ 07031 PCMH: No 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 991-8565 Englewood Hospital and PCMH: No
Herman, Kevin MD Medical Center
00 Yrs/130 Yrs
Provider ID: 900067 M 12:30 AM - 5:00 PM Salem, Noel MD
M-F 9:00 AM - 5:00 PM
Gender: Male T 9:30 AM - 3:30 PM Provider ID: 945126
PCMH: No
Peace Health Partners PC W 12:30 AM - 3:30 PM Gender: Female
718 Teaneck Rd Ste 1 PCMH: No 385 Sylvan Ave Ste 26
Teaneck, NJ 76664 Englewood Cliffs, NJ 07632
(201) 833-3310 (201) 871-0223
Fax: (201) 541-5910 Fax: (201) 871-1117
00 Yrs/130 Yrs 18 Yrs/130 Yrs
Christ Hospital Englewood Hospital and
M-F 8:00 AM - 8:00 PM Medical Center
PCMH: No MTH 9:30 AM - 12:00 PM
T 1:00 AM - 5:00 PM
W 10:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 153
Updated: 11/26/2018

Specialty Physicians
Bergen
Sleep Medicine Ko, James MD Substance Abuse McIntosh, Violet MD
Provider ID: 975448 Provider ID: 1167568
Ashtyani, Hormoz MD Gender: Male North Jersey Friendship Gender: Female
James H Ko MD LLC House Inc Fc Medical Associates of
Provider ID: 1603070 177 N Dean St Ste 201 Provider ID: 1654796 Englewood, PC
Gender: Male Englewood, NJ 07631 Sub Specialty: Medication 350 Engle St Ste 4503
Prohealth Care Associates of (201) 347-4012 Management, PARTIAL CARE, Englewood, NJ 07631
New Je Fax: (201) 503-0065 Partial Care, Adult Mental (201) 894-3892
1 Maywood Ave 00 Yrs/130 Yrs Health Rehab Fax: (201) 818-3350
Maywood, NJ 07607 Englewood Hospital and 125 Atlantic St 00 Yrs/130 Yrs
(201) 968-5345 Medical Center Hackensack, NJ 07601 M-F 8:00 AM - 5:00 PM
Fax: (201) 968-5349 Languages: Korean (201) 488-2121 PCMH: No
12 Yrs/130 Yrs M-F 9:00 AM - 4:30 PM Fax: (201) 488-7161
M-F 9:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs Thoracic & Cardiovascular
PCMH: No M-F 7:00 AM - 5:00 PM Surgery
Pavlou, Theophanis MD PCMH: No
Bathini, Manjula DO Provider ID: 862880 Arnofsky, Adam MD
Gender: Male Surgical Oncology
Provider ID: 928153 718 Teaneck Rd Provider ID: 1574255
Teaneck, NJ 07666 Brower, Steven MD
Gender: Female Gender: Male
Provider ID: 1315969
Comprehensive Healthcare of (201) 833-3000 Medical Associates of
NJ LLC 18 Yrs/130 Yrs Gender: Female Englewood, PC
Sub Specialty: HIV/AIDs Palisades Medical Center 350 Engle St Fl 6 350 Engle St Ste 5200
22-18 Broadway Ste 103 Languages: Greek Englewood, NJ 07631 Englewood, NJ 76311
Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM (201) 608-2800 (201) 894-3636
(201) 773-8185 PCMH: No 00 Yrs/130 Yrs Fax: (201) 542-2188
Fax: (201) 773-8187 Englewood Hospital and 00 Yrs/130 Yrs
Sports Medicine Medical Center
18 Yrs/130 Yrs Englewood Hospital and
M-F 9:00 AM - 5:00 PM Medical Center
St. Joseph's Hospital Reg
Medical Center Kodery, Chitra DO PCMH: No M-F 9:00 AM - 5:00 PM
Languages: Spanish Provider ID: 1645509 PCMH: No
Brower, Steven MD
MT 10:00 AM - 2:30 PM Gender: Female
PCMH: No University Physicians Militano, Thomas MD
Associates of Provider ID: 1315969
Dixon, Keith MD 230 E Ridgewood Ave Gender: Female Provider ID: 1585471
Provider ID: 1610221 Paramus, NJ 07652 Medical Assocates of Gender: Male
Gender: Male (201) 967-4000 Englewood PC Center For Vein Restoration
Prohealth Care Associates of Fax: (201) 967-4117 22-18 Broadway Ste 301 NJ LLC
New Je 00 Yrs/130 Yrs Fair Lawn, NJ 07410 211 Essex St Ste 403
1 Maywood Ave University Hospital (973) 321-2755 Hackensack, NJ 07601
Maywood, NJ 07607 M-TH 9:00 AM - 5:00 PM Fax: (973) 321-2750 (301) 272-4512
(201) 464-4772 PCMH: No 00 Yrs/130 Yrs Fax: (240) 473-4321
Fax: (201) 464-4758 Englewood Hospital and 00 Yrs/130 Yrs
00 Yrs/130 Yrs Medical Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 154
Updated: 11/26/2018

Specialty Physicians
Bergen
Thoracic & Cardiovascular Christiansen, Keith MD Ghanaat, Mazyar MD Howhannesian, Andranik MD
Surgery - cont. Provider ID: 1637890
Provider ID: 642137 Gender: Male Provider ID: 398208
Wohler, Alexander MD Gender: Male Medical Associates of Gender: Male
Sovereign Medical Group LLC Englewood, PC IPA of North Jersey Inc
Provider ID: 1563704 14-01 Broadway Ste 3 350 Engle St Ste 6530 15-01 Broadway Ste 1
Gender: Male Fair Lawn, NJ 07410 Englewood, NJ 76311 Fair Lawn, NJ 74106
Medical Associates of (201) 791-4544 (201) 608-2800 (201) 703-8487
Englewood, PC Fax: (201) 855-8454 Fax: (201) 608-2478 Fax: (201) 791-6585
350 Engle St 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Englewood, NJ 07631 St. Joseph's Hospital Reg Englewood Hospital and St. Joseph's Hospital Reg
(201) 894-3636 Medical Center Medical Center Medical Center
Fax: (201) 894-3158 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: French, German
00 Yrs/130 Yrs PCMH: No PCMH: No M-TH 9:00 AM - 5:00 PM
Englewood Hospital and F 9:00 AM - 12:00 PM
Medical Center Christiansen, Keith MD Gitlin, Jordan MD PCMH: No
M-F 9:00 AM - 5:00 PM Provider ID: 1580399
PCMH: No Provider ID: 642137 Gender: Male Hsieh, Kuang-Yiao MD
Gender: Male Pediatric Urology Associates Provider ID: 969500
Urology Sovereign Medical Group LLC of New Gender: Male
15-01 Broadway Ste 1 and 3 350 Engle St Ste 5N Essex Hudson Urology PC
Caruso, Robert MD Fair Lawn, NJ 07410 Englewood, NJ 07631 464 Valley Brook Ave Ste 1
Provider ID: 969503 (201) 703-8487 (201) 894-3690 Lyndhurst, NJ 07071
Gender: Male Fax: (201) 791-6585 00 Yrs/130 Yrs (201) 933-0075
Essex Hudson Urology PC 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 933-2665
464 Valley Brook Ave Fl 1B St. Joseph's Hospital Reg PCMH: No 00 Yrs/130 Yrs
Lyndhurst, NJ 07071 Medical Center Clara Maass Medical Center
Gmyrek, Glenn MD Newark Beth Israel Med
(201) 933-0075 M-F 9:00 AM - 5:00 PM
Fax: (201) 372-0280 PCMH: No Center
00 Yrs/130 Yrs Provider ID: 685407 St Michael's Medical Center
Clara Maass Medical Center Franzoni, David MD Gender: Male M 10:00 AM - 5:45 PM
MT 12:00 AM - 5:00 PM Provider ID: 969476 Sovereign Medical Group LLC PCMH: No
PCMH: No Gender: Male 1124 E Ridgewood Ave Ste 105
Essex Hudson Urology PC Ridgewood, NJ 07450 Lombardo, Salvatore MD
Chang, David MD 464 Valley Brook Ave Fl 1B (973) 956-1555
Provider ID: 688125 Lyndhurst, NJ 07071 Fax: (973) 956-9875 Provider ID: 969505
Gender: Male (201) 933-0075 00 Yrs/130 Yrs Gender: Male
Sovereign Medical Group LLC Fax: (201) 372-0280 Surgicare Surgical Assoc of Essex Hudson Urology PC
15-01 Broadway Ste 1 and 3 00 Yrs/130 Yrs Wayne LLC 464 Valley Brook Ave Fl 1B
Fair Lawn, NJ 07410 Jersey City Medical Center M 1:00 AM - 5:00 PM Lyndhurst, NJ 07071
(201) 791-4544 M 9:00 AM - 1:00 PM T 9:00 AM - 12:00 PM (201) 933-0075
Fax: (201) 791-6585 PCMH: No PCMH: No Fax: (201) 372-0280
00 Yrs/130 Yrs 00 Yrs/130 Yrs
St. Joseph's Hospital Reg Ghanaat, Mazyar MD Clara Maass Medical Center
Medical Center Provider ID: 1637890 Hackettstown Community
Surgicare Surgical Assoc of Gender: Male Hospital DBA Hack
Wayne LLC Medical Associates of University Hospital
Languages: Spanish Englewood, PC M 9:00 AM - 3:00 PM
M 9:00 AM - 5:00 PM 22-18 Broadway Ste 301 T 9:00 AM - 1:00 PM
TWTHF 12:00 AM - 5:00 PM Fair Lawn, NJ 07410 PCMH: No
PCMH: No (973) 321-2755
Fax: (973) 321-2750
00 Yrs/130 Yrs
Englewood Hospital and
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 155
Updated: 11/26/2018

Specialty Physicians
Bergen
Urology - cont. Shulman, Elliot MD Zoretic, Stephen MD Bernik, Thomas MD
Provider ID: 189558
Rosen, Jay MD Gender: Male Provider ID: 683853 Provider ID: 1197636
Provider ID: 713184 163 Engle St Ste 205 Gender: Male Gender: Male
Gender: Male Englewood, NJ 07631 Sovereign Medical Group LLC Medical Associates of
Sovereign Medical Group LLC (201) 871-9009 555 Kinderkamack Rd Ste D Englewood PC
1124 E Ridgewood Ave Ste 105 00 Yrs/130 Yrs Oradell, NJ 07649 Sub Specialty: HIV/AIDs
Ridgewood, NJ 07450 Christ Hospital (201) 834-1890 350 Engle St 2 East
(201) 444-5988 M-F 9:00 AM - 5:00 PM Fax: (201) 834-1898 Englewood, NJ 07631
Fax: (201) 444-0334 PCMH: No 00 Yrs/130 Yrs (201) 894-3689
00 Yrs/130 Yrs Englewood Hospital and Fax: (201) 541-2965
St. Joseph's Hospital Reg Stock, Jeffrey MD Medical Center 00 Yrs/130 Yrs
Medical Center Provider ID: 681737 M 9:00 AM - 1:00 PM MW 8:00 AM - 4:00 PM
Languages: Spanish Gender: Male T 12:00 AM - 4:30 PM T 2:00 AM - 4:00 PM
MWTHF 8:00 AM - 4:00 PM Sovereign Medical Group W 12:00 AM - 4:00 PM PCMH: No
T 8:00 AM - 12:00 PM 1124 E Ringwood Ave Ste 105 TH 12:00 AM - 2:30 PM
PCMH: No Ridgewood, NJ 07450 PCMH: No Elias, Steven MD
(201) 855-8498 Provider ID: 1436527
Rosen, Jay MD Fax: (201) 444-0334 Vascular Medicine Gender: Male
Provider ID: 713184 00 Yrs/130 Yrs Medical Associates of
Gender: Male Newark Beth Israel Med Altschul, Dorothea MD Englewood PC
Sovereign Medical Group LLC Center 22-18 Broadway Ste 301
555 Kinderkamack Rd Ste D Saint Barnabas Medical Provider ID: 945569 Fair Lawn, NJ 07410
Oradell, NJ 07649 Center Livingston Gender: Female (973) 321-2755
(201) 265-8173 M 5:00 AM - 7:00 PM Neurosurgical Assc NJ PC Fax: (973) 321-2750
Fax: (201) 830-2294 PCMH: No 1200 E Ridgewood Ave 200 00 Yrs/130 Yrs
00 Yrs/130 Yrs Ridgewood, NJ 07450 Englewood Hospital and
St. Joseph's Hospital Reg Wu, David MD Medical Center
(201) 327-8600
Medical Center Provider ID: 969494 M-F 9:00 AM - 5:00 PM
Fax: (201) 327-8225
Languages: Spanish Gender: Male PCMH: No
00 Yrs/130 Yrs
MWTHF 8:00 AM - 4:00 PM Essex Hudson Urology PC Languages: Spanish, German
T 8:00 AM - 12:00 PM 464 Valley Brook Ave Fl 1B Elias, Steven MD
M-W 9:00 AM - 5:00 PM
PCMH: No Lyndhurst, NJ 07071 Provider ID: 1436527
PCMH: No
(201) 933-0075 Gender: Male
Schlussel, Richard MD Fax: (201) 372-0280 Vascular Surgery Medical Associates of
Provider ID: 1580401 00 Yrs/130 Yrs Englewood PC
Gender: Male Clara Maass Medical Center Bernik, Thomas MD 350 Engle St
Pediatric Urology Associates St Michael's Medical Center Englewood, NJ 07631
of NJ M 9:00 AM - 6:00 PM (973) 894-3158
Provider ID: 1197636
350 Engle St Ste 5N PCMH: No Fax: (973) 894-0453
Gender: Male
Englewood, NJ 07631 00 Yrs/130 Yrs
Zelkovic, Paul MD Medical Associates of
(201) 894-3690 Englewood PC Englewood Hospital and
00 Yrs/18 Yrs Provider ID: 1580414 Medical Center
Sub Specialty: HIV/AIDs
Englewood Hospital and Gender: Male M-F 9:00 AM - 5:00 PM
22 18 Broadway Ste 301
Medical Center Pediatric Urology Associates PCMH: No
of New Fair Lawn, NJ 07410
M-F 9:00 AM - 5:00 PM
350 Engle St Ste 5N (973) 321-2755
PCMH: No
Englewood, NJ 07631 Fax: (201) 475-5522
(201) 894-3690 00 Yrs/130 Yrs
00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg PCMH: No
Medical Center
M 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 156
Updated: 11/26/2018

Specialty Physicians
Bergen
Vascular Surgery - cont. Shah, Tejas MD
Provider ID: 1441206
Elias, Steven MD Gender: Male
Provider ID: 1436527 Excelcare Medical Associates,
Gender: Male PA
Medical Associates of 83 Summit Ave
Englewood PC Hackensack, NJ 07601
350 Engle St Ste 3 East (201) 646-0010
Englewood, NJ 07631 Fax: (201) 646-0600
(201) 894-3252 00 Yrs/130 Yrs
Fax: (201) 816-8812 Saint Clares Hospital
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Englewood Hospital and PCMH: No
Medical Center
M-F 9:00 AM - 5:00 PM Varma, Shubha MD
PCMH: No
Provider ID: 332951
Impeduglia, Theresa MD Gender: Female
Center For Vein Restoration
Provider ID: 1467542 NJ LLC
Gender: Female 211 Essex St Ste 403
Excelcare Medical Associates Hackensack, NJ 07601
PA (855) 830-8346
718 Teaneck Rd Fax: (201) 488-0204
Teaneck, NJ 07666 00 Yrs/130 Yrs
(201) 646-0010 Palisades Medical Center
Fax: (201) 646-0600 Languages: Hindi
16 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM
Holy Name Medical Center PCMH: No
M 9:00 AM - 5:00 PM
PCMH: No

Impeduglia, Theresa MD

Provider ID: 1467542


Gender: Female
Excelcare Medical Associates
PA
83 Summit Ave
Hackensack, NJ 07601
(201) 646-0010
Fax: (201) 646-0600
16 Yrs/130 Yrs
Holy Name Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 157
Updated: 11/26/2018

Specialty Physicians
Hudson
Allergy & Immunology Klein, Robert MD Li, Wei MD Perlman, Donald MD
Provider ID: 1594916 Provider ID: 765361
Dangelo, Salvatore MD Gender: Male Gender: Female Provider ID: 1565912
Provider ID: 437113 Prohealth Care Associates of Center For Asthma and Gender: Male
Gender: Male NJ Allergy Center For Asthma and
Center For Astham & Allergy 1425 Bloomfield St 617 79th St Allergy
617 79th St Hoboken, NJ 07030 North Bergen, NJ 07047 25 Kensington Ave
North Bergen, NJ 70474 (973) 759-5842 (201) 854-8119 Jersey City, NJ 07304
(201) 854-8119 Fax: (973) 759-0403 Fax: (201) 854-4875 (201) 434-4932
Fax: (201) 854-4875 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 433-8152
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Hoboken University Medical 00 Yrs/130 Yrs
M 1:00 AM - 6:30 PM PCMH: No Center Hoboken University Medical
PCMH: No Languages: Spanish, Chinese, Center
Klein, Robert MD Hindi, Gujarati Saint Barnabas Medical
Golbert, Thomas MD Provider ID: 1594916 MTTH 8:30 AM - 7:00 PM Center Livingston
Provider ID: 438865 Gender: Male W 8:30 AM - 11:00 PM M 10:00 AM - 6:00 PM
Gender: Male Prohealth Care Associates of F 8:30 AM - 5:00 PM T 2:30 AM - 8:30 PM
Center For Asthma and NJ Sat 8:30 AM - 12:30 PM PCMH: No
Allergy 33 Hudson St Liberty Towers PCMH: No
Sub Specialty: HIV/AIDs Jersey City, NJ 07302 Pine, Martin MD
300 Hudson St Ste A (973) 759-5842 Najib, Nabeel MD Provider ID: 1062082
Hoboken, NJ 07030 Fax: (973) 759-0403 Provider ID: 945458 Gender: Male
(201) 792-5900 00 Yrs/130 Yrs Gender: Male Center For Asthma and
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Hudson Pediatrics Allergy
Centra State Medical Center PCMH: No 6914 Jackson St Fl 1 300 Hudson St Ste 300
Raritan Bay Medical Center Guttenberg, NJ 07093 Hoboken, NJ 07030
Perth Amboy Kosinski, Slawomir MD (201) 662-1520 (201) 792-5900
Rwiuh At Hamilton Provider ID: 398227 Fax: (201) 662-8938 Fax: (201) 792-5320
M-F 9:00 AM - 5:00 PM Gender: Male 00 Yrs/130 Yrs 00 Yrs/130 Yrs
PCMH: No Sub Specialty: HIV/AIDs Palisades Medical Center Englewood Hospital and
158 14th St Languages: Spanish, Arabic Medical Center
Golbert, Thomas MD Hoboken, NJ 07030 M-W 10:00 AM - 5:00 PM M 2:00 AM - 6:00 PM
Provider ID: 438865 (973) 754-5780 TH 2:00 AM - 7:00 PM T 2:00 AM - 7:00 PM
Gender: Male Fax: (973) 754-5794 F 9:00 AM - 1:00 PM W 1:00 AM - 7:00 PM
Center For Asthma and 00 Yrs/130 Yrs PCMH: No TH 8:30 AM - 12:00 PM
Allergy St. Joseph's Hospital Reg PCMH: No
Sub Specialty: HIV/AIDs Medical Center Parikh, Sudhir MD
617 79th St Languages: Russian, Polish Provider ID: 438257 Pine, Martin MD
North Bergen, NJ 07047 M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 1062082
(201) 854-8119 PCMH: No Center For Asthma and Gender: Male
00 Yrs/130 Yrs Allergy Center For Asthma and
Centra State Medical Center Kothari, Harish MD 300 Hudson St Ste A Allergy
Raritan Bay Medical Center Provider ID: 943671 Hoboken, NJ 07030 617 79th St
Perth Amboy Gender: Male (201) 792-5900 North Bergen, NJ 07047
Rwiuh At Hamilton Harish B Kothari Fax: (201) 792-5320 (201) 854-8119
M-F 9:00 AM - 5:00 PM 591 Summit Ave 405 00 Yrs/130 Yrs 00 Yrs/130 Yrs
PCMH: No Jersey City, NJ 07306 Christ Hospital Englewood Hospital and
(201) 418-9100 East Orange General Hospital Medical Center
Fax: (201) 418-0989 Robert Wood Johnson M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs University Hospital PCMH: No
JFK Medical Center Languages: Urdu
Languages: Spanish, Hindi, M-F 9:00 AM - 5:00 PM
Gujarati PCMH: No
M 2:00 AM - 7:00 PM
T 12:00 AM - 7:00 PM
W 10:00 AM - 1:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 158
Updated: 11/26/2018

Specialty Physicians
Hudson
Allergy & Immunology - Weinstein, Mark MD Ahmad, Muhammad MD Ameen, Abdul MD
cont. Provider ID: 943567
Provider ID: 1649759 Provider ID: 1594832 Gender: Male
Thomas, Kathleen MD Gender: Male Gender: Male 377 Jersey Ave Ste 410
Provider ID: 946658 Prohealth Care Associates of Prohealth Care Associates of Jersey City, NJ 07302
Gender: Female New Je NJ (201) 200-0318
206 Bergen Ave 202 33 Hudson St Liberty Towers 2440 John F Kennedy Blvd Fax: (201) 200-0319
Kearny, NJ 07032 Jersey City, NJ 07302 Jersey City, NJ 07304 18 Yrs/130 Yrs
(201) 246-7500 (973) 759-5842 (201) 433-3316 Jersey City Medical Center
Fax: (201) 246-7501 Fax: (201) 469-0045 Fax: (201) 433-0185 Languages: Spanish, Persian -
03 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Farsi, Tagalog
Clara Maass Medical Center Clara Maass Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Trinitas Regional Medical Cent Newton Medical Center PCMH: No PCMH: No
M-W 9:00 AM - 5:00 PM Saint Barnabas Medical
PCMH: No Center Livingston Ahmad, Muhammad MD Asif, Mohammad MD
M-F 9:00 AM - 5:00 PM
Varghese, Mathew MD PCMH: No Provider ID: 1594832 Provider ID: 973586
Gender: Male Gender: Male
Provider ID: 786699
Cardiac Electrophysiology Prohealth Care Associates of Essex Hudson Cardiology
Gender: Male NJ Associates
Ahmad, Ahsanuddin MD 324 Palisades Ave Sub Specialty: HIV/AIDs
Northern Valley Allergy
Asthma Sin Jersey City, NJ 07307 672 Broadway
8901 Kennedy Blvd 4SW Provider ID: 1156799 (201) 656-0001 Bayonne, NJ 07002
North Bergen, NJ 07047 Gender: Male Fax: (201) 656-0093 (201) 339-3710
(201) 374-1718 Total Cardiology Care 00 Yrs/130 Yrs Fax: (201) 339-1611
Fax: (201) 374-1719 120 Franklin St M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs
00 Yrs/130 Yrs Jersey City, NJ 07307 PCMH: No Bayonne Medical Center
Englewood Hospital and (201) 601-3999 Newark Beth Israel Med
Medical Center Fax: (201) 216-1362 Ahmad, Muhammad MD Center
Holy Name Medical Center 18 Yrs/130 Yrs Languages: Spanish, Russian,
Palisades Medical Center Childrens Ambulatory Surgery Provider ID: 1594832 Urdu, Punjabi
Languages: Spanish, Center of NJ Gender: Male M-F 9:00 AM - 5:00 PM
Malayalam St. Joseph's Hospital Reg Prohealth Care Associates of PCMH: No
M-W 10:00 AM - 6:30 PM Medical Center NJ
THF 9:00 AM - 6:30 PM Languages: Hindi, Urdu Barber, Nathaniel MD
425 70th St
Sat 9:00 AM - 2:00 PM M-F 9:00 AM - 5:30 PM Guttenberg, NJ 07093
PCMH: No PCMH: No (201) 854-0055 Provider ID: 975207
Fax: (973) 483-9944 Gender: Male
Weinstein, Mark MD Cardiology 377 Jersey Ave Ste 460
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Jersey City, NJ 07302
Provider ID: 1649759 Ahmad, Ahsanuddin MD (201) 332-4110
PCMH: No
Gender: Male Fax: (201) 332-4122
Prohealth Care Associates of Provider ID: 1156799 Ahmad, Muhammad MD 18 Yrs/130 Yrs
New Je Gender: Male Christ Hospital
1425 Bloomfield St Total Cardiology Care Provider ID: 1594832 Languages: Spanish
Hoboken, NJ 07030 120 Franklin St Gender: Male M 10:00 AM - 12:00 PM
(973) 759-5842 Jersey City, NJ 07307 Prohealth Care Associates of TW 12:00 AM - 7:00 PM
Fax: (973) 759-0403 (201) 601-3999 NJ PCMH: No
00 Yrs/130 Yrs Fax: (201) 216-1362 506 Broadway
Clara Maass Medical Center 18 Yrs/130 Yrs Bayonne, NJ 07002
Newton Medical Center Childrens Ambulatory Surgery (201) 991-8565
Saint Barnabas Medical Center of NJ Fax: (201) 535-5601
Center Livingston St. Joseph's Hospital Reg 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No Languages: Hindi, Urdu
PCMH: No
M-F 9:00 AM - 5:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 159
Updated: 11/26/2018

Specialty Physicians
Hudson
Cardiology - cont. Brar, Navtej DO Costomiris, Robert MD Dailey-Sterling, Felix MD
Provider ID: 945991 Provider ID: 946021
Benz, Michael MD Gender: Male Gender: Male Provider ID: 1281425
Provider ID: 490065 Bayonne Medical Center Garden State Healthcare Gender: Male
Gender: Male 29 E 29th St 29 E 29th St Sks Vascular Center
Advanced Cardiac Care LLC Bayonne, NJ 07002 Bayonne, NJ 07002 427 70th St
142 Palisade Ave Ste 215 (201) 855-5000 (201) 858-5000 Guttenberg, NJ 07093
Jersey City, NJ 07306 Fax: (201) 858-7322 18 Yrs/130 Yrs (201) 854-0055
(201) 222-1170 18 Yrs/130 Yrs Hoboken University Medical Fax: (201) 758-1300
Fax: (201) 222-1159 Overlook Hospital Center 00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: Spanish Languages: Spanish St Francis Medical Center
Bayonne Medical Center M-F 9:00 AM - 5:00 PM M-F 2:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM
Christ Hospital PCMH: No PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No Chaaban, Fadi MD Costomiris, Robert MD Damle, Jagadish MD
Provider ID: 1549472 Provider ID: 946021 Provider ID: 946025
Brar, Navtej DO Gender: Male Gender: Male Gender: Male
Provider ID: 1333329 West Hudson Pulmonary Garden State Healthcare Bayonne Medical Center
Gender: Male Associates 308 Willow Ave 29 E 29th St
Summit Medical Ares 816 Kearny Ave Hoboken, NJ 07030 Bayonne, NJ 07002
Associates LLC Kearny, NJ 07032 (201) 418-1000 (201) 858-5000
9225 Kennedy Blvd (201) 991-8524 18 Yrs/130 Yrs 18 Yrs/130 Yrs
North Bergen, NJ 07047 Fax: (201) 991-8524 Hoboken University Medical Hoboken University Medical
(201) 453-2800 00 Yrs/130 Yrs Center Center
Fax: (201) 453-0182 Clara Maass Medical Center Languages: Spanish Languages: Spanish
16 Yrs/130 Yrs St Michael's Medical Center M-F 9:00 AM - 1:00 PM M-F 1:00 AM - 5:00 PM
Overlook Hospital M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No Dailey Sterling, Felix MD Damle, Jagadish MD
Cohen, Michael MD Provider ID: 946025
Brar, Navtej DO Provider ID: 1608963 Gender: Male
Provider ID: 1333329 Provider ID: 912230 Gender: Male Hoboken Univ Medical
Gender: Male Gender: Male Prohealth Care Associates of Center
Summit Medical Arts Mulkay Cardiology New Je 308 Willow Ave
Associates LLC Consultants At Ho 425 70th St Hoboken, NJ 07030
1265 Paterson Plank Rd Fl 1 - Sub Specialty: HIV/AIDs Guttenberg, NJ 07093 (201) 418-1000
Ste 1-A 529 39th St (201) 854-0055 18 Yrs/130 Yrs
Secaucus, NJ 07094 Union City, NJ 07087 Fax: (201) 854-2633 Hoboken University Medical
(201) 348-8828 (201) 601-0900 16 Yrs/130 Yrs Center
16 Yrs/130 Yrs Fax: (201) 601-0955 St Michael's Medical Center Languages: Spanish
Overlook Hospital 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM Holy Name Medical Center PCMH: No PCMH: No
PCMH: No Palisades Medical Center
M-F 9:00 AM - 6:00 PM Dailey Sterling, Felix MD Daoko, Joseph MD
Brar, Navtej DO PCMH: No Provider ID: 644096
Provider ID: 1333329 Provider ID: 1608963 Gender: Male
Gender: Male Gender: Male Emad Jacob MD PC
Summit Medical Arts Prohealth Care Associates of 837 Kearny Ave
Associates LLC New Je Kearny, NJ 07032
1265 Paterson Plank Rd Fl 1 - 427 70th St (201) 772-5211
Ste 2D Guttenberg, NJ 07093 Fax: (201) 428-1627
Secaucus, NJ 07094 (201) 854-0055 00 Yrs/130 Yrs
(201) 216-3055 Fax: (201) 758-1300 Bergen Regional Medical
Fax: (201) 499-0261 16 Yrs/130 Yrs Center
16 Yrs/130 Yrs St Michael's Medical Center M-F 9:00 AM - 5:00 PM
Overlook Hospital M-F 9:00 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 160
Updated: 11/26/2018

Specialty Physicians
Hudson
Cardiology - cont. Gabelman, Mark MD Gadhvi, Pragnesh MD Gadvhi, Pragnesh MD
Provider ID: 973336
Dungo, Joven MD Gender: Male Provider ID: 356119 Provider ID: 1451606
Provider ID: 1343228 Sub Specialty: HIV/AIDs Gender: Male Gender: Male
Gender: Male 7600 River Rd Fl 4 Hudson County Bhmg - Hudson Card
Dr Dungo Associates PC North Bergen, NJ 07047 Cardiovascular Care P 129 Newark Ave
205 9th St (201) 710-2768 130 Bentley Ave Jersey City, NJ 07302
Jersey City, NJ 07302 18 Yrs/100 Yrs Jersey City, NJ 07304 (201) 792-1600
(201) 653-1144 Palisades Medical Center (201) 792-1600 Fax: (201) 499-7651
Fax: (201) 653-6104 M-F 9:00 AM - 5:00 PM Fax: (201) 499-7651 00 Yrs/130 Yrs
12 Yrs/130 Yrs PCMH: No 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Christ Hospital Christ Hospital PCMH: No
Jersey City Medical Center Gabelman, Mark MD Jersey City Medical Center
M-TH 10:00 AM - 6:00 PM Provider ID: 973336 Languages: Spanish, Hindi, Gadvhi, Pragnesh MD
PCMH: No Gender: Male Gujarati
Palisades Medical Assoc M 9:00 AM - 12:00 PM Provider ID: 1451606
Faraz, Haroon MD Sub Specialty: HIV/AIDs PCMH: No Gender: Male
Provider ID: 919200 1 Marine Plz Ste 206 Bhmg - Hudson Card
Gender: Male North Bergen, NJ 07047 Gadhvi, Pragnesh MD 130 Bentley Ave
Essex Hudson Cardiology (201) 710-2770 Jersey City, NJ 07302
Associates Fax: (201) 758-2742 Provider ID: 356119 (201) 792-1600
Sub Specialty: HIV/AIDs 18 Yrs/100 Yrs Gender: Male 00 Yrs/130 Yrs
308 Willow Ave Palisades Medical Center Hudson County M-F 9:00 AM - 5:00 PM
Hoboken, NJ 07030 M-F 9:00 AM - 5:00 PM Cardiovascular Care P PCMH: No
(973) 926-8592 PCMH: No 500 Summit Ave
18 Yrs/130 Yrs Union City, NJ 07087 Gadvhi, Pragnesh MD
Bayonne Medical Center Gadhvi, Pragnesh MD (201) 792-1600
Hoboken University Medical Fax: (201) 499-7651 Provider ID: 1451606
Center Provider ID: 356119 18 Yrs/130 Yrs
Newark Beth Israel Med Gender: Male
Gender: Male Christ Hospital Bhmg - Hudson Card
Center Jersey City Medical Center
Hudson County 500 Summit Ave
Languages: Spanish, French, Languages: Spanish, Hindi,
Cardiovascular Care P Union City, NJ 07087
Hindi, Urdu Gujarati
129 Newark Ave (201) 792-1600
M-F 8:00 AM - 5:00 PM MT 1:00 AM - 5:00 PM
Jersey City, NJ 07302 Fax: (201) 499-7651
PCMH: No PCMH: No
(201) 792-1600 00 Yrs/130 Yrs
Faraz, Haroon MD Fax: (201) 499-7651 M-F 9:00 AM - 5:00 PM
Gadhvi, Pragnesh MD
Provider ID: 946055 18 Yrs/130 Yrs PCMH: No
Gender: Male Christ Hospital
Jersey City Medical Center Provider ID: 356119 Gadvhi, Pragnesh MD
Christ Hospital Gender: Male
Languages: Spanish, Hindi,
176 Palisade Ave Hudson County
Gujarati
Jersey City, NJ 07306 Cardiovascular Care P Provider ID: 1451606
M 2:00 AM - 5:00 PM
(201) 795-8200 714-716 Broadway Gender: Male
T 9:00 AM - 1:00 PM
18 Yrs/130 Yrs Bayonne, NJ 07002 Bhmg - Hudson Card
W 9:00 AM - 12:00 PM
Bayonne Medical Center (201) 858-4900 714-716 Broadway
PCMH: No
Hoboken University Medical Fax: (201) 499-7651 Bayonne, NJ 07002
Center (201) 858-4900
18 Yrs/130 Yrs
Newark Beth Israel Med Fax: (201) 499-7651
Center Christ Hospital
Jersey City Medical Center 00 Yrs/130 Yrs
Languages: Spanish M-F 9:00 AM - 5:00 PM
Languages: Spanish, Hindi,
MT 9:00 AM - 5:00 PM PCMH: No
Gujarati
PCMH: No M 9:00 AM - 5:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 161
Updated: 11/26/2018

Specialty Physicians
Hudson
Cardiology - cont. Grandhi, Sreeram MD Grandhi, Sreeram MD Katdare, Umesh MD

Gadvhi, Pragnesh MD Provider ID: 1051983 Provider ID: 1451607 Provider ID: 1639603
Gender: Male Gender: Male Gender: Male
Provider ID: 1451606 Hudson County Bhmg - Hudson Card Prohealth Care Associates of
Gender: Male Cardiovascular Care P 714-716 Broadway NJ
Bhmg - United Medical 500 Summit Ave Bayonne, NJ 07002 427 70th St
988 Broadway Ste 201 Union City, NJ 07087 (201) 858-4900 Guttenberg, NJ 07093
Bayonne, NJ 07002 (201) 792-1600 Fax: (201) 499-7651 (201) 854-0055
(201) 339-6111 Fax: (201) 499-7651 00 Yrs/130 Yrs Fax: (973) 483-9944
Fax: (201) 499-7651 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs Jersey City Medical Center PCMH: No M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish PCMH: No
PCMH: No M-W 9:00 AM - 1:00 PM Grandhi, Sreeram MD
TH 9:00 AM - 5:00 PM Khalid, Khaula MD
Grandhi, Sreeram MD PCMH: No Provider ID: 1451607 Provider ID: 1594910
Gender: Male Gender: Female
Provider ID: 1051983 Grandhi, Sreeram MD Bhmg - United Medical Prohealth Care Associates of
Gender: Male 988 Broadway Ste 201 NJ
Hudson County Provider ID: 1451607 Bayonne, NJ 07002 1425 Bloomfield St
Cardiovascular Care P Gender: Male (201) 339-6111 Hoboken, NJ 07030
129 Newark Ave Fl 1 Bhmg - Hudson Card Fax: (201) 339-6333 (973) 759-5842
Jersey City, NJ 07302 129 Newark Ave Fl 1 00 Yrs/130 Yrs Fax: (973) 759-0403
(201) 451-8867 Jersey City, NJ 07302 M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs
Fax: (201) 451-2819 (201) 451-8867 PCMH: No M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs Fax: (201) 451-2819 PCMH: No
Jersey City Medical Center 00 Yrs/130 Yrs Inguaggiato, Anthony MD
Languages: Spanish M-F 9:00 AM - 5:00 PM Khalid, Khaula MD
M 2:00 AM - 6:00 PM PCMH: No Provider ID: 946012 Provider ID: 1594910
PCMH: No Gender: Male Gender: Female
Grandhi, Sreeram MD Anthony Inguaggiato MD LLC Prohealth Care Associates of
Grandhi, Sreeram MD NJ
4302 Palisade Ave Ste 1
Provider ID: 1451607 432 Broadway
Union City, NJ 07087
Provider ID: 1051983 Gender: Male Bayonne, NJ 07002
(201) 863-5673
Gender: Male Bhmg - Hudson Card (201) 865-2050
Fax: (201) 863-1372
Hudson County 130 Bentley Ave Fax: (201) 991-2408
18 Yrs/130 Yrs
Cardiovascular Care P Jersey City, NJ 07302 12 Yrs/130 Yrs
Palisades Medical Center
130 Bentley Ave (201) 792-1600 M-F 9:00 AM - 5:00 PM
Languages: Spanish
Jersey City, NJ 07304 Fax: (201) 499-7651 PCMH: No
M-W 9:00 AM - 7:00 PM
(201) 792-1600 00 Yrs/130 Yrs PCMH: No Khalid, Khaula MD
Fax: (201) 499-7651 M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs Javed, Mohammad MD Provider ID: 1594910
PCMH: No
Jersey City Medical Center Gender: Female
Provider ID: 943570
Languages: Spanish Grandhi, Sreeram MD Prohealth Care Associates of
Gender: Male NJ
M 12:00 AM - 5:00 PM Cardiovascular Associates 714 Tenth St
PCMH: No Provider ID: 1451607 377 Jersey Ave 410 Secaucus, NJ 07094
Gender: Male Jersey City, NJ 07302 (201) 865-2050
Bhmg - Hudson Card (201) 200-0318 Fax: (201) 865-0015
500 Summit Ave Fax: (201) 200-0319 12 Yrs/130 Yrs
Union City, NJ 07087 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 792-1600 Jersey City Medical Center PCMH: No
Fax: (201) 499-7651 M-F 9:00 AM - 7:00 PM
00 Yrs/130 Yrs PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 162
Updated: 11/26/2018

Specialty Physicians
Hudson
Cardiology - cont. Kyreakakis, Anthony MD Mathew, Alexander MD Mulkay, Angel MD
Provider ID: 946140 Provider ID: 923190
Kohan, Feraydoon MD Gender: Male Provider ID: 1433421 Gender: Male
308 Willow Ave Gender: Male Mulkay Cardiology
Provider ID: 424346 Hoboken, NJ 07030 Bhmg - United Medical Consultants At Ho
Gender: Male (201) 418-1000 988 Broadway 529 39th St Ste 1
Feraydoon Kohan MD LLC 18 Yrs/130 Yrs Bayonne, NJ 07002 Union City, NJ 07087
Sub Specialty: HIV/AIDs Hoboken University Medical (201) 339-6111 (201) 601-0900
550 Newark Ave Ste 301 A Center Fax: (201) 339-6333 Fax: (201) 601-0995
Jersey City Medical Center 18 Yrs/130 Yrs
Jersey City, NJ 07306 00 Yrs/130 Yrs
Languages: Spanish, Greek Palisades Medical Center
(201) 222-9900 East Orange General Hospital
M-F 9:00 AM - 5:00 PM Saint Barnabas Medical Languages: Spanish
Fax: (201) 222-9929
PCMH: No Center Livingston M-F 10:00 AM - 6:00 PM
05 Yrs/130 Yrs
Languages: Spanish St Michael's Medical Center PCMH: No
Kyreakakis, Anthony MD M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:30 PM
PCMH: No PCMH: No Nadiminti, Sheila MD
Provider ID: 946140
Kyreakakis, Anthony MD Gender: Male Mazza, Victor MD Provider ID: 1430988
Provider ID: 943821 Garden State Healthcare Provider ID: 1594938 Gender: Female
Associates Gender: Male Bhmg - United Medical
Gender: Male
176 Palisade Ave Prohealth Care Associates of 988 Broadway Ste 201
308 Willow Ave
Jersey City, NJ 07306 NJ Bayonne, NJ 07002
Hoboken, NJ 07030
(201) 795-8200 324 Palisades Ave (201) 339-6111
(201) 418-1000
Fax: (201) 795-8746 Jersey City, NJ 07307 Fax: (201) 339-6333
16 Yrs/130 Yrs
18 Yrs/130 Yrs (201) 656-0001 00 Yrs/130 Yrs
Hoboken University Medical
Center Hoboken University Medical Fax: (201) 656-0093 Jersey City Medical Center
Jersey City Medical Center Center 00 Yrs/130 Yrs Saint Barnabas Medical
Jersey City Medical Center M-F 9:00 AM - 5:00 PM Center Livingston
Languages: Spanish, Greek
Languages: Spanish, Greek PCMH: No St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM
MT 9:00 AM - 5:00 PM Medical Center
PCMH: No
PCMH: No Mazza, Victor MD M-F 9:00 AM - 5:00 PM
Kyreakakis, Anthony MD Provider ID: 1594938 PCMH: No
Leon, Robert MD
Provider ID: 943821 Gender: Male
Provider ID: 326873 Obeleniene, Rimvida MD
Gender: Male Prohealth Care Associates of
Gender: Male NJ
604 Willow Ave 308 Willow Ave
Hoboken, NJ 07030 425 70th St Provider ID: 1028640
Hoboken, NJ 07030 Guttenberg, NJ 07093
(201) 659-3311 Gender: Female
(201) 418-1000 (201) 854-0055
Fax: (201) 795-0924 New Jersey Medical and
18 Yrs/130 Yrs Fax: (201) 854-2633 Health Assoc
16 Yrs/130 Yrs Languages: Spanish
Hoboken University Medical 00 Yrs/130 Yrs 176 Palisade Ave
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Jersey City, NJ 07306
Center PCMH: No PCMH: No (201) 475-5050
Jersey City Medical Center
Languages: Spanish, Greek Fax: (201) 475-5522
Leon, Robert MD Mazza, Victor MD
M-W 12:00 AM - 6:00 PM 00 Yrs/130 Yrs
Provider ID: 326873 Provider ID: 1594938
PCMH: No St. Joseph's Hospital Reg
Gender: Male Gender: Male Medical Center
Robert J Leon MD PC Prohealth Care Associates of Languages: Spanish, Russian,
129 Washington St Ste 401 NJ Lithuanian
Hoboken, NJ 07030 427 70th St M-F 9:00 AM - 5:00 PM
(201) 610-1535 Guttenberg, NJ 07093 PCMH: No
Fax: (201) 610-1578 (201) 854-0055
18 Yrs/130 Yrs Fax: (973) 483-9944
Languages: Spanish 00 Yrs/130 Yrs
M-W 12:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 163
Updated: 11/26/2018

Specialty Physicians
Hudson
Cardiology - cont. Raza, Jaffar MD Richard, Merwin MD Saleh, Rany DO
Provider ID: 1645080 Provider ID: 1457340
Patel, Sunil MD Gender: Male Provider ID: 469444 Gender: Male
Provider ID: 1171521 Prohealth Care Associates of Gender: Male Your Heart Doc
Gender: Male New Je Advanced Garden State 50 Christopher Columbus Dr
Horizon Health Center 2440 John F Kennedy Blvd Cardiology Ste 2105
115 Christopher Columbus Dr Jersey City, NJ 07304 433 60th St Fl 1 Jersey City, NJ 07302
Jersey City, NJ 07302 (201) 433-7817 West New York, NJ 07093 (973) 371-3166
(201) 451-6300 Fax: (201) 433-6044 (201) 770-9995 Fax: (201) 222-7512
12 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 770-9996 00 Yrs/130 Yrs
Bayonne Medical Center M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Bayonne Medical Center
Christ Hospital PCMH: No M-F 8:00 AM - 5:00 PM Christ Hospital
Saint Barnabas Medical PCMH: No Hoboken University Medical
Center Livingston Raza, Jaffar MD Center
M-F 9:00 AM - 5:00 PM Provider ID: 1645080 Richard, Merwin MD MT 8:00 AM - 6:00 PM
PCMH: No Gender: Male Provider ID: 469444 W 8:30 AM - 6:30 PM
Prohealth Care Associates of Gender: Male PCMH: No
Patel, Sunil MD New Je Advanced Garden State
Provider ID: 1171521 255 State Rt 3 Cardiology Sandhu, Mohammad MD
Gender: Male Secaucus, NJ 07094 550 Newark Ave Ste 307
Horizon Health Center (201) 392-1866 Jersey City, NJ 07306 Provider ID: 414040
714 Bergen Ave Fax: (201) 392-1867 (201) 418-9111 Gender: Male
Jersey City, NJ 07306 00 Yrs/130 Yrs Fax: (201) 418-9118 Essex Hudson Cardiology
(201) 451-6300 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Associates
12 Yrs/130 Yrs PCMH: No M-F 8:00 AM - 5:00 PM 308 Willow Ave
Bayonne Medical Center PCMH: No Hoboken, NJ 07030
Christ Hospital Raza, Jaffar MD (973) 926-8592
Saint Barnabas Medical Provider ID: 1645080 Rubinstein, Hector MD 16 Yrs/130 Yrs
Center Livingston Gender: Male Languages: Urdu
M-F 9:00 AM - 5:00 PM Prohealth Care Associates of M-F 9:00 AM - 5:00 PM
Provider ID: 422817
PCMH: No New Je PCMH: No
Gender: Male
324 Palisade Ave Hector T Rubinstein MD PA
Patel, Sunil MD Jersey City, NJ 07307 Sandhu, Mohammad MD
4512 Kennedy Blvd
Provider ID: 392430 (201) 656-0001 Union City, NJ 07087
Gender: Male Fax: (201) 656-0093 Provider ID: 414040
(201) 348-4442
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs Gender: Male
Fax: (201) 348-4475
377 Jersey Ave Ste 230 M-F 9:00 AM - 5:00 PM Essex Hudson Cardiology
00 Yrs/130 Yrs
Jersey City, NJ 07302 PCMH: No Associates
Bayonne Medical Center
(201) 332-1102 672 Broadway
Christ Hospital
Fax: (201) 332-1105 Richard, Merwin MD Jersey City Medical Center Bayonne, NJ 07002
12 Yrs/130 Yrs Provider ID: 469444 Languages: Spanish (201) 339-3710
East Orange General Hospital Gender: Male M-F 9:00 AM - 5:00 PM Fax: (201) 339-1611
M-F 9:00 AM - 5:00 PM Advanced Garden State PCMH: No 16 Yrs/130 Yrs
PCMH: No Cardiology Languages: Urdu
3916 Kennedy Blvd Fl 1 M-F 9:00 AM - 5:00 PM
Patel, Vinod MD Union City, NJ 07087 PCMH: No
Provider ID: 1707111 (201) 624-1877
Gender: Male Fax: (201) 624-1879
New Jersey Medical and 00 Yrs/130 Yrs
Health Assoc M-F 8:00 AM - 5:00 PM
4522 Kennedy Blvd PCMH: No
Union City, NJ 07087
(201) 795-8896
Fax: (201) 418-7067
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 164
Updated: 11/26/2018

Specialty Physicians
Hudson
Cardiology - cont. Shah, Anuj MD Shah, Deepak MD Williams, Raashan MD
Provider ID: 1181442 Provider ID: 788379 Provider ID: 537510
Santana, Jose MD Gender: Male Gender: Male Gender: Male
Provider ID: 1645316 Mulkay Cardiology Deepak Shah MD PA Raashan C Williams MD FACS
Gender: Male Consultants At Ho 143 Palisade Ave Fscai
Prohealth Care Associates of 550 Summit Ave Jersey City, NJ 07306 3196 John F Kennedy Blvd
New Je Jersey City, NJ 07306 (201) 792-2727 Union City, NJ 07087
425 70th St (201) 209-1802 Fax: (201) 653-3420 (201) 758-8000
Guttenberg, NJ 07093 Fax: (201) 604-7764 12 Yrs/130 Yrs Fax: (201) 758-8003
(201) 854-0055 18 Yrs/130 Yrs Christ Hospital 00 Yrs/130 Yrs
Fax: (201) 854-2633 Holy Name Medical Center Jersey City Medical Center Bayonne Medical Center
00 Yrs/130 Yrs M 2:00 AM - 4:30 PM M 9:00 AM - 1:00 PM Christ Hospital
Hoboken University Medical PCMH: No TTH 1:00 AM - 7:00 PM Jersey City Medical Center
Center W 1:00 AM - 6:00 PM Languages: Spanish
St Michael's Medical Center Shah, Anuj MD F 1:30 AM - 1:00 PM MW 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 1403825 PCMH: No TTHF 9:00 AM - 5:30 PM
PCMH: No Gender: Male PCMH: No
Summit Medical Arts Sullivan, Gregory MD
Santana, Jose MD Associates LLC Wong, Peter MD
Provider ID: 1645316 1265 Paterson Plank Rd Fl 1 Ste Provider ID: 1714791 Provider ID: 946224
Gender: Male 1-A Gender: Male Gender: Male
Prohealth Care Associates of Secaucus, NJ 07094 Vytaliz Medical Bayonne Medical Center
New Je (201) 348-8828 89 Hudson St Fl 2 29 E 29th St
427 70th St Fax: (201) 348-0026 Hoboken, NJ 07030 Bayonne, NJ 07002
Guttenberg, NJ 07093 18 Yrs/110 Yrs (201) 205-2628 (201) 858-5000
(201) 854-0055 Holy Name Medical Center Fax: (844) 750-6904 Fax: (201) 858-7322
Fax: (973) 483-9944 Palisades Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs MTTH 9:00 AM - 5:00 PM Prime Health Services-St Bayonne Medical Center
Hoboken University Medical W 10:00 AM - 6:30 PM Marys Hospital Newark Beth Israel Med
Center F 9:00 AM - 4:30 PM M-F 9:00 AM - 5:00 PM Center
St Michael's Medical Center Sat 9:00 AM - 1:00 PM Languages: Spanish
PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No M-W 9:00 AM - 5:00 PM
PCMH: No Sullivan, Gregory MD PCMH: No
Shah, Anuj MD
Shah, Anuj MD Provider ID: 1403825 Wong, Peter MD
Provider ID: 1714795
Provider ID: 1181442 Gender: Male Provider ID: 946224
Gender: Male
Gender: Male Summit Medical Arts Gender: Male
Vytaliz Medical
Mulkay Cardiology Associates LLC Hoboken Univ Med Center
Consultants At Ho 89 Hudson St Fl 2
1265 Paterson Plank Rd Fl 1 Ste Hoboken, NJ 07030 308 Willow Ave
529 39th St Ste 1 2-D Hoboken, NJ 07030
Union City, NJ 07087 (201) 205-2628
Secaucus, NJ 07094 (201) 418-1000
(201) 601-0900 Fax: (844) 750-6904
(201) 348-8828 00 Yrs/130 Yrs
Fax: (201) 601-0995 00 Yrs/130 Yrs
Fax: (201) 348-0026 Bayonne Medical Center
18 Yrs/130 Yrs Prime Health Services-St
18 Yrs/110 Yrs Newark Beth Israel Med
Marys Hospital
Holy Name Medical Center Holy Name Medical Center Center
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 6:00 PM Palisades Medical Center Languages: Spanish
PCMH: No
PCMH: No MTTH 9:00 AM - 5:00 PM MT 9:00 AM - 5:00 PM
W 10:00 AM - 6:30 PM PCMH: No
F 9:00 AM - 4:30 PM
Sat 9:00 AM - 1:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 165
Updated: 11/26/2018

Specialty Physicians
Hudson
Cardiology - cont. Child Neurology Lastra, Carlos MD Salam, Misbah MD
Provider ID: 1059707 Provider ID: 1430630
Wong, Peter MD Chaaban, Janti MD Gender: Male Gender: Male
Provider ID: 946224 Provider ID: 1653114 Saint Peters Healthcare Njch Neuro
Gender: Male Gender: Female System Phys 16 E 29th St
Peter Wong MD Hudson Pediatric Neurology 5 Marine View Plz Bayonne, NJ 07002
1 Journal Square Plz 2nd Fl Center Hoboken, NJ 07030 (973) 926-7300
Jersey City, NJ 07306 33-41 Newark St Ste 4C (732) 565-5487 00 Yrs/130 Yrs
(201) 217-7999 Hoboken, NJ 07030 Fax: (732) 214-0314 Newark Beth Israel Med
Fax: (201) 217-7997 (201) 891-2938 00 Yrs/18 Yrs Center
00 Yrs/130 Yrs Fax: (201) 533-0223 Saint Peter's University M-F 9:00 AM - 5:00 PM
Bayonne Medical Center 00 Yrs/21 Yrs Hospital PCMH: No
Newark Beth Israel Med M-F 8:30 AM - 4:30 PM Languages: Spanish,
Center PCMH: No Portuguese Segal, Eric MD
Languages: Spanish M-F 9:00 AM - 5:00 PM Provider ID: 797263
MT 9:00 AM - 5:00 PM Chaaban, Janti MD PCMH: No Gender: Male
PCMH: No Provider ID: 989443 Epilepsy and Neurophysiology
Gender: Female Paolicchi, Juliann MD Medica
Zakir, Ramzan MD Saint Peters Healthcare Provider ID: 1104287 377 Jersey Ave Ste 440
Provider ID: 946228 System Phys Gender: Female Jersey City, NJ 07302
Gender: Male 5 Marine View Plz Epilepsy and Neurophysiology (201) 343-6670
Bayonne Medical Center Hoboken, NJ 07030 Medica 00 Yrs/130 Yrs
29 E 29th St (732) 339-7870 377 Jersey Ave Ste 440 Holy Name Medical Center
Bayonne, NJ 07002 Fax: (201) 620-3121 Jersey City, NJ 07302 Languages: Spanish
(201) 858-5000 00 Yrs/18 Yrs (201) 343-6670 PCMH: No
Fax: (201) 858-7322 Saint Peter's University 00 Yrs/18 Yrs
18 Yrs/130 Yrs Hospital Morristown Memorial Surgan, Victoria MD
Robert Wood Johnson M-F 8:30 AM - 5:00 PM Hospital
University Hospital PCMH: No PCMH: No Provider ID: 989468
Languages: Spanish Gender: Female
M-W 9:00 AM - 5:00 PM Hashim, Anjum MD Paolicchi, Juliann MD Saint Peters Healthcare
PCMH: No System Phys
Provider ID: 1566589 Provider ID: 1104287 5 Marine View Plz
Cardiovascular Surgery Gender: Female Gender: Female Hoboken, NJ 07030
Nbimc Chonj Physicians Epilepsy and Neurophysiology (732) 565-5487
Lakhanpal, Sanjiv MD Group Medica Fax: (732) 214-0314
16 E 29th St 59 Washington St Fl 1 Ground 00 Yrs/18 Yrs
Provider ID: 1059523 Bayonne, NJ 07002 Level Saint Peter's University
Gender: Male (973) 926-7300 Hoboken, NJ 07030 Hospital
Center For Vein Restoration 00 Yrs/21 Yrs (201) 343-6670 Languages: Russian
NJ LLC Newark Beth Israel Med Fax: (201) 608-6970 M-F 9:00 AM - 5:00 PM
8901 Kennedy Blvd Ste 3E Center 00 Yrs/18 Yrs PCMH: No
North Bergen, NJ 07047 M-F 9:00 AM - 5:00 PM Morristown Memorial
(855) 830-8346 PCMH: No Hospital Venkat, Anu MD
Fax: (240) 473-4321 M-F 9:00 AM - 5:00 PM Provider ID: 1106375
00 Yrs/130 Yrs PCMH: No Gender: Female
Monmouth Medical Center Saint Peters Healthcare
M-F 8:00 AM - 5:00 PM System
PCMH: No 5 Marine View Plz
Hoboken, NJ 07030
(201) 620-3120
Fax: (201) 620-3121
00 Yrs/18 Yrs
Saint Peter's University
Hospital
M-F 8:30 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 166
Updated: 11/26/2018

Specialty Physicians
Hudson
Chiropractic Subin, David DC Lancman, Marcelo MD Dermatology
Provider ID: 749105 Provider ID: 239669
Krauss, Charles DC Gender: Male Gender: Male Brown, Justin MD
Provider ID: 1020244 MM Jersey City Breathing Epilepsy and Neurophysiology Provider ID: 943768
Gender: Male Center Medica Gender: Male
Charles D Krauss 192 Harrison Ave 2 Hudson Pl Ground Fl 200 Hudson St Ste 145
880 Ave C Jersey City, NJ 07304 Hoboken, NJ 07030 Jersey City, NJ 07311
Bayonne, NJ 07002 (201) 333-5363 (201) 343-6676 (973) 571-2121
(201) 858-2257 Fax: (201) 333-4710 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 339-2767 18 Yrs/130 Yrs Morristown Memorial Clara Maass Medical Center
05 Yrs/130 Yrs Languages: Spanish, Arabic Hospital Saint Barnabas Medical
M-F 9:00 AM - 5:00 PM MT 12:00 AM - 7:00 PM Overlook Hospital Center Livingston
PCMH: No PCMH: No M-F 9:00 AM - 4:00 PM Languages: Spanish
PCMH: No M-F 9:00 AM - 5:00 PM
Pellino, Christopher DC Subin, David DC PCMH: No
Provider ID: 749105 Lancman, Marcelo MD
Gender: Male Provider ID: 239669 Khasak, Dmitry MD
Provider ID: 1042042
MM Jersey City Breathing Gender: Male
Gender: Male
Center Epilepsy and Neurophysiology Provider ID: 997739
Dr Christopher Pellino DC Medica
7717 Bergenline Ave 550 Summit Ave Gender: Male
Jersey City, NJ 07306 377 Jersey Ave Ste 440 844 Ave C Ste A
North Bergen, NJ 07047 Jersey City, NJ 07302
(201) 662-0025 (201) 333-5445 Bayonne, NJ 07002
Fax: (201) 333-4690 (201) 343-6670 (201) 626-4040
Fax: (201) 662-3495 00 Yrs/130 Yrs
00 Yrs/130 Yrs 18 Yrs/130 Yrs Fax: (201) 339-6688
Languages: Spanish, Arabic Morristown Memorial 00 Yrs/130 Yrs
Languages: Spanish Hospital
M-W 9:00 AM - 5:30 PM M-F 9:00 AM - 5:00 PM Jersey City Medical Center
Overlook Hospital
TH 9:00 AM - 1:00 PM PCMH: No Languages: Spanish, Russian
PCMH: No
PCMH: No M-F 9:00 AM - 5:00 PM
Clinical Neurophysiology Puntambekar, Preeti MD PCMH: No
Roses, Paul DC Provider ID: 975660
Feoli, Enrique MD Khasak, Dmitry MD
Provider ID: 1105055 Gender: Female
Gender: Male Provider ID: 565754 Epilepsy Neurophysiology
Midtown Family Chiropractic Gender: Male Medical Co Provider ID: 997739
Center Epilepsy and Neurophysiology 377 Jersey Ave Ste 440 Gender: Male
899-901 Ave C Medica Dimitry Khasak MD PC Inc
Jersey City, NJ 07302
Bayonne, NJ 07002 377 Jersey Ave Ste 440 100 Town Square Pl Ste 409
(201) 343-6670
(201) 339-2225 Jersey City, NJ 07302 Jersey City, NJ 07310
00 Yrs/130 Yrs
Fax: (201) 339-2224 (201) 343-6670 (201) 626-4040
Languages: Hindi, Marathi
00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 626-4041
PCMH: No
M 83:00 AM - 7:00 PM Morristown Memorial 00 Yrs/130 Yrs
T 8:30 AM - 7:00 PM Hospital Segal, Eric MD Jersey City Medical Center
Overlook Hospital Languages: Spanish, Russian
W 10:00 AM - 7:00 PM Provider ID: 797263
PCMH: No M 10:00 AM - 1:00 PM
TH 9:30 AM - 11:00 PM Gender: Male
PCMH: No Laban-Grant, Olgica MD Epilepsy and Neurophysiology T 1:00 AM - 6:00 PM
Medica W 12:00 AM - 4:00 PM
Provider ID: 797256 PCMH: No
377 Jersey Ave Ste 440
Gender: Female
Epilepsy and Neurophysiology Jersey City, NJ 07302
Medica (201) 343-6670
377 Jersey Ave Ste 440 00 Yrs/130 Yrs
Jersey City, NJ 07302 Holy Name Medical Center
(201) 343-6670 Languages: Spanish
00 Yrs/130 Yrs PCMH: No
Morristown Memorial
Hospital
Overlook Hospital
PCMH: No

www.wellcare.com/New-Jersey | 167
Updated: 11/26/2018

Specialty Physicians
Hudson
Dermatology - cont. Dermatopathology Lin, Pei MD Hanna, Fiby MD
Provider ID: 440667 Provider ID: 797635
Masessa, Joseph MD Geffner, Rami MD Gender: Female Gender: Female
Provider ID: 607147 Provider ID: 1283021 Pei Lin MD Trinity Medical Group
Gender: Male Gender: Male 3624 John F Kennedy Blvd 634 Newark Ave
655 Kearny Ave Ste 103 NJ Certified Dermatology PC Jersey City, NJ 07307 Jersey City, NJ 07306
Kearny, NJ 07032 668-670 Broad Way (201) 577-4509 (201) 798-0324
(201) 428-1938 Bayonne, NJ 07002 Fax: (201) 510-0350 Fax: (201) 798-0333
Fax: (551) 580-7307 (732) 456-7777 00 Yrs/130 Yrs 18 Yrs/130 Yrs
00 Yrs/130 Yrs Fax: (848) 251-2189 M-F 9:00 AM - 5:00 PM Christ Hospital
Newark Beth Israel Med 00 Yrs/130 Yrs PCMH: No Hoboken University Medical
Center Community Medical Center Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Endocrinology, Diabetes, Jersey City Medical Center
PCMH: No PCMH: No Metabolism Languages: Spanish, Arabic
M-F 9:00 AM - 5:00 PM
Rapaport, Jeffrey MD Ear, Nose & Throat Eliades, Myrto MD PCMH: No
Provider ID: 1436835
Provider ID: 1640749 Behin, Babak MD Sandhu, Narinder MD
Gender: Female
Gender: Male Provider ID: 944184 Bhmg - United Medical
North Jersey Dermatology Gender: Male 988 Broadway Ste 201 Provider ID: 1566513
Center PC Bergen Hudson ENT LLC Bayonne, NJ 07002 Gender: Female
655 Kearny Ave Ste 103 142 Palisade Ave Ste 207 (201) 339-6111 Bhmg United Medical
Kearny, NJ 07032 Jersey City, NJ 07306 Fax: (201) 339-6333 988 Broadway Ste 201
(201) 428-1938 (201) 659-4706 16 Yrs/130 Yrs Bayonne, NJ 07002
Fax: (551) 580-7307 Fax: (201) 659-4707 M-F 9:00 AM - 5:00 PM (201) 339-6111
00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No Fax: (201) 339-6333
Holy Name Medical Center Christ Hospital 18 Yrs/130 Yrs
St. Joseph's Hospital Reg Palisades Medical Center Goykhman, Stanislav MD M-TH 8:00 AM - 7:00 PM
Medical Center Languages: Spanish F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM MW 9:00 AM - 11:30 PM Provider ID: 1422107 Sat 8:00 AM - 12:00 PM
PCMH: No T 1:00 AM - 4:00 PM Gender: Male PCMH: No
TH 1:00 AM - 3:30 PM Bhmg-United Medical
Tager, Patricia MD PCMH: No Strizhevsky, Marina DO
988 Broadway Ste 201
Provider ID: 1283126 Bayonne, NJ 07002
Gender: Female Behin, Babak MD Provider ID: 1430986
(201) 339-6111
NJ Certified Dermatology PC Provider ID: 944184 Gender: Female
Fax: (201) 339-6333
668-670 Broadway Gender: Male Bhmg - United Medical
00 Yrs/130 Yrs
Bayonne, NJ 07002 Bergen Hudson ENT LLC 988 Broadway Ste 201
Bayonne Medical Center
(732) 456-7777 6010 Blvd E Palisades Medical Center Bayonne, NJ 07002
Fax: (848) 251-2189 West New York, NJ 07093 Languages: Russian (201) 339-6111
00 Yrs/130 Yrs (201) 453-1677 M-F 8:00 AM - 5:00 PM Fax: (201) 339-6333
Cape Regional Medical Center Fax: (201) 453-9570 PCMH: No 18 Yrs/130 Yrs
Inc 00 Yrs/130 Yrs Jersey City Medical Center
M-F 9:00 AM - 5:00 PM Christ Hospital Saint Barnabas Medical
PCMH: No Palisades Medical Center Center Livingston
Languages: Spanish Languages: Russian
MT 1:00 AM - 3:00 PM M-F 8:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 168
Updated: 11/26/2018

Specialty Physicians
Hudson
Endodontics Borker, Sonia DO Sirajuddin, Syed MD Bhatia, Taruna MD
Provider ID: 1284199 Provider ID: 1135884
Angelica, Robert DDS Gender: Female Provider ID: 1648636 Gender: Female
Provider ID: TPVP39199-01 Christ Hospital Gender: Male New Jersey Medical and
Gender: Male 176 Palisade Ave Prohealth Care Associates of Health Assoc
Robert Angelica DDS Jersey City, NJ 07306 New Je Sub Specialty: HIV/AIDs
1256 Kennedy Blvd (201) 978-4501 714 10th St Ste 3 142 Palisade Ave Ste 102
Bayonne, NJ 07002 Fax: (201) 603-6688 Secaucus, NJ 70942 Jersey City, NJ 07306
(201) 339-0036 00 Yrs/130 Yrs (201) 863-3346 (201) 433-3335
Fax: (201) 339-4150 Christ Hospital Fax: (201) 863-5251 Fax: (201) 433-3550
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Languages: Spanish PCMH: No M-F 9:00 AM - 5:00 PM Bayonne Medical Center
M-TH 9:00 AM - 6:00 PM PCMH: No Jersey City Medical Center
F 9:00 AM - 1:00 PM Borker, Sonia DO M-F 9:00 AM - 5:00 PM
PCMH: No Provider ID: 1284199 Gastroenterology PCMH: No
Gender: Female
Levi, Jack DDS Hoboken University Medical Baghal, Eyad MD Bhatia, Taruna MD
Provider ID: TPVP95475-01 Center Provider ID: 1594838 Provider ID: 1135884
Gender: Male 308 Willow Ave Gender: Male Gender: Female
Jack Levi DDS PA Hoboken, NJ 07030 Prohealth Care Associates of New Jersey Medical and
48-08 Bergenline Ave (201) 821-8911 NJ Health Assoc
Union City, NJ 07087 Fax: (201) 603-6688 2911 Summit Ave Sub Specialty: HIV/AIDs
(201) 385-5400 00 Yrs/130 Yrs Union City, NJ 07087 29th St Ave Ste 71
Fax: (201) 863-0611 Christ Hospital (201) 558-7816 Bayonne, NJ 07002
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 558-7816 (201) 858-8444
Languages: Spanish PCMH: No 00 Yrs/130 Yrs Fax: (201) 858-4260
M 3:00 AM - 10:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
TTH 2:00 AM - 10:30 PM Jacobs, Abbie MD PCMH: No Bayonne Medical Center
W 6:00 AM - 10:30 PM Provider ID: 1343544 Jersey City Medical Center
F 2:00 AM - 7:00 PM Gender: Female Bains, Yatinder MD M-F 9:00 AM - 5:00 PM
Sat 2:00 AM - 7:30 PM New Jersey Medical and Provider ID: 434366 PCMH: No
Sun 2:30 AM - 7:30 PM Health Assoc Gender: Male
122-132 Clinton St Sub Specialty: HIV/AIDs Bhatia, Taruna MD
PCMH: No
Hoboken, NJ 07030 377 Jersey Ave Ste 230 Provider ID: 1135884
Family Practice (201) 418-3220 Jersey City, NJ 07302 Gender: Female
Fax: (201) 418-3147 (973) 376-2121 New Jersey Medical and
Borker, Sonia DO 00 Yrs/130 Yrs Fax: (973) 467-0150 Health Assoc
Hoboken University Medical 00 Yrs/130 Yrs Sub Specialty: HIV/AIDs
Provider ID: 1284199
Center East Orange General Hospital 330 Grand St Ste 100
Gender: Female
M-F 9:00 AM - 5:00 PM Languages: Hindi Hoboken, NJ 07030
Bayonne Medical Center
PCMH: No M-F 9:00 AM - 5:00 PM (201) 420-7903
29 E 29th St
PCMH: No Fax: (201) 420-7586
Bayonne, NJ 07002
Sethi, Shalini MD 00 Yrs/130 Yrs
(201) 821-8911
Provider ID: 1571867 Bayonne Medical Center
Fax: (201) 603-6688
Gender: Female Jersey City Medical Center
00 Yrs/130 Yrs
Horizon Health Center M-F 9:00 AM - 5:00 PM
Christ Hospital
115 Christopher Columbus Dr PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No Jersey City, NJ 07302
(201) 451-6300
Fax: (201) 451-8300
00 Yrs/130 Yrs
Jersey City Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 169
Updated: 11/26/2018

Specialty Physicians
Hudson
Gastroenterology - cont. Dhalla, Sameer MD Dizon, Alita MD Gibilisco, Raffaele MD
Provider ID: 442341
Bhatia, Taruna MD Provider ID: 1695437 Gender: Female Provider ID: 476726
Provider ID: 1135884 Gender: Male Metropolitan Family Health Gender: Male
Gender: Female Prohealth Care Associates of Network 435 59th St Fl 1
New Jersey Medical and New Je Sub Specialty: HIV/AIDs West New York, NJ 07093
Health Assoc 225 60th St 857 Bergen Ave (201) 295-1456
Sub Specialty: HIV/AIDs West New York, NJ 07093 Jersey City, NJ 07305 Fax: (201) 295-0266
534 Ave E Ste 1-A (201) 293-0976 (201) 478-5800 00 Yrs/130 Yrs
Bayonne, NJ 07002 Fax: (201) 293-0977 00 Yrs/130 Yrs Hoboken University Medical
(201) 858-8444 00 Yrs/130 Yrs Jersey City Medical Center Center
Fax: (201) 858-4260 M-F 9:00 AM - 5:00 PM Languages: Spanish, Tagalog Languages: Spanish
00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM M-TH 9:30 AM - 6:00 PM
Bayonne Medical Center PCMH: No F 9:30 AM - 2:00 PM
Jersey City Medical Center Dhalla, Sameer MD PCMH: No
M-F 9:00 AM - 5:00 PM Dizon, Alita MD
PCMH: No Provider ID: 1695437 Provider ID: 442341 Goldstein, Steven MD
Gender: Male Gender: Female
Boxer, Andrew MD Prohealth Care Associates of Metropolitan Family Health Provider ID: 1194307
Provider ID: 1422104 New Je Network Gender: Male
Gender: Male 38 Meadowlands Pkwy Ste 1 Sub Specialty: HIV/AIDs Garden State Healthcare
Bhmg - United Medical Secaucus, NJ 07094 935 Garfield Ave Associates
988 Broadway Ste 201 (201) 293-0401 Jersey City, NJ 07304 122-132 Clinton St
Bayonne, NJ 07002 Fax: (201) 293-0402 (201) 478-5800 Hoboken, NJ 07030
(201) 339-6111 00 Yrs/130 Yrs Fax: (201) 478-5814 (201) 418-3100
Fax: (201) 339-6333 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (201) 418-3148
00 Yrs/130 Yrs PCMH: No Jersey City Medical Center 00 Yrs/130 Yrs
Prime Health Services-St Languages: Spanish, Tagalog Hoboken University Medical
Marys Hospital Dhalla, Sameer MD M 11:00 AM - 7:00 PM Center
Saint Barnabas Medical T 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Center Livingston PCMH: Yes, Level 3 PCMH: No
Provider ID: 1695437
M-F 9:00 AM - 5:00 PM Gender: Male
PCMH: No Gibilisco, Raffaele MD Goldstein, Steven MD
Prohealth Care Associates of
New Je Provider ID: 476726
Boxer, Andrew MD Gender: Male
544 Broadway Provider ID: 635117
Provider ID: 967894 3540 John F Kennedy Blvd
Bayonne, NJ 07002 Gender: Male
Gender: Male Jersey City, NJ 07307
(201) 535-5601 East Hudson Medical Care of
Gastroenterology Associates (201) 386-1800 NJ LLC
Fax: (201) 535-5602
of New Fax: (201) 386-8218
00 Yrs/130 Yrs 3196 Kennedy Blvd 2nd Fl
377 Jersey Ave Ste 460 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Union City, NJ 07087
Jersey City, NJ 07302 Hoboken University Medical
PCMH: No (201) 325-9393
(201) 878-3200 Center Fax: (201) 325-0696
Fax: (201) 878-3201 Dizon, Alita MD Languages: Spanish 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-TH 9:30 AM - 6:00 PM
Provider ID: 400920 Hoboken University Medical
Bayonne Medical Center F 9:30 AM - 2:00 PM Center
Gender: Female
Prime Health Services-St PCMH: No
Sub Specialty: HIV/AIDs Languages: Spanish, French,
Marys Hospital
377 Jersey Ave Ste 460 Russian, Hindi
M-F 9:00 AM - 5:00 PM
Jersey City, NJ 07302 MTH 10:00 AM - 7:00 PM
PCMH: No
(201) 332-4110 TF 9:00 AM - 3:00 PM
Fax: (201) 332-4122 W 9:30 AM - 2:00 PM
00 Yrs/130 Yrs PCMH: No
Christ Hospital
Jersey City Medical Center
Languages: Tagalog
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 170
Updated: 11/26/2018

Specialty Physicians
Hudson
Gastroenterology - cont. Ramos, Rafael MD Salem, Suhail MD Zapiach, Leonidas MD
Provider ID: 945123 Provider ID: 1108808 Provider ID: 945121
Gronowitz, Steven MD Gender: Male Gender: Male Gender: Male
Zapiach & Ramos MD Ptr New Jersey Medical and 7600 River Rd
Provider ID: 1422103 235 60th St Health Assoc North Bergen, NJ 07047
Gender: Male West New York, NJ 07093 Sub Specialty: HIV/AIDs (201) 705-1080
Bhmg - United Medical (201) 854-4740 534 Ave E Ste 1-A 16 Yrs/130 Yrs
988 Broadway Ste 201 Fax: (201) 854-3203 Bayonne, NJ 07002 Englewood Hospital and
Bayonne, NJ 07002 16 Yrs/130 Yrs (201) 858-8444 Medical Center
(201) 339-6111 Holy Name Medical Center Fax: (201) 858-4260 Languages: Spanish
Fax: (201) 339-6333 Languages: Spanish 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 6:00 PM Christ Hospital PCMH: No
Bayonne Medical Center PCMH: No M-F 9:00 AM - 5:00 PM
Jersey City Medical Center PCMH: No Zapiach, Leonidas MD
Prime Health Services-St Salah-Eldin, Alaa MD Provider ID: 945121
Marys Hospital Provider ID: 400198 Stowe, Arthur MD Gender: Male
Languages: Hebrew Gender: Male Provider ID: 439039 Zapiach & Ramos MD Ptr
M-F 8:00 AM - 5:00 PM 550 Summit Ave Ste 205 Gender: Male 235 60th St
PCMH: No Jersey City, NJ 07306 Arthur C Stowe MD West New York, NJ 07093
(201) 659-0772 377 Jersey Ave Ste 460 (201) 854-4646
Jasutkar, Niren MD Fax: (201) 659-6527 Jersey City, NJ 07302 Fax: (201) 854-3203
Provider ID: 1639107 12 Yrs/130 Yrs (201) 332-4110 16 Yrs/130 Yrs
Gender: Male Christ Hospital Fax: (201) 332-4122 Englewood Hospital and
Prohealth Care Associates of Languages: Spanish, Arabic 18 Yrs/130 Yrs Medical Center
New Je M-F 9:00 AM - 5:00 PM Jersey City Medical Center Languages: Spanish
38 Meadowlands Pkwy Ste 1 PCMH: No St Michael's Medical Center M-F 9:00 AM - 5:00 PM
Secaucus, NJ 07094 Trinitas Regional Medical Cent PCMH: No
(201) 293-0401 Salem, Suhail MD Languages: Spanish
Fax: (201) 293-0402 Provider ID: 1108808 M 4:00 AM - 8:00 PM Zapiach, Mauricio MD
18 Yrs/130 Yrs Gender: Male T 10:00 AM - 8:00 PM Provider ID: 945122
M-F 8:00 AM - 5:00 PM New Jersey Medical and PCMH: No Gender: Male
PCMH: No Health Assoc Zapiach & Ramos MD Ptr
Sub Specialty: HIV/AIDs Vinod, Jeevan MD 235 60th St
Krohn, Natan MD 142 Palisade Ave Ste 108 Provider ID: 980384 West New York, NJ 07093
Provider ID: 1422105 Jersey City, NJ 07306 Gender: Male (201) 854-4646
Gender: Male (201) 795-8596 New Jersey Medical and Fax: (201) 854-3203
Bhmg - United Medical Fax: (201) 418-7067 Health Assoc 16 Yrs/130 Yrs
988 Broadway Ste 201 00 Yrs/130 Yrs Sub Specialty: HIV/AIDs Languages: Spanish
Bayonne, NJ 07002 Christ Hospital 142 Palisade Ave Ste 108 MT 1:00 AM - 6:30 PM
(201) 339-6111 M-F 9:00 AM - 5:00 PM Jersey City, NJ 07306 W 9:00 AM - 6:00 PM
Fax: (201) 339-6333 PCMH: No (201) 795-8175 TH 9:00 AM - 12:00 PM
12 Yrs/130 Yrs Fax: (201) 418-7067 PCMH: No
Jersey City Medical Center Salem, Suhail MD 00 Yrs/130 Yrs
M-TH 8:00 AM - 7:00 PM Provider ID: 1108808 Jersey City Medical Center
F 8:00 AM - 5:00 PM Gender: Male M-F 9:00 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM New Jersey Medical and PCMH: No
PCMH: No Health Assoc
Sub Specialty: HIV/AIDs
330 Grand St Ste 100
Jersey City, NJ 07310
(201) 420-7903
Fax: (201) 420-7586
00 Yrs/130 Yrs
Christ Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 171
Updated: 11/26/2018

Specialty Physicians
Hudson
Gastroenterology & Baskin, Steven DDS Bishara, G DMD Buckshey, Sakshi DMD
Hepatology Provider ID: TPVP39255-01 Provider ID: TPVP40079-02 Provider ID: TPVP170115-01
Gender: Male Gender: Male Gender: Female
Ahmad, Maliha MD Steven E Baskin DDS PA Great Expressions Dental Dr Saima Mian LLC
Provider ID: 1148566 433 Central Ave Centers 402 36th St
Gender: Female Jersey City, NJ 07307 711 Ave C Union City, NJ 07087
St Josephs Healthcare Inc (201) 798-6522 Bayonne, NJ 07002 (201) 866-3299
158 14th St Fax: (201) 876-2918 (201) 437-3500 Fax: (201) 866-3396
Hoboken, NJ 07030 00 Yrs/99 Yrs Fax: (201) 252-4363 00 Yrs/99 Yrs
(973) 754-2315 MTH 8:00 AM - 5:00 PM 00 Yrs/99 Yrs Languages: Spanish
Fax: (973) 754-3528 TW 9:00 AM - 7:00 PM MTTHF 9:00 AM - 6:00 PM MTF 10:00 AM - 6:00 PM
12 Yrs/130 Yrs F 9:00 AM - 2:00 PM W 1:00 AM - 8:00 PM WTH 9:00 AM - 4:00 PM
St. Joseph's Hospital Reg PCMH: No Sat 8:00 AM - 1:00 PM Sat 9:00 AM - 1:00 PM
Medical Center PCMH: No PCMH: No
Languages: Spanish, Urdu, Belgrave, Gerald DDS
Punjabi Provider ID: TPVP41827-01 Bral, Pourang DDS Cantuarias, Isela DDS
M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: TPVP41589-01 Provider ID: TPVP126597-01
PCMH: No Horizon Health Center Gender: Male Gender: Female
115 Christopher Columbus Dr Pourang Bral DDS LLC Complete Dental Works
Rizvi, Masood MD Jersey City, NJ 07302 901 Bergen Ave 2nd Fl 439 60th St
Provider ID: 1056435 (201) 710-2201 Jersey City, NJ 07306 West New York, NJ 07093
Gender: Male Fax: (551) 226-6871 (201) 222-1123 (201) 865-5150
New Jersey Medical and 00 Yrs/99 Yrs Fax: (201) 222-0060 Fax: (201) 865-5962
Health Assoc Languages: Arabic 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Sub Specialty: HIV/AIDs MTTH 9:00 AM - 7:00 PM Languages: Arabic Languages: Korean
1 Journal Square Plz Fl 2 WF 9:00 AM - 5:00 PM M-TH 11:00 AM - 7:00 PM M 9:00 AM - 6:00 PM
Jersey City, NJ 07306 PCMH: No F 10:00 AM - 3:00 PM T 11:00 AM - 7:00 PM
(201) 216-3030 Sat 12:00 AM - 5:00 PM WF 10:00 AM - 4:00 PM
Fax: (201) 499-0247 Belgrave, Gerald DDS PCMH: No TH 7:00 AM - 7:00 PM
18 Yrs/130 Yrs Provider ID: TPVP41827-02 Sat 9:00 AM - 3:00 PM
Palisades Medical Center Gender: Male Buchalski, Joseph DDS PCMH: No
Languages: Hindi, Urdu Horizon Health Center Provider ID: TPVP39425-01
M-F 9:00 AM - 5:00 PM 714 Bergen Ave Gender: Male Cho, Chun DDS
PCMH: No Jersey City, NJ 07306 Joseph Buchalski DMD LLC Provider ID: TPVP164549-11
(201) 451-6300 40 Journal Square Ste 325 Gender: Male
General Dentistry Fax: (551) 226-6871 Jersey City, NJ 07306 Great Expressions Dental
00 Yrs/99 Yrs (201) 216-0011 Centers
Ahmed, Nasrine DDS Languages: Arabic Fax: (201) 217-1070 711 Ave C
Provider ID: TPVP39569-01 MTTH 9:00 AM - 7:00 PM 00 Yrs/99 Yrs Bayonne, NJ 07002
Gender: Female WF 9:00 AM - 5:00 PM MW 9:00 AM - 5:30 PM (201) 437-3500
Metropolitan Family Health PCMH: No T 9:00 AM - 5:00 PM Fax: (201) 252-4363
Network TH 9:00 AM - 2:00 PM 00 Yrs/99 Yrs
935 Garfield Ave Beydoun, Fadi DDS PCMH: No MTTHF 9:00 AM - 6:00 PM
Jersey City, NJ 07304 Provider ID: TPVP31854-01 W 1:00 AM - 8:00 PM
(201) 478-5800 Gender: Male Sat 8:00 AM - 1:00 PM
Fax: (201) 478-5814 New York Avenue Dental PCMH: No
00 Yrs/99 Yrs 3703 New York Ave
Languages: Arabic Union City, NJ 07087
MTH 9:00 AM - 7:00 PM (201) 305-8800
TWF 9:00 AM - 5:00 PM Fax: (201) 305-8900
PCMH: No 00 Yrs/99 Yrs
Languages: Arabic
M-F 9:30 AM - 6:30 PM
Sat 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 172
Updated: 11/26/2018

Specialty Physicians
Hudson
General Dentistry - cont. Dalpizzol, Peter DMD Durgam, Chithra DDS Freeman Jr., Paul DDS
Provider ID: TPVP36363-02 Provider ID: TPVP39666-01 Provider ID: TPVP41764-01
Cohen, Jacob DDS Gender: Male Gender: Female Gender: Male
Provider ID: TPVP40978-01 North Hudson Community Aesthetic Dental PC Freeman Freeman PC
Gender: Male Action Corporation 9252 Kennedy Blvd Ste 5 2403 - 2405 Kennedy Blvd
Drs Jacob S Cohen Sammy 5301 Broadway North Bergen, NJ 07047 Jersey City, NJ 07304
Goldstein DDS PC West New York, NJ 07093 (201) 869-3033 (201) 332-1664
707 Summit Ave (201) 866-9320 Fax: (201) 943-0533 Fax: (201) 332-8808
Union City, NJ 07087 Fax: (201) 866-7588 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 863-0816 00 Yrs/99 Yrs Languages: Spanish Languages: Arabic
Fax: (201) 866-3448 Languages: Spanish MW 9:00 AM - 8:00 PM MTTHF 9:00 AM - 6:00 PM
00 Yrs/99 Yrs M-TH 8:30 AM - 7:00 PM TTHF 9:00 AM - 5:00 PM WSat 9:00 AM - 12:00 PM
Languages: Spanish FSat 8:30 AM - 5:00 PM Sat 9:00 AM - 2:00 PM PCMH: No
M-TH 8:00 AM - 5:00 PM Sun 8:30 AM - 3:00 PM PCMH: No
F 8:00 AM - 12:00 PM PCMH: No Fuentes, Peter DDS
PCMH: No Espinosa-Dovale, Maria DDS Provider ID: TPVP41372-01
Dalpizzol, Peter DMD Gender: Male
Cohen, Steven DMD Provider ID: TPVP36363-03 Provider ID: TPVP103703-04 Bayonne Family Dental
Provider ID: TPVP66823-02 Gender: Male Gender: Female 1216 Kennedy Blvd
Gender: Male North Hudson Community North Hudson Community Bayonne, NJ 07002
Great Expressions Dental Action Corporation Action Corporation (201) 858-3800
Centers 324 Palisade Ave 5301 Broadway Fax: (201) 858-4409
711 Ave C Jersey City, NJ 07307 West New York, NJ 07093 00 Yrs/99 Yrs
Bayonne, NJ 07002 (201) 459-8888 (201) 866-9320 Languages: Arabic
(201) 437-3500 Fax: (201) 239-0318 Fax: (201) 866-7588 M-F 9:00 AM - 6:00 PM
Fax: (201) 252-4363 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 8:00 AM - 2:00 PM
00 Yrs/99 Yrs Languages: Spanish Languages: Spanish PCMH: No
MTTHF 9:00 AM - 6:00 PM MTTHF 8:30 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM
W 1:00 AM - 8:00 PM W 8:30 AM - 7:00 PM FSat 8:30 AM - 5:00 PM Gelman, Yevgeniya DDS
Sat 8:00 AM - 1:00 PM PCMH: No Sun 8:30 AM - 3:00 PM Provider ID: TPVP28666-02
PCMH: No PCMH: No Gender: Female
Discepola, Joseph DDS Absolute Dental LLC
Dalpizzol, Peter DMD Provider ID: TPVP40363-01 Espinosa-Dovale, Maria DDS 5526 Bergenline Ave 2nd Fl
Provider ID: TPVP36363-01 Gender: Male West New York, NJ 07093
Gender: Male Joseph T Discepola DMD Provider ID: TPVP103703-05 (201) 558-9600
Saltzberg Wenger 281 Central Ave Gender: Female Fax: (201) 558-9601
149 Palisade Ave Jersey City, NJ 07307 North Hudson Community 00 Yrs/99 Yrs
Jersey City, NJ 07306 (201) 659-0295 Action Corporation Languages: Russian
(201) 798-5551 Fax: (201) 659-0065 324 Palisade Ave M-TH 12:00 AM - 7:00 PM
Fax: (201) 963-1226 00 Yrs/99 Yrs Jersey City, NJ 07307 PCMH: No
00 Yrs/99 Yrs Languages: Spanish (201) 459-8888
Languages: Spanish MWTH 9:30 AM - 6:00 PM Fax: (201) 239-0318 Goldstein, Andrew DDS
M 9:00 AM - 7:00 PM T 8:00 AM - 4:00 PM 00 Yrs/99 Yrs
TWTH 9:00 AM - 6:00 PM F 8:00 AM - 1:00 PM Languages: Spanish Provider ID: TPVP40792-02
F 8:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM MTTHF 8:30 AM - 5:00 PM Gender: Male
Sat-Sun 8:00 AM - 4:00 PM PCMH: No W 8:30 AM - 7:00 PM Great Expressions Dental
PCMH: No PCMH: No Centers
711 Ave C
Bayonne, NJ 07002
(201) 437-3500
Fax: (201) 252-4363
00 Yrs/99 Yrs
MTTHF 9:00 AM - 6:00 PM
W 1:00 AM - 8:00 PM
Sat 8:00 AM - 1:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 173
Updated: 11/26/2018

Specialty Physicians
Hudson
General Dentistry - cont. Herman, Harris DMD Karmann, Richard DMD Khalid, Rashid DMD
Provider ID: TPVP40082-02 Provider ID: TPVP39275-01 Provider ID: TPVP136141-01
Goldstein, Sammy DDS Gender: Male Gender: Male Gender: Male
Provider ID: TPVP40979-01 Great Expressions Dental Richard Karmann DMD West New York Dental
Gender: Male Centers 650 Bergen Ave 4900 Bergenline Ave 2nd Fl
Drs Jacob S Cohen Sammy 711 Ave C Jersey City, NJ 07304 Ste C
Goldstein DDS PC Bayonne, NJ 07002 (201) 435-2446 Union City, NJ 07087
707 Summit Ave (201) 437-3500 Fax: (973) 858-0310 (201) 866-3000
Union City, NJ 07087 Fax: (201) 252-4363 00 Yrs/99 Yrs Fax: (201) 866-3001
(201) 863-0816 00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs
Fax: (201) 866-3448 MTTHF 9:00 AM - 6:00 PM M-TH 8:00 AM - 5:30 PM Languages: Russian
00 Yrs/99 Yrs W 1:00 AM - 8:00 PM F 10:00 AM - 5:30 PM M-F 9:30 AM - 6:00 PM
Languages: Spanish Sat 8:00 AM - 1:00 PM Sat 8:00 AM - 3:00 PM Sat 9:00 AM - 1:00 PM
M-TH 8:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No
F 8:00 AM - 12:00 PM
PCMH: No Hernandez-Reyes, Fransico Kathawala, Samina DDS Khaylomsky, Lena DMD
DDS Provider ID: TPVP125832-01 Provider ID: TPVP39074-01
Gurung, Sita DMD Provider ID: TPVP157896-01 Gender: Female Gender: Female
Provider ID: TPVP140271-01 Gender: Male Horizon Health Center Tower Plaza Dentistry PC
Gender: Female Salazar Dental LLC 115 Christopher Columbus Dr 4100 Park Ave
Bayonne Family Dental 6219 Bergenline Ave 2nd Fl Jersey City, NJ 07302 Weehawken, NJ 07086
1216 Kennedy Blvd West New York, NJ 07093 (201) 710-2201 (201) 348-1616
Bayonne, NJ 07002 (201) 861-1007 Fax: (551) 226-6871 Fax: (201) 348-4877
(201) 858-3800 Fax: (201) 861-1067 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 858-4409 00 Yrs/99 Yrs Languages: Arabic Languages: Russian
00 Yrs/99 Yrs Languages: Spanish MTTH 9:00 AM - 7:00 PM M-TH 10:00 AM - 8:00 PM
Languages: Spanish, Arabic M 11:00 AM - 7:00 PM WF 9:00 AM - 5:00 PM FSat 10:00 AM - 3:00 PM
M-F 9:00 AM - 6:00 PM TTH 9:00 AM - 5:00 PM PCMH: No PCMH: No
Sat 8:00 AM - 2:00 PM W 10:00 AM - 7:00 PM
PCMH: No F 9:00 AM - 2:00 PM Kathawala, Samina DDS Lavandeira, Janet DMD
PCMH: No
Heisler, Patti DDS Provider ID: TPVP125832-02 Provider ID: TPVP41652-04
Provider ID: TPVP34158-01 Hussain, Sakina DDS Gender: Female Gender: Female
Gender: Female Provider ID: TPVP147975-02 Horizon Health Center North Hudson Community
Guttenberg Family Dental Gender: Female 714 Bergen Ave Action Corporation
6800 Bergenline Ave Great Expressions Dental Jersey City, NJ 07306 5301 Broadway
Guttenberg, NJ 07093 Centers (201) 451-6300 West New York, NJ 07093
(201) 861-6000 711 Ave C Fax: (551) 226-6871 (201) 866-9320
Fax: (201) 861-6002 Bayonne, NJ 07002 00 Yrs/99 Yrs Fax: (201) 866-7588
00 Yrs/99 Yrs (201) 437-3500 Languages: Arabic 00 Yrs/99 Yrs
MTTHF 8:00 AM - 5:00 PM Fax: (201) 252-4363 MTTH 9:00 AM - 7:00 PM Languages: Spanish
W 8:00 AM - 8:00 PM 00 Yrs/99 Yrs WF 9:00 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM
PCMH: No Languages: Hindi PCMH: No FSat 8:30 AM - 5:00 PM
MTTHF 9:00 AM - 6:00 PM Sun 8:30 AM - 3:00 PM
W 1:00 AM - 8:00 PM PCMH: No
Sat 8:00 AM - 1:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 174
Updated: 11/26/2018

Specialty Physicians
Hudson
General Dentistry - cont. Manchikanti, Radha DMD Mian, Saima DMD Nathi, Lakshmi DDS
Provider ID: TPVP136122-01 Provider ID: TPVP40400-01
Lee, Michael DDS Provider ID: TPVP121094-01 Gender: Female Gender: Female
Provider ID: TPVP32351-01 Gender: Female Dr Saima Mian LLC Angel Smiles
Gender: Male Dr Saima Mian LLC 402 36th St 157 Kearny Ave
Grace Dental Union City LLC 402 36th St Union City, NJ 07087 Kearny, NJ 07032
3133 Central Ave Ste 204 Union City, NJ 07087 (201) 866-3299 (201) 991-4321
Union City, NJ 07087 (201) 866-3299 Fax: (201) 866-3396 Fax: (201) 991-0925
(201) 330-3333 Fax: (201) 866-3396 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 617-8210 00 Yrs/99 Yrs Languages: Spanish Languages: Spanish
00 Yrs/99 Yrs Languages: Spanish MTF 10:00 AM - 6:00 PM M-TH 10:00 AM - 5:00 PM
Languages: Korean MTF 10:00 AM - 6:00 PM WTH 9:00 AM - 4:00 PM F 10:00 AM - 2:00 PM
M-W 9:00 AM - 6:00 PM WTH 9:00 AM - 4:00 PM Sat 9:00 AM - 1:00 PM PCMH: No
PCMH: No Sat 9:00 AM - 1:00 PM PCMH: No
PCMH: No Nourbakhsh, Michael DDS
Lee, Sang DDS Mulkay, Zenaida DMD Provider ID: TPVP40813-03
Provider ID: TPVP39741-01 Martin, Howard DDS Provider ID: TPVP40938-03 Gender: Male
Gender: Male Provider ID: TPVP40682-02 Gender: Female Hudson Dental Esthetics
Dental Office of Sang Y Lee Gender: Male Castillo Mulkay Dental 5300 Bergenline Ave Ste 8
DDS Howard J Martin DMD 700 79th St West New York, NJ 07093
1257 Paterson Plank Rd 95 Martin Luther King Dr North Bergen, NJ 07047 (201) 865-7750
Secaucus, NJ 07094 Jersey City, NJ 07305 (201) 854-8100 Fax: (201) 865-3299
(201) 865-0045 (201) 685-7395 Fax: (201) 861-5636 00 Yrs/99 Yrs
Fax: (201) 865-0071 Fax: (201) 332-7003 00 Yrs/99 Yrs MW 10:00 AM - 6:00 PM
00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish TTH 10:00 AM - 5:30 PM
Languages: Korean M-TH 9:00 AM - 5:00 PM M 10:00 AM - 5:00 PM F 10:00 AM - 5:00 PM
MTH 2:30 AM - 6:00 PM PCMH: No TTH 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM
TW 9:30 AM - 12:00 PM W 10:00 AM - 7:00 PM PCMH: No
PCMH: No Martirosov, Sophia DDS F 9:00 AM - 12:00 PM
PCMH: No Obi, Nneka DDS
MA, Monali DMD Provider ID: TPVP40872-01 Provider ID: TPVP169488-01
Provider ID: TPVP141577-01 Gender: Female Munoz, Juan DDS Gender: Female
Gender: Female Dream Smile Dental PC Provider ID: TPVP39995-01 Metropolitan Family Health
Bergen Dental Group 6600 Bergenline Ave Gender: Male Network
7601 Broadway West New York, NJ 07093 Family Union Dental Practice 935 Garfield Ave
North Bergen, NJ 07047 (201) 430-8530 PC Jersey City, NJ 07304
(201) 869-3107 Fax: (201) 430-8532 2713 Bergenline Ave Ste 2F (201) 478-5800
Fax: (201) 869-0809 00 Yrs/99 Yrs Union City, NJ 07087 Fax: (201) 478-5814
00 Yrs/99 Yrs Languages: Russian (201) 865-1353 00 Yrs/99 Yrs
Languages: Spanish MTTHF 10:00 AM - 5:00 PM Fax: (201) 865-1556 Languages: Arabic
M-TH 9:00 AM - 6:00 PM W 10:00 AM - 7:00 PM 00 Yrs/99 Yrs MTH 9:00 AM - 7:00 PM
PCMH: No Sat 9:00 AM - 2:00 PM Languages: Spanish TWF 9:00 AM - 5:00 PM
PCMH: No M-F 9:00 AM - 7:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 175
Updated: 11/26/2018

Specialty Physicians
Hudson
General Dentistry - cont. Ouzer, Amanda DMD Perricci, Jeffrey DDS Ro, Charles DMD
Provider ID: TPVP157655-01 Provider ID: TPVP39385-01 Provider ID: TPVP78335-01
OH, Hyesuk DDS Gender: Female Gender: Male Gender: Not Available
Provider ID: TPVP129730-01 Metropolitan Family Health Jeffrey Perricci DDS Complete Dental Works
Gender: Female Network 594 Kearny Ave 439 60th St
Newport Centre Dental 935 Garfield Ave Kearny, NJ 07032 West New York, NJ 07093
30-71A Mall Dr W. Jersey City, NJ 07304 (201) 991-1733 (201) 865-5150
Jersey City, NJ 07310 (201) 478-5800 00 Yrs/99 Yrs Fax: (201) 865-5962
(201) 626-2500 Fax: (201) 478-5814 Languages: Spanish 00 Yrs/99 Yrs
Fax: (201) 626-2502 00 Yrs/99 Yrs M 11:00 AM - 4:00 PM Languages: Korean
00 Yrs/99 Yrs Languages: Arabic TF 10:00 AM - 2:00 PM M 9:00 AM - 6:00 PM
Languages: Arabic MTH 9:00 AM - 7:00 PM W 2:00 AM - 7:00 PM T 11:00 AM - 7:00 PM
MTWTHFSat 10:00 AM - 9:00 TWF 9:00 AM - 5:00 PM TH 3:00 AM - 8:00 PM WF 10:00 AM - 4:00 PM
PM PCMH: No PCMH: No TH 7:00 AM - 7:00 PM
Sun 11:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM
PCMH: No Park, Min DDS Rafique, Maryam DMD PCMH: No
Provider ID: TPVP112263-04 Provider ID: TPVP174095-01
Orjiekwe, Ogonna DMD Gender: Female Gender: Female Rodriguez, Nadia DMD
Provider ID: TPVP41173-01 Horizon Health Center Bayonne Family Dental Provider ID: TPVP130626-02
Gender: Male 115 Christopher Columbus Dr 1216 Kennedy Blvd Gender: Female
Diamond Dental Group Jersey City, NJ 07302 Bayonne, NJ 07002 Smile Central Dental Hudson
2778 John F Kennedy Blvd (201) 710-2201 (201) 858-3800 County PC
Jersey City, NJ 07306 Fax: (551) 226-6871 Fax: (201) 858-4409 3196 Kennedy Blvd 3rd Fl
(201) 659-7000 00 Yrs/99 Yrs 00 Yrs/99 Yrs Union City, NJ 07087
Fax: (201) 659-7003 Languages: Arabic Languages: Arabic (201) 325-8444
00 Yrs/99 Yrs MTTH 9:00 AM - 7:00 PM M-F 9:00 AM - 6:00 PM Fax: (201) 325-8447
Languages: Spanish WF 9:00 AM - 5:00 PM Sat 8:00 AM - 2:00 PM 00 Yrs/99 Yrs
M-W 9:00 AM - 5:00 PM PCMH: No PCMH: No Languages: Arabic
TH 9:00 AM - 7:00 PM M-F 9:00 AM - 7:00 PM
F 9:00 AM - 3:00 PM Park, Min DDS Razeghi, Nezhat DDS Sat 9:00 AM - 3:00 PM
Sat 9:00 AM - 2:00 PM Provider ID: TPVP112263-05 Provider ID: TPVP40013-01 PCMH: No
PCMH: No Gender: Female Gender: Female
Horizon Health Center Horizon Health Center Romaguera-Pazmino, Leyla
OST, Ellen DDS 714 Bergen Ave 115 Christopher Columbus Dr DMD
Provider ID: TPVP129952-01 Jersey City, NJ 07306 Jersey City, NJ 07302 Provider ID: TPVP40555-01
Gender: Female (201) 451-6300 (201) 710-2201 Gender: Female
Newport Centre Dental Fax: (551) 226-6871 Fax: (551) 226-6871 Dr L Romaguera-Pazmino
30-71A Mall Dr W. 00 Yrs/99 Yrs 00 Yrs/99 Yrs DMD PA
Jersey City, NJ 07310 Languages: Arabic Languages: Arabic 526 42nd St
(201) 626-2500 MTTH 9:00 AM - 7:00 PM MTTH 9:00 AM - 7:00 PM Union City, NJ 07087
Fax: (201) 626-2502 WF 9:00 AM - 5:00 PM WF 9:00 AM - 5:00 PM (201) 867-5160
00 Yrs/99 Yrs PCMH: No PCMH: No Fax: (201) 867-9979
Languages: Arabic 00 Yrs/99 Yrs
MTWTHFSat 10:00 AM - 9:00 Pedoeem, Victoria DDS Razeghi, Nezhat DDS Languages: Spanish
PM Provider ID: TPVP40692-01 Provider ID: TPVP40013-02 M-W 10:30 AM - 6:30 PM
Sun 11:00 AM - 6:00 PM Gender: Female Gender: Female TH 10:00 AM - 6:30 PM
PCMH: No Victoria S Pedoeem DDS Horizon Health Center F 9:00 AM - 12:00 PM
3426 Kennedy Blvd 714 Bergen Ave PCMH: No
Jersey City, NJ 07307 Jersey City, NJ 07306
(201) 217-9670 (201) 451-6300
Fax: (201) 217-9671 Fax: (551) 226-6871
00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Persian - Farsi Languages: Arabic
M-TH 12:00 AM - 4:00 PM MTTH 9:00 AM - 7:00 PM
F 9:00 AM - 4:00 PM WF 9:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 176
Updated: 11/26/2018

Specialty Physicians
Hudson
General Dentistry - cont. Salazar, Maria DMD Saltzberg, David DMD Sethi, Ritu DDS
Provider ID: TPVP79230-01 Provider ID: TPVP40189-03 Provider ID: TPVP41795-03
Rueda, Robert DDS Gender: Female Gender: Male Gender: Female
Provider ID: TPVP39388-01 Salazar Dental LLC North Hudson Community Guttenberg Family Dental
Gender: Male 6219 Bergenline Ave 2nd Fl Action Corporation 6800 Bergenline Ave
Robert J Rueda West New York, NJ 07093 324 Palisade Ave Guttenberg, NJ 07093
6914 Berbenline Ave (201) 861-1007 Jersey City, NJ 07307 (201) 861-6000
Guttenberg, NJ 07093 Fax: (201) 861-1067 (201) 459-8888 Fax: (201) 861-6002
(201) 868-6964 00 Yrs/99 Yrs Fax: (201) 239-0318 00 Yrs/99 Yrs
Fax: (201) 868-6978 Languages: Spanish 00 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 PM
00 Yrs/99 Yrs M 11:00 AM - 7:00 PM Languages: Spanish W 8:00 AM - 8:00 PM
Languages: Spanish TTH 9:00 AM - 5:00 PM MTTHF 8:30 AM - 5:00 PM PCMH: No
MTTH 9:30 AM - 6:30 PM W 10:00 AM - 7:00 PM W 8:30 AM - 7:00 PM
W 11:00 AM - 7:00 PM F 9:00 AM - 2:00 PM PCMH: No Shetty, Reshma DDS
F 9:30 AM - 2:00 PM PCMH: No Provider ID: TPVP159239-01
PCMH: No Sardelli, Louis DDS Gender: Female
Saltzberg, David DMD Provider ID: TPVP40686-02 Freeman Freeman PC
Ruiz-Sardelli, Bertha DMD Provider ID: TPVP40189-01 Gender: Male 2403 - 2405 Kennedy Blvd
Gender: Male 7800 Dental Care LLC Jersey City, NJ 07304
Provider ID: TPVP40685-02 Saltzberg Wenger 7800 Bergenline Ave (201) 332-1664
Gender: Female 149 Palisade Ave North Bergen, NJ 07047 Fax: (201) 332-8808
7800 Dental Care LLC Jersey City, NJ 07306 (201) 854-7800 00 Yrs/99 Yrs
7800 Bergenline Ave (201) 798-5551 Fax: (201) 854-7802 Languages: Arabic
North Bergen, NJ 07047 Fax: (201) 963-1226 00 Yrs/99 Yrs MTTHF 9:00 AM - 6:00 PM
(201) 854-7800 00 Yrs/99 Yrs Languages: Spanish WSat 9:00 AM - 12:00 PM
Fax: (201) 854-7802 Languages: Spanish M-F 9:00 AM - 6:00 PM PCMH: No
00 Yrs/99 Yrs M 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM
Languages: Spanish TWTH 9:00 AM - 6:00 PM PCMH: No Skjeveland, Richard DDS
M-F 9:00 AM - 6:00 PM F 8:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM Sat-Sun 8:00 AM - 4:00 PM Seok, Bo Hyun DMD Provider ID: TPVP39564-01
PCMH: No PCMH: No Provider ID: TPVP40006-02 Gender: Male
Gender: Male Saltzberg Wenger
Saad, Nader DDS Saltzberg, David DMD Jersey City Dental Care 149 Palisade Ave
Provider ID: TPVP40975-01 Provider ID: TPVP40189-02 3285 John F Kennedy Blvd Jersey City, NJ 07306
Gender: Male Gender: Male Jersey City, NJ 07307 (201) 798-5551
Tm Fresh Breath Inc North Hudson Community (201) 659-4512 Fax: (201) 963-1226
570 W Side Ave Action Corporation Fax: (201) 656-5525 00 Yrs/99 Yrs
Jersey City, NJ 07304 5301 Broadway 00 Yrs/99 Yrs Languages: Spanish
(201) 451-4600 West New York, NJ 07093 Languages: Korean M 9:00 AM - 7:00 PM
Fax: (201) 451-2221 (201) 866-9320 M-TH 9:00 AM - 6:00 PM TWTH 9:00 AM - 6:00 PM
00 Yrs/99 Yrs Fax: (201) 866-7588 PCMH: No F 8:00 AM - 6:00 PM
Languages: Arabic 00 Yrs/99 Yrs Sat-Sun 8:00 AM - 4:00 PM
M 12:00 AM - 8:00 PM Languages: Spanish Sethi, Ritu DDS PCMH: No
TW 10:00 AM - 6:00 PM M-TH 8:30 AM - 7:00 PM Provider ID: TPVP41795-02
PCMH: No FSat 8:30 AM - 5:00 PM Gender: Female
Sun 8:30 AM - 3:00 PM Union City Family Dental
PCMH: No 4713 Bergenline Ave
Union City, NJ 07087
(201) 330-8500
Fax: (201) 330-8511
00 Yrs/99 Yrs
Languages: Spanish
M-F 10:00 AM - 5:00 PM
Sat 10:00 AM - 2:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 177
Updated: 11/26/2018

Specialty Physicians
Hudson
General Dentistry - cont. Soliman, Raafat DMD Wenger, Abraham DMD Weyrauch, Michael DMD
Provider ID: TPVP88417-01 Provider ID: TPVP121081-01
Sladky, Joerg DDS Gender: Male Provider ID: TPVP40190-01 Gender: Male
Provider ID: TPVP40186-01 White and Healthy Smile Gender: Male Bayonne Family Dental
Gender: Male Center LLC Saltzberg Wenger 1216 Kennedy Blvd
Saltzberg Wenger 255 Broadway Ste 1L 149 Palisade Ave Bayonne, NJ 07002
149 Palisade Ave Bayonne, NJ 07002 Jersey City, NJ 07306 (201) 858-3800
Jersey City, NJ 07306 (201) 471-7600 (201) 798-5551 Fax: (201) 858-4409
(201) 798-5551 Fax: (201) 471-7601 Fax: (201) 963-1226 00 Yrs/99 Yrs
Fax: (201) 963-1226 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Arabic
00 Yrs/99 Yrs Languages: Arabic Languages: Spanish M-F 9:00 AM - 6:00 PM
Languages: Spanish M-W 9:30 AM - 5:30 PM M 9:00 AM - 7:00 PM Sat 8:00 AM - 2:00 PM
M 9:00 AM - 7:00 PM PCMH: No TWTH 9:00 AM - 6:00 PM PCMH: No
TWTH 9:00 AM - 6:00 PM F 8:00 AM - 6:00 PM
F 8:00 AM - 6:00 PM Turanskiy, Zinoviy DDS Sat-Sun 8:00 AM - 4:00 PM Williams, Hallie DDS
Sat-Sun 8:00 AM - 4:00 PM Provider ID: TPVP22808-01 PCMH: No Provider ID: TPVP36020-01
PCMH: No Gender: Male Gender: Female
Dream Smile Dental PC Wenger, Abraham DMD Metropolitan Family Health
Sladky, Joerg DDS 6600 Bergenline Ave Network
Provider ID: TPVP40186-02 West New York, NJ 07093 Provider ID: TPVP40190-02 935 Garfield Ave
Gender: Male (201) 430-8530 Gender: Male Jersey City, NJ 07304
North Hudson Community Fax: (201) 430-8532 North Hudson Community (201) 478-5800
Action Corporation 00 Yrs/99 Yrs Action Corporation Fax: (201) 478-5814
5301 Broadway Languages: Spanish, Russian 5301 Broadway 00 Yrs/99 Yrs
West New York, NJ 07093 MTTHF 10:00 AM - 5:00 PM West New York, NJ 07093 Languages: Arabic
(201) 866-9320 W 10:00 AM - 7:00 PM (201) 866-9320 MTH 9:00 AM - 7:00 PM
Fax: (201) 866-7588 Sat 9:00 AM - 2:00 PM Fax: (201) 866-7588 TWF 9:00 AM - 5:00 PM
00 Yrs/99 Yrs PCMH: No 00 Yrs/99 Yrs PCMH: No
Languages: Spanish Languages: Spanish
M-TH 8:30 AM - 7:00 PM Verma, Ganga DDS M-TH 8:30 AM - 7:00 PM Yapor, Eddy DDS
FSat 8:30 AM - 5:00 PM Provider ID: TPVP146880-02 FSat 8:30 AM - 5:00 PM Provider ID: TPVP103705-04
Sun 8:30 AM - 3:00 PM Gender: Male Sun 8:30 AM - 3:00 PM Gender: Male
PCMH: No Guttenberg Family Dental PCMH: No North Hudson Community
6800 Bergenline Ave Action Corporation
Sladky, Joerg DDS Guttenberg, NJ 07093 Wenger, Abraham DMD 5301 Broadway
Provider ID: TPVP40186-03 (201) 861-6000 West New York, NJ 07093
Gender: Male Fax: (201) 861-6002 Provider ID: TPVP40190-03 (201) 866-9320
North Hudson Community 00 Yrs/99 Yrs Gender: Male Fax: (201) 866-7588
Action Corporation MTTHF 8:00 AM - 5:00 PM North Hudson Community 00 Yrs/99 Yrs
324 Palisade Ave W 8:00 AM - 8:00 PM Action Corporation Languages: Spanish
Jersey City, NJ 07307 PCMH: No 324 Palisade Ave M-TH 8:30 AM - 7:00 PM
(201) 459-8888 Jersey City, NJ 07307 FSat 8:30 AM - 5:00 PM
Fax: (201) 239-0318 (201) 459-8888 Sun 8:30 AM - 3:00 PM
00 Yrs/99 Yrs Fax: (201) 239-0318 PCMH: No
Languages: Spanish 00 Yrs/99 Yrs
MTTHF 8:30 AM - 5:00 PM Languages: Spanish
W 8:30 AM - 7:00 PM MTTHF 8:30 AM - 5:00 PM
PCMH: No W 8:30 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 178
Updated: 11/26/2018

Specialty Physicians
Hudson
General Dentistry - cont. General Surgery Brahmbhatt, Ravikumar MD Costa, German MD
Provider ID: 946019
Yapor, Eddy DDS Azer, Wageeh MD Provider ID: 984647 Gender: Male
Provider ID: TPVP103705-05 Provider ID: 946318 Gender: Male Bayonne Medical Center
Gender: Male Gender: Male New Jersey Medical and 29 E 29th St
North Hudson Community Advanced Surgical Grp Inc Health Assoc Bayonne, NJ 07002
Action Corporation 855 Broadway Sub Specialty: HIV/AIDs (201) 858-5000
324 Palisade Ave Bayonne, NJ 07002 142 Palisade Ave Ste 108 Fax: (201) 858-7322
Jersey City, NJ 07307 (201) 345-3599 Jersey City, NJ 07306 00 Yrs/130 Yrs
(201) 459-8888 Fax: (732) 481-1598 (201) 714-4767 Christ Hospital
Fax: (201) 239-0318 16 Yrs/130 Yrs Fax: (201) 659-8913 Palisades Medical Center
00 Yrs/99 Yrs Bayonne Medical Center 00 Yrs/130 Yrs Prime Health Services-St
Languages: Spanish Englewood Hospital and Christ Hospital Marys Hospital
MTTHF 8:30 AM - 5:00 PM Medical Center M 9:00 AM - 1:00 PM Languages: Spanish
W 8:30 AM - 7:00 PM Raritan Bay Medical Center PCMH: No M-W 9:00 AM - 5:00 PM
PCMH: No Perth Amboy PCMH: No
Languages: Arabic Chaar, Mitchell MD
Youssoufian, Anahid DDS M-F 9:00 AM - 5:00 PM Provider ID: 954057 Costa, German MD
Provider ID: TPVP41058-01 PCMH: No Gender: Male Provider ID: 946019
Gender: Female Liberty Surgical Associates Gender: Male
Ararat Dental Brahmbhatt, Ravikumar MD Hoboken Universty Med
150 Warren St Fl 2
107 77th St Jersey City, NJ 07302 Center
North Bergen, NJ 07047 Provider ID: 1304182 (866) 390-1815 308 Willow Ave
(201) 662-1944 Gender: Male Fax: (413) 589-0761 Hoboken, NJ 07030
Fax: (201) 533-1600 New Jersey Medical and 00 Yrs/130 Yrs (201) 418-1000
00 Yrs/99 Yrs Health Assoc Jersey City Medical Center 00 Yrs/130 Yrs
Languages: Arabic Sub Specialty: HIV/AIDs M-F 9:00 AM - 5:00 PM Christ Hospital
MT 11:00 AM - 7:00 PM 142 Palisade Ave Ste 108 Palisades Medical Center
PCMH: No
W 11:00 AM - 5:00 PM Jersey City, NJ 07306 Prime Health Services-St
PCMH: No (201) 714-4767 Marys Hospital
Costa, German MD
Fax: (201) 659-8913 Languages: Spanish
Provider ID: 1508247
Zara, Maria DMD 00 Yrs/130 Yrs MT 9:00 AM - 5:00 PM
Gender: Male
Provider ID: TPVP41321-01 Christ Hospital PCMH: No
Excelcare Medical Associates,
Gender: Female M-F 9:00 AM - 5:00 PM PA Davis, John MD
Maria Zara DMD LLC PCMH: No 3196 Kennedy Blvd Fl 2
406 32nd St 2nd Fl Provider ID: 1654259
Union City, NJ 07087
Union City, NJ 07087 Brahmbhatt, Ravikumar MD Gender: Male
(201) 795-9080
(201) 223-2140 Palisades Medical Center
Fax: (201) 795-9434
Fax: (201) 223-2142 Provider ID: 984647 1 Marine Plz Ste 210
00 Yrs/130 Yrs
00 Yrs/99 Yrs Gender: Male North Bergen, NJ 07047
Christ Hospital
Languages: Spanish New Jersey Medical and (732) 226-8569
Palisades Medical Center
M-TH 10:00 AM - 6:00 PM Health Assoc Prime Health Services-St Fax: (732) 226-8629
F 9:00 AM - 2:00 PM Sub Specialty: HIV/AIDs Marys Hospital 00 Yrs/130 Yrs
PCMH: No 1 Journal Square Plz Ste 2 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Jersey City, NJ 07306 PCMH: No PCMH: No
(201) 714-4767
Davis, John MD
Fax: (201) 714-4645
00 Yrs/130 Yrs Provider ID: 1654259
Christ Hospital Gender: Male
M 1:30 AM - 5:00 PM Palisades Medical Center
PCMH: No 7600 River Rd
North Bergen, NJ 07047
(732) 226-8569
Fax: (732) 226-8629
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 179
Updated: 11/26/2018

Specialty Physicians
Hudson
General Surgery - cont. Kempner, Robbi MD Miller, Benetta MD Patel, Lava MD
Provider ID: 1606399
Gonzalez, Juan MD Provider ID: 906318 Provider ID: 1093276 Gender: Male
Provider ID: 946073 Gender: Female Gender: Female Garden State Healthcare
Gender: Male 142 Palisade Ave Ste 108 New Jersey Medical and Associates
Bayonne Medical Center Jersey City, NJ 07306 Health Assoc 176 Palisade Ave
29 E 29th St (201) 795-8596 Sub Specialty: HIV/AIDs Jersey City, NJ 07306
Bayonne, NJ 07002 16 Yrs/130 Yrs 330 Grand St Ste 100 (201) 795-8550
(201) 858-5000 Christ Hospital Hoboken, NJ 07030 Fax: (201) 795-8450
Fax: (201) 858-7332 Languages: Spanish, Hebrew (201) 420-7903 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 420-7586 M-F 9:00 AM - 5:00 PM
Hoboken University Medical PCMH: No 05 Yrs/130 Yrs PCMH: No
Center Hoboken University Medical
Palisades Medical Center Miller, Benetta MD Center Popovich, Joseph MD
Languages: Spanish Provider ID: 1093276 M 10:00 AM - 8:30 PM Provider ID: 178475
MT 9:00 AM - 5:00 PM Gender: Female TWTH 10:00 AM - 8:00 PM Gender: Male
PCMH: No Sub Specialty: HIV/AIDs PCMH: No 355 Grand St
308 Willow Ave Jersey City, NJ 07302
Gonzalez, Juan MD Hoboken, NJ 07030 Molino, Bruno MD (201) 915-2000
Provider ID: 946073 (201) 418-1000 Provider ID: 943728 18 Yrs/130 Yrs
Gender: Male 05 Yrs/130 Yrs Gender: Male Languages: Spanish
Hoboken University Med CT Hoboken University Medical Liberty Surgical Associates M-F 9:00 AM - 5:00 PM
308 Willow Ave Center 2 Hudson Pl PCMH: No
Hoboken, NJ 07030 M-F 9:00 AM - 5:00 PM Hoboken, NJ 07030
(301) 222-5200 PCMH: No (201) 792-7929 Schrag, Sherwin MD
00 Yrs/130 Yrs Fax: (201) 792-7934 Provider ID: 494126
Hoboken University Medical Miller, Benetta MD 00 Yrs/130 Yrs Gender: Male
Center Jersey City Medical Center Liberty Surgical Associates
Palisades Medical Center Provider ID: 1093276 Languages: Spanish 377 Jersey Ave Ste 280
Languages: Spanish Gender: Female M-F 9:00 AM - 5:00 PM Jersey City, NJ 07302
M-W 9:00 AM - 5:00 PM New Jersey Medical and PCMH: No (866) 390-1815
PCMH: No Health Assoc Fax: (413) 589-0761
Sub Specialty: HIV/AIDs Ottley, Anroy MD 00 Yrs/130 Yrs
Ibrahim, Ibrahim MD Provider ID: 477977 Jersey City Medical Center
142 Palisade Ave Ste 108
Jersey City, NJ 07306 Gender: Male MTWTHFSatSun 8:00 AM -
Provider ID: 1591234 (201) 420-7903 Liberty Surgical Associates 8:00 PM
Gender: Male Fax: (201) 795-8596 150 Warren St Fl 2 PCMH: No
Medical Associates of 05 Yrs/130 Yrs Jersey City, NJ 07302
Englewood, PC Hoboken University Medical (201) 324-3537 Schrag, Sherwin MD
3196 Kennedy Blvd Ste 3 Center Fax: (201) 324-3551 Provider ID: 494126
Union City, NJ 07087 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Gender: Male
(201) 227-5533 PCMH: No Jersey City Medical Center Liberty Surgical Group
Fax: (201) 227-5537 Languages: Spanish 2 Hudson Pl
00 Yrs/130 Yrs MTWTHFSatSun 8:00 AM - Hoboken, NJ 07030
Englewood Hospital and 8:00 PM (866) 390-1815
Medical Center PCMH: No Fax: (413) 589-0761
Holy Name Medical Center 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Jersey City Medical Center
PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No

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Specialty Physicians
Hudson
General Surgery - cont. Sultan, Ronald MD Pierre Louis, Marylin MD Gutierrez, Martin MD
Provider ID: 290492 Provider ID: 974924
Sherman, Jingjing MD Gender: Male Provider ID: 928457 Gender: Male
2255 Kennedy Blvd Gender: Female Regional Cancer Care
Provider ID: 1592706 Jersey City, NJ 07304 New Jersey Medical and Associates LLC
Gender: Female (201) 434-3305 Health Assoc Sub Specialty: HIV/AIDs
Medical Associates of Fax: (973) 669-5955 122-132 Clinton St 7650 River Rd Ste 200
Englewood, PC 18 Yrs/130 Yrs Hoboken, NJ 07030 North Bergen, NJ 07047
3196 Kennedy Blvd Ste 3 Christ Hospital (201) 858-7805 (201) 464-0008
Union City, NJ 07087 Languages: Spanish Fax: (201) 706-4519 Fax: (551) 996-8578
(201) 227-5533 M 8:00 AM - 2:00 PM 00 Yrs/130 Yrs 18 Yrs/130 Yrs
Fax: (201) 227-5537 T 10:00 AM - 3:00 PM Hoboken University Medical Palisades Medical Center
00 Yrs/130 Yrs W 2:00 AM - 8:00 PM Center M-F 8:00 AM - 4:00 PM
Englewood Hospital and PCMH: No Languages: Spanish PCMH: No
Medical Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Geriatric Medicine PCMH: No Pecora, Andrew MD
PCMH: No
Goldstein, Marc DO Reisner, Michelle MD Provider ID: 1027437
Strain, Jeffrey MD Provider ID: 971569 Provider ID: 451626 Gender: Male
Provider ID: 1585529 Gender: Male Gender: Female Regional Cancer Care
Gender: Male 8100 Kennedy Blvd 196 Jewett Ave Associates LLC
Medical Associates of North Bergen, NJ 07047 Jersey City, NJ 07304 Sub Specialty: HIV/AIDs
Englewood, PC (201) 866-6770 (201) 332-3354 7650 River Rd FL2 Ste 200
3196 Kennedy Blvd Ste 3 Fax: (201) 866-6771 Fax: (201) 332-0180 North Bergen, NJ 07047
Union City, NJ 07087 00 Yrs/130 Yrs 18 Yrs/130 Yrs (201) 464-0008
(201) 227-5533 Palisades Medical Center Jersey City Medical Center Fax: (201) 662-1267
Fax: (201) 227-5537 M-TH 11:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs
00 Yrs/130 Yrs PCMH: No PCMH: No Palisades Medical Center
Englewood Hospital and M-F 8:00 AM - 5:00 PM
Medical Center Guittari, Nicholas MD Reisner, Michelle MD PCMH: No
Holy Name Medical Center Provider ID: 451626
M-F 9:00 AM - 5:00 PM Provider ID: 1649955 Gender: Female Shah, Nalini MD
PCMH: No Gender: Male 525 Monmouth St Provider ID: 525098
Nicholas S Guittari MD Jersey City, NJ 07302 Gender: Female
Sultan, Ronald MD (201) 653-8800 Nalini Shah MD
946 Ave C
Provider ID: 290492 Fax: (201) 653-3074 120 Franklin St
Bayonne, NJ 07002
Gender: Male 18 Yrs/130 Yrs Jersey City, NJ 07307
(201) 436-3900
176 Palisade Ave Ste 3E Jersey City Medical Center (201) 653-8403
Fax: (973) 746-8508
Jersey City, NJ 07306 M-F 9:00 AM - 5:00 PM Fax: (201) 653-1824
18 Yrs/110 Yrs
(201) 795-8200 PCMH: No 00 Yrs/130 Yrs
Newark Beth Israel Med
18 Yrs/130 Yrs Center Christ Hospital
Christ Hospital M-F 9:00 AM - 5:00 PM Hematology Saint Clares Hospital
Languages: Spanish PCMH: No Languages: Spanish
M-F 9:00 AM - 5:00 PM Alter, Robert MD M 1:00 AM - 5:00 PM
PCMH: No Provider ID: 1003493 TWF 10:00 AM - 12:00 PM
Gender: Male TH 11:00 AM - 5:00 PM
Regional Cancer Care PCMH: No
Associates
Sub Specialty: HIV/AIDs
7650 River Rd Ste 200
North Bergen, NJ 07047
(551) 996-5848
Fax: (551) 996-8578
18 Yrs/130 Yrs
Palisades Medical Center
M-F 8:00 AM - 5:00 PM
PCMH: No

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Specialty Physicians
Hudson
Hematology - cont. Badin, Michel MD Druck, Mark MD Goldberg, Stuart MD
Provider ID: 1087138 Provider ID: 438767
Skarbnik, Alan MD Gender: Male Gender: Male Provider ID: 561879
Provider ID: 1006118 New Jersey Medical and Combined Hematology Gender: Male
Gender: Male Health Assoc Oncology of NJ Regional Cancer Care
Regional Cancer Care Sub Specialty: HIV/AIDs 977 Ave C Associates LLC
Associates LLC 308 Willow Ave Bayonne, NJ 07002 Sub Specialty: HIV/AIDs
Sub Specialty: HIV/AIDs Hoboken, NJ 07030 (201) 243-1500 7650 River Rd Ste 200
7650 River Rd Ste 200 (201) 436-6100 Fax: (201) 243-1499 North Bergen, NJ 07047
North Bergen, NJ 07047 Fax: (201) 436-6101 21 Yrs/130 Yrs (201) 464-0008
(201) 942-3990 00 Yrs/130 Yrs Christ Hospital Fax: (201) 662-1267
Fax: (201) 714-4766 Christ Hospital Languages: Spanish 00 Yrs/130 Yrs
18 Yrs/130 Yrs Jersey City Medical Center M 9:00 AM - 12:30 PM Palisades Medical Center
Palisades Medical Center M-F 9:00 AM - 6:00 PM T 9:00 AM - 1:30 PM M-F 9:00 AM - 5:00 PM
M-F 7:00 AM - 6:30 PM PCMH: No PCMH: No PCMH: No
PCMH: No
Badin, Simon MD Gelfand, Robert MD Graham, Deena MD
Hematology & Oncology Provider ID: 895333
Gender: Male Provider ID: 707784 Provider ID: 987749
Badin, Michel MD New Jersey Medical and Gender: Male Gender: Female
Provider ID: 1055318 Health Assoc Hudson Hematology Regional Cancer Care
Gender: Male 308 Willow Ave Oncology LLC Associates
Michel S Badin MD PA Hoboken, NJ 07030 377 Jersey Ave Ste 160 Sub Specialty: HIV/AIDs
Sub Specialty: HIV/AIDs (201) 433-4848 Jersey City, NJ 07302 7650 River Rd Ste 200
1947 Kennedy Blvd Fax: (201) 360-0159 (201) 333-8248 North Bergen, NJ 07047
Jersey City, NJ 07305 00 Yrs/130 Yrs Fax: (201) 333-8469 (201) 464-0008
(201) 433-4848 Jersey City Medical Center 00 Yrs/130 Yrs Fax: (201) 662-1267
Fax: (201) 360-0159 Languages: Spanish, Arabic Palisades Medical Center 18 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM Palisades Medical Center
Christ Hospital PCMH: No PCMH: No M-F 8:00 AM - 5:00 PM
Jersey City Medical Center PCMH: No
Languages: Arabic Druck, Mark MD Ghuman, Damanjit MD
M-F 10:00 AM - 6:00 PM Provider ID: 438767 Harper, Harry MD
PCMH: No Gender: Male Provider ID: 692649 Provider ID: 1550694
Combined Hematology Gender: Female Gender: Male
Badin, Michel MD Oncology of NJ Hudson Hematology 7650 River Rd Ste 200
Provider ID: 1087138 210 Palisade Ave Oncology LLC North Bergen, NJ 07047
Gender: Male Jersey City, NJ 07306 377 Jersey Ave Ste 160 (201) 464-0008
New Jersey Medical and (201) 963-2213 Jersey City, NJ 07302 Fax: (201) 622-1267
Health Assoc Fax: (201) 963-7070 (201) 333-8248 18 Yrs/130 Yrs
Sub Specialty: HIV/AIDs 21 Yrs/130 Yrs Fax: (201) 333-8469 M-F 9:00 AM - 5:00 PM
176 Palisade Ave Christ Hospital 00 Yrs/130 Yrs PCMH: No
Jersey City, NJ 07306 Languages: Spanish Bayonne Medical Center
(201) 436-6100 MW 9:00 AM - 4:00 PM Christ Hospital Iyengar, Arjun MD
Fax: (201) 436-6101 TTH 10:00 AM - 4:00 PM Palisades Medical Center Provider ID: 1653538
00 Yrs/130 Yrs F 9:00 AM - 1:00 PM Languages: Hindi Gender: Male
Christ Hospital PCMH: No M-F 9:00 AM - 12:00 PM Hudson Hematology Oncolgy
Jersey City Medical Center PCMH: No Associate
M-F 9:00 AM - 5:00 PM 27 E 29th St
PCMH: No Bayonne, NJ 07002
(908) 617-5063
Fax: (201) 858-4171
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 182
Updated: 11/26/2018

Specialty Physicians
Hudson
Hematology & Oncology Palathingal, Rini MD Richard, Shambavi MD Talwar, Sumit MD
- cont. Provider ID: 431947 Provider ID: 1196288
Gender: Female Provider ID: 981961 Gender: Male
Lamba, Renu MD Combined Hematology Gender: Female Hudson Hematology
Provider ID: 1096671 Oncology Practi Advanced Hematology and Oncology LLC
Gender: Female 210 Palisade Ave Oncology 377 Jersey Ave Ste 160
New Era Hemonc Jersey City, NJ 07306 550 Newark Ave Ste 402 Jersey City, NJ 07302
Sub Specialty: HIV/AIDs (201) 963-2213 Jersey City, NJ 07306 (201) 333-8248
473 Broadway Ste 411 Fax: (201) 963-7070 (201) 356-9285 Fax: (201) 333-8469
Bayonne, NJ 07002 21 Yrs/130 Yrs Fax: (201) 356-9682 12 Yrs/130 Yrs
(201) 285-5972 Christ Hospital 18 Yrs/130 Yrs Bayonne Medical Center
Fax: (908) 691-3661 Languages: Spanish, Hindi, Christ Hospital Christ Hospital
18 Yrs/130 Yrs Tagalog Languages: Spanish Hoboken University Medical
M 9:00 AM - 5:30 PM MTWF 9:00 AM - 5:00 PM Center
Bayonne Medical Center
TWTHF 9:00 AM - 5:00 PM TH 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM
PCMH: No PCMH: No PCMH: No
PCMH: No
Patel, Amit MD Upadhyaya, Hitendrakumar
Min, Christina MD Riotto, Lorraine MD
Provider ID: 704373 MD
Provider ID: 1205878
Gender: Male Provider ID: 522664
Gender: Female Provider ID: 1057331
355 Grand St Gender: Male
Regional Cancer Care Gender: Female
Jersey City, NJ 07302 New Jersey Medical and
Associates LLC Hudson Hematology
(201) 915-2000 Health Assoc
7650 River Rd Ste 200 Oncology Associat
00 Yrs/130 Yrs 282 Saint Pauls Ave Ground Fl
North Bergen, NJ 07047 27 E 29th St Medical Office
(201) 454-0008 Hoboken University Medical Bayonne, NJ 07002
Center Jersey City, NJ 07306
Fax: (201) 662-1267 (201) 858-1211 (201) 918-6732
18 Yrs/130 Yrs Jersey City Medical Center Fax: (844) 241-7242
Languages: Spanish Fax: (201) 918-6759
Languages: Korean 18 Yrs/130 Yrs 00 Yrs/130 Yrs
MTTHF 8:00 AM - 4:30 PM M-F 9:00 AM - 5:00 PM Bayonne Medical Center
PCMH: No Bayonne Medical Center
W 9:30 AM - 4:30 PM M-F 9:00 AM - 6:00 PM Christ Hospital
PCMH: No PCMH: No Languages: Hindi, Gujarati
Patel, Amit MD
Provider ID: 704373 M 9:00 AM - 3:00 PM
Palathingal, Rini MD Roy, Vijaykumar MD
Gender: Male TWTHF 9:00 AM - 5:00 PM
Provider ID: 431947 PCMH: No
Gender: Female Hudson Hematology Provider ID: 1208208
Oncology LLC
7600 River Rd Gender: Male Infectious Disease
377 Jersey Ave Ste 160
North Bergen, NJ 07047 Regional Cancer Care
Jersey City, NJ 07302
(201) 963-2213 Associates LLC Finkel, Diana DO
(201) 333-8248
21 Yrs/130 Yrs 216 Palisade Ave Provider ID: 1369635
Fax: (201) 333-8469
Christ Hospital Jersey City, NJ 07306 Gender: Female
00 Yrs/130 Yrs
Languages: Spanish, Hindi, (201) 714-4755 Horizon Health Center
Tagalog Hoboken University Medical Fax: (201) 714-4766 714 Bergen Ave
Center
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Jersey City, NJ 07306
Jersey City Medical Center
PCMH: No M-F 8:00 AM - 5:00 PM (201) 451-6300
Languages: Spanish
M-F 9:00 AM - 5:00 PM PCMH: No Fax: (201) 451-8300
PCMH: No 18 Yrs/110 Yrs
Siegel, David MD
Prime Health Services-St
Provider ID: 1550693
Proverbssingh, Tracy MD Marys Hospital
Gender: Male St. Joseph's Hospital Reg
Provider ID: 1534566 7650 River Rd Ste 200 Medical Center
Gender: Female North Bergen, NJ 07047 Languages: Spanish, Russian
7650 River Rd Ste 200 (201) 464-0008 M-F 9:00 AM - 5:00 PM
North Bergen, NJ 07047 Fax: (201) 622-1267 PCMH: No
(201) 464-0008 18 Yrs/130 Yrs
Fax: (201) 662-1267 M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 183
Updated: 11/26/2018

Specialty Physicians
Hudson
Infectious Disease - cont. Khan, Noroze MD Ahmad, Muhammad MD Campoalegre, Maria MD
Provider ID: 945713
Grigoriu, Adriana MD Gender: Female Provider ID: 1594832 Provider ID: 573005
Provider ID: 938131 20 Lincoln St Gender: Male Gender: Female
Gender: Female Jersey City, NJ 07307 Prohealth Care Associates of Dr Maria A Campoalegre MD
Horizon Health Center (201) 963-3570 NJ PA
115 Christopher Columbus Dr Fax: (201) 659-5350 425 70th St 407 39th St Ste 403
Jersey City, NJ 07302 00 Yrs/130 Yrs Guttenberg, NJ 07093 Union City, NJ 07087
(201) 451-6300 Christ Hospital (201) 854-0055 (201) 330-8080
Fax: (551) 226-6871 Languages: Spanish, Hindi, Fax: (973) 483-9944 Fax: (201) 330-8111
16 Yrs/130 Yrs Gujarati 00 Yrs/130 Yrs 18 Yrs/130 Yrs
Jersey City Medical Center MWF 2:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM Holy Name Medical Center
Languages: Romanian TTH 12:00 AM - 4:00 PM PCMH: No Palisades Medical Center
M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 6:00 PM
PCMH: No Ahmad, Muhammad MD Sat 9:00 AM - 2:00 PM
Internal Medicine PCMH: No
Grigoriu, Adriana MD Provider ID: 1594832
Provider ID: 938131 Ahmad, Muhammad MD Gender: Male Ciechanowski, George MD
Gender: Female Prohealth Care Associates of
Horizon Health Center Provider ID: 1594832 NJ Provider ID: 955608
714 Bergen Ave Gender: Male 506 Broadway Gender: Male
Jersey City, NJ 07306 Prohealth Care Associates of Bayonne, NJ 07002 408 Summit Ave Fl 1
(201) 451-6300 NJ (201) 991-8565 Jersey City, NJ 07306
Fax: (201) 451-8300 2440 John F Kennedy Blvd Fax: (201) 535-5601 (201) 963-7000
16 Yrs/130 Yrs Jersey City, NJ 07304 00 Yrs/130 Yrs Fax: (201) 963-8331
Jersey City Medical Center (201) 433-3316 M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs
Languages: Romanian Fax: (201) 433-0185 PCMH: No Bayonne Medical Center
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Christ Hospital
PCMH: No M-F 9:00 AM - 5:00 PM Al-Asad, Manar MD MW 9:00 AM - 1:00 PM
PCMH: No T 2:00 AM - 6:00 PM
Hamadeh, Randa MD Provider ID: 1429501 TH 1:00 AM - 5:00 PM
Ahmad, Muhammad MD Gender: Male F 11:00 AM - 3:00 PM
Provider ID: 818671 Riverfront Intensivists PCMH: No
Gender: Female Provider ID: 1594832 7600 River Rd
Bhmg United Medical Gender: Male North Bergen, NJ 07047 Dailey Sterling, Felix MD
988 Broadway Ste 201 Prohealth Care Associates of (201) 854-5000
Bayonne, NJ 70024 NJ Fax: (201) 710-2786 Provider ID: 1608963
(201) 339-6111 324 Palisades Ave 00 Yrs/130 Yrs Gender: Male
Fax: (201) 339-6333 Jersey City, NJ 07307 Palisades Medical Center Prohealth Care Associates of
00 Yrs/130 Yrs (201) 656-0001 MTWTHFSatSun 6:00 AM - New Je
Jersey City Medical Center Fax: (201) 656-0093 6:00 PM 425 70th St
St. Joseph's Hospital Reg 00 Yrs/130 Yrs PCMH: No Guttenberg, NJ 07093
Medical Center M-F 9:00 AM - 5:00 PM (201) 854-0055
Languages: French, Arabic PCMH: No Ameen, Abdul MD Fax: (201) 854-2633
M-F 9:00 AM - 5:00 PM Provider ID: 943567 16 Yrs/130 Yrs
PCMH: Yes, Level 3 Gender: Male St Michael's Medical Center
377 Jersey Ave Ste 410 M-F 9:00 AM - 5:00 PM
Jersey City, NJ 07302 PCMH: No
(201) 200-0318
Fax: (201) 200-0319
18 Yrs/130 Yrs
Jersey City Medical Center
Languages: Spanish, Persian -
Farsi, Tagalog
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 184
Updated: 11/26/2018

Specialty Physicians
Hudson
Internal Medicine - cont. Jain, Deepika MD Kumaresan, Arulnangai MD Mulkay, Angel MD
Provider ID: 1208205 Provider ID: 1201160
Dailey Sterling, Felix MD Gender: Female Provider ID: 946139 Gender: Male
Bassam M Haddad MD PA Gender: Female Hackensack Interventional
Provider ID: 1608963 26 Greenville Ave Bayonne Medical Center Institute
Gender: Male Jersey City, NJ 07305 29 E 29th St 529 39th St Ste 1
Prohealth Care Associates of (201) 333-8222 Bayonne, NJ 07002 Union City, NJ 07087
New Je Fax: (201) 333-0095 (201) 858-5000 (201) 601-0900
427 70th St 18 Yrs/130 Yrs Fax: (201) 858-7222 Fax: (201) 601-0995
Guttenberg, NJ 07093 Hoboken University Medical 18 Yrs/130 Yrs 18 Yrs/130 Yrs
(201) 854-0055 Center Bayonne Medical Center Holy Name Medical Center
Fax: (201) 758-1300 Jersey City Medical Center Languages: Spanish M-F 9:00 AM - 5:00 PM
16 Yrs/130 Yrs Languages: Urdu M-F 9:00 AM - 5:00 PM PCMH: No
St Michael's Medical Center MTTHF 10:00 AM - 4:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM W 10:00 AM - 2:00 PM Park, Soo MD
PCMH: No PCMH: No Min, Christina MD Provider ID: 817597
Provider ID: 1205878 Gender: Female
Elsayed, Ali MD Kazmi, Ahsan MD Gender: Female Mulkay Cardiology
Provider ID: 1429503 Provider ID: 946118 Regional Cancer Care Consultants
Gender: Male Gender: Male Associates LLC Sub Specialty: HIV/AIDS,
Riverfront Intensivists Garden State Hlthcre Assoc 7650 River Rd Ste 200 Developmental Disabilities,
7600 River Rd 176 Palisade Ave North Bergen, NJ 07047 Aged
North Bergen, NJ 07047 Jersey City, NJ 07306 (201) 454-0008 529 39th St
(201) 854-5000 (201) 795-8200 Fax: (201) 662-1267 Union City, NJ 07087
Fax: (201) 710-2786 18 Yrs/130 Yrs 18 Yrs/130 Yrs (201) 601-0900
00 Yrs/130 Yrs Christ Hospital Languages: Korean Fax: (201) 601-0995
Palisades Medical Center M-F 9:00 AM - 5:00 PM MTTHF 8:00 AM - 4:30 PM 18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM PCMH: No W 9:30 AM - 4:30 PM Palisades Medical Center
PCMH: No PCMH: No Languages: Spanish
Kumar, Chitra MD M-F 9:00 AM - 5:00 PM
Hanna, Fiby MD Provider ID: 945444 Mughni, Azam MD PCMH: No
Provider ID: 797635 Gender: Female Provider ID: 1284815
5311 Blvd E Patel, Vinod MD
Gender: Female Gender: Male
Trinity Medical Group West New York, NJ 07093 Bayonne Medical Center Provider ID: 1707111
634 Newark Ave (201) 864-7172 29 E 29th St Gender: Male
Jersey City, NJ 07306 Fax: (201) 864-5599 Bayonne, NJ 07002 New Jersey Medical and
18 Yrs/130 Yrs Health Assoc
(201) 798-0324 (201) 821-8931
Hoboken University Medical 4522 Kennedy Blvd
Fax: (201) 798-0333 Fax: (201) 603-6688
Center Union City, NJ 07087
18 Yrs/130 Yrs 00 Yrs/130 Yrs
Palisades Medical Center (201) 795-8896
Christ Hospital Christ Hospital
Hoboken University Medical Languages: Spanish, Hindi Fax: (201) 418-7067
M-F 9:00 AM - 5:00 PM
Center MW 2:00 AM - 7:00 PM 00 Yrs/130 Yrs
PCMH: No
Jersey City Medical Center TTH 9:00 AM - 2:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish, Arabic PCMH: No Mughni, Azam MD PCMH: No
M-F 9:00 AM - 5:00 PM Provider ID: 1284815
PCMH: No Pathak, Sonal MD
Gender: Male
Provider ID: 755648
Hoboken University Medical
Center Gender: Female
308 Willow Ave Palisades Medical Associates
Hoboken, NJ 07030 6045 Kennedy Blvd Ste B
(201) 821-8931 North Bergen, NJ 07047
Fax: (201) 603-6688 (201) 453-0322
00 Yrs/130 Yrs Fax: (201) 453-0325
Christ Hospital 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Palisades Medical Center
PCMH: No M-F 8:00 AM - 4:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 185
Updated: 11/26/2018

Specialty Physicians
Hudson
Internal Medicine - cont. Shah, Anuj MD Simoes, Sonia MD Wilcox, Ellis MD
Provider ID: 1403825 Provider ID: 946235 Provider ID: 496638
Perez, Susan DO Gender: Male Gender: Female Gender: Male
Provider ID: 1014494 Summit Medical Arts 422 Grand St 308 Willow Ave
Gender: Female Associates LLC Jersey City, NJ 07302 Hoboken, NJ 07030
615 23rd St 1265 Paterson Plank Rd Fl 1 Ste (201) 332-6413 (201) 418-1000
Union City, NJ 07087 1-A Fax: (201) 536-8096 12 Yrs/130 Yrs
(954) 399-4621 Secaucus, NJ 07094 18 Yrs/130 Yrs Christ Hospital
Fax: (877) 892-9770 (201) 348-8828 Jersey City Medical Center East Orange General Hospital
12 Yrs/130 Yrs Fax: (201) 348-0026 Newark Beth Israel Med Hoboken University Medical
Englewood Hospital and 18 Yrs/110 Yrs Center Center
Medical Center Holy Name Medical Center Languages: Spanish, Hindi, M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Palisades Medical Center Portuguese PCMH: No
PCMH: No MTTH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
W 10:00 AM - 6:30 PM PCMH: No Wilcox, Ellis MD
Rizvi, Anwar MD F 9:00 AM - 4:30 PM Provider ID: 496638
Provider ID: 946191 Sat 9:00 AM - 1:00 PM Talwar, Sumit MD Gender: Male
Gender: Male PCMH: No Provider ID: 1196288 Hudson Physicians Assoc
Bayonne Medical Center Gender: Male 106 Center Ave
29 E 29th St Shah, Anuj MD Hudson Hematology Secaucus, NJ 07094
Bayonne, NJ 07002 Provider ID: 1403825 Oncology LLC (201) 854-2097
(201) 858-5000 Gender: Male 377 Jersey Ave Ste 160 Fax: (201) 854-2549
Fax: (201) 858-7322 Summit Medical Arts Jersey City, NJ 07302 12 Yrs/130 Yrs
18 Yrs/130 Yrs Associates LLC (201) 333-8248 Christ Hospital
Bayonne Medical Center 1265 Paterson Plank Rd Fl 1 Ste Fax: (201) 333-8469 East Orange General Hospital
Languages: Spanish 2-D 12 Yrs/130 Yrs Hoboken University Medical
Secaucus, NJ 07094 Bayonne Medical Center Center
M-F 9:00 AM - 5:00 PM
(201) 348-8828 Christ Hospital M-F 9:00 AM - 5:00 PM
PCMH: No
Fax: (201) 348-0026 Hoboken University Medical PCMH: No
Saif, Shazia MD 18 Yrs/110 Yrs Center
Holy Name Medical Center M-F 9:00 AM - 5:00 PM Wilcox, Ellis MD
Provider ID: 1283104
Palisades Medical Center PCMH: No Provider ID: 496638
Gender: Female
MTTH 9:00 AM - 5:00 PM Gender: Male
NJ Certified Dermatology PC Tassan, Robert MD
W 10:00 AM - 6:30 PM Hudson Physicians Assoc
670 Broadway Provider ID: 1311563
F 9:00 AM - 4:30 PM 209 60th St
Bayonne, NJ 07002 Gender: Male
Sat 9:00 AM - 1:00 PM West New York, NJ 07093
(732) 456-7777 7650 River Rd Ste 200
PCMH: No (201) 854-2097
12 Yrs/130 Yrs North Bergen, NJ 07047 Fax: (201) 854-2549
Bayonne Medical Center (201) 464-0008
Shah, Anuj MD 12 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Fax: (201) 662-1267
Provider ID: 1580358 Christ Hospital
PCMH: No 18 Yrs/110 Yrs
Gender: Male East Orange General Hospital
Shah Anuj MD PC M-F 9:00 AM - 5:00 PM Hoboken University Medical
Salah-Eldin, Alaa MD
550 Summit Ave Bsmt PCMH: No Center
Provider ID: 400198 M-F 9:00 AM - 5:00 PM
Gender: Male Jersey City, NJ 07306
Weisman, Jeffrey DO PCMH: No
550 Summit Ave Ste 205 (201) 209-1802
Jersey City, NJ 07306 Fax: (201) 604-7764
00 Yrs/130 Yrs Provider ID: 1181429
(201) 659-0772 Gender: Male
Fax: (201) 659-6527 MTWTHFSat 9:00 AM - 5:00
PM Regional Cardiology
12 Yrs/130 Yrs 115 Christopher Columbus Dr
PCMH: No
Christ Hospital Jersey City, NJ 07302
Languages: Spanish, Arabic (215) 464-2200
M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs
PCMH: No Christ Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 186
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Specialty Physicians
Hudson
Interventional Cardiology Wasty, Najam MD Maternal Fetal Medicine Gupta, Bhavna MD
Provider ID: 200481 Provider ID: 558646
Javed, Mohammad MD Gender: Male Alvarez Perez, Jesus MD Gender: Female
Provider ID: 943570 Essex Hudson Cardiology Jersey Hemeonc LLC
Gender: Male Associates Provider ID: 1567156 9238 Kennedy Blvd
Cardiovascular Associates Sub Specialty: HIV/AIDs Gender: Male North Bergen, NJ 07047
377 Jersey Ave 410 308 Willow Ave NJ Perinatology Group LLC (201) 751-4004
Jersey City, NJ 07302 Hoboken, NJ 07030 435 Central Ave Fax: (201) 455-6296
(201) 200-0318 (973) 926-8592 Jersey City, NJ 07307 00 Yrs/130 Yrs
Fax: (201) 200-0319 18 Yrs/130 Yrs (201) 217-5600 Christ Hospital
18 Yrs/130 Yrs Newark Beth Israel Med Fax: (201) 217-5700 Languages: Hindi, Gujarati,
Jersey City Medical Center Center 00 Yrs/130 Yrs Punjabi
M-F 9:00 AM - 7:00 PM Languages: Urdu, Punjabi M-TH 10:00 AM - 3:00 PM MTWF 9:00 AM - 5:00 PM
PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No TH 9:00 AM - 6:00 PM
PCMH: No PCMH: No
Shah, Anuj MD Khoury, Aldo MD
Provider ID: 1181442 Znamensky, Vladimir MD Provider ID: 988095 Gutierrez, Martin MD
Gender: Male Gender: Male
Mulkay Cardiology Provider ID: 1109619 New Jersey Medical and Provider ID: 974924
Consultants At Ho Gender: Male Health Assoc Gender: Male
529 39th St Ste 1 Total Cardiology Care LLC Sub Specialty: HIV/AIDs Regional Cancer Care
Union City, NJ 07087 120 Franklin St 142 Palisade Ave Ste 202 Associates LLC
(201) 601-0900 Jersey City, NJ 07307 Jersey City, NJ 07306 7650 River Rd Ste 200
Fax: (201) 601-0995 (201) 216-9791 (201) 479-5202 North Bergen, NJ 07047
18 Yrs/130 Yrs Fax: (201) 216-1362 Fax: (201) 795-5523 (201) 464-0008
Holy Name Medical Center 18 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (551) 996-8578
M-F 9:00 AM - 6:00 PM AHS Hospital St. Joseph's Hospital Reg 18 Yrs/130 Yrs
PCMH: No Jersey City Medical Center Medical Center Palisades Medical Center
M-F 9:00 AM - 5:30 PM M-TH 9:00 AM - 5:00 PM M-F 8:00 AM - 4:00 PM
Shah, Anuj MD PCMH: No F 9:00 AM - 12:00 PM PCMH: No
Provider ID: 1181442 PCMH: No
Gender: Male Znamensky, Vladimir MD Jennis, Andrew MD
Mulkay Cardiology Medical Oncology Provider ID: 422742
Consultants At Ho Provider ID: 1109619 Gender: Male
550 Summit Ave Gender: Male Alter, Robert MD Regional Cancer Care
Jersey City, NJ 07306 Total Cardiology Care LLC Provider ID: 1003493 Associates LLC
(201) 209-1802 255 Rte 3 Ste 215 Gender: Male 7650 River Rd Ste 200
Fax: (201) 604-7764 Secaucus, NJ 07094 Regional Cancer Care North Bergen, NJ 07047
18 Yrs/130 Yrs (201) 601-3999 Associates (201) 464-0008
Holy Name Medical Center Fax: (201) 601-3199 7650 River Rd Ste 200 Fax: (551) 996-8578
M 2:00 AM - 4:30 PM 18 Yrs/130 Yrs North Bergen, NJ 07047 18 Yrs/130 Yrs
PCMH: No AHS Hospital (551) 996-5848 Holy Name Medical Center
Jersey City Medical Center Fax: (551) 996-8578 Languages: Spanish, Yiddish
M-F 9:00 AM - 5:30 PM 18 Yrs/130 Yrs M-F 8:00 AM - 4:00 PM
PCMH: No Palisades Medical Center PCMH: No
M-F 8:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 187
Updated: 11/26/2018

Specialty Physicians
Hudson
Medical Oncology - cont. Shah, Nalini MD Marrero, Luis MD Nephrology
Provider ID: 525098 Provider ID: 976359
Kumar, Chitra MD Gender: Female Gender: Male Batwara, Ruchika MD
Provider ID: 945444 Nalini Shah MD Neonatal Associates LLC Provider ID: 759447
Gender: Female 120 Franklin St Sub Specialty: HIV/AIDs Gender: Female
5311 Blvd E Jersey City, NJ 07307 308 Willow Ave The Nephrology Group PA
West New York, NJ 07093 (201) 653-8403 Hoboken, NJ 07030 Sub Specialty: HIV/AIDs
(201) 864-7172 Fax: (201) 653-1824 (201) 418-1673 142 Palisade Ave Ste 210
Fax: (201) 864-5599 00 Yrs/130 Yrs Fax: (201) 418-1981 Jersey City, NJ 07305
18 Yrs/130 Yrs Christ Hospital 12 Yrs/130 Yrs (201) 963-1077
Hoboken University Medical Saint Clares Hospital St. Joseph's Hospital Reg Fax: (973) 325-2254
Center Languages: Spanish Medical Center 16 Yrs/130 Yrs
Palisades Medical Center M 1:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Christ Hospital
Languages: Spanish, Hindi TWF 10:00 AM - 12:00 PM PCMH: No Languages: Hindi
MW 2:00 AM - 7:00 PM TH 11:00 AM - 5:00 PM M 1:30 AM - 4:30 PM
TTH 9:00 AM - 2:00 PM PCMH: No Menken, Gregory MD PCMH: No
PCMH: No
Skarbnik, Alan MD Provider ID: 976438 Bonifant, George MD
McNamara, Donna MD Provider ID: 1006118 Gender: Male Provider ID: 1699470
Gender: Male Neonatal Associates LLC Gender: Male
Provider ID: 1000089 Regional Cancer Care Sub Specialty: HIV/AIDs New Jersey Kidney Care LLC
Gender: Female Associates LLC 308 Willow Ave 26 Greenville Ave
Regional Cancer Care 7650 River Rd Ste 200 Hoboken, NJ 07030 Jersey City, NJ 07305
Associates LL North Bergen, NJ 07047 (201) 418-1673 (201) 333-8222
7650 River Rd Ste 200 (201) 942-3990 Fax: (201) 418-1981 Fax: (210) 333-0095
North Bergen, NJ 07047 Fax: (201) 714-4766 12 Yrs/130 Yrs 18 Yrs/130 Yrs
(551) 996-5848 18 Yrs/130 Yrs St. Joseph's Hospital Reg MTTH 10:00 AM - 5:30 PM
Fax: (551) 996-8578 Palisades Medical Center Medical Center W 10:00 AM - 1:00 PM
18 Yrs/130 Yrs M-F 7:00 AM - 6:30 PM M-F 9:00 AM - 5:00 PM F 10:00 AM - 4:00 PM
Languages: Spanish PCMH: No PCMH: No PCMH: No
M-F 8:00 AM - 4:00 PM
PCMH: No Neonatal Perinatal Skroce, Linda MD Bonifant, George MD
Medicine Provider ID: 976355 Provider ID: 1699470
Pecora, Andrew MD Gender: Female Gender: Male
Datta-Bhutada, Subhashree Neonatal Associates LLC New Jersey Kidney Care LLC
Provider ID: 1027437 MD Sub Specialty: HIV/AIDs 510 31st St Bsmt
Gender: Male Provider ID: 976474 308 Willow Ave Union City, NJ 07087
Regional Cancer Care Gender: Female Hoboken, NJ 07030 (201) 866-3322
Associates LLC Neonatal Associates LLC (201) 418-1673 Fax: (201) 866-2289
7650 River Rd FL2 Ste 200 Sub Specialty: HIV/AIDs Fax: (201) 418-1981 18 Yrs/130 Yrs
North Bergen, NJ 07047 308 Willow Ave 00 Yrs/18 Yrs MTTH 9:00 AM - 6:00 PM
(201) 464-0008 Hoboken, NJ 07030 St. Joseph's Hospital Reg W 9:00 AM - 5:00 PM
Fax: (201) 662-1267 (201) 418-1673 Medical Center F 9:00 AM - 1:00 PM
18 Yrs/130 Yrs Fax: (201) 418-1981 M-F 9:00 AM - 5:00 PM PCMH: No
Palisades Medical Center 00 Yrs/18 Yrs PCMH: No
M-F 8:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No Medical Center
Languages: Hindi
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 188
Updated: 11/26/2018

Specialty Physicians
Hudson
Nephrology - cont. Haddad, Danny MD Haddad, Danny MD Jain, Deepika MD
Provider ID: 1525370
Cooper, Sanford MD Provider ID: 1524997 Provider ID: 991352 Gender: Female
Provider ID: 473836 Gender: Male Gender: Male New Jersey Kidney Care LLC
Gender: Male New Jersey Kidney Care LLC Bassam M Haddad MD PA 26 Greenville Ave
The Nephrology Group PA 26 Greenville Ave 26 Greenville Ave Jersey City, NJ 07305
Sub Specialty: HIV/AIDs Jersey City, NJ 07305 Jersey City, NJ 07305 (201) 333-8222
142 Palisade Ave Ste 210 (201) 333-8222 (201) 333-8222 Fax: (201) 333-0095
Jersey City, NJ 07306 Fax: (201) 333-0095 Fax: (201) 333-0095 18 Yrs/130 Yrs
(201) 963-1077 18 Yrs/130 Yrs 18 Yrs/130 Yrs Hoboken University Medical
Fax: (973) 325-2254 Bayonne Medical Center Christ Hospital Center
00 Yrs/130 Yrs Christ Hospital Languages: Spanish, Arabic Jersey City Medical Center
Christ Hospital Jersey City Medical Center M-F 12:00 AM - 6:00 PM Languages: Urdu
M 8:30 AM - 11:30 PM M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No PCMH: No
Hajal, Hussam MD
Haddad, Bassam MD Haddad, Danny MD Provider ID: 943680 Manandhar, Lochana MD
Gender: Male
Provider ID: 1525001 Provider ID: 1524997 510 31st St Provider ID: 1528727
Gender: Male Gender: Male Union City, NJ 07087 Gender: Female
New Jersey Kidney Care LLC New Jersey Kidney Care LLC (201) 866-3322 New Jersey Kidney Care LLC
1600 Willow Ave 377 Jersey Ave Ste 220 Fax: (201) 866-2289 510 31st St Bsmt
Hoboken, NJ 07030 Jersey City, NJ 07302 18 Yrs/130 Yrs Union City, NJ 07087
(201) 656-7500 (201) 333-8222 Hoboken University Medical (201) 866-3322
Fax: (201) 656-7552 Fax: (201) 333-0095 Center Fax: (201) 866-2289
18 Yrs/130 Yrs 18 Yrs/130 Yrs Languages: Spanish, Arabic 00 Yrs/130 Yrs
Christ Hospital Bayonne Medical Center MW 9:00 AM - 12:00 PM Christ Hospital
Languages: Arabic Christ Hospital T 2:00 AM - 5:00 PM Hoboken University Medical
M-F 9:00 AM - 5:00 PM Jersey City Medical Center PCMH: No Center
M-F 9:00 AM - 5:00 PM Palisades Medical Center
PCMH: No
PCMH: No Jain, Deepika MD M-F 9:00 AM - 5:00 PM
Haddad, Bassam MD Provider ID: 1208205 PCMH: No
Haddad, Danny MD Gender: Female
Provider ID: 991352 Mughni, Azam MD
Provider ID: 1525001 Bassam M Haddad MD PA
Gender: Male 26 Greenville Ave Provider ID: 1426406
Gender: Male
29 Cottage St Jersey City, NJ 07305 Gender: Male
New Jersey Kidney Care LLC
Jersey City, NJ 07306 (201) 333-8222 New Jersey Medical and
26 Greenville Ave Health Assoc
Jersey City, NJ 07305 (201) 876-7964 Fax: (201) 333-0095
Fax: (201) 876-7965 1 Journal Square Plaza 2nd Fl
(201) 333-8222 18 Yrs/130 Yrs
18 Yrs/130 Yrs Jersey City, NJ 07306
Fax: (201) 333-0095 Hoboken University Medical
Christ Hospital Center (201) 216-3030
18 Yrs/130 Yrs Fax: (201) 499-0247
Christ Hospital Languages: Spanish, Arabic Jersey City Medical Center
M-F 9:00 AM - 5:00 PM Languages: Urdu 00 Yrs/130 Yrs
Languages: Arabic Bayonne Medical Center
M-F 9:00 AM - 5:00 PM PCMH: No MTTHF 10:00 AM - 4:00 PM
W 10:00 AM - 2:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 189
Updated: 11/26/2018

Specialty Physicians
Hudson
Nephrology - cont. Patel, Jayeshkumar MD Thomsen, Stephen MD Vijay- Sharma, Mayuri MD

Mughni, Azam MD Provider ID: 403467 Provider ID: 1524992 Provider ID: 680064
Provider ID: 1426406 Gender: Male Gender: Male Gender: Female
Gender: Male Yogi Medical Care New Jersey Kidney Care LLC The Nephrology Group PA
New Jersey Medical and Sub Specialty: HIV/AIDs 26 Greenville Ave Sub Specialty: HIV/AIDs
Health Assoc 550 Summit Ave Ste B1 Jersey City, NJ 07305 142 Palisade Ave Ste 210
113 14th St Jersey City, NJ 07306 (201) 333-8222 Jersey City, NJ 07306
Hoboken, NJ 07030 (201) 209-1802 Fax: (201) 333-0095 (973) 325-2103
(201) 656-8353 Fax: (201) 604-7764 18 Yrs/130 Yrs 18 Yrs/130 Yrs
Fax: (201) 656-8113 16 Yrs/130 Yrs Christ Hospital Christ Hospital
00 Yrs/130 Yrs Christ Hospital Hoboken University Medical Newark Beth Israel Med
Bayonne Medical Center Palisades Medical Center Center Center
M-F 9:00 AM - 5:00 PM Languages: Spanish, Hindi, Palisades Medical Center Languages: Hindi
PCMH: No Gujarati Languages: Italian M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-W 2:00 AM - 6:00 PM PCMH: No
Mughni, Azam MD PCMH: No PCMH: No
Provider ID: 1426406 Neurology
Gender: Male Ryngel, Henry MD Thomsen, Stephen MD
New Jersey Medical and Provider ID: 786643 Brannan, Timothy MD
Health Assoc Gender: Male Provider ID: 1524992
19 W 33rd St Ste B2 Henry J Ryngel MD PC Gender: Male Provider ID: 960176
Bayonne, NJ 07002 28 Harrison Ave Apt 1 New Jersey Kidney Care LLC Gender: Male
(201) 858-0090 Harrison, NJ 07029 510 31st St Bsmt Metropolitan Family Health
Fax: (201) 858-1044 (973) 484-2929 Union City, NJ 07087 Network
00 Yrs/130 Yrs Fax: (973) 484-4280 (201) 866-3322 935 Garfield Ave
Bayonne Medical Center 18 Yrs/130 Yrs Fax: (201) 866-2289 Jersey City, NJ 07304
M-F 9:00 AM - 5:00 PM St Michael's Medical Center 18 Yrs/130 Yrs (201) 478-5800
PCMH: No Languages: Spanish, Christ Hospital Fax: (201) 478-5814
Portuguese Hoboken University Medical 00 Yrs/130 Yrs
Mughni, Azam MD MT 10:00 AM - 4:30 PM Center Jersey City Medical Center
Provider ID: 1426406 WTHF 10:00 AM - 2:00 PM Palisades Medical Center MTWTHFSatSun 9:00 AM -
Gender: Male PCMH: No Languages: Italian 5:00 PM
New Jersey Medical and M-F 9:00 AM - 5:00 PM PCMH: No
Health Assoc Simoes, Sonia MD PCMH: No
631 Broadway 3rd Fl Provider ID: 946235 Craciun, Liviu MD
Bayonne, NJ 07002 Gender: Female Thomsen, Stephen MD Provider ID: 1432505
(201) 243-0700 422 Grand St Provider ID: 945250 Gender: Male
Fax: (201) 243-0377 Jersey City, NJ 07302 Gender: Male Epilepsy Neurophysiology
00 Yrs/130 Yrs (201) 332-6413 Stephen M Thomsen MD PA Med Cnslt
Bayonne Medical Center Fax: (201) 536-8096 510 31st St 377 Jersey Ave Ste 440
M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Union City, NJ 07087 Jersey City, NJ 07302
PCMH: No Jersey City Medical Center (201) 866-3322 (201) 343-6670
Newark Beth Israel Med Fax: (201) 866-2289 12 Yrs/130 Yrs
Center 18 Yrs/130 Yrs PCMH: No
Languages: Spanish, Hindi, Hoboken University Medical
Portuguese Center Douyon, Philippe MD
M-F 9:00 AM - 5:00 PM Palisades Medical Center Provider ID: 988668
PCMH: No Languages: Spanish, Italian Gender: Male
M-W 2:00 AM - 7:00 PM Epilepsy and Neurophysiology
PCMH: No Medica
377 Jersey Ave Ste 440
Jersey City, NJ 07302
(201) 343-6670
00 Yrs/130 Yrs
PCMH: No

www.wellcare.com/New-Jersey | 190
Updated: 11/26/2018

Specialty Physicians
Hudson
Neurology - cont. Hanna, Amir MD Kapoor, Ashish MD Kapoor, Vinod MD
Provider ID: 400501 Provider ID: 473122
Ebersole, John MD Gender: Male Provider ID: 1076870 Gender: Male
Provider ID: 1135882 Amir Hanna MD Gender: Male 29 E 29th St
Gender: Male 591 Summit Ave Ste 3 The Neurology Partners of Bayonne, NJ 07002
Epilepsy and Neurophysiology Jersey City, NJ 07306 Hudson Co (201) 858-5000
Medica (201) 876-5550 Sub Specialty: HIV/AIDs 12 Yrs/130 Yrs
377 Jersey Ave Ste 440 Fax: (201) 876-8995 331 Grand St Ground Fl Languages: Spanish, Hindi,
Jersey City, NJ 07302 00 Yrs/130 Yrs Hoboken, NJ 07030 Persian - Farsi
(201) 343-6670 Christ Hospital (201) 795-9860 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Languages: Spanish, French, Fax: (201) 656-5989 PCMH: No
Overlook Hospital Arabic 00 Yrs/130 Yrs
PCMH: No M-F 9:00 AM - 5:00 PM Kapoor, Vinod MD
Jersey City Medical Center
PCMH: No Languages: Spanish, Hindi, Provider ID: 473122
Fallil, Zianka MD Urdu, Gujarati Gender: Male
Provider ID: 1177902 Jafri, Syed MD M-F 9:00 AM - 5:00 PM The Neurology Partners of
Gender: Female Provider ID: 420678 PCMH: No Hudson CT
Epilepsy Neurophysiology Gender: Male 331 Grand St Ground Fl
Medical C 7600 River Rd Kapoor, Ashish MD Hoboken, NJ 07030
377 Skinner Memorial Dr Ste North Bergen, NJ 07047 (201) 795-9860
440 (201) 854-5000 Provider ID: 1076870 Fax: (201) 656-5989
Jersey City, NJ 07302 00 Yrs/130 Yrs Gender: Male 12 Yrs/130 Yrs
(732) 828-1373 Palisades Medical Center The Neurology Partners of Languages: Spanish, Hindi,
Fax: (201) 343-6689 Languages: Hindi Hudson Co Persian - Farsi
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Sub Specialty: HIV/AIDs MTTH 9:30 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No 600 Pavonia Ave Fl 4 W 9:30 AM - 5:00 PM
PCMH: No Jersey City, NJ 07306 F 10:00 AM - 5:00 PM
Jafri, Syed MD (201) 222-2693 PCMH: No
Feoli, Enrique MD Provider ID: 420678 Fax: (201) 222-2463
Provider ID: 565754 Kapoor, Vinod MD
Gender: Male 00 Yrs/130 Yrs
Gender: Male Syed S Jafri MD Provider ID: 473122
Jersey City Medical Center
Epilepsy and Neurophysiology 9245 Kennedy Blvd Fl 1 Gender: Male
Languages: Spanish, Hindi,
Medica North Bergen, NJ 07047 Urdu, Gujarati The Neurology Partners of
377 Jersey Ave Ste 440 Hudson CT
(201) 863-6844 M-F 9:00 AM - 5:00 PM
Jersey City, NJ 07302 600 Pavonia Ave Ste 4
Fax: (201) 854-0050 PCMH: No
(201) 343-6670 Jersey City, NJ 73062
00 Yrs/130 Yrs
00 Yrs/130 Yrs Kapoor, Ashish MD (201) 222-2693
Palisades Medical Center
Morristown Memorial Fax: (201) 222-2463
Languages: Hindi
Hospital 12 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1076870
Overlook Hospital Languages: Spanish, Hindi,
PCMH: No Gender: Male
PCMH: No Persian - Farsi
The Neurology Partners of M-F 9:00 AM - 5:00 PM
Hudson Co
Geller, Aaron MD PCMH: No
Sub Specialty: HIV/AIDs
Provider ID: 1652220 631 Broadway Fl 3
Gender: Male Bayonne, NJ 07002
Epilepsy and Neurophysiology (201) 823-2888
Medica
Fax: (201) 823-2880
377 Jersey Ave Ste 440
00 Yrs/130 Yrs
Jersey City, NJ 07302
Jersey City Medical Center
(201) 343-6676
Languages: Spanish, Hindi,
Fax: (201) 608-6970 Urdu, Gujarati
00 Yrs/130 Yrs M-F 8:00 AM - 8:00 PM
Morristown Memorial Sat 8:00 AM - 5:00 PM
Hospital
Overlook Hospital Sun 8:00 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 191
Updated: 11/26/2018

Specialty Physicians
Hudson
Neurology - cont. Krish, Nagesh MD Lancman, Marcelo MD Politsky, Jeffrey MD
Provider ID: 396759 Provider ID: 239669 Provider ID: 799592
Kapoor, Vinod MD Gender: Male Gender: Male Gender: Male
Provider ID: 473122 727 10th St Epilepsy and Neurophysiology Epilepsy and Neurophysiology
Gender: Male Union City, NJ 07087 Medica Medica
The Neurology Partners of (201) 864-5252 377 Jersey Ave Ste 440 377 Jersey Ave Ste 440
Hudson CT Fax: (201) 864-9955 Jersey City, NJ 07302 Jersey City, NJ 07302
631 Broadway 3rd Fl 12 Yrs/130 Yrs (201) 343-6670 (201) 343-6670
Bayonne, NJ 07002 Bayonne Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 823-2888 Christ Hospital Morristown Memorial Overlook Hospital
Fax: (201) 823-2880 Languages: Tamil, Telugu Hospital PCMH: No
12 Yrs/130 Yrs M 10:00 AM - 5:00 PM Overlook Hospital
Languages: Spanish, Hindi, TTHF 8:00 AM - 3:00 PM PCMH: No Puntambekar, Preeti MD
Persian - Farsi W 9:00 AM - 12:00 PM Provider ID: 975660
MTTH 9:30 AM - 6:00 PM Sat 8:00 AM - 12:00 PM Lazar, Lorraine MD Gender: Female
W 9:30 AM - 5:00 PM PCMH: No Provider ID: 1044340 Epilepsy Neurophysiology
F 10:00 AM - 5:00 PM Gender: Female Medical Co
PCMH: No Laban-Grant, Olgica MD Sub Specialty: HIV/AIDs 377 Jersey Ave Ste 440
Provider ID: 797256 99 Beauvoir Ave 5th Fl Jersey City, NJ 07302
Khan, Musaid MD Gender: Female Summit, NJ 07601 (201) 343-6670
Provider ID: 528861 Epilepsy and Neurophysiology (908) 522-4990 00 Yrs/130 Yrs
Gender: Male Medica Fax: (914) 428-2948 Languages: Hindi, Marathi
Jersey Neurosciences 377 Jersey Ave Ste 440 00 Yrs/130 Yrs PCMH: No
550 Newark Ave Ste 303 Jersey City, NJ 07302 Morristown Memorial
Jersey City, NJ 07306 (201) 343-6670 Hospital Rao, Gautami MD
(201) 918-2568 00 Yrs/130 Yrs Saint Peter's University Provider ID: 1561757
Fax: (201) 360-0453 Morristown Memorial Hospital Gender: Female
18 Yrs/130 Yrs Hospital M-F 9:00 AM - 5:00 PM New Jersey Medical and
Bayonne Medical Center Overlook Hospital PCMH: No Health Assoc
Christ Hospital PCMH: No 142 Palisade Ave Ste 200
Lazar, Lorraine MD Jersey City, NJ 07306
Languages: Hindi, Sindhi,
Punjabi Lancman, Marcelo MD Provider ID: 1044340 (201) 795-8596
M 10:00 AM - 5:00 PM Gender: Female Fax: (201) 418-7067
T 10:00 AM - 7:00 PM Provider ID: 239669 Epilepsy and Neurophysiology 00 Yrs/130 Yrs
PCMH: No Gender: Male Medica Atlanticare Regional Medical
Epilepsy and Neurophysiology Sub Specialty: HIV/AIDs Center
Korya, Dani MD Medica 377 Jersey Ave Ste 440 Languages: Hindi, Arabic
Provider ID: 1358660 2 Hudson Pl Ground Fl Jersey City, NJ 07302 M-F 9:00 AM - 5:00 PM
Gender: Male Hoboken, NJ 07030 (201) 343-6670 PCMH: No
New Jersey Medical and (201) 343-6676 00 Yrs/130 Yrs
Health Assoc 00 Yrs/130 Yrs Morristown Memorial Segal, Olga MD
142 Palisade Ave Ste 200 Morristown Memorial Hospital Provider ID: 1520605
Jersey City, NJ 07306 Hospital Saint Peter's University Gender: Female
Overlook Hospital Hospital
(201) 795-8596 Epilepsy and Neurophysiology
M-F 9:00 AM - 4:00 PM PCMH: No Med Co
Fax: (201) 418-7067
00 Yrs/130 Yrs PCMH: No 377 Jersey Ave Ste 440
Mesad, Salah MD
Bayonne Medical Center Jersey City, NJ 07302
Provider ID: 1057790
Christ Hospital (201) 343-6676
JFK Medical Center Gender: Male Fax: (201) 608-6970
M-F 9:00 AM - 5:00 PM Epilepsy & Neurophysiology 02 Yrs/130 Yrs
Med
PCMH: No M-F 9:00 AM - 5:00 PM
377 Jersey Ave Ste 440
PCMH: No
Jersey City, NJ 07302
(201) 343-6670
00 Yrs/130 Yrs
Jersey City Medical Center
PCMH: No

www.wellcare.com/New-Jersey | 192
Updated: 11/26/2018

Specialty Physicians
Hudson
Neurology - cont. Solanky, Mukesh MD Neurosurgery Rathmann, Allison DO

Shah, Nilay MD Provider ID: 696650 El Khashab, Mostafa MD Provider ID: 1581353
Provider ID: 1327700 Gender: Male Gender: Female
Gender: Male Hackensack Neurology Group Provider ID: 1580539 Advanced Neurosurgery
Alpine Medical Group LLC 550 Summit Ave Ste B1 Gender: Male Associates
2727 Kennedy Blvd Basement Advanced Neurosurgery 377 Jersey Ave Ste 440
Jersey City, NJ 07302 Jersey City, NJ 07306 Associates PC Jersey City, NJ 07302
(201) 897-7700 (201) 209-1802 377 Jersey Ave Ste 440 (201) 457-0044
Fax: (201) 222-9392 18 Yrs/130 Yrs Jersey City, NJ 07302 Fax: (201) 457-0049
18 Yrs/110 Yrs M-F 9:00 AM - 5:00 PM (201) 413-9100 00 Yrs/130 Yrs
Englewood Hospital and PCMH: No Fax: (201) 457-0049 Saint Peter's University
Medical Center 00 Yrs/130 Yrs Hospital
St Michael's Medical Center Taha, Firas MD Jersey City Medical Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:30 PM Provider ID: 1135891 Saint Peter's University PCMH: No
PCMH: No Gender: Male Hospital
Epilepsy and Neurophysiology M-F 9:00 AM - 5:00 PM Nuclear Medicine
Shah, Nilay MD Medica PCMH: No
Provider ID: 1327700 377 Jersey Ave Ste 440 Lee, Sang MD
Gender: Male Jersey City, NJ 73024 Fried, Arno MD Provider ID: 1235240
Alpine Medical Group LLC (201) 343-6670 Provider ID: 1580531 Gender: Male
303 Grand St Unit 1G Fax: (201) 608-6970 Gender: Male Essex Hudson Cardiology
Jersey City, NJ 07302 00 Yrs/130 Yrs Advanced Neurosurgery Associates
(201) 897-7700 Jersey City Medical Center Associates Sub Specialty: HIV/AIDs
Fax: (201) 222-9392 M-F 9:00 AM - 5:00 PM 377 Jersey Ave Ste 440 672 Broadway
18 Yrs/110 Yrs PCMH: No Jersey City, NJ 07302 Bayonne, NJ 07002
Englewood Hospital and (201) 413-9100 (201) 339-3710
Medical Center Vora, Puja MD Fax: (201) 457-0049 00 Yrs/130 Yrs
St Michael's Medical Center Provider ID: 1261121 00 Yrs/130 Yrs Newark Beth Israel Med
M-W 12:00 AM - 5:30 PM Gender: Female M-F 9:00 AM - 5:00 PM Center
PCMH: No Epilepsy Neurophsysiology PCMH: No M-F 9:00 AM - 5:00 PM
Medical PCMH: No
Shah, Nilay MD 377 Skinner Memorial Dr Ste Ramakrishnan, Vivek DO
Provider ID: 1327700 440 Obstetrics/Gynecology
Gender: Male Jersey City, NJ 07302 Provider ID: 1580536
Alpine Medical Group LLC (732) 828-1373 Gender: Male Abrahams, Michael MD
634 Summit Ave Fax: (201) 343-6689 Advanced Neurosurgery
Jersey City, NJ 07306 00 Yrs/130 Yrs Associates Provider ID: 945941
(201) 897-7700 Jersey City Medical Center 377 Jersey Ave Ste 440 Gender: Male
Fax: (201) 222-9392 M-F 9:00 AM - 5:00 PM Jersey City, NJ 07302 Christ Hospital
18 Yrs/110 Yrs PCMH: No (201) 413-9100 176 Palisade Ave
Englewood Hospital and Fax: (201) 457-0049 Jersey City, NJ 07306
Medical Center Neuroradiology 00 Yrs/130 Yrs (201) 795-8200
St Michael's Medical Center M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs
M-F 9:00 AM - 5:30 PM Lapas, Alkies DO PCMH: No Christ Hospital
PCMH: No Provider ID: 1417851 Hoboken University Medical
Gender: Male Center
Contemporary Diagnostic Languages: Spanish
Imaging LLC MT 9:00 AM - 5:00 PM
55 Meadowlands Pkwy PCMH: No
Secaucus, NJ 07094
(201) 392-3100
00 Yrs/130 Yrs
Languages: Greek
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 193
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Aguilar, Raul MD Asulin, Yitzhack MD Balazs, Peter MD
cont. Provider ID: 968601 Provider ID: 915606
Gender: Male Provider ID: 1123645 Gender: Male
Abrahams, Michael MD New Jersey Medical and Gender: Male North Hudson Community
Health Assoc New Jersey Medical and Action Corpo
Provider ID: 945941 Sub Specialty: HIV/AIDs Health Assoc Sub Specialty: HIV/AIDs
Gender: Male 129 Washington St Ste 200 Sub Specialty: HIV/AIDs 324 Palisade Ave
Hoboken Univ Medical Hoboken, NJ 07030 5 Marine View Plz Jersey City, NJ 07307
Center (201) 798-4044 Hoboken, NJ 07030 (201) 459-8888
308 Willow Ave Fax: (201) 798-3358 (201) 308-5591 Fax: (201) 239-0318
Hoboken, NJ 07030 00 Yrs/130 Yrs Fax: (201) 963-3924 00 Yrs/130 Yrs
(301) 222-5200 Hoboken University Medical 16 Yrs/130 Yrs St. Joseph's Hospital Reg
18 Yrs/130 Yrs Center Christ Hospital Medical Center
Christ Hospital Palisades Medical Center Englewood Hospital and Languages: Hungarian
Hoboken University Medical Languages: Spanish Medical Center MTWFSat 8:30 AM - 5:00 PM
Center M-F 9:00 AM - 5:00 PM Hoboken University Medical TH 8:30 AM - 7:00 PM
Languages: Spanish PCMH: No Center PCMH: No
M-W 9:00 AM - 5:00 PM Languages: Spanish, Hebrew
PCMH: No Alvarez Perez, Jesus MD M-F 9:00 AM - 5:00 PM Balazs, Peter MD
PCMH: No Provider ID: 915606
Aguilar, Raul MD Provider ID: 1567156 Gender: Male
Provider ID: 945944 Gender: Male Balazs, Peter MD North Hudson Community
Gender: Male NJ Perinatology Group LLC Provider ID: 915606 Action Corpo
Christ Hospital 435 Central Ave Gender: Male Sub Specialty: HIV/AIDs
Sub Specialty: HIV/AIDs Jersey City, NJ 07307 North Hudson Community 5301 Broadway
176 Palisade Ave (201) 217-5600 Action Corpo West New York, NJ 07093
Jersey City, NJ 07306 Fax: (201) 217-5700 Sub Specialty: HIV/AIDs (201) 866-9320
(201) 795-8200 00 Yrs/130 Yrs 1116 43rd St Fax: (201) 866-7588
18 Yrs/130 Yrs M-TH 10:00 AM - 3:00 PM North Bergen, NJ 07047 00 Yrs/130 Yrs
Hoboken University Medical PCMH: No (201) 330-2632 St. Joseph's Hospital Reg
Center Fax: (201) 330-2638 Medical Center
Palisades Medical Center Anik, Karishma DO 00 Yrs/130 Yrs Languages: Hungarian
Languages: Spanish St. Joseph's Hospital Reg M-TH 8:30 AM - 7:00 PM
MT 9:00 AM - 5:00 PM Provider ID: 1705836 Medical Center FSat 8:30 AM - 5:00 PM
PCMH: No Gender: Female Languages: Hungarian PCMH: No
Palisades Medical Associates, MTTHF 8:30 AM - 5:00 PM
Aguilar, Raul MD LLC W 8:30 AM - 7:00 PM Balazs, Peter MD
Provider ID: 945944 6045 Kennedy Blvd Ste B PCMH: No Provider ID: 915606
Gender: Male North Bergen, NJ 07047 Gender: Male
Hoboken Univ Med Center Balazs, Peter MD North Hudson Community
(201) 868-2630
Sub Specialty: HIV/AIDs Fax: (201) 868-4919 Provider ID: 915606 Action Corpo
308 Willow Ave 00 Yrs/130 Yrs Gender: Male Sub Specialty: HIV/AIDs
Hoboken, NJ 07030 Palisades Medical Center North Hudson Community 714 31st St
(201) 418-1000 Action Corpo Union City, NJ 07087
M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs Sub Specialty: HIV/AIDs (201) 863-7077
PCMH: No
Hoboken University Medical 2500 Kennedy Blvd Fax: (201) 863-1470
Center Union City, NJ 07087 00 Yrs/130 Yrs
Palisades Medical Center (201) 553-7888 St. Joseph's Hospital Reg
Languages: Spanish Fax: (201) 553-7885 Medical Center
M-W 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Hungarian
PCMH: No St. Joseph's Hospital Reg MTWFSat 8:30 AM - 5:00 PM
Medical Center TH 8:30 AM - 7:00 PM
Languages: Hungarian PCMH: No
MTWFSat 8:30 AM - 5:00 PM
TH 8:30 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 194
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Barlog, Lauren MD Bennett, Bruce MD Bennett, Bruce MD
cont. Provider ID: 1555850
Gender: Female Provider ID: 883037 Provider ID: 883037
Banzon, Manuel MD Horizon Health Center Gender: Male Gender: Male
115 Christopher Columbus Dr North Hudson Community North Hudson Community
Provider ID: 1306371 Jersey City, NJ 07306 Action Corp Action Corp
Gender: Male (201) 451-6300 Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Medical Assocs of Englewood Fax: (201) 451-8300 2500 Kennedy Blvd 714 31st St
PC 00 Yrs/130 Yrs Union City, NJ 07087 Union City, NJ 07087
542 Broadway University Hospital (201) 553-7888 (201) 863-7077
Bayonne, NJ 07002 MWF 9:00 AM - 5:00 PM Fax: (201) 553-7885 Fax: (201) 863-1470
(201) 659-7700 TTH 9:00 AM - 7:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 858-1638 PCMH: No Prime Health Services-St Prime Health Services-St
00 Yrs/130 Yrs Marys Hospital Marys Hospital
Englewood Hospital and Barlog, Lauren MD MTWFSat 8:30 AM - 5:00 PM MTWFSat 8:30 AM - 5:00 PM
Medical Center Provider ID: 1555850 TH 8:30 AM - 7:00 PM TH 8:30 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM Gender: Female PCMH: No PCMH: No
PCMH: No Horizon Health Center
714 Bergen Ave Bennett, Bruce MD Blum, Richard MD
Baptiste, Nicole MD Jersey City, NJ 07306 Provider ID: 1573015
Provider ID: 946301 (201) 451-6300 Provider ID: 883037 Gender: Male
Gender: Female Fax: (201) 451-8300 Gender: Male Horizon Health Cener
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs North Hudson Community 115 Christopher Columbus Dr
665 Newark Ave Ste 303 University Hospital Action Corp Jersey City, NJ 07306
Jersey City, NJ 07306 M-F 8:00 AM - 5:00 PM Sub Specialty: HIV/AIDs (201) 451-6300
(551) 200-9570 Sat-Sun 8:00 AM - 8:00 PM 324 Palisade Ave Fax: (201) 451-8300
Fax: (551) 200-9773 PCMH: No Jersey City, NJ 07307 00 Yrs/130 Yrs
12 Yrs/130 Yrs (201) 459-8888 JFK Medical Center
Christ Hospital Bennett, Bruce MD Fax: (201) 239-0318 Jersey City Medical Center
Jersey City Medical Center 00 Yrs/130 Yrs Overlook Hospital
Shore Memorial Hospital Provider ID: 883037 Prime Health Services-St M-F 9:00 AM - 5:00 PM
Languages: Spanish Gender: Male Marys Hospital PCMH: No
M-F 9:00 AM - 5:00 PM North Hudson Community MTWFSat 8:30 AM - 5:00 PM
PCMH: No Action Corp TH 8:30 AM - 7:00 PM Blum, Richard MD
Sub Specialty: HIV/AIDs PCMH: No Provider ID: 1573015
Baptiste, Nicole MD 1116 43rd St Gender: Male
Provider ID: 946301 North Bergen, NJ 07047 Bennett, Bruce MD Horizon Health Cener
Gender: Female (201) 330-2632 714 Bergen Ave
Nicole B Baptiste MD A Fax: (201) 330-2638 Provider ID: 883037 Jersey City, NJ 07306
Professional 00 Yrs/130 Yrs Gender: Male (201) 451-6300
Sub Specialty: HIV/AIDs Prime Health Services-St North Hudson Community Fax: (201) 451-8300
550 Summit Ave Ste B1 Marys Hospital Action Corp 00 Yrs/130 Yrs
Jersey City, NJ 07306 MTTHF 8:30 AM - 5:00 PM Sub Specialty: HIV/AIDs JFK Medical Center
(551) 200-9570 W 8:30 AM - 7:00 PM 5301 Broadway Jersey City Medical Center
Fax: (551) 200-9773 PCMH: No West New York, NJ 07093 Overlook Hospital
12 Yrs/130 Yrs (201) 866-9320 M-F 9:00 AM - 5:00 PM
Christ Hospital Fax: (201) 866-7588 PCMH: No
Jersey City Medical Center 00 Yrs/130 Yrs
Shore Memorial Hospital Prime Health Services-St
Languages: Spanish Marys Hospital
M-W 9:00 AM - 6:00 PM M-TH 8:30 AM - 7:00 PM
PCMH: No FSat 8:30 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 195
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Borja, Manuel MD Brescia, Mark MD Chinn, Natasha MD
cont. Provider ID: 1099603 Provider ID: 1233941 Provider ID: 1170704
Gender: Male Gender: Male Gender: Female
Borja, Manuel MD North Hudson Community Sub Specialty: HIV/AIDs Palisades Medical Billing LLC
Provider ID: 1099603 Action Corpo 7600 River Rd 609 Washington St Ste 2
Gender: Male 5301 Broadway North Bergen, NJ 07047 Hoboken, NJ 07030
North Hudson Community West New York, NJ 07093 (201) 854-5000 (201) 659-7700
Action Corpo (201) 866-9320 00 Yrs/130 Yrs Fax: (201) 526-9319
1116 43rd St Fax: (201) 866-7588 Palisades Medical Center 00 Yrs/130 Yrs
North Bergen, NJ 07047 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Englewood Hospital and
(201) 330-2632 Christ Hospital PCMH: No Medical Center
Fax: (201) 330-2638 Languages: Spanish, Russian Hoboken University Medical
18 Yrs/130 Yrs M-TH 8:30 AM - 7:00 PM Brescia, Mark MD Center
Christ Hospital FSat 8:30 AM - 5:00 PM Provider ID: 1699202 M-F 9:00 AM - 5:00 PM
Languages: Spanish, Russian PCMH: No Gender: Male PCMH: No
MTTHF 8:30 AM - 5:00 PM Palisades Medical Associates,
Borja, Manuel MD LLC Chinn, Natasha MD
W 8:30 AM - 7:00 PM
PCMH: No Provider ID: 1099603 7600 River Rd
Gender: Male North Bergen, NJ 07047 Provider ID: 1233944
Borja, Manuel MD North Hudson Community (201) 854-5000 Gender: Male
Provider ID: 1099603 Action Corpo Fax: (201) 758-2742 Medical Associates of
Gender: Male 714 31st St 00 Yrs/130 Yrs Englewood PC
North Hudson Community Union City, NJ 07087 Palisades Medical Center Sub Specialty: HIV/AIDs
Action Corpo (201) 863-7077 MTWTHFSatSun 6:00 AM - 1265 Paterson Plank Rd Ste 3D
2500 Kennedy Blvd Fax: (201) 863-1470 5:30 PM Secaucus, NJ 07094
Union City, NJ 07087 18 Yrs/130 Yrs PCMH: No (201) 864-4442
(201) 553-7888 Christ Hospital Fax: (201) 864-5038
Fax: (201) 553-7885 Languages: Spanish, Russian Carter, Cheryl MD 00 Yrs/130 Yrs
18 Yrs/130 Yrs MTWFSat 8:30 AM - 5:00 PM Provider ID: 1419032 Englewood Hospital and
Christ Hospital TH 8:30 AM - 7:00 PM Gender: Female Medical Center
Languages: Spanish, Russian PCMH: No Metropolitan Family Health Hoboken University Medical
Network Center
MTWFSat 8:30 AM - 5:00 PM
Brescia, Mark MD Sub Specialty: HIV/AIDs M-F 9:00 AM - 5:00 PM
TH 8:30 AM - 7:00 PM
Provider ID: 1164917 935 Garfield Ave PCMH: No
PCMH: No
Gender: Male Jersey City, NJ 07304
(201) 478-5800 Chinn, Natasha MD
Borja, Manuel MD Palisades Medical Billing LLC
Provider ID: 1099603 609 Washington St Ste 2 Fax: (201) 478-5814
Gender: Male Hoboken, NJ 07030 00 Yrs/130 Yrs Provider ID: 1233944
North Hudson Community (201) 659-7700 Jersey City Medical Center Gender: Male
Action Corpo Fax: (201) 526-9319 M-F 9:00 AM - 5:00 PM Medical Associates of
324 Palisade Ave Ste 1 00 Yrs/130 Yrs PCMH: No Englewood PC
Jersey City, NJ 07307 Palisades Medical Center Sub Specialty: HIV/AIDs
(201) 459-8888 M-W 8:00 AM - 8:00 PM Chavez-Cacho, Jose MD 201 Palisade Ave
Fax: (201) 386-5291 TH 9:00 AM - 8:00 PM Jersey City, NJ 07306
18 Yrs/130 Yrs F 8:30 AM - 8:00 PM Provider ID: 471139 (201) 963-2200
Christ Hospital PCMH: No Gender: Male Fax: (201) 963-0011
Languages: Spanish, Russian Women & Children Primary 00 Yrs/130 Yrs
MTWFSat 8:30 AM - 5:00 PM Care Englewood Hospital and
2811 Kennedy Blvd Fl 1 Medical Center
TH 8:30 AM - 7:00 PM
North Bergen, NJ 07047 Hoboken University Medical
PCMH: No Center
(201) 319-1737
M-F 9:00 AM - 5:00 PM
Fax: (201) 319-1950
PCMH: No
12 Yrs/130 Yrs
Languages: Spanish, French,
Italian, Portuguese
MT 3:00 AM - 9:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 196
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Chinn, Natasha MD Escobar, Juan MD Fernandez-Cos, Henry MD
cont. Provider ID: 1687167
Provider ID: 1233944 Gender: Male Provider ID: 425800
Chinn, Natasha MD Gender: Male Palisades Medical Associates Gender: Male
Medical Associates of LLC Womens Clinic Partners PC
Provider ID: 1233944 Englewood PC 7650 River Rd Ste 230 419 66th St
Gender: Male Sub Specialty: HIV/AIDs North Bergen, NJ 07047 West New York, NJ 07093
Medical Associates of 609 Washington St Fl 2 (201) 868-6755 (201) 861-9229
Englewood PC Hoboken, NJ 07030 Fax: (201) 868-8442 Fax: (201) 861-9272
Sub Specialty: HIV/AIDs (201) 659-7700 00 Yrs/130 Yrs 00 Yrs/130 Yrs
3196 Kennedy Blvd Fl 3 Fax: (201) 526-9319 M-F 9:00 AM - 5:00 PM Holy Name Medical Center
Union City, NJ 07087 00 Yrs/130 Yrs PCMH: No Languages: Spanish, Korean
(201) 565-9770 Englewood Hospital and M-F 9:00 AM - 5:00 PM
Fax: (201) 858-1638 Medical Center Esiely, Mohamed MD PCMH: No
00 Yrs/130 Yrs Hoboken University Medical
Englewood Hospital and Center Provider ID: 573093 Friedman, Amir MD
Medical Center M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 1563798
Hoboken University Medical PCMH: No Health Wise Women Gender: Male
Center Mohamed A Esiely Horizon Health Center
M-F 9:00 AM - 5:00 PM Eana, Armina DO 79 Hudson St Ste 204 115 Christopher Columbus Dr
PCMH: No Provider ID: 1687117 Hoboken, NJ 07030 Jersey City, NJ 07302
Gender: Female (201) 222-5451 (201) 451-6300
Chinn, Natasha MD Palisades Medical Associates, Fax: (201) 604-6332 Fax: (201) 451-8300
LLC 00 Yrs/130 Yrs 12 Yrs/130 Yrs
Provider ID: 1233944 1499 Park Ave Jersey City Medical Center St. Joseph's Hospital Reg
Gender: Male Hoboken, NJ 07030 M-F 12:00 AM - 6:00 PM Medical Center
Medical Associates of (201) 850-1084 Sat 11:00 AM - 1:00 PM Languages: Hebrew
Englewood PC Fax: (201) 683-7311 PCMH: No MW 9:00 AM - 5:00 PM
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs TTH 9:00 AM - 7:00 PM
542 Broadway M-F 8:00 AM - 5:00 PM Farkas, Andrew MD F 9:00 AM - 6:00 PM
Bayonne, NJ 07002 PCMH: No PCMH: No
(201) 659-7700 Provider ID: 1707322
Fax: (201) 858-1638 Eana, Armina DO Friedman, Amir MD
Gender: Male
00 Yrs/130 Yrs Provider ID: 1687117 Palisades Medical Associates, Provider ID: 1563798
Englewood Hospital and Gender: Female LLC Gender: Male
Medical Center Palisades Medical Associates, 7600 River Rd Horizon Health Center
Hoboken University Medical LLC North Bergen, NJ 07047 714 Bergen Ave
Center 7650 River Rd Ste 230 (201) 854-5000 Jersey City, NJ 07306
M-F 9:00 AM - 5:00 PM North Bergen, NJ 07047 Fax: (201) 758-2742 (201) 451-6300
PCMH: No (732) 226-8569 00 Yrs/130 Yrs Fax: (201) 451-8300
Fax: (732) 226-8629 Palisades Medical Center 12 Yrs/130 Yrs
00 Yrs/130 Yrs MTWTHFSatSun 6:00 AM - St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM 5:30 PM Medical Center
PCMH: No PCMH: No Languages: Hebrew
M-TH 8:00 AM - 8:00 PM
Escobar, Juan MD
F 8:00 AM - 6:00 PM
Provider ID: 1687167 PCMH: No
Gender: Male
Palisades Medical Associates
LLC
1499 Park Ave
Hoboken, NJ 07030
(917) 406-8758
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 197
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Gressock, Joseph MD Ibrahim, Gehan MD Knause, Rita MD
cont. Provider ID: 901152 Provider ID: 1111475 Provider ID: 582112
Gender: Male Gender: Female Gender: Female
Ghotra, Navjot MD New Jersey Medical and Women Physician LLC North Hudson Community
Provider ID: 1506515 Health Assoc Sub Specialty: HIV/AIDs Action Corpo
Gender: Female 5 Marine View Plz Ste 105 840 Bergen Ave Sub Specialty: HIV/AIDs
Nghotra LLC Hoboken, NJ 07030 Jersey City, NJ 07306 2500 Kennedy Blvd
3185 John F Kennedy Blvd (201) 706-4516 (201) 333-8002 Union City, NJ 07087
Jersey City, NJ 07306 Fax: (201) 706-4519 Fax: (201) 333-9593 (201) 553-7888
(201) 239-1818 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 553-7885
Fax: (201) 459-1818 Hoboken University Medical St. Joseph's Hospital Reg 00 Yrs/130 Yrs
00 Yrs/130 Yrs Center Medical Center Holy Name Medical Center
Christ Hospital Palisades Medical Center Languages: Arabic MTWFSat 8:30 AM - 5:00 PM
Jersey City Medical Center Languages: Spanish M-F 9:00 AM - 5:00 PM TH 8:30 AM - 7:00 PM
M-W 10:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
PCMH: No PCMH: No
Khoury, Aldo MD Knause, Rita MD
Gressock, Joseph MD Gressock, Joseph MD Provider ID: 988095 Provider ID: 582112
Provider ID: 901152 Provider ID: 901152 Gender: Male Gender: Female
Gender: Male Gender: Male New Jersey Medical and North Hudson Community
New Jersey Medical and New Jersey Medical and Health Assoc Action Corpo
Health Assoc Health Assoc Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
29 E 29th St 654 Broadway 142 Palisade Ave Ste 202 324 Palisade Ave
Bayonne, NJ 07002 Bayonne, NJ 07002 Jersey City, NJ 07306 Jersey City, NJ 07307
(201) 706-4524 (201) 858-1900 (201) 479-5202 (201) 459-8888
Fax: (201) 963-3924 Fax: (201) 858-8803 Fax: (201) 795-5523 Fax: (201) 239-0318
00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Hoboken University Medical Hoboken University Medical St. Joseph's Hospital Reg Holy Name Medical Center
Center Center Medical Center MTWFSat 8:30 AM - 5:00 PM
Palisades Medical Center Palisades Medical Center M-TH 9:00 AM - 5:00 PM TH 8:30 AM - 7:00 PM
Languages: Spanish Languages: Spanish F 9:00 AM - 12:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No PCMH: No Knause, Rita MD
Knause, Rita MD Provider ID: 582112
Gressock, Joseph MD Hessami, Sam MD Provider ID: 582112 Gender: Female
Provider ID: 901152 Provider ID: 656873 Gender: Female North Hudson Community
Gender: Male Gender: Male North Hudson Community Action Corpo
New Jersey Medical and Sovereign Medical Group LLC Action Corpo Sub Specialty: HIV/AIDs
Health Assoc 7650 River Rd Ste 230 Sub Specialty: HIV/AIDs 5301 Broadway
308 Willow Ave North Bergen, NJ 07047 1116 43rd St West New York, NJ 07093
Hoboken, NJ 07033 (201) 520-4790 North Bergen, NJ 07047 (201) 866-9320
(201) 706-4524 Fax: (201) 794-6970 (201) 330-2632 Fax: (201) 866-7588
Fax: (201) 963-3924 00 Yrs/130 Yrs Fax: (201) 330-2638 00 Yrs/130 Yrs
00 Yrs/130 Yrs St. Joseph's Hospital Reg 00 Yrs/130 Yrs Holy Name Medical Center
Hoboken University Medical Medical Center Holy Name Medical Center M-TH 8:30 AM - 7:00 PM
Center M-F 9:00 AM - 5:00 PM MTTHF 8:30 AM - 5:00 PM FSat 8:30 AM - 5:00 PM
Palisades Medical Center PCMH: No W 8:30 AM - 7:00 PM PCMH: No
Languages: Spanish PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 198
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Lambert-Woolley, Margaret Luchs, Saul MD Malcolm, Therese MD
cont. MD Provider ID: 1707631
Provider ID: 946145 Gender: Male Provider ID: 1201247
Koul, Mrinal MD Gender: Female Palisades Medical Associates, Gender: Female
Provider ID: 1177049 Garden State Healthcare LLC New Jersey Medical and
Gender: Male Associates 7600 River Rd Health Assoc
Palisades Medical Billing LLC 176 Palisade Ave North Bergen, NJ 07047 138 River Dr S
7600 River Rd Jersey City, NJ 07306 (201) 854-5000 Jersey City, NJ 07310
North Bergen, NJ 07047 (201) 795-8200 Fax: (201) 758-2742 (201) 626-6461
(201) 659-7700 Fax: (201) 795-8746 00 Yrs/130 Yrs Fax: (201) 626-6453
Fax: (201) 526-9319 18 Yrs/130 Yrs Palisades Medical Center 00 Yrs/130 Yrs
00 Yrs/130 Yrs Christ Hospital MTWTHFSatSun 6:00 AM - St. Joseph's Hospital Reg
Overlook Hospital Monmouth Medical Center 5:30 PM Medical Center
St Michael's Medical Center Languages: Spanish PCMH: No M-F 9:00 AM - 5:00 PM
Trinitas Regional Medical Cent M-W 9:00 AM - 5:00 PM PCMH: No
Languages: Spanish, Hindi PCMH: No Malcolm, Therese MD
M-F 9:00 AM - 5:00 PM Marsan, Ena DO
PCMH: No Lowe, Samantha DO Provider ID: 1192311 Provider ID: 1275604
Provider ID: 1167793 Gender: Female Gender: Female
Kranias, Hristos MD Gender: Female Garden State Healthcare Horizon Health Center
Provider ID: 932366 Palisades Medical Billing LLC Associates 115 Christopher Columbus Dr
Gender: Male Sub Specialty: HIV/AIDs 176 Palisade Ave Jersey City, NJ 07306
Metropolitan Family Health 609 Washington St Ste 2 Jersey City, NJ 07306 (201) 451-6300
Network Hoboken, NJ 07030 (201) 795-8200 Fax: (551) 226-6871
5300 Bergenline Ave (201) 659-7700 Fax: (201) 795-8746 00 Yrs/130 Yrs
West New York, NJ 07093 Fax: (201) 526-9319 00 Yrs/130 Yrs St. Joseph's Hospital Reg
(201) 478-5810 00 Yrs/130 Yrs Bayonne Medical Center Medical Center
00 Yrs/130 Yrs Hoboken University Medical St. Joseph's Hospital Reg Languages: Spanish
Jersey City Medical Center Center Medical Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Palisades Medical Center M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No M-F 9:00 AM - 7:00 PM PCMH: No
PCMH: No Marsan, Ena DO
Kranias, Hristos MD Malcolm, Therese MD Provider ID: 1275604
Provider ID: 932366 Lowe, Samantha DO Gender: Female
Gender: Male Provider ID: 1233938 Provider ID: 1201247 Horizon Health Center
Metropolitan Family Health Gender: Male Gender: Female 714 Bergen Ave
Network Medical Associates of New Jersey Medical Health Jersey City, NJ 07306
935 Garfield Ave Englewood PC Associat (201) 451-6300
Jersey City, NJ 07304 Sub Specialty: HIV/AIDs 5 Marine View Plz Fax: (551) 226-6871
(201) 478-5800 542 Broadway Hoboken, NJ 07030 00 Yrs/130 Yrs
Fax: (201) 478-5814 Bayonne, NJ 07002 (201) 706-4524 St. Joseph's Hospital Reg
00 Yrs/130 Yrs (201) 659-7700 Fax: (201) 706-7649 Medical Center
Jersey City Medical Center Fax: (201) 526-9319 00 Yrs/130 Yrs Languages: Spanish
M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
PCMH: No Hoboken University Medical Medical Center PCMH: No
Center MTFSatSun 9:00 AM - 5:00 PM
Palisades Medical Center W 9:00 AM - 5:30 PM
M-F 10:00 AM - 2:00 PM TH 9:00 AM - 9:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 199
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Michnik, Mark MD Milanes Roberts, Norma MD Milanes Roberts, Norma MD
cont. Provider ID: 510855
Gender: Male Provider ID: 1261565 Provider ID: 1261565
McQuilkin, George MD Womens Special Care PC Gender: Female Gender: Female
Provider ID: 946164 5600 Kennedy Blvd W Ste North Hudson Community North Hudson Community
Gender: Male 102A Action Corp Action Corp
Garden State Healthcare West New York, NJ 07093 Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
176 Palisade Ave (646) 306-7676 2500 Kennedy Blvd 5301 Broadway
Jersey City, NJ 07306 Fax: (718) 872-7509 Union City, NJ 07087 West New York, NJ 07093
(201) 795-8200 00 Yrs/130 Yrs (201) 553-7888 (201) 866-9320
18 Yrs/130 Yrs Languages: Spanish, Russian, Fax: (201) 553-7885 Fax: (201) 866-7588
Hoboken University Medical Chinese, Arabic 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Center M 9:00 AM - 5:00 PM Newark Beth Israel Med Newark Beth Israel Med
Languages: Spanish PCMH: No Center Center
MT 9:00 AM - 5:00 PM St Michael's Medical Center St Michael's Medical Center
PCMH: No Migliaccio, Thomas MD Languages: Spanish Languages: Spanish
MTWFSat 8:30 AM - 5:00 PM MWTH 8:30 AM - 7:00 PM
McQuilkin, George MD Provider ID: 1173032 TH 8:30 AM - 7:00 PM T 8:36 AM - 7:00 PM
Provider ID: 946164 Gender: Male PCMH: No F 8:30 AM - 5:00 PM
Gender: Male Palisades Medical Billing LLC Sat 8:30 AM - 3:00 PM
Hoboken Univ Med Center 609 Washington St Ste 2 Milanes Roberts, Norma MD PCMH: No
308 Willow Ave Hoboken, NJ 07030
Hoboken, NJ 07030 (201) 659-7700 Provider ID: 1261565 Milanes Roberts, Norma MD
(201) 418-1000 Fax: (201) 526-9319 Gender: Female
Fax: (201) 418-1314 00 Yrs/130 Yrs North Hudson Community Provider ID: 1261565
18 Yrs/130 Yrs Hoboken University Medical Action Corp Gender: Female
Hoboken University Medical Center Sub Specialty: HIV/AIDs North Hudson Community
Center Palisades Medical Center 324 Palisade Ave Action Corp
Languages: Spanish M 10:00 AM - 2:00 PM Jersey City, NJ 07306 Sub Specialty: HIV/AIDs
M-W 9:00 AM - 5:00 PM T 12:00 AM - 4:00 PM (201) 459-8888 714 31st St
PCMH: No W 7:00 AM - 1:00 PM Fax: (201) 239-0318 Union City, NJ 07087
TH 8:00 AM - 6:00 PM 00 Yrs/130 Yrs (201) 863-7077
McQuilkin, George MD PCMH: No Newark Beth Israel Med Fax: (201) 863-1470
Center 00 Yrs/130 Yrs
Milanes Roberts, Norma MD St Michael's Medical Center Newark Beth Israel Med
Provider ID: 960008
Gender: Male Languages: Spanish Center
New Jersey Medical and Provider ID: 1261565 MTWFSat 8:30 AM - 5:00 PM St Michael's Medical Center
Health Assoc Gender: Female TH 8:30 AM - 7:00 PM Languages: Spanish
129 Washington St Ste 200 North Hudson Community PCMH: No MTWFSat 8:30 AM - 5:00 PM
Hoboken, NJ 07030 Action Corp TH 8:30 AM - 7:00 PM
(201) 795-0501 Sub Specialty: HIV/AIDs PCMH: No
Fax: (201) 798-3358 1116 43rd St
00 Yrs/130 Yrs North Bergen, NJ 07047 Moon, Jeremy MD
Hoboken University Medical (201) 330-2632 Provider ID: 1164993
Center Fax: (201) 330-2638 Gender: Male
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Palisades Medical Billing LLC
PCMH: No Newark Beth Israel Med 609 Washington St Ste 2
Center Hoboken, NJ 07030
St Michael's Medical Center (201) 659-7700
Languages: Spanish Fax: (201) 526-9319
MTTHF 8:30 AM - 5:00 PM 00 Yrs/130 Yrs
W 8:30 AM - 7:00 PM Palisades Medical Center
PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 200
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Moon, Jeremy MD Mushayandebvu, Taonei MD Patel, Rakhee MD
cont. Provider ID: 1233937 Provider ID: 1155097
Gender: Male Provider ID: 946757 Gender: Female
Moon, Jeremy MD Medical Associates of Gender: Male New Jersey Medical and
Provider ID: 1233937 Englewood PC 2777 John F Kennedy Blvd Fl 1 Health Assoc
Gender: Male Sub Specialty: HIV/AIDs Jersey City, NJ 07306 Sub Specialty: HIV/AIDs
Medical Associates of 3196 Kennedy Blvd Fl 3 (201) 963-4200 534 Ave E Ste 1-4
Englewood PC Union City, NJ 07087 Fax: (201) 963-2255 Bayonne, NJ 07002
Sub Specialty: HIV/AIDs (201) 565-9770 12 Yrs/130 Yrs (201) 858-8444
1265 Paterson Plank Rd Ste 3D Fax: (201) 858-1638 Christ Hospital Fax: (201) 858-4260
Secaucus, NJ 07094 00 Yrs/130 Yrs Hoboken University Medical 00 Yrs/130 Yrs
(201) 864-4442 Englewood Hospital and Center Hoboken University Medical
Fax: (201) 864-5038 Medical Center Jersey City Medical Center Center
00 Yrs/130 Yrs Hoboken University Medical Languages: Spanish M-F 9:00 AM - 5:00 PM
Englewood Hospital and Center M-TH 9:00 AM - 5:00 PM PCMH: No
Medical Center Palisades Medical Center PCMH: No
Hoboken University Medical M-F 9:00 AM - 5:00 PM Patel, Rakhee MD
Center PCMH: No Patel, Jigna MD Provider ID: 1155097
Palisades Medical Center Provider ID: 1164159 Gender: Female
M-F 9:00 AM - 5:00 PM Moon, Jeremy MD Gender: Female New Jersey Medical and
PCMH: No Provider ID: 1233937 Palisades Medical Billing LLC Health Assoc
Gender: Male 1499 Park Ave Sub Specialty: HIV/AIDs
Moon, Jeremy MD Medical Associates of Hoboken, NJ 07030 634 Newark Ave
Provider ID: 1233937 Englewood PC (201) 850-1084 Jersey City, NJ 07306
Gender: Male Sub Specialty: HIV/AIDs Fax: (201) 683-7311 (201) 858-8444
Medical Associates of 542 Broadway 00 Yrs/130 Yrs Fax: (201) 858-4260
Englewood PC Bayonne, NJ 07002 Palisades Medical Center 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs (201) 659-7700 M-F 9:00 AM - 5:00 PM Hoboken University Medical
201 Palisade Ave Fax: (201) 526-9319 PCMH: No Center
Jersey City, NJ 07306 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 963-2200 Englewood Hospital and Patel, Jigna MD PCMH: No
Fax: (201) 963-0011 Medical Center Provider ID: 1164159
00 Yrs/130 Yrs Hoboken University Medical Patel Batra, Zankhana MD
Gender: Female
Englewood Hospital and Center
Palisades Medical Center Palisades Medical Billing LLC
Medical Center 6045 Kennedy Blvd Ste B Provider ID: 1325500
Hoboken University Medical M-F 9:00 AM - 5:00 PM
North Bergen, NJ 07047 Gender: Female
Center PCMH: No
(201) 868-2630 Palisades Medical Associates
Palisades Medical Center LLC
Moon, Jeremy MD Fax: (201) 868-4919
M-F 9:00 AM - 5:00 PM 1499 Park Ave
Provider ID: 1233937 00 Yrs/130 Yrs
PCMH: No Hoboken, NJ 07030
Gender: Male Palisades Medical Center
M-F 8:00 AM - 3:00 PM (201) 850-1084
Medical Associates of
Englewood PC PCMH: No Fax: (201) 683-7311
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs
609 Washington St Ste 2 Palisades Medical Center
Hoboken, NJ 07030 M-F 9:00 AM - 5:00 PM
(201) 659-7700 PCMH: No
Fax: (201) 526-9319
00 Yrs/130 Yrs
Englewood Hospital and
Medical Center
Hoboken University Medical
Center
Palisades Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 201
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Pawliw, Myron MD Pellecchia, Ralph MD Perisic, Dusan MD
cont. Provider ID: 1198622 Provider ID: 1020862
Gender: Male Provider ID: 407838 Gender: Male
Patel Batra, Zankhana MD New Jersey Medical and Gender: Male Palisades Medical Billing LLC
Provider ID: 1325500 Health Assoc Metropolitan Family Health 6045 Kennedy Blvd Ste B
Gender: Female 5 Marine View Plz Network North Bergen, NJ 07047
Palisades Medical Associates Hoboken, NJ 07030 Sub Specialty: HIV/AIDs (201) 868-2630
LLC (201) 706-4524 935 Garfield Ave Fax: (201) 868-4919
7650 River Rd Ste 230 Fax: (201) 706-7649 Jersey City, NJ 07304 00 Yrs/130 Yrs
North Bergen, NJ 07047 00 Yrs/130 Yrs (201) 478-5800 Christ Hospital
(201) 868-6755 Bayonne Medical Center Fax: (201) 478-5814 Palisades Medical Center
Fax: (201) 868-8442 Prime Health Services-St 00 Yrs/130 Yrs Languages: Spanish
00 Yrs/130 Yrs Marys Hospital Jersey City Medical Center M-F 8:00 AM - 5:00 PM
Palisades Medical Center M-F 9:00 AM - 5:00 PM M-F 8:30 AM - 9:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No Sat 8:30 AM - 1:30 PM
PCMH: No PCMH: No Picard, Johan MD
Pawliw, Myron MD Provider ID: 1170274
Pawliw, Myron MD Provider ID: 1198622 Penmatsa, Tanuja MD Gender: Female
Provider ID: 1198622 Gender: Male Provider ID: 1184939 Palisades Medical Associates
Gender: Male New Jersey Medical and Gender: Female LLC
New Jersey Medical and Health Assoc Medical Associates of 609 Washington St Ste 2
Health Assoc 6017 Bergenline Ave Englewood PC Hoboken, NJ 07030
138 River Dr S West New York, NJ 07093 Sub Specialty: HIV/AIDs (201) 659-7700
Jersey City, NJ 07310 (201) 766-9666 609 Washington St Fl 2 Fax: (201) 526-9319
(201) 626-6461 Fax: (201) 766-9677 Hoboken, NJ 70304 00 Yrs/130 Yrs
Fax: (201) 626-6453 00 Yrs/130 Yrs (201) 659-7700 Palisades Medical Center
00 Yrs/130 Yrs Bayonne Medical Center Fax: (201) 858-1638 M-TH 7:00 AM - 8:00 PM
Bayonne Medical Center Prime Health Services-St 00 Yrs/130 Yrs F 7:00 AM - 6:00 PM
Prime Health Services-St Marys Hospital PCMH: No
Palisades Medical Center
Marys Hospital M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No Picard, Johan MD
PCMH: No
PCMH: No Provider ID: 1233940
Pellecchia, Ralph MD Penmatsa, Tanuja MD Gender: Female
Pawliw, Myron MD Provider ID: 407838 Medical Associates of
Provider ID: 1198622 Gender: Male Englewood PC
Provider ID: 1311787
Gender: Male Sub Specialty: HIV/AIDs 542 Broadway
Gender: Female
New Jersey Medical and 355 Grand St Bayonne, NJ 07002
Medical Associates of
Health Assoc Jersey City, NJ 07302 (201) 659-7700
Englewood PC
4522 JFK Blvd (201) 915-2000 Fax: (201) 585-1638
Sub Specialty: HIV/AIDs
Union City, NJ 07087 00 Yrs/130 Yrs 00 Yrs/130 Yrs
542 Broadway
(201) 706-4524 Jersey City Medical Center Palisades Medical Center
Bayonne, NJ 07002
Fax: (201) 706-7649 M-F 9:00 AM - 5:00 PM M-F 10:00 AM - 2:00 PM
(201) 659-7700
00 Yrs/130 Yrs PCMH: No PCMH: No
Fax: (201) 858-1638
Bayonne Medical Center 00 Yrs/130 Yrs
Prime Health Services-St Pellecchia, Ralph MD
Palisades Medical Center
Marys Hospital M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 407838 PCMH: No
PCMH: No Gender: Male
Metropolitan Family Health
Network
Sub Specialty: HIV/AIDs
875 Bergen Ave
Jersey City, NJ 07306
(201) 478-5859
00 Yrs/130 Yrs
Jersey City Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 202
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Potter-Mcquilkin, Dineasha Rossetos, Ourania MD Rossetos, Ourania MD
cont. MD Provider ID: 1216236 Provider ID: 1216236
Provider ID: 1197642 Gender: Female Gender: Female
Pinney, Antonia MD Gender: Female New Jersey Medical and New Jersey Medical and
Garden State Healthcare Health Assoc Health Assoc
Provider ID: 1211050 Associates 1 Journal Square Plz Ste 2 5 Marine View Plz
Gender: Female 122-132 Clinton St Jersey City, NJ 07306 Hoboken, NJ 07030
New Jersey Medical and Hoboken, NJ 07030 (201) 216-3030 (201) 706-4524
Health Assoc (201) 418-3100 Fax: (201) 499-0247 Fax: (201) 706-7649
138 River Dr S Fax: (201) 418-3148 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Jersey City, NJ 07310 00 Yrs/130 Yrs Christ Hospital Christ Hospital
(201) 626-6461 Hoboken University Medical Hoboken University Medical Hoboken University Medical
Fax: (201) 626-6453 Center Center Center
Jersey City Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
Languages: Spanish PCMH: No PCMH: No
JFK Medical Center
Raritan Bay Medical Center M-F 9:00 AM - 5:00 PM
Perth Amboy PCMH: No Rossetos, Ourania MD Schaefer, Robert MD
M-F 9:00 AM - 5:00 PM Provider ID: 1216236 Provider ID: 946199
Ramirez, Elizabeth MD Gender: Female Gender: Male
PCMH: No
Provider ID: 728608 New Jersey Medical and Christ Hospital
Pinney, Antonia MD Gender: Female Health Assoc 176 Palisade Ave
435 57th St 142 Palisade Ave Ste 219 Jersey City, NJ 07306
Provider ID: 1211050 West New York, NJ 07093 Jersey City, NJ 07310 (201) 795-8200
Gender: Female (201) 217-5600 (201) 795-8596 18 Yrs/130 Yrs
New Jersey Medical and 00 Yrs/130 Yrs Fax: (201) 418-7067 St. Joseph's Hospital Reg
Health Assoc Christ Hospital 00 Yrs/130 Yrs Medical Center
4522 JFK Blvd Languages: Spanish Christ Hospital Languages: Spanish
Union City, NJ 07087 M-F 9:00 AM - 5:00 PM Hoboken University Medical M-W 9:00 AM - 5:00 PM
PCMH: No Center PCMH: No
(201) 706-4524
M-F 9:00 AM - 5:00 PM
Fax: (201) 706-7649
Ramirez, Elizabeth MD PCMH: No Schaefer, Robert MD
00 Yrs/130 Yrs
JFK Medical Center Provider ID: 946199
Provider ID: 728608 Rossetos, Ourania MD Gender: Male
Raritan Bay Medical Center
Perth Amboy Gender: Female Provider ID: 1216236 Hoboken Univ Med Center
M-F 9:00 AM - 5:00 PM 435 Central Ave Gender: Female 308 Willow Ave
PCMH: No Jersey City, NJ 07307 New Jersey Medical and Hoboken, NJ 07030
(201) 217-5600 Health Assoc (301) 222-5200
Pinney, Antonia MD Fax: (201) 217-5700 4522 JFK Blvd 18 Yrs/130 Yrs
00 Yrs/130 Yrs Union City, NJ 07087 St. Joseph's Hospital Reg
Christ Hospital (201) 706-4524 Medical Center
Provider ID: 1211050
Languages: Spanish Fax: (201) 706-7649 Languages: Spanish
Gender: Female
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs MT 9:00 AM - 5:00 PM
New Jersey Medical and
Health Assoc PCMH: No Christ Hospital PCMH: No
Hoboken University Medical
5 Marine View Plz Center
Hoboken, NJ 07030 M-F 9:00 AM - 5:00 PM
(201) 706-4524 PCMH: No
Fax: (201) 706-7649
00 Yrs/130 Yrs
JFK Medical Center
Raritan Bay Medical Center
Perth Amboy
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 203
Updated: 11/26/2018

Specialty Physicians
Hudson
Obstetrics/Gynecology - Trujillo Caravalho, Cecilia MD Angioletti, Lee MD Brazzo, Brian MD
cont. Provider ID: 701684
Provider ID: 1156804 Provider ID: 687530 Gender: Male
Stella, Stefano MD Gender: Female Gender: Male Phillips Eye Specialists
Provider ID: 1440207 Palisades Medical Billing LLC Phillips Eye Center 2201 Bergenline Ave STE3
Gender: Male 1499 Park Ave 2201 Bergenline Ave Ste 3 Union City, NJ 07087
Palisades Medical Associates Hoboken, NJ 07030 Union City, NJ 07087 (201) 601-2020
LLC (201) 850-1084 (201) 601-2020 Fax: (201) 601-9722
7600 River Rd Fax: (201) 683-7311 Fax: (201) 601-9722 00 Yrs/130 Yrs
North Bergen, NJ 07047 00 Yrs/130 Yrs 00 Yrs/130 Yrs River Drive Surgery Center
(201) 854-5000 Palisades Medical Center Languages: Spanish, Italian, LLC
Fax: (201) 758-2742 M-F 9:00 AM - 5:00 PM Korean Languages: Spanish, Russian,
18 Yrs/110 Yrs PCMH: No M-F 8:00 AM - 4:00 PM Italian, Hindi
Holy Name Medical Center PCMH: No M 8:30 AM - 6:00 PM
Palisades Medical Center Trujillo Caravalho, Cecilia MD TWTH 8:30 AM - 5:00 PM
Languages: Spanish, Italian Angioletti, Louis MD F 8:30 AM - 4:00 PM
MTWTHFSatSun 6:00 AM - Provider ID: 1156804 PCMH: No
5:30 PM Gender: Female Provider ID: 1369729
PCMH: No Cervenak Panariello, Betty
Palisades Medical Billing, LLC Gender: Male
MD
6045 Kennedy Blvd Ste B Retina Center of NJ
Stella, Stefano MD 6121 Kennedy Blvd 1st Fl Provider ID: 800199
North Bergen, NJ 07047
Provider ID: 944130 North Bergen, NJ 07047 Gender: Female
(201) 868-2630
Gender: Male (201) 766-5151 Palisade Eye Associates PC
Fax: (201) 868-4919
Stellar Medical Systems Fax: (201) 766-5154 Sub Specialty: HIV/AIDs
00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs 203 Palisade Ave Ste 1
Palisades Medical Center
3196 Kennedy Blvd Ste 3 Englewood Hospital and Jersey City, NJ 07306
M-F 8:00 AM - 3:00 PM
Union City, NJ 70872 Medical Center (201) 653-5722
PCMH: No
(201) 868-6868 M-F 9:00 AM - 5:00 PM Fax: (201) 792-9718
Fax: (201) 766-2939 Ophthalmology PCMH: No 00 Yrs/130 Yrs
16 Yrs/130 Yrs Christ Hospital
Holy Name Medical Center Agarwala, Atul MD Braunstein, Steven MD Languages: Spanish, Italian,
Languages: Spanish Polish, Portuguese
Provider ID: 1647376
M-F 9:00 AM - 5:00 PM Provider ID: 426472 MWF 9:00 AM - 5:00 PM
Gender: Male
PCMH: No Gender: Male T 9:00 AM - 7:00 PM
Specialty MD, Inc
Sub Specialty: HIV/AIDs TH 8:00 AM - 6:00 PM
3196 Kennedy Blvd Fl 2
Sylvestre, Vonetta MD 7316 Kennedy Blvd Fl 1 Sat 9:00 AM - 12:30 PM
Union City, NJ 07087
North Bergen, NJ 70474 PCMH: No
(201) 863-9013
Provider ID: 946959 Fax: (201) 863-8431 (201) 869-3253 Cervenak Panariello, Betty
Gender: Female 00 Yrs/130 Yrs Fax: (201) 869-8235 MD
Horizon Health Center M-F 10:00 AM - 7:00 PM 00 Yrs/130 Yrs
115 Christopher Columbus Dr Provider ID: 800199
Sat 10:00 AM - 2:00 PM Languages: Spanish, Hindi
Jersey City, NJ 07302 Gender: Female
PCMH: No MTH 8:00 AM - 5:30 PM
(201) 451-6300 Palisade Eye Associates PC
TFSat 8:00 AM - 12:30 PM
Fax: (551) 226-6871 Sub Specialty: HIV/AIDs
Angioletti, Lee MD W 8:00 AM - 6:00 PM
12 Yrs/130 Yrs 594 Broadway
PCMH: No
AHS Hospital Bayonne, NJ 07002
Provider ID: 1367390 (201) 858-5722
Languages: Hindi, Arabic, Gender: Male
Hebrew, Bengali Fax: (201) 858-2566
Retina Center of NJ 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM 6121 Kennedy Blvd 1st Fl
PCMH: No Christ Hospital
North Bergen, NJ 07047 Languages: Spanish, Italian,
(201) 766-5151 Polish, Portuguese
Fax: (201) 766-5154 M 9:00 AM - 6:00 PM
05 Yrs/130 Yrs TWTHF 9:00 AM - 5:00 PM
MT 8:00 AM - 11:00 PM Sat 9:00 AM - 1:00 PM
W 8:30 AM - 5:30 PM PCMH: No
THF 8:00 AM - 5:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 204
Updated: 11/26/2018

Specialty Physicians
Hudson
Ophthalmology - cont. D'Alberti, Claudio MD Gabay, Jacqueline MD Guibor, Pierre MD
Provider ID: 486271 Provider ID: 1464718
Cinotti, Donald MD Gender: Male Provider ID: 306536 Gender: Male
Provider ID: 1456735 Dalberti Eye Center Gender: Female Pierre Guibor,MD, PA
Gender: Male 1126 Washington St Hudson Eye Specialist 55 Meadowlands Pkwy Ste 2
Liberty Eye Care Center Hoboken, NJ 07030 619 River Dr Ste 201 Secaucus, NJ 07094
418 Summit Ave (201) 659-2020 Elmwood Park, NJ 74071 (201) 392-3438
Jersey City, NJ 07206 Fax: (201) 659-8330 (201) 796-2020 Fax: (201) 392-3514
(201) 499-1969 00 Yrs/130 Yrs Fax: (201) 796-2833 00 Yrs/130 Yrs
00 Yrs/130 Yrs Hoboken University Medical 00 Yrs/130 Yrs Palisades Medical Center
Christ Hospital Center River Drive Surgery Center M-F 10:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish, Italian LLC PCMH: No
PCMH: No M-F 8:30 AM - 5:00 PM Languages: Spanish
PCMH: No M 8:30 AM - 6:00 PM Gurland, Keith MD
Cummins, Dean MD TWTH 8:30 AM - 5:00 PM Provider ID: 945252
Eichler, Joel MD F 8:30 AM - 4:00 PM Gender: Male
Provider ID: 1647383 Provider ID: 546830 PCMH: No 521 Broadway
Gender: Male Gender: Male Bayonne, NJ 07002
Specialty MD, Inc. Hudson Eye Specialist Gopal, Lekha MD (201) 339-1266
3196 Kennedy Blvd Fl 2 2201 Bergenline Ave Ste 3 Provider ID: 1196292 Fax: (201) 339-0122
Union City, NJ 07087 Union City, NJ 07087 Gender: Female 18 Yrs/130 Yrs
(201) 863-9013 (201) 601-2020 Opthalmology and Bayonne Medical Center
Fax: (201) 863-8431 Fax: (201) 601-9722 Nueroopthalmology Languages: Spanish
00 Yrs/130 Yrs 05 Yrs/130 Yrs Sub Specialty: HIV/AIDs MTTH 9:00 AM - 5:30 PM
Holy Name Medical Center River Drive Surgery Center 806 Kearny Ave W 11:00 AM - 5:30 PM
M-F 10:00 AM - 6:00 PM LLC Kearny, NJ 07032 F 10:00 AM - 30:00 PM
Sat 10:00 AM - 4:00 PM Languages: Spanish (201) 991-6900 PCMH: No
PCMH: No M 8:30 AM - 6:00 PM Fax: (201) 991-6997
TWTH 8:30 AM - 5:00 PM 00 Yrs/130 Yrs Gurland, Keith MD
Cummins, Dean MD F 8:30 AM - 4:00 PM Robert Wood Johnson Provider ID:
PCMH: No University Hospital TPV044952040020
Provider ID: 1726006 Languages: Hindi, Urdu, Gender: Male
Frieman, Brett DO Gujarati Specs Unlimited
Gender: Male
Healthcheck Eye MDS, LLC Provider ID: 1457716 M-F 9:00 AM - 5:00 PM 521 Broadway
3196 Kennedy Blvd Fl 2 Gender: Male PCMH: No Bayonne, NJ 07002
Union City, NJ 07087 Jersey City Medical Center (201) 339-1266
Eye Clin Guibor, Pierre MD Fax: (201) 339-0122
(201) 863-9013 Provider ID: 1464718
418 Summit Ave 00 Yrs/99 Yrs
Fax: (201) 863-8431 Gender: Male
Jersey City, NJ 07306 Languages: Spanish
00 Yrs/130 Yrs 23 Village Pl Unit 7
(201) 499-1969 MTF 8:00 AM - 6:00 PM
Holy Name Medical Center Secaucus, NJ 07094
Fax: (201) 332-7035 WTH 10:00 AM - 6:00 PM
MTWTHFSatSun 10:00 AM - (201) 392-3514
7:00 PM 00 Yrs/130 Yrs Sat 10:00 AM - 1:00 PM
Jersey City Medical Center Fax: (201) 392-3514 PCMH: No
PCMH: No
M-F 8:00 AM - 4:00 PM 00 Yrs/130 Yrs
PCMH: No Palisades Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 205
Updated: 11/26/2018

Specialty Physicians
Hudson
Ophthalmology - cont. Jackson, Kurt MD Kayserman, Larisa MD Lee, Song MD
Provider ID: 800149 Provider ID: 1224193
Gurland, Keith MD Gender: Male Provider ID: 1342179 Gender: Female
Provider ID: TPV044952040021 Retina Center of NJ Gender: Female Vitreoretinal Associates
Gender: Male Sub Specialty: HIV/AIDs Retina Consultants PA II Sub Specialty: HIV/AIDs
Keith Gurland MD 6121 Kennedy Blvd 1st Fl Sub Specialty: HIV/AIDs 600 Pavonia Ave 4th Fl
521 Broadway North Bergen, NJ 07047 600 Pavonia Ave 4th Fl Jersey City, NJ 07306
Bayonne, NJ 07002 (973) 707-5632 Jersey City, NJ 07306 (201) 656-1212
(201) 339-1266 Fax: (201) 766-5154 (201) 656-1212 Fax: (201) 656-3246
Fax: (201) 339-0122 00 Yrs/130 Yrs Fax: (201) 656-3246 00 Yrs/130 Yrs
00 Yrs/99 Yrs Clara Maass Medical Center 00 Yrs/130 Yrs Clara Maass Medical Center
Languages: Spanish Languages: Spanish M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
MF 9:00 AM - 5:30 PM MTTH 8:00 AM - 12:00 PM PCMH: No PCMH: No
TWTH 10:00 AM - 5:30 PM W 7:30 AM - 12:00 PM
Sat 10:00 AM - 2:00 PM F 7:30 AM - 11:30 PM Kayserman, Larisa MD Lee, Song MD
PCMH: No PCMH: No Provider ID: 1342508
Provider ID: 377648 Gender: Female
Gutman, Justin MD Kallina, Lauren MD Gender: Female Retina Consultants PA II
Provider ID: 1181263 600 Pavonia Ave Fl 4 Sub Specialty: HIV/AIDs
Provider ID: 1460254 Gender: Female Jersey City, NJ 07306 600 Pavonia Ave 4th Fl
Gender: Male Retina Center of NJ (201) 656-1212 Jersey City, NJ 07306
Retina Center of New Jersey Sub Specialty: HIV/AIDs Fax: (201) 656-3246 (201) 656-1212
LLC 6121 Kennedy Blvd 1st Fl 00 Yrs/130 Yrs Fax: (201) 656-3246
6121 Kennedy Blvd Fl 1 North Bergen, NJ 07047 Languages: Russian, Polish, 00 Yrs/130 Yrs
North Bergen, NJ 07047 (201) 766-5151 Ukrainian Clara Maass Medical Center
(201) 766-5151 Fax: (866) 806-3675 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 766-5154 00 Yrs/130 Yrs PCMH: No PCMH: No
12 Yrs/130 Yrs Clara Maass Medical Center
M-F 9:00 AM - 5:00 PM Languages: Spanish Kincade, Thomas MD Maley, Michael MD
PCMH: No MT 8:00 AM - 12:30 PM Provider ID: 1726035
W 8:30 AM - 12:30 PM Gender: Male Provider ID: 461945
Higgins, Patrick MD THF 12:30 AM - 5:00 PM Healthcheck Eye MDS, LLC Gender: Male
Provider ID: 441808 PCMH: No 3196 Kennedy Blvd Phillips Eye Center
Gender: Male Union City, NJ 07087 2201 Bergenline Ave Fl 2
Retina Center of NJ Kanengiser, Bruce MD (201) 863-9013 Union City, NJ 07087
Sub Specialty: HIV/AIDs Fax: (201) 863-8431 (201) 796-3330
6121 Kennedy Blvd 1st Fl Provider ID: 1604509 00 Yrs/130 Yrs Fax: (201) 796-3644
North Bergen, NJ 07047 Gender: Male St. Joseph's Hospital Reg 00 Yrs/130 Yrs
(201) 766-5151 Keith Gurland MD Medical Center River Drive Surgery Center
Fax: (866) 806-3675 521 Broadway M-F 10:00 AM - 6:00 PM LLC
00 Yrs/130 Yrs Bayonne, NJ 07002 Sat 10:00 AM - 3:00 PM M 9:00 AM - 5:00 PM
M 1:30 AM - 5:30 PM (201) 339-1266 PCMH: No T 7:00 AM - 6:00 PM
TTH 8:00 AM - 11:30 PM Fax: (201) 339-0069 W 7:00 AM - 6:30 PM
W 1:30 AM - 6:00 PM 00 Yrs/130 Yrs Kincaide, Thomas MD THF 8:00 AM - 6:00 PM
PCMH: No Bayonne Medical Center Provider ID: 1641957 PCMH: No
M-F 9:00 AM - 5:00 PM Gender: Male
PCMH: No Specialty MD Inc
3196 Kennedy Blvd Ste 2
Union City, NJ 07087
(201) 863-9019
Fax: (201) 863-8431
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 10:00 AM - 6:00 PM
Sat 10:00 AM - 3:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 206
Updated: 11/26/2018

Specialty Physicians
Hudson
Ophthalmology - cont. Panariello, Anthony MD Rau, Ganesh MD Scannapiego, Saveren MD
Provider ID: 658520 Provider ID: TPV014370005589
McCoy, Chrishonda MD Provider ID: 462196 Gender: Male Gender: Male
Gender: Male Palisade Eye Associates PC Dr Saveren Scannapiego
Provider ID: 693857 Palisade Eye Associates PC Sub Specialty: HIV/AIDs 198 Stevens Ave
Gender: Female Sub Specialty: HIV/AIDs 203 Palisade Ave Ste 1 Jersey City, NJ 07305
Specialty MD Inc 203 Palisade Ave Ste 1 Jersey City, NJ 07306 (201) 451-1225
3196 Kennedy Blvd Ste 2 Jersey City, NJ 07306 (201) 653-5722 Fax: (201) 451-1225
Union City, NJ 07087 (201) 653-5722 Fax: (201) 792-9718 00 Yrs/99 Yrs
(201) 863-9013 Fax: (201) 792-9718 00 Yrs/130 Yrs Languages: Spanish
Fax: (201) 863-8431 00 Yrs/130 Yrs Bayonne Medical Center PCMH: No
00 Yrs/130 Yrs Christ Hospital Christ Hospital
Robert Wood Johnson River Drive Surgery Center Palisades Medical Center Trotta, Nicholas MD
University Hospital LLC Languages: Spanish
Languages: Spanish, Hindi, Languages: Spanish, Italian, M 9:00 AM - 12:00 PM Provider ID: 1726024
Gujarati Punjabi, Polish T 9:00 AM - 11:30 PM Gender: Male
M-F 10:00 AM - 7:00 PM M 1:00 AM - 5:00 PM WTH 1:00 AM - 4:00 PM Healthcheck Eye MDS, LLC
Sat 10:00 AM - 2:00 PM T 9:00 AM - 7:00 PM PCMH: No 3196 Kennedy Blvd Ste 2
PCMH: No WF 9:00 AM - 5:00 PM Union City, NJ 07087
TH 8:00 AM - 6:00 PM Rau, Ganesh MD (908) 222-3506
McCoy, Chrishonda MD Sat 9:00 AM - 12:30 PM Provider ID: 658520 Fax: (908) 222-8770
PCMH: No Gender: Male 00 Yrs/130 Yrs
Provider ID: TPV014215003760 Palisade Eye Associates PC St. Joseph's Hospital Reg
Gender: Female Phillips, Hadley DO Sub Specialty: HIV/AIDs Medical Center
Specialty MD Inc 594 Broadway MTWTHFSat 10:00 AM - 6:00
3196 Kennedy Blvd Provider ID: 432849 Bayonne, NJ 07002 PM
Union City, NJ 07087 Gender: Male (201) 355-2574 PCMH: No
(201) 863-9013 Phillips Eye Center Fax: (201) 858-2566
Fax: (201) 863-8431 2201 Bergenline Ave Fl 2 00 Yrs/130 Yrs Trotta, Nicholas MD
00 Yrs/99 Yrs Union City, NJ 07087 Bayonne Medical Center
PCMH: No (201) 796-3330 Christ Hospital Provider ID: 194839
Fax: (201) 796-3644 Palisades Medical Center Gender: Male
Panariello, Anthony MD 00 Yrs/130 Yrs Languages: Spanish Specialty MD Inc
River Drive Surgery Center M 1:30 AM - 4:00 PM 3196 Kennedy Blvd Ste 2
Provider ID: 462196 LLC T 9:00 AM - 11:00 PM Union City, NJ 07087
Gender: Male Languages: Spanish PCMH: No (201) 863-9013
Sub Specialty: HIV/AIDs M 8:30 AM - 6:00 PM Fax: (201) 863-8431
TWTH 8:30 AM - 5:00 PM Roy, Monique MD
594 Broadway 00 Yrs/130 Yrs
F 8:30 AM - 4:00 PM Provider ID: 1193214 Languages: Spanish, Italian
Bayonne, NJ 07002
PCMH: No Gender: Female M-F 10:00 AM - 7:00 PM
(201) 653-5722
University Physician Sat 10:00 AM - 4:00 PM
Fax: (201) 858-2566 Associates
00 Yrs/130 Yrs PCMH: No
412 Summit Ave
Christ Hospital Jersey City, NJ 07306 Vallar, Robert MD
River Drive Surgery Center
LLC (201) 946-6870 Provider ID: 1084816
Languages: Spanish, Italian, Fax: (201) 332-7035 Gender: Male
Punjabi, Polish 00 Yrs/130 Yrs Sub Specialty: HIV/AIDs
M 9:00 AM - 6:00 PM M-F 9:00 AM - 3:00 PM 600 Pavonia Ave Ste 4
TWTHF 9:00 AM - 5:00 PM PCMH: No Jersey City, NJ 07306
Sat 9:00 AM - 12:30 PM (201) 656-1212
PCMH: No Fax: (201) 656-3246
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 207
Updated: 11/26/2018

Specialty Physicians
Hudson
Ophthalmology - cont. Optometry Davis, Barry OD Domingues, Maria OD
Provider ID: Provider ID: TPV007522005245
Vallar, Robert MD Anosike, Adolphus OD TPV038774005258 Gender: Female
Provider ID: 1342507 Provider ID: TPV016503005129 Gender: Male Maria C Domingues OD
Gender: Male Gender: Male Davis Vision Works 400 Park Pl
Retina Consultants PA II Adolphus Anosike OD 548 Broadway Secaucus, NJ 07094
600 Pavonia Ave 4th Fl 3400 Bergenline Ave Bayonne, NJ 07002 (201) 325-9277
Jersey City, NJ 07306 Union City, NJ 07087 (201) 339-4375 Fax: (201) 325-9347
(201) 656-1212 (201) 865-8660 Fax: (201) 339-2105 00 Yrs/99 Yrs
Fax: (201) 656-3246 Fax: (201) 865-0971 00 Yrs/99 Yrs Languages: Spanish, French
00 Yrs/130 Yrs 00 Yrs/99 Yrs Languages: Spanish MTH 11:00 AM - 7:00 PM
Clara Maass Medical Center Languages: Spanish, French PCMH: No T 2:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No WSat 9:00 AM - 5:00 PM
PCMH: No Davis, Lowell OD F 10:00 AM - 6:00 PM
Bhattacharjee, Shrabanti OD Provider ID: Sun 11:00 AM - 3:00 PM
Vogel, Mitchell MD Provider ID: TPV048677005591 TPV008778007946 PCMH: No
Gender: Female Gender: Male
Visionworks Drs of Lowell Davisod Domingues, Maria OD
Provider ID: 1422108
Optometry 452 548 Broadway Provider ID:
Gender: Male
802 Bayonne Crossing Way Bayonne, NJ 07002 TPV007522005368
Bhmg-United Medical
Bayonne, NJ 07002 (201) 339-4375 Gender: Female
Sub Specialty: HIV/AIDs
(201) 858-5615 Fax: (201) 339-2105 Maria C Domingues OD
988 Broadway Ste 201
Fax: (201) 858-5676 00 Yrs/99 Yrs 150 Harrison Ave
Bayonne, NJ 07002
00 Yrs/99 Yrs Languages: Spanish Kearny, NJ 07032
(201) 339-6111
PCMH: No PCMH: No (201) 955-0354
Fax: (201) 339-6333 Fax: (201) 995-0363
12 Yrs/130 Yrs Choi-Lee, Jessica OD Desai, Roshni OD 00 Yrs/99 Yrs
Prime Health Services-St
Marys Hospital Provider ID: TPV035627007073 Provider ID: Languages: Spanish, French
Gender: Female TPV025955007540 MWF 9:00 AM - 5:00 PM
Languages: Spanish, French
Union City Vision Care Gender: Female T 2:00 AM - 7:00 PM
M-F 8:00 AM - 5:00 PM
3907 Bergenline Ave Drs Savoy, Siegel Desai TH 11:00 AM - 7:00 PM
PCMH: No
Union City, NJ 07087 127 Newark Ave Ste 1 PCMH: No
Vora, Bhupendra MD (201) 865-8300 Jersey City, NJ 07302
Fax: (201) 865-0123 (201) 333-2768 Estevez, Joselyn OD
00 Yrs/99 Yrs Fax: (201) 333-3145 Provider ID: TPV030729016177
Provider ID: 392435 Gender: Female
Languages: Spanish, Korean 00 Yrs/99 Yrs
Gender: Male Estevez and Associates Vision
M-F 10:00 AM - 6:00 PM www.savoysiegelanddesai.
142 Palisade Ave Ste 113 com Centers
Jersey City, NJ 07306 Sat 10:00 AM - 7:00 PM
Languages: Hindi, Gujarati 517 41st St
(201) 656-7171 Sun 12:00 AM - 1:00 PM
MT 9:00 AM - 6:00 PM Union City, NJ 07087
Fax: (201) 656-1611 PCMH: No
W 9:00 AM - 5:00 PM (201) 866-2440
12 Yrs/130 Yrs Dave, Kirti OD TH 9:00 AM - 7:00 PM Fax: (201) 866-3366
Languages: Hindi, Gujarati Provider ID: TPV040557036517 F 9:00 AM - 6:30 PM 00 Yrs/99 Yrs
M-W 12:00 AM - 5:00 PM Gender: Male Sat 8:30 AM - 3:00 PM Languages: Spanish
TH 9:30 AM - 12:30 PM Dr Kirti Dave OD PCMH: No M-F 10:00 AM - 6:00 PM
F 9:30 AM - 12:00 PM 4414 Bergenline Ave Sat 10:00 AM - 2:00 PM
PCMH: No Union City, NJ 07087 PCMH: No
(201) 271-1600
Fax: (201) 271-1630
00 Yrs/99 Yrs
Languages: Spanish, Urdu
PCMH: No

www.wellcare.com/New-Jersey | 208
Updated: 11/26/2018

Specialty Physicians
Hudson
Optometry - cont. Iosebashvili, David OD Kowalik, Ronald OD Manzo, Melissa OD
Provider ID: TPV034871006906 Provider ID: TPV019134041067 Provider ID:
Forszt Jr, Edward OD Gender: Male Gender: Male TPV004895009898
Provider ID: TPV033108017589 David Iosebashvili OD Steff Enterprises Inc DBA Gender: Female
Gender: Male 9003 Bergenline Ave Nobel Optical NJ Eye Professionals
Broadway Optics Vision North Bergen, NJ 07047 701 Rte 440 (Inside Hudson 3196 Kennedy Blvd Ste 2
4610 Bergenline Ave (201) 861-0815 Mall) Union City, NJ 07087
Union City, NJ 07087 Fax: (201) 861-0359 Jersey City, NJ 07304 (201) 863-9013
(201) 758-7600 00 Yrs/99 Yrs (201) 433-5080 Fax: (201) 863-8431
Fax: (201) 758-7601 www.sunriseopticalnj.com Fax: (201) 435-1101 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Russian 00 Yrs/99 Yrs PCMH: No
Languages: Spanish PCMH: No Languages: Spanish
PCMH: No PCMH: No Masadeh, Yasir OD
Israel, Marissa OD Provider ID: TPV025215012627
Friedman, Stephen OD Provider ID: TPV038651006716 Lee, John OD Gender: Male
Provider ID: TPV040121002532 Gender: Female Provider ID: TPV040677013110 Eyes R US
Gender: Male Dr Edward Maslansky and Gender: Male 468 Broadway
Stephen W Friedman OD Associates Eye Savers Optical Bayonne, NJ 07002
5917 Bergenline Ave 399 Kearny Ave 3513 John F Kennedy Blvd (201) 339-3131
West New York, NJ 07093 Kearny, NJ 07032 Jersey City, NJ 07307 Fax: (201) 339-3003
(201) 854-4110 (201) 991-0026 (201) 420-8162 00 Yrs/99 Yrs
Fax: (201) 861-7303 Fax: (201) 991-4989 Fax: (201) 420-8163 Languages: Spanish
00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs PCMH: No
Languages: Spanish maslanskyeye.com Languages: Korean
PCMH: No Languages: Spanish MWFSat 9:00 AM - 8:00 PM Masadeh, Yasir OD
PCMH: No TTH 9:00 AM - 6:00 PM Provider ID: TPV025215034465
Hecht, Mark OD PCMH: No Gender: Male
Provider ID: TPV033976001276 Jankolovits, Melvin OD Super Vision LLC
Gender: Male Provider ID: TPV022581005783 Lui, Qichao OD 461 Central Ave
Dr Mark D Hecht Gender: Male Provider ID: TPV044891039988 Jersey City, NJ 07307
550 Summit Ave Ste 206 Dr Melvin Jankolovits OD Gender: Male (201) 420-1222
Jersey City, NJ 07306 149 Front St Jonathan Marx Opticians Fax: (201) 420-1369
(201) 559-4322 Secaucus, NJ 07094 243 Central Ave 00 Yrs/99 Yrs
Fax: (201) 659-5758 (201) 348-0800 Jersey City, NJ 07307 Languages: Spanish
00 Yrs/99 Yrs Fax: (201) 348-0801 (201) 222-5401 M-F 11:00 AM - 7:00 PM
Languages: Spanish 00 Yrs/99 Yrs Fax: (201) 222-3297 Sat 11:00 AM - 6:30 PM
PCMH: No Languages: Spanish 00 Yrs/99 Yrs PCMH: No
PCMH: No PCMH: No
Hnatyko, John OD Maslansky, Edward OD
Provider ID: TPV045823006716 Jones, Ruth OD Lui, Qichao OD Provider ID: TPV020939006716
Gender: Male Provider ID: TPV009979005591 Provider ID: TPV044891039989 Gender: Male
Dr Edward Maslansky and Gender: Female Gender: Male Dr Edward Maslansky and
Associates Visionworks Drs of Jonathan Marx Opticians Associates
399 Kearny Ave Optometry 452 355 Central Ave 399 Kearny Ave
Kearny, NJ 07032 802 Bayonne Crossing Way Jersey City, NJ 07307 Kearny, NJ 07032
(201) 991-0026 Bayonne, NJ 07002 (201) 222-6400 (201) 991-0026
Fax: (201) 991-4989 (201) 858-5615 Fax: (205) 831-6013 Fax: (201) 991-4989
00 Yrs/99 Yrs Fax: (201) 858-5676 00 Yrs/99 Yrs 00 Yrs/99 Yrs
maslanskyeye.com 00 Yrs/99 Yrs PCMH: No maslanskyeye.com
PCMH: No PCMH: No Languages: Spanish
PCMH: No

www.wellcare.com/New-Jersey | 209
Updated: 11/26/2018

Specialty Physicians
Hudson
Optometry - cont. O'Hara, Michael OD Racanati, Sergio OD Rusignuolo, Anthony OD
Provider ID: TPV010201005591 Provider ID: 1645076 Provider ID: TPV019690000171
Messinger, Robert OD Gender: Male Gender: Male Gender: Male
Provider ID: TPV027871006046 Visionworks Drs of Prohealth Care Associates of Harborside Optical
Gender: Male Optometry 452 New Je 34 Exchange Pl
Dr Robert Messinger 802 Bayonne Crossing Way 7505 Bergenline Ave Jersey City, NJ 07311
1108 Washington St Bayonne, NJ 07002 North Bergen, NJ 07047 (201) 946-9100
Hoboken, NJ 07030 (201) 858-5615 (201) 869-0037 Fax: (201) 946-9110
(201) 659-3724 Fax: (201) 858-5676 Fax: (201) 868-5844 00 Yrs/99 Yrs
Fax: (201) 653-8292 00 Yrs/99 Yrs 00 Yrs/130 Yrs www.optometricarts.com
00 Yrs/99 Yrs PCMH: No M-F 9:00 AM - 5:00 PM Languages: Spanish
PCMH: No PCMH: No M-TH 8:00 AM - 7:00 PM
O'Kane, Thomas OD F 8:00 AM - 5:00 PM
Milstein, Nurit OD Provider ID: Rochester, Cletta OD PCMH: No
Provider ID: TPV034892005502 Provider ID: TPV028039001808
TPV008800006716 Gender: Male Savoy, Randi OD
Gender: Female
Gender: Female Dr Thomas Okane OD PC Provider ID: TPV031562007540
Faith Eye Care Center
Dr Edward Maslansky and 2877 John F Kennedy Blvd Gender: Female
2 Highland Ave
Associates Jersey City, NJ 07306 Drs Savoy, Siegel Desai
Jersey City, NJ 07306
399 Kearny Ave (201) 795-0698 127 Newark Ave Ste 1
(201) 434-8833
Kearny, NJ 07032 Fax: (201) 795-9857 Jersey City, NJ 07302
Fax: (201) 536-0700
(201) 991-0026 00 Yrs/99 Yrs (201) 333-2768
00 Yrs/99 Yrs
Fax: (201) 991-4989 PCMH: No Fax: (201) 333-3145
Languages: Spanish
00 Yrs/99 Yrs MTTH 10:00 AM - 5:00 PM 00 Yrs/99 Yrs
Park, Sarah OD
maslanskyeye.com W 10:00 AM - 6:00 PM www.savoysiegelanddesai.
Provider ID: TPV012718005591 com
PCMH: No F 10:00 AM - 2:00 PM
Gender: Female Languages: Spanish
Visionworks Drs of PCMH: No
Morganstein, Richard OD MT 9:00 AM - 6:00 PM
Provider ID: TPV031178036518 Optometry 452
Rodriguez, Rodolfo OD W 9:00 AM - 5:00 PM
Gender: Male 802 Bayonne Crossing Way TH 9:00 AM - 7:00 PM
Morganstein Eye Associates Bayonne, NJ 07002
Provider ID: 1163483 F 9:00 AM - 6:30 PM
LLC (201) 858-5615
Gender: Male Sat 8:30 AM - 3:00 PM
5618 Bergenline Ave Fax: (201) 858-5676
Rodolfo L Rodriguez PCMH: No
West New York, NJ 07093 00 Yrs/99 Yrs
(201) 867-2942 PCMH: No Sub Specialty: HIV/AIDs Scaramia, John OD
Fax: (201) 867-1777 7922 Kennedy Blvd
Park, Sarah OD Provider ID:
00 Yrs/99 Yrs North Bergen, NJ 07047 TPV020576009904
Provider ID: TPV929536-93 (201) 295-2020
www. Gender: Male
morgansteineyeassociates. Gender: Female Fax: (201) 295-0804 Louis Eyecare
com Charles M Cummins OD PA 00 Yrs/130 Yrs 3513 John F Kennedy Blvd
Languages: Spanish 802 Bayonne Crossing Way Christ Hospital Jersey City, NJ 07307
M-F 10:00 AM - 8:00 PM Bayonne, NJ 07002 Languages: Spanish (201) 420-8162
PCMH: No (201) 858-5615 M 9:00 AM - 6:30 PM 00 Yrs/99 Yrs
Fax: (201) 858-5676 T 9:00 AM - 2:00 PM PCMH: No
Morillo, Christian OD 00 Yrs/99 Yrs W 9:00 AM - 7:30 PM
Provider ID: TPV024660004414 PCMH: No TH 9:00 AM - 4:00 PM Scharf, Larry OD
Gender: Male F 9:00 AM - 3:30 PM Provider ID: TPV022534005591
Morillo Eye Associates Patel, Nimali OD PCMH: No Gender: Male
418 38th St Provider ID: TPV030107005591
Visionworks Drs of
Union City, NJ 07087 Gender: Female Optometry 452
(201) 867-0199 Visionworks Drs of 802 Bayonne Crossing Way
Fax: (201) 867-0226 Optometry 452
Bayonne, NJ 07002
00 Yrs/99 Yrs 802 Bayonne Crossing Way
(201) 858-5615
M-F 9:00 AM - 5:00 PM Bayonne, NJ 07002
Fax: (201) 858-5676
Sat 9:00 AM - 3:00 PM (201) 858-5615
00 Yrs/99 Yrs
PCMH: No Fax: (201) 858-5676
PCMH: No
00 Yrs/99 Yrs
PCMH: No

www.wellcare.com/New-Jersey | 210
Updated: 11/26/2018

Specialty Physicians
Hudson
Optometry - cont. Sindhu, Mahmood OD Toker, Perry OD Trytjak, Yurij OD
Provider ID: TPV020615009914 Provider ID: Provider ID:
Schwartz, David OD Gender: Male TPV040846035255 TPV036593009836
Provider ID: TPV037638002363 Jersey Eyecare Gender: Male Gender: Male
Gender: Male 2787 John F Kennedy Blvd Ste Hudson Eyecare Associates Bergen Eyecare Clinic
Nobel Optical A9 368 Central Ave 910 Bergen Ave
701 State Rt 440 Jersey City, NJ 07306 Jersey City, NJ 07307 Jersey City, NJ 07306
Jersey City, NJ 07304 (201) 239-8007 (201) 659-2775 (201) 610-0980
(201) 433-5080 Fax: (201) 659-0344 Fax: (201) 653-7319 Fax: (201) 610-0822
Fax: (201) 435-1101 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish Languages: Spanish, Languages: Spanish, Russian
PCMH: No PCMH: No Portuguese MTWTHFSat 10:30 AM - 8:30
PCMH: No PM
Shah, Renu OD Sindhu, Mahmood OD PCMH: No
Provider ID: TPV010062003549 Provider ID: TPV020615012627 Tortorici, Michael OD
Gender: Male Gender: Male Provider ID: 689127 Velazquez, Natalie OD
2020 Vision LLC Eyes R US Gender: Male Provider ID: TPV009901007297
1516 Summit Ave 468 Broadway Phillips Eye Center Gender: Female
Union City, NJ 07087 Bayonne, NJ 07002 2201 Bergenline Ave Fl 2 Natalie Velazquez Assoc
(201) 974-0401 (201) 339-3131 Union City, NJ 07087 517 41st St
Fax: (201) 974-0401 Fax: (201) 339-3003 (201) 796-3330 Union City, NJ 07087
00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 796-3644 (201) 866-2440
Languages: Gujarati Languages: Spanish 00 Yrs/130 Yrs 00 Yrs/99 Yrs
PCMH: No PCMH: No Languages: Chinese, Italian, Languages: Spanish
Hindi, Arabic PCMH: No
Shteyn, Yekaterina OD Syed, Mansoor OD M-F 8:00 AM - 5:00 PM
Provider ID: TPV020295007972 Provider ID: TPV020177041831 PCMH: No Visionworks Drs of
Gender: Female Gender: Male Optometry 452
Cohens Fashion Best Eye Care Next To Trieu, MA-Le OD Provider ID: TPV004932005591
Opticalyekaterina Shteyn OD Walmart Provider ID: TPV001106002843 802 Bayonne Crossing Way
156 400 Park Pl Gender: Female Bayonne, NJ 07002
30 Mall Dr W Ste 103A Secaucus, NJ 07094 MA-Le Trieu OD (201) 858-5615
Jersey City, NJ 07310 (201) 325-9277 5202 Bergenline Ave Fax: (201) 858-5676
(201) 420-7733 Fax: (201) 325-9347 West New York, NJ 07093 00 Yrs/99 Yrs
Fax: (201) 420-9923 00 Yrs/99 Yrs (201) 974-2999 PCMH: No
00 Yrs/99 Yrs Languages: Spanish, Hindi Fax: (201) 974-2999
Languages: Russian, Ukrainian WAL MART Vision Center
PCMH: No 00 Yrs/99 Yrs 3520
PCMH: No Languages: Spanish
Tandler, Robert OD Provider ID: TPV041477033635
M-TH 10:00 AM - 6:00 PM
Siegel, Martin OD Provider ID: TPV004355036515 F 10:00 AM - 7:00 PM 400 Park Pl
Provider ID: Gender: Male Secaucus, NJ 07094
Sat 10:00 AM - 4:00 PM
TPV036206007540 Dr Jack Goldstein Dr Robert (201) 325-9277
PCMH: No
Gender: Male Ta Fax: (201) 325-9347
Drs Savoy, Siegel Desai 418 38th St Trytjak, Yurij OD 00 Yrs/99 Yrs
127 Newark Ave Ste 1 Union City, NJ 07087 M-F 9:00 AM - 9:00 PM
Provider ID: TPV036593005791
Jersey City, NJ 07302 (201) 867-0199 Sat 9:00 AM - 7:00 PM
Gender: Male
(201) 333-2768 Fax: (201) 867-0226 Sun 12:00 AM - 5:00 PM
Optical Palace
Fax: (201) 333-3145 00 Yrs/99 Yrs PCMH: No
910 Bergen Ave
00 Yrs/99 Yrs PCMH: No Jersey City, NJ 07306
www.savoysiegelanddesai. Walmart Vision Center 5447
(201) 610-0980 Provider ID: TPV003218026478
com Fax: (201) 610-0882 150 Harrison Ave
Languages: Spanish 00 Yrs/99 Yrs Kearny, NJ 07032
MT 9:00 AM - 6:00 PM Languages: Spanish, Russian (201) 955-0354
W 9:00 AM - 5:00 PM PCMH: No 00 Yrs/99 Yrs
TH 9:00 AM - 7:00 PM
F 9:00 AM - 6:30 PM PCMH: No
Sat 8:30 AM - 3:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 211
Updated: 11/26/2018

Specialty Physicians
Hudson
Optometry - cont. Zimmerling, Inna OD Robinson, Lealon DMD Rochford, Christopher DMD
Provider ID: TPV015698041909
Youngewirth, Maty OD Gender: Female Provider ID: TPVP40187-01 Provider ID: TPVP135878-10
Provider ID: TPV022248005791 Inna Zimmerling OD Gender: Male Gender: Male
Gender: Female 7733 Bergenline Ave Saltzberg Wenger Mofs-NJ Oral Facial Surgery
Optical Palace North Bergen, NJ 07047 149 Palisade Ave LLC
910 Bergen Ave (201) 868-1021 Jersey City, NJ 07306 901 Washington St
Jersey City, NJ 07306 Fax: (201) 868-2960 (201) 798-5551 Hoboken, NJ 07030
(201) 610-0980 00 Yrs/99 Yrs Fax: (201) 963-1226 (201) 659-1600
Fax: (201) 610-0882 Languages: Spanish, Russian 00 Yrs/99 Yrs Fax: (201) 604-7195
00 Yrs/99 Yrs PCMH: No Languages: Spanish 00 Yrs/99 Yrs
Languages: Yiddish M 9:00 AM - 7:00 PM Languages: Arabic
PCMH: No Oral & Maxillofacial TWTH 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM
Surgery F 8:00 AM - 6:00 PM PCMH: No
Youngewirth, Maty OD Sat-Sun 8:00 AM - 4:00 PM
Provider ID: Bodey, Janet DDS PCMH: No Wuebbels, Nathan DDS
TPV022248009836 Provider ID: TPVP33426-10
Gender: Female Gender: Female Robinson, Lealon DMD Provider ID: TPVP78735-03
Bergen Eyecare Clinic Mofs-NJ Oral Facial Surgery Gender: Male
910 Bergen Ave LLC Provider ID: TPVP40187-02 Barbieri Colameo Berardo
Jersey City, NJ 07306 901 Washington St Gender: Male Associates In Oral Max
(201) 610-0980 Hoboken, NJ 07030 North Hudson Community Surgery
Fax: (201) 610-0822 (201) 659-1600 Action Corporation 7322 Bergenline Ave
00 Yrs/99 Yrs Fax: (201) 604-7195 5301 Broadway North Bergen, NJ 07047
Languages: Yiddish 00 Yrs/99 Yrs West New York, NJ 07093 (201) 867-0404
MTWTHFSat 10:30 AM - 8:30 Languages: Spanish, Arabic (201) 866-9320 Fax: (201) 868-2499
PM M-F 8:00 AM - 5:00 PM Fax: (201) 866-7588 00 Yrs/99 Yrs
PCMH: No PCMH: No 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
Languages: Spanish PCMH: No
Zaky, Jackline OD Dematteis, Isabelle DDS M-TH 8:30 AM - 7:00 PM
Provider ID: TPV049765005591 Orthodontics
FSat 8:30 AM - 5:00 PM
Gender: Female Provider ID: TPVP158579-01 Sun 8:30 AM - 3:00 PM
Visionworks Drs of Gender: Female Ayoub, Michael DDS
Optometry 452 PCMH: No
Mofs-NJ Oral Facial Surgery Provider ID: TPVP39496-02
802 Bayonne Crossing Way LLC Gender: Male
Robinson, Lealon DMD
Bayonne, NJ 07002 901 Washington St North Hudson Community
(201) 858-5615 Hoboken, NJ 07030 Action Corporation
Fax: (201) 858-5676 Provider ID: TPVP40187-03
(201) 659-1600 Gender: Male 5301 Broadway
00 Yrs/99 Yrs Fax: (201) 604-7195 West New York, NJ 07093
PCMH: No North Hudson Community
00 Yrs/99 Yrs Action Corporation (201) 866-9320
Languages: Arabic 324 Palisade Ave Fax: (201) 866-7588
Zimmerling, Inna OD M-F 8:00 AM - 5:00 PM Jersey City, NJ 07307 00 Yrs/99 Yrs
Provider ID: TPV015698007073 PCMH: No Languages: Spanish
Gender: Female (201) 459-8888
Fax: (201) 239-0318 M-TH 8:30 AM - 7:00 PM
Union City Vision Care Laifook, Martina DMD FSat 8:30 AM - 5:00 PM
3907 Bergenline Ave 00 Yrs/99 Yrs
Provider ID: TPVP36167-01 Languages: Spanish Sun 8:30 AM - 3:00 PM
Union City, NJ 07087 Gender: Female PCMH: No
(201) 865-8300 MTTHF 8:30 AM - 5:00 PM
Martina S Laifook DMD PA W 8:30 AM - 7:00 PM
Fax: (201) 865-0123 2784 Kennedy Blvd
00 Yrs/99 Yrs PCMH: No
Jersey City, NJ 07306
Languages: Spanish, Russian (201) 332-5360
M-F 10:00 AM - 6:00 PM Fax: (201) 420-1060
Sat 10:00 AM - 7:00 PM 00 Yrs/99 Yrs
Sun 12:00 AM - 1:00 PM Languages: Spanish
PCMH: No M-F 10:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 212
Updated: 11/26/2018

Specialty Physicians
Hudson
Orthodontics - cont. Castronova, John DMD Rabinovich, Martin DMD Terrana, Anthony DMD

Ayoub, Michael DDS Provider ID: TPVP142597-05 Provider ID: TPVP174195-02 Provider ID: TPVP170485-01
Provider ID: TPVP39496-03 Gender: Male Gender: Male Gender: Male
Gender: Male Journal Square Orthodontics Journal Square Orthodontics Bergenline Orthodontics
North Hudson Community 35 Journal Square Ste 601 35 Journal Square Ste 601 3123 Kennedy Blvd
Action Corporation Jersey City, NJ 07306 Jersey City, NJ 07306 North Bergen, NJ 07047
324 Palisade Ave (201) 420-7116 (201) 420-7116 (201) 662-0662
Jersey City, NJ 07307 Fax: (888) 292-7017 Fax: (888) 292-7017 Fax: (888) 292-7017
(201) 459-8888 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 239-0318 Languages: Spanish Languages: Spanish Languages: Spanish
00 Yrs/99 Yrs MT 11:00 AM - 7:00 PM MT 11:00 AM - 7:00 PM MWF 10:00 AM - 6:00 PM
Languages: Spanish WTHF 10:00 AM - 6:00 PM WTHF 10:00 AM - 6:00 PM TTH 11:00 AM - 7:00 PM
MTTHF 8:30 AM - 5:00 PM PCMH: No PCMH: No Sat 9:00 AM - 5:00 PM
W 8:30 AM - 7:00 PM PCMH: No
PCMH: No Drut, Oleg DDS Saffar, Ronald DDS
Provider ID: TPVP32406-05 Provider ID: TPVP141713-03 Orthopaedic Surgery
Berk, Jason DDS Gender: Male Gender: Male
Provider ID: TPVP153167-04 Journal Square Orthodontics Ronald Saffar DDS PA Innella, Robin DO
Gender: Male 35 Journal Square Ste 601 431 W 59th St Provider ID: 1539515
Journal Square Orthodontics Jersey City, NJ 07306 West New York, NJ 07093 Gender: Male
35 Journal Square Ste 601 (201) 420-7116 (201) 223-2700 654 Broadway Fl 2
Jersey City, NJ 07306 Fax: (888) 292-7017 Fax: (201) 590-9560 Bayonne, NJ 07002
(201) 420-7116 00 Yrs/99 Yrs 00 Yrs/99 Yrs (201) 858-1500
Fax: (888) 292-7017 Languages: Spanish, Russian Languages: Spanish Fax: (908) 364-1025
00 Yrs/99 Yrs MT 11:00 AM - 7:00 PM MT 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Languages: Spanish WTHF 10:00 AM - 6:00 PM PCMH: No Overlook Hospital
MT 11:00 AM - 7:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
WTHF 10:00 AM - 6:00 PM Seiger, Jeffrey DMD PCMH: No
PCMH: No Drut, Oleg DDS Provider ID: TPVP40452-10
Provider ID: TPVP32406-07 Gender: Male Sun, Li DO
Berk, Jason DDS Gender: Male Jeffrey Seiger DMD LLC Provider ID: 1710065
Provider ID: TPVP153167-06 Bergenline Orthodontics 3183 John F Kennedy Blvd Gender: Male
Gender: Male 3123 Kennedy Blvd Jersey City, NJ 07306 Barnabas Health Medical
Bergenline Orthodontics North Bergen, NJ 07047 (201) 798-2322 Group, PC
3123 Kennedy Blvd (201) 662-0662 00 Yrs/99 Yrs 377 Jersey Ave Ste 280A
North Bergen, NJ 07047 Fax: (888) 292-7017 Languages: Spanish Jersey City, NJ 07302
(201) 662-0662 00 Yrs/99 Yrs M 8:00 AM - 4:00 PM (201) 715-5850
Fax: (888) 292-7017 Languages: Spanish, Russian PCMH: No 00 Yrs/130 Yrs
00 Yrs/99 Yrs MWF 10:00 AM - 6:00 PM Jersey City Medical Center
Languages: Spanish TTH 11:00 AM - 7:00 PM Suh, James DDS M-F 9:00 AM - 5:00 PM
MWF 10:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM Provider ID: TPVP170045-01 PCMH: No
TTH 11:00 AM - 7:00 PM PCMH: No Gender: Female
Sat 9:00 AM - 5:00 PM Journal Square Orthodontics
PCMH: No Henick, Edward DDS 35 Journal Square Ste 601
Provider ID: TPVP32374-01 Jersey City, NJ 07306
Gender: Male (201) 420-7116
Edward Henick DDS PA Fax: (888) 292-7017
9057 Paliside Ave 00 Yrs/99 Yrs
North Bergen, NJ 07047 Languages: Spanish
(201) 869-8401 MT 11:00 AM - 7:00 PM
Fax: (201) 869-8146 WTHF 10:00 AM - 6:00 PM
00 Yrs/99 Yrs PCMH: No
Languages: Spanish
M 9:00 AM - 1:00 PM
T 9:00 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 213
Updated: 11/26/2018

Specialty Physicians
Hudson
Pediatric Cardiology Pediatric Ear, Nose & Pediatric Endocrinology Salas, Max MD
Throat Provider ID: 1062087
Galeano, Narmer MD Korn, Elizabeth MD Gender: Male
Provider ID: 462471 Behin, Babak MD 5 Marine View Plz
Gender: Male Provider ID: 944184 Provider ID: 1057467 Hoboken, NJ 07030
Ipanj Gender: Male Gender: Female (732) 565-5487
158 14th St Bergen Hudson ENT LLC Saint Peters Healthcare Fax: (732) 214-0314
Hoboken, NJ 07030 142 Palisade Ave Ste 207 System Phys 00 Yrs/18 Yrs
(973) 754-5780 Jersey City, NJ 07306 5 Marine View Plz Saint Peter's University
Fax: (973) 754-5794 (201) 659-4706 Hoboken, NJ 07030 Hospital
00 Yrs/18 Yrs Fax: (201) 659-4707 (201) 620-3120 M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg 00 Yrs/130 Yrs Fax: (201) 683-7644 PCMH: No
Medical Center Christ Hospital 00 Yrs/18 Yrs
Languages: Spanish Palisades Medical Center Saint Peter's University Pediatric
M-F 9:00 AM - 5:00 PM Languages: Spanish Hospital Gastroenterology
PCMH: No MW 9:00 AM - 11:30 PM M-F 9:00 AM - 5:00 PM
T 1:00 AM - 4:00 PM PCMH: No Abdelwahab, Ayman MD
Kotb, Mohy MD TH 1:00 AM - 3:30 PM
Provider ID: 1048782 PCMH: No Lala, Vinod MD Provider ID: 1596496
Gender: Male Provider ID: 1086145 Gender: Male
Hudson Childrens Heart Behin, Babak MD Gender: Male Prohealth Care Associates of
Center LLC Provider ID: 944184 193 Palisade Ave New Je
3234 John F Kennedy Blvd Gender: Male Jersey City, NJ 07306 1425 Bloomfield St
Jersey City, NJ 07306 Bergen Hudson ENT LLC (201) 656-1042 Hoboken, NJ 07030
(201) 885-2306 6010 Blvd E Fax: (201) 656-7656 (551) 257-7005
Fax: (201) 885-2306 West New York, NJ 07093 00 Yrs/21 Yrs Fax: (551) 293-0402
00 Yrs/130 Yrs (201) 453-1677 Christ Hospital 00 Yrs/130 Yrs
Christ Hospital Fax: (201) 453-9570 Jersey City Medical Center M-TH 8:00 AM - 10:00 PM
Hoboken University Medical 00 Yrs/130 Yrs M 10:00 AM - 8:30 PM F 7:30 AM - 10:00 PM
Center Christ Hospital TWTH 10:00 AM - 8:00 PM Sat 8:00 AM - 2:00 PM
Saint Peter's University Palisades Medical Center PCMH: No PCMH: No
Hospital Languages: Spanish
Languages: Arabic Salas, Max MD Abdelwahab, Ayman MD
MT 1:00 AM - 3:00 PM
M-F 8:00 AM - 5:00 PM Provider ID: 1062087
PCMH: No
Sat 8:00 AM - 12:00 PM Gender: Male Provider ID: 1596496
PCMH: No Hassan, Sherif MD 254 Easton Ave Gender: Male
Provider ID: 945508 New Brunswick, NJ 08901 Prohealth Care Associates of
Kotb, Mohy MD
Gender: Male (732) 565-5487 New Je
Provider ID: 1510428 Fax: (732) 214-0314
Family Center For 38 Meadowlands Pkwy Ste 1
Gender: Male Otolaryngology 00 Yrs/18 Yrs Secaucus, NJ 07094
Hudson Pediatric Cardiology 1265 Paterson Plank Rd Fl 2 Saint Peter's University
Center (201) 293-0401
Secaucus, NJ 07094 Hospital Fax: (201) 293-0402
33-41 Newark St Ste 4C M 8:00 AM - 8:30 PM
(973) 470-0282 00 Yrs/130 Yrs
Hoboken, NJ 07030 T 7:30 AM - 6:00 PM
Fax: (201) 465-6088 M-TH 8:00 AM - 10:00 PM
(201) 533-0222 W 8:00 AM - 9:00 PM
00 Yrs/130 Yrs F 7:30 AM - 10:00 PM
Fax: (201) 533-0223 THF 8:00 AM - 6:00 PM
M 9:00 AM - 6:00 PM Sat 8:00 AM - 2:00 PM
00 Yrs/18 Yrs PCMH: No
PCMH: No PCMH: No
Christ Hospital
Hoboken University Medical
Center
Saint Peter's University
Hospital
Languages: Arabic
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 214
Updated: 11/26/2018

Specialty Physicians
Hudson
Pediatric Gill, Rupinder MD Pediatric Hematology/ Menell, Jill MD
Gastroenterology - cont. Provider ID: 1153095 Oncology Provider ID: 398261
Gender: Female Gender: Female
Abdelwahab, Ayman MD Saint Peters Healthcare Barilari, Rafael MD 158 14th St
System Provider ID: 976396 Hoboken, NJ 07030
Provider ID: 1596496 5 Marine View Plz Gender: Male (973) 754-5780
Gender: Male Hoboken, NJ 07030 Children's Hospital Pedi Care Fax: (973) 754-5794
Prohealth Care Associates of (201) 620-3120 158 14th St 00 Yrs/18 Yrs
New Je Fax: (201) 683-7644 Hoboken, NJ 07030 St. Joseph's Hospital Reg
544 Broadway 00 Yrs/21 Yrs (973) 754-5780 Medical Center
Bayonne, NJ 07002 Saint Peter's University Fax: (973) 754-5794 Languages: Spanish
(201) 299-4611 Hospital 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM
Fax: (201) 299-4616 M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg PCMH: No
00 Yrs/130 Yrs PCMH: No Medical Center
M-TH 8:00 AM - 10:00 PM M-F 9:00 AM - 5:00 PM Menell, Jill MD
Goli, Sridhar MD PCMH: No Provider ID: 976472
F 7:30 AM - 10:00 PM
Sat 8:00 AM - 2:00 PM Provider ID: 1014138 Gender: Female
PCMH: No Gender: Male Bhagia, Pooja MD Sjrmc
New Jersey Medical and Provider ID: 1072212 158 14th St
Abdelwahab, Ayman MD Health Assoc Gender: Female Hoboken, NJ 07030
6017 Bergenline Ave St. Joseph's Healthcare Inc (973) 754-5780
West New York, NJ 07093 158 14th St 00 Yrs/21 Yrs
Provider ID: 1596496
(201) 766-9666 Hoboken, NJ 07030 St. Joseph's Hospital Reg
Gender: Male
Fax: (201) 766-9677 (973) 754-3230 Medical Center
Prohealth Care Associates of
New Je 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
714 10th St Christ Hospital St. Joseph's Hospital Reg PCMH: No
Secaucus, NJ 07094 Languages: Spanish, Hindi Medical Center
MT 9:00 AM - 6:00 PM MTWTHFSatSun 9:00 AM - Pappas, Lara MD
(201) 865-2050
Fax: (201) 865-0015 PCMH: No 5:00 PM Provider ID: 1172063
00 Yrs/130 Yrs PCMH: No Gender: Female
Toor, Khadija MD Saint Peters Healthcare
M-TH 8:00 AM - 10:00 PM
Provider ID: 1707352 Kahn, Alissa MD System
F 7:30 AM - 10:00 PM
Gender: Female Provider ID: 1072223 5 Marine View Plz
Sat 8:00 AM - 2:00 PM
Prohealth Care Associates of Gender: Female Hoboken, NJ 07030
PCMH: No NJ St. Joseph's Healthcare Inc (201) 620-3120
Galeano, Narmer MD 1425 Bloomfield St 158 14th St Fax: (201) 683-7644
Hoboken, NJ 07030 Hoboken, NJ 07030 00 Yrs/21 Yrs
(551) 257-7005 (973) 754-3230 Saint Peter's University
Provider ID: 462471 Fax: (201) 293-0402 Fax: (973) 754-3331 Hospital
Gender: Male 00 Yrs/21 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Ipanj M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg PCMH: No
158 14th St PCMH: No Medical Center
Hoboken, NJ 07030
MTWTHFSatSun 9:00 AM -
(973) 754-5780 5:00 PM
Fax: (973) 754-5794 PCMH: No
00 Yrs/18 Yrs
St. Joseph's Hospital Reg
Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 215
Updated: 11/26/2018

Specialty Physicians
Hudson
Pediatric Infectious Wenger, Peter MD Kulikova-Schupak, Romana Kondratyeva, Alexandra DO
Disease Provider ID: 1077400 MD
Gender: Male Provider ID: 976397 Provider ID: 1467261
Goldberg, David MD Spuh Amb Care Group Gender: Female Gender: Female
Sub Specialty: HIV/AIDs Sjrmc Saint Peter's Healthcare
Provider ID: 511505 451 Broadway 158 14th St System Phy
Gender: Male Bayonne, NJ 07002 Hoboken, NJ 07030 5 Marine View Plz
Ipanj (201) 620-3120 (973) 754-5780 Hoboken, NJ 07030
Sub Specialty: HIV/AIDs 00 Yrs/18 Yrs 00 Yrs/18 Yrs (201) 620-3120
158 14th St Saint Peter's University St. Joseph's Hospital Reg Fax: (201) 620-3121
Hoboken, NJ 07030 Hospital Medical Center 00 Yrs/21 Yrs
(973) 754-5780 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Saint Peter's University
00 Yrs/21 Yrs PCMH: No PCMH: No Hospital
Morristown Memorial M-F 8:30 AM - 4:30 PM
Hospital Pediatric Nephrology Singh, Anup MD PCMH: No
M-F 9:00 AM - 5:00 PM Provider ID: 1057239
PCMH: No Hajal, Hussam MD Gender: Male Pediatric Psychiatry
Provider ID: 943680 Saint Peters Healthcare
Kest, Helen MD Gender: Male System Sanchez, Daniel MD
Provider ID: 511402 510 31st St 5 Marine View Plz Provider ID: 946681
Gender: Female Union City, NJ 07087 Hoboken, NJ 07030 Gender: Male
Ipanj (201) 866-3322 (732) 565-5489 N Jersey Psychiatry Inc
Sub Specialty: HIV/AIDs Fax: (201) 866-2289 Fax: (732) 745-1632 5912 Palisade Ave
158 14th St 18 Yrs/130 Yrs 00 Yrs/18 Yrs West New York, NJ 07093
Hoboken, NJ 07030 Hoboken University Medical Saint Peter's University (201) 861-0077
Center Hospital Fax: (201) 861-9595
(973) 754-5780
Languages: Spanish, Arabic Languages: Punjabi 05 Yrs/130 Yrs
Fax: (973) 754-5794
MW 9:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM Palisades Medical Center
00 Yrs/21 Yrs
T 2:00 AM - 5:00 PM PCMH: No Languages: Spanish
St. Joseph's Hospital Reg
Medical Center PCMH: No M-TH 3:30 AM - 7:30 PM
Pediatric Orthopedic F 3:30 AM - 5:30 PM
M-F 9:00 AM - 5:00 PM
PCMH: No Jodorkovsky, Roberto MD Surgery Sat 11:00 AM - 3:00 PM
PCMH: No
Wenger, Peter MD Provider ID: 976827 Kawashima, Amie DO
Provider ID: 1059669 Gender: Male Provider ID: 1467260 Pediatric Pulmonology
Gender: Male Children's Hospital Pedi Care Gender: Female
Saint Peters Healthcare 158 14th St Saint Peter's Healthcare Blechner, Michael MD
System Phys Hoboken, NJ 07030 System Phy Provider ID: 1183906
Sub Specialty: HIV/AIDs (973) 754-5780 5 Marine View Plz Gender: Male
5 Marine View Plz Fax: (973) 754-5794 Hoboken, NJ 07030 St Josephs Healthcare Inc
Hoboken, NJ 07030 00 Yrs/21 Yrs (201) 620-3120 158 14th St
(201) 620-3120 St. Joseph's Hospital Reg Fax: (201) 620-3121 Hoboken, NJ 07030
Fax: (201) 620-3121 Medical Center 00 Yrs/21 Yrs (973) 754-2250
00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM Saint Peter's University Fax: (973) 754-2548
Saint Peter's University PCMH: No Hospital 00 Yrs/18 Yrs
Hospital M-F 8:30 AM - 5:30 PM St. Joseph's Hospital Reg
M-F 8:30 AM - 5:00 PM PCMH: No Medical Center
PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 216
Updated: 11/26/2018

Specialty Physicians
Hudson
Pediatric Pulmonology - Pediatrics Klos, Andrzej MD Pedodontics
cont. Provider ID: 1167676
Franco, Maria MD Gender: Male Dibos, Patricia DMD
Singh, Archana MD Provider ID: 798346 New Jersey Medical and Provider ID: TPVP41812-01
Provider ID: 1101674 Gender: Female Health Assoc Gender: Female
Gender: Female Metropolitan Family Health 5 Marine View Plz Ste A Bay Dental Associates
St Peters Healthcare System Network Hoboken, NJ 07030 654 Ave C Unit 202
Physic 5300 Bergenline Ave (201) 479-5206 Bayonne, NJ 07002
5 Marine View Plz West New York, NJ 07093 Fax: (201) 963-3924 (201) 436-7777
Hoboken, NJ 07030 (201) 478-5800 00 Yrs/21 Yrs Fax: (201) 436-7770
(201) 620-3120 Fax: (201) 478-5814 Hoboken University Medical 00 Yrs/99 Yrs
Fax: (201) 620-3121 00 Yrs/21 Yrs Center Languages: Korean
00 Yrs/18 Yrs Jersey City Medical Center Palisades Medical Center M 2:00 AM - 8:00 PM
Saint Peter's University Languages: Tagalog Languages: Polish TWTH 10:00 AM - 6:00 PM
Hospital M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
PCMH: No Hall, Lonnie DDS
Franco, Maria MD Meshko, Yanina MD Provider ID: TPVP40424-01
Pediatric Rheumatology Provider ID: 798346 Gender: Male
Gender: Female Provider ID: 936543 Dentistry For Children
Srinivascan Mehta, Jaya MD Metropolitan Family Health Gender: Female 329 60th St
Network New Jersey Medical and West New York, NJ 07093
Provider ID: 1081649 935 Garfield Ave Health Assoc (201) 868-0070
Gender: Female Jersey City, NJ 07304 1327 Willow Ave Fax: (201) 869-4030
158 14th St (201) 478-5800 Hoboken, NJ 07030 00 Yrs/99 Yrs
Hoboken, NJ 07030 Fax: (201) 478-5814 (201) 418-3100 Languages: Spanish
(973) 754-2535 00 Yrs/21 Yrs 00 Yrs/21 Yrs M-F 8:00 AM - 4:00 PM
Fax: (973) 754-2628 Jersey City Medical Center Morristown Memorial PCMH: No
00 Yrs/21 Yrs Languages: Tagalog Hospital
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Russian Periodontics
PCMH: No PCMH: Yes, Level 3 MTTHF 9:00 AM - 5:00 PM
WSat 9:00 AM - 3:00 PM Gerhard, Ronald DDS
Pediatric Surgery Haim, Sara MD PCMH: No Provider ID: TPVP40449-01
Provider ID: 1592948 Gender: Male
Galluci, John MD Gender: Female Perlman, Donald MD Ronald F Gerhard DDS PA
Provider ID: 1536070 Saint Peter's Healthcare 834 Ave C
Gender: Male System Phy Provider ID: 1565912 Bayonne, NJ 07002
Saint Peters Healthcare 5 Marine View Plz Gender: Male (201) 858-4928
System Phys Hoboken, NJ 07030 Center For Asthma and Fax: (201) 858-1291
5 Marine View Plz (732) 339-7870 Allergy 00 Yrs/99 Yrs
Hoboken, NJ 07030 Fax: (732) 249-9186 25 Kensington Ave Languages: Spanish
(201) 620-3120 00 Yrs/18 Yrs Jersey City, NJ 07304 MW 9:00 AM - 6:00 PM
Fax: (732) 745-0528 Saint Peter's University (201) 434-4932 TTH 10:00 AM - 5:00 PM
00 Yrs/21 Yrs Hospital Fax: (201) 433-8152 F 9:00 AM - 1:00 PM
Saint Peter's University M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs PCMH: No
Hospital PCMH: No Hoboken University Medical
M-F 9:00 AM - 5:00 PM Center
PCMH: No Saint Barnabas Medical
Center Livingston
M 10:00 AM - 6:00 PM
T 2:30 AM - 8:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 217
Updated: 11/26/2018

Specialty Physicians
Hudson
Periodontics - cont. Shim, Eunjung DMD Kolla, Sairamachandra MD Ponamgi, Suri MD
Provider ID: TPVP41811-01 Provider ID: 1714814
Madjlessi, Nima DDS Gender: Female Provider ID: 944235 Gender: Male
Provider ID: TPVP39061-03 Bay Dental Associates Gender: Male Palisades Medical Associates,
Gender: Male 654 Ave C Unit 202 Sub Specialty: HIV/AIDs LLC
Saltzberg Wenger Bayonne, NJ 07002 2757 Kennedy Blvd 7650 River Rd Ste 230
149 Palisade Ave (201) 436-7777 Jersey City, NJ 07306 North Bergen, NJ 07047
Jersey City, NJ 07306 Fax: (201) 436-7770 (201) 333-8004 (201) 868-6755
(201) 798-5551 00 Yrs/99 Yrs Fax: (201) 333-8425 Fax: (201) 868-8442
Fax: (201) 963-1226 Languages: Korean 18 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/99 Yrs M 2:00 AM - 8:00 PM Languages: Spanish, Hindi Palisades Medical Center
Languages: Spanish TWTH 10:00 AM - 6:00 PM M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
M 9:00 AM - 7:00 PM PCMH: No PCMH: No PCMH: No
TWTH 9:00 AM - 6:00 PM
F 8:00 AM - 6:00 PM Physical Medicine & Patel, Ravi MD Podiatry
Sat-Sun 8:00 AM - 4:00 PM Rehabilitation Provider ID: 1581365
PCMH: No Gender: Male Amador, Sandy DPM
Abend, Paul DO Integrative Pain Physician
Madjlessi, Nima DDS Provider ID: 1604519 Speciali Provider ID: 434743
Provider ID: TPVP39061-04 Gender: Male 7600 River Rd Gender: Male
Gender: Male West Hudson Pulmonary North Bergen, NJ 07047 Sandy Amador DPM
North Hudson Community Associates (732) 499-7927 Sub Specialty: HIV/AIDs
Action Corporation 816 Kearny Ave 00 Yrs/130 Yrs 6301 Kennedy Blvd
5301 Broadway Kearny, NJ 07032 Robert Wood Johnson North Bergen, NJ 07047
West New York, NJ 07093 (201) 991-8524 University Hospital (201) 453-8078
(201) 866-9320 00 Yrs/130 Yrs PCMH: No Fax: (201) 453-8075
Fax: (201) 866-7588 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
00 Yrs/99 Yrs PCMH: No Plastic & Reconstructive Palisades Medical Center
Languages: Spanish Surgery Languages: Spanish
M-TH 8:30 AM - 7:00 PM Constantino, Edwin MD M-F 9:00 AM - 5:00 PM
FSat 8:30 AM - 5:00 PM Provider ID: 943849 Podda, Silvio MD PCMH: No
Sun 8:30 AM - 3:00 PM Gender: Male Provider ID: 398291
PCMH: No Edwin Constantion MD LLC Gender: Male Annillo, Donna DPM
10 Huron Ave 1L 158 14th St Provider ID: 945467
Madjlessi, Nima DDS Jersey City, NJ 07306 Hoboken, NJ 07030 Gender: Female
Provider ID: TPVP39061-05 (201) 656-0440 (973) 754-5780 Donna Annillo DPM
Gender: Male Fax: (201) 656-3444 Fax: (973) 754-5794 1001-03 Palisade Ave
North Hudson Community 18 Yrs/130 Yrs 00 Yrs/130 Yrs Union City, NJ 07087
Action Corporation Christ Hospital Childrens Ambulatory Surgery (201) 863-3338
324 Palisade Ave Languages: Spanish, Tagalog Center of NJ Fax: (201) 836-0003
Jersey City, NJ 07307 M-F 8:30 AM - 1:30 PM St. Joseph's Hospital Reg 18 Yrs/130 Yrs
(201) 459-8888 PCMH: No Medical Center Hoboken University Medical
Fax: (201) 239-0318 Languages: Spanish, Italian Center
00 Yrs/99 Yrs Kao, Cyrus MD M-F 9:00 AM - 5:00 PM Languages: Spanish
Languages: Spanish Provider ID: 1581367 PCMH: No MT 10:00 AM - 5:00 PM
MTTHF 8:30 AM - 5:00 PM Gender: Male PCMH: No
W 8:30 AM - 7:00 PM Integrative Pain Physician
PCMH: No Speciali
7600 River Rd
North Bergen, NJ 07047
(732) 499-7927
00 Yrs/130 Yrs
Robert Wood Johnson
University Hospital
PCMH: No

www.wellcare.com/New-Jersey | 218
Updated: 11/26/2018

Specialty Physicians
Hudson
Podiatry - cont. Bear, Andrew DPM Buttigheri, Joseph DPM Denbleyker, Leonard DPM
Provider ID: 943836
Arloro, Vincent DPM Provider ID: 1205870 Provider ID: 1602606 Gender: Male
Gender: Male Gender: Male Dr L A Denbleyker
Provider ID: 1123669 Morris Podiatry Associates PA Prohealth Care Associates of 10 Huron Ave Apt 1G
Gender: Male Sub Specialty: HIV/AIDs NJ Jersey City, NJ 07306
New Jersey Medical and 450 Bergen St 255 State Rt 3 (201) 963-0100
Health Assoc Harrison, NJ 07029 Secaucus, NJ 07094 Fax: (201) 963-0716
Sub Specialty: HIV/AIDs (973) 584-4600 (201) 392-1866 18 Yrs/130 Yrs
631 Broadway Fl 3 Fax: (973) 584-9359 Fax: (201) 392-1867 Christ Hospital
Bayonne, NJ 07002 00 Yrs/130 Yrs 00 Yrs/130 Yrs Languages: Spanish
(201) 243-0700 Clara Maass Medical Center M-F 9:00 AM - 5:00 PM M-W 1:00 AM - 3:00 PM
Fax: (201) 243-0377 Saint Clares Hospital PCMH: No TH 1:00 AM - 6:00 PM
00 Yrs/130 Yrs M 9:00 AM - 8:00 PM F 9:00 AM - 11:00 PM
Bayonne Medical Center T 9:00 AM - 1:00 PM Chau, Jennie DPM PCMH: No
Languages: Spanish PCMH: No Provider ID: 1695546
M-F 9:00 AM - 5:00 PM Gender: Female Dworkin, Diane DPM
PCMH: No Briganti, Robert DPM Foot Ankle Specialty, LLC Provider ID: 936534
Provider ID: 1436469 550 Summit Ave Gender: Female
Azzolini, Thomas DPM Gender: Male Jersey City, NJ 07306 New Jersey Medical and
Bhmg - United Medical (201) 721-6827 Health Assoc
Provider ID: 1284203 988 Broadway Ste 201 Fax: (201) 721-5860 Sub Specialty: HIV/AIDs
Gender: Male Bayonne, NJ 07002 00 Yrs/130 Yrs 631 Broadway Fl 3
Ankle and Foot Specialists (201) 339-6111 M-F 9:00 AM - 5:00 PM Bayonne, NJ 07002
Hoboken Fax: (201) 339-6333 PCMH: No (201) 243-0700
59 14th St 00 Yrs/130 Yrs Fax: (210) 243-0377
Hoboken, NJ 07030 Saint Barnabas Medical De Benedectis, Thomas DPM 00 Yrs/130 Yrs
(201) 222-5200 Center Livingston Bayonne Medical Center
Fax: (201) 792-2773 M-F 9:00 AM - 5:00 PM Provider ID: 945478 Languages: Spanish
00 Yrs/130 Yrs PCMH: No Gender: Male M-F 9:00 AM - 5:00 PM
Christ Hospital Debenedictis & Testa DPM PCMH: No
Hoboken University Medical Buttigheri, Joseph DPM 4808 Bergenline Ave Ste 202
Center Union City, NJ 07087 Econopouly, Demetrios DPM
Palisades Medical Center Provider ID: 1602606 (201) 863-0036
MTTH 9:00 AM - 7:00 PM Gender: Male Fax: (201) 863-0727 Provider ID: 137429
WF 9:00 AM - 5:00 PM Prohealth Care Associates of 18 Yrs/130 Yrs Gender: Male
Sat 9:00 AM - 1:00 PM NJ Christ Hospital Demetrios Econopouly DPM
PCMH: No 1111 Hudson St Languages: Spanish PC
Hoboken, NJ 07030 MTH 10:00 AM - 5:00 PM Sub Specialty: HIV/AIDs
Bear, Andrew DPM (201) 942-9314 9226 Kennedy Blvd Fl 2
TW 10:00 AM - 8:00 PM
Fax: (201) 942-9315 F 2:00 AM - 3:00 PM North Bergen, NJ 07047
Provider ID: 1205870 00 Yrs/130 Yrs PCMH: No (201) 863-5383
Gender: Male M-F 9:00 AM - 5:00 PM Fax: (201) 863-5744
Morris Podiatry Associates PA PCMH: No 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs Hoboken University Medical
255 Rte 3 Ste 202 Center
Secaucus, NJ 07094 Holy Name Medical Center
(973) 584-4600 Palisades Medical Center
Fax: (973) 584-9359 Languages: Spanish, Greek
00 Yrs/130 Yrs M 8:30 AM - 12:00 PM
Clara Maass Medical Center TTHF 9:00 AM - 4:00 PM
Saint Clares Hospital W 8:30 AM - 6:00 PM
M 9:00 AM - 8:00 PM Sat 8:00 AM - 12:00 PM
T 9:00 AM - 1:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 219
Updated: 11/26/2018

Specialty Physicians
Hudson
Podiatry - cont. Granata, Mark DPM Haller, Sarah DPM Ibrahim, Dina DPM
Provider ID: 944494 Provider ID: 1609771 Provider ID: 1714598
Gilels, Alex DPM Gender: Male Gender: Female Gender: Female
Provider ID: 945706 Sub Specialty: HIV/AIDs Garden State Healthcare Advanced Garden State
Gender: Male 342 Central Ave Associates Cardiology
Alex Gilels DPM PC Jersey City, NJ 07307 122-132 Clinton St 433 60th St Fl 1
1607 Manhattan Ave (201) 653-1949 Hoboken, NJ 07030 West New York, NJ 07093
Union City, NJ 07087 Fax: (201) 653-1997 (201) 418-3100 (201) 770-9995
(917) 660-4180 18 Yrs/130 Yrs Fax: (201) 418-3148 Fax: (201) 770-9996
Fax: (201) 941-3880 East Orange General Hospital 00 Yrs/130 Yrs 00 Yrs/130 Yrs
05 Yrs/130 Yrs Newark Beth Israel Med M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Englewood Hospital and Center PCMH: No PCMH: No
Medical Center Languages: Spanish
Languages: Russian M-F 9:00 AM - 5:00 PM Hanna, Mina DPM Ibrahim, Dina DPM
M 10:00 AM - 4:00 PM PCMH: No Provider ID: 1510419 Provider ID: 1714598
PCMH: No Gender: Male Gender: Female
Greenberg, Alan DPM Tri County Foot and Ankle Advanced Garden State
Gioioso, Scott DPM Center LL Cardiology
Provider ID: 1213348 Provider ID: 1181432 855 Broadway 550 Newark Ave Ste 307
Gender: Male Gender: Male Bayonne, NJ 07002 Jersey City, NJ 07306
Morris Podiatry Associates PA Morris Podiatry Associates PA (201) 535-8978 (201) 418-9111
Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs Fax: (973) 794-2382 Fax: (201) 418-9118
255 Rte 3 Ste 202 255 Rte 3 Ste 202 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Secaucus, NJ 07094 Secaucus, NJ 07094 M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
(973) 584-4600 (732) 994-5333 PCMH: No PCMH: No
Fax: (987) 358-4935 Fax: (732) 994-5336
00 Yrs/130 Yrs 00 Yrs/130 Yrs Hawawini, Naji DPM Iles, Stacy DPM
St Michael's Medical Center Saint Clares Hospital Provider ID: 943720 Provider ID: 1629206
MWTHF 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Gender: Male Gender: Female
T 0:00 AM - 5:00 PM PCMH: No 115 Brunswick St Ste A Prohealth Care Associates of
PCMH: No Jersey City, NJ 07302 New Je
Greenberg, Alan DPM (201) 656-4366 1111 Hudson St
Gioioso, Scott DPM Fax: (201) 656-4368 Hoboken, NJ 07030
Provider ID: 1213348 Provider ID: 1181432 05 Yrs/130 Yrs (201) 942-9314
Gender: Male Gender: Male Jersey City Medical Center Fax: (201) 942-9315
Morris Podiatry Associates PA Morris Podiatry Associates PA Languages: French, Arabic 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs MT 10:00 AM - 5:00 PM Palisades Medical Center
450 Bergen St 450 Bergen St W 1:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Harrison, NJ 07029 Harrison, NJ 07029 TH 10:00 AM - 3:00 PM PCMH: No
(973) 584-4600 (732) 994-5333 F 11:00 AM - 3:00 PM
Fax: (987) 358-4935 Fax: (732) 994-5336 PCMH: No Iles, Stacy DPM
00 Yrs/130 Yrs 00 Yrs/130 Yrs Provider ID: 1629206
St Michael's Medical Center Saint Clares Hospital Ibrahim, Dina DPM Gender: Female
MWTHF 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1714598 Prohealth Care Associates of
T 0:00 AM - 5:00 PM PCMH: No Gender: Female New Je
PCMH: No Advanced Garden State 544 Broadway
Cardiology Bayonne, NJ 07002
3916 Kennedy Blvd Fl 1 (201) 535-5601
Union City, NJ 07087 Fax: (201) 535-5602
(201) 624-1877 00 Yrs/130 Yrs
Fax: (201) 624-1879 Palisades Medical Center
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 220
Updated: 11/26/2018

Specialty Physicians
Hudson
Podiatry - cont. Kaufman, Sean DPM Kim, Dae Sik Alex DPM Levine, Peter DPM
Provider ID: 449889
Isaac, Michael DPM Provider ID: 943562 Provider ID: 1708873 Gender: Male
Gender: Male Gender: Male Alpine Medical Associates PC
Provider ID: 408812 Daniel Brandwein DPM And Prohealth Care Associates of Sub Specialty: HIV/AIDs
Gender: Male Sean Kaufm NJ 2457A Kennedy Blvd
Metropolitan Family Health 877 Broadway 6045 Kennedy Blvd Jersey City, NJ 07304
Network Bayonne, NJ 07002 North Bergen, NJ 07047 (201) 222-9370
Sub Specialty: HIV/AIDs (201) 436-4287 (201) 766-2571 Fax: (240) 715-9178
5300 Bergenline Ave Fax: (201) 436-5794 Fax: (201) 861-0941 00 Yrs/130 Yrs
West New York, NJ 07093 00 Yrs/130 Yrs 00 Yrs/130 Yrs St Michael's Medical Center
(201) 478-5800 Overlook Hospital M-F 9:00 AM - 5:00 PM Languages: Spanish
00 Yrs/130 Yrs Trinitas Regional Medical Cent PCMH: No M-F 9:00 AM - 5:00 PM
Bayonne Medical Center Languages: Spanish, Greek PCMH: No
MTWTHFSat 9:00 AM - 5:00 M-F 9:00 AM - 5:00 PM Kim, Dae Sik Alex DPM
PM PCMH: No Levine, Peter DPM
PCMH: No Provider ID: 1708873 Provider ID: 449889
Kim, Dae Sik Alex DPM Gender: Male Gender: Male
Isaac, Michael DPM Prohealth Care Associates of Alpine Medical Associates PC
Provider ID: 1708873 NJ Sub Specialty: HIV/AIDs
Provider ID: 408812 Gender: Male 939 Kennedy Blvd 424 Central Ave
Gender: Male Prohealth Care Associates of North Bergen, NJ 07047 Jersey City, NJ 07307
Metropolitan Family Health NJ (201) 864-2484 (201) 222-9370
Network 255 Rte 3 Fax: (201) 864-6460 Fax: (240) 715-9178
Sub Specialty: HIV/AIDs Secaucus, NJ 07094 00 Yrs/130 Yrs 00 Yrs/130 Yrs
857 Bergen Ave (201) 392-1866 M-F 9:00 AM - 5:00 PM St Michael's Medical Center
Jersey City, NJ 07306 Fax: (201) 392-1867 PCMH: No Languages: Spanish
(201) 478-5859 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Levine, Peter DPM PCMH: No
Bayonne Medical Center PCMH: No Provider ID: 449889
MTWTHFSat 9:00 AM - 5:00 Gender: Male Levine, Peter DPM
PM Kim, Dae Sik Alex DPM Sub Specialty: HIV/AIDs Provider ID: 556447
PCMH: No 194 Palisade Ave Gender: Male
Provider ID: 1708873 Jersey City, NJ 07306 Alpine Medical Associates PC
Isaac, Michael DPM Gender: Male (201) 222-9370 Sub Specialty: HIV/AIDs
Prohealth Care Associates of 00 Yrs/130 Yrs 2457A John F Kennedy Blvd
Provider ID: 408812 NJ St Michael's Medical Center Jersey City, NJ 07304
Gender: Male 544 Broadway Languages: Spanish (201) 222-9370
Metropolitan Family Health Bayonne, NJ 07002 MF 9:00 AM - 5:00 PM Fax: (240) 715-9178
Network (201) 535-5610 TWTH 8:00 AM - 6:00 PM 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs Fax: (201) 299-4616 PCMH: No St Michael's Medical Center
935 Garfield Ave 00 Yrs/130 Yrs Languages: Spanish
Jersey City, NJ 07304 M-F 9:00 AM - 5:00 PM Levine, Peter DPM M-F 9:00 AM - 5:00 PM
(201) 478-5800 PCMH: No Provider ID: 449889 PCMH: No
Fax: (201) 478-5814 Gender: Male
00 Yrs/130 Yrs Sub Specialty: HIV/AIDs
Bayonne Medical Center 494 Palisade Ave 1st Fl
MWF 9:00 AM - 5:00 PM Jersey City, NJ 07307
T 9:00 AM - 7:00 PM (201) 222-9370
TH 9:30 AM - 7:00 PM 00 Yrs/130 Yrs
Sat 9:00 AM - 3:00 PM St Michael's Medical Center
PCMH: No Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 221
Updated: 11/26/2018

Specialty Physicians
Hudson
Podiatry - cont. Michael, Jonathan DPM Nisivoccia, Jacqueline DPM Perlman, Michael DPM

Levinson, Franklin DPM Provider ID: 945645 Provider ID: 431866 Provider ID: 1594964
Provider ID: 944485 Gender: Male Gender: Female Gender: Male
Gender: Male Tri County Foot Ankle Center Morris Podiatry Associates PA Prohealth Care Associates of
Achilles Foot and Ankle 65 Kearny Ave Sub Specialty: HIV/AIDs NJ
9234 Kennedy Blvd Kearny, NJ 07032 450 Bergen St 255 State Rt 3 Ste 101
North Bergen, NJ 07047 (201) 997-5000 Harrison, NJ 07029 Secaucus, NJ 70943
(201) 868-2400 Fax: (201) 794-2382 (973) 584-4600 (201) 392-1866
Fax: (201) 868-2014 00 Yrs/130 Yrs Fax: (973) 584-9359 Fax: (201) 392-1867
00 Yrs/130 Yrs Bayonne Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Christ Hospital Languages: Arabic St Michael's Medical Center M-F 9:00 AM - 5:00 PM
Hoboken University Medical M-F 9:00 AM - 5:00 PM Languages: Spanish PCMH: No
Center PCMH: No MW 9:00 AM - 12:00 PM
Languages: Spanish, Hindi T 9:00 AM - 6:30 PM Perlman, Michael DPM
M 9:00 AM - 6:30 PM Mostafa, John DPM TH 1:00 AM - 5:00 PM
T 9:00 AM - 4:30 PM PCMH: No Provider ID: 1594964
W 12:00 AM - 4:30 PM Provider ID: 1605702 Gender: Male
TH 9:00 AM - 5:30 PM Gender: Male Patel, Prachi DPM Prohealth Care Associates of
F 9:00 AM - 11:00 PM West Hudson Pulmonary Provider ID: 1470804 NJ
PCMH: No Associates Gender: Female 324 Palisades Ave
816 Kearny Ave Foot and Ankle Specialty LLC Jersey City, NJ 07307
Lokhat, Fatema DPM Kearny, NJ 07032 Sub Specialty: HIV/AIDs (201) 656-0001
Provider ID: 945859 (201) 991-8524 550 Summit Ave Fax: (201) 656-0093
Gender: Female 00 Yrs/130 Yrs Jersey City, NJ 07306 00 Yrs/130 Yrs
5600 Kennedy Blvd W Ste 201 M-F 9:00 AM - 5:00 PM (201) 721-6827 M-F 9:00 AM - 5:00 PM
West New York, NJ 07093 PCMH: No Fax: (201) 721-5860 PCMH: No
(201) 766-4890 00 Yrs/130 Yrs
Fax: (201) 766-1574 Moy, Anna DPM JFK Medical Center Perlman, Michael DPM
00 Yrs/130 Yrs Provider ID: 404359 M-F 9:00 AM - 5:00 PM
Prime Health Services-St Gender: Female PCMH: No Provider ID: 1594964
Marys Hospital 172 Newark Ave Ste 5 Gender: Male
Languages: Spanish, Hindi, Jersey City, NJ 07302 Perlman, Michael DPM Prohealth Care Associates of
Gujarati (973) 416-1333 NJ
MT 9:00 AM - 3:00 PM Fax: (973) 416-0179 939 Kennedy Blvd
Provider ID: 1594964
W 9:00 AM - 5:00 PM 00 Yrs/130 Yrs North Bergen, NJ 07047
Gender: Male
PCMH: No Languages: Chinese (201) 864-2484
Prohealth Care Associates of
MT 10:00 AM - 6:00 PM NJ Fax: (201) 864-6460
Michael, Jonathan DPM
PCMH: No 1111 Hudson St 00 Yrs/130 Yrs
Hoboken, NJ 07030 M-F 9:00 AM - 5:00 PM
Provider ID: 945645 Nisivoccia, Jacqueline DPM (201) 942-9314 PCMH: No
Gender: Male Fax: (201) 942-9315
855 Broadway Provider ID: 431866 00 Yrs/130 Yrs Perlman, Michael DPM
Bayonne, NJ 07002 Gender: Female M-F 9:00 AM - 5:00 PM
(732) 444-4702 Morris Podiatry Associates PA PCMH: No Provider ID: 397132
Fax: (973) 794-2382 Sub Specialty: HIV/AIDs Gender: Male
00 Yrs/130 Yrs 255 Rte 3 Ste 202 Foot & Ankle Centers LLC
Bayonne Medical Center Secaucus, NJ 07094 255 State Rt 3 Ste 101
Languages: Arabic (973) 584-4600 Secaucus, NJ 07094
M-F 9:00 AM - 5:00 PM Fax: (973) 584-9359 (201) 392-1866
PCMH: No 00 Yrs/130 Yrs Fax: (201) 392-1867
St Michael's Medical Center 00 Yrs/130 Yrs
Languages: Spanish Christ Hospital
MW 9:00 AM - 12:00 PM M 6:45 AM - 6:00 PM
T 9:00 AM - 6:30 PM T 2:00 AM - 5:00 PM
TH 1:00 AM - 5:00 PM W 9:30 AM - 11:30 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 222
Updated: 11/26/2018

Specialty Physicians
Hudson
Podiatry - cont. Portela, Margaret DPM Rallatos, Michael DPM Rendon, Monica DPM
Provider ID: 943563 Provider ID: 1184615
Perlman, Michael DPM Provider ID: 945479 Gender: Male Gender: Female
Gender: Female Daniel Brandwein DPM And Morris Podiatry Associates PA
Provider ID: 397132 Debenedictis & Testa DPM Sean Kaufm Sub Specialty: HIV/AIDs
Gender: Male 4808 Bergenline Ave Ste 202 877 Broadway Ste A 450 Bergen St
Foot & Ankle Centers LLC Union City, NJ 07087 Bayonne, NJ 07002 Harrison, NJ 07029
939 Kennedy Blvd Fl 1 (201) 863-0036 (201) 436-4287 (973) 268-9968
North Bergen, NJ 07047 Fax: (201) 863-0727 Fax: (201) 436-5794 Fax: (973) 566-0980
(201) 864-2484 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 864-6460 Palisades Medical Center Saint Barnabas Medical St Michael's Medical Center
00 Yrs/130 Yrs Languages: Spanish Center Livingston Languages: Spanish
Christ Hospital MTH 10:00 AM - 5:00 PM Trinitas Regional Medical Cent M 1:00 AM - 5:00 PM
M 1:00 AM - 5:00 PM TW 10:00 AM - 7:00 PM Languages: Greek, Swedish PCMH: No
T 10:00 AM - 12:00 PM F 2:00 AM - 3:00 PM M 9:00 AM - 6:30 PM
W 9:00 AM - 12:00 PM PCMH: No PCMH: No Reynolds, Eric DPM
PCMH: No Provider ID: 524510
Purisima, Jonathan DPM Ramirez, Lenny DPM Gender: Male
Ponce, Javier DPM Provider ID: 946478 Provider ID: 1594982 316 Monastery Pl Ste 318
Provider ID: 1009023 Gender: Male Gender: Male Union City, NJ 07087
Gender: Male 709 Newark Ave Prohealth Care Associates of (973) 678-1303
NJ Fax: (973) 678-1306
4518 Bergenline Ave Jersey City, NJ 07306
255 State Rte 3 00 Yrs/130 Yrs
Union City, NJ 07087 (201) 766-6501
Secaucaus, NJ 07094 Palisades Medical Center
(201) 283-6849 Fax: (201) 863-0741
(201) 392-1866 M 9:00 AM - 2:00 PM
Fax: (201) 751-5166 00 Yrs/130 Yrs
Fax: (201) 392-1867 PCMH: No
00 Yrs/130 Yrs Saint Peter's University
Hospital 00 Yrs/130 Yrs
Prime Health Services-St
Marys Hospital Languages: Spanish, Tagalog M-F 9:00 AM - 5:00 PM Reynolds, Eric DPM
Languages: Spanish M 9:00 AM - 5:00 PM PCMH: No Provider ID: 524510
M-F 9:00 AM - 5:00 PM PCMH: No Gender: Male
Ramirez, Lenny DPM
PCMH: No East Orange Foot and Ankle
Purisima, Jonathan DPM Provider ID: 1594982 Center
Ponce, Javier DPM Provider ID: 946478 Gender: Male 115 Columbus Dr Ste 404
Provider ID: 1009023 Gender: Male Prohealth Care Associates of Jersey City, NJ 07302
NJ (973) 678-1303
Gender: Male Jonathan Purisima DPM LLC
540 37st Fax: (973) 678-1306
Bergenline Foot Care LLC 1005 New York Ave
Union City, NJ 07087 00 Yrs/130 Yrs
4500 Bergenline Ave Fl 1 Union City, NJ 07087
(201) 864-6860 Palisades Medical Center
Union City, NJ 07087 (201) 766-6501
Fax: (201) 392-1596 M 9:00 AM - 6:00 PM
(201) 283-6849 Fax: (201) 863-0741
00 Yrs/130 Yrs TTH 12:00 AM - 6:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM W 10:00 AM - 6:30 PM
Prime Health Services-St Saint Peter's University
Marys Hospital Hospital PCMH: No PCMH: No
Languages: Spanish Languages: Spanish, Tagalog Rendon, Monica DPM
M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM
Provider ID: 1184615
PCMH: No PCMH: No
Gender: Female
Morris Podiatry Associates PA
Sub Specialty: HIV/AIDs
255 Rte 3 Ste 107
Secaucus, NJ 07094
(201) 863-7460
Fax: (201) 863-7525
00 Yrs/130 Yrs
St Michael's Medical Center
Languages: Spanish
M 9:00 AM - 7:00 PM
TWTH 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 223
Updated: 11/26/2018

Specialty Physicians
Hudson
Podiatry - cont. Rossi, Peter DPM Shansky, David DPM Shin, Marie DPM
Provider ID: 995590 Provider ID: 946866 Provider ID: 1646445
Rossi, Francis DPM Gender: Male Gender: Male Gender: Female
Provider ID: 945992 Afiliated Foot Surgeons Horizon Health Center Prohealth Care Associates of
Gender: Male Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs New Je
3472 John F Kennedy Blvd 70 W 32nd St Ste A 714 Bergen Ave 255 State Rt 3
Jersey City, NJ 07307 Bayonne, NJ 07002 Jersey City, NJ 07306 Secaucus, NJ 07094
(201) 792-6444 (201) 436-3339 (201) 451-6300 (201) 392-1866
Fax: (201) 420-9673 Fax: (201) 436-7787 Fax: (201) 451-0619 Fax: (201) 392-1867
00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Christ Hospital Bayonne Medical Center Jersey City Medical Center M-F 9:00 AM - 5:00 PM
Jersey City Medical Center Languages: Spanish, Italian Languages: Spanish, Italian, PCMH: No
Languages: Spanish, French, M-F 9:00 AM - 5:00 PM Arabic, Tagalog
Italian PCMH: No M 11:00 AM - 5:00 PM Shin, Marie DPM
MW 2:00 AM - 6:00 PM PCMH: No Provider ID: 1646445
TTH 10:00 AM - 2:00 PM Shah, Ketan DPM Gender: Female
PCMH: No Provider ID: 944487 Shansky, David DPM Prohealth Care Associates of
Gender: Male Provider ID: 946866 New Je
Rossi, Francis DPM Achilles Foot and Ankle Gender: Male 939 Kennedy Blvd
Provider ID: 946194 142 Palisade Ave 202 Horzon Health Center North Bergen, NJ 07047
Gender: Male Jersey City, NJ 07306 Sub Specialty: HIV/AIDs (201) 864-2484
Bayonne Medical Center (201) 868-2400 115 Christopher Columbus Dr Fax: (201) 864-6460
29 E 29th St Fax: (201) 868-2014 Jersey City, NJ 07302 00 Yrs/130 Yrs
Bayonne, NJ 07002 00 Yrs/130 Yrs (201) 451-6300 M-F 9:00 AM - 5:00 PM
(201) 858-5000 Christ Hospital Fax: (201) 451-0619 PCMH: No
Fax: (201) 858-7322 Jersey City Medical Center 00 Yrs/130 Yrs
18 Yrs/130 Yrs Languages: Spanish Jersey City Medical Center Siddiqui, Anwar DPM
Bayonne Medical Center M 9:00 AM - 5:00 PM Languages: Spanish, Italian, Provider ID: 1198620
Hoboken University Medical T 9:00 AM - 12:00 PM Arabic, Tagalog Gender: Male
Center PCMH: No M 11:00 AM - 5:00 PM Foot Care 2 You Inc
Jersey City Medical Center PCMH: No 7000 Blvd E Ste M5-B
Languages: Spanish Shah, Ketan DPM Guttenberg, NJ 07093
MT 9:00 AM - 5:00 PM Provider ID: 944487 Sharma, Shital DPM (732) 349-5719
PCMH: No Gender: Male Provider ID: 1284208 Fax: (732) 349-5685
Achilles Foot and Ankle Gender: Female 00 Yrs/130 Yrs
Rossi, Peter DPM Ankle and Foot Specialists St. Joseph's Hospital Reg
9234 Kennedy Blvd
Provider ID: 946800 North Bergen, NJ 07047 Hoboken Medical Center
Gender: Male (201) 868-2400 59 14th St M-F 9:00 AM - 5:00 PM
Affiliated Foot Surgeons Fax: (201) 868-2014 Hoboken, NJ 07030 PCMH: No
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs (201) 222-5200
70 W 32nd St Ste A Christ Hospital Fax: (201) 792-2773 Sullivan, Brian DPM
Bayonne, NJ 07002 Jersey City Medical Center 00 Yrs/130 Yrs
(201) 436-3339 Languages: Spanish Christ Hospital Provider ID: 1308749
Fax: (201) 436-7787 M 9:00 AM - 7:00 PM Hoboken University Medical Gender: Male
00 Yrs/130 Yrs T 9:00 AM - 6:00 PM Center Hoboken University Medical
Bayonne Medical Center PCMH: No Jersey City Medical Center Center
M-TH 9:00 AM - 5:00 PM MTTH 9:00 AM - 7:00 PM 308 Willow Ave
PCMH: No WF 9:00 AM - 5:00 PM Hoboken, NJ 07030
Sat 9:00 AM - 1:00 PM (201) 821-8911
PCMH: No Fax: (201) 603-6688
00 Yrs/130 Yrs
Hoboken University Medical
Center
Saint Barnabas Medical
Center Livingston
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 224
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Specialty Physicians
Hudson
Podiatry - cont. Trovato, Sana DPM Welch, Matthew DPM Zhang, Lisa DPM
Provider ID: 404315 Provider ID: 1712876
Testa, Jack DPM Provider ID: 1703452 Gender: Male Gender: Female
Provider ID: 945480 Gender: Female 6506 Park Ave Tricounty Foot and Ankle
Gender: Male Prohealth Care Associates of West New York, NJ 07093 Center
Debenedictis & Testa DPM New Je (201) 662-1122 855 Broadway
4808 Bergenline Ave Ste 202 255 Rte 3 Fax: (201) 869-2965 Bayonne, NJ 07002
Union City, NJ 07087 Secaucus, NJ 07094 00 Yrs/130 Yrs (201) 535-8978
(201) 863-0036 (201) 392-1866 Palisades Medical Center 00 Yrs/130 Yrs
Fax: (201) 863-0727 Fax: (201) 392-1867 Languages: Spanish Bayonne Medical Center
00 Yrs/130 Yrs 00 Yrs/130 Yrs M 3:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Christ Hospital M-F 9:00 AM - 5:00 PM T 12:00 AM - 3:00 PM PCMH: No
Palisades Medical Center PCMH: No W 4:00 AM - 7:00 PM
Languages: Spanish TH 11:00 AM - 2:00 PM Prosthodontics
MTH 10:00 AM - 5:00 PM Trovato, Sana DPM F 2:00 AM - 4:00 PM
TW 10:00 AM - 8:00 PM PCMH: No Eramian, Robert DDS
F 2:00 AM - 3:00 PM Provider ID: 1703452 Provider ID: TPVP40194-01
PCMH: No Gender: Female Youssef, Emad DPM Gender: Male
Prohealth Care Associates of Saltzberg Wenger
Thabata, Nadine DPM New Je Provider ID: 1726834 149 Palisade Ave
Provider ID: 1700513 939 Kennedy Blvd Gender: Male Jersey City, NJ 07306
Gender: Female North Bergen, NJ 07047 Dr Emad Youssef Podiatry LLC (201) 798-5551
Tricounty Foot and Ankle (201) 864-2484 591 Summit Ave Ste 311 Fax: (201) 963-1226
Center, LL Fax: (201) 864-6460 Jersey City, NJ 07306 00 Yrs/99 Yrs
65 Kearny Ave 00 Yrs/130 Yrs (201) 897-2488 Languages: Spanish
Kearny, NJ 07032 M-F 9:00 AM - 5:00 PM Fax: (201) 603-6639 M 9:00 AM - 7:00 PM
(201) 997-5000 PCMH: No 00 Yrs/130 Yrs TWTH 9:00 AM - 6:00 PM
00 Yrs/130 Yrs M 3:00 AM - 8:00 PM F 8:00 AM - 6:00 PM
Bayonne Medical Center Welch, Matthew DPM T 9:00 AM - 3:00 PM Sat-Sun 8:00 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No
PCMH: No Provider ID: 1649763
Gender: Male Zhang, Lisa DPM Eramian, Robert DDS
Thabata, Nadine DPM Prohealth Care Associates of Provider ID: 1712876 Provider ID: TPVP40194-02
Provider ID: 1700513 New Je Gender: Female Gender: Male
Gender: Female 6505 Park Ave Tricounty Foot and Ankle North Hudson Community
Tricounty Foot and Ankle West New York, NJ 07093 Center Action Corporation
Center, LL (201) 293-0976 65 Kearny Ave 5301 Broadway
840 Bergen Ave Fax: (201) 293-0977 Kearny, NJ 07032 West New York, NJ 07093
Jersey City, NJ 07306 00 Yrs/130 Yrs (201) 997-5000 (201) 866-9320
(201) 535-8978 Palisades Medical Center 00 Yrs/130 Yrs Fax: (201) 866-7588
00 Yrs/130 Yrs Prime Health Services-St Bayonne Medical Center 00 Yrs/99 Yrs
Bayonne Medical Center Marys Hospital M-F 9:00 AM - 5:00 PM Languages: Spanish
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No M-TH 8:30 AM - 7:00 PM
PCMH: No PCMH: No FSat 8:30 AM - 5:00 PM
Zhang, Lisa DPM Sun 8:30 AM - 3:00 PM
Thabata, Nadine DPM Provider ID: 1712876 PCMH: No
Provider ID: 1700513 Gender: Female
Gender: Female Tricounty Foot and Ankle
Tricounty Foot and Ankle Center
Center, LL 840 Bergen Ave
855 Broadway Jersey City, NJ 07306
Bayonne, NJ 07002 (201) 535-8978
(201) 535-8978 00 Yrs/130 Yrs
00 Yrs/130 Yrs Bayonne Medical Center
Bayonne Medical Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 225
Updated: 11/26/2018

Specialty Physicians
Hudson
Prosthodontics - cont. Cruickshank, Royston MD Dela Cruz, Leo MD Ghali, Anwar MD
Provider ID: 959880
Eramian, Robert DDS Provider ID: 1431131 Provider ID: 392330 Gender: Male
Provider ID: TPVP40194-03 Gender: Male Gender: Male New Jersey Medical and
Gender: Male Barnabas Health Medical Leo A Dela Cruz MD Fapa Health Assoc
North Hudson Community Group South 142 Palisade Ave Ste 105 122-132 Clinton St Family
Action Corporation 395 Grand St Jersey City, NJ 07306 Practice
324 Palisade Ave Jersey City, NJ 07302 (201) 233-2447 Hoboken, NJ 07030
Jersey City, NJ 07307 (800) 300-0628 Fax: (201) 792-8851 (201) 418-3100
(201) 459-8888 Fax: (201) 369-6301 18 Yrs/130 Yrs Fax: (201) 418-3149
Fax: (201) 239-0318 00 Yrs/130 Yrs Christ Hospital 18 Yrs/130 Yrs
00 Yrs/99 Yrs Jersey City Medical Center Languages: Spanish, Tagalog Hoboken University Medical
Languages: Spanish M-F 9:00 AM - 5:00 PM M 1:00 AM - 6:00 PM Center
MTTHF 8:30 AM - 5:00 PM PCMH: No Jersey City Medical Center
PCMH: No
W 8:30 AM - 7:00 PM Trinitas Regional Medical Cent
PCMH: No Czartorysky, Bohdan MD Dyakina, Nika DO Languages: Arabic
M-F 9:00 AM - 5:00 PM
Provider ID: 1028049
Psychiatry PCMH: No
Provider ID: 1164792 Gender: Female
Gender: Male Mount Carmel Guild Hadjiesmaeiloo, Bahar MD
Bischoff, Stephen MD Bridgeway Rehabilitation Behavioral Healt
Services 2201 Bergenline Ave
Provider ID: 1430349 152 Central Ave Union City, NJ 07087 Provider ID: 1631047
Gender: Male Jersey City, NJ 07306 (201) 558-3700 Gender: Female
Barnabas Health Medical (201) 885-2539 Fax: (201) 392-5048 Prohealth Care Associates of
Group South New Je
18 Yrs/130 Yrs 00 Yrs/130 Yrs
395 Grand St 1425 Bloomfield St
Trinitas Regional Medical Cent M 9:30 AM - 5:00 PM
Jersey City, NJ 07302 Hoboken, NJ 07030
PCMH: No T 9:30 AM - 2:30 PM
(201) 915-2600 (201) 293-0976
PCMH: No
Fax: (201) 369-6301 Czartorysky, Bohdan MD Fax: (201) 861-0941
00 Yrs/130 Yrs Ghali, Anwar MD 00 Yrs/130 Yrs
Saint Barnabas Medical Provider ID: 1194309 M-F 9:00 AM - 5:00 PM
Provider ID: 1164792
Center Livingston Gender: Male PCMH: No
Gender: Male
M-F 9:00 AM - 5:00 PM Bridgeway Rehabilitation Garden State Healthcare Hadjiesmaeiloo, Bahar MD
PCMH: No Services Associates
862 Newark Ave 122-132 Clinton St
Chandak, Ritu MD Jersey City, NJ 07306 Hoboken, NJ 07030 Provider ID: 1631047
Provider ID: 1431177 (201) 653-3980 (201) 418-3100 Gender: Female
Gender: Female 18 Yrs/130 Yrs Fax: (201) 418-3148 Prohealth Care Associates of
Barnabas Health Medical 00 Yrs/130 Yrs New Je
Trinitas Regional Medical Cent
Group South Hoboken University Medical 225 60th St
PCMH: No
355 Grand St Dept of Center West New York, NJ 07093
Jersey City, NJ 07302 D'Amato, Thomas MD Jersey City Medical Center (201) 293-0976
(800) 300-0628 Provider ID: 946023 Trinitas Regional Medical Cent Fax: (201) 293-0977
Fax: (201) 369-6301 Gender: Male Languages: Arabic 00 Yrs/130 Yrs
18 Yrs/110 Yrs 179 Palisade Ave M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Jersey City Medical Center Jersey City, NJ 07306 PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM (201) 795-8375
PCMH: No Fax: (201) 795-8149
18 Yrs/130 Yrs
Christ Hospital
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 226
Updated: 11/26/2018

Specialty Physicians
Hudson
Psychiatry - cont. Iskandarani, Nimer MD LA Monaca, Anthony MD Pedroso, Maura MD
Provider ID: 946180
Hadjiesmaeiloo, Bahar MD Provider ID: 1436374 Provider ID: 1430575 Gender: Female
Gender: Male Gender: Male Bayonne Medical Center
Provider ID: 1631047 Barnabas Health Medical Barnabas Health Medical 29 E 29th St
Gender: Female Group South Group South Bayonne, NJ 07002
Prohealth Care Associates of 395 Grand St Fl 2 395 Grand St Fl 2 (201) 858-5000
New Je Jersey City, NJ 07302 Jersey City, NJ 07302 Fax: (201) 858-7322
6045 Kennedy Blvd (201) 915-2000 (201) 915-2000 18 Yrs/130 Yrs
North Bergen, NJ 07047 Fax: (201) 915-2837 Fax: (201) 915-2837 Hoboken University Medical
(201) 293-0976 00 Yrs/130 Yrs 00 Yrs/130 Yrs Center
Fax: (201) 293-0977 Clara Maass Medical Center Jersey City Medical Center Languages: Spanish
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM MT 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No
PCMH: No
Jamil, Imran MD Lukac, Juraj MD Pedroso, Maura MD
Hriso, Paul MD Provider ID: 1557344 Provider ID: 1430925 Provider ID: 946180
Provider ID: 944159 Gender: Male Gender: Male Gender: Female
Gender: Male Barnabas Health Medical Barnabas Health Medical Community Mental Health
Paul Hriso MD PA Group South Group South 506 3rd St
354 Ave C 395 Grand St 355 Grand St Hoboken, NJ 07030
Bayonne, NJ 07002 Jersey City, NJ 07302 Jersey City, NJ 07302 (201) 792-8200
(201) 437-1775 (800) 300-0628 (800) 300-0628 Fax: (201) 792-8452
Fax: (201) 436-1601 Fax: (732) 914-3854 02 Yrs/130 Yrs 18 Yrs/130 Yrs
12 Yrs/130 Yrs 00 Yrs/130 Yrs Jersey City Medical Center Hoboken University Medical
Bayonne Medical Center Christ Hospital M-F 9:00 AM - 5:00 PM Center
Christ Hospital M-F 9:00 AM - 5:00 PM PCMH: No Languages: Spanish
Trinitas Regional Medical Cent PCMH: No M 6:00 AM - 8:00 PM
Languages: Spanish Lukac, Juraj MD PCMH: No
M-F 9:00 AM - 5:00 PM Kruse, George MD Provider ID: 1430925
PCMH: No Provider ID: 1422106 Gender: Male Pedroso, Maura MD
Gender: Male Barnabas Health Medical Provider ID: 946180
Ibrahim, Syed MD Bhmg - United Medical Group South Gender: Female
Provider ID: 1719284 988 Broadway 395 Grand St Dept of Hoboken Univ Medical
Gender: Male Bayonne, NJ 07002 Jersey City, NJ 73024 Center
S T Ibrahim Medical PC (201) 339-6111 (201) 915-2600 308 Willow Ave
1815 John F Kennedy Blvd Fax: (201) 339-6333 Fax: (201) 369-6301 Hoboken, NJ 07030
Jersey City, NJ 07305 00 Yrs/130 Yrs 02 Yrs/130 Yrs (201) 418-1000
(631) 943-6104 Holy Name Medical Center Jersey City Medical Center 18 Yrs/130 Yrs
Fax: (201) 336-3637 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Hoboken University Medical
00 Yrs/130 Yrs PCMH: No PCMH: No Center
Clara Maass Medical Center Languages: Spanish
M-F 8:00 AM - 5:00 PM LA Forgia, Anthony MD Patel, Narendra MD M 6:00 AM - 8:00 PM
PCMH: No PCMH: No
Provider ID: 805219 Provider ID: 1721520
Gender: Male Pedroso, Maura MD
Gender: Male
Mount Carmel Guild Barnabas Health Medical Provider ID: 946311
Behavioral Healt Group PC Gender: Female
2201 Bergenline Ave 355 Grand St 433 57th St
Union City, NJ 07087 Jersey City, NJ 07302 West New York, NJ 07093
(201) 558-3700 (201) 915-2600 (201) 884-1005
Fax: (973) 596-4030 Fax: (732) 557-7071 18 Yrs/130 Yrs
00 Yrs/130 Yrs 18 Yrs/110 Yrs Hoboken University Medical
M 9:00 AM - 6:00 PM Jersey City Medical Center Center
PCMH: No M-F 8:00 AM - 5:00 PM Languages: Spanish
PCMH: No M 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 227
Updated: 11/26/2018

Specialty Physicians
Hudson
Psychiatry - cont. Santos, Frank MD Scimone, Anthony MD Shanmugham, Revathi MD
Provider ID: 445651 Provider ID: 1017039
Pedroso, Maura MD Gender: Male Gender: Male Provider ID: 946202
Provider ID: 946311 Palisades Medical Associates, Mount Carmel Guild Gender: Male
Gender: Female LLC Behavioral Healt Hoboken Univ Medical
516 51st St 7600 River Rd 2201 Bergenline Ave Center
West New York, NJ 07093 North Bergen, NJ 07047 Union City, NJ 07087 308 Willow Ave
(201) 884-1005 (201) 941-4405 (201) 558-3700 Hoboken, NJ 07030
18 Yrs/130 Yrs Fax: (201) 941-4408 Fax: (201) 392-5048 (301) 222-5200
Hoboken University Medical 00 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/130 Yrs
Center Palisades Medical Center Newton Medical Center Bayonne Medical Center
Languages: Spanish Languages: Spanish MT 8:30 AM - 5:00 PM Hoboken University Medical
M-TH 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM WTHF 8:30 AM - 6:00 PM Center
PCMH: No PCMH: No PCMH: No Languages: Spanish
MT 9:00 AM - 5:00 PM
Sanchez, Daniel MD Santos, Frank MD Shanmugham, Revathi MD PCMH: No
Provider ID: 946681 Provider ID: 797956
Gender: Male Gender: Male Provider ID: 946202 Wang, Wei MD
N Jersey Psychiatry Inc North Hudson Community Gender: Male Provider ID: 1101734
5912 Palisade Ave Action Corpo Bayonne Medical Center Gender: Female
West New York, NJ 07093 5301 Broadway 29 E 29th St North Hudson Community
(201) 861-0077 West New York, NJ 07093 Bayonne, NJ 07002 Action Corpo
Fax: (201) 861-9595 (201) 866-9320 (201) 858-5000 1116 43rd St
05 Yrs/130 Yrs Fax: (201) 866-7588 Fax: (201) 858-7322 North Bergen, NJ 07047
Palisades Medical Center 00 Yrs/130 Yrs 18 Yrs/130 Yrs (201) 330-2632
Languages: Spanish Palisades Medical Center Bayonne Medical Center Fax: (201) 330-2638
M-TH 3:30 AM - 7:30 PM Languages: Spanish Hoboken University Medical 00 Yrs/130 Yrs
F 3:30 AM - 5:30 PM M 3:00 AM - 6:00 PM Center Englewood Hospital and
Sat 11:00 AM - 3:00 PM TW 3:00 AM - 8:00 PM Languages: Spanish Medical Center
PCMH: No TH 9:00 AM - 12:30 PM M-F 9:00 AM - 5:00 PM MTTHF 8:30 AM - 5:00 PM
PCMH: No PCMH: No W 8:30 AM - 7:00 PM
Sandoval Castellanos, Oscar PCMH: No
MD Sanusi, Akinlabi MD Shanmugham, Revathi MD
Provider ID: 653107 Provider ID: 1431138 Wang, Wei MD
Gender: Male Gender: Male Provider ID: 946202 Provider ID: 1101734
O.E. Sandoval MD PC Barnabas Health Medical Gender: Male Gender: Female
569 35th St Group South Community Mental Health North Hudson Community
Union City, NJ 07087 355 Grand St 506 3rd St Action Corpo
(201) 866-6970 Jersey City, NJ 07302 Hoboken, NJ 07030 2500 Kennedy Blvd
Fax: (201) 866-7144 (800) 300-0628 (201) 418-1000 Union City, NJ 07087
18 Yrs/80 Yrs Fax: (201) 915-2415 18 Yrs/130 Yrs (201) 553-7888
M-F 10:00 AM - 6:00 PM 00 Yrs/130 Yrs Bayonne Medical Center Fax: (201) 553-7885
PCMH: No Jersey City Medical Center Hoboken University Medical 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Center Englewood Hospital and
PCMH: No Languages: Spanish Medical Center
MT 9:00 AM - 5:00 PM MTWFSat 8:30 AM - 5:00 PM
PCMH: No TH 8:30 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 228
Updated: 11/26/2018

Specialty Physicians
Hudson
Psychiatry - cont. Psychology Parra, Guillermo PHD Parra, Guillermo PHD
Provider ID: 1255711 Provider ID: 1255711
Wang, Wei MD Demeyer, Joseph PHD Gender: Male Gender: Male
Provider ID: 1101734 Provider ID: 912104 North Hudson Community North Hudson Community
Gender: Female Gender: Male Action Corp Action Corp
North Hudson Community Joseph A De Meyer PHD PC 1116 43rd St 5301 Broadway
Action Corpo 223 Bloomfield St Ste 113 North Bergen, NJ 07047 West New York, NJ 07093
324 Palisade Ave Hoboken, NJ 07030 (201) 330-2632 (201) 866-9320
Jersey City, NJ 07307 (201) 222-9126 Fax: (201) 330-2638 Fax: (201) 866-7588
(201) 459-8888 Fax: (908) 756-2283 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 239-0318 00 Yrs/130 Yrs Englewood Hospital and Englewood Hospital and
00 Yrs/130 Yrs AHS Hospital Medical Center Medical Center
Englewood Hospital and Languages: French, German, M-TH 8:30 AM - 7:00 PM M-TH 8:30 AM - 7:00 PM
Medical Center Dutch F 8:30 AM - 5:00 PM F 8:30 AM - 5:00 PM
MTWFSat 8:30 AM - 5:00 PM M-F 9:00 AM - 8:00 PM PCMH: No Sat 8:30 AM - 3:00 PM
TH 8:30 AM - 7:00 PM Sat 9:00 AM - 2:00 PM PCMH: No
PCMH: No PCMH: No Parra, Guillermo PHD
Provider ID: 1255711 Parra, Guillermo PHD
Wang, Wei MD Griswold, Germaine PHD Gender: Male Provider ID: 1255711
Provider ID: 1101734 North Hudson Community Gender: Male
Gender: Female Provider ID: 673721 Action Corp North Hudson Community
North Hudson Community Gender: Female 2500 Kennedy Blvd Action Corp
Action Corpo North Hudson Community Union City, NJ 07087 714 31st St
5301 Broadway Action Corpo (201) 553-7888 Union City, NJ 07087
West New York, NJ 07093 5301 Broadway Fax: (201) 553-7885 (201) 863-7077
(201) 866-9320 West New York, NJ 07093 00 Yrs/130 Yrs Fax: (201) 863-1470
Fax: (201) 866-7588 (201) 866-9320 Englewood Hospital and 00 Yrs/130 Yrs
00 Yrs/130 Yrs Fax: (201) 866-7588 Medical Center Englewood Hospital and
Englewood Hospital and 00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Medical Center
Medical Center Palisades Medical Center PCMH: No MTTHF 8:30 AM - 5:00 PM
M-W 8:30 AM - 7:00 PM M-TH 8:30 AM - 7:00 PM W 8:30 AM - 7:00 PM
TH 8:30 AM - 0:70 PM Parra, Guillermo PHD PCMH: No
FSat 8:30 AM - 5:00 PM
FSat 8:30 AM - 5:00 PM PCMH: No Provider ID: 1255711
PCMH: No Gender: Male Trobliger, Robert PHD
Meza, Teissy MD North Hudson Community Provider ID: 808297
Wang, Wei MD Action Corp Gender: Male
Provider ID: 976425
Provider ID: 1101734 324 Palisade Ave Epilepsy and Neurophysiology
Gender: Female
Gender: Female Jersey City, NJ 07307 Medica
St Joseph Regional Med CT
North Hudson Community (201) 459-8888 377 Jersey Ave Ste 440
158 14th St
Action Corpo Fax: (201) 239-0318 Jersey City, NJ 07302
Hoboken, NJ 07030
714 31st St 00 Yrs/130 Yrs (201) 343-6670
(973) 754-5780
Union City, NJ 07087 Englewood Hospital and 00 Yrs/130 Yrs
12 Yrs/130 Yrs
(201) 863-7077 Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM
Fax: (201) 863-1470 M-F 8:30 AM - 5:00 PM
PCMH: No
00 Yrs/130 Yrs PCMH: No
Englewood Hospital and
Medical Center
MTWFSat 8:30 AM - 5:00 PM
TH 8:30 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 229
Updated: 11/26/2018

Specialty Physicians
Hudson
Pulmonary Disease Bellifemine, Morris MD Capo, Maria MD Desai, Viren MD
Provider ID: 489746 Provider ID: 1534542
Aman, Chaudhry MD Provider ID: 426182 Gender: Female Gender: Male
Gender: Male Capo Medical Associates Pulmonary and Sleep Care
Provider ID: 1303053 Hudson Physicians Assoc Sub Specialty: HIV/AIDs Associates
Gender: Male 106 Centre Ave 700 79th St 507 48th St
New Jersey Medical and Secaucus, NJ 07094 North Bergen, NJ 07047 Union City, NJ 07087
Health Assoc (201) 864-4505 (201) 861-7900 (201) 272-6822
176 Palisade Ave Fax: (201) 864-8782 Fax: (201) 861-5280 Fax: (973) 546-2119
Jersey City, NJ 07306 12 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs
(201) 795-8200 Prime Health Services-St Languages: Spanish Clara Maass Medical Center
Fax: (201) 795-8087 Marys Hospital M-F 10:00 AM - 5:00 PM Prime Health Services-St
00 Yrs/130 Yrs Languages: Spanish PCMH: No Marys Hospital
Christ Hospital M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Ciechanowski, George MD Medical Center
M 9:00 AM - 5:30 PM PCMH: No
M 9:00 AM - 3:00 PM
TTHF 9:00 AM - 6:00 PM
Bellifemine, Morris MD PCMH: No
W 9:00 AM - 5:00 PM Provider ID: 955608
PCMH: No Gender: Male Desai, Viren MD
Provider ID: 426182 408 Summit Ave Fl 1
Aman, Chaudhry MD Provider ID: 507718
Gender: Male Jersey City, NJ 07306
Provider ID: 945899 Gender: Male
Hudson Physicians Associates (201) 963-7000
Gender: Male Thoracic Medical Associates
209 60th St Fax: (201) 963-8331 LLC
3148 Kennedy Blvd West New York, NJ 07093 12 Yrs/130 Yrs
Jersey City, NJ 07306 221 Kearny Ave
(201) 854-2097 Bayonne Medical Center Kearny, NJ 07032
(201) 217-3222 Fax: (201) 854-2549 Christ Hospital
Fax: (201) 918-6499 (201) 997-0808
12 Yrs/130 Yrs MW 9:00 AM - 1:00 PM
18 Yrs/130 Yrs Fax: (201) 997-0013
Prime Health Services-St T 2:00 AM - 6:00 PM
Christ Hospital 16 Yrs/130 Yrs
Marys Hospital TH 1:00 AM - 5:00 PM
Languages: Spanish, Urdu Clara Maass Medical Center
Languages: Spanish F 11:00 AM - 3:00 PM Prime Health Services-St
PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No Marys Hospital
PCMH: No St. Joseph's Hospital Reg
Aman, Chaudhry MD Desai, Parth MD Medical Center
Provider ID: 945947 Capo, Aida MD Provider ID: 1175784 Languages: Hindi
Gender: Male Provider ID: 276458 Gender: Male M 2:00 AM - 5:00 PM
Garden St Healthcare Assc Gender: Female Garden State Healthcare T 9:00 AM - 12:00 PM
176 Palisade Ave Capo Medical Associates Associates W 2:00 AM - 7:30 PM
Jersey City, NJ 07306 700 79th St 29 E 29th St PCMH: No
(201) 795-8200 North Bergen, NJ 07047 Bayonne, NJ 07002
00 Yrs/130 Yrs (201) 861-7900 (201) 858-5000 Elamir, Mazhar MD
Christ Hospital Fax: (201) 861-5280 Fax: (201) 858-7322 Provider ID: 1303052
Languages: Spanish 18 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Male
MT 9:00 AM - 5:00 PM Palisades Medical Center Bayonne Medical Center New Medical Health
PCMH: No Languages: French M-F 9:00 AM - 5:00 PM Associates LLC
M-F 10:00 AM - 5:00 PM PCMH: No 16 E 29th St
PCMH: No Bayonne, NJ 07002
(201) 858-8824
Fax: (201) 858-8825
18 Yrs/130 Yrs
Christ Hospital
Saint Barnabas Medical
Center Livingston
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 230
Updated: 11/26/2018

Specialty Physicians
Hudson
Pulmonary Disease - cont. Han, Paul MD Natarajan, Sekar MD Patel, Manmohan MD
Provider ID: 946821 Provider ID: 945837
Elamir, Mazhar MD Gender: Male Gender: Male Provider ID: 1333331
Provider ID: 1303052 8305 Bergenline Ave Ste A Bayonne Medical Plaza, LLC Gender: Male
Gender: Male North Bergen, NJ 07047 449 Ave C Summit Medical Arts
New Medical Health (201) 854-7200 Bayonne, NJ 07002 Associates LLC
Associates LLC Fax: (201) 854-0827 (201) 823-2334 1265 Paterson Plank Rd Fl 1 -
176 Palisade Ave 3 East 16 Yrs/130 Yrs Fax: (201) 823-2344 Ste 1-A
Jersey City, NJ 07306 Englewood Hospital and 12 Yrs/130 Yrs Secaucus, NJ 07094
(201) 795-5807 Medical Center Christ Hospital (201) 216-3055
Fax: (201) 418-7064 Holy Name Medical Center Jersey City Medical Center Fax: (201) 499-0261
18 Yrs/130 Yrs Palisades Medical Center Languages: Spanish, Tamil, 00 Yrs/130 Yrs
Christ Hospital Languages: Spanish, Korean Telugu Christ Hospital
Saint Barnabas Medical M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Hindi, Urdu,
Center Livingston PCMH: No PCMH: No Gujarati
M 8:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No Matta, Jyoti MD Natarajan, Sekar MD PCMH: No
Provider ID: 1336062 Provider ID: 946170
Elamir, Mazhar MD Gender: Female Gender: Male Patel, Manmohan MD
Provider ID: 540494 New Jersey Medical and Garrden State HC Asoc LLC
Gender: Male Health Assoc 176 Palisade Ave Provider ID: 1333331
MM Jersey City Breathing 176 Palisade Ave 3 E Jersey City, NJ 07306 Gender: Male
Center Jersey City, NJ 07306 (201) 795-8200 Summit Medical Arts
192 Harrison Ave (201) 795-5807 00 Yrs/130 Yrs Associates LLC
Jersey City, NJ 07304 Fax: (201) 418-7064 Christ Hospital 1265 Paterson Plank Rd Fl 1 -
(201) 333-5363 00 Yrs/130 Yrs Jersey City Medical Center Ste 2D
Fax: (201) 333-4710 Christ Hospital Languages: Spanish Secaucus, NJ 07094
18 Yrs/130 Yrs Jersey City Medical Center M-TH 9:00 AM - 5:00 PM (201) 216-3055
Christ Hospital M-F 9:00 AM - 5:00 PM PCMH: No Fax: (201) 499-0261
Saint Barnabas Medical PCMH: No 00 Yrs/130 Yrs
Center Livingston Patel, Manmohan MD Christ Hospital
Languages: Spanish, Hindi, Natarajan, Sekar MD Languages: Hindi, Urdu,
Gujarati Provider ID: 1333331 Gujarati
M-F 2:00 AM - 7:00 PM Provider ID: 510388 Gender: Male M-F 9:00 AM - 5:00 PM
Sat 10:00 AM - 2:00 PM Gender: Male Summit Medical Ares PCMH: No
PCMH: No Sekar Nataraja MD LLC Associates LLC
142 Palisade Ave Ste 213 9225 Kennedy Blvd Perera, Sharmalie MD
Elamir, Mazhar MD Jersey City, NJ 07306 Provider ID: 946181
North Bergen, NJ 07047
Provider ID: 540494 (201) 653-4247 (201) 453-2800 Gender: Female
Gender: Male Fax: (201) 426-2349 Fax: (201) 453-0182 Bayonne Medical Center
MM Jersey City Breathing 00 Yrs/130 Yrs 00 Yrs/130 Yrs 29 E 29th St
Center Christ Hospital Bayonne, NJ 07002
Christ Hospital
550 Summit Ave 1st Fl Jersey City Medical Center (201) 858-5000
Languages: Hindi, Urdu,
Jersey City, NJ 07306 Languages: Tamil, Telugu Gujarati Fax: (201) 858-7322
(201) 222-5450 M 9:00 AM - 5:30 PM M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs
Fax: (201) 333-4710 T 9:00 AM - 1:00 PM PCMH: No Hoboken University Medical
18 Yrs/130 Yrs PCMH: No Center
Christ Hospital Languages: Spanish
Saint Barnabas Medical MT 9:00 AM - 5:00 PM
Center Livingston PCMH: No
Languages: Spanish, Hindi,
Gujarati
M-F 9:00 AM - 5:00 PM
PCMH: No

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Updated: 11/26/2018

Specialty Physicians
Hudson
Pulmonary Disease - cont. Saliba, Jehad MD Wilcox, Ellis MD Ingenito, Anthony MD
Provider ID: 1541953 Provider ID: 496638 Provider ID: 1285401
Perera, Sharmalie MD Gender: Male Gender: Male Gender: Male
Provider ID: 946181 West Hudson Pulmonary Hudson Physicians Assoc Sub Specialty: HIV/AIDs
Gender: Female Associates 209 60th St 7650 River Rd Ste 200
Hoboken Univ Medical 816 Kearny Ave Ste B West New York, NJ 07093 North Bergen, NJ 07047
Center Kearny, NJ 70323 (201) 854-2097 (201) 464-0008
308 Willow Ave (201) 991-4544 Fax: (201) 854-2549 Fax: (201) 662-1267
Hoboken, NJ 07030 Fax: (201) 991-8524 12 Yrs/130 Yrs 18 Yrs/130 Yrs
(201) 418-1000 16 Yrs/130 Yrs Christ Hospital M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs Clara Maass Medical Center East Orange General Hospital PCMH: No
Hoboken University Medical St Michael's Medical Center Hoboken University Medical
Center Languages: Arabic Center Knoll, Miriam MD
Languages: Spanish M 9:00 AM - 1:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1728371
M-W 9:00 AM - 5:00 PM T 1:00 AM - 7:00 PM PCMH: No Gender: Female
PCMH: No WTH 2:00 AM - 6:00 PM Regional Cancer Care
PCMH: No Zubair, Mohammad MD Associates, LL
Periut, Richard MD 7650 River Rd Ste 200
Provider ID: 431908 Wilcox, Ellis MD Provider ID: 1132967 North Bergen, NJ 07047
Gender: Male Provider ID: 496638 Gender: Male (201) 464-0008
Richard Periut MD LLC Gender: Male New Jersey Medical and Fax: (201) 662-1267
5908 Kennedy Blvd W 308 Willow Ave Health Assoc 00 Yrs/130 Yrs
West New York, NJ 07093 Hoboken, NJ 07030 Sub Specialty: HIV/AIDs M-F 8:00 AM - 4:00 PM
(201) 440-2222 (201) 418-1000 16 E 29th St PCMH: No
Fax: (201) 440-2282 12 Yrs/130 Yrs Bayonne, NJ 07002
18 Yrs/130 Yrs Christ Hospital (973) 926-8203 Lewis, Brett MD
Hoboken University Medical East Orange General Hospital Fax: (973) 923-5688 Provider ID: 1265252
Center Hoboken University Medical 12 Yrs/130 Yrs Gender: Male
Palisades Medical Center Center Bayonne Medical Center Regional Cancer Care
Languages: Spanish M-F 9:00 AM - 5:00 PM Saint Barnabas Medical Associates LLC
M-W 12:00 AM - 5:30 PM PCMH: No Center Livingston Sub Specialty: HIV/AIDs
PCMH: No Languages: Spanish, Hindi 7650 River Rd Ste 200
Wilcox, Ellis MD M-F 9:00 AM - 5:00 PM North Bergen, NJ 07047
Pinal, Jose MD Provider ID: 496638 PCMH: No (201) 464-0008
Provider ID: 1097994 Gender: Male Fax: (201) 662-1267
Gender: Male Hudson Physicians Assoc Radiation Oncology 18 Yrs/110 Yrs
New Jersey Medical and 106 Center Ave M-F 9:00 AM - 5:00 PM
Health Assoc Secaucus, NJ 07094 Gejerman, Glen MD PCMH: No
Sub Specialty: HIV/AIDs (201) 854-2097
526 42nd St Ste 1 Fax: (201) 854-2549 Provider ID: 1270697 Shaiman, Alan MD
Union City, NJ 07087 12 Yrs/130 Yrs Gender: Male Provider ID: 719826
(201) 865-9195 Christ Hospital Regional Cancer Care Gender: Male
Fax: (201) 865-4416 East Orange General Hospital Associates LLC Jersey City Radiation Therapy
18 Yrs/110 Yrs Hoboken University Medical Sub Specialty: HIV/AIDs LLC
Palisades Medical Center Center 7650 River Rd Ste 200 Sub Specialty: HIV/AIDs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM North Bergen, NJ 07047 631 Grand St Ste 1-1
PCMH: No PCMH: No (201) 464-0008 Jersey City, NJ 07304
Fax: (201) 662-1267 (201) 942-3999
02 Yrs/130 Yrs Fax: (201) 942-3998
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No Christ Hospital
M-F 8:30 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 232
Updated: 11/26/2018

Specialty Physicians
Hudson
Radiology - Interventional Restivo, Carl MD Substance Abuse Integrity Inc Fc
& Vascular Provider ID: 945153 Provider ID: 1581362
Gender: Male Integrity Inc Fc Sub Specialty: Partial Care,
Edelman, Mark MD Carl Restivo Jr MD PA Provider ID: 1581362 OPIOID TREATMENT
3 Webster Ave Ste 1 Sub Specialty: Partial Care, PROGRAMS, OUTPATIENT
Jersey City, NJ 07307 OPIOID TREATMENT SERVICES, Medication
Provider ID: 1063529
(201) 798-2900 PROGRAMS, OUTPATIENT Management, RESEDENTIAL
Gender: Male SUBSTANCE ABUSE TREAT
Fax: (201) 798-3582 SERVICES, Medication
Center For Vein Restoration 595 County Ave Bldg 7
18 Yrs/130 Yrs Management, RESEDENTIAL
NJ LLC SUBSTANCE ABUSE TREAT Secaucus, NJ 07094
8901 Kennedy Blvd Ste 3E Christ Hospital
30-32 Central Ave Fl 3 (201) 479-7050
North Bergen, NJ 07047 M-F 8:30 AM - 3:00 PM
Jersey City, NJ 07306 Fax: (201) 293-4293
(855) 830-8346 PCMH: No
(201) 617-2757 00 Yrs/130 Yrs
Fax: (240) 473-4321
Sleep Medicine Fax: (551) 256-9104 M-TH 9:00 AM - 9:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No
M-TH 7:00 AM - 5:30 PM
Han, Paul MD M-F 9:00 AM - 9:00 PM
PCMH: No Integrity Inc Fc
Provider ID: 946821 PCMH: No
Rheumatology Provider ID: 1581362
Gender: Male Integrity Inc Fc Integrity Inc Halfway House
8305 Bergenline Ave Ste A
Provider ID: 1581362 Sub Specialty: Partial Care,
Fogari, Robert MD North Bergen, NJ 07047
Sub Specialty: Partial Care, OPIOID TREATMENT
Provider ID: 433664 (201) 854-7200 PROGRAMS, OUTPATIENT
OPIOID TREATMENT
Gender: Male Fax: (201) 854-0827 PROGRAMS, OUTPATIENT SERVICES, Medication
Sub Specialty: HIV/AIDs 16 Yrs/130 Yrs SERVICES, Medication Management, RESEDENTIAL
3053 John F Kennedy Blvd Fl 1 Englewood Hospital and Management, RESEDENTIAL SUBSTANCE ABUSE TREAT
Jersey City, NJ 73063 Medical Center SUBSTANCE ABUSE TREAT 595 County Ave
(201) 795-2999 Holy Name Medical Center 360-398 MLK Dr Secaucus, NJ 07094
Fax: (201) 795-5211 Palisades Medical Center Jersey City, NJ 07305 (201) 617-2752
00 Yrs/130 Yrs Languages: Spanish, Korean (201) 617-2757 Fax: (201) 522-2111
Christ Hospital M-F 9:00 AM - 5:00 PM Fax: (551) 256-9104 00 Yrs/130 Yrs
Languages: Spanish PCMH: No 00 Yrs/130 Yrs M-TH 9:00 AM - 9:00 PM
MTWTHFSat 11:00 AM - 4:30 M-TH 9:00 AM - 9:00 PM PCMH: No
Zubair, Mohammad MD
PM PCMH: No
PCMH: No Thoracic Surgery
Provider ID: 1132967 Integrity Inc Fc
Maiello, Dominic MD Gender: Male Provider ID: 1581362 Prendergast, Thomas MD
New Jersey Medical and Sub Specialty: Partial Care,
Provider ID: 638015 Health Assoc OPIOID TREATMENT Provider ID: 929317
Gender: Male Sub Specialty: HIV/AIDs PROGRAMS, OUTPATIENT Gender: Male
Dominic J Maiello 16 E 29th St SERVICES, Medication Liberty Surgical Associates
10 Huron Ave Ste 1L Bayonne, NJ 07002 Management, RESEDENTIAL 150 Warren St Second Fl
(973) 926-8203 SUBSTANCE ABUSE TREAT
Jersey City, NJ 07306 Jersey City, NJ 07302
Fax: (973) 923-5688 595 County Ave Bldg 6
(201) 798-7200 (201) 324-3537
12 Yrs/130 Yrs Secaucus, NJ 07094
Fax: (201) 798-7206 Fax: (120) 132-4355
Bayonne Medical Center (201) 583-7100
00 Yrs/130 Yrs 00 Yrs/130 Yrs
Saint Barnabas Medical Fax: (201) 583-7196
Christ Hospital Englewood Hospital and
Center Livingston 00 Yrs/130 Yrs
MTH 8:30 AM - 2:00 PM Medical Center
Languages: Spanish, Hindi M-TH 9:00 AM - 9:00 PM
TW 8:30 AM - 4:00 PM Jersey City Medical Center
M-F 9:00 AM - 5:00 PM PCMH: No Newark Beth Israel Med
F 8:00 AM - 10:00 PM PCMH: No Center
PCMH: No
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 233
Updated: 11/26/2018

Specialty Physicians
Hudson
Thoracic Surgery - cont. Franzoni, David MD Lombardo, Salvatore MD Shulman, Elliot MD
Provider ID: 969476
Prendergast, Thomas MD Gender: Male Provider ID: 969505 Provider ID: 189558
Essex Hudson Urology PC Gender: Male Gender: Male
Provider ID: 929317 213 Frank E Rodgers Blvd S Essex Hudson Urology PC Sovereign Medical Group, LLC
Gender: Male Harrison, NJ 07029 213 Frank E Rodgers Blvd S 807 Kennedy Blvd Ste A
Liberty Surgical Associates (973) 482-7070 Harrison, NJ 07029 Bayonne, NJ 07002
2 Hudson Pl Fax: (973) 481-2402 (973) 482-7070 (201) 339-5799
Hoboken, NJ 07302 00 Yrs/130 Yrs Fax: (973) 481-2402 Fax: (201) 435-2716
(201) 792-7929 Jersey City Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 792-7934 M 9:00 AM - 1:00 PM Clara Maass Medical Center Christ Hospital
00 Yrs/130 Yrs PCMH: No Hackettstown Community M-F 9:00 AM - 5:00 PM
Englewood Hospital and Hospital DBA Hack PCMH: No
Medical Center Hosay, John MD University Hospital
Jersey City Medical Center Provider ID: 451851 M 9:00 AM - 1:00 PM Steigman, Elliot MD
Newark Beth Israel Med Gender: Male PCMH: No
Center Sovereign Medical Group LLC Provider ID: 632061
Languages: Spanish 2555 Kennedy Blvd Lombardo, Salvatore MD Gender: Male
M-F 9:00 AM - 5:00 PM Jersey City, NJ 07304 Sovereign Medical Group LLC
PCMH: No (201) 433-9666 Provider ID: 969505 142 Palisade Ave Ste 211
Fax: (201) 432-9647 Gender: Male Jersey City, NJ 07306
Prendergast, Thomas MD 00 Yrs/130 Yrs Essex Hudson Urology PC (201) 435-2244
Christ Hospital 709 Newark Ave Fax: (201) 222-7733
Provider ID: 929317 M 12:30 AM - 3:30 PM Jersey City, NJ 07306 00 Yrs/130 Yrs
Gender: Male T 11:00 AM - 3:30 PM (973) 743-4450 Christ Hospital
Liberty Surgical Associates W 12:00 AM - 4:30 PM Fax: (973) 743-4450 MT 12:30 AM - 5:30 PM
377 Jersey Ave Ste 280 TH 11:00 AM - 2:00 PM 00 Yrs/130 Yrs W 12:30 AM - 2:30 PM
Jersey City, NJ 07302 PCMH: No Clara Maass Medical Center TH 9:30 AM - 12:30 PM
(201) 915-2807 Hackettstown Community PCMH: No
Fax: (201) 369-5315 Hsieh, Kuang-Yiao MD Hospital DBA Hack
00 Yrs/130 Yrs Provider ID: 969500 University Hospital Wu, David MD
Englewood Hospital and Gender: Male M-F 9:00 AM - 5:00 PM Provider ID: 969494
Medical Center Essex Hudson Urology PC PCMH: No Gender: Male
Jersey City Medical Center 213 Frank E Rodgers Blvd S
Shah, Asha MD Essex Hudson Urology PC
Newark Beth Israel Med Harrison, NJ 07029
Center 213 Frank E Rodgers Blvd S
(973) 482-7070 Provider ID: 941400
Languages: Spanish Harrison, NJ 07029
Fax: (973) 481-2402 Gender: Female
M 8:00 AM - 5:00 PM (973) 482-7070
00 Yrs/130 Yrs Liberty Surgical Associates
TWTHF 9:00 AM - 5:00 PM Fax: (973) 481-2402
Clara Maass Medical Center 2 Hudson Pl
PCMH: No 00 Yrs/130 Yrs
Newark Beth Israel Med Hoboken, NJ 07030
Clara Maass Medical Center
Center (201) 915-2450
Urology St Michael's Medical Center
St Michael's Medical Center 00 Yrs/130 Yrs MT 9:00 AM - 6:00 PM
M 2:00 AM - 6:00 PM Jersey City Medical Center
Caruso, Robert MD PCMH: No
PCMH: No M-F 9:00 AM - 5:00 PM
Provider ID: 969503 PCMH: No
Gender: Male
Essex Hudson Urology PC Shulman, Elliot MD
213 Frank E Rodgers Blvd S Provider ID: 189558
Harrison, NJ 07029 Gender: Male
(973) 482-7070 2255 John F Kennedy Blvd
Fax: (973) 481-2402 Jersey City, NJ 07304
00 Yrs/130 Yrs (201) 433-1057
Clara Maass Medical Center Fax: (201) 435-2716
M 12:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No Christ Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 234
Updated: 11/26/2018

Specialty Physicians
Hudson
Urology/Gynecology Tulsyan, Nirman MD
Provider ID: 1459330
Hessami, Sam MD Gender: Male
Provider ID: 656873 Astra Primary Care Associates
Gender: Male LLC
Sovereign Medical Group LLC 564 Broadway
7650 River Rd Ste 230 Bayonne, NJ 07002
North Bergen, NJ 07047 (201) 468-8888
(201) 520-4790 Fax: (201) 455-3083
Fax: (201) 794-6970 00 Yrs/130 Yrs
00 Yrs/130 Yrs Morristown Memorial
St. Joseph's Hospital Reg Hospital
Medical Center Overlook Hospital
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No

Vascular Surgery Varma, Shubha MD

Elias, Steven MD Provider ID: 332951


Provider ID: 1436527 Gender: Female
Gender: Male Center For Vein Restoration
Medical Associates of NJ LLC
Englewood PC 8901 Kennedy Blvd Ste 3E
3196 Kennedy Blvd 3rd Fl North Bergen, NJ 07047
Union City, NJ 07087 (855) 830-8346
(212) 524-7716 Fax: (240) 473-4321
Fax: (212) 524-7788 00 Yrs/130 Yrs
00 Yrs/130 Yrs Palisades Medical Center
Englewood Hospital and Languages: Hindi
Medical Center M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No
Popovich, Joseph MD
Provider ID: 178475
Gender: Male
355 Grand St
Jersey City, NJ 07302
(201) 915-2000
18 Yrs/130 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 235
Updated: 11/26/2018

Specialty Physicians
Passaic
Allergy & Immunology Chang, Cindy MD Kosinski, Slawomir MD Cardiac Electrophysiology
Provider ID: 944205 Provider ID: 398227
Ahuja, Kishore MD Gender: Female Gender: Male Tsai, Wenchi MD
Provider ID: 398113 547 Union Blvd Ste 1 Ipanj Provider ID: 1072306
Gender: Male Totowa, NJ 07512 Sub Specialty: HIV/AIDs Gender: Female
IPA of North Jersey Inc (973) 790-6707 11 Getty Ave Fl 2 St. Joseph's Physicians
1031 McBride Ave Ste C-204 Fax: (973) 790-1255 Paterson, NJ 75032 Healthcare
Woodland Park, NJ 07424 00 Yrs/130 Yrs (973) 754-2597 Sub Specialty: HIV/AIDs
(973) 785-0060 Languages: Creole, Mandarin, Fax: (973) 754-2628 703 Main St
Fax: (973) 785-1408 Arabic 00 Yrs/130 Yrs Paterson, NJ 07503
00 Yrs/130 Yrs M 11:00 AM - 6:00 PM St. Joseph's Hospital Reg (973) 754-2223
St. Joseph's Hospital Reg T 2:00 AM - 6:00 PM Medical Center 00 Yrs/130 Yrs
Medical Center PCMH: No Languages: Russian, Polish St. Joseph's Hospital Reg
Languages: Hindi M-TH 9:00 AM - 5:00 PM Medical Center
M-TH 9:00 AM - 5:00 PM Golbert, Thomas MD F 9:00 AM - 12:00 PM MTWTHFSatSun 9:00 AM -
F 9:00 AM - 12:00 PM Provider ID: 438865 PCMH: No 5:00 PM
PCMH: No Gender: Male PCMH: No
Center For Asthma and Perin, Patrick MD
Ahuja, Kishore MD Allergy Provider ID: 398289 Tsai, Wenchi MD
Provider ID: 976409 Sub Specialty: HIV/AIDs Gender: Male Provider ID: 1072306
Gender: Male 1777 Hamburg Tpke IPA of North Jersey Inc Gender: Female
1031 McBride Ave Ste C-204 Wayne, NJ 07470 57 Willowbrook Blvd Ste 303 St. Joseph's Physicians
Woodland Park, NJ 07424 (973) 835-0131 Wayne, NJ 07470 Healthcare
(973) 785-0060 00 Yrs/130 Yrs (973) 754-4060 Sub Specialty: HIV/AIDs
Fax: (973) 785-1408 Centra State Medical Center Fax: (973) 754-4077 999 McBride Ave Ste B204
12 Yrs/130 Yrs Raritan Bay Medical Center 00 Yrs/130 Yrs Little Falls, NJ 07424
St. Joseph's Hospital Reg Perth Amboy St. Joseph's Hospital Reg (973) 256-5667
Medical Center Rwiuh At Hamilton Medical Center Fax: (973) 256-7758
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: French 00 Yrs/130 Yrs
PCMH: No PCMH: No M-TH 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
F 9:00 AM - 12:00 PM Medical Center
Chang, Cindy MD Klein, Robert MD MTWTHFSatSun 9:00 AM -
PCMH: No
Provider ID: 1722685 Provider ID: 1594916 5:00 PM
Gender: Female Gender: Male Zaleska, Violetta MD PCMH: No
Allergy Partners of New Jersey Prohealth Care Associates of Provider ID: 946290
547 Union Blvd Ste 1 NJ Gender: Female
Cardiology
Totowa, NJ 07512 1005 Clifton Ave Violetta Zaleska MD PC
Clifton, NJ 07013 Agarwal, Ashoke MD
(973) 790-6707 970 Clifton Ave
Fax: (973) 790-1255 (973) 773-7400 Clifton, NJ 07013
00 Yrs/130 Yrs Fax: (973) 779-5224 (973) 474-2505 Provider ID: 1219079
St. Joseph's Hospital Reg 00 Yrs/130 Yrs Fax: (973) 707-8659 Gender: Male
Medical Center M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs North Jersey Vascular Center
M 11:00 AM - 6:00 PM PCMH: No Prime Health Services-St LLC
T 2:00 AM - 6:00 PM Marys Hospital Sub Specialty: HIV/AIDs
Kosinski, Slawomir MD 1429 Broad St
PCMH: No Languages: Polish
Provider ID: 398227 MT 9:00 AM - 5:00 PM Clifton, NJ 07013
Chang, Cindy MD Gender: Male PCMH: No (973) 532-7899
Provider ID: 1722685 IPA of North Jersey Inc Fax: (862) 238-7213
Gender: Female Sub Specialty: HIV/AIDs 18 Yrs/130 Yrs
Allergy Partners of New Jersey 703 Main St St. Joseph's Hospital Reg
57 Willowbrook Blvd Ste 303 Paterson, NJ 07503 Medical Center
Wayne, NJ 07470 (973) 754-2597 Languages: Hindi, Bengali
(973) 754-4060 00 Yrs/130 Yrs M-W 8:00 AM - 5:00 PM
00 Yrs/130 Yrs St. Joseph's Hospital Reg PCMH: No
St. Joseph's Hospital Reg Medical Center
Medical Center Languages: Russian, Polish
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 9:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 236
Updated: 11/26/2018

Specialty Physicians
Passaic
Cardiology - cont. Atreja, Surabhi MD Bikkina, Mahesh MD Capitanelli, John MD
Provider ID: 1072305 Provider ID: 398146
Agarwal, Ashoke MD Gender: Female Provider ID: 1214357 Gender: Male
St. Joseph's Physicians Gender: Male Ipanj
Provider ID: 1265232 Healthcare North Jersey Vascular Center 342 Hamburg Tpke Ste 107
Gender: Male Sub Specialty: HIV/AIDs LLC Wayne, NJ 07470
MD Partners of Englewood 703 Main St 1429 Broad St (973) 942-1377
Sub Specialty: HIV/AIDs Paterson, NJ 07503 Clifton, NJ 07013 Fax: (973) 942-8864
680 Broadway Ste 116B (973) 942-1141 (973) 532-7899 00 Yrs/130 Yrs
Paterson, NJ 07514 00 Yrs/130 Yrs Fax: (862) 238-7213 St. Joseph's Hospital Reg
(973) 684-8617 St. Joseph's Hospital Reg 18 Yrs/130 Yrs Medical Center
Fax: (973) 523-6037 Medical Center St. Joseph's Hospital Reg Languages: Spanish
00 Yrs/130 Yrs MTWTHFSatSun 9:00 AM - Medical Center M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg 5:00 PM M-W 8:00 AM - 5:00 PM PCMH: No
Medical Center PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM Capitanelli, John MD
Azhak, Sameer MD Bikkina, Mahesh MD Provider ID: 398146
PCMH: No
Gender: Male
Ahmad, Ahsanuddin MD Provider ID: 529927 Provider ID: 1414295 Ipanj
Gender: Male Gender: Male 999 McBride Ave Ste B204
Provider ID: 1341013 721 Clifton Ave Ste 2A St Josephs Healthcare Inc Woodland Park, NJ 07424
Gender: Male Clifton, NJ 07013 11 Getty Ave Bldg 275 2nd Fl (973) 256-5667
Atlantic Medical Group (973) 914-1990 Paterson, NJ 07503 Fax: (973) 256-7758
2035 Hamburg Tpke Ste L Fax: (973) 942-1250 (973) 754-2270 00 Yrs/130 Yrs
Wayne, NJ 07470 00 Yrs/130 Yrs 00 Yrs/130 Yrs St. Joseph's Hospital Reg
(973) 248-0200 St. Joseph's Hospital Reg St. Joseph's Hospital Reg Medical Center
18 Yrs/110 Yrs Medical Center Medical Center Languages: Spanish
Childrens Ambulatory Surgery M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM
Center of NJ PCMH: No PCMH: No F 9:00 AM - 12:00 PM
St. Joseph's Hospital Reg PCMH: No
Medical Center Biehl, Michael MD Blitz, Lawrence MD
MTWTHFSat 9:30 AM - 1:30 Provider ID: 398138 Cho, Soung MD
PM Gender: Male Provider ID: 1235151 Provider ID: 1267929
PCMH: No Ipanj Gender: Male Gender: Male
246 Hamburg Tpke Ste 201 Atlantic Medical Group Medical Associates of
Atreja, Surabhi MD Wayne, NJ 07470 1777 Hamburg Tpke Ste 102 Englewood PC
Provider ID: 1072305 (973) 942-1141 Wayne, NJ 07470 Sub Specialty: HIV/AIDs
Gender: Female Fax: (973) 942-1250 (973) 831-7455 680 Broadway Ste 116B
St. Joseph's Physicians 00 Yrs/130 Yrs Fax: (973) 831-7585 Paterson, NJ 07514
Healthcare St. Joseph's Hospital Reg 00 Yrs/130 Yrs (973) 684-8617
Sub Specialty: HIV/AIDs Medical Center Morristown Memorial Fax: (973) 523-6037
246 Hamburg Tpke Ste 201 M-TH 9:00 AM - 5:00 PM Hospital 00 Yrs/130 Yrs
Wayne, NJ 07470 F 9:00 AM - 12:00 PM M-F 8:00 AM - 5:00 PM Christ Hospital
(973) 942-1141 PCMH: No PCMH: No Englewood Hospital and
Fax: (973) 942-1250 Medical Center
00 Yrs/130 Yrs Capitanelli, John MD M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Provider ID: 398146 PCMH: No
Medical Center Gender: Male
MTWTHFSatSun 9:00 AM - 703 Main St Ste 107
5:00 PM Paterson, NJ 07503
PCMH: No (973) 754-2000
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 237
Updated: 11/26/2018

Specialty Physicians
Passaic
Cardiology - cont. Di Giorgio, Christopher MD Doss, Emile MD Ghassemi, Rex MD
Provider ID: 398172 Provider ID: 398193
Cruz, Mary MD Provider ID: 1328479 Gender: Male Gender: Male
Provider ID: 1485313 Gender: Male Sub Specialty: HIV/AIDs Ipanj3
Gender: Female Medical Assoc of Englewood 703 Main St 246 Hamburg Tpke Ste 201
St Josephs Physicians PC Paterson, NJ 07503 Wayne, NJ 07470
Healthcare Gr 1033 US Hwy 46 Ste G1 (973) 754-2000 (973) 942-1141
246 Hamburg Tpke Ste 201 Clifton, NJ 07013 00 Yrs/130 Yrs Fax: (973) 942-1250
Wayne, NJ 07470 (973) 777-3711 St. Joseph's Hospital Reg 00 Yrs/130 Yrs
(973) 942-1141 Fax: (973) 472-3938 Medical Center St. Joseph's Hospital Reg
Fax: (973) 942-1250 00 Yrs/130 Yrs Languages: Arabic Medical Center
00 Yrs/130 Yrs Englewood Hospital and M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Medical Center PCMH: No F 9:00 AM - 12:00 PM
Medical Center M-F 9:00 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No Faillace, Robert MD
PCMH: No Provider ID: 988748 Grossman, Steven MD
Doss, Emile MD Gender: Male Provider ID: 1258479
Das, Dhirendra MD Provider ID: 398172 Sjrmc Gender: Male
Provider ID: 1087115 Gender: Male 703 Main St Sub Specialty: HIV/AIDs
Gender: Male Sub Specialty: HIV/AIDs Paterson, NJ 07503 703 Main St
New Jersey Medical and 224 Hamburg Tpke (973) 754-2612 Paterson, NJ 07503
Health Assoc Wayne, NJ 07470 00 Yrs/130 Yrs (973) 754-3225
342 Hamburg Tpke Ste 208 (973) 942-6900 St. Joseph's Hospital Reg 18 Yrs/130 Yrs
Wayne, NJ 07470 00 Yrs/130 Yrs Medical Center Englewood Hospital and
(973) 790-5357 St. Joseph's Hospital Reg Languages: Spanish, Arabic Medical Center
Fax: (973) 790-0007 Medical Center M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
18 Yrs/130 Yrs Languages: Arabic PCMH: No Medical Center
Englewood Hospital and M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Medical Center PCMH: No Fusilli, Louis MD PCMH: No
Newark Beth Israel Med Provider ID: 398191
Center Doss, Emile MD Gender: Male Gupta, Ajay MD
St. Joseph's Hospital Reg Provider ID: 398172 Sub Specialty: HIV/AIDs Provider ID: 1007279
Medical Center Gender: Male
Gender: Male 703 Main St
Languages: Spanish, Hindi New Jersey Medical and
Sub Specialty: HIV/AIDs Paterson, NJ 07503
M-F 9:00 AM - 5:00 PM Health Assoc
510 Hamburg Tpke Ste 107 (973) 754-2000
PCMH: No Sub Specialty: HIV/AIDs
Wayne, NJ 07470 00 Yrs/130 Yrs
(973) 942-7377 St. Joseph's Hospital Reg 1225 McBride Ave Ste 201
Das, Dhirendra MD Wooland Park, NJ 07424
Fax: (973) 942-7030 Medical Center
Provider ID: 1456724 (201) 475-5050
00 Yrs/130 Yrs Languages: Italian
Gender: Male Fax: (201) 475-5522
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
Medical Associates of 00 Yrs/130 Yrs
Medical Center PCMH: No
Englewood PC Newark Beth Israel Med
Languages: Arabic
342 Hamburg Tpke Ste 208 Fusilli, Louis MD Center
MWTHF 10:00 AM - 3:00 PM
Wayne, NJ 07470 Prime Health Services-St
T 10:00 AM - 5:00 PM Provider ID: 398191
(973) 790-5357 Marys Hospital
PCMH: No Gender: Male
Fax: (973) 790-0007 St. Joseph's Hospital Reg
Ipanj
00 Yrs/130 Yrs Medical Center
Sub Specialty: HIV/AIDs
Englewood Hospital and Languages: Hindi
999 McBride Ave Ste B204
Medical Center M-F 9:00 AM - 5:00 PM
Newark Beth Israel Med West Paterson, NJ 07424 PCMH: No
Center (973) 256-5667
St. Joseph's Hospital Reg Fax: (973) 256-7758
Medical Center 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No Medical Center
Languages: Italian
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 238
Updated: 11/26/2018

Specialty Physicians
Passaic
Cardiology - cont. Gupta, Ajay MD Habib, Michael MD Kahf, Ahmad MD
Provider ID: 1456727 Provider ID: 976419 Provider ID: 398213
Gupta, Ajay MD Gender: Male Gender: Male Gender: Male
Provider ID: 1007279 350 Blvd Mh Medical Center LLC IPA of North Jersey Inc
Gender: Male Passaic, NJ 07055 Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
New Jersey Medical and (973) 595-5345 680 Broadway Ste 503 401 Haledon Ave Ste 2
Health Assoc 00 Yrs/130 Yrs Paterson, NJ 07514 Haledon, NJ 07508
Sub Specialty: HIV/AIDs Newark Beth Israel Med (973) 653-5867 (973) 942-3767
401 Hamburg Tpke Ste 109 Center Fax: (973) 653-5868 Fax: (973) 942-1027
Wayne, NJ 07470 Prime Health Services-St 12 Yrs/130 Yrs 00 Yrs/130 Yrs
(973) 779-8887 Marys Hospital Prime Health Services-St St. Joseph's Hospital Reg
Fax: (973) 595-5069 St. Joseph's Hospital Reg Marys Hospital Medical Center
00 Yrs/130 Yrs Medical Center Saint Peter's University M-TH 9:00 AM - 5:00 PM
Newark Beth Israel Med M-F 9:00 AM - 5:00 PM Hospital F 9:00 AM - 12:00 PM
Center PCMH: No St. Joseph's Hospital Reg PCMH: No
Prime Health Services-St Medical Center
Marys Hospital Gupta, Ajay MD Languages: Arabic Kahf, Ahmad MD
St. Joseph's Hospital Reg Provider ID: 1456727 M-F 9:00 AM - 5:00 PM Provider ID: 797675
Medical Center Gender: Male PCMH: No Gender: Male
Languages: Hindi Medical Associates of Medical Group of North
M-F 9:00 AM - 5:00 PM Englewood PC Habib, Michael MD Jersey
PCMH: No 401 Hamburg Tpke Ste 109 Provider ID: 976419 Sub Specialty: HIV/AIDs
Wayne, NJ 07470 Gender: Male 401 Haledon Ave Ste 2
Gupta, Ajay MD (973) 779-8887 Mh Medical Center LLC Haledon, NJ 07508
Provider ID: 1007279 Fax: (973) 595-5069 Sub Specialty: HIV/AIDs (973) 942-3767
Gender: Male 00 Yrs/130 Yrs 703 Main St Fax: (973) 942-1027
New Jersey Medical and Newark Beth Israel Med Paterson, NJ 07503 00 Yrs/130 Yrs
Health Assoc Center (973) 684-8138 St. Joseph's Hospital Reg
Sub Specialty: HIV/AIDs Prime Health Services-St Fax: (732) 698-1379 Medical Center
50 Mount Prospect Ave Ste Marys Hospital 12 Yrs/130 Yrs
St. Joseph's Hospital Reg Languages: Arabic
101 Prime Health Services-St
Medical Center M-TH 9:00 AM - 5:00 PM
Clifton, NJ 07013 Marys Hospital
M-F 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM
(973) 779-8887 Saint Peter's University
PCMH: No PCMH: No
Fax: (973) 595-5069 Hospital
00 Yrs/130 Yrs St. Joseph's Hospital Reg Karou, Fadi MD
Gupta, Ajay MD Medical Center
Newark Beth Israel Med Provider ID: 1491808
Center Provider ID: 976382 Languages: Arabic
Gender: Male Gender: Male
Prime Health Services-St M-F 9:00 AM - 5:00 PM
Marys Hospital 50 Mount Prospect Ave Ste NJ Premier Heart
PCMH: No
St. Joseph's Hospital Reg 101 716 Broad St Ste 2D
Medical Center Clifton, NJ 07013 Hupart, Preston DO Clifton, NJ 07013
Languages: Hindi (973) 779-8887 (973) 435-6070
M-F 9:00 AM - 5:00 PM Fax: (973) 779-1313 Fax: (973) 435-6090
Provider ID: 1247578
PCMH: No 12 Yrs/130 Yrs 00 Yrs/130 Yrs
Gender: Male
Newark Beth Israel Med St. Joseph's Hospital Reg
Atlantic Medical Group
Center Medical Center
2035 Hamburg Tpke Ste L
Prime Health Services-St M-F 9:00 AM - 5:00 PM
Wayne, NJ 07470
Marys Hospital PCMH: No
St. Joseph's Hospital Reg (973) 248-0200
Medical Center Fax: (973) 248-3455
M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs
PCMH: No Christ Hospital
Morristown Memorial
Hospital
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 239
Updated: 11/26/2018

Specialty Physicians
Passaic
Cardiology - cont. Konlian, Donna MD Mohammad, Naser MD Nadiminti, Sheila MD
Provider ID: 398225
Khaddash, Ibrahim MD Gender: Female Provider ID: 1485309 Provider ID: 1430988
Provider ID: 1520610 Ipanj Gender: Male Gender: Female
Gender: Male Sub Specialty: HIV/AIDs St Josephs Physicians Bhmg - United Medical
Saleh Khaddash MD 535 Broad St Healthcare Gr 533 Lexington Ave
969 Paulison Ave Clifton, NJ 07013 342 Hamburg Turnpike Clifton, NJ 07011
Clifton, NJ 07011 (973) 471-8850 Wayne, NJ 07470 (973) 546-6844
(973) 546-3355 Fax: (973) 942-1250 (973) 942-1377 Fax: (973) 546-7707
Fax: (973) 546-8501 00 Yrs/130 Yrs Fax: (973) 256-7758 00 Yrs/130 Yrs
00 Yrs/130 Yrs St. Joseph's Hospital Reg 00 Yrs/130 Yrs Jersey City Medical Center
St. Joseph's Hospital Reg Medical Center St. Joseph's Hospital Reg Saint Barnabas Medical
Medical Center M-F 9:00 AM - 5:00 PM Medical Center Center Livingston
M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No PCMH: No Medical Center
Losardo, Anthony MD M-F 8:00 AM - 5:00 PM
Khaddash, Ibrahim MD Provider ID: 398246 Mohammad, Naser MD PCMH: No
Gender: Male
Provider ID: 1573026 Ipanj Provider ID: 1485309 Narang, Ravinder MD
Gender: Male Sub Specialty: HIV/AIDs Gender: Male
North Jersey Vascular Center 999 McBride Ave Ste B204 St Josephs Physicians Provider ID: 472180
LLC West Paterson, NJ 07424 Healthcare Gr Gender: Male
1429 Broad St (973) 256-5667 999 McBride Ave Ste B204 Ravinder Narang MD
Clifton, NJ 07013 Fax: (973) 256-7758 Woodland Park, NJ 07424 721 Clifton Ave Ste 1C
(973) 532-7899 00 Yrs/130 Yrs (973) 256-5667 Clifton, NJ 07013
Fax: (862) 238-7213 St. Joseph's Hospital Reg Fax: (973) 256-7758 (973) 471-9454
00 Yrs/130 Yrs Medical Center 00 Yrs/130 Yrs Fax: (973) 471-9576
St. Joseph's Hospital Reg M-TH 9:00 AM - 5:00 PM St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Medical Center F 9:00 AM - 12:00 PM Medical Center St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM Medical Center
PCMH: No PCMH: No M-W 3:00 AM - 7:00 PM
Maresca, Warren MD TH 10:00 AM - 1:00 PM
Khaddash, Ibrahim MD Provider ID: 398252 Motivala, Apurva MD PCMH: No
Gender: Male
Provider ID: 1605083 Sub Specialty: HIV/AIDs Provider ID: 1315949 Obeleniene, Rimvida MD
Gender: Male 342 Hamburg Tpke Ste 107 Gender: Male
Medical Associates of Wayne, NJ 07470 Medical Associates of Provider ID: 1028640
Englewood, PC (973) 942-1377 Englewood PC Gender: Female
969 Paulison Ave Fax: (973) 942-8864 1225 McBride Ave Ste 201 New Jersey Medical and
Clifton, NJ 07011 00 Yrs/130 Yrs Woodland Park, NJ 07424 Health Assoc
(973) 546-3355 St. Joseph's Hospital Reg (973) 812-0377 703 Main St
Fax: (973) 546-8501 Medical Center Fax: (973) 812-0383 Paterson, NJ 07503
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs (973) 471-5250
St. Joseph's Hospital Reg PCMH: No M-F 9:00 AM - 5:00 PM Fax: (201) 475-5522
Medical Center PCMH: No 00 Yrs/130 Yrs
Mohammad, Naser MD
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Provider ID: 1485309 Medical Center
PCMH: No
Gender: Male Languages: Spanish, Russian,
1040 Main St Fl 2 Lithuanian
Paterson, NJ 07503 M-F 9:00 AM - 5:00 PM
(973) 782-6615 PCMH: No
Fax: (973) 782-6618
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 240
Updated: 11/26/2018

Specialty Physicians
Passaic
Cardiology - cont. Rathi, Ravi MD Schair, Barry MD Schair, Barry MD
Provider ID: 1247579 Provider ID: 976351 Provider ID: 976351
Prakash, Atul MD Gender: Male Gender: Male Gender: Male
Provider ID: 1255707 Atlantic Medical Group St Josephs Phys Hlthcr Gp St Josephs Phys Hlthcr Gp
Gender: Male 2035 Hamburg Tpke Ste L Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Depaul Ambulatory Center Wayne, NJ 07470 224 Hamburg Tpke 703 Main St
Sub Specialty: HIV/AIDs (973) 248-0200 Wayne, NJ 07470 Paterson, NJ 07503
11 Getty Ave Bldg 275 Fl 2 Fax: (973) 248-3455 (973) 942-1141 (973) 754-2000
Paterson, NJ 07503 16 Yrs/130 Yrs Fax: (973) 942-1250 02 Yrs/130 Yrs
(973) 754-2270 AHS Hospital 02 Yrs/130 Yrs St. Joseph's Hospital Reg
Fax: (973) 754-4392 Christ Hospital St. Joseph's Hospital Reg Medical Center
00 Yrs/130 Yrs Languages: Hindi Medical Center Languages: Spanish
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Languages: Spanish M-F 9:00 AM - 5:00 PM
Medical Center PCMH: No M-F 9:00 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No Salimi, Mostafa MD Shamoon, Fayez MD
Provider ID: 398313 Schair, Barry MD Provider ID: 1148563
Prakash, Atul MD Gender: Male Provider ID: 976351 Gender: Male
Provider ID: 1343235 Ipanj Gender: Male St Josephs Healthcare Inc
Gender: Male Sub Specialty: HIV/AIDs St Josephs Phys Hlthcr Gp 11 Getty Ave Bldg 275 Fl 2
350 Blvd Fl 2 246 Hamburg Tpke Ste 201 Sub Specialty: HIV/AIDs Paterson, NJ 07503
Passaic, NJ 70552 Wayne, NJ 07470 246 Hamburg Tpke Ste 201 (973) 754-2250
(973) 365-4300 (973) 942-1141 Wayne, NJ 07470 Fax: (973) 754-2548
18 Yrs/110 Yrs Fax: (973) 942-1250 (973) 942-1141 00 Yrs/130 Yrs
Prime Health Services-St 00 Yrs/130 Yrs Fax: (973) 942-1250 St. Joseph's Hospital Reg
Marys Hospital St. Joseph's Hospital Reg 02 Yrs/130 Yrs Medical Center
St. Joseph's Hospital Reg Medical Center St. Joseph's Hospital Reg Languages: Arabic
Medical Center Languages: Spanish, Russian, Medical Center M-F 9:00 AM - 5:00 PM
Languages: Spanish Faroese Languages: Spanish PCMH: No
M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No F 9:00 AM - 12:00 PM PCMH: No Siepser, Stuart MD
PCMH: No Provider ID: 1247904
Prakash, Atul MD Schair, Barry MD Gender: Male
Provider ID: 1343235 Salimi, Mostafa MD Provider ID: 976351 Atlantic Medical Group
Gender: Male Provider ID: 398313 Gender: Male 1777 Hamburg Tpke Ste 102
Cardiac Arrhythmia Specialists Gender: Male St Josephs Phys Hlthcr Gp Wayne, NJ 07470
PC Ipanj Sub Specialty: HIV/AIDs (973) 831-7455
905 Allwood Rd Ste 103 Sub Specialty: HIV/AIDs 350 Blvd Fax: (973) 831-7585
Clifton, NJ 07012 721 Clifton Ave Ste 2A Passaic, NJ 07055 18 Yrs/130 Yrs
(973) 253-8600 Clifton, NJ 07013 (973) 942-1141 Morristown Memorial
Fax: (973) 340-1518 (973) 942-1141 Hospital
Fax: (973) 942-1250
18 Yrs/110 Yrs Fax: (973) 942-1250 M-F 9:00 AM - 5:00 PM
02 Yrs/130 Yrs
Prime Health Services-St 00 Yrs/130 Yrs PCMH: No
St. Joseph's Hospital Reg
Marys Hospital St. Joseph's Hospital Reg Medical Center
St. Joseph's Hospital Reg Suede, Samuel MD
Medical Center Languages: Spanish
Medical Center
Languages: Spanish, Russian, M-F 9:00 AM - 5:00 PM Provider ID: 944374
Languages: Spanish Faroese PCMH: No Gender: Male
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 290 Lafayette Ave
PCMH: No PCMH: No Hawthorne, NJ 07506
(973) 427-9200
18 Yrs/110 Yrs
Englewood Hospital and
Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 241
Updated: 11/26/2018

Specialty Physicians
Passaic
Cardiology - cont. Tabaksblat, Martin MD Vehra, Ijaz MD Virk, Hartaj MD
Provider ID: 398346 Provider ID: 621126
Sullivan, Brendan MD Provider ID: 1311438 Gender: Male Gender: Male
Gender: Male Sub Specialty: HIV/AIDs St Josephs Physicians
Provider ID: 1298969 Atlantic Medical Group 50 S Franklin Tpke Healthcare Gr
Gender: Male 1777 Hamburg Tpke Ste 102 Ramsey, NJ 07446 703 Main St
Sovereign Medical Group LLC Wayne, NJ 07470 (201) 934-0034 Paterson, NJ 07503
297 Lafayette Ave (973) 831-7455 00 Yrs/130 Yrs (973) 754-2000
Hawthorne, NJ 07506 Fax: (973) 831-7585 St. Joseph's Hospital Reg 00 Yrs/130 Yrs
(973) 423-2501 18 Yrs/130 Yrs Medical Center Bayonne Medical Center
Fax: (973) 423-9388 AHS Hospital Languages: Urdu, Punjabi Prime Health Services-St
00 Yrs/130 Yrs Morristown Memorial M-F 9:00 AM - 5:00 PM Marys Hospital
Hospital PCMH: No St. Joseph's Hospital Reg
M 8:30 AM - 12:30 PM
M-F 8:00 AM - 5:00 PM Medical Center
TW 2:00 AM - 5:00 PM
PCMH: No Virk, Hartaj MD M-F 9:00 AM - 5:00 PM
PCMH: No
Provider ID: 1214363 PCMH: No
Sullivan, Gregory MD Tiyyagura, Satish MD Gender: Male
Znamensky, Vladimir MD
Provider ID: 1274872 North Jersey Vascular Center
Provider ID: 1714794 Gender: Male LLC
703 Main St 1429 Broad St Provider ID: 1242801
Gender: Male
Paterson, NJ 07503 Clifton, NJ 07013 Gender: Male
Vytaliz Medical LLC
(973) 754-3225 (973) 532-7899 Atlantic Medical Group
1117 Rte 46 Ste 2020
00 Yrs/130 Yrs Fax: (862) 238-7213 2035 Hamburg Tpke Ste L
Clifton, NJ 07013
St. Joseph's Hospital Reg 18 Yrs/130 Yrs Wayne, NJ 07470
(201) 205-2628
Medical Center Bayonne Medical Center (973) 248-0200
Fax: (844) 750-6904
M-F 9:00 AM - 5:00 PM Prime Health Services-St Fax: (973) 248-3455
00 Yrs/130 Yrs
PCMH: No Marys Hospital 18 Yrs/130 Yrs
Prime Health Services-St St. Joseph's Hospital Reg AHS Hospital
Marys Hospital Medical Center
Toor, Saddad MD Jersey City Medical Center
M-F 9:00 AM - 5:00 PM Languages: Hindi, Punjabi
Provider ID: 529940 M-F 9:00 AM - 5:00 PM
PCMH: No M-W 8:00 AM - 5:00 PM
Gender: Male PCMH: No
Ipanj PCMH: No
Sullivan, Gregory MD Cardiovascular Surgery
Sub Specialty: HIV/AIDs
Virk, Hartaj MD
Provider ID: 1714798 246 Hamburg Tpke Ste 201
Wayne, NJ 07470 Provider ID: 1346113 Lakhanpal, Sanjiv MD
Gender: Male Gender: Male
Vytaliz Medical LLC (973) 942-1141
Fax: (973) 942-1250 St Josephs Healthcare Inc Provider ID: 1059523
1117 Rte 46 Ste 2020 11 Getty Ave Bldg Ste 275 2nd
00 Yrs/130 Yrs Gender: Male
Clifton, NJ 07013 Fl
St. Joseph's Hospital Reg Center For Vein Restoration
(201) 205-2628 Paterson, NJ 07503 NJ LLC
Medical Center
Fax: (844) 750-6904 (973) 754-2270 205 Browertown Rd Ste 001
Languages: Hindi, Urdu
00 Yrs/130 Yrs Fax: (973) 754-4392 Little Falls, NJ 07424
M-TH 9:00 AM - 5:00 PM
Prime Health Services-St 00 Yrs/130 Yrs (855) 830-8346
Marys Hospital F 9:00 AM - 12:00 PM
PCMH: No St. Joseph's Hospital Reg Fax: (240) 473-4321
M-F 9:00 AM - 5:00 PM Medical Center 00 Yrs/130 Yrs
PCMH: No M-F 9:00 AM - 5:00 PM Monmouth Medical Center
PCMH: No M-F 8:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 242
Updated: 11/26/2018

Specialty Physicians
Passaic
Child Neurology Papaleonardos, George DC Clinical Neurophysiology Nochumson, Joshua MD
Bennett, Harvey MD Provider ID: 1267845 Catania, Lori PHD Provider ID: 1278849
Provider ID: 1252055 Gender: Male Provider ID: 1603769 Gender: Male
Gender: Male Spine & Wellness Center of Gender: Female Atlantic Medical Group
1777 Hamburg Tpke Ste 205 Paterson St Joseph Healthcare Inc 1777 Hamburg Tpke Ste 205
Wayne, NJ 07470 515 Market St 703 Main St Wayne, NJ 07470
(973) 971-5700 Paterson, NJ 07501 Paterson, NJ 07503 (973) 831-5063
Fax: (973) 290-7417 (973) 684-1005 (973) 754-2309 Fax: (973) 907-1031
00 Yrs/21 Yrs Fax: (973) 684-1006 Fax: (737) 543-3331 00 Yrs/130 Yrs
Morristown Memorial 00 Yrs/130 Yrs 00 Yrs/130 Yrs AHS Hospital
Hospital Languages: Greek St. Joseph's Hospital Reg M-F 8:30 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM M-TH 11:00 AM - 7:00 PM Medical Center PCMH: No
PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No Dermatology
Chiropractic Schulman, Suzi DC
Provider ID: 1048680 Miller, Gary MD Ahkami Whitworth, Rosaline
Degeorge, Michael DC Gender: Female Provider ID: 976417 MD
Provider ID: 1146045 Suzi Robin Schulman DC LLC Gender: Male Provider ID: 923572
Gender: Male 1117 Rte 46 Ste 204 St Joseph's Healthcare Gender: Female
Holsman Physical Therapy and Clifton, NJ 07013 703 Main St Atlantic Dermatology
Rehabi (973) 742-3400 Paterson, NJ 07503 Associates LLC
1070 Clifton Ave Ste 1A Fax: (973) 742-3535 (973) 505-0271 1031 McBride Ave Ste D203
Clifton, NJ 07013 00 Yrs/130 Yrs Fax: (973) 754-2840 Woodland Park, NJ 07424
(973) 246-6565 Prime Health Services-St 02 Yrs/130 Yrs (973) 256-6350
Fax: (973) 883-0140 Marys Hospital JFK Medical Center Fax: (973) 256-7388
00 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Prime Health Services-St MT 10:00 AM - 7:00 PM PCMH: No Prime Health Services-St
Marys Hospital W 9:00 AM - 4:00 PM Marys Hospital
Languages: Spanish, Tagalog PCMH: No Colon & Rectal Surgery Languages: Spanish, Russian,
M-F 9:00 AM - 5:00 PM Ukrainian
PCMH: No Sidoti, Thomas DC Khoury, Hani MD MWTHF 8:30 AM - 8:00 PM
Provider ID: 986863 Provider ID: 398222 T 8:30 AM - 5:00 PM
Guma, Richard DC Gender: Male Gender: Male PCMH: No
Provider ID: 1611522 Tjs Chiropractic PC IPA of North Jersey Inc
Gender: Male 180 Lexington Ave 502 Hamburg Tpke Ste 107 Aspen, Otter MD
Prohealth Care Associates of Passaic, NJ 07055 Wayne, NJ 07470 Provider ID: 643094
New Je (973) 773-2244 (973) 942-6611 Gender: Male
930 Clifton Ave Fax: (973) 472-8577 Fax: (973) 942-5906 North Jersey Dermatology
Clifton, NJ 07013 00 Yrs/130 Yrs 00 Yrs/130 Yrs Center PC
(973) 859-5115 MWTH 9:00 AM - 7:00 PM St. Joseph's Hospital Reg 925 Clifton Ave 2nd Fl Ste 207
Fax: (973) 859-5118 T 3:00 AM - 7:00 PM Medical Center Clifton, NJ 07013
00 Yrs/130 Yrs PCMH: No Languages: Arabic (973) 955-4800
M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM Fax: (973) 955-4804
PCMH: No F 9:00 AM - 12:00 PM 00 Yrs/130 Yrs
PCMH: No Prime Health Services-St
Kazan, Yanal DC Marys Hospital
Provider ID: 1346073 M-F 9:00 AM - 6:00 PM
Gender: Male Sat 9:00 AM - 2:00 PM
Chiropractic Pain PCMH: No
Management
470 Chamberlain Ave Ste 1
Paterson, NJ 07522
(973) 942-1212
Fax: (973) 942-0523
16 Yrs/130 Yrs
M-F 10:00 AM - 7:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 243
Updated: 11/26/2018

Specialty Physicians
Passaic
Dermatology - cont. Rapaport, Jeffrey MD Zouzias, Dimitris MD Labagnara Jr, James MD
Provider ID: 398368 Provider ID: 455131
Masessa, Joseph MD Provider ID: 1640749 Gender: Male Gender: Male
Gender: Male IPA of North Jersey Inc IPA of North Jersey Inc
Provider ID: 607147 North Jersey Dermatology 703 Main St 311 Lexington Ave
Gender: Male Center PC Paterson, NJ 07503 Paterson, NJ 07502
North Jersey Dermatology 925 Clifton Ave Fl 2 Ste 207 (973) 754-2271 (973) 942-1300
Center PC Clifton, NJ 07013 00 Yrs/130 Yrs Fax: (973) 942-4267
925 Clifton Ave Ste 207 Fl 2 (973) 955-4800 St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Clifton, NJ 07013 Fax: (973) 955-4804 Medical Center St. Joseph's Hospital Reg
(973) 955-4800 00 Yrs/130 Yrs Languages: Spanish Medical Center
Fax: (973) 955-4804 Holy Name Medical Center M-TH 9:00 AM - 5:00 PM Languages: Italian
00 Yrs/130 Yrs St. Joseph's Hospital Reg F 9:00 AM - 12:00 PM MW 1:00 AM - 5:00 PM
Newark Beth Israel Med Medical Center PCMH: No T 1:00 AM - 6:00 PM
Center M-F 9:00 AM - 5:00 PM PCMH: No
M-TH 9:00 AM - 7:00 PM PCMH: No Ear, Nose & Throat
F 9:00 AM - 5:00 PM Labagnara Jr, James MD
Sat 9:00 AM - 12:00 PM Whitworth, Jeffrey MD Goodnight, James MD Provider ID: 455131
PCMH: No Provider ID: 1211691 Gender: Male
Provider ID: 440644 Gender: Male IPA of North Jersey Inc
Pandya, Komal MD Gender: Male Depaul Ambulatory Center 703 Main St Out Patient Clinic
Provider ID: 944008 Atlantic Dermatology 11 Getty Ave Fl 2 Bldg 275 Paterson, NJ 07503
Gender: Female Associates LLC Paterson, NJ 07503 (973) 754-2270
The Dermatology Group PC 1031 McBride Ave Ste D203 (973) 754-2270 00 Yrs/130 Yrs
1900 Union Valley Rd Ste 303 Woodland Park, NJ 07424 Fax: (973) 754-4392 St. Joseph's Hospital Reg
Hewitt, NJ 07421 (973) 256-6350 00 Yrs/130 Yrs Medical Center
(973) 571-2121 Fax: (973) 256-7388 St. Joseph's Hospital Reg Languages: Italian
Fax: (973) 498-0569 00 Yrs/130 Yrs Medical Center M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
Clara Maass Medical Center PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM Labagnara Jr, James MD
PCMH: No Zemel, Mathias MD Kardos, Frank MD
Provider ID: 208418 Provider ID: 472330 Provider ID: 455131
Rapaport, Jeffrey MD Gender: Male Gender: Male Gender: Male
Dr Mathias Zemel LLC Frank Kardos MD St. Joseph's Healthcare Inc
Provider ID: 1640749 660 Broadway 220 Hamburg Tpke Ste 23 11 Getty Ave Bldg 275 2nd Fl
Gender: Male Paterson, NJ 07514 Wayne, NJ 07470 Paterson, NJ 07503
North Jersey Dermatology (973) 279-1232 (973) 956-1200 (973) 754-2270
Center PC Fax: (973) 279-5001 Fax: (973) 595-0304 00 Yrs/130 Yrs
7 Oak Ridge Rd Apt 3 00 Yrs/130 Yrs 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Newfoundland, NJ 07435 Languages: Spanish, Hebrew Languages: Spanish, Italian, Medical Center
(973) 208-8110 M-F 9:00 AM - 6:00 PM Hungarian Languages: Italian
Fax: (973) 208-8106 PCMH: No M-F 9:00 AM - 5:00 PM MTWTHFSatSun 9:00 AM -
00 Yrs/130 Yrs PCMH: No 5:00 PM
Holy Name Medical Center PCMH: No
St. Joseph's Hospital Reg Labagnara Jr, James MD
Medical Center Provider ID: 455131
M-F 9:00 AM - 5:00 PM Gender: Male
PCMH: No 224 Hamburg Tpke
Wayne, NJ 07470
(973) 942-6900
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
Languages: Italian
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 244
Updated: 11/26/2018

Specialty Physicians
Passaic
Endocrinology, Diabetes, Khaddash, Saleh MD Srisethnil, Pudchong MD Wiesen, Mark MD
Metabolism Provider ID: 486296
Provider ID: 1646953 Provider ID: 449740 Gender: Male
Eliades, Myrto MD Gender: Male Gender: Male Diabetes Endocrinology
Provider ID: 1436835 Medical Associates of 342 Hamburg Tpke Ste Ste 107 Metabolism S
Gender: Female Englewood, PC Wayne, NJ 07470 Sub Specialty: HIV/AIDs
Bhmg - United Medical 969 Paulison Ave (973) 278-4673 6 Brighton Rd Ste 103
533 Lexington Ave Clifton, NJ 07011 Fax: (973) 278-0450 Clifton, NJ 07012
Clifton, NJ 07011 (973) 546-3355 00 Yrs/130 Yrs (973) 471-2692
(973) 546-6844 Fax: (973) 546-8501 St. Joseph's Hospital Reg Fax: (973) 470-8188
Fax: (973) 546-7707 18 Yrs/110 Yrs Medical Center 16 Yrs/130 Yrs
16 Yrs/130 Yrs St. Joseph's Hospital Reg Languages: Thai MT 9:00 AM - 3:00 PM
M-TH 8:00 AM - 7:00 PM Medical Center M 9:00 AM - 5:00 PM PCMH: No
F 8:00 AM - 5:00 PM M-TH 10:00 AM - 6:00 PM PCMH: No
Sat 8:00 AM - 12:00 PM F 2:00 AM - 6:00 PM Endodontics
PCMH: No PCMH: No Srisethnil, Pudchong MD
Marsheh, Firas DDS
Gibiezaite, Sandra MD Khaddash, Saleh MD Provider ID: 449740 Provider ID: TPVP72423-34
Provider ID: 1095913 Provider ID: 431295 Gender: Male Gender: Male
Gender: Female Gender: Male 561 E 28th St Broadway Family Dental
St Josephs Healthcare Inc Saleh T Khaddash Paterson, NJ 07504 15 Broadway 2nd Fl
Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs (973) 278-4673 Passaic, NJ 07055
57 Willowbrook Blvd Ste 303 969 Paulison Ave Fl 1 Fax: (973) 278-0450 (973) 955-2002
Wayne, NJ 07470 Clifton, NJ 07011 00 Yrs/130 Yrs Fax: (973) 955-2007
(973) 754-4060 (973) 546-3355 St. Joseph's Hospital Reg 00 Yrs/99 Yrs
Fax: (973) 754-4007 Fax: (973) 546-8501 Medical Center Languages: Spanish
00 Yrs/130 Yrs 18 Yrs/130 Yrs Languages: Thai M-F 9:00 AM - 6:00 PM
St. Joseph's Hospital Reg Languages: Spanish, Arabic, M-TH 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM
Medical Center Polish F 9:00 AM - 3:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM MT 1:00 AM - 6:00 PM PCMH: No
PCMH: No W 10:00 AM - 4:00 PM Family Practice
TH 12:00 AM - 6:00 PM Strizhevsky, Marina DO
Goykhman, Stanislav MD F 2:00 AM - 6:00 PM Asfour, Mervet MD
PCMH: No Provider ID: 1430986 Provider ID: 1566507
Provider ID: 1422107 Gender: Female Gender: Female
Gender: Male Panah, Manizheh MD Bhmg - United Medical Atlantic Medical Group
Bhmg-United Medical Provider ID: 1557332 533 Lexington Ave 650 Union Blvd Unit 16
533 Lexington Ave Gender: Not Available Clifton, NJ 07011 Totowa, NJ 07512
Clifton, NJ 07011 IPA of North Jersey Inc (973) 546-6844 (973) 938-5200
(973) 546-6844 516 Hamburg Tpke Ste 11 Fax: (973) 546-7707 Fax: (973) 938-5191
Fax: (973) 546-7707 Wayne, NJ 07470 18 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs (973) 790-0006 Jersey City Medical Center AHS Hospital
Bayonne Medical Center Fax: (973) 790-0450 Saint Barnabas Medical M-F 9:00 AM - 5:00 PM
Palisades Medical Center 00 Yrs/130 Yrs Center Livingston PCMH: No
Languages: Russian St. Joseph's Hospital Reg Languages: Russian
M-F 8:00 AM - 5:00 PM Medical Center M-F 8:00 AM - 5:00 PM
PCMH: No M-TH 9:00 AM - 5:00 PM PCMH: No
F 9:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 245
Updated: 11/26/2018

Specialty Physicians
Passaic
Family Practice - cont. Maneyapanda, Mukundha MD Reddy, Sureka MD Baddoura, Walid MD
Provider ID: 1188476 Provider ID: 398124
Ferrell, David MD Provider ID: 1127835 Gender: Female Gender: Male
Provider ID: 1187120 Gender: Male Medexpress Urgent Care - IPA of North Jersey Inc
Gender: Male St Josephs Healthcare Inc Totowa Sub Specialty: HIV/AIDs
Medexpress Urgent Care - Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs 703 Main St
Totowa 703 Main St 225 US Hwy 46 Ste A Paterson, NJ 07503
Sub Specialty: HIV/AIDs Paterson, NJ 07503 Totowa, NJ 07512 (973) 754-2270
225 US Hwy 46 Ste A (973) 754-4100 (973) 256-0452 00 Yrs/130 Yrs
Totowa, NJ 07512 Fax: (973) 754-4191 Fax: (973) 256-0453 St. Joseph's Hospital Reg
(973) 256-0452 00 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center
Fax: (973) 256-0453 St. Joseph's Hospital Reg Hackettstown Community Languages: French, Arabic
00 Yrs/130 Yrs Medical Center Hospital DBA Hack M-TH 9:00 AM - 5:00 PM
Inspira Medical Center M-F 9:00 AM - 5:00 PM MTWTHFSatSun 8:00 AM - F 9:00 AM - 12:00 PM
Vineland PCMH: No 8:00 PM PCMH: No
Languages: American Sign PCMH: No
Language Norton, Kevin DO Baghal, Eyad MD
MTWTHFSatSun 8:00 AM - Provider ID: 1183611 Taranath, Dheeraj DO Provider ID: 1594838
8:00 PM Gender: Male Gender: Male
PCMH: No Medexpress Urgent Care - Provider ID: 1183607 Prohealth Care Associates of
Totowa Gender: Male NJ
Handler, Heidi MD Sub Specialty: HIV/AIDs Medexpress Urgent Care - 1040 Main Ave Ste 105
Provider ID: 1184235 225 US Hwy 46 Ste A Totowa Paterson, NJ 07508
Gender: Female Totowa, NJ 07512 Sub Specialty: HIV/AIDs (973) 523-4000
Medexpress Urgent Care - (973) 256-0452 225 US Hwy 46 Ste A Fax: (973) 523-4000
Totowa Fax: (973) 256-0453 Totowa, NJ 07512 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs (973) 256-0452 M-F 9:00 AM - 5:00 PM
225 US Hwy 46 Ste A Virtua West Jersey Health Fax: (973) 256-0453 PCMH: No
Totowa, NJ 07512 System Inc 00 Yrs/130 Yrs
(973) 256-0452 MTWTHFSatSun 9:00 AM - Virtua West Jersey Health Baghal, Eyad MD
Fax: (973) 256-0453 9:00 PM System Inc Provider ID: 1594838
00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM Gender: Male
Memorial Hospital Burlington PCMH: No Prohealth Care Associates of
County Inc Patel, Viral MD NJ
MTWTHFSatSun 8:00 AM - Provider ID: 1185910 Gastroenterology 397 Haledon Ave Ste 103
8:00 PM Gender: Male Haledon, NJ 07508
PCMH: No Medexpress Urgent Care - Baddoura, Walid MD (973) 782-4781
Totowa Provider ID: 398124 Fax: (973) 782-4873
Lee, Mark DO Sub Specialty: HIV/AIDs Gender: Male 00 Yrs/130 Yrs
Provider ID: 1186016 225 US Hwy 46 Ste A Sub Specialty: HIV/AIDs M-F 9:00 AM - 5:00 PM
Gender: Male Totowa, NJ 07512 716 Broad St 1st Fl PCMH: No
Medexpress Urgent Care - (973) 256-0452 Clifton, NJ 07013
Totowa Fax: (973) 256-0453 (973) 777-7733 Baghal, Eyad MD
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs Fax: (973) 754-2382 Provider ID: 1594838
225 US Hwy 46 Ste A Hackettstown Community 00 Yrs/130 Yrs Gender: Male
Totowa, NJ 07512 Hospital DBA Hack St. Joseph's Hospital Reg Prohealth Care Associates of
(973) 256-0452 MTWTHFSatSun 8:00 AM - Medical Center NJ
Fax: (973) 256-0453 8:00 PM Languages: French, Arabic 91 Main St
00 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM Paterson, NJ 07508
MTWTHFSatSun 9:00 AM - PCMH: No (973) 523-4000
9:00 PM Fax: (973) 523-4000
PCMH: No 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 246
Updated: 11/26/2018

Specialty Physicians
Passaic
Gastroenterology - cont. Gronowitz, Steven MD Gupta, Ashok MD Hajjar, Bassam MD
Provider ID: 557528 Provider ID: 992662
Boxer, Andrew MD Provider ID: 1422103 Gender: Male Gender: Male
Provider ID: 1422104 Gender: Male Ashok Gupta MD-Hawthorne Carepoint Gastroenterology
Gender: Male Bhmg - United Medical 332 Lafayette Ave Fl 1 Center P
Bhmg - United Medical 533 Lexington Ave Hawthorne, NJ 07506 401 Hamburg Tpke Ste 102
533 Lexington Ave Clifton, NJ 07011 (973) 423-0145 Wayne, NJ 07470
Clifton, NJ 07011 (973) 546-6844 Fax: (973) 423-0667 (973) 689-6700
(973) 546-6844 Fax: (973) 546-7707 00 Yrs/130 Yrs Fax: (973) 689-6582
Fax: (973) 546-7707 00 Yrs/130 Yrs Newark Beth Israel Med 16 Yrs/130 Yrs
00 Yrs/130 Yrs Bayonne Medical Center Center St. Joseph's Hospital Reg
Prime Health Services-St Jersey City Medical Center Languages: Hindi, Urdu, Medical Center
Marys Hospital Prime Health Services-St Punjabi Surgicare Surgical Assoc of
Saint Barnabas Medical Marys Hospital M-F 9:00 AM - 5:00 PM Wayne LLC
Center Livingston Languages: Hebrew PCMH: No Languages: Spanish, French,
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Arabic
PCMH: No PCMH: No Hajjar, Bassam MD M-F 9:00 AM - 5:00 PM
Provider ID: 992662 PCMH: No
Farkas, John MD Grossman, Matthew MD Gender: Male
Provider ID: 398180 516 Hamburg Tpke Ste 11 Huskowski, Piotr MD
Gender: Male Provider ID: 1591609 Wayne, NJ 07470
703 Main St Gender: Male (973) 956-8080 Provider ID: 815033
Paterson, NJ 07503 St Josephs Healthcare Inc Fax: (973) 790-0450 Gender: Male
(973) 754-2000 703 Main St 16 Yrs/130 Yrs Piotr Huskowski MD
00 Yrs/130 Yrs Paterson, NJ 07503 St. Joseph's Hospital Reg Sub Specialty: HIV/AIDs
St. Joseph's Hospital Reg (973) 569-6118 Medical Center 1005 Clifton Ave
Medical Center Surgicare Surgical Assoc of Clifton, NJ 07013
Fax: (973) 754-4533
Languages: Spanish Wayne LLC (973) 778-7882
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Languages: Spanish, French, Fax: (973) 778-3827
St. Joseph's Hospital Reg
PCMH: No Medical Center Arabic 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Prime Health Services-St
Farkas, John MD PCMH: No Marys Hospital
Provider ID: 398180 PCMH: No
Languages: Spanish, Polish
Gender: Male Hajjar, Bassam MD MT 10:00 AM - 5:00 PM
Gupta, Ashok MD
842 Clifton Ave Ste 6 Provider ID: 992662 WF 10:00 AM - 2:00 PM
Provider ID: 557528
Clifton, NJ 07013 Gender: Male TH 9:30 AM - 6:30 PM
Gender: Male
(973) 777-5717 Carepoint Gastroenterology PCMH: No
Ashok Gupta MD
Fax: (201) 632-4805 Center P
842 Clifton Ave Ste 6
00 Yrs/130 Yrs 1300 Main Ave Ste B Huskowski, Piotr MD
Clifton, NJ 07013
St. Joseph's Hospital Reg Clifton, NJ 07011 Provider ID: 944489
Medical Center (973) 470-0101
(973) 689-6700 Gender: Male
Languages: Spanish Fax: (973) 777-3024
Fax: (973) 689-6582 1005 Clifton Ave
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
16 Yrs/130 Yrs Clifton, NJ 07013
PCMH: No Newark Beth Israel Med
Center St. Joseph's Hospital Reg (973) 778-7882
Medical Center Fax: (973) 778-3827
Languages: Hindi, Urdu, Surgicare Surgical Assoc of 18 Yrs/130 Yrs
Punjabi Wayne LLC
M-F 9:00 AM - 5:00 PM Prime Health Services-St
Languages: Spanish, French, Marys Hospital
PCMH: No Arabic Languages: Polish
MTTHF 9:00 AM - 5:00 PM MTTH 10:00 AM - 6:00 PM
W 9:00 AM - 5:30 PM WF 10:00 AM - 3:00 PM
Sat 9:00 AM - 2:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 247
Updated: 11/26/2018

Specialty Physicians
Passaic
Gastroenterology - cont. Krohn, Natan MD Pavlou, George MD Raval, Parthiv MD
Provider ID: 1422105 Provider ID: 398284 Provider ID: 433408
Kosc, Gary MD Gender: Male Gender: Male Gender: Male
Provider ID: 398226 Bhmg - United Medical Sub Specialty: HIV/AIDs Parthiv V Raval MD LLC
Gender: Male 533 Lexington Ave 246 Hamburg Tpke Ste 203 Sub Specialty: HIV/AIDs
703 Main St Clifton, NJ 07011 Wayne, NJ 07470 975 Clifton Ave Ste 3
Paterson, NJ 07503 (973) 546-6844 (862) 336-9988 Clifton, NJ 07013
(973) 754-2000 Fax: (973) 546-7707 Fax: (862) 336-9987 (973) 614-9700
00 Yrs/130 Yrs 12 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (973) 614-9702
St. Joseph's Hospital Reg Jersey City Medical Center St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Medical Center M-F 9:00 AM - 5:00 PM Medical Center AHS Hospital
Languages: Spanish PCMH: No Surgicare Surgical Assoc of Prime Health Services-St
M-F 9:00 AM - 5:00 PM Wayne LLC Marys Hospital
PCMH: No Martino, Michael MD Languages: Greek St. Joseph's Hospital Reg
Provider ID: 398254 M-F 9:00 AM - 5:00 PM Medical Center
Kosc, Gary MD Gender: Male PCMH: No Languages: Spanish, Hindi,
Provider ID: 398226 1031 McBride Ave Ste D212 Gujarati
Gender: Male Woodland Park, NJ 07424 Pavlou, George MD MTTH 8:00 AM - 6:00 PM
Gastroenterology Assoc of NJ (973) 837-0230 Provider ID: 398284 W 8:00 AM - 2:00 PM
LLC Fax: (973) 837-0234 Gender: Male F 9:00 AM - 2:00 PM
205 Browertown Rd Ste 201 00 Yrs/130 Yrs Gastroenterology Associates PCMH: No
Woodland Park, NJ 07424 St. Joseph's Hospital Reg of NJ
(973) 812-8120 Medical Center Sub Specialty: HIV/AIDs Raval, Parthiv MD
Fax: (973) 890-1097 Languages: Italian 205 Browertown Rd Ste 202 Provider ID: 433408
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Woodland Park, NJ 07424 Gender: Male
St. Joseph's Hospital Reg PCMH: No (973) 812-8120 St Joseph Hospital
Medical Center Fax: (973) 812-8144 Sub Specialty: HIV/AIDs
Languages: Spanish Martino, Michael MD 00 Yrs/130 Yrs 703 Main St
M-TH 9:00 AM - 5:00 PM Provider ID: 398254 St. Joseph's Hospital Reg Paterson, NJ 07501
F 9:00 AM - 12:00 PM Gender: Male Medical Center (973) 754-2000
PCMH: No Gastroenterology Associates Surgicare Surgical Assoc of 00 Yrs/130 Yrs
of NJ Wayne LLC AHS Hospital
Kosc, Gary MD 205 Browertown Rd Ste 202 Languages: Greek Prime Health Services-St
Provider ID: 398226 Woodland Park, NJ 07424 M-F 9:00 AM - 5:00 PM Marys Hospital
Gender: Male (973) 837-0230 PCMH: No St. Joseph's Hospital Reg
Fax: (973) 890-1097 Medical Center
Gastroenterology Associates
of NJ 00 Yrs/130 Yrs Rackovsky, Ori MD Languages: Spanish, Hindi,
Provider ID: 1721643 Gujarati
205 Browertown Rd Ste 202 St. Joseph's Hospital Reg
Medical Center Gender: Male M-F 9:00 AM - 5:00 PM
Woodland Park, NJ 07424
Languages: Italian Gastroenterology Associates PCMH: No
(973) 837-0230
Fax: (973) 890-1097 M-F 9:00 AM - 5:00 PM of New
205 Browertown Rd Ste 202 Roth, Joseph MD
00 Yrs/130 Yrs PCMH: No
Woodland Park, NJ 07424 Provider ID: 582832
St. Joseph's Hospital Reg
(973) 785-0102 Gender: Male
Medical Center
Fax: (973) 785-0335 Gastroenterology Associates
Languages: Spanish
00 Yrs/130 Yrs of New
M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg 925 Clifton Ave Ste 100
PCMH: No
Medical Center Clifton, NJ 07013
M-F 9:00 AM - 5:00 PM (973) 458-0408
PCMH: No Fax: (973) 405-6564
18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 248
Updated: 11/26/2018

Specialty Physicians
Passaic
Gastroenterology - cont. Volfson, Ariy MD Gastroenterology & Asmar, Diane DMD
Provider ID: 894722 Hepatology Provider ID: TPVP169872-04
Ruiz, Frank MD Gender: Male Gender: Female
Provider ID: 582721 1031 McBride Ave Ste D212 Ahmad, Maliha MD Paterson Dental
Gender: Male Woodland Park, NJ 07424 Provider ID: 1148566 1010 Main St Ste 6 Fl 2
350 Blvd (973) 890-1303 Gender: Female Paterson, NJ 07503
Passaic, NJ 07055 Fax: (973) 890-5609 St Josephs Healthcare Inc (973) 225-9975
(973) 365-4300 00 Yrs/130 Yrs 1135 Broad St Ste 1 Fl 3 Fax: (973) 225-9982
18 Yrs/130 Yrs St. Joseph's Hospital Reg Clifton, NJ 07013 00 Yrs/99 Yrs
St. Joseph's Hospital Reg Medical Center (973) 754-2315 Languages: Spanish
Medical Center M-F 9:00 AM - 5:00 PM Fax: (973) 754-2925 M 8:00 AM - 6:00 PM
Languages: Spanish PCMH: No 12 Yrs/130 Yrs TWTHF 9:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg Sat 8:00 AM - 3:00 PM
PCMH: No Volfson, Ariy MD Medical Center PCMH: No
Provider ID: 894722 Languages: Spanish, Urdu,
Ruiz, Frank MD Gender: Male Punjabi Barbagelata, Naldo DMD
Provider ID: 582721 Gastroenterology Associates M-F 9:00 AM - 5:00 PM
Gender: Male of New PCMH: No Provider ID: TPVP136166-03
Gastroenterology Associates 205 Browertown Rd Ste 206 Gender: Male
of Newj Woodland Park, NJ 07424 General Dentistry Dental PM PC
925 Clifton Ave Ste 100 (973) 837-0230 175 Market St 3rd Fl
Clifton, NJ 07013 Fax: (973) 837-0234 Aboelsaad, Mohamed DDS Paterson, NJ 07505
(973) 458-0408 00 Yrs/130 Yrs (973) 247-2580
Fax: (973) 405-6564 St. Joseph's Hospital Reg Provider ID: TPVP166428-02 Fax: (973) 247-2581
18 Yrs/130 Yrs Medical Center Gender: Male 00 Yrs/99 Yrs
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Woodland Park Dental Center Languages: Spanish
Medical Center PCMH: No 482 Notch Rd M-TH 9:00 AM - 5:00 PM
Languages: Spanish
Zierer, Kenneth MD Woodland Park, NJ 07424 PCMH: No
M-F 9:00 AM - 5:00 PM (973) 256-3300
PCMH: No Batarseh, Michael DDS
Fax: (973) 256-1655
Provider ID: 465284
Shami, Joseph MD 00 Yrs/99 Yrs Provider ID: TPVP40772-01
Gender: Male Languages: Arabic Gender: Male
Provider ID: 398326 Gastroenterology Associates M-TH 9:00 AM - 8:00 PM Dr Michael Batarseh DDS
Gender: Male of New
F 9:00 AM - 5:00 PM 1011 Main Ave
Gastroenterology Associates 925 Clifton Ave Ste 100
of NJ Sat 9:00 AM - 3:00 PM Clifton, NJ 07011
Clifton, NJ 07013
Sub Specialty: HIV/AIDs PCMH: No (973) 473-8100
(973) 458-0408
205 Browertown Rd Ste 204 Fax: (973) 473-8810
Fax: (973) 405-6564 Alexander, Victoria DDS
Woodland Park, NJ 07424 00 Yrs/99 Yrs
18 Yrs/130 Yrs Provider ID: TPVP169355-05 Languages: Arabic
(973) 837-0230 Prime Health Services-St Gender: Female MT 10:00 AM - 5:00 PM
Fax: (973) 890-1097 Marys Hospital
Pediatric Dentistry of W 1:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Paterson TH 10:00 AM - 3:00 PM
St. Joseph's Hospital Reg PCMH: No 1 W Broadway F 10:00 AM - 1:00 PM
Medical Center
Paterson, NJ 07505 PCMH: No
Languages: Italian
(973) 233-4931
M-F 9:00 AM - 5:00 PM
Fax: (973) 200-2240
PCMH: No
00 Yrs/99 Yrs
Languages: Arabic
M-F 10:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 249
Updated: 11/26/2018

Specialty Physicians
Passaic
General Dentistry - cont. Desai, Usha DDS Eldin, Khaled DDS Fils-Aime, Sheila DDS
Provider ID: TPVP39609-02 Provider ID: TPVP33368-02 Provider ID: TPVP157616-01
Butler, Thomas DMD Gender: Female Gender: Male Gender: Female
Provider ID: TPVP152582-01 Broadway Family Dental Woodland Park Dental Center Smile Central Passaic
Gender: Male 15 Broadway 2nd Fl 482 Notch Rd 625 Main Ave 3rd Fl
St Josephs Hospital Medical Passaic, NJ 07055 Woodland Park, NJ 07424 Passaic, NJ 07055
Center (973) 955-2002 (973) 256-3300 (973) 574-1000
11 Getty Ave Bldg 275 Fax: (973) 955-2007 Fax: (973) 256-1655 Fax: (973) 574-1001
Paterson, NJ 07503 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 754-4250 Languages: Spanish Languages: Arabic Languages: Arabic
Fax: (973) 754-3071 M-F 9:00 AM - 6:00 PM M-TH 9:00 AM - 8:00 PM M-F 9:00 AM - 7:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 2:00 PM F 9:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM
Languages: Arabic PCMH: No Sat 9:00 AM - 3:00 PM PCMH: No
M-F 9:00 AM - 3:00 PM PCMH: No
PCMH: No Diamond, Marshall DMD Fong-Soto, Tomas DDS
Provider ID: TPVP34305-02 Elsaid, Sheren DMD Provider ID: TPVP41169-01
Cao, Dao DDS Gender: Male Provider ID: TPVP159353-08 Gender: Female
Provider ID: TPVP149246-02 Paterson Community Health Gender: Female Main Dental Associates LLC
Gender: Female Center Inc Smile Central Passaic 1165 Main Ave
St Josephs Hospital Medical 227 Broadway 625 Main Ave 3rd Fl Clifton, NJ 07011
Center Paterson, NJ 07501 Passaic, NJ 07055 (973) 777-4525
11 Getty Ave Bldg 275 (973) 278-2600 (973) 574-1000 Fax: (973) 955-0777
Paterson, NJ 07503 Fax: (973) 389-2197 Fax: (973) 574-1001 00 Yrs/99 Yrs
(973) 754-4250 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish,
Fax: (973) 754-3071 M-F 9:00 AM - 5:00 PM Languages: Arabic Cantonese
00 Yrs/99 Yrs PCMH: No M-F 9:00 AM - 7:00 PM M-W 9:00 AM - 4:30 PM
Languages: Arabic Sat 9:00 AM - 3:00 PM PCMH: No
M-F 9:00 AM - 3:00 PM Dobrin, Keith DMD PCMH: No
PCMH: No Provider ID: TPVP130232-01 Fuentes, Peter DDS
Gender: Male Emele, Michael DDS Provider ID: TPVP41372-04
Castillo, Guillermo DMD Smile Central Passaic Provider ID: TPVP41143-02 Gender: Male
Provider ID: TPVP40937-02 625 Main Ave 3rd Fl Gender: Male Paterson Dental
Gender: Male Passaic, NJ 07055 The Family Dental Care Group 1010 Main St Ste 6 Fl 2
Castillo Mulkay Dental (973) 574-1000 PC Paterson, NJ 07503
601 Main Ave Fax: (973) 574-1001 635 Broadway Bsmt (973) 225-9975
Passaic, NJ 07055 00 Yrs/99 Yrs Paterson, NJ 07514 Fax: (973) 225-9982
(973) 473-8188 Languages: Arabic (973) 247-1010 00 Yrs/99 Yrs
Fax: (973) 458-1965 M-F 9:00 AM - 7:00 PM Fax: (973) 247-1011 Languages: Spanish
00 Yrs/99 Yrs Sat 9:00 AM - 3:00 PM 00 Yrs/99 Yrs M 8:00 AM - 6:00 PM
Languages: Spanish PCMH: No Languages: Spanish TWTHF 9:00 AM - 6:00 PM
M-F 9:00 AM - 2:00 PM M-W 11:00 AM - 7:00 PM Sat 8:00 AM - 3:00 PM
PCMH: No Elachi, Mohamed DMD PCMH: No PCMH: No
Provider ID: TPVP39377-01
D'Alessio, Vince DDS Gender: Male Feder-Stamler, Rebecca DMD George, Titus DDS
Provider ID: TPVP40687-01 Broadway Dental Care Provider ID: TPVP124616-01
Gender: Male 98 Broadway Ste A Provider ID: TPVP152611-01 Gender: Male
Dental Plaza PA Paterson, NJ 07505 Gender: Female Paterson Community Health
503 Paulison Ave (973) 278-0620 Smile Central Passaic Center Inc
Passaic, NJ 07055 Fax: (973) 278-2325 625 Main Ave 3rd Fl 32 Clinton St
(973) 471-4500 00 Yrs/99 Yrs Passaic, NJ 07055 Paterson, NJ 07522
Fax: (973) 471-8575 Languages: Arabic (973) 574-1000 (973) 790-6594
00 Yrs/99 Yrs M-TH 9:00 AM - 6:00 PM Fax: (973) 574-1001 Fax: (973) 389-2197
Languages: Spanish F 9:00 AM - 4:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
M-F 9:00 AM - 5:30 PM Sat 9:00 AM - 3:00 PM Languages: Arabic Languages: Spanish
Sat 9:00 AM - 12:30 PM PCMH: No M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No Sat 9:00 AM - 3:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 250
Updated: 11/26/2018

Specialty Physicians
Passaic
General Dentistry - cont. Grunstein, Robert DMD Hah, Chansoo DDS Kim, Vivian DDS
Provider ID: TPVP39619-01 Provider ID: TPVP137373-01 Provider ID: TPVP169543-01
George, Titus DDS Gender: Male Gender: Male Gender: Female
Provider ID: TPVP124616-02 Smile Central Passaic Smile Central Passaic Paterson Community Health
Gender: Male 625 Main Ave 3rd Fl 625 Main Ave 3rd Fl Center Inc
Paterson Community Health Passaic, NJ 07055 Passaic, NJ 07055 32 Clinton St
Center Inc (973) 574-1000 (973) 574-1000 Paterson, NJ 07522
227 Broadway Fax: (973) 574-1001 Fax: (973) 574-1001 (973) 790-6594
Paterson, NJ 07501 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 389-2197
(973) 278-2600 Languages: Arabic, Hebrew Languages: Arabic 00 Yrs/99 Yrs
Fax: (973) 389-2197 M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 7:00 PM Languages: Spanish
00 Yrs/99 Yrs Sat 9:00 AM - 3:00 PM Sat 9:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No PCMH: No PCMH: No
PCMH: No
Guerrero, Estela DDS Hanna, Sarah DDS Krieger, Matthew DMD
Gowda, Anjana DDS Provider ID: TPVP39843-01 Provider ID: TPVP39426-02 Provider ID: TPVP41399-01
Provider ID: TPVP139743-03 Gender: Female Gender: Female Gender: Male
Gender: Female Passaic Family Dental Broadway Family Dental Haledon Dental Center
Paterson Dental 218 Autumn St 2nd Fl 15 Broadway 2nd Fl 325 Belmont Ave
1010 Main St Ste 6 Fl 2 Passaic, NJ 07055 Passaic, NJ 07055 Haledon, NJ 07508
Paterson, NJ 07503 (973) 815-0053 (973) 955-2002 (973) 942-5515
(973) 225-9975 Fax: (973) 815-0024 Fax: (973) 955-2007 Fax: (973) 942-5516
Fax: (973) 225-9982 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish Languages: Spanish, Arabic Languages: Korean
Languages: Spanish M-TH 2:00 AM - 8:00 PM M-F 9:00 AM - 6:00 PM M 9:00 AM - 5:00 PM
M 8:00 AM - 6:00 PM F 10:00 AM - 3:00 PM Sat 9:00 AM - 2:00 PM T 10:00 AM - 7:30 PM
TWTHF 9:00 AM - 6:00 PM PCMH: No PCMH: No W 9:00 AM - 2:00 PM
Sat 8:00 AM - 3:00 PM TH 9:00 AM - 3:00 PM
PCMH: No Gyanchand, Sharmila DDS Kilgore, Kristen DDS PCMH: No
Provider ID: TPVP165980-07
Gowda, Anjana DDS Provider ID: TPVP132496-01 Gender: Female Kwon, Jihae DDS
Provider ID: TPVP139743-05 Gender: Female Broadway Family Dental Provider ID: TPVP172785-01
Gender: Female Childrens Dentistry of Passaic 15 Broadway 2nd Fl Gender: Female
Smile Central Passaic LLC Passaic, NJ 07055 Broadway Family Dental
625 Main Ave 3rd Fl 124 Gregory Ave Ste 303 (973) 955-2002 15 Broadway 2nd Fl
Passaic, NJ 07055 Passaic, NJ 07055 Fax: (973) 955-2007 Passaic, NJ 07055
(973) 574-1000 (973) 859-0538 00 Yrs/99 Yrs (973) 955-2002
Fax: (973) 574-1001 Fax: (862) 249-4929 Languages: Spanish Fax: (973) 955-2007
00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
Languages: Arabic Languages: Spanish Sat 9:00 AM - 2:00 PM Languages: Spanish
M-F 9:00 AM - 7:00 PM MW 10:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM T 10:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM
PCMH: No TH 12:00 AM - 7:00 PM Kim, Steven DMD PCMH: No
F 9:30 AM - 4:30 PM Provider ID: TPVP157872-03
Gross, Jerry DDS Sat 8:00 AM - 2:00 PM Gender: Male Loutfy, Rana DMD
Provider ID: TPVP148181-01 PCMH: No Paterson Dental Provider ID: TPVP149247-02
Gender: Male 1010 Main St Ste 6 Fl 2 Gender: Female
Jerry Gross DDS PA Paterson, NJ 07503 St Josephs Hospital Medical
152 Market St Ste 400 (973) 225-9975 Center
Paterson, NJ 07505 Fax: (973) 225-9982 11 Getty Ave Bldg 275
(973) 279-2311 00 Yrs/99 Yrs Paterson, NJ 07503
Fax: (973) 279-4623 Languages: Spanish (973) 754-4250
00 Yrs/99 Yrs M 8:00 AM - 6:00 PM Fax: (973) 754-3071
Languages: Spanish TWTHF 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
M-TH 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM Languages: Arabic
F 9:00 AM - 12:30 PM PCMH: No M-F 9:00 AM - 3:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 251
Updated: 11/26/2018

Specialty Physicians
Passaic
General Dentistry - cont. Mouner, Amer DDS OST, Ellen DDS Patel, Lajja DMD
Provider ID: TPVP166313-02 Provider ID: TPVP129952-04 Provider ID: TPVP168663-02
Mandelbaum, Debra DDS Gender: Male Gender: Female Gender: Female
Woodland Park Dental Center Willowbrook Mall Dental Paterson Dental
Provider ID: TPVP166346-01 482 Notch Rd 1445 Willowbrook Blvd 1010 Main St Ste 6 Fl 2
Gender: Female Woodland Park, NJ 07424 Wayne, NJ 07470 Paterson, NJ 07503
Smile Central Passaic (973) 256-3300 (973) 812-4426 (973) 225-9975
625 Main Ave 3rd Fl Fax: (973) 256-1655 Fax: (973) 812-4405 Fax: (973) 225-9982
Passaic, NJ 07055 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 574-1000 Languages: Arabic Languages: Arabic Languages: Spanish
Fax: (973) 574-1001 M-TH 9:00 AM - 8:00 PM MTWTHFSat 10:00 AM - 8:00 M 8:00 AM - 6:00 PM
00 Yrs/99 Yrs F 9:00 AM - 5:00 PM PM TWTHF 9:00 AM - 6:00 PM
Languages: Arabic Sat 9:00 AM - 3:00 PM Sun 11:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM
M-F 9:00 AM - 7:00 PM PCMH: No PCMH: No PCMH: No
Sat 9:00 AM - 3:00 PM
PCMH: No Mulkay, Zenaida DMD Parra, Massiel DMD Patel, Mitesh DDS
Provider ID: TPVP40938-02 Provider ID: TPVP152829-01 Provider ID: TPVP41168-02
Martinez, Annie DDS Gender: Female Gender: Female Gender: Male
Provider ID: TPVP41645-01 Castillo Mulkay Dental Smile Central Passaic Hawthorne Family Dentistry
Gender: Female 601 Main Ave 625 Main Ave 3rd Fl 354 Lincoln Ave
Lafayette Family Dental Care Passaic, NJ 07055 Passaic, NJ 07055 Hawthorne, NJ 07506
LLC (973) 473-8188 (973) 574-1000 (973) 427-9299
540 Lafayette Ave Fax: (973) 458-1965 Fax: (973) 574-1001 Fax: (973) 405-6512
Hawthorne, NJ 07506 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 304-0700 Languages: Spanish Languages: Spanish, Arabic Languages: Spanish
Fax: (973) 304-2013 M-F 9:00 AM - 2:00 PM M-F 9:00 AM - 7:00 PM MT 9:00 AM - 4:00 PM
00 Yrs/99 Yrs PCMH: No Sat 9:00 AM - 3:00 PM PCMH: No
Languages: Spanish PCMH: No
M 10:00 AM - 6:00 PM Noll, Jonathan DMD Patel, Monika DMD
TTH 10:00 AM - 7:00 PM Provider ID: TPVP129935-01 Patel, Kaushik DDS Provider ID: TPVP167510-01
W 9:30 AM - 6:00 PM Gender: Male Provider ID: TPVP41596-02 Gender: Female
F 9:30 AM - 5:00 PM Smile Central Passaic Gender: Male Smile Central Passaic
PCMH: No 625 Main Ave 3rd Fl Lafayette Family Dental Care 625 Main Ave 3rd Fl
Passaic, NJ 07055 LLC Passaic, NJ 07055
Monje, Jonas DDS (973) 574-1000 540 Lafayette Ave (973) 574-1000
Provider ID: TPVP123631-04 Fax: (973) 574-1001 Hawthorne, NJ 07506 Fax: (973) 574-1001
Gender: Male 00 Yrs/99 Yrs (973) 304-0700 00 Yrs/99 Yrs
Paterson Dental Languages: Arabic Fax: (973) 304-2013 Languages: Arabic
1010 Main St Ste 6 Fl 2 M-F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM
Paterson, NJ 07503 Sat 9:00 AM - 3:00 PM Languages: Spanish Sat 9:00 AM - 3:00 PM
(973) 225-9975 PCMH: No M 10:00 AM - 6:00 PM PCMH: No
Fax: (973) 225-9982 TTH 10:00 AM - 7:00 PM
00 Yrs/99 Yrs OH, Hyesuk DDS W 9:30 AM - 6:00 PM Pavone, Salvatore DDS
Languages: Spanish Provider ID: TPVP129730-03 F 9:30 AM - 5:00 PM Provider ID: TPVP34448-04
M 8:00 AM - 6:00 PM Gender: Female PCMH: No Gender: Male
TWTHF 9:00 AM - 6:00 PM Willowbrook Mall Dental Paterson Dental
Sat 8:00 AM - 3:00 PM 1445 Willowbrook Blvd 1010 Main St Ste 6 Fl 2
PCMH: No Wayne, NJ 07470 Paterson, NJ 07503
(973) 812-4426 (973) 225-9975
Fax: (973) 812-4405 Fax: (973) 225-9982
00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Arabic Languages: Spanish
MTWTHFSat 10:00 AM - 8:00 M 8:00 AM - 6:00 PM
PM TWTHF 9:00 AM - 6:00 PM
Sun 11:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 252
Updated: 11/26/2018

Specialty Physicians
Passaic
General Dentistry - cont. Roby, Brigit DDS Rodriguez, Rafael DDS Sardelli, Louis DDS
Provider ID: TPVP170317-01 Provider ID: TPVP36313-01 Provider ID: TPVP40686-01
Pimanov, Anton DMD Gender: Female Gender: Male Gender: Male
Provider ID: TPVP156750-04 Broadway Family Dental Dental PM PC Dental Plaza PA
Gender: Male 15 Broadway 2nd Fl 175 Market St 3rd Fl 503 Paulison Ave
Paterson Dental Passaic, NJ 07055 Paterson, NJ 07505 Passaic, NJ 07055
1010 Main St Ste 6 Fl 2 (973) 955-2002 (973) 247-2580 (973) 471-4500
Paterson, NJ 07503 Fax: (973) 955-2007 Fax: (973) 247-2581 Fax: (973) 471-8575
(973) 225-9975 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 225-9982 Languages: Spanish, Hindi Languages: Spanish Languages: Spanish
00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM
Languages: Spanish Sat 9:00 AM - 2:00 PM PCMH: No Sat 9:00 AM - 12:30 PM
M 8:00 AM - 6:00 PM PCMH: No PCMH: No
TWTHF 9:00 AM - 6:00 PM Ruiz-Sardelli, Bertha DMD
Sat 8:00 AM - 3:00 PM Roby, Brigit DDS Seedat, Ghazala DDS
PCMH: No Provider ID: TPVP170317-02 Provider ID: TPVP40685-01 Provider ID: TPVP102674-02
Gender: Female Gender: Female Gender: Female
Ravindra, Neetha DDS Passaic Dental Associates Dental Plaza PA Paterson Dental
Provider ID: TPVP41839-03 244 Paulison Ave 503 Paulison Ave 1010 Main St Ste 6 Fl 2
Gender: Female Passaic, NJ 07055 Passaic, NJ 07055 Paterson, NJ 07503
Virtuoso Dental Care LLC (973) 778-7272 (973) 471-4500 (973) 225-9975
183 Jefferson St 2nd Fl Fax: (973) 778-5755 Fax: (973) 471-8575 Fax: (973) 225-9982
Passaic, NJ 07055 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 472-1010 Languages: Spanish, Hindi Languages: Spanish Languages: Spanish
Fax: (973) 473-6232 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM M 8:00 AM - 6:00 PM
00 Yrs/99 Yrs Sat 9:30 AM - 2:30 PM Sat 9:00 AM - 12:30 PM TWTHF 9:00 AM - 6:00 PM
Languages: Spanish PCMH: No PCMH: No Sat 8:00 AM - 3:00 PM
M-TH 9:00 AM - 5:00 PM PCMH: No
F 9:00 AM - 2:00 PM Rodriguez, Nadia DMD Saad, Nader DDS
PCMH: No Provider ID: TPVP130626-01 Provider ID: TPVP40975-02 Shamshuddin, Safa DMD
Gender: Female Gender: Male Provider ID: TPVP172863-03
Rehman, Aneeza DMD Smile Central Passaic The Fresh Breath Gender: Female
Provider ID: TPVP144704-01 625 Main Ave 3rd Fl 1180 Clifton Ave Smile Central Passaic
Gender: Female Passaic, NJ 07055 Clifton, NJ 07013 625 Main Ave 3rd Fl
Paterson Dental (973) 574-1000 (973) 249-9600 Passaic, NJ 07055
1010 Main St Ste 6 Fl 2 Fax: (973) 574-1001 Fax: (973) 249-7887 (973) 574-1000
Paterson, NJ 07503 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 574-1001
(973) 225-9975 Languages: Arabic Languages: Arabic 00 Yrs/99 Yrs
Fax: (973) 225-9982 M-F 9:00 AM - 7:00 PM M 3:00 AM - 6:00 PM Languages: Arabic
00 Yrs/99 Yrs Sat 9:00 AM - 3:00 PM T 3:00 AM - 8:00 PM M-F 9:00 AM - 7:00 PM
Languages: Spanish, Arabic PCMH: No W 11:00 AM - 2:00 PM Sat 9:00 AM - 3:00 PM
M 8:00 AM - 6:00 PM PCMH: No PCMH: No
TWTHF 9:00 AM - 6:00 PM Rodriguez, Nadia DMD
Sat 8:00 AM - 3:00 PM Provider ID: TPVP130626-03 Sanghavi, Kruti DDS Shon, Young DDS
PCMH: No Gender: Female Provider ID: TPVP165573-03 Provider ID: TPVP101606-02
Smile Central Dental PC Gender: Female Gender: Male
140 Market St 3rd Fl Paterson Dental Shon Dental Group PC
Paterson, NJ 07505 1010 Main St Ste 6 Fl 2 20 Broadway
(973) 742-4200 Paterson, NJ 07503 Passaic, NJ 07055
Fax: (973) 742-4997 (973) 225-9975 (973) 666-1754
00 Yrs/99 Yrs Fax: (973) 225-9982 Fax: (973) 784-4537
Languages: Arabic 00 Yrs/99 Yrs 00 Yrs/99 Yrs
M-F 9:00 AM - 7:00 PM Languages: Spanish Languages: Korean
Sat 9:00 AM - 3:00 PM M 8:00 AM - 6:00 PM M-TH 9:00 AM - 6:00 PM
PCMH: No TWTHF 9:00 AM - 6:00 PM F 9:00 AM - 3:00 PM
Sat 8:00 AM - 3:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 253
Updated: 11/26/2018

Specialty Physicians
Passaic
General Dentistry - cont. Sverdlova, Alyona DDS Yacoub, Kinda DDS Bethel, Colin MD
Provider ID: TPVP39031-04 Provider ID: TPVP41635-02 Provider ID: 1596855
Singh, Geetika DDS Gender: Female Gender: Female Gender: Male
Provider ID: TPVP153473-03 Willowbrook Mall Dental Chrystal Dental Care St. Joseph's Healthcare Inc.
Gender: Female 1445 Willowbrook Blvd 2025 Hamburg Tpke Ste F 11 Getty Ave Bldg 275, 2nd Fl
Broadway Family Dental Wayne, NJ 07470 Wayne, NJ 07470 Paterson, NJ 07503
15 Broadway 2nd Fl (973) 812-4426 (973) 520-8787 (973) 754-4200
Passaic, NJ 07055 Fax: (973) 812-4405 Fax: (973) 850-4718 00 Yrs/130 Yrs
(973) 955-2002 00 Yrs/99 Yrs 00 Yrs/99 Yrs MTWTHFSat 9:00 AM - 5:00
Fax: (973) 955-2007 Languages: Arabic Languages: Spanish, Arabic PM
00 Yrs/99 Yrs MTWTHFSat 10:00 AM - 8:00 M 8:00 AM - 5:00 PM PCMH: No
Languages: Spanish PM T 9:00 AM - 12:00 PM
M-F 9:00 AM - 6:00 PM Sun 11:00 AM - 6:00 PM W 9:00 AM - 5:00 PM Bobila, Alexis MD
Sat 9:00 AM - 2:00 PM PCMH: No TH 9:00 AM - 1:00 PM Provider ID: 398141
PCMH: No PCMH: No Gender: Male
Valenzuela, Tirza DDS St Josephs Healthcare Inc
Sipzner, Jonathan DMD Provider ID: TPVP116670-01 Yassein, Ibraheim DDS 703 Main St
Provider ID: TPVP137093-01 Gender: Female Provider ID: TPVP40970-01 Paterson, NJ 07503
Gender: Female Smile Central Passaic Gender: Male (973) 754-4305
Smile Central Passaic 625 Main Ave 3rd Fl Dental Care Center Fax: (973) 754-3830
625 Main Ave 3rd Fl Passaic, NJ 07055 426 Union Ave 00 Yrs/130 Yrs
Passaic, NJ 07055 (973) 574-1000 Paterson, NJ 07502 St. Joseph's Hospital Reg
(973) 574-1000 Fax: (973) 574-1001 (973) 595-8083 Medical Center
Fax: (973) 574-1001 00 Yrs/99 Yrs Fax: (973) 595-7940 Languages: Spanish, Filipino
00 Yrs/99 Yrs Languages: Spanish, Arabic 00 Yrs/99 Yrs M-TH 9:00 AM - 5:00 PM
Languages: Arabic M-F 9:00 AM - 7:00 PM Languages: Spanish, Arabic F 9:00 AM - 12:00 PM
M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM MWTH 9:00 AM - 5:00 PM PCMH: No
Sat 9:00 AM - 3:00 PM PCMH: No T 9:00 AM - 7:00 PM
PCMH: No F 9:00 AM - 2:00 PM Bordan, Dennis MD
Voladri, Latha DDS PCMH: No
Skjeveland, Richard DDS Provider ID: TPVP41685-01 Provider ID: 557529
Provider ID: TPVP39564-05 Gender: Female General Surgery Gender: Male
Gender: Male Voladri Family Dentistry Sub Specialty: HIV/AIDs
Paterson Dental 641 Main Ave Baratta, Joseph MD 11 Getty Ave Bldg 275 Fl 2
1010 Main St Ste 6 Fl 2 Passaic, NJ 07055 Provider ID: 472534 Paterson, NJ 07503
Paterson, NJ 07503 (973) 815-0515 Gender: Male (973) 754-2270
(973) 225-9975 Fax: (973) 767-1177 Sub Specialty: HIV/AIDs Fax: (973) 754-4392
Fax: (973) 225-9982 00 Yrs/99 Yrs 350 Blvd 00 Yrs/130 Yrs
00 Yrs/99 Yrs Languages: Spanish Passaic, NJ 07055 St. Joseph's Hospital Reg
Languages: Spanish M-TH 9:00 AM - 6:00 PM (973) 365-4300 Medical Center
M 8:00 AM - 6:00 PM F 9:00 AM - 2:00 PM 03 Yrs/130 Yrs Languages: Spanish
TWTHF 9:00 AM - 6:00 PM PCMH: No Newark Beth Israel Med M-F 9:00 AM - 5:00 PM
Sat 8:00 AM - 3:00 PM Center PCMH: No
PCMH: No Prime Health Services-St
Marys Hospital
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 254
Updated: 11/26/2018

Specialty Physicians
Passaic
General Surgery - cont. Christian, Derick MD Damani, Tanuja MD Elsawy, Osama DO
Provider ID: 1696584 Provider ID: 1072201 Provider ID: 711922
Bordan, Dennis MD Gender: Male Gender: Female Gender: Male
St Josephs Healhcare Inc St. Joseph's Healthcare Inc Sub Specialty: HIV/AIDs
Provider ID: 557529 1135 Broad St Ste 1 3rd Fl Sub Specialty: HIV/AIDs 11 Getty Ave Bldg 275 Fl 2
Gender: Male Clifton, NJ 07013 703 Main St Paterson, NJ 07503
Dennis Bordan MD (973) 754-4258 Paterson, NJ 07503 (973) 754-2270
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs (973) 785-0102 Fax: (973) 754-4392
703 Main St Dept of Surgery St. Joseph's Hospital Reg Fax: (862) 257-1688 12 Yrs/130 Yrs
Paterson, NJ 07503 Medical Center 00 Yrs/130 Yrs St. Joseph's Hospital Reg
(973) 754-2270 MTWTHFSatSun 9:00 AM - St. Joseph's Hospital Reg Medical Center
Fax: (973) 754-3599 5:00 PM Medical Center M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs PCMH: No MTWTHFSatSun 9:00 AM - PCMH: No
St. Joseph's Hospital Reg 5:00 PM
Medical Center Christian, Derick MD PCMH: No Freeman, Michael MD
Languages: Spanish Provider ID: 1696584 Provider ID: 681579
M-F 9:00 AM - 5:00 PM Gender: Male De LA Torre, Andrew MD Gender: Male
PCMH: No St Josephs Healhcare Inc Michael Freeman, PA
234 Hamburg Turnpike Ste Provider ID: 712091 703 Main St Dept of Surgery
Bui, Hoan MD 204 Gender: Male Paterson, NJ 07503
Provider ID: 1072217 Wayne, NJ 07470 703 Main St (973) 754-2460
Gender: Male (973) 310-0315 Paterson, NJ 07503 Fax: (973) 754-3708
St. Joseph's Healthcare Inc 00 Yrs/130 Yrs (973) 754-2490 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs St. Joseph's Hospital Reg Fax: (973) 754-3599 St. Joseph's Hospital Reg
11 Getty Ave Bldg 275 Fl 2 Medical Center 00 Yrs/130 Yrs Medical Center
Paterson, NJ 07503 MTWTHFSatSun 9:00 AM - St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
5:00 PM Medical Center PCMH: No
(973) 754-2270
PCMH: No M-F 9:00 AM - 5:00 PM
Fax: (973) 754-4392
00 Yrs/130 Yrs PCMH: No Galaktionova, Dina DO
Christian, Derick MD
St. Joseph's Hospital Reg Provider ID: 1696584 Elrabie, Nazmi MD Provider ID: 1317730
Medical Center
Gender: Male Provider ID: 398176 Gender: Female
MTWTHFSatSun 9:00 AM -
5:00 PM St Josephs Healhcare Inc Gender: Male St Josephs Healthcare Inc
PCMH: No 703 Main St Elrabie, Nazmi A MD 703 Main St
Paterson, NJ 07503 1020 Main St Ste A Paterson, NJ 07503
Bui, Hoan MD (973) 754-2000 Paterson, NJ 07503 (973) 754-2490
Provider ID: 1072217 00 Yrs/130 Yrs (973) 684-1103 Fax: (973) 754-3599
Gender: Male St. Joseph's Hospital Reg Fax: (973) 684-2332 00 Yrs/130 Yrs
St. Joseph's Healthcare Inc Medical Center 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Sub Specialty: HIV/AIDs MTWTHFSatSun 9:00 AM - St. Joseph's Hospital Reg Medical Center
5:00 PM Medical Center
703 Main St M-F 9:00 AM - 5:00 PM
PCMH: No Surgicare Surgical Assoc of
Paterson, NJ 07503 PCMH: No
(973) 754-2490 Wayne LLC
Damani, Tanuja MD Languages: Spanish, Arabic
00 Yrs/130 Yrs Granet, Paul MD
Provider ID: 1072201 M-TH 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Provider ID: 656071
Gender: Female F 9:00 AM - 12:00 PM
Medical Center Gender: Male
St. Joseph's Healthcare Inc PCMH: No
MTWTHFSatSun 9:00 AM - St. Joseph's Healthcare Inc
5:00 PM Sub Specialty: HIV/AIDs 703 Main St Dept of Surgery
PCMH: No 234 Hamburg Tpke Ste 203 Paterson, NJ 07503
Wayne, NJ 07470 (973) 754-2486
(862) 207-7510 Fax: (973) 754-4332
Fax: (862) 257-1688 00 Yrs/130 Yrs
00 Yrs/130 Yrs St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Medical Center
Medical Center M-F 9:00 AM - 5:00 PM
MTWTHFSatSun 9:00 AM - PCMH: No
5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 255
Updated: 11/26/2018

Specialty Physicians
Passaic
General Surgery - cont. Lin, Jeffrey MD Mansouri, Farshad MD Teehan, Edwin MD
Provider ID: 1281432 Provider ID: 475513 Provider ID: 945057
Ingram, Mark MD Gender: Male Gender: Male Gender: Male
Provider ID: 766248 Center For Vein Restoration Surgicare Surgical Assoc Dr Edwin P Teehan
Gender: Male NJ LLC Sub Specialty: HIV/AIDs 510 Hamburg Tpke 205
Sub Specialty: HIV/AIDs 205 Browertown Rd Ste 002 246 Hamburg Tpke Wayne, NJ 07470
11 Getty Ave Bldg 275 Fl 2 Woodland Park, NJ 07424 Wayne, NJ 07470 (973) 720-8333
Paterson, NJ 07503 (855) 830-8346 (973) 790-0954 Fax: (973) 720-0408
(973) 754-2270 Fax: (240) 473-4321 Fax: (973) 790-0848 18 Yrs/130 Yrs
Fax: (973) 754-4392 00 Yrs/130 Yrs 00 Yrs/130 Yrs AHS Hospital
00 Yrs/130 Yrs M-F 7:00 AM - 6:00 PM St. Joseph's Hospital Reg Prime Health Services-St
St. Joseph's Hospital Reg PCMH: No Medical Center Marys Hospital
Medical Center M 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM Madlinger, Robert DO PCMH: No Medical Center
PCMH: No Provider ID: 646010 Languages: Spanish, Persian -
Gender: Male Merchant, Aziz MD Farsi, Armenian
Ingram, Mark MD Sub Specialty: HIV/AIDs M-F 9:00 AM - 4:00 PM
Provider ID: 766248 11 Getty Ave Bldg 275 Fl 2 Provider ID: 1192927 PCMH: No
Gender: Male Paterson, NJ 07503 Gender: Male Ukrainskyj, Motria MD
Mark A Ingram MD (973) 754-2270 University Physician
Sub Specialty: HIV/AIDs Fax: (973) 754-4392 Associates Provider ID: 398340
703 Main St Sjrmc-Dept of 00 Yrs/130 Yrs 350 Blvd Grnd Fl Gender: Female
Surgery St. Joseph's Hospital Reg Passaic, NJ 07055 IPA of North Jersey Inc
Paterson, NJ 07503 Medical Center (973) 972-2400 703 Main St
(973) 754-2490 M-F 9:00 AM - 5:00 PM Fax: (973) 972-2988 Paterson, NJ 07503
Fax: (973) 754-3599 PCMH: No 00 Yrs/130 Yrs (973) 754-2196
00 Yrs/130 Yrs M-F 9:00 AM - 12:00 PM 00 Yrs/130 Yrs
St. Joseph's Hospital Reg Madlinger, Robert DO PCMH: No St. Joseph's Hospital Reg
Medical Center Provider ID: 646010 Medical Center
M-F 9:00 AM - 5:00 PM Gender: Male Rebein, Benjamin DO Languages: Spanish, Ukrainian
PCMH: No Robert Madlinger, DO Provider ID: 1456748 M-TH 9:00 AM - 5:00 PM
Sub Specialty: HIV/AIDs Gender: Male F 9:00 AM - 12:00 PM
Kiani, Ali MD 703 Main St Dept of Surgery St Josephs Healthcare PCMH: No
Provider ID: 786569 Paterson, NJ 07503 703 Main St
Gender: Male Ukrainskyj, Motria MD
(973) 754-2490 Paterson, NJ 07503
303 Haledon Ave 1st Fl Fax: (973) 754-3599 Provider ID: 398340
(973) 754-2490
Haledon, NJ 07508 00 Yrs/130 Yrs Gender: Female
Fax: (973) 754-3599
(973) 942-4895 St. Joseph's Hospital Reg St. Joseph's Healthcare Inc
00 Yrs/130 Yrs
Fax: (973) 942-7786 Medical Center 11 Getty Ave Bldg 275 2nd Fl
St. Joseph's Hospital Reg
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Medical Center Paterson, NJ 07503
St. Joseph's Hospital Reg PCMH: No M-F 9:00 AM - 5:00 PM (973) 754-2270
Medical Center PCMH: No 00 Yrs/130 Yrs
M-TH 1:00 AM - 5:00 PM Mansouri, Farshad MD St. Joseph's Hospital Reg
PCMH: No Shapiro, Michael MD Medical Center
Provider ID: 475513 Languages: Spanish, Ukrainian
Kim, Wanchu MD Gender: Male MTWTHFSatSun 9:00 AM -
Provider ID: 1193322
Provider ID: 434040 5:00 PM
Sub Specialty: HIV/AIDs Gender: Male
Gender: Male PCMH: No
703 Main St University Physician
St Marys Hospital Paterson, NJ 07503 Associates
350 Blvd (973) 754-2000 350 Blvd Grnd Fl
Passaic, NJ 07055 00 Yrs/130 Yrs Passaic, NJ 07055
(973) 365-4300 St. Joseph's Hospital Reg (973) 365-4300
02 Yrs/130 Yrs Medical Center Fax: (973) 972-2988
Prime Health Services-St M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Marys Hospital PCMH: No M-F 9:00 AM - 12:00 PM
Languages: Korean PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

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Updated: 11/26/2018

Specialty Physicians
Passaic
General Surgery - cont. Zuberi, Jamshed MD Delisi, Michael MD Natelli, Anthony MD
Provider ID: 398168 Provider ID: 398269
Warta, Melissa MD Provider ID: 765669 Gender: Male Gender: Male
Provider ID: 1095903 Gender: Male St Josephs Healthcare Inc IPA of North Jersey Inc
Gender: Female Jamshed Zuberi MD 1135 Broad St Ste 201 2035 Hamburg Tpke Ste A
St Josephs Healthcare Inc Sub Specialty: HIV/AIDs Clifton, NJ 07013 Wayne, NJ 07470
Sub Specialty: HIV/AIDs 703 Main St Sjrmc Dept of (973) 754-4100 (973) 835-2844
11 Getty Ave 2nd Fl Surgery Fax: (973) 754-4191 Fax: (973) 835-6955
Paterson, NJ 07503 Paterson, NJ 07503 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(973) 754-2270 (304) 906-8658 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Fax: (973) 754-4392 Fax: (928) 832-7762 Medical Center Medical Center
00 Yrs/130 Yrs 00 Yrs/130 Yrs M-TH 9:00 AM - 5:00 PM Languages: Italian
Cooper University Health St. Joseph's Hospital Reg F 9:00 AM - 12:00 PM M-TH 9:00 AM - 5:00 PM
Care Medical Center PCMH: Yes, Level 3 F 9:00 AM - 12:00 PM
St. Joseph's Hospital Reg Languages: Hindi, Urdu PCMH: No
Medical Center M-F 9:00 AM - 5:00 PM Demuro, Paul MD
M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 469315 Woo, James MD
PCMH: No Gender: Male Provider ID: 398356
Geriatric Medicine Demuro and Associates LLC Gender: Male
Warta, Melissa MD 338 Chestnut St Ste 1 Wayne Medical Care Inc
Provider ID: 1095903 Bellardini, Angelo MD Passaic, NJ 07055 342 Hamburg Tpke Ste 101
Gender: Female Provider ID: 1244536 (973) 471-9494 Wayne, NJ 07470
St Josephs Healthcare Inc Gender: Male Fax: (973) 778-4649 (973) 942-4140
Sub Specialty: HIV/AIDs Medical Associates of 12 Yrs/130 Yrs Fax: (973) 942-5070
703 Main St Englewood PC St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Paterson, NJ 07503 Sub Specialty: HIV/AIDs Medical Center St. Joseph's Hospital Reg
(973) 754-2490 1225 McBride Ave Ste 200 MW 11:00 AM - 6:00 PM Medical Center
Fax: (973) 754-3599 Woodland Park, NJ 07424 TTHF 9:00 AM - 3:00 PM Languages: Korean
00 Yrs/130 Yrs (973) 256-5557 PCMH: No M-TH 9:00 AM - 5:00 PM
Cooper University Health Fax: (973) 256-5036 F 9:00 AM - 12:00 PM
Care 00 Yrs/130 Yrs Hafez, Nagwa MD PCMH: No
St. Joseph's Hospital Reg Englewood Hospital and Provider ID: 967164
Medical Center Medical Center Gender: Female Geriatric Psychiatry
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg Advanced Geriatrics Inc
PCMH: No Medical Center 246 Hamburg Tpke Ste 208 Hayashi, Fumitaka MD
M-F 9:00 AM - 5:00 PM Wayne, NJ 07470 Provider ID: 1536034
Zuberi, Jamshed MD PCMH: Yes, Level 3 (973) 790-3433 Gender: Male
Fax: (973) 790-0433 Kashoqa Psychiatry Associates
Provider ID: 765669 Delisi, Michael MD 12 Yrs/130 Yrs PC
Gender: Male Provider ID: 398168 St. Joseph's Hospital Reg 506 Hamburg Tpke Ste 203
Sub Specialty: HIV/AIDs Gender: Male Medical Center Wayne, NJ 07470
11 Getty Ave Bldg 275 Fl 2 703 Main St M-F 9:00 AM - 5:00 PM (973) 633-1996
Paterson, NJ 07503 Paterson, NJ 07503 PCMH: No Fax: (973) 633-8078
(973) 754-2270 (973) 754-2000 18 Yrs/130 Yrs
Fax: (973) 754-4392 00 Yrs/130 Yrs MTWTHFSatSun 10:00 AM -
00 Yrs/130 Yrs St. Joseph's Hospital Reg 6:00 PM
St. Joseph's Hospital Reg Medical Center PCMH: No
Medical Center M-F 9:00 AM - 5:00 PM
Languages: Hindi, Urdu PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 257
Updated: 11/26/2018

Specialty Physicians
Passaic
Gynecological Oncology Gynecology Afonja, Richards MD Benn, Howard MD
Provider ID: 1167049
Sama, Jahir MD Bauer, Christopher MD Provider ID: 455840 Gender: Male
Provider ID: 1127839 Gender: Male Circadia LLC
Gender: Male Provider ID: 1555837 Colfax Oncolgy LLC 680 Broadway Ste 100
St Josephs Healthcare Inc Gender: Male 680 Broadway Ste 100 Paterson, NJ 07514
Sub Specialty: HIV/AIDs Atlantic Medical Group Paterson, NJ 07514 (973) 341-1130
11 Getty Ave Bldg 275 2nd Fl 330 Ratzer Rd Ste B7 (973) 341-1130 Fax: (973) 341-1117
Paterson, NJ 07503 Wayne, NJ 74707 Fax: (973) 341-1117 12 Yrs/130 Yrs
(973) 754-2705 (973) 694-2222 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Fax: (973) 754-2707 Fax: (973) 694-7664 Hoboken University Medical Medical Center
00 Yrs/130 Yrs 00 Yrs/130 Yrs Center Languages: French, Chinese
St. Joseph's Hospital Reg AHS Hospital St. Joseph's Hospital Reg M-F 9:00 AM - 6:00 PM
Medical Center M-F 7:30 AM - 6:00 PM Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No Dorkhom, Stephan MD
Hematology & Oncology
Sama, Jahir MD Afonja, Richards MD Provider ID: 1170724
Provider ID: 1127839 Afonja, Richards MD Provider ID: 646619 Gender: Male
Gender: Male Gender: Male Sovereign Medical Group LLC
St Josephs Healthcare Inc Provider ID: 1138867 Fastmed of NJ LLC 234 Hamburg Tpke Ste 2-200
Sub Specialty: HIV/AIDs Gender: Male 476 Colfax Ave Fl 1 Wayne, NJ 07470
57 Willowbrook Blvd Fl 3 Ste Fastmed of NJ LLC Clifton, NJ 07013 (973) 310-0315
301 680 Broadway Ste 101 (973) 594-7977 Fax: (973) 925-4056
Wayne, NJ 07470 Paterson, NJ 07514 Fax: (973) 341-1117 18 Yrs/130 Yrs
(973) 754-4075 (973) 925-2040 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (973) 256-6523 Fax: (973) 925-2044 Hoboken University Medical PCMH: No
00 Yrs/130 Yrs Center
00 Yrs/130 Yrs
St. Joseph's Hospital Reg St. Joseph's Hospital Reg Gundavaram, Pawan MD
Hoboken University Medical Medical Center
Medical Center Center
M-F 9:00 AM - 5:00 PM Languages: Spanish
St. Joseph's Hospital Reg Provider ID: 1164526
PCMH: No Medical Center M-F 9:00 AM - 5:00 PM Gender: Male
M-F 9:00 AM - 5:00 PM PCMH: No Circadia LLC
Sama, Jahir MD PCMH: No Afonja, Richards MD 680 Broadway Ste 100
Provider ID: 1127839 Paterson, NJ 07514
Gender: Male Afonja, Richards MD Provider ID: 646619
(973) 341-1130
St Josephs Healthcare Inc Gender: Male
Fax: (973) 341-1117
Sub Specialty: HIV/AIDs Fastmed of NJ LLC
Provider ID: 455840 12 Yrs/130 Yrs
703 Main St 680 Broadway Ste 101
Gender: Male St. Joseph's Hospital Reg
Paterson, NJ 07503 Paterson, NJ 07514
Colfax Oncolgy LLC Medical Center
(973) 754-2705 (973) 594-7977
476 Colfax Ave Fl 1 MTWTHFSat 8:00 AM - 6:00
Fax: (973) 754-2707 Fax: (973) 341-1119 PM
Clifton, NJ 07013
00 Yrs/130 Yrs 00 Yrs/130 Yrs Sun 8:00 AM - 4:00 PM
(973) 594-7977
St. Joseph's Hospital Reg Hoboken University Medical PCMH: No
Fax: (973) 341-1117
Medical Center Center
00 Yrs/130 Yrs St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM Hoboken University Medical
PCMH: No Medical Center
Center Languages: Spanish
St. Joseph's Hospital Reg MTWTHFSatSun 7:00 AM -
Medical Center 11:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 258
Updated: 11/26/2018

Specialty Physicians
Passaic
Hematology & Oncology Zaman, Aamir MD Marton, Lewis MD Rabbat, Mohamed MD
- cont. Provider ID: 440499 Provider ID: 398255
Gender: Male Gender: Male Provider ID: 398295
Gundavaram, Pawan MD Zaman and Zaman PC 703 Main St Ste 619 Gender: Male
1035 Rte 46 Ste 202 Paterson, NJ 07503 IPA of North Jersey Inc
Provider ID: 1201376 Clifton, NJ 07013 (973) 754-3213 57 Willowbrook Blvd Ste 303
Gender: Male (973) 777-2212 00 Yrs/130 Yrs Wayne, NJ 07470
Fastmed of NJ LLC Fax: (973) 777-0469 St. Joseph's Hospital Reg (973) 754-4060
476 Colfax Ave Fl 1 18 Yrs/130 Yrs Medical Center Fax: (973) 754-4007
Clifton, NJ 70131 Languages: Urdu M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(973) 594-7977 M-F 9:00 AM - 5:00 PM PCMH: No St. Joseph's Hospital Reg
Fax: (973) 594-9983 PCMH: No Medical Center
Marton, Lewis MD Languages: Arabic
12 Yrs/130 Yrs
St. Joseph's Hospital Reg Infectious Disease Provider ID: 398255 M-TH 9:00 AM - 5:00 PM
Medical Center Gender: Male F 9:00 AM - 12:00 PM
MTWTHFSat 8:00 AM - 6:00 Finkel, Diana DO IPA of North Jersey Inc PCMH: No
PM Provider ID: 1369636 57 Willowbrook Blvd
Sun 8:00 AM - 4:00 PM Gender: Female Wayne, NJ 07470 Rabbat, Mohamed MD
PCMH: No Horizon Health Center (973) 754-4060
975 Clifton Ave Ste 2 Fax: (973) 754-4007 Provider ID: 398295
Maroules, Michael MD Clifton, NJ 07013 00 Yrs/130 Yrs Gender: Male
Provider ID: 1183905 (973) 778-8666 St. Joseph's Hospital Reg Ipanj
Gender: Male Fax: (973) 778-7559 Medical Center 160 Market St
Sub Specialty: HIV/AIDs 18 Yrs/110 Yrs M-TH 9:00 AM - 5:00 PM Paterson, NJ 07501
703 Main St Prime Health Services-St F 9:00 AM - 12:00 PM (973) 754-4701
Paterson, NJ 07503 Marys Hospital PCMH: No 00 Yrs/130 Yrs
(973) 754-2000 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
00 Yrs/130 Yrs Medical Center Rabbat, Mohamed MD Medical Center
St. Joseph's Hospital Reg Languages: Spanish, Russian Languages: Arabic
Medical Center M-F 9:00 AM - 5:00 PM Provider ID: 398295 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No Gender: Male PCMH: No
PCMH: No 11 Getty Ave Bldg 275 2nd Fl
Hamadeh, Randa MD Paterson, NJ 07503 Rabbat, Mohamed MD
Maroules, Michael MD (973) 754-4701 Provider ID: 976840
Provider ID: 818671 Fax: (973) 754-4740 Gender: Male
Provider ID: 1183905 Gender: Female 00 Yrs/130 Yrs 703 Main St Ste 619
Gender: Male Bhmg United Medical St. Joseph's Hospital Reg Paterson, NJ 07503
St Josephs Healthcare Inc 533 Lexington Ave Medical Center (973) 754-3213
Sub Specialty: HIV/AIDs Clifton, NJ 07011 Languages: Arabic 02 Yrs/130 Yrs
11 Getty Ave (973) 546-6844 M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Paterson, NJ 07503 Fax: (973) 546-7707 PCMH: No Medical Center
(973) 754-2909 00 Yrs/130 Yrs Languages: Arabic
Fax: (973) 754-2444 Jersey City Medical Center Rabbat, Mohamed MD M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs St. Joseph's Hospital Reg Provider ID: 398295 PCMH: No
St. Joseph's Hospital Reg Medical Center Gender: Male
Medical Center Languages: French, Arabic 703 Main St Ste 619
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Paterson, NJ 07503
PCMH: No PCMH: No (973) 754-3213
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
Languages: Arabic
MTWTHFSat 9:00 AM - 5:00
PM
PCMH: No

www.wellcare.com/New-Jersey | 259
Updated: 11/26/2018

Specialty Physicians
Passaic
Infectious Disease - cont. Suh, Jin MD Valentin-Torres, Melanie MD Asokan, Rengaswamy MD
Provider ID: 1095901
Rabbat, Mohamed MD Gender: Male Provider ID: 1248268 Provider ID: 1343229
St Josephs Healthcare Inc Gender: Female Gender: Male
Provider ID: 976840 Sub Specialty: HIV/AIDs ID Care PA Medical Associates of
Gender: Male 11 Getty Ave Bldg Ste 275, Fl 2 2035 Hamburg Tpke Ste F Englewood PC
St Josephs Healthcare Inc Paterson, NJ 07501 Wayne, NJ 07470 1783 Union Valley Rd
11 Getty Ave Bldg Ste 275, Fl 2 (973) 754-4701 (973) 513-9475 West Milford, NJ 07480
Paterson, NJ 07501 Fax: (973) 754-4740 Fax: (973) 513-9478 (856) 241-3320
(973) 754-4200 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (856) 241-3321
Fax: (973) 754-4201 St. Joseph's Hospital Reg Saint Clares Hospital 00 Yrs/130 Yrs
02 Yrs/130 Yrs Medical Center M-F 9:00 AM - 5:00 PM AHS Hospital
St. Joseph's Hospital Reg M-TH 9:00 AM - 5:00 PM PCMH: No St. Joseph's Hospital Reg
Medical Center PCMH: No Medical Center
Languages: Arabic Internal Medicine M-F 9:00 AM - 5:00 PM
M-TH 9:00 AM - 5:00 PM Suh, Jin MD PCMH: No
PCMH: No Provider ID: 1095901 Agarwal, Ashoke MD
Gender: Male Bernheim, Oren MD
Shafi, Samya MD St Josephs Healthcare Inc Provider ID: 1219079 Provider ID: 1071521
Provider ID: 1183918 Sub Specialty: HIV/AIDs Gender: Male Gender: Male
Gender: Female 57 Willowbrook Blvd Ste 303 North Jersey Vascular Center Gastroenterolgy Associates of
Sub Specialty: HIV/AIDs Wayne, NJ 07470 LLC New J
703 Main St Ste 619 (973) 754-4060 1429 Broad St 246 Hamburg Tpke Ste 203
Paterson, NJ 07503 Fax: (973) 754-4007 Clifton, NJ 07013 Wayne, NJ 07470
(973) 754-3213 00 Yrs/130 Yrs (973) 532-7899 (862) 336-9988
00 Yrs/18 Yrs St. Joseph's Hospital Reg Fax: (862) 238-7213 Fax: (862) 336-9987
St. Joseph's Hospital Reg Medical Center 18 Yrs/130 Yrs 16 Yrs/130 Yrs
Medical Center M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM PCMH: No Medical Center Medical Center
PCMH: No Languages: Hindi, Bengali M-F 9:00 AM - 5:00 PM
Suh, Jin MD M-W 8:00 AM - 5:00 PM PCMH: No
Shafi, Samya MD Provider ID: 1095901 PCMH: No
Provider ID: 1183918 Gender: Male Boutros, Maged MD
Gender: Female St Josephs Healthcare Inc Asokan, Rengaswamy MD Provider ID: 1008233
St Josephs Healthcare Inc Sub Specialty: HIV/AIDs Gender: Male
Sub Specialty: HIV/AIDs 703 Main St Prevention Clinics LLC
Provider ID: 1343229
11 Getty Ave Bldg 275 Fl 2 Paterson, NJ 07503 1033 Rte 46 Ste G1
Gender: Male
Paterson, NJ 07503 (973) 754-2490 Clifton, NJ 07013
Medical Associates of
(973) 754-4701 Fax: (973) 754-3599 Englewood PC (973) 777-3711
Fax: (973) 754-4740 00 Yrs/130 Yrs 1485 Union Valley Rd Fax: (973) 472-3938
00 Yrs/18 Yrs St. Joseph's Hospital Reg West Milford, NJ 07480 00 Yrs/130 Yrs
St. Joseph's Hospital Reg Medical Center (973) 728-1880 M-F 9:00 AM - 4:00 PM
Medical Center M-F 9:00 AM - 5:00 PM Fax: (973) 728-1559 PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No 00 Yrs/130 Yrs
PCMH: No AHS Hospital
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 260
Updated: 11/26/2018

Specialty Physicians
Passaic
Internal Medicine - cont. Farkas, John MD Jospeh, Albert MD Khan, Muhammad MD
Provider ID: 398180 Provider ID: 1346070 Provider ID: 398219
Brar, Harleen MD Gender: Male Gender: Male Gender: Male
Provider ID: 976395 703 Main St Medical Associates of IPA of North Jersey Inc
Gender: Female Paterson, NJ 07503 Englewood PC 703 Main St
Med Solutions LLC (973) 754-2000 680 Broadway Ste 116A Paterson, NJ 07503
Sub Specialty: Aged, 00 Yrs/130 Yrs Paterson, NJ 07514 (973) 754-2270
Developmental Disabilities, St. Joseph's Hospital Reg (973) 684-3663 Fax: (973) 754-2469
HIV/AIDS Medical Center Fax: (862) 264-2386 00 Yrs/130 Yrs
220 Hamburg Tpke Languages: Spanish 18 Yrs/130 Yrs St. Joseph's Hospital Reg
Wayne, NJ 07470 M-F 9:00 AM - 5:00 PM Englewood Hospital and Medical Center
(973) 977-2250 PCMH: No Medical Center Languages: Spanish, Urdu
12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Farkas, John MD PCMH: Yes, Level 3 F 9:00 AM - 12:00 PM
Medical Center Provider ID: 398180 PCMH: No
Languages: Spanish, Hindi Gender: Male Kahf, Ahmad MD
M-F 9:00 AM - 5:00 PM 842 Clifton Ave Ste 6 Provider ID: 398213 Kosc, Gary MD
PCMH: No Clifton, NJ 07013 Gender: Male Provider ID: 398226
(973) 777-5717 IPA of North Jersey Inc Gender: Male
Brar, Harleen MD Fax: (201) 632-4805 401 Haledon Ave Ste 2 703 Main St
Provider ID: 976395 00 Yrs/130 Yrs Haledon, NJ 07508 Paterson, NJ 07503
Gender: Female St. Joseph's Hospital Reg (973) 942-3767 (973) 754-2000
Med Solutions LLC Medical Center Fax: (973) 942-1027 00 Yrs/130 Yrs
Sub Specialty: Aged, Languages: Spanish 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Developmental Disabilities, M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg Medical Center
HIV/AIDS PCMH: No Medical Center Languages: Spanish
680 Broadway Ste 506 M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Paterson, NJ 07514 Gupta, Ajay MD F 9:00 AM - 12:00 PM PCMH: No
(973) 977-2250 Provider ID: 976382 PCMH: No
12 Yrs/130 Yrs Gender: Male Kosc, Gary MD
St. Joseph's Hospital Reg 50 Mount Prospect Ave Ste Khaddash, Ibrahim MD Provider ID: 398226
Medical Center 101 Gender: Male
Languages: Spanish, Hindi Clifton, NJ 07013 Provider ID: 1573026 Gastroenterology Assoc of NJ
M-F 9:00 AM - 5:00 PM (973) 779-8887 LLC
Gender: Male
PCMH: No Fax: (973) 779-1313 205 Browertown Rd Ste 201
North Jersey Vascular Center
12 Yrs/130 Yrs LLC Woodland Park, NJ 07424
Covelli, Joseph MD Newark Beth Israel Med 1429 Broad St (973) 812-8120
Provider ID: 1556671 Center Clifton, NJ 07013 Fax: (973) 890-1097
Gender: Male Prime Health Services-St
(973) 532-7899 00 Yrs/130 Yrs
Wound Healing Associates PC Marys Hospital Fax: (862) 238-7213 St. Joseph's Hospital Reg
St. Joseph's Hospital Reg
290 Lafayette Ave 00 Yrs/130 Yrs Medical Center
Medical Center
Hawthorne, NJ 07506 St. Joseph's Hospital Reg Languages: Spanish
M-F 9:00 AM - 5:00 PM
(973) 427-9200 Medical Center M-TH 9:00 AM - 5:00 PM
PCMH: No
Fax: (973) 427-9201 M-F 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM
00 Yrs/130 Yrs PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM
Sat 10:00 AM - 2:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 261
Updated: 11/26/2018

Specialty Physicians
Passaic
Internal Medicine - cont. Patel, Amar MD Roth, Joseph MD Shah, Sanjay MD
Provider ID: 1514729 Provider ID: 582832 Provider ID: 1214359
Kosc, Gary MD Gender: Male Gender: Male Gender: Male
Provider ID: 398226 North Jersey Nephrology Gastroenterology Associates North Jersey Vascular Center
Gender: Male Associates of New LLC
Gastroenterology Associates 1031 McBride Ave Ste D205 925 Clifton Ave Ste 100 1429 Broad St
of NJ Woodland Park, NJ 07424 Clifton, NJ 07013 Clifton, NJ 07013
205 Browertown Rd Ste 202 (973) 653-3366 (973) 458-0408 (973) 532-7899
Woodland Park, NJ 07424 Fax: (973) 653-3365 Fax: (973) 405-6564 Fax: (862) 238-7213
(973) 837-0230 18 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs
Fax: (973) 890-1097 AHS Hospital M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
00 Yrs/130 Yrs Prime Health Services-St PCMH: No Medical Center
St. Joseph's Hospital Reg Marys Hospital M-W 8:00 AM - 5:00 PM
Medical Center St. Joseph's Hospital Reg Shah, Anuj MD PCMH: No
Languages: Spanish Medical Center Provider ID: 1580358
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Gender: Male Sommers, Daniel MD
PCMH: No PCMH: No Shah Anuj MD PC
124 Gregory Ave Ste 203 Provider ID: 1177489
Levin, Daniel MD Patel, Amar MD Passaic, NJ 07055 Gender: Male
Provider ID: 440293 Provider ID: 1514729 (201) 209-1802 Medexpress Urgent Care -
Gender: Male Gender: Male Fax: (201) 604-7764 Totowa
Sub Specialty: HIV/AIDs North Jersey Nephrology 00 Yrs/130 Yrs Sub Specialty: Developmental
224 Hamburg Tpke Associates Disabilities, Aged, HIV/AIDS
M-F 9:00 AM - 5:00 PM
Wayne, NJ 07470 1117 Rte 46 Ste 205 225 US Hwy 46 Ste A
PCMH: No
(973) 942-6900 Clifton, NJ 07013 Totowa, NJ 07512
16 Yrs/130 Yrs (973) 653-3366 Shah, Anuj MD (973) 256-0452
Languages: Russian Fax: (973) 653-3365 Provider ID: 1580358 Fax: (973) 256-0453
M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Gender: Male 18 Yrs/130 Yrs
PCMH: No AHS Hospital Shah Anuj MD PC MTWTHFSatSun 9:00 AM -
Prime Health Services-St 9:00 PM
293 Passaic St
Levin, Daniel MD Marys Hospital PCMH: No
St. Joseph's Hospital Reg Passaic, NJ 07055
Provider ID: 440293 Medical Center (973) 916-0002
Gender: Male Fax: (973) 915-0027 Swan, Alexander MD
M-F 9:00 AM - 5:00 PM
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs Provider ID: 1574258
PCMH: No
703 Main St Ste X223 M-F 9:00 AM - 5:00 PM Gender: Male
Paterson, NJ 75032 Patel, Amar MD PCMH: No Passaic Medical and Wellness
(973) 754-2450 916 Main Ave Ste 2B
Provider ID: 1514729
16 Yrs/130 Yrs Shah, Nalini MD Passaic, NJ 07055
Gender: Male
Languages: Russian Provider ID: 398324 (862) 249-1010
North Jersey Nephrology
M-F 9:00 AM - 5:00 PM Associates Gender: Female Fax: (877) 818-7425
PCMH: No 246 Hamburg Tpke Ste 207 IPA of North Jersey Inc 00 Yrs/130 Yrs
Wayne, NJ 07470 415 21st Ave M-F 9:00 AM - 5:00 PM
(973) 653-3366 Paterson, NJ 07513 PCMH: No
Fax: (973) 653-3365 (973) 345-2142
18 Yrs/130 Yrs Fax: (973) 345-1626
AHS Hospital 00 Yrs/130 Yrs
Prime Health Services-St St. Joseph's Hospital Reg
Marys Hospital Medical Center
St. Joseph's Hospital Reg Languages: Hindi, Gujarati
Medical Center M-TH 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM
PCMH: No PCMH: No

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Updated: 11/26/2018

Specialty Physicians
Passaic
Internal Medicine - cont. Interventional Cardiology Gupta, Ajay MD Maternal Fetal Medicine
Provider ID: 1456727
Taclob, Michelle MD Chehade, Ghassan MD Gender: Male Khoury, Aldo MD
Medical Associates of Provider ID: 398221
Provider ID: 799868 Provider ID: 1137721 Englewood PC Gender: Male
Gender: Female Gender: Male 401 Hamburg Tpke Ste 109 Sub Specialty: HIV/AIDs
100 Main Medical Associates Cardiovascular Wellness LLC Wayne, NJ 07470 703 Main St
100 Main St Ste 1 936 Main Ave (973) 779-8887 Paterson, NJ 07503
Paterson, NJ 07505 Passaic, NJ 07055 Fax: (973) 595-5069 (973) 754-2000
(973) 523-0317 (973) 376-4216 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (973) 684-8590 Fax: (973) 771-3099 Newark Beth Israel Med St. Joseph's Hospital Reg
12 Yrs/130 Yrs 00 Yrs/130 Yrs Center Medical Center
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Prime Health Services-St Languages: Arabic
Medical Center Marys Hospital M-F 9:00 AM - 5:00 PM
PCMH: No St. Joseph's Hospital Reg PCMH: No
M-F 9:00 AM - 5:00 PM Medical Center
PCMH: No Duvvuri, Krishna MD
M-F 9:00 AM - 5:00 PM Khoury, Aldo MD
Provider ID: 1694087
Yousef, Nadia MD PCMH: No Provider ID: 398221
Gender: Male
Provider ID: 1720854 Medical Associates of Gender: Male
Motivala, Apurva MD
Gender: Female Englewood, PC St Josephs Healthcare Inc
North Jersey Nephrology 1485 Union Valley Rd Sub Specialty: HIV/AIDs
Associates Provider ID: 1315949 11 Getty Ave Fl 2
West Milford, NJ 07480
1117 Rte 46 Ste 205 Gender: Male Paterson, NJ 07503
(973) 728-1880
Clifton, NJ 07013 Medical Associates of (973) 754-2279
Fax: (973) 728-1559 Englewood PC
(973) 653-3366 18 Yrs/130 Yrs 00 Yrs/130 Yrs
1225 McBride Ave Ste 201
Fax: (973) 653-3365 AHS Hospital St. Joseph's Hospital Reg
Woodland Park, NJ 07424 Medical Center
02 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (973) 812-0377 Languages: Arabic
M-F 9:00 AM - 5:00 PM PCMH: No Fax: (973) 812-0383 M-TH 9:00 AM - 5:00 PM
PCMH: No
Gupta, Ajay MD 00 Yrs/130 Yrs F 9:00 AM - 12:00 PM
Yousef, Nadia MD M-F 9:00 AM - 5:00 PM PCMH: No
Provider ID: 1456727
Provider ID: 1720854 PCMH: No
Gender: Male
Gender: Female 350 Blvd Principe, David MD
Virk, Hartaj MD
North Jersey Nephrology Passaic, NJ 07055 Provider ID: 1087655
Associates Provider ID: 621126 Gender: Male
(973) 595-5345
246 Hamburg Tpke Ste 207 Gender: Male St Josephs Healthcare Inc
00 Yrs/130 Yrs
Wayne, NJ 07470 St Josephs Physicians Sub Specialty: HIV/AIDs
Newark Beth Israel Med Healthcare Gr
(973) 653-3366 Center 11 Getty Ave Bldg Ste 275, Fl 2
703 Main St
Fax: (973) 653-3365 Prime Health Services-St Paterson, NJ 07501
Marys Hospital Paterson, NJ 07503
02 Yrs/130 Yrs (973) 754-2717
St. Joseph's Hospital Reg (973) 754-2000
M-F 9:00 AM - 5:00 PM Fax: (973) 754-2874
Medical Center 00 Yrs/130 Yrs
PCMH: No 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Bayonne Medical Center Palisades Medical Center
Zezon, Anna MD PCMH: No Prime Health Services-St St. Joseph's Hospital Reg
Marys Hospital
Provider ID: 1513702 Medical Center
St. Joseph's Hospital Reg
Gender: Female Medical Center M-F 9:00 AM - 5:00 PM
Medical Associates of M-F 9:00 AM - 5:00 PM PCMH: No
Englewood, PC PCMH: No
1225 McBride Ave Ste 200
Woodland Park, NJ 07424
(973) 256-5557
Fax: (973) 256-5036
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 263
Updated: 11/26/2018

Specialty Physicians
Passaic
Maternal Fetal Medicine - Neonatal Perinatal Duchon, Jennifer MD Menken, Gregory MD
cont. Medicine Provider ID: 1583343
Gender: Female Provider ID: 976438
Principe, David MD Bhat, Kiran MD Neonatal Associates, LLC Gender: Male
Provider ID: 1087655 Provider ID: 1583338 703 Main St Neonatal Associates LLC
Gender: Male Gender: Female Paterson, NJ 07503 Sub Specialty: HIV/AIDs
St Josephs Healthcare Inc Neonatal Associates, LLC (973) 754-2555 703 Main St Ste A2418
Sub Specialty: HIV/AIDs 703 Main St Fax: (973) 754-2567 Paterson, NJ 07503
703 Main St Paterson, NJ 07503 00 Yrs/18 Yrs (973) 754-2555
Paterson, NJ 07503 (973) 754-2555 St. Joseph's Hospital Reg Fax: (973) 754-2567
(201) 475-5222 Fax: (973) 754-2567 Medical Center 12 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/18 Yrs M-F 9:00 AM - 9:00 PM St. Joseph's Hospital Reg
Palisades Medical Center St. Joseph's Hospital Reg PCMH: No Medical Center
St. Joseph's Hospital Reg Medical Center M-F 9:00 AM - 5:00 PM
Medical Center M-F 9:00 AM - 9:00 PM Lesser, Eric MD PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 976354
PCMH: No Gender: Male Pua, Zarah MD
Brnouti, Fares MD Neonatal Associates LLC Provider ID: 976358
Medical Genetics Provider ID: 1583341 Sub Specialty: HIV/AIDs Gender: Female
Gender: Male 703 Main St Ste A2418 Neonatal Assoc LLC
Simotas, Christopher MD Neonatal Associates, LLC Paterson, NJ 07503 703 Main St Ste A2418
703 Main St (973) 754-2555 Paterson, NJ 07503
Provider ID: 765656 Paterson, NJ 07503 Fax: (973) 754-2567 (973) 754-2555
Gender: Male (973) 754-2555 12 Yrs/130 Yrs Fax: (973) 754-2567
703 Main St Fax: (973) 754-2567 St. Joseph's Hospital Reg 00 Yrs/18 Yrs
Paterson, NJ 07503 00 Yrs/18 Yrs Medical Center St. Joseph's Hospital Reg
(201) 490-1217 St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Medical Center
00 Yrs/130 Yrs Medical Center PCMH: No M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg M-F 9:00 AM - 9:00 PM PCMH: No
Medical Center PCMH: No Marrero, Luis MD
Languages: Greek Provider ID: 976359 Rosenblum, Stacy MD
M-F 9:00 AM - 5:00 PM Datta-Bhutada, Subhashree Gender: Male Provider ID: 1721645
PCMH: No MD Neonatal Associates LLC Gender: Female
Provider ID: 976474 Sub Specialty: HIV/AIDs Neonatal Associates, LLC
Simotas, Christopher MD Gender: Female 703 Main St Ste A2418 703 Main St
Neonatal Associates LLC Paterson, NJ 07503 Paterson, NJ 07503
Provider ID: 765656 Sub Specialty: HIV/AIDs (973) 754-2555 (973) 754-2555
Gender: Male 703 Main St Ste A2418 Fax: (973) 754-2567 Fax: (973) 754-2567
St Joseph Healthcare Inc Paterson, NJ 07503 12 Yrs/130 Yrs 00 Yrs/130 Yrs
11 Getty Ave (973) 754-2555 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Paterson, NJ 07503 Fax: (973) 754-2567 Medical Center Medical Center
(973) 754-2727 00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Fax: (973) 569-9467 St. Joseph's Hospital Reg PCMH: No
00 Yrs/130 Yrs Medical Center Skroce, Linda MD
St. Joseph's Hospital Reg Languages: Hindi Provider ID: 976355
Medical Center M-F 9:00 AM - 5:00 PM Gender: Female
Languages: Greek PCMH: No Neonatal Associates LLC
M-F 9:00 AM - 5:00 PM Sub Specialty: HIV/AIDs
PCMH: No 703 Main St
Paterson, NJ 07503
(973) 754-2555
Fax: (973) 754-2567
00 Yrs/18 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 264
Updated: 11/26/2018

Specialty Physicians
Passaic
Neonatal Perinatal Banu, Nazifa MD Graziano, Vincent MD Mehta, Tapan MD
Medicine - cont. Provider ID: 460410 Provider ID: 1338456
Gender: Female Provider ID: 1170009 Gender: Male
Weissman, Michelle MD North Jersey Nephrology Gender: Male North Jersey Nephrology
Associates St. Joseph's Healthcare Inc Associates
Provider ID: 1583345 246 Hamburg Tpke Ste 207 Sub Specialty: HIV/AIDs 246 Hamburg Tpke Ste 207
Gender: Female Wayne, NJ 07470 11 Getty Ave Bldg 275 2nd Fl Wayne, NJ 07470
Neonatal Associates, LLC (973) 653-3366 Paterson, NJ 07501 (973) 653-3366
703 Main St Fax: (973) 653-3365 (973) 754-2270 Fax: (973) 653-3365
Paterson, NJ 07503 18 Yrs/130 Yrs Fax: (973) 754-4392 00 Yrs/130 Yrs
(973) 754-2555 St. Joseph's Hospital Reg 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Fax: (973) 754-2567 Medical Center Prime Health Services-St Medical Center
00 Yrs/18 Yrs Languages: Spanish, Bengali, Marys Hospital M-F 9:00 AM - 5:00 PM
Japanese St. Joseph's Hospital Reg PCMH: No
St. Joseph's Hospital Reg
Medical Center M-F 9:00 AM - 5:00 PM Medical Center
PCMH: No MTWTHFSatSun 9:00 AM - Moquete, Manuel MD
M-F 9:00 AM - 9:00 PM
PCMH: No 5:00 PM
Chandran, Chandra MD PCMH: No Provider ID: 1346116
Nephrology Gender: Male
Provider ID: 398154 Graziano, Vincent MD Depaul Ambulatory Center
Ananth, Prakash MD Gender: Male 11 Getty Ave Bldg 275 2nd Fl
Provider ID: 1591612 North Jersey Nephrology Provider ID: 688433 Paterson, NJ 07503
Gender: Male Associates Gender: Male (973) 754-2270
St Josephs Healthcare Inc 246 Hamburg Tpke Ste 207 North Jersey Nephrology Fax: (973) 754-4392
703 Main St Wayne, NJ 07470 Associates 00 Yrs/130 Yrs
Paterson, NJ 07503 (973) 653-3366 Sub Specialty: HIV/AIDs St. Joseph's Hospital Reg
(866) 212-8744 Fax: (973) 653-3365 246 Hamburg Tpke Ste 207 Medical Center
Fax: (973) 754-2249 16 Yrs/130 Yrs Wayne, NJ 07470 Languages: Spanish
00 Yrs/130 Yrs St. Joseph's Hospital Reg (973) 653-3366 M-F 9:00 AM - 5:00 PM
Medical Center Fax: (973) 653-3365 PCMH: No
St. Joseph's Hospital Reg
Medical Center Languages: Spanish, Tamil 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 4:30 PM Prime Health Services-St Moquete, Manuel MD
PCMH: No PCMH: No Marys Hospital
St. Joseph's Hospital Reg Provider ID: 398265
Audia, Pat MD Fazio, Ignazio MD Medical Center Gender: Male
Provider ID: 462470 Languages: Spanish IPA of North Jersey
Provider ID: 450995
Gender: Male MT 12:00 AM - 5:00 PM 11 Getty Ave Bldg 275 Fl 2
Gender: Male
Suburban Nephrology PCMH: No Paterson, NJ 07503
North Jersey Nephrology
Associates Sub Specialty: HIV/AIDs (973) 754-2270
1225 McBride Ave Ste 100 Masand, Anjali MD
246 Hamburg Tpke Ste 207 Fax: (973) 754-4392
Woodland Park, NJ 07424 Provider ID: 1343520
Wayne, NJ 07470 00 Yrs/130 Yrs
(973) 890-2394 Gender: Female
(973) 653-3366 St. Joseph's Hospital Reg
Fax: (973) 890-2649 North Jersey Nephrology Medical Center
Fax: (973) 653-3365
00 Yrs/130 Yrs Assoc PA
18 Yrs/130 Yrs Languages: Spanish
Newark Beth Israel Med 246 Hamburg Tpke Ste 207
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
Center Wayne, NJ 07470
Medical Center PCMH: No
St. Joseph's Hospital Reg (973) 653-3366
Languages: Spanish
Medical Center Fax: (973) 653-3365
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM 18 Yrs/110 Yrs
PCMH: No
PCMH: No St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 265
Updated: 11/26/2018

Specialty Physicians
Passaic
Nephrology - cont. Notkin, Alicia MD Patel, Amar MD Prakash, Ananth MD
Provider ID: 1072208 Provider ID: 1514729
Moquete, Manuel MD Gender: Female Gender: Male Provider ID: 976817
St. Joseph's Healthcare Inc North Jersey Nephrology Gender: Male
Provider ID: 398265 Sub Specialty: HIV/AIDs Associates North Jersey Nephrology
Gender: Male 703 Main St 1117 Rte 46 Ste 205 246 Hamburg Tpke Ste 207
North Jersey Nephrology Paterson, NJ 07503 Clifton, NJ 07013 Wayne, NJ 07470
Group (973) 754-2270 (973) 653-3366 (973) 653-3366
246 Hamburg Tpke Ste 207 00 Yrs/130 Yrs Fax: (973) 653-3365 Fax: (973) 653-3365
Wayne, NJ 07470 St. Joseph's Hospital Reg 18 Yrs/130 Yrs 18 Yrs/130 Yrs
(973) 653-3366 Medical Center AHS Hospital St. Joseph's Hospital Reg
Fax: (973) 653-3365 MTWTHFSatSun 9:00 AM - Prime Health Services-St Medical Center
00 Yrs/130 Yrs 5:00 PM Marys Hospital M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg PCMH: No St. Joseph's Hospital Reg PCMH: No
Medical Center Medical Center
Languages: Spanish Notkin, Alicia MD M-F 9:00 AM - 5:00 PM Rae, Sam MD
M-F 9:00 AM - 5:00 PM Provider ID: 1346099 PCMH: No Provider ID: 462480
PCMH: No Gender: Female Gender: Male
North Jersey Nephrology Patel, Amar MD
IPA of North Jersey Inc
Nandigam, Purna MD Associates Provider ID: 1514729 Sub Specialty: HIV/AIDs
Sub Specialty: HIV/AIDs Gender: Male 342 Hamburg Tpke Ste 201
246 Hamburg Tpke Ste 207 North Jersey Nephrology
Provider ID: 1333982 Wayne, NJ 07470
Wayne, NJ 07470 Associates
Gender: Female (973) 389-1119
(973) 653-3366 246 Hamburg Tpke Ste 207
North Jersey Nephrology Fax: (973) 389-1145
Fax: (973) 653-3365 Wayne, NJ 07470
Assoc 00 Yrs/130 Yrs
00 Yrs/130 Yrs (973) 653-3366
246 Hamburg Tpke Ste 207 St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Fax: (973) 653-3365
Wayne, NJ 07470 Medical Center
Medical Center 18 Yrs/130 Yrs
(973) 653-3366 M-F 9:00 AM - 5:00 PM
MTTHF 9:00 AM - 5:00 PM AHS Hospital
Fax: (973) 653-3365 PCMH: No
W 9:00 AM - 7:00 PM Prime Health Services-St
18 Yrs/130 Yrs Marys Hospital
St. Joseph's Hospital Reg PCMH: No Rae, Sam MD
St. Joseph's Hospital Reg
Medical Center Medical Center Provider ID: 462480
M-F 9:00 AM - 5:00 PM Patel, Amar MD Gender: Male
M-F 9:00 AM - 5:00 PM
PCMH: No Provider ID: 1514729 Suburban Nephrology
PCMH: No
Gender: Male Sub Specialty: HIV/AIDs
Notkin, Alicia MD North Jersey Nephrology Prakash, Ananth MD 1031 McBride Ave
Provider ID: 1072208 Associates Little Falls, NJ 07424
Provider ID: 976817
Gender: Female 1031 McBride Ave Ste D205 (973) 389-1119
Gender: Male
St. Joseph's Healthcare Inc Woodland Park, NJ 07424 Fax: (973) 389-1145
10 Clifton Blvd Ste 2
Sub Specialty: HIV/AIDs (973) 653-3366 00 Yrs/130 Yrs
Clifton, NJ 07011
11 Getty Ave Fax: (973) 653-3365 St. Joseph's Hospital Reg
(973) 594-9100
Paterson, NJ 07503 18 Yrs/130 Yrs Medical Center
Fax: (720) 497-9860
(973) 754-2270 AHS Hospital M-F 9:00 AM - 5:00 PM
Prime Health Services-St 18 Yrs/130 Yrs
Fax: (973) 754-4392 St. Joseph's Hospital Reg PCMH: No
Marys Hospital
00 Yrs/130 Yrs Medical Center
St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Medical Center M-F 9:00 AM - 5:00 PM
Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM
MTWTHFSatSun 9:00 AM - PCMH: No
5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 266
Updated: 11/26/2018

Specialty Physicians
Passaic
Nephrology - cont. Shah, Sanjay MD Triolo, Diane MD Walia, Birendra MD
Provider ID: 560529 Provider ID: 689349
Saini, Harjinder MD Gender: Male Gender: Female Provider ID: 636456
Provider ID: 297293 246 Hamburg Tpke Ste 207 North Jersey Nephrology Gender: Male
Gender: Male Wayne, NJ 07470 Associates Access Care Physicians of NJ
1031 McBride Ave Ste D209 (973) 653-3366 246 Hamburg Tpke Ste 207 1225 McBride Ave Ste 116
Woodland Park, NJ 07424 Fax: (973) 653-3365 Wayne, NJ 07470 Woodland Park, NJ 07424
(973) 653-3366 00 Yrs/130 Yrs (973) 653-3366 (973) 837-1018
Fax: (973) 653-3365 St. Joseph's Hospital Reg Fax: (973) 653-3365 Fax: (973) 837-1329
18 Yrs/130 Yrs Medical Center 00 Yrs/130 Yrs 18 Yrs/130 Yrs
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Languages: Spanish St. Joseph's Hospital Reg
Medical Center PCMH: No M-F 9:00 AM - 5:00 PM Medical Center
Languages: Spanish, Punjabi PCMH: No Languages: Hindi, Punjabi
M-F 9:00 AM - 5:00 PM Shah, Sanjay MD M-F 8:00 AM - 5:00 PM
PCMH: No Provider ID: 560529 Vitting, Kevin MD PCMH: No
Gender: Male Provider ID: 462485
Saini, Harjinder MD North Jersey Nephrology Gender: Male Yousef, Nadia MD
Associates IPA of North Jersey Inc Provider ID: 1720854
Provider ID: 297293 1031 McBride Ave Ste D209 Sub Specialty: HIV/AIDs Gender: Female
Gender: Male Little Falls, NJ 07424 342 Hamburg Tpke Ste 201 North Jersey Nephrology
North Jersey Nephrology (973) 653-3366 Wayne, NJ 07470 Associates
Associates Fax: (973) 653-3365 (973) 389-1119 1117 Rte 46 Ste 205
246 Hamburg Tpke Ste 207 00 Yrs/130 Yrs Fax: (973) 389-1145 Clifton, NJ 07013
Wayne, NJ 07470 St. Joseph's Hospital Reg 00 Yrs/130 Yrs (973) 653-3366
(973) 653-3366 Medical Center St. Joseph's Hospital Reg Fax: (973) 653-3365
Fax: (973) 653-3365 M-F 9:00 AM - 5:00 PM Medical Center 02 Yrs/130 Yrs
18 Yrs/130 Yrs PCMH: No M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg PCMH: No PCMH: No
Medical Center Shah, Sanjay MD
Languages: Spanish, Punjabi Provider ID: 560529 Vitting, Kevin MD Yousef, Nadia MD
M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 462485 Provider ID: 1720854
PCMH: No North Jersey Nephrology Gender: Male Gender: Female
Associates Suburban Nephrology North Jersey Nephrology
Shah, Sanjay MD 1117 Rte 46 Ste 205 Sub Specialty: HIV/AIDs Associates
Provider ID: 1214359 Clifton, NJ 07013 1031 McBride Ave Ste D210 246 Hamburg Tpke Ste 207
Gender: Male (973) 653-3366 Woodland Park, NJ 07424 Wayne, NJ 07470
North Jersey Vascular Center Fax: (973) 653-3365 (973) 389-1119 (973) 653-3366
LLC 00 Yrs/130 Yrs Fax: (973) 389-1145 Fax: (973) 653-3365
1429 Broad St St. Joseph's Hospital Reg 00 Yrs/130 Yrs 02 Yrs/130 Yrs
Clifton, NJ 07013 Medical Center St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
(973) 532-7899 M-F 9:00 AM - 4:30 PM Medical Center PCMH: No
Fax: (862) 238-7213 PCMH: No M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs PCMH: No Zeltser, Eugene MD
St. Joseph's Hospital Reg Swan, Alexander MD Provider ID: 462486
Medical Center Provider ID: 1574258 Gender: Male
M-W 8:00 AM - 5:00 PM Gender: Male IPA of North Jersey Inc
PCMH: No Passaic Medical and Wellness Sub Specialty: HIV/AIDs
916 Main Ave Ste 2B 342 Hamburg Tpke Ste 201
Passaic, NJ 07055 Wayne, NJ 07470
(862) 249-1010 (973) 389-1119
Fax: (877) 818-7425 Fax: (973) 389-1145
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 267
Updated: 11/26/2018

Specialty Physicians
Passaic
Nephrology - cont. Neurodevelopmental Assina, Rachid MD Cornett, Oriana MD
Disabilities Provider ID: 1225721 Provider ID: 1072245
Zeltser, Eugene MD Gender: Male Gender: Female
Mallik, Aparna MD University Physician St. Joseph's Healthcare Inc
Provider ID: 462486 Provider ID: 511524 Associates Sub Specialty: HIV/AIDs
Gender: Male Gender: Female 350 Blvd Ground Fl 11 Getty Ave
St. Joseph's Healthcare Inc 11 Getty Ave Fl 2 Passaic, NJ 07055 Paterson, NJ 07503
Sub Specialty: HIV/AIDs Paterson, NJ 75032 (973) 365-4300 (973) 754-2270
11 Getty Ave Bldg 275 2nd Fl (973) 754-2510 Fax: (973) 972-2988 00 Yrs/130 Yrs
Paterson, NJ 07503 Fax: (973) 754-2039 00 Yrs/130 Yrs St. Joseph's Hospital Reg
(973) 754-2270 00 Yrs/130 Yrs University Hospital Medical Center
00 Yrs/130 Yrs St. Joseph's Hospital Reg M-F 9:00 AM - 12:00 PM MTWTHFSatSun 9:00 AM -
St. Joseph's Hospital Reg Medical Center PCMH: No 5:00 PM
Medical Center M-F 9:00 AM - 5:00 PM PCMH: No
MTWTHFSatSun 9:00 AM - PCMH: No Cornett, Oriana MD
5:00 PM Provider ID: 1072245 Cornett, Oriana MD
PCMH: No Mallik, Aparna MD Gender: Female Provider ID: 1072245
Provider ID: 511524 St Josephs Regional Medical Gender: Female
Zeltser, Eugene MD Gender: Female Center St. Joseph's Healthcare Inc
Provider ID: 462486 Ipanj Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Gender: Male 703 Main St 11 Getty Ave 1135 Broad St Ste 201
Suburban Nephrology Paterson, NJ 07503 Paterson, NJ 07503 Clifton, NJ 07013
Sub Specialty: HIV/AIDs (973) 754-2720 (973) 754-2270 (973) 754-2433
1031 McBride Ave 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Little Falls, NJ 07424 St. Joseph's Hospital Reg St. Joseph's Hospital Reg St. Joseph's Hospital Reg
(973) 389-1119 Medical Center Medical Center Medical Center
Fax: (973) 389-1145 M-F 9:00 AM - 5:00 PM MTWTHFSatSun 9:00 AM - MTWTHFSatSun 9:00 AM -
00 Yrs/130 Yrs PCMH: No 5:00 PM 5:00 PM
St. Joseph's Hospital Reg PCMH: No PCMH: No
Medical Center Neurology
M-F 9:00 AM - 5:00 PM Cornett, Oriana MD Corrigan, Nicole MD
PCMH: No Altschul, Dorothea MD Provider ID: 1072245 Provider ID: 1231468
Gender: Female Gender: Female
Neuro Psychiatrist MD Provider ID: 945569 St Josephs Regional Medical St Josephs Healthcare Inc
Center 11 Getty Ave Bldg 275 Fl 2
Gender: Female
Dementyeva, Yuliya MD Sub Specialty: HIV/AIDs Paterson, NJ 07503
Neurosurgical Assc NJ PC
Provider ID: 976335 1135 Broad St Ste 201 (973) 754-2270
703 Main St
Gender: Female Clifton, NJ 07013 Fax: (973) 754-2470
Paterson, NJ 07503
Sjrmc (973) 754-2433 00 Yrs/130 Yrs
(973) 754-5882
703 Main St 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Fax: (973) 754-3708
Paterson, NJ 07503 St. Joseph's Hospital Reg Medical Center
00 Yrs/130 Yrs
(973) 754-3295 Medical Center M-F 9:00 AM - 5:00 PM
Languages: Spanish, German
Fax: (973) 754-3677 MTWTHFSatSun 9:00 AM - PCMH: No
MT 9:00 AM - 5:00 PM 5:00 PM
02 Yrs/130 Yrs PCMH: No PCMH: No Corrigan, Nicole MD
St. Joseph's Hospital Reg
Medical Center Provider ID: 1231468
Languages: Russian Gender: Female
M-F 9:00 AM - 5:00 PM St Josephs Healthcare Inc
PCMH: No 1135 Broad St Ste 1 Fl 3
Clifton, NJ 07013
(973) 754-2000
Fax: (973) 754-2410
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 268
Updated: 11/26/2018

Specialty Physicians
Passaic
Neurology - cont. Katz, Avery MD Padela, Mohammad MD Stein, Beth MD
Provider ID: 398216 Provider ID: 1170017
Corrigan, Nicole MD Gender: Male Provider ID: 944226 Gender: Female
Provider ID: 1231468 Ipanj Gender: Male St Josephs Regional Medical
Gender: Female 905 Allwood Rd Ste 105 North Jersey Neurology Center
St Josephs Healthcare Inc Clifton, NJ 07012 721 Clifton Ave 1B Sub Specialty: HIV/AIDs
57 Willowbrook Blvd (973) 471-3680 Clifton, NJ 07013 11 Getty Ave Bldg 275 2nd Fl
Wayne, NJ 07470 Fax: (973) 471-6360 (973) 471-3730 Paterson, NJ 07501
(973) 754-2433 00 Yrs/130 Yrs Fax: (973) 471-9129 (973) 754-2270
Fax: (973) 754-2410 St. Joseph's Hospital Reg 18 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs Medical Center Holy Name Medical Center St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Languages: Spanish M-TH 9:00 AM - 5:00 PM Medical Center
Medical Center M-TH 9:00 AM - 5:00 PM F 9:00 AM - 1:00 PM MTWTHFSatSun 9:00 AM -
M-F 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM PCMH: No 5:00 PM
PCMH: No PCMH: No PCMH: No
Stein, Beth MD
Jafri, Syed MD Kornitzer, Jeffrey MD Taylor, Jennifer MD
Provider ID: 1072232
Provider ID: 420678 Provider ID: 1274311 Gender: Female Provider ID: 1596875
Gender: Male Gender: Male St. Joseph's Healthcare Inc Gender: Female
Syed S Jafri MD University Physician Assoc Sub Specialty: HIV/AIDs St. Joseph's Healthcare Inc.
1031 McBride Ave Ste C203 350 Blvd 11 Getty Ave Bldg 275, 2nd Fl 703 Main St
Woodland Park, NJ 07424 Passaic, NJ 07055 Paterson, NJ 07503 Paterson, NJ 07503
(973) 890-0710 (973) 972-2550 (973) 754-2270 (973) 754-2010
Fax: (973) 256-7376 Fax: (973) 972-2559 Fax: (973) 754-4392 Fax: (973) 754-3721
00 Yrs/130 Yrs 00 Yrs/21 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Palisades Medical Center St. Joseph's Hospital Reg St. Joseph's Hospital Reg MTWTHFSat 9:00 AM - 5:00
Languages: Hindi Medical Center Medical Center PM
M-F 9:00 AM - 5:00 PM University Hospital MTWTHFSatSun 9:00 AM - PCMH: No
PCMH: No Languages: Spanish 5:00 PM
M-F 9:00 AM - 5:00 PM Woo, Judy MD
PCMH: No
Katz, Avery MD PCMH: No Provider ID: 976356
Stein, Beth MD Gender: Female
Provider ID: 398216
Nangia, Arun MD 703 Main St
Gender: Male Provider ID: 1072232
Provider ID: 944224 Paterson, NJ 07503
IPA of North Jersey Inc Gender: Female
Gender: Male (973) 754-2000
703 Main St St. Joseph's Healthcare Inc
North Jersey Neurology 00 Yrs/18 Yrs
Paterson, NJ 07503 Sub Specialty: HIV/AIDs
721 Clifton Ave Ste 1B St. Joseph's Hospital Reg
(973) 754-2000 1135 Broad St Ste 201
Clifton, NJ 07013 Medical Center
00 Yrs/130 Yrs Clifton, NJ 07013
(973) 471-3730 Languages: Cantonese,
St. Joseph's Hospital Reg (973) 754-2433 Mandarin
Medical Center Fax: (973) 471-9129 Fax: (973) 754-2410 M-F 9:00 AM - 5:00 PM
Languages: Spanish 18 Yrs/130 Yrs 00 Yrs/130 Yrs PCMH: No
M-TH 9:00 AM - 5:00 PM Holy Name Medical Center St. Joseph's Hospital Reg
F 9:00 AM - 12:00 PM M-TH 9:00 AM - 5:00 PM Medical Center
PCMH: No F 9:00 AM - 1:00 PM MTWTHFSatSun 9:00 AM -
PCMH: No 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 269
Updated: 11/26/2018

Specialty Physicians
Passaic
Neurosurgery Avancha, Amarnath MD Khoury, Aldo MD Balazs, Peter MD
Provider ID: 398221 Provider ID: 722226
Feldstein, Neil MD Provider ID: 1264898 Gender: Male Gender: Male
Provider ID: 945574 Gender: Male St Josephs Healthcare Inc Peter Balazs MD
Gender: Male Medical Associates of Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Neurosurgical Assoc of NJ Englewood PC 11 Getty Ave Fl 2 703 Main St Sjrmc-Dept of
703 Main St 37-43 Crooks Ave Paterson, NJ 07503 OB/GYN
Paterson, NJ 07503 Paterson, NJ 07503 (973) 754-2279 Paterson, NJ 07503
(973) 754-5882 (973) 685-9922 00 Yrs/130 Yrs (973) 754-2700
Fax: (201) 327-8225 Fax: (973) 685-9920 St. Joseph's Hospital Reg Fax: (973) 754-2725
00 Yrs/18 Yrs 00 Yrs/130 Yrs Medical Center 00 Yrs/130 Yrs
Saint Barnabas Medical St. Joseph's Hospital Reg Languages: Arabic St. Joseph's Hospital Reg
Center Livingston Medical Center M-TH 9:00 AM - 5:00 PM Medical Center
St. Joseph's Hospital Reg Languages: Hindi F 9:00 AM - 12:00 PM Languages: Spanish, Hungarian
Medical Center M-F 9:00 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
Languages: Spanish PCMH: No PCMH: No
MTWTHFSat 9:00 AM - 5:00 Obstetrics/Gynecology
PM Cho, Soung MD Balazs, Peter MD
PCMH: No Provider ID: 1267929 Ahkami, Shahrokh MD Provider ID: 722226
Gender: Male Gender: Male
Randazzo, Ciro MD Medical Associates of St Josephs Healthcare Inc
Provider ID: 398112
Provider ID: 1596872 Englewood PC Gender: Male Sub Specialty: HIV/AIDs
Gender: Male 680 Broadway Ste 116B Ahkami Medical Group 11 Getty Ave Bldg Ste 275, Fl 2
St. Joseph's Healthcare Inc. Paterson, NJ 07514 Sub Specialty: HIV/AIDs Paterson, NJ 07501
703 Main St (973) 684-8617 110 Passaic Ave (973) 754-4200
Paterson, NJ 07503 Fax: (973) 523-6037 Passaic, NJ 07055 Fax: (973) 754-4201
(973) 754-2500 00 Yrs/130 Yrs (973) 471-9585 00 Yrs/130 Yrs
00 Yrs/130 Yrs Christ Hospital Fax: (973) 471-8534 St. Joseph's Hospital Reg
MTWTHFSat 9:00 AM - 5:00 Englewood Hospital and 00 Yrs/130 Yrs Medical Center
PM Medical Center Languages: Spanish, Hungarian
St. Joseph's Hospital Reg
PCMH: No M-F 9:00 AM - 5:00 PM Medical Center M-TH 9:00 AM - 5:00 PM
PCMH: No Languages: Spanish, French, F 9:00 AM - 12:00 PM
Nuclear Cardiology Arabic, Persian - Farsi PCMH: No
Obstetrics M 9:00 AM - 4:00 PM
Avancha, Amarnath MD Balazs, Peter MD
T 9:00 AM - 3:00 PM
Khoury, Aldo MD WTH 9:00 AM - 7:00 PM Provider ID: 915606
Provider ID: 1264898 Provider ID: 398221 F 9:00 AM - 12:00 PM Gender: Male
Gender: Male Gender: Male PCMH: No North Hudson Community
Medical Associates of Sub Specialty: HIV/AIDs Action Corpo
Englewood PC 703 Main St Alnakeeb, Mohammed MD Sub Specialty: HIV/AIDs
124 Gregory Ave Ste 101 Paterson, NJ 07503 220 Passaic St
Passaic, NJ 07055 (973) 754-2000 Provider ID: 1564512 Passaic, NJ 07055
(973) 777-1132 00 Yrs/130 Yrs Gender: Male (201) 210-0200
Fax: (973) 458-9850 St. Joseph's Hospital Reg Tulip OB/GYN LLC Fax: (973) 955-4264
00 Yrs/130 Yrs Medical Center 991 Main St Unit 2B 00 Yrs/130 Yrs
St. Joseph's Hospital Reg Languages: Arabic Paterson, NJ 07503 St. Joseph's Hospital Reg
Medical Center M-F 9:00 AM - 5:00 PM Medical Center
(973) 807-2727
Languages: Hindi PCMH: No Languages: Hungarian
Fax: (973) 807-1931
M-F 9:00 AM - 5:00 PM MTTHF 8:30 AM - 5:00 PM
12 Yrs/130 Yrs
PCMH: No W 10:30 AM - 7:00 PM
St. Joseph's Hospital Reg
Medical Center PCMH: No
Languages: Spanish, Arabic
M-F 9:00 AM - 5:00 PM
Sat 11:00 AM - 2:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 270
Updated: 11/26/2018

Specialty Physicians
Passaic
Obstetrics/Gynecology - Boghdady, Maged MD Chavez-Cacho, Jose MD Day, Brian MD
cont. Provider ID: 976405 Provider ID: 521560
Gender: Male Provider ID: 471139 Gender: Male
Balazs, Peter MD Sjrmc Gender: Male St Josephs Healthcare Inc
Provider ID: 976483 703 Main St Women & Children Primary Sub Specialty: HIV/AIDs
Gender: Male Paterson, NJ 07503 Care 11 Getty Ave Bldg Ste 275, Fl 2
St Joseph's Healthcare (973) 754-2000 61 Passaic Ave Paterson, NJ 07501
21 Market St Fax: (973) 754-2249 Passaic, NJ 07055 (973) 754-4200
Paterson, NJ 07503 12 Yrs/130 Yrs (973) 473-5053 Fax: (973) 754-4213
(973) 754-4200 St. Joseph's Hospital Reg Fax: (973) 574-9430 00 Yrs/130 Yrs
Fax: (973) 754-4298 Medical Center 12 Yrs/130 Yrs St. Joseph's Hospital Reg
12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Languages: Spanish, French, Medical Center
St. Joseph's Hospital Reg PCMH: No Italian, Portuguese M-F 9:00 AM - 5:00 PM
Medical Center MWF 11:00 AM - 6:00 PM PCMH: No
Languages: Spanish Boghdady, Maged MD TTH 10:00 AM - 2:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 976405 Sat 9:00 AM - 2:00 PM Delara, Vilma MD
PCMH: No Gender: Male PCMH: No Provider ID: 946436
St Josephs Healthcare Inc Gender: Female
Bilenki, Natalie MD 11 Getty Ave Bldg Ste 275, Fl 2 Day, Brian MD 178 Hamilton Ave
Paterson, NJ 07501 Provider ID: 521560 Passaic, NJ 07055
Provider ID: 571054 (973) 754-4200 Gender: Male (973) 777-1492
Gender: Female Fax: (973) 754-4201 Sub Specialty: HIV/AIDs Fax: (973) 777-0873
St Josephs Healthcare Inc 12 Yrs/130 Yrs 525 Union Blvd 12 Yrs/130 Yrs
Sub Specialty: HIV/AIDs St. Joseph's Hospital Reg Totowa, NJ 07512 Prime Health Services-St
11 Getty Ave Bldg Ste 275, Fl 2 Medical Center (973) 790-1117 Marys Hospital
Paterson, NJ 07501 M-F 9:00 AM - 5:00 PM Fax: (973) 790-1143 M-F 9:00 AM - 5:00 PM
(973) 754-4200 PCMH: No 00 Yrs/130 Yrs PCMH: No
Fax: (973) 754-4298 St. Joseph's Hospital Reg
Borja, Manuel MD Medical Center Diarbakerli, Fares MD
00 Yrs/130 Yrs
St. Joseph's Hospital Reg Provider ID: 1099603 M-F 9:00 AM - 5:00 PM Provider ID: 946334
Medical Center Gender: Male PCMH: No Gender: Male
Languages: Ukrainian North Hudson Community Fares Diarbakerli MD PC
M-F 9:00 AM - 5:00 PM Action Corpo Day, Brian MD 716 Broad St Ste 2A
PCMH: No 220 Passaic St Provider ID: 521560 Clifton, NJ 07013
Passaic, NJ 07055 Gender: Male (973) 221-3122
Bitar, Maria MD (201) 210-0200 St Josephs Healthcare Fax: (973) 710-0620
Provider ID: 398140 Fax: (973) 955-4264 Sub Specialty: HIV/AIDs 12 Yrs/130 Yrs
Gender: Female 18 Yrs/130 Yrs 703 Main St Clara Maass Medical Center
IPA of North Jersey Inc Christ Hospital Paterson, NJ 07503 Prime Health Services-St
Sub Specialty: HIV/AIDs Languages: Spanish, Russian (973) 754-2000 Marys Hospital
703 Main St MTTHF 8:30 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Spanish, French,
W 10:30 AM - 7:00 PM St. Joseph's Hospital Reg Arabic
Paterson, NJ 07503
PCMH: No Medical Center M-F 9:00 AM - 5:00 PM
(973) 754-2700
M-F 9:00 AM - 5:00 PM PCMH: No
00 Yrs/130 Yrs
St. Joseph's Hospital Reg PCMH: No
Medical Center
Languages: Spanish
M-TH 9:00 AM - 5:00 PM
F 9:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 271
Updated: 11/26/2018

Specialty Physicians
Passaic
Obstetrics/Gynecology - El Deeb, Mokhtar MD Greene, Jennifer MD Hakimi, Daniel MD
cont. Provider ID: 1072213 Provider ID: 1169998 Provider ID: 398205
Gender: Male Gender: Female Gender: Male
Dinu, Catalina MD St. Joseph's Healthcare Inc St. Joseph's Healthcare Inc Ipanj
Provider ID: 985260 Sub Specialty: HIV/AIDs 703 Main St Rm A2402 721 Clifton Ave Ste 1A
Gender: Female 703 Main St Paterson, NJ 07503 Clifton, NJ 07013
156 Market St Paterson, NJ 07503 (973) 754-4702 (973) 471-0707
Passaic, NJ 07055 (973) 754-2700 00 Yrs/130 Yrs Fax: (973) 471-2112
(862) 247-8440 00 Yrs/130 Yrs St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Fax: (973) 742-7722 St. Joseph's Hospital Reg Medical Center St. Joseph's Hospital Reg
00 Yrs/130 Yrs Medical Center MTWTHFSatSun 9:00 AM - Medical Center
St. Joseph's Hospital Reg MTWTHFSatSun 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM
Medical Center 5:00 PM PCMH: No F 9:00 AM - 12:00 PM
Languages: Spanish, Russian, PCMH: No PCMH: No
Romanian Haddad, Charles MD
M 9:00 AM - 5:00 PM Gaafer-Ahmed, Hany MD Provider ID: 930716 Hassan, Khaled MD
PCMH: No Gender: Male Provider ID: 429032
Provider ID: 1425674 1373 Broad St Ste 308 Gender: Male
Dinu, Catalina MD Gender: Male Clifton, NJ 07013 St Joseph's Healthcare
Provider ID: 985260 Advanced Obsterics and (973) 473-8269 703 Main St Ste 220
Gender: Female Gynecology C Fax: (973) 473-0065 Paterson, NJ 07503
OB-GYN Professional Care 970 Clifton Ave 00 Yrs/130 Yrs (973) 754-2000
1187 Main Ave Ste 1A Clifton, NJ 07013 Languages: Spanish, Arabic 00 Yrs/130 Yrs
Clifton, NJ 70112 (973) 928-3490 M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
(862) 247-8440 Fax: (855) 577-7381 PCMH: No Medical Center
Fax: (862) 247-8437 12 Yrs/130 Yrs Languages: Arabic
00 Yrs/130 Yrs St. Joseph's Hospital Reg Haddad, Charles MD M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Medical Center Provider ID: 930716 PCMH: No
Medical Center M-F 9:00 AM - 5:00 PM Gender: Male
Languages: Spanish, Russian, PCMH: No 350 Blvd Hassan, Khaled MD
Romanian Passaic, NJ 07055 Provider ID: 429032
M-F 9:00 AM - 5:00 PM Greene, Jennifer MD (973) 365-4300 Gender: Male
Sat 9:00 AM - 1:00 PM Provider ID: 1169998 00 Yrs/130 Yrs St Josephs Healthcare Inc
PCMH: No Gender: Female Languages: Spanish, Arabic 11 Getty Ave Bldg Ste 275, Fl 2
St. Joseph's Healthcare Inc M-F 9:00 AM - 5:00 PM Paterson, NJ 07501
El Deeb, Mokhtar MD 57 Willowbrook Blvd Ste 203 PCMH: No (973) 754-4200
Provider ID: 1072213 Wayne, NJ 07470 Fax: (973) 754-4298
Gender: Male (973) 754-4000 Haddad, Charles MD 00 Yrs/130 Yrs
St. Joseph's Healthcare Inc Fax: (973) 754-4003 St. Joseph's Hospital Reg
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs Provider ID: 930716 Medical Center
11 Getty Ave St. Joseph's Hospital Reg Gender: Male Languages: Arabic
Paterson, NJ 07503 Medical Center Charles Haddad MD M-F 9:00 AM - 5:00 PM
(973) 754-4200 MTWTHFSatSun 9:00 AM - 1033 Rte 46 Ste 102 PCMH: No
Fax: (973) 754-4213 5:00 PM Clifton, NJ 07013
00 Yrs/130 Yrs PCMH: No (973) 779-7979 Hassan, Khaled MD
St. Joseph's Hospital Reg Fax: (973) 779-7970 Provider ID: 429032
Medical Center 00 Yrs/130 Yrs Gender: Male
MTWTHFSatSun 9:00 AM - Languages: Spanish, Arabic St. Joseph's Healthcare Inc
5:00 PM M-F 9:00 AM - 5:00 PM 1035 Broad St
PCMH: No PCMH: No Clifton, NJ 07013
(973) 754-2270
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
Languages: Arabic
MTWTHFSatSun 9:00 AM -
5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 272
Updated: 11/26/2018

Specialty Physicians
Passaic
Obstetrics/Gynecology - Jain, Ratnam MD Marino, Nicholas MD McGovern, Peter DO
cont. Provider ID: 1346100 Provider ID: 930732
Gender: Female Gender: Male Provider ID: 1095882
Hessami, Sam MD Special Care OB/GYN Paterson Community Health Gender: Male
Provider ID: 1170007 905 Allwood Rd Ste 103 Center St Josephs Healthcare Inc
Gender: Male Clifton, NJ 07011 Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
St. Joseph's Healthcare Inc (973) 340-9400 227 Broadway 703 Main St
11 Getty Ave Bldg 275 2nd Fl Fax: (973) 340-1518 Paterson, NJ 07501 Paterson, NJ 07503
Paterson, NJ 07501 00 Yrs/130 Yrs (973) 278-2600 (973) 754-2240
(973) 791-4544 Clara Maass Medical Center 00 Yrs/130 Yrs Fax: (973) 754-2249
00 Yrs/130 Yrs Prime Health Services-St St. Joseph's Hospital Reg 00 Yrs/130 Yrs
St. Joseph's Hospital Reg Marys Hospital Medical Center University Hospital
Medical Center Languages: Hindi, Urdu Languages: Italian M-F 9:00 AM - 5:00 PM
MTWTHFSatSun 9:00 AM - MTF 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
5:00 PM W 9:00 AM - 6:00 PM PCMH: No
PCMH: No TH 12:00 AM - 0:60 PM Milanes Roberts, Norma MD
PCMH: No McGovern, Peter DO
Ibrahim, Gehan MD Provider ID: 1261565
Provider ID: 1111475 Kondoleon, Mary MD Provider ID: 1095882 Gender: Female
Gender: Female Provider ID: 1696377 Gender: Male North Hudson Community
Womens Health of New Gender: Female St Josephs Healthcare Inc Action Corp
Jersey Paterson Community Health Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Sub Specialty: HIV/AIDs Center 11 Getty Ave 2nd Fl 220 Passaic St
1046 Main St 32 Clinton St Paterson, NJ 07503 Passaic, NJ 07055
Paterson, NJ 07503 Paterson, NJ 07522 (973) 754-4200 (201) 210-0200
(973) 510-2444 (973) 790-6594 Fax: (973) 754-4213 Fax: (973) 955-4264
Fax: (973) 278-2818 Fax: (973) 389-2178 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs University Hospital Newark Beth Israel Med
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Center
Medical Center PCMH: No PCMH: No St Michael's Medical Center
Languages: Arabic Languages: Spanish
M-F 9:00 AM - 6:00 PM Marino, Nicholas MD McGovern, Peter DO MTTHF 8:30 AM - 5:00 PM
PCMH: No Provider ID: 930732 W 8:30 AM - 7:00 PM
Gender: Male Provider ID: 1095882 PCMH: No
Jain, Ratnam MD Paterson Commnuity Health Gender: Male
Provider ID: 1346100 Center St Josephs Healthcare Inc Mustafa, Diane MD
Gender: Female Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs Provider ID: 1412969
350 Blvd 32 Clinton St 21 Market St Gender: Female
Passaic, NJ 07055 Paterson, NJ 07522 Paterson, NJ 07501 Women's Health of New
(973) 365-4300 (973) 790-6594 (973) 754-4200 Jersey
00 Yrs/130 Yrs Fax: (973) 389-2178 Fax: (973) 754-4298 1044 Main St
Clara Maass Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs Paterson, NJ 07503
Prime Health Services-St St. Joseph's Hospital Reg University Hospital (973) 782-5577
Marys Hospital Medical Center Fax: (973) 278-2818
M-F 9:00 AM - 5:00 PM
Languages: Hindi, Urdu Languages: Italian 16 Yrs/130 Yrs
PCMH: No
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No PCMH: No Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 273
Updated: 11/26/2018

Specialty Physicians
Passaic
Obstetrics/Gynecology - Pendse, Vijay MD Shilad, Aiman MD Sticco, Christine MD
cont. Provider ID: 398285 Provider ID: 1105068
Gender: Male Gender: Male Provider ID: 1686502
Odaid, Sana MD IPA of North Jersey Inc Blue River Womens Health PA Gender: Female
Provider ID: 554415 703 Main St Dlvry Rm LLC Womens Health of New
Gender: Female Paterson, NJ 07505 Sub Specialty: HIV/AIDs Jersey
703 Main St (973) 754-2700 680 Broadway Ste 506 825 Riverview Dr
Paterson, NJ 07503 00 Yrs/130 Yrs Paterson, NJ 07514 Totowa, NJ 07512
(973) 754-2000 St. Joseph's Hospital Reg (973) 500-2399 (973) 782-5577
00 Yrs/130 Yrs Medical Center Fax: (973) 653-3926 Fax: (973) 278-2818
M-F 9:00 AM - 5:00 PM Languages: Hindi 00 Yrs/130 Yrs 00 Yrs/130 Yrs
PCMH: No M-TH 9:00 AM - 5:00 PM Prime Health Services-St St. Joseph's Hospital Reg
F 9:00 AM - 12:00 PM Marys Hospital Medical Center
Odaid, Sana MD PCMH: No M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: 554415 PCMH: No PCMH: No
Gender: Female Pendse, Vijay MD
Sana Obaid MD Obstetrics Provider ID: 398285 Smith, Jacqueline MD Tah, Peter MD
Gynecology Gender: Male Provider ID: 1506521 Provider ID: 1170010
1130 McBride Ave Ste C Mother OB/GYN Center Gender: Female Gender: Male
Little Falls, NJ 07424 293 Broadway Charles Haddad MD PC St. Joseph's Healthcare Inc
(973) 785-8400 Paterson, NJ 07501 1033 Rte 46 Ste 102 Sub Specialty: HIV/AIDs
Fax: (973) 785-8402 (973) 279-3806 Clifton, NJ 07013 11 Getty Ave Bldg 275 2nd Fl
00 Yrs/130 Yrs Fax: (973) 279-3202 (973) 779-7979 Paterson, NJ 07501
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fax: (973) 779-7970 (973) 754-4200
PCMH: No St. Joseph's Hospital Reg 00 Yrs/130 Yrs Fax: (973) 754-4201
Medical Center M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs
Peace, Nyota MD Languages: Hindi PCMH: No St. Joseph's Hospital Reg
Provider ID: 1464717 M-TH 11:30 AM - 3:30 PM Medical Center
Gender: Male PCMH: No Sticco, Christine MD MTWTHFSatSun 9:00 AM -
Clifton OB/GYN 5:00 PM
1033 US Hwy 46 Ste 102 Shah, Vinay MD Provider ID: 1686502 PCMH: No
Clifton, NJ 07013 Provider ID: 1561303 Gender: Female
(973) 779-7979 Gender: Male Womens Health of New Tah, Peter MD
Fax: (973) 779-7970 Vinay R Shah MD PC Jersey Provider ID: 398335
12 Yrs/130 Yrs 50 Mount Prospect Ave Ste 1044 Main St Gender: Male
St. Joseph's Hospital Reg 209 Paterson, NJ 07503 Sub Specialty: HIV/AIDs
Medical Center Clifton, NJ 07013 (718) 253-8111 930 Clifton Ave Ste 104
M-F 9:00 AM - 5:00 PM (973) 471-8887 Fax: (718) 253-2333 Clifton, NJ 07013
PCMH: No Fax: (973) 471-9162 00 Yrs/130 Yrs (973) 405-6333
00 Yrs/130 Yrs St. Joseph's Hospital Reg Fax: (973) 405-6375
Peace, Nyota MD M-F 9:00 AM - 5:00 PM Medical Center 12 Yrs/130 Yrs
Provider ID: 1552260 PCMH: No M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Gender: Female PCMH: No Medical Center
Charles Haddad MD PC Shah, Vinay MD MT 1:30 AM - 6:00 PM
1033 Rte 46 Ste 102 Provider ID: 1561303 W 9:00 AM - 1:00 PM
Clifton, NJ 07013 Gender: Male PCMH: No
(973) 779-7979 Vinay R Shah MD PC
Fax: (973) 779-7970 985 Paulison Ave
00 Yrs/130 Yrs Clifton, NJ 07011
M-F 8:00 AM - 5:00 PM (973) 471-2000
PCMH: No Fax: (973) 773-8553
00 Yrs/130 Yrs
M 12:00 AM - 8:00 PM
T 9:00 AM - 6:00 PM
W 10:00 AM - 5:00 PM
TH 9:00 AM - 3:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 274
Updated: 11/26/2018

Specialty Physicians
Passaic
Obstetrics/Gynecology - Vitale, Diana MD Ophthalmology Bailey, Tehara MD
cont. Provider ID: 901947 Provider ID: 1451110
Gender: Female Abessi, Bryan MD Gender: Female
Tah, Peter MD Vitale Womens Health Provider ID: 1499465 Englewood Eye Center, LLC
Provider ID: 398335 Obstetric and Gender: Male 1016 Main Ave
Gender: Male 502 Valley Rd Ste 106 Advanced Eye Care Center Clifton, NJ 07011
Family Health Center Wayne, NJ 07470 220 Hamburg Tpke Ste 7 (973) 546-5700
Sub Specialty: HIV/AIDs (973) 696-3567 Wayne, NJ 07470 00 Yrs/130 Yrs
21 Market St Fax: (973) 696-1921 (973) 790-1300 Prime Health Services-St
Paterson, NJ 07501 00 Yrs/130 Yrs Fax: (973) 790-5310 Marys Hospital
(973) 754-4200 St. Joseph's Hospital Reg 00 Yrs/130 Yrs PCMH: No
Fax: (973) 754-4259 Medical Center St. Joseph's Hospital Reg
Languages: Spanish, Medical Center Bailey, Tehara MD
12 Yrs/130 Yrs
Portuguese M-F 9:00 AM - 5:00 PM Provider ID:
St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM PCMH: No TPV046483040546
Medical Center
PCMH: No Gender: Female
M-F 8:30 AM - 5:00 PM
Arango, Ulises MD Clifton Eye Care
PCMH: No
White, Evelyn MD Provider ID: TPV003156005587 1016 Main Ave Ste 1
Tah, Peter MD Provider ID: 576946 Gender: Male Clifton, NJ 07011
Provider ID: 398335 Gender: Female Gold Optical Inc (973) 546-5700
Gender: Male Sub Specialty: HIV/AIDs 136 Market St Fax: (973) 546-8898
Sjrmc 703 Main St Paterson, NJ 07505 00 Yrs/99 Yrs
Sub Specialty: HIV/AIDs Paterson, NJ 07503 (973) 278-5300 PCMH: No
703 Main St (973) 754-2500 Fax: (973) 523-5856
00 Yrs/130 Yrs Bertolucci, Alessandra MD
Paterson, NJ 07503 00 Yrs/99 Yrs
(973) 754-4200 St. Joseph's Hospital Reg Languages: Spanish
Fax: (973) 754-4259 Medical Center PCMH: No Provider ID: 488556
12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Gender: Female
St. Joseph's Hospital Reg PCMH: No Badami, Avni MD Alessandra Bertolucci MD LLC
Medical Center Provider ID: 1711955 DBA Re
White, Evelyn MD Gender: Female 1033 Clifton Ave Ste 107
M 8:30 AM - 5:00 PM
PCMH: No Provider ID: 576946 NJ Eye and Ear LLC Clifton, NJ 07013
Gender: Female 1016 Main Ave (973) 472-6405
Tkachchubay, Irina MD St Josephs Healthcare Inc Clifton, NJ 07011 Fax: (973) 472-6406
Sub Specialty: HIV/AIDs (973) 546-5700 00 Yrs/130 Yrs
Provider ID: 584589 11 Getty Ave Bldg Ste 275, Fl 2 Fax: (800) 878-2811 Languages: Spanish, Italian
Gender: Female Paterson, NJ 07501 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Totowa Mfm (973) 754-4200 St. Joseph's Hospital Reg PCMH: No
Sub Specialty: HIV/AIDs Fax: (973) 754-4201 Medical Center
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM Burrows, Adria MD
525 Union Blvd
St. Joseph's Hospital Reg Sat 8:00 AM - 12:00 PM Provider ID: 931903
Totowa, NJ 07512
Medical Center PCMH: No Gender: Female
(973) 790-1117
M-F 9:00 AM - 5:00 PM Clifton Eye Care LLC
Fax: (973) 790-1143
PCMH: No Bailey, Tehara MD Sub Specialty: HIV/AIDs
00 Yrs/130 Yrs
Provider ID: 1434337 1016 Main Ave Unit 1
St. Joseph's Hospital Reg
Medical Center Gender: Female Clifton, NJ 07011
M-F 9:00 AM - 5:00 PM Clifton Eye Care LLC (973) 546-5700
PCMH: No 1016 Main Ave Unit 2B Fax: (800) 878-2811
Clifton, NJ 07011 00 Yrs/130 Yrs
(973) 546-5700 Prime Health Services-St
Fax: (973) 546-8898 Marys Hospital
00 Yrs/21 Yrs Languages: Spanish, Russian
Prime Health Services-St M-F 9:00 AM - 5:00 PM
Marys Hospital PCMH: No
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 275
Updated: 11/26/2018

Specialty Physicians
Passaic
Ophthalmology - cont. Bush, Nahndi MD Choo, Nancy MD Doshi, Vatsal MD
Provider ID: 1228209 Provider ID: 476782 Provider ID: 557537
Burrows, Adria MD Gender: Female Gender: Female Gender: Male
Provider ID: TPV035440004120 Clifton Eye Care LLC Advanced Eye Care Center PA Sub Specialty: HIV/AIDs
Gender: Female 1016 Main Ave Unit 1 220 Hamburg Tpke Ste 7 647 Broadway
Passaic Vision Center Clifton, NJ 07011 Wayne, NJ 07470 Paterson, NJ 07514
289 Monroe St (973) 546-5700 (973) 790-1300 (973) 279-7303
Passaic, NJ 07055 Fax: (973) 546-8898 Fax: (973) 790-5310 Fax: (973) 279-4580
(973) 473-5151 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (973) 473-3331 East Orange General Hospital St. Joseph's Hospital Reg St. Joseph's Hospital Reg
00 Yrs/99 Yrs MT 7:30 AM - 7:00 PM Medical Center Medical Center
Languages: Russian W 8:00 AM - 6:30 PM M-F 9:00 AM - 5:00 PM Languages: Spanish, Hindi,
PCMH: No TH 8:30 AM - 6:30 PM PCMH: No Gujarati
F 7:30 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Burrows, Adria MD Sat 7:30 AM - 1:00 PM Cuttler, Nirupa MD PCMH: No
Provider ID: TPV035440005771 PCMH: No
Gender: Female Provider ID: 1105059 Feng, Jing MD
Clifton Eye Care Bush, Nahndi MD Gender: Male Provider ID: 1467562
1016 Main Ave Ste 1 Provider ID: 1559318 Clifton Eye Care LLC Gender: Female
Clifton, NJ 07011 Gender: Female Sub Specialty: HIV/AIDs Alden Leifer MD
(973) 546-5700 NJ Eye and Ear, LLC 1016 Main Ave Unit 1 680 Broadway Ste 1H
Fax: (973) 546-8898 1016 Main Ave Unit 1 Clifton, NJ 07011 Paterson, NJ 07514
00 Yrs/99 Yrs Clifton, NJ 07011 (973) 546-5700 (973) 742-4747
www.cliftoneyecare.com (973) 546-5700 Fax: (973) 772-8875 Fax: (973) 742-0629
Languages: Russian Fax: (973) 546-8898 00 Yrs/130 Yrs 00 Yrs/130 Yrs
PCMH: No 00 Yrs/130 Yrs St. Joseph's Hospital Reg St. Joseph's Hospital Reg
MT 7:30 AM - 7:00 PM Medical Center Medical Center
Burrows, Adria MD W 8:00 AM - 6:30 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: TH 8:30 AM - 6:30 PM PCMH: No PCMH: No
TPV035440006054 F 7:30 AM - 6:00 PM
Gender: Female Cuttler, Nirupa MD Frempong, Tamiesha MD
Sat 7:30 AM - 1:00 PM
Clifton Eye Care PCMH: No Provider ID: TPV029871005771
403 Clifton Ave Provider ID: 1569967 Gender: Not Available
Clifton, NJ 07011 Chechik, Daniel MD Gender: Female Clifton Eye Care
(973) 546-5700 Eyecare Consultants of NJ PA 1016 Main Ave Ste 1
Fax: (973) 546-8898 Provider ID: 751993 1225 McBride Ave Clifton, NJ 07011
00 Yrs/99 Yrs Gender: Male Woodland Park, NJ 07424 (973) 546-5700
www.cliftoneyecare.com Clifton Eye Care LLC (973) 785-2050 Fax: (973) 546-8898
Languages: Russian 1016 Main Ave Unit 1 Fax: (973) 785-2423 00 Yrs/99 Yrs
MTHF 9:00 AM - 5:00 PM Clifton, NJ 07011 00 Yrs/130 Yrs www.cliftoneyecare.com
TW 9:00 AM - 8:00 PM (973) 546-5700 Languages: Spanish, Tamil PCMH: No
Sat 8:30 AM - 1:00 PM Fax: (973) 546-8898 M-F 9:00 AM - 5:00 PM
PCMH: No Frempong, Tamiesha MD
00 Yrs/130 Yrs PCMH: No
Provider ID: TPV029871006054
Englewood Hospital and
Burrows, Andrew MD Medical Center Djougarian, Alina MD Gender: Not Available
Provider ID: 942791 Holy Name Medical Center Provider ID: 1634141 Clifton Eye Care
Gender: Male Languages: Russian, Korean Gender: Female 403 Clifton Ave
Klein Scannapiego MD PA M-F 9:00 AM - 5:00 PM Alden Leifer MD PC Clifton, NJ 07011
100 Main St PCMH: No 680 Broadway Ste 114 (973) 546-5700
Paterson, NJ 07505 Paterson, NJ 07514 Fax: (973) 546-8898
(973) 278-7538 (973) 742-4747 00 Yrs/99 Yrs
Fax: (973) 278-7207 Fax: (973) 742-0629 www.cliftoneyecare.com
00 Yrs/130 Yrs 00 Yrs/130 Yrs MTHF 9:00 AM - 5:00 PM
Englewood Hospital and St. Joseph's Hospital Reg TW 9:00 AM - 8:00 PM
Medical Center Medical Center Sat 8:30 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 276
Updated: 11/26/2018

Specialty Physicians
Passaic
Ophthalmology - cont. Gunzburg, Allison MD Klein, Warren MD Lyu, Theodore MD
Provider ID: 457195 Provider ID: TPV004966005261 Provider ID: 1460298
Gonzalez, Carmen MD Gender: Female Gender: Male Gender: Male
Provider ID: 457191 Sub Specialty: HIV/AIDs Paterson Eye Associates Clifton Eye Care LLC
Gender: Female 289 Monroe St 100 Main St 1016 Main Ave Unit 1
Passaic Eye Specialista Passaic, NJ 07055 Paterson, NJ 07505 Clifton, NJ 07011
289 Monroe St (973) 473-5151 (973) 278-7538 (973) 546-5700
Passaic, NJ 07015 Fax: (973) 473-3331 Fax: (973) 278-7207 Fax: (973) 546-8898
(973) 473-5151 00 Yrs/130 Yrs 00 Yrs/99 Yrs 00 Yrs/130 Yrs
Fax: (973) 473-3331 Morristown Memorial www.eyesbyklein.com M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Hospital Languages: Spanish, German PCMH: No
Overlook Hospital M-F 9:00 AM - 5:00 PM PCMH: No
Languages: Spanish PCMH: No Lyu, Theodore MD
M-F 9:00 AM - 5:00 PM Lee, Paul MD Provider ID: TPV046594005771
PCMH: No Kazam, Tal MD Provider ID: 1556639 Gender: Male
Provider ID: 1711951 Gender: Male Clifton Eye Care
Green, Donald MD Gender: Female Clifton Eye Care, LLC 1016 Main Ave Ste 1
Provider ID: 484450 NJ Eye and Ear LLC 1016 Main Ave Unit 1 Clifton, NJ 07011
Gender: Male 1016 Main Ave Clifton, NJ 07011 (973) 546-5700
Alessandra Bertolucci MD LLC Clifton, NJ 07011 (973) 546-5700 Fax: (973) 546-8898
DBA Re (973) 546-5700 Fax: (973) 546-8898 00 Yrs/99 Yrs
1135 Clifton Ave Ste 105 Fax: (800) 878-2811 00 Yrs/130 Yrs www.cliftoneyecare.com
Clifton, NJ 07013 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM Languages: Spanish, Korean
(973) 773-9882 St. Joseph's Hospital Reg Sat 8:00 AM - 12:00 PM PCMH: No
Fax: (973) 773-9883 Medical Center PCMH: No
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM Matta, Ayman MD
St. Joseph's Hospital Reg Sat 8:00 AM - 12:00 PM Lee, Paul MD Provider ID: 1007483
Medical Center PCMH: No Provider ID: TPV048833005771 Gender: Male
M-F 9:00 AM - 5:00 PM Gender: Male New Jersey Eye Institute
PCMH: No Kirszrot, James MD Clifton Eye Care Sub Specialty: HIV/AIDs
Provider ID: 1604010 1016 Main Ave Ste 1 1033 Rte 46 Ste G1
Green, Donald MD Gender: Male Clifton, NJ 07011 Clifton, NJ 07013
Provider ID: 484450 NJ Eye and Ear, LLC (973) 546-5700 (973) 472-3937
Gender: Male 1016 Main Ave Unit 1 Fax: (973) 546-8898 Fax: (973) 472-3938
Alessandra Bertolucci MD LLC Clifton, NJ 07011 00 Yrs/99 Yrs 05 Yrs/130 Yrs
DBA Re (973) 546-5700 www.cliftoneyecare.com Prime Health Services-St
506 Hamburg Tpke Ste 202 Fax: (973) 546-8898 PCMH: No Marys Hospital
Wayne, NJ 07470 00 Yrs/130 Yrs Languages: Spanish, German,
(973) 513-9335 M-F 9:00 AM - 5:00 PM Leifer, Alden MD Arabic
Fax: (973) 773-9883 PCMH: No Provider ID: 398238 M 9:00 AM - 8:00 PM
00 Yrs/130 Yrs Gender: Male TW 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Klein, Warren MD IPA of North Jersey Inc THF 8:00 AM - 5:00 PM
Medical Center Provider ID: 439674 680 Broadway Ste 1H PCMH: No
M 9:00 AM - 1:00 PM Gender: Male Paterson, NJ 07514
PCMH: No Paterson Eye Associates (973) 742-4747 Matta, Ayman MD
100 Main St Fl 1 Fax: (973) 742-0629 Provider ID: TPV035427009579
Paterson, NJ 07505 00 Yrs/130 Yrs Gender: Male
(973) 278-7538 St. Joseph's Hospital Reg New Jersey Eye Institute
Fax: (973) 278-7207 Medical Center 1010 Main St Ste A3
00 Yrs/130 Yrs Languages: Spanish, Hebrew Paterson, NJ 07503
River Drive Surgery Center M-F 9:00 AM - 5:00 PM (973) 472-3937
LLC PCMH: No Fax: (973) 472-3938
Trinitas Regional Medical Cent 00 Yrs/99 Yrs
MTTH 8:00 AM - 4:00 PM Languages: Spanish, Arabic
W 7:00 AM - 3:00 PM PCMH: No
FSat 8:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 277
Updated: 11/26/2018

Specialty Physicians
Passaic
Ophthalmology - cont. Morgan, Charles MD Obrotka, Thomas MD Parekh, Swati MD
Provider ID: Provider ID: TPV027241007241 Provider ID: 398282
Matta, Ayman MD TPV004554006054 Gender: Male Gender: Female
Provider ID: TPV035427012163 Gender: Male Paterson Eye and Ear Infirmary Brar Parekh Eye Associates
Gender: Male Clifton Eye Care 680 Broadway Ste 509 Sub Specialty: HIV/AIDs
New Jersey Eye Institute 403 Clifton Ave Paterson, NJ 07514 647 Broadway Fl 1
1033 US Hwy 46 Ste G1 Clifton, NJ 07011 (973) 279-1044 Paterson, NJ 07514
Clifton, NJ 07013 (973) 546-5700 Fax: (973) 279-1104 (973) 279-7303
(973) 472-3937 Fax: (973) 546-8898 00 Yrs/99 Yrs Fax: (973) 279-4580
00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish 00 Yrs/130 Yrs
Languages: Spanish, Arabic www.cliftoneyecare.com PCMH: No St. Joseph's Hospital Reg
PCMH: No Languages: Spanish Medical Center
MTHF 9:00 AM - 5:00 PM Parekh, Jai MD Languages: Spanish, Hindi
Mendoza, Luis MD TW 9:00 AM - 8:00 PM Provider ID: 425431 M-W 9:00 AM - 4:00 PM
Provider ID: 510944 Sat 8:30 AM - 1:00 PM Gender: Male TH 9:00 AM - 8:00 PM
Gender: Male PCMH: No 1031 McBride Ave Ste D106 F 4:00 AM - 12:00 PM
Passaic Visino Center LLC Woodland Park, NJ 07424 PCMH: No
Sub Specialty: HIV/AIDs Mund, Michael MD (973) 785-2050
287 Monroe St Fax: (973) 785-2423 Parekh, Swati MD
Passaic, NJ 07055 Provider ID: 403881 00 Yrs/130 Yrs Provider ID: 901020
(973) 473-5151 Gender: Male St. Joseph's Hospital Reg Gender: Male
00 Yrs/130 Yrs Short Hills Ophthalmology Medical Center Sjrmc
M-F 9:00 AM - 5:00 PM Group LLC Languages: Hindi, Gujarati 703 Main St
PCMH: No Sub Specialty: HIV/AIDs M-F 9:00 AM - 5:00 PM Paterson, NJ 07503
1187 Main Ave Ste 1F PCMH: No (973) 754-2270
Mendoza, Luis MD Clifton, NJ 07011 00 Yrs/130 Yrs
Provider ID: 510944 (973) 546-6161 Parekh, Jai MD St. Joseph's Hospital Reg
Gender: Male Fax: (973) 546-1708 Provider ID: 425431 Medical Center
Passaic Vision Center, LLC 00 Yrs/130 Yrs Gender: Male M-TH 8:30 AM - 5:00 PM
Sub Specialty: HIV/AIDs St. Joseph's Hospital Reg Brar Parekh Eye Associates PCMH: No
289 Monroe St Medical Center 1225 McBride Ave Ste 204
Passaic, NJ 07055 MWF 9:00 AM - 5:00 PM Woodland Park, NJ 07424 Reing, Charles MD
(973) 473-5151 T 9:00 AM - 7:00 PM (973) 279-7303 Provider ID: 539677
Fax: (973) 473-3331 TH 9:00 AM - 3:00 PM Fax: (973) 795-2423 Gender: Male
00 Yrs/130 Yrs PCMH: No 00 Yrs/130 Yrs Advanced Eye Care Center
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg 220 Hamburg Tpke Ste 7
PCMH: No Mund, Michael MD Medical Center Wayne, NJ 07470
Provider ID: TPV050048043010 Languages: Hindi, Gujarati (973) 790-1300
Mendoza, Luis MD Gender: Male M-F 9:00 AM - 5:00 PM Fax: (973) 790-5310
Provider ID: TPV009272004120 Short Hills Ophthalmology PCMH: No 00 Yrs/130 Yrs
Gender: Male Group Languages: Spanish
Passaic Vision Center 1187 Main Ave Ste 1F Parekh, Swati MD M-F 9:00 AM - 5:00 PM
289 Monroe St Clifton, NJ 07011 Provider ID: 398282 PCMH: No
Passaic, NJ 07055 (973) 546-6161 Gender: Female
(973) 473-5151 Fax: (973) 546-1708 Sub Specialty: HIV/AIDs
Fax: (973) 473-3331 00 Yrs/99 Yrs 1031 McBride Ave Ste D106
00 Yrs/99 Yrs PCMH: No Woodland Park, NJ 07424
Languages: Spanish (973) 785-2050
PCMH: No Fax: (973) 785-2423
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
Languages: Spanish, Hindi
M-TH 9:00 AM - 4:00 PM
F 8:00 AM - 12:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 278
Updated: 11/26/2018

Specialty Physicians
Passaic
Ophthalmology - cont. Salzano, Brian MD Stegman, Daniel MD Stegman, Daniel MD
Provider ID: 788864 Provider ID: 1198619 Provider ID: TPV031109006054
Richard, Michael MD Gender: Male Gender: Male Gender: Male
Clifton Eye Care LLC Englewood Eye Center LLC Clifton Eye Care
Provider ID: 1296842 1016 Main Ave Unit 1 1016 Main Ave 403 Clifton Ave
Gender: Male Clifton, NJ 07011 Clifton, NJ 07011 Clifton, NJ 07011
Clifton Eye Care LLC (973) 546-5700 (973) 546-5700 (973) 546-5700
1016 Main Ave Unit 1 Fax: (973) 772-8875 00 Yrs/130 Yrs Fax: (973) 546-8898
Clifton, NJ 07011 00 Yrs/130 Yrs St. Joseph's Hospital Reg 00 Yrs/99 Yrs
(973) 546-5700 AHS Hospital Medical Center www.cliftoneyecare.com
Fax: (973) 546-8898 M-F 9:00 AM - 5:00 PM PCMH: No Languages: French, Hebrew
00 Yrs/130 Yrs PCMH: No MTHF 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg Stegman, Daniel MD TW 9:00 AM - 8:00 PM
Medical Center Salzano, Brian MD Sat 8:30 AM - 1:00 PM
MT 7:30 AM - 7:00 PM Provider ID: TPV015385005771 Provider ID: 398333 PCMH: No
W 8:00 AM - 6:30 PM Gender: Male Gender: Male
TH 8:30 AM - 6:30 PM Clifton Eye Care 1016 Main Ave Unit 1 Tannen, Bradford MD
F 7:30 AM - 12:00 PM 1016 Main Ave Ste 1 Clifton, NJ 07011 Provider ID: TPV038364005771
PCMH: No Clifton, NJ 07011 (973) 546-5700 Gender: Male
(973) 546-5700 Fax: (973) 546-8898 Clifton Eye Care
Richard, Michael MD Fax: (973) 546-8898 00 Yrs/130 Yrs 1016 Main Ave Ste 1
Provider ID: 1559312 00 Yrs/99 Yrs St. Joseph's Hospital Reg Clifton, NJ 07011
Gender: Male www.cliftoneyecare.com Medical Center (973) 546-5700
NJ Eye and Ear, LLC PCMH: No Languages: Spanish, Fax: (973) 546-8898
1016 Main Ave Unit 1 Hungarian, Romanian 00 Yrs/99 Yrs
Clifton, NJ 07011 Salzano, Brian MD M-F 9:00 AM - 5:00 PM www.cliftoneyecare.com
(973) 546-5700 Provider ID: TPV015385006054 PCMH: No Languages: Spanish
Fax: (973) 546-8898 Gender: Male PCMH: No
00 Yrs/130 Yrs Clifton Eye Care Stegman, Daniel MD
MT 7:30 AM - 7:00 PM 403 Clifton Ave Provider ID: TPV031109003271 Tannen, Bradford MD
W 8:00 AM - 6:30 PM Clifton, NJ 07011 Gender: Male Provider ID:
TH 8:30 AM - 6:30 PM (973) 546-5700 NJ Eye and Ear LLC TPV038364006054
F 7:30 AM - 6:00 PM Fax: (973) 546-8898 1016 Main Ave Unit 1 Gender: Male
Sat 8:00 AM - 12:00 PM 00 Yrs/99 Yrs Clifton, NJ 07011 Clifton Eye Care
PCMH: No www.cliftoneyecare.com (973) 546-5700 403 Clifton Ave
MTHF 9:00 AM - 5:00 PM Fax: (973) 546-8898 Clifton, NJ 07011
Salzano, Brian MD TW 9:00 AM - 8:00 PM 00 Yrs/99 Yrs (973) 546-5700
Provider ID: 1559324 Sat 8:30 AM - 1:00 PM www.hughesopticians.com Fax: (973) 546-8898
Gender: Male PCMH: No Languages: French, Hebrew 00 Yrs/99 Yrs
NJ Eye and Ear, LLC MTWF 8:00 AM - 6:00 PM www.cliftoneyecare.com
1016 Main Ave Unit 1 Scannapiego, Saveren MD TH 9:00 AM - 6:00 PM Languages: Spanish
Clifton, NJ 07011 Sat 8:00 AM - 12:00 PM MTHF 9:00 AM - 5:00 PM
(973) 546-5700 Provider ID: TPV014370005261 PCMH: No TW 9:00 AM - 8:00 PM
Fax: (973) 772-8875 Gender: Male Sat 8:30 AM - 1:00 PM
00 Yrs/130 Yrs Paterson Eye Associates Stegman, Daniel MD PCMH: No
MTTHF 8:00 AM - 6:00 PM 100 Main St Provider ID: TPV031109005771
W 9:00 AM - 7:00 PM Paterson, NJ 07505 Gender: Male
Sat 8:00 AM - 1:00 PM (973) 278-7538 Clifton Eye Care
PCMH: No Fax: (973) 278-7207 1016 Main Ave Ste 1
00 Yrs/99 Yrs Clifton, NJ 07011
www.eyesbyklein.com (973) 546-5700
Languages: Spanish Fax: (973) 546-8898
PCMH: No 00 Yrs/99 Yrs
www.cliftoneyecare.com
Languages: French, Hebrew
PCMH: No

www.wellcare.com/New-Jersey | 279
Updated: 11/26/2018

Specialty Physicians
Passaic
Ophthalmology - cont. Wunsh, Stuart MD Ariola, Jennifer OD Bhattacharjee, Shrabanti OD
Provider ID: 1273073 Provider ID: TPV006473003271 Provider ID:
Vogel, Mitchell MD Gender: Male Gender: Female TPV048677005839
North Jersey Eye Associates NJ Eye and Ear LLC Gender: Female
Provider ID: 439186 PA 1016 Main Ave Unit 1 Charles M Cummins OD PA
1005 Clifton Ave Clifton, NJ 07011 453
Gender: Male
Clifton, NJ 07013 (973) 546-5700 251 Clifton Ave
New Jersey Vision Associates
PC (973) 472-4114 Fax: (973) 546-8898 Clifton, NJ 07011
Sub Specialty: HIV/AIDs Fax: (973) 472-0775 00 Yrs/99 Yrs (973) 340-2300
124 Gregory Ave Ste 104 00 Yrs/130 Yrs www.hughesopticians.com Fax: (973) 340-2306
Passaic, NJ 07055 St. Joseph's Hospital Reg Languages: Spanish 00 Yrs/99 Yrs
(973) 779-0808 Medical Center MTWF 8:00 AM - 6:00 PM www.ecca.com
Fax: (973) 471-1929 M-F 9:00 AM - 5:00 PM TH 9:00 AM - 6:00 PM M-F 9:00 AM - 7:30 PM
00 Yrs/130 Yrs PCMH: No Sat 8:00 AM - 12:00 PM Sat 9:00 AM - 2:30 PM
Overlook Hospital PCMH: No PCMH: No
Languages: Spanish Optometry
Ariola, Jennifer OD Bhattacharjee, Shrabanti OD
M 8:30 AM - 4:00 PM
Abbas, Laila OD Provider ID: TPV006473005771
TWTHF 8:00 AM - 4:00 PM
Provider ID: TPV048933007991 Gender: Female Provider ID:
PCMH: No
Gender: Female Clifton Eye Care TPV048677005840
Winfield, Steven MD Noor Optical Vision Center 1016 Main Ave Ste 1 Gender: Female
1135 Main Ave Fl 1 Clifton, NJ 07011 Charles M Cummins OD PA
Clifton, NJ 07011 (973) 546-5700 466
Provider ID: 755793
(973) 685-7280 Fax: (973) 546-8898 255 US Hwy 46
Gender: Male
Fax: (973) 685-7281 00 Yrs/99 Yrs Totowa, NJ 07512
Winfield Medical Eye Center
00 Yrs/99 Yrs www.cliftoneyecare.com (973) 785-8000
PA
PCMH: No Languages: Spanish Fax: (973) 785-9122
200 Gregory Ave Fl 1
PCMH: No 00 Yrs/99 Yrs
Passaic, NJ 07055
Ariola, Jennifer OD www.ecca.com
(973) 778-8439 Ariola, Jennifer OD
Provider ID: 1545298 PCMH: No
Fax: (973) 777-1143 Provider ID:
00 Yrs/130 Yrs Gender: Female
TPV006473006054 Bloch, Myron OD
River Drive Surgery Center Clifton Eye Care, LLC
Gender: Female Provider ID: TPV036334007889
LLC 1016 Main Ave Unit 1
Clifton Eye Care Gender: Male
Languages: Spanish, Hebrew, Clifton, NJ 07011
403 Clifton Ave Myron Bloch OD PC
Yiddish (973) 546-5700
Clifton, NJ 07011 165 Main St
MTWF 9:00 AM - 4:00 PM Fax: (973) 546-8898
(973) 546-5700 Paterson, NJ 07505
TH 11:00 AM - 7:00 PM 00 Yrs/130 Yrs
Fax: (973) 546-8898 (973) 278-4480
PCMH: No M-F 8:00 AM - 6:00 PM
00 Yrs/99 Yrs Fax: (973) 278-6003
Sat 8:00 AM - 12:00 PM
Winfield, Steven MD www.cliftoneyecare.com 00 Yrs/99 Yrs
PCMH: No
Languages: Spanish Languages: Spanish
Provider ID: TPV033437005451
Ariola, Jennifer OD MTHF 9:00 AM - 5:00 PM MTWTHFSat 10:00 AM - 6:00
Gender: Male
Provider ID: 1559768 TW 9:00 AM - 8:00 PM PM
Winfield Medical Eye Center
PA Gender: Female Sat 8:30 AM - 1:00 PM PCMH: No
200 Gregory Ave NJ Eye and Ear, LLC PCMH: No
Brophy, Diann OD
Passaic, NJ 07055 1016 Main Ave Unit 1 Benetatos, Michael OD Provider ID: TPV024101043010
(973) 778-8439 Clifton, NJ 07011
Provider ID: Gender: Female
Fax: (973) 767-2632 (973) 546-5700 TPV000580007475 Short Hills Ophthalmology
00 Yrs/99 Yrs Fax: (973) 546-8898 Group
Gender: Male
Languages: Spanish, Hebrew 00 Yrs/130 Yrs 1187 Main Ave Ste 1F
Michael A Benetatos
MTH 11:00 AM - 7:00 PM St. Joseph's Hospital Reg Clifton, NJ 07011
1069 Ringwood Ave Ste 106
T 9:00 AM - 5:00 PM Medical Center
Haskell, NJ 07420 (973) 546-6161
WF 9:00 AM - 4:00 PM M 8:30 AM - 7:00 PM
(862) 200-5454 Fax: (973) 546-1708
PCMH: No TTHF 8:30 AM - 6:00 PM
Fax: (862) 200-5453 00 Yrs/99 Yrs
W 8:30 AM - 7:30 PM
00 Yrs/99 Yrs PCMH: No
Sat 8:30 AM - 1:00 PM
Languages: Spanish, Greek
PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 280
Updated: 11/26/2018

Specialty Physicians
Passaic
Optometry - cont. Choi-Lee, Jessica OD Cuttler, Nirupa OD Desai, Heema OD
Provider ID: TPV035627017671 Provider ID: TPV033184005771 Provider ID: TPV045487003271
Bucharowski, Martin OD Gender: Female Gender: Female Gender: Female
Provider ID: Passaic Vision Care Clifton Eye Care NJ Eye and Ear LLC
TPV027749005840 670 Main Ave 1016 Main Ave Ste 1 1016 Main Ave Unit 1
Gender: Male Passaic, NJ 07055 Clifton, NJ 07011 Clifton, NJ 07011
Charles M Cummins OD PA (973) 779-2020 (973) 546-5700 (973) 546-5700
466 Fax: (973) 773-2011 Fax: (973) 546-8898 Fax: (973) 546-8898
255 US Hwy 46 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Totowa, NJ 07512 Languages: Spanish, Korean www.cliftoneyecare.com www.hughesopticians.com
(973) 785-8000 PCMH: No PCMH: No Languages: Spanish
Fax: (973) 785-9122 MTWF 8:00 AM - 6:00 PM
00 Yrs/99 Yrs Cooper, Alan OD Desai, Heema OD TH 9:00 AM - 6:00 PM
www.ecca.com Provider ID: TPV037592005587 Provider ID: 1307822 Sat 8:00 AM - 12:00 PM
PCMH: No Gender: Male Gender: Female PCMH: No
Gold Optical Inc Clifton Eye Care LLC
Bulbin, Victoria OD 136 Market St 1016 Main Ave Ste 1 Desai, Heema OD
Provider ID: TPV039734012011 Paterson, NJ 07505 Clifton, NJ 70112 Provider ID:
Gender: Female (973) 278-5300 (973) 546-5700 TPV045487040546
Bulbin Optometry PC Fax: (973) 523-5856 Fax: (973) 546-8898 Gender: Female
186 Warburton Ave 00 Yrs/99 Yrs 00 Yrs/130 Yrs Clifton Eye Care
Hawthorne, NJ 07506 Languages: Spanish M 7:00 AM - 7:00 PM 1016 Main Ave Ste 1
(973) 427-4864 PCMH: No T 7:30 AM - 7:00 PM Clifton, NJ 07011
Fax: (973) 427-5422 W 8:00 AM - 6:30 PM (973) 546-5700
Cummins, Charles OD Fax: (973) 546-8898
00 Yrs/99 Yrs TH 8:30 AM - 6:30 PM
Provider ID: TPV016498005839 F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs
Languages: Russian, Polish
Gender: Male Languages: Spanish
PCMH: No Sat 8:00 AM - 12:00 PM
Charles M Cummins OD PA PCMH: No
PCMH: No
Charles M Cummins OD PA 453
453 251 Clifton Ave Desai, Heema OD Dorman, Alicia OD
Provider ID: TPV019440005839 Clifton, NJ 07011 Provider ID: 1559315 Provider ID: TPV021620005834
251 Clifton Ave (973) 340-2300 Gender: Male
Gender: Female
Clifton, NJ 07011 Fax: (973) 340-2306 Anthony J Boni OD and Alicia
NJ Eye and Ear, LLC
(973) 340-2300 00 Yrs/99 Yrs N Dorman Odpa
1016 Main Ave Unit 1
Fax: (973) 340-2306 www.ecca.com 245 Paterson Ave
Clifton, NJ 07011
00 Yrs/99 Yrs M-F 9:00 AM - 7:30 PM Little Falls, NJ 07424
(973) 546-5700
www.ecca.com Sat 9:00 AM - 2:30 PM (973) 785-3277
Fax: (973) 546-8898
M-F 9:00 AM - 7:30 PM PCMH: No Fax: (973) 812-1723
00 Yrs/130 Yrs
Sat 9:00 AM - 2:30 PM 00 Yrs/99 Yrs
Cummins, Charles OD MT 7:30 AM - 7:00 PM
PCMH: No PCMH: No
W 8:00 AM - 6:30 PM
Provider ID:
TPV016498005840 TH 8:30 AM - 6:30 PM Ehrenworth, Steven OD
Charles M Cummins OD PA
Gender: Male F 8:00 AM - 6:00 PM Provider ID: TPV034319005617
466
Sat 8:00 AM - 12:00 PM Gender: Male
Provider ID: TPV011076005840 Charles M Cummins OD PA
466 PCMH: No Drs Ehrenworth Goldsmith
255 US Hwy 46
Totowa, NJ 07512 255 US Hwy 46 151 Union Blvd
(973) 785-8000 Totowa, NJ 07512 Totowa, NJ 07512
Fax: (973) 785-9122 (973) 785-8000 (973) 942-4221
00 Yrs/99 Yrs Fax: (973) 785-9122 Fax: (973) 942-7593
www.ecca.com 00 Yrs/99 Yrs 00 Yrs/99 Yrs
PCMH: No www.ecca.com PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 281
Updated: 11/26/2018

Specialty Physicians
Passaic
Optometry - cont. Glazer, Douglas OD Janiga, Edward OD Krav, Veronika OD
Provider ID: Provider ID: TPV019170005443 Provider ID: TPV041977005839
Farbowitz, Michael OD TPV020920005840 Gender: Male Gender: Female
Provider ID: TPV049434043010 Gender: Male Dr Edward Janiga Charles M Cummins OD PA
Gender: Male Charles M Cummins OD PA 188 Lafayette Ave 453
Short Hills Ophthalmology 466 Hawthorne, NJ 07506 251 Clifton Ave
Group 255 US Hwy 46 (973) 423-2015 Clifton, NJ 07011
1187 Main Ave Ste 1F Totowa, NJ 07512 Fax: (973) 310-3089 (973) 340-2300
Clifton, NJ 07011 (973) 785-8000 00 Yrs/99 Yrs Fax: (973) 340-2306
(973) 546-6161 Fax: (973) 785-9122 PCMH: No 00 Yrs/99 Yrs
Fax: (973) 546-1708 00 Yrs/99 Yrs www.ecca.com
00 Yrs/99 Yrs www.ecca.com Jasani, Amy OD M-F 9:00 AM - 7:30 PM
PCMH: No PCMH: No Provider ID: TPV011720005771 Sat 9:00 AM - 2:30 PM
Gender: Female PCMH: No
Ferrer-Garcia, Delia OD Goldsmith, William OD Clifton Eye Care
Provider ID: Provider ID: 1016 Main Ave Ste 1 Krav, Veronika OD
TPV032943006085 TPV008666005617 Clifton, NJ 07011 Provider ID: TPV041977005840
Gender: Female Gender: Male (973) 546-5700 Gender: Female
Ferrer Garcia Eyecare Drs Ehrenworth Goldsmith Fax: (973) 546-8898 Charles M Cummins OD PA
1160 Main Ave 151 Union Blvd 00 Yrs/99 Yrs 466
Clifton, NJ 07011 Totowa, NJ 07512 www.cliftoneyecare.com 255 US Hwy 46
(973) 472-2828 (973) 942-4221 Languages: Spanish, Gujarati Totowa, NJ 07512
Fax: (973) 472-2838 Fax: (973) 942-7593 PCMH: No (973) 785-8000
00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 785-9122
www.ferrergarciaeyecare.com Languages: Spanish Kaplan, Lori OD 00 Yrs/99 Yrs
M-F 10:00 AM - 6:00 PM PCMH: No Provider ID: TPV041255007468 www.ecca.com
Sat 9:30 AM - 4:00 PM Gender: Female PCMH: No
PCMH: No Han, Hanna OD Natalie Velazquez OD
Provider ID: TPV041100005834 Associates Lee, Ji OD
Fures, Denise OD Gender: Female 222 Main Ave Provider ID: TPV001682005771
Provider ID: TPV027101005839 Anthony J Boni OD and Alicia Passaic, NJ 07055 Gender: Female
Gender: Female N Dorman Odpa (973) 778-4662 Clifton Eye Care
Charles M Cummins OD PA 245 Paterson Ave Fax: (973) 778-3427 1016 Main Ave Ste 1
453 Little Falls, NJ 07424 00 Yrs/99 Yrs Clifton, NJ 07011
251 Clifton Ave (973) 785-3277 www.nvelazquezod.com (973) 546-5700
Clifton, NJ 07011 Fax: (973) 812-1723 PCMH: No Fax: (973) 546-8898
(973) 340-2300 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 340-2306 Languages: Korean Kim, Sarah OD www.cliftoneyecare.com
00 Yrs/99 Yrs PCMH: No Provider ID: TPV012718005840 Languages: Korean
www.ecca.com Gender: Female PCMH: No
M-F 9:00 AM - 7:30 PM Horwitz, Mark OD Charles M Cummins OD PA
Sat 9:00 AM - 2:30 PM Provider ID: TPV004552016794 466 Lee, Ji Yun OD
PCMH: No Gender: Male 255 US Hwy 46 Provider ID: 1298674
Family Eye Center Totowa, NJ 07512 Gender: Female
Fures, Denise OD 124 Main Ave Ste 1 (973) 785-8000 Clifton Eye Care, LLC
Provider ID: TPV027101005840 Passaic, NJ 07055 Fax: (973) 785-9122 1016 Main Ave Unit 1
Gender: Female (973) 916-5050 00 Yrs/99 Yrs Clifton, NJ 07011
Charles M Cummins OD PA Fax: (973) 916-5087 www.ecca.com (973) 546-5700
466 00 Yrs/99 Yrs PCMH: No Fax: (973) 546-8898
255 US Hwy 46 PCMH: No 00 Yrs/130 Yrs
Totowa, NJ 07512 MT 7:30 AM - 7:00 PM
(973) 785-8000 W 8:00 AM - 6:30 PM
Fax: (973) 785-9122 TH 8:30 AM - 6:30 PM
00 Yrs/99 Yrs F 8:00 AM - 6:00 PM
www.ecca.com Sat 7:30 AM - 12:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 282
Updated: 11/26/2018

Specialty Physicians
Passaic
Optometry - cont. Levinson, Paul OD Ly-Schroeder, Emily My OD Ochlan, Melissa OD
Provider ID: TPV031963005619 Provider ID: Provider ID: TPV012685020063
Lee, Ji Yun OD Gender: Male TPV026385005834 Gender: Female
Provider ID: 1298674 North Jersey Eye Care Center Gender: Female Optical Outlet
Gender: Female 2713 State Rt 23 Anthony J Boni OD and Alicia 1430 Main Ave
Pediatric Center Newfoundland, NJ 07435 N Dorman Odpa Clifton, NJ 07011
1016 Main Ave Unit 2B (973) 697-8100 245 Paterson Ave (973) 684-8400
Clifton, NJ 07011 Fax: (973) 697-8104 Little Falls, NJ 07424 Fax: (800) 610-8230
(973) 546-5700 00 Yrs/99 Yrs (973) 785-3277 00 Yrs/99 Yrs
Fax: (973) 546-8898 PCMH: No Fax: (973) 812-1723 M-F 9:00 AM - 7:00 PM
00 Yrs/130 Yrs 00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Lherisson, Lourdes OD Languages: Chinese, Swedish PCMH: No
PCMH: No Provider ID: PCMH: No
TPV046495005839 O'Hara, Michael OD
Gender: Female Masadeh, Yasir OD Provider ID: TPV010201005839
Lee, Ji Yun OD
Charles M Cummins OD PA Provider ID: TPV025215040724 Gender: Male
Provider ID: 1559305
453 Gender: Male Charles M Cummins OD PA
Gender: Female
251 Clifton Ave Main Street Optical 453
NJ Eye and Ear, LLC
Clifton, NJ 07011 1010 Main St 251 Clifton Ave
1016 Main Ave Unit 1
(973) 340-2300 Paterson, NJ 07503 Clifton, NJ 07011
Clifton, NJ 07011
Fax: (973) 340-2306 (862) 239-9550 (973) 340-2300
(973) 546-5700
00 Yrs/99 Yrs Fax: (201) 595-0290 Fax: (973) 340-2306
Fax: (973) 772-8875
www.ecca.com 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/130 Yrs
M-F 9:00 AM - 7:30 PM Languages: Spanish www.ecca.com
MT 7:30 AM - 7:00 PM
Sat 9:00 AM - 2:30 PM PCMH: No M-F 9:00 AM - 7:30 PM
W 8:00 AM - 6:30 PM
PCMH: No Sat 9:00 AM - 2:30 PM
TH 8:30 AM - 6:30 PM Moreira-Tortorici, Kathy OD PCMH: No
F 8:00 AM - 6:00 PM Provider ID: TPV020473005839
Lherisson, Lourdes OD
Sat 7:30 AM - 12:00 PM Gender: Female O'Hara, Michael OD
Provider ID:
PCMH: No Charles M Cummins OD PA
TPV046495005840 Provider ID: TPV010201005840
Gender: Female 453 Gender: Male
Levinson, Howard OD 251 Clifton Ave
Charles M Cummins OD PA Charles M Cummins OD PA
Provider ID: TPV027363005619 466 Clifton, NJ 07011 466
Gender: Male (973) 340-2300
255 US Hwy 46 255 US Hwy 46
North Jersey Eye Care Center Fax: (973) 340-2306
Totowa, NJ 07512 Totowa, NJ 07512
2713 State Rt 23 00 Yrs/99 Yrs
(973) 785-8000 (973) 785-8000
Newfoundland, NJ 07435 www.ecca.com
Fax: (973) 785-9122 Fax: (973) 785-9122
(973) 697-8100 M-F 9:00 AM - 7:30 PM
00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 697-8104 Sat 9:00 AM - 2:30 PM
www.ecca.com www.ecca.com
00 Yrs/99 Yrs PCMH: No
PCMH: No PCMH: No
Languages: Portuguese
PCMH: No Linenberg, Catherine OD Morillo, Diego OD Park, Sarah OD
Provider ID: TPV019787005834 Provider ID: TPV034107005365 Provider ID: TPV012718005839
Levinson, Marc OD Gender: Female Gender: Male Gender: Female
Provider ID: TPV017547005619 Anthony J Boni OD and Alicia Morillo Eye Associates Charles M Cummins OD PA
Gender: Male N Dorman Odpa 1053 Bloomfield Ave 453
North Jersey Eye Care Center 245 Paterson Ave Clifton, NJ 07012 251 Clifton Ave
2713 State Rt 23 Little Falls, NJ 07424 (973) 594-0020 Clifton, NJ 07011
Newfoundland, NJ 07435 (973) 785-3277 00 Yrs/99 Yrs (973) 340-2300
(973) 697-8100 Fax: (973) 812-1723 Languages: Spanish, French Fax: (973) 340-2306
Fax: (973) 697-8104 00 Yrs/99 Yrs PCMH: No 00 Yrs/99 Yrs
00 Yrs/99 Yrs PCMH: No www.ecca.com
PCMH: No M-F 9:00 AM - 7:30 PM
Sat 9:00 AM - 2:30 PM
PCMH: No

www.wellcare.com/New-Jersey | 283
Updated: 11/26/2018

Specialty Physicians
Passaic
Optometry - cont. Patel, Urvashi OD Ramsarat, Veronica OD Rusignuolo, Anthony OD
Provider ID: TPV047314005839 Provider ID: TPV046079003271 Provider ID: TPV019690018438
Patel, Hiral OD Gender: Female Gender: Female Gender: Male
Provider ID: TPV023792005839 Charles M Cummins OD PA NJ Eye and Ear LLC Opti-Design
Gender: Female 453 1016 Main Ave Unit 1 140 Main St
Charles M Cummins OD PA 251 Clifton Ave Clifton, NJ 07011 Paterson, NJ 07505
453 Clifton, NJ 07011 (973) 546-5700 (973) 357-8357
251 Clifton Ave (973) 340-2300 Fax: (973) 546-8898 Fax: (973) 357-8359
Clifton, NJ 07011 Fax: (973) 340-2306 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 340-2300 00 Yrs/99 Yrs www.hughesopticians.com Languages: Spanish
Fax: (973) 340-2306 www.ecca.com MTWF 8:00 AM - 6:00 PM PCMH: No
00 Yrs/99 Yrs M-F 9:00 AM - 7:30 PM TH 9:00 AM - 6:00 PM
www.ecca.com Sat 9:00 AM - 2:30 PM Sat 8:00 AM - 12:00 PM Scharf, Larry OD
M-F 9:00 AM - 7:30 PM PCMH: No PCMH: No Provider ID: TPV022534005839
Sat 9:00 AM - 2:30 PM Gender: Male
PCMH: No Patel, Urvashi OD Ramsarat, Veronica OD Charles M Cummins OD PA
Provider ID: TPV047314005840 Provider ID: 453
Patel, Hiral OD Gender: Female TPV046079040546 251 Clifton Ave
Provider ID: Charles M Cummins OD PA Gender: Female Clifton, NJ 07011
TPV023792005840 466 Clifton Eye Care (973) 340-2300
Gender: Female 255 US Hwy 46 1016 Main Ave Ste 1 Fax: (973) 340-2306
Charles M Cummins OD PA Totowa, NJ 07512 Clifton, NJ 07011 00 Yrs/99 Yrs
466 (973) 785-8000 (973) 546-5700 www.ecca.com
255 US Hwy 46 Fax: (973) 785-9122 Fax: (973) 546-8898 M-F 9:00 AM - 7:30 PM
Totowa, NJ 07512 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 9:00 AM - 2:30 PM
(973) 785-8000 www.ecca.com PCMH: No PCMH: No
Fax: (973) 785-9122 PCMH: No
00 Yrs/99 Yrs Reto, Mary OD Scharf, Larry OD
www.ecca.com Ramirez, Joanne OD Provider ID: TPV017199005834 Provider ID:
PCMH: No Provider ID: TPV045659040718 Gender: Female TPV022534005840
Gender: Female Anthony J Boni OD and Alicia Gender: Male
Patel, Nimali OD Joanne Ramirez OD N Dorman Odpa Charles M Cummins OD PA
Provider ID: TPV030107005839 769 Lafayette Ave 245 Paterson Ave 466
Gender: Female Hawthorne, NJ 07506 Little Falls, NJ 07424 255 US Hwy 46
Charles M Cummins OD PA (979) 949-5085 (973) 785-3277 Totowa, NJ 07512
453 Fax: (973) 427-8866 Fax: (973) 812-1723 (973) 785-8000
251 Clifton Ave 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 785-9122
Clifton, NJ 07011 Languages: Spanish PCMH: No 00 Yrs/99 Yrs
(973) 340-2300 MWF 9:00 AM - 6:00 PM www.ecca.com
Fax: (973) 340-2306 Rusignuolo, Anthony OD
TTH 9:00 AM - 7:00 PM PCMH: No
00 Yrs/99 Yrs Provider ID: TPV019690015674
Sat 9:00 AM - 2:00 PM
www.ecca.com Gender: Male Seyam, Ramy OD
PCMH: No
M-F 9:00 AM - 7:30 PM Opti Eyecare Provider ID: TPV032176005834
Sat 9:00 AM - 2:30 PM Ramsarat, Veronica OD 140 Main St Gender: Male
PCMH: No Paterson, NJ 07505 Anthony J Boni OD and Alicia
(973) 357-8357 N Dorman Odpa
Provider ID: 1500778
Patel, Nimali OD Fax: (973) 357-8359 245 Paterson Ave
Gender: Female
Provider ID: TPV030107005840 Clifton Eye Care LLC 00 Yrs/99 Yrs Little Falls, NJ 07424
Gender: Female Languages: Spanish (973) 785-3277
1016 Main Ave Unit 1
Charles M Cummins OD PA MTWTHFSat 10:30 AM - 6:30 Fax: (973) 812-1723
Clifton, NJ 07011
466 PM 00 Yrs/99 Yrs
(973) 546-5700
255 US Hwy 46 PCMH: No Languages: Arabic
Fax: (973) 546-8898
Totowa, NJ 07512 00 Yrs/130 Yrs PCMH: No
(973) 785-8000 M-F 9:00 AM - 5:00 PM
Fax: (973) 785-9122 PCMH: No
00 Yrs/99 Yrs
www.ecca.com
PCMH: No

www.wellcare.com/New-Jersey | 284
Updated: 11/26/2018

Specialty Physicians
Passaic
Optometry - cont. Solis, Melissa OD Tsai, Judy OD Velazquez, Natalie OD
Provider ID: Provider ID: Provider ID:
Seyam, Ramy OD TPV045666004444 TPV034827005839 TPV009901007468
Provider ID: TPV032176037812 Gender: Female Gender: Female Gender: Female
Gender: Male Passaic Eyecare Charles M Cummins OD PA Natalie Velazquez OD
Prime Vision Care LLC 177 Prospect St 453 Associates
1055 Hamburg Tpke Ste 14B Passaic, NJ 07055 251 Clifton Ave 222 Main Ave
Wayne, NJ 07470 (973) 777-4343 Clifton, NJ 07011 Passaic, NJ 07055
(973) 832-7222 Fax: (973) 777-0536 (973) 340-2300 (973) 778-4662
Fax: (973) 832-7707 00 Yrs/99 Yrs Fax: (973) 340-2306 Fax: (973) 778-3427
00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Arabic M-TH 11:00 AM - 7:00 PM www.ecca.com www.nvelazquezod.com
M-F 9:00 AM - 5:00 PM F 10:00 AM - 4:00 PM M-F 9:00 AM - 7:30 PM Languages: Spanish
Sat 9:00 AM - 1:00 PM PCMH: No Sat 9:00 AM - 2:30 PM PCMH: No
PCMH: No PCMH: No
Trajkovska, Violeta OD Vinciguerra, Van OD
Shapiro, Lawrence OD Provider ID: Tsai, Judy OD Provider ID: TPV019486007326
Provider ID: TPV030710005587 TPV022939005840 Provider ID: Gender: Male
Gender: Male Gender: Female TPV034827005840 Sterling Optical
Gold Optical Inc Charles M Cummins OD PA Gender: Female 158 Market St
136 Market St 466 Charles M Cummins OD PA Paterson, NJ 07505
Paterson, NJ 07505 255 US Hwy 46 466 (973) 345-8694
(973) 278-5300 Totowa, NJ 07512 255 US Hwy 46 Fax: (973) 345-6120
Fax: (973) 523-5856 (973) 785-8000 Totowa, NJ 07512 00 Yrs/99 Yrs
00 Yrs/99 Yrs Fax: (973) 785-9122 (973) 785-8000 Languages: Spanish
Languages: Spanish 00 Yrs/99 Yrs Fax: (973) 785-9122 PCMH: No
PCMH: No www.ecca.com 00 Yrs/99 Yrs
PCMH: No www.ecca.com Waldman, Eric OD
Shin, Wae OD PCMH: No Provider ID: TPV035793005593
Provider ID: TPV016520007326 Trytjak, Yurij OD Gender: Male
Gender: Female Provider ID: TPV036593015674 Velazquez, Natalie OD Dr Eric Waldman
Sterling Optical Gender: Male Provider ID: 1530796 607 Main Ave
158 Market St Opti Eyecare Gender: Female Passaic, NJ 07055
Paterson, NJ 07505 140 Main St Eyecare Consultants of NJ PA (973) 473-3384
(973) 345-8694 Paterson, NJ 07505 1225 McBride Ave Ste 204 Fax: (973) 473-0366
Fax: (973) 345-6120 (973) 357-8357 Woodland Park, NJ 07424 00 Yrs/99 Yrs
00 Yrs/99 Yrs Fax: (973) 357-8359 (973) 785-2050 PCMH: No
Languages: Spanish, Korean 00 Yrs/99 Yrs Fax: (973) 785-2423
PCMH: No Languages: Spanish, Russian 05 Yrs/130 Yrs Watkins, Rebecca OD
MTWTHFSat 10:30 AM - 6:30 Languages: Spanish Provider ID:
Skinner, Judith OD PM M 9:00 AM - 3:00 PM TPV003647005834
Provider ID: TPV010016005839 PCMH: No T 12:30 AM - 4:30 PM Gender: Female
Gender: Female W 9:00 AM - 12:30 PM Anthony J Boni OD and Alicia
Charles M Cummins OD PA Trytjak, Yurij OD PCMH: No N Dorman Odpa
453 Provider ID: TPV036593018438 245 Paterson Ave
251 Clifton Ave Gender: Male Little Falls, NJ 07424
Clifton, NJ 07011 Opti-Design (973) 785-3277
(973) 340-2300 140 Main St Fax: (973) 812-1723
Fax: (973) 340-2306 Paterson, NJ 07505 00 Yrs/99 Yrs
00 Yrs/99 Yrs (973) 357-8357 Languages: Spanish
www.ecca.com Fax: (973) 357-8359 PCMH: No
M-F 9:00 AM - 7:30 PM 00 Yrs/99 Yrs
Sat 9:00 AM - 2:30 PM Languages: Spanish, Russian
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 285
Updated: 11/26/2018

Specialty Physicians
Passaic
Optometry - cont. Zaky, Jackline OD Ephros, Hillel DMD Orthodontics
Provider ID: Provider ID: TPVP149255-01
Win, Kelvin OD TPV049765005840 Gender: Male Berk, Jason DDS
Provider ID: TPV018530035799 Gender: Female St Josephs Hospital Medical Provider ID: TPVP153167-05
Gender: Male Charles M Cummins OD PA Center Gender: Male
Vision Consultants of New 466 703 Main St Clifton Orthodontics
Jersey LLC 255 US Hwy 46 Paterson, NJ 07503 1053 Bloomfield Ave Ste 14
260 Rt 46 & Rt 23 Totowa, NJ 07512 (973) 754-2290 Clifton, NJ 07012
Wayne, NJ 07470 (973) 785-8000 Fax: (973) 754-4904 (973) 471-7200
(973) 785-0715 Fax: (973) 785-9122 00 Yrs/99 Yrs Fax: (888) 292-7017
Fax: (973) 812-7167 00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs
00 Yrs/99 Yrs www.ecca.com M-F 9:00 AM - 3:00 PM Languages: Arabic
Languages: Chinese, Burmese PCMH: No PCMH: No MWF 10:00 AM - 6:00 PM
PCMH: No TTH 11:00 AM - 7:00 PM
Zalaznick, Steven OD Tamimi, Imad DMD Sat 9:00 AM - 4:00 PM
Youngewirth, Maty OD Provider ID: TPV015155004444 PCMH: No
Provider ID: Gender: Male Provider ID: 1523040
TPV022248003608 Passaic Eyecare Gender: Male Castronova, John DMD
Gender: Female 177 Prospect St Royal Oral and Maxillofacial
R C Optical Passaic, NJ 07055 Surg Provider ID: TPVP142597-06
596 Main Ave (973) 777-4343 1054 Clifton Ave Gender: Male
Passaic, NJ 07055 Fax: (973) 777-0536 Clifton, NJ 07013 Clifton Orthodontics
(973) 778-1081 00 Yrs/99 Yrs (973) 625-4048 1053 Bloomfield Ave Ste 14
Fax: (973) 778-1083 M-TH 11:00 AM - 7:00 PM Fax: (973) 625-1984 Clifton, NJ 07012
00 Yrs/99 Yrs F 10:00 AM - 4:00 PM 00 Yrs/130 Yrs (973) 471-7200
Languages: Yiddish PCMH: No St. Joseph's Hospital Reg Fax: (888) 292-7017
PCMH: No Medical Center 00 Yrs/99 Yrs
Zimmerling, Inna OD Languages: Spanish, Arabic Languages: Arabic
Zabarko, Diana OD Provider ID: TPV015698018665 M-F 9:00 AM - 6:00 PM
MWF 10:00 AM - 6:00 PM
Provider ID: TPV003104017080 Gender: Female PCMH: No
Clifton Optical TTH 11:00 AM - 7:00 PM
Gender: Female
1026 Main Ave Sat 9:00 AM - 4:00 PM
Diana Zabarko OD Tamimi, Imad DDS
Clifton, NJ 07011 PCMH: No
506 Hamburg Tpke Ste 207 Provider ID: TPVP120985-02
Wayne, NJ 07470 (973) 471-2020 Gender: Male Chelian, Giri DDS
(862) 336-1990 Fax: (201) 865-0123 Royal Oral Maxillofacial
00 Yrs/99 Yrs Provider ID: TPVP93168-09
Fax: (973) 904-3339 Sugery LLC
Languages: Spanish, Russian Gender: Male
00 Yrs/99 Yrs 1054 Clifton Ave Ste 2
MTWTHFSat 10:00 AM - 6:00 Smile Central Passaic
Languages: Spanish, Russian Clifton, NJ 07013
PM 625 Main Ave 3rd Fl
M 9:30 AM - 6:30 PM (973) 625-4048
PCMH: No Passaic, NJ 07055
T 10:00 AM - 6:30 PM Fax: (973) 625-1984 (973) 574-1000
W 10:00 AM - 5:00 PM 00 Yrs/99 Yrs
PCMH: No
Oral & Maxillofacial Fax: (973) 574-1001
Languages: Arabic 00 Yrs/99 Yrs
Surgery M-F 9:00 AM - 6:00 PM
Zaky, Jackline OD Languages: Arabic
PCMH: No M-F 9:00 AM - 7:00 PM
Provider ID: Ephros, Hillel DMD
TPV049765005839 Provider ID: 1191401 Sat 9:00 AM - 3:00 PM
Gender: Female Gender: Male PCMH: No
Charles M Cummins OD PA Hillel Ephros DMD Md
453 703 Main St
251 Clifton Ave Paterson, NJ 07503
Clifton, NJ 07011 (973) 754-2290
(973) 340-2300 Fax: (973) 754-2633
Fax: (973) 340-2306 00 Yrs/130 Yrs
00 Yrs/99 Yrs St. Joseph's Hospital Reg
www.ecca.com Medical Center
M-F 9:00 AM - 7:30 PM M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 2:30 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 286
Updated: 11/26/2018

Specialty Physicians
Passaic
Orthodontics - cont. Terrana, Anthony DMD Reicher, Oscar MD Sifonios, Anthony MD
Provider ID: 1245208
Drut, Oleg DDS Provider ID: TPVP170485-04 Gender: Male Provider ID: 1648253
Provider ID: TPVP32406-06 Gender: Male Atlantic Medical Group Gender: Male
Gender: Male Clifton Orthodontics 1055 Hamburg Tpke Ste A1 Prohealth Care Associates of
Clifton Orthodontics 1053 Bloomfield Ave Ste 14 Wayne, NJ 07470 New Je
1053 Bloomfield Ave Ste 14 Clifton, NJ 07012 (973) 616-0200 930 Clifton Ave
Clifton, NJ 07012 (973) 471-7200 Fax: (973) 616-1792 Clifton, NJ 07013
(973) 471-7200 Fax: (888) 292-7017 00 Yrs/130 Yrs (973) 767-1557
Fax: (888) 292-7017 00 Yrs/99 Yrs AHS Hospital Fax: (973) 767-1547
00 Yrs/99 Yrs Languages: Arabic M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Languages: Russian, Arabic MWF 10:00 AM - 6:00 PM PCMH: No Robert Wood Johnson
MWF 10:00 AM - 6:00 PM TTH 11:00 AM - 7:00 PM University Hospital
TTH 11:00 AM - 7:00 PM Sat 9:00 AM - 4:00 PM Sabharwal, Sanjeev MD M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 4:00 PM PCMH: No PCMH: No
PCMH: No Provider ID: 1596874
Yin, Hong DDS Gender: Male Pediatric Cardiology
Kim, Jung DDS Provider ID: TPVP125461-01 St. Joseph's Healthcare Inc.
Provider ID: TPVP121620-04 Gender: Female 11 Getty Ave Bldg 275, 2nd Fl Galeano, Narmer MD
Gender: Male Smile Central Passaic Paterson, NJ 07503 Provider ID: 462471
St Josephs Hospital Medical 625 Main Ave 3rd Fl (973) 754-2270 Gender: Male
Center Passaic, NJ 07055 Fax: (973) 754-4392 1350 Rte 23
11 Getty Ave Bldg 275 (973) 574-1000 00 Yrs/130 Yrs Wayne, NJ 07474
Paterson, NJ 07503 Fax: (973) 574-1001 MTWTHFSat 9:00 AM - 5:00 (973) 754-8630
(973) 754-4250 00 Yrs/99 Yrs PM Fax: (973) 754-8649
Fax: (973) 754-3071 Languages: Arabic PCMH: No 00 Yrs/18 Yrs
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM St. Joseph's Hospital Reg
Languages: Arabic Sat 9:00 AM - 3:00 PM Pain Management Medical Center
M-F 9:00 AM - 3:00 PM PCMH: No Languages: Spanish
PCMH: No Le, Vanny MD M-F 9:00 AM - 5:00 PM
Orthopaedic Surgery Provider ID: 1639616 PCMH: No
Simon, Lawrence DMD Gender: Female
Provider ID: TPVP151710-02 Henderson, Timothy MD Prohealth Care Associates of Galeano, Narmer MD
Gender: Male New Je Provider ID: 462471
St Josephs Hospital Medical Provider ID: 1558597 930 Clifton Ave Gender: Male
Center Gender: Male Clifton, NJ 07013 Sjrmc
11 Getty Ave Bldg 275 Atlantic Medical Group (973) 767-1557 703 Main St
Paterson, NJ 07503 1055 Hamburg Tpke Pod 2 Fax: (973) 767-1547 Paterson, NJ 07503
(973) 754-4250 Wayne, NJ 07470 00 Yrs/130 Yrs (973) 754-2504
Fax: (973) 754-3071 (973) 616-0200 Robert Wood Johnson Fax: (973) 754-3013
00 Yrs/99 Yrs Fax: (973) 616-1792 University Hospital 00 Yrs/18 Yrs
Languages: Arabic University Hospital St. Joseph's Hospital Reg
00 Yrs/130 Yrs
M-F 9:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM Medical Center
Saint Barnabas Medical
PCMH: No Center Livingston PCMH: No Languages: Spanish
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 287
Updated: 11/26/2018

Specialty Physicians
Passaic
Pediatric Cardiology - Myridakis, Dorothy MD Prasad, Vijaya MD Galeano, Narmer MD
cont. Provider ID: 398293
Provider ID: 455144 Gender: Female Provider ID: 462471
Galeano, Narmer MD Gender: Female Ipanj Gender: Male
Provider ID: 462471 703 Main St 703 Main St Ipanj
Gender: Male Paterson, NJ 07503 Paterson, NJ 07503 703 Main St
St Josephs Healthcare (973) 754-2572 (973) 754-2541 Paterson, NJ 07503
11 Getty Ave Bldg 275 00 Yrs/18 Yrs 00 Yrs/18 Yrs (973) 754-3013
Paterson, NJ 07503 St. Joseph's Hospital Reg St. Joseph's Hospital Reg 00 Yrs/18 Yrs
(973) 754-2510 Medical Center Medical Center St. Joseph's Hospital Reg
00 Yrs/18 Yrs Languages: Greek Languages: Hindi Medical Center
St. Joseph's Hospital Reg M-F 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish
Medical Center PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM
Languages: Spanish PCMH: No
M-TH 9:00 AM - 5:00 PM Pediatric Ear, Nose & Prasad, Vijaya MD
F 9:00 AM - 12:00 PM Throat Provider ID: 398293 Galeano, Narmer MD
PCMH: No Gender: Female
Hassan, Sherif MD St Josephs Hospital and Provider ID: 462471
Kiblawi, Fuad MD Provider ID: 945508 Medical Center Gender: Male
Provider ID: 455130 Gender: Male 11 Getty Ave Fl 2 St Josephs Healthcare
Gender: Male Family Center For Paterson, NJ 07503 11 Getty Ave Bldg 275
IPA of North Jersey Inc Otolaryngology (973) 754-2510 Paterson, NJ 07503
703 Main St 6 Brighton Rd Ste 104 Fax: (973) 754-2039 (973) 754-2510
Paterson, NJ 07503 Clifton, NJ 07012 00 Yrs/18 Yrs 00 Yrs/18 Yrs
(973) 754-2572 (973) 470-0282 St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Fax: (973) 754-2578 Fax: (201) 935-4166 Medical Center Medical Center
00 Yrs/18 Yrs 00 Yrs/130 Yrs Languages: Hindi Languages: Spanish
St. Joseph's Hospital Reg MT 9:00 AM - 6:00 PM M-TH 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM
Medical Center PCMH: No F 9:00 AM - 12:00 PM F 9:00 AM - 12:00 PM
MW 1:00 AM - 5:00 PM PCMH: No PCMH: No
TTH 9:00 AM - 5:00 PM Pediatric Endocrinology
PCMH: No Pediatric Rivera-Penera, Maria MD
Harwood, Katerina MD Gastroenterology
Messina, John MD Provider ID: 976372
Provider ID: 455141 Provider ID: 511710 Galeano, Narmer MD Gender: Female
Gender: Male Gender: Female Sjrmc
IPA of North Jersey Inc 11 Getty Ave Fl 2 Provider ID: 462471 703 Main St
703 Main St Paterson, NJ 75032 Gender: Male Paterson, NJ 07503
Paterson, NJ 07503 (973) 754-2510 1350 Rte 23 (973) 754-2504
(973) 754-2572 Fax: (973) 754-2039 Wayne, NJ 07474 Fax: (973) 754-3013
Fax: (973) 754-2548 00 Yrs/130 Yrs (973) 754-8630 00 Yrs/18 Yrs
00 Yrs/18 Yrs Languages: Russian Fax: (973) 754-8649 Childrens Ambulatory Surgery
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs Center of NJ
Medical Center PCMH: No St. Joseph's Hospital Reg Languages: Spanish, Greek
MW 1:00 AM - 5:00 PM Medical Center M-F 9:00 AM - 5:00 PM
TTH 9:00 AM - 5:00 PM Harwood, Katerina MD Languages: Spanish PCMH: No
PCMH: No M-F 9:00 AM - 5:00 PM
Provider ID: 511710 PCMH: No
Gender: Female
Ipanj
703 Main St
Paterson, NJ 07503
(973) 754-2720
00 Yrs/130 Yrs
Languages: Russian
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 288
Updated: 11/26/2018

Specialty Physicians
Passaic
Pediatric Menell, Jill MD Goldberg, David MD Kest, Helen MD
Gastroenterology - cont. Provider ID: 976472 Provider ID: 511402
Gender: Female Provider ID: 511505 Gender: Female
Treskova, Erena MD Sjrmc Gender: Male St Joseph's Health Care,Inc
Provider ID: 975564 703 Main St Fl 7 St Joseph's Health Care,Inc Sub Specialty: HIV/AIDs
Gender: Female Paterson, NJ 07503 Sub Specialty: HIV/AIDs 11 Getty Ave Bldg 275
Erena Treskova and Collc (973) 754-3230 11 Getty Ave Fl 2 Paterson, NJ 07503
510 Hamburg Tpke Ste 103 Fax: (973) 754-3331 Paterson, NJ 07503 (973) 754-2425
Wayne, NJ 07470 00 Yrs/21 Yrs (973) 754-3729 Fax: (973) 754-2741
(973) 782-4082 St. Joseph's Hospital Reg Fax: (973) 754-2628 00 Yrs/21 Yrs
Fax: (973) 782-4083 Medical Center 00 Yrs/21 Yrs St. Joseph's Hospital Reg
00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM Morristown Memorial Medical Center
Childrens Ambulatory Surgery PCMH: No Hospital M-F 9:00 AM - 5:00 PM
Center of NJ M-F 9:00 AM - 5:00 PM PCMH: No
M-F 9:00 AM - 5:00 PM Pediatric Infectious PCMH: No
PCMH: No Disease Lamacchia, Michael MD
Kest, Helen MD
Pediatric Hematology/ Goldberg, David MD Provider ID: 511402 Provider ID: 976371
Oncology Gender: Female Gender: Male
Provider ID: 511505 Ipanj Sjrmc
Bhagia, Pooja MD Gender: Male Sub Specialty: HIV/AIDs 703 Main St
Provider ID: 1072212 Ipanj 1350 Rte 23 Paterson, NJ 07503
Gender: Female Sub Specialty: HIV/AIDs Wayne, NJ 07474 (973) 754-2544
St. Joseph's Healthcare Inc 1350 Rte 23 (973) 754-8630 02 Yrs/130 Yrs
703 Main St Fl 7 Wayne, NJ 07474 Fax: (973) 754-8649 Englewood Hospital and
Paterson, NJ 07503 (973) 754-8630 00 Yrs/21 Yrs Medical Center
(973) 754-3230 Fax: (973) 754-8649 St. Joseph's Hospital Reg Newark Beth Israel Med
00 Yrs/130 Yrs 00 Yrs/21 Yrs Medical Center Center
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Morristown Memorial
PCMH: No Medical Center
Medical Center Hospital
Languages: Spanish, Italian
MTWTHFSatSun 9:00 AM - M-F 9:00 AM - 5:00 PM
5:00 PM Kest, Helen MD M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No Provider ID: 511402 PCMH: No
Goldberg, David MD Gender: Female
Kahn, Alissa MD Ipanj
Pediatric Nephrology
Provider ID: 1072223 Provider ID: 511505 Sub Specialty: HIV/AIDs
Jodorkovsky, Roberto MD
Gender: Female Gender: Male 703 Main St
St. Joseph's Healthcare Inc Ipanj Paterson, NJ 07503
703 Main St Fl 7 (973) 754-2720 Provider ID: 976827
Sub Specialty: HIV/AIDs
Paterson, NJ 07503 00 Yrs/21 Yrs Gender: Male
703 Main St
(973) 754-3230 St. Joseph's Hospital Reg 703 Main St
Paterson, NJ 07503
00 Yrs/130 Yrs Medical Center Paterson, NJ 07503
(973) 754-2720
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM (973) 754-2547
00 Yrs/21 Yrs
Medical Center PCMH: No Fax: (973) 754-2548
Morristown Memorial
MTWTHFSatSun 9:00 AM - Hospital 00 Yrs/21 Yrs
5:00 PM M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No Medical Center
PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 289
Updated: 11/26/2018

Specialty Physicians
Passaic
Pediatric Nephrology - Kulikova-Schupak, Romana Pediatric Orthopedic Khanna, Bindu MD
cont. MD Surgery Provider ID: 976442
Provider ID: 976397 Gender: Female
Kornitzer, Jeffrey MD Gender: Female Davis, Ellen MD St Josephs Healthcare Inc
Provider ID: 1445091 St Josephs Physicians Provider ID: 1574603 703 Main St
Gender: Male 1350 Rte 23 Gender: Female Paterson, NJ 07503
Dr. Jeffrey Kornitzer MD Wayne, NJ 07474 Atlantic Medical Group (973) 754-4750
205 Browertown Ste. 001 (973) 754-8630 1055 Hamburg Tpke Ste 100 12 Yrs/130 Yrs
Woodland Park, NJ 07424 Fax: (973) 754-8649 Wayne, NJ 07470 St. Joseph's Hospital Reg
(609) 952-6124 00 Yrs/18 Yrs (973) 971-7830 Medical Center
Fax: (609) 482-8118 St. Joseph's Hospital Reg Fax: (973) 538-1065 Languages: Spanish, Italian
00 Yrs/18 Yrs Medical Center 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg PCMH: No
Medical Center PCMH: No Medical Center
University Hospital M-F 9:00 AM - 4:00 PM Marrero-Figarella, Arturo MD
M-F 9:00 AM - 5:00 PM Pediatric Ophthalmology PCMH: No
PCMH: No Provider ID: 976835
Mickey, Kevin MD Pediatric Psychiatry Gender: Male
Kulikova-Schupak, Romana Provider ID: 976398 Sjrmc
MD Gender: Male Khanna, Bindu MD 703 Main St
Provider ID: 976397 11 Getty Ave Bldg 275 2nd Fl Provider ID: 976442 Paterson, NJ 07503
Gender: Female Paterson, NJ 07503 Gender: Female (973) 754-4750
11 Getty Ave Fl 2 (973) 754-2270 St Josephs Healthcare Inc 02 Yrs/130 Yrs
Paterson, NJ 07503 Fax: (973) 754-4392 56 Hamilton St Languages: Spanish,
(973) 754-2528 02 Yrs/130 Yrs Paterson, NJ 07505 Portuguese
Fax: (973) 754-2627 St. Joseph's Hospital Reg (973) 754-4750 M-F 9:00 AM - 5:00 PM
00 Yrs/18 Yrs Medical Center Fax: (973) 754-4777 PCMH: No
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs
Medical Center PCMH: No St. Joseph's Hospital Reg Marrero-Figarella, Arturo MD
M-F 9:00 AM - 5:00 PM Medical Center
PCMH: No Mickey, Kevin MD Languages: Spanish, Italian Provider ID: 976835
Provider ID: 976398 M-F 9:00 AM - 5:00 PM Gender: Male
Kulikova-Schupak, Romana Gender: Male PCMH: No St Josephs Hospital & Med
MD Sjrmc Center
Provider ID: 976397 703 Main St Khanna, Bindu MD 56 Hamilton St
Gender: Female Paterson, NJ 07503 Provider ID: 976442 Paterson, NJ 07505
Sjrmc (973) 754-2270 Gender: Female (973) 754-4750
703 Main St Fax: (973) 754-2724 St Josephs Healthcare Inc Fax: (973) 754-4777
Paterson, NJ 07503 02 Yrs/130 Yrs 621 Main St 02 Yrs/130 Yrs
(973) 754-2548 St. Joseph's Hospital Reg Paterson, NJ 75033 Languages: Spanish,
Fax: (973) 754-2548 Medical Center (973) 754-4750 Portuguese
00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM Fax: (973) 754-4777 M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg PCMH: No 12 Yrs/130 Yrs PCMH: No
Medical Center St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM Yang, Sherry MD Medical Center
PCMH: No Provider ID: 976385 Languages: Spanish, Italian
Gender: Female M-F 9:00 AM - 5:00 PM
Sjrmc PCMH: No
703 Main St
Paterson, NJ 07503
(973) 754-2270
00 Yrs/18 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 290
Updated: 11/26/2018

Specialty Physicians
Passaic
Pediatric Pulmonology Nachajon, Roberto MD Pediatric Surgery Pandey, Krishna MD

Blechner, Michael MD Provider ID: 225105 Bethel, Colin MD Provider ID: 797626
Provider ID: 1183906 Gender: Male Provider ID: 1596855 Gender: Male
Gender: Male 1350 State Rte 23 Ste N Gender: Male Dp Pediatrics LLC
St Josephs Healthcare Inc Wayne, NJ 07470 St. Joseph's Healthcare Inc. 142 Totowa Rd Ste 8
11 Getty Ave Bldg 275 (973) 754-8630 11 Getty Ave Bldg 275, 2nd Fl Totowa, NJ 07512
Paterson, NJ 07503 Fax: (973) 754-2044 Paterson, NJ 07503 (973) 904-1000
(973) 754-2550 00 Yrs/130 Yrs (973) 754-4200 Fax: (973) 904-1480
Fax: (973) 754-2548 St. Joseph's Hospital Reg 00 Yrs/130 Yrs 00 Yrs/18 Yrs
00 Yrs/18 Yrs Medical Center MTWTHFSat 9:00 AM - 5:00 Languages: Spanish, Italian
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM PM M-TH 9:00 AM - 7:30 PM
Medical Center PCMH: No PCMH: No F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM
PCMH: No Nachajon, Roberto MD Pediatrics PCMH: No
Provider ID: 225105
Blechner, Michael MD Gender: Male Alexander, Leah MD Pertubal, Maria MD
Provider ID: 1183906 703 Main St Provider ID: 1303965
Gender: Male Paterson, NJ 07503 Gender: Female Provider ID: 1695434
St Josephs Healthcare Inc (973) 754-2550 Pediatricare Associates Gender: Female
1350 Rte 23 00 Yrs/130 Yrs 1225 McBride Ave Kinder Pediatric Urgent Care
Wayne, NJ 07470 St. Joseph's Hospital Reg Little Falls, NJ 07424 465 Rte 46
(973) 754-2250 Medical Center (973) 256-4545 Totowa, NJ 07512
Fax: (973) 754-2548 M-F 9:00 AM - 5:00 PM Fax: (973) 826-8600 (973) 475-8000
00 Yrs/18 Yrs PCMH: No 00 Yrs/21 Yrs Fax: (732) 527-0397
St. Joseph's Hospital Reg AHS Hospital 00 Yrs/21 Yrs
Medical Center Pediatric Rheumatology St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Medical Center PCMH: No
PCMH: No Srinivascan Mehta, Jaya MD Languages: Spanish
M-F 9:00 AM - 5:00 PM Pediatrics Behavioral and
Blechner, Michael MD Provider ID: 1081649 PCMH: No Developmental
Provider ID: 1183906 Gender: Female
Gender: Male 11 Getty Ave 2nd Fl Lui, Jackie MD
Holahan, Joseph MD
St Josephs Healthcare Inc Paterson, NJ 07503 Provider ID: 1699184
Provider ID: 511637
703 Main St (973) 754-2535 Gender: Female
Gender: Male
Paterson, NJ 07503 Fax: (973) 754-2503 Kinder Pediatric Urgent Care
1350 Rte 23
(973) 754-2250 00 Yrs/21 Yrs 465 Rte 46
Wayne, NJ 07474
Fax: (973) 754-2548 M-F 9:00 AM - 5:00 PM Totowa, NJ 07512
(973) 754-8630
00 Yrs/18 Yrs PCMH: No (973) 475-8000
Fax: (973) 754-8649
St. Joseph's Hospital Reg Fax: (732) 527-0397
00 Yrs/130 Yrs
Medical Center Srinivascan Mehta, Jaya MD 00 Yrs/21 Yrs
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No
PCMH: No Provider ID: 1081649 PCMH: No
Gender: Female Holahan, Joseph MD
Nachajon, Roberto MD St Josephs Healthcare Inc
703 Main St Ste X7017 Provider ID: 511637
Provider ID: 225105 Paterson, NJ 07503 Gender: Male
Gender: Male (973) 754-2790 Ipanj
11 Getty Ave Fax: (973) 754-2791 703 Main St
Paterson, NJ 07503 00 Yrs/21 Yrs Paterson, NJ 07503
(973) 754-2550 M-F 9:00 AM - 5:00 PM (973) 754-2720
Fax: (973) 754-2548 PCMH: No 00 Yrs/130 Yrs
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg
Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 291
Updated: 11/26/2018

Specialty Physicians
Passaic
Pediatrics Behavioral and Jacobson, Barry DDS Sciortino, Anthony DDS Periodontics
Developmental - cont. Provider ID: TPVP31636-02 Provider ID: TPVP148959-01
Gender: Male Gender: Male Duggal, Priya DMD
Holahan, Nancy MD Pediatric Dentistry of Pediatric Dentistry of Provider ID: TPVP39043-02
Paterson Paterson Gender: Female
Provider ID: 511698 1 W Broadway 1 W Broadway Passaic Dental Associates
Gender: Female Paterson, NJ 07505 Paterson, NJ 07505 244 Paulison Ave
11 Getty Ave Fl 2 (973) 233-4931 (973) 233-4931 Passaic, NJ 07055
Paterson, NJ 07503 Fax: (973) 200-2240 Fax: (973) 200-2240 (973) 778-7272
(973) 754-2510 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 778-5755
Fax: (973) 754-2039 Languages: Arabic Languages: Arabic 00 Yrs/99 Yrs
00 Yrs/130 Yrs M-F 10:00 AM - 5:00 PM M-F 10:00 AM - 5:00 PM Languages: Spanish
St. Joseph's Hospital Reg PCMH: No PCMH: No M-F 9:00 AM - 5:00 PM
Medical Center Sat 9:30 AM - 2:30 PM
M-F 9:00 AM - 5:00 PM Joshi, Padma DDS Shah, Rajvi DMD PCMH: No
PCMH: No Provider ID: TPVP40218-01 Provider ID: TPVP156673-02
Gender: Female Gender: Female Duggal, Priya DMD
Pedodontics Childrens Dentistry of Passaic Pediatric Dentistry of Provider ID: TPVP39043-03
LLC Paterson Gender: Female
Akkaway, Jennifer DDS 124 Gregory Ave Ste 303 1 W Broadway Broadway Family Dental
Provider ID: TPVP155870-01 Passaic, NJ 07055 Paterson, NJ 07505 15 Broadway 2nd Fl
Gender: Female (973) 859-0538 (973) 233-4931 Passaic, NJ 07055
St Josephs Hospital Medical Fax: (862) 249-4929 Fax: (973) 200-2240 (973) 955-2002
Center 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 955-2007
11 Getty Ave Bldg 275 Languages: Spanish Languages: Arabic 00 Yrs/99 Yrs
Paterson, NJ 07503 MW 10:00 AM - 5:00 PM M-F 10:00 AM - 5:00 PM Languages: Spanish
(973) 754-4250 T 10:00 AM - 6:00 PM PCMH: No M-F 9:00 AM - 6:00 PM
Fax: (973) 754-3071 TH 12:00 AM - 7:00 PM Sat 9:00 AM - 2:00 PM
F 9:30 AM - 4:30 PM Sioson-Maser, Patricia DDS
00 Yrs/99 Yrs PCMH: No
Languages: Arabic Sat 8:00 AM - 2:00 PM
M-F 9:00 AM - 3:00 PM PCMH: No Provider ID: TPVP41732-02 Physical Medicine &
PCMH: No Gender: Female Rehabilitation
Lee, Judyth DDS Pediatric Dentistry of
Desimone, Helen Ann DDS Provider ID: TPVP156810-02 Paterson Chemaly, Philippe DO
Gender: Female 1 W Broadway
Provider ID: TPVP41781-02 Pediatric Dentistry of Paterson, NJ 07505 Provider ID: 786667
Gender: Female Paterson (973) 233-4931 Gender: Male
St Josephs Hospital Medical 1 W Broadway Fax: (973) 200-2240 Wayne Physical Medicine
Center Paterson, NJ 07505 00 Yrs/99 Yrs Rehabiltat
11 Getty Ave Bldg 275 (973) 233-4931 Languages: Arabic 401 Hamburg Tpke Ste 105
Paterson, NJ 07503 Fax: (973) 200-2240 M-F 10:00 AM - 5:00 PM Wayne, NJ 07470
(973) 754-4250 00 Yrs/99 Yrs PCMH: No (973) 595-6066
Fax: (973) 754-3071 Languages: Arabic Fax: (973) 595-1127
00 Yrs/99 Yrs M-F 10:00 AM - 5:00 PM 00 Yrs/130 Yrs
Languages: Arabic PCMH: No St. Joseph's Hospital Reg
M-F 9:00 AM - 3:00 PM Medical Center
PCMH: No M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 292
Updated: 11/26/2018

Specialty Physicians
Passaic
Physical Medicine & Rahman, Mohammad MD Plastic & Reconstructive Goodnight, James MD
Rehabilitation - cont. Surgery Provider ID: 1211691
Provider ID: 1344875 Gender: Male
Kaszubski, Priscilla DO Gender: Male Baruch, Michael MD Depaul Ambulatory Center
Provider ID: 398215 St Josephs Healthcare Inc Provider ID: 398129 11 Getty Ave Fl 2 Bldg 275
Gender: Female 703 Main St Fl 1 Gender: Male Paterson, NJ 07503
IPA of North Jersey Inc Paterson, NJ 07503 IPA of North Jersey Inc (973) 754-2270
703 Main St (973) 754-2946 1037 Rte 46 Ste 103 Fax: (973) 754-4392
Paterson, NJ 07503 Fax: (973) 754-2934 Clifton, NJ 07013 00 Yrs/130 Yrs
(973) 754-2946 00 Yrs/130 Yrs (973) 773-1973 St. Joseph's Hospital Reg
Fax: (973) 754-2934 St. Joseph's Hospital Reg Fax: (973) 773-4824 Medical Center
00 Yrs/130 Yrs Medical Center 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg PCMH: No
Medical Center PCMH: No Medical Center
M-TH 9:00 AM - 5:00 PM Languages: Spanish, Tagalog Hamawy, Adam MD
F 9:00 AM - 12:00 PM Rosenblatt, Marc DO M-TH 9:00 AM - 5:00 PM Provider ID: 1596859
PCMH: No F 9:00 AM - 12:00 PM Gender: Male
Provider ID: 1321736 PCMH: No St. Joseph's Healthcare Inc.
Kolla, Sairamachandra MD Gender: Male 11 Getty Ave Bldg 275, 2nd Fl
Ord Physitary, PC Baruch, Michael MD Paterson, NJ 07503
Provider ID: 944235 350 Blvd Provider ID: 398129 (973) 754-2270
Gender: Male Passaic, NJ 07055 Gender: Male 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs (845) 521-1542 IPA of North Jersey Inc MTWTHFSat 9:00 AM - 5:00
680 Broadway Fax: (845) 624-3281 703 Main St PM
Paterson, NJ 07514 00 Yrs/130 Yrs Paterson, NJ 07503 PCMH: No
(973) 689-7179 Prime Health Services-St (973) 754-2270
Marys Hospital 00 Yrs/130 Yrs Podda, Silvio MD
Fax: (973) 689-7180
18 Yrs/130 Yrs M 10:00 AM - 2:00 PM St. Joseph's Hospital Reg Provider ID: 398291
Languages: Spanish, Hindi T 9:00 AM - 4:00 PM Medical Center Gender: Male
M 9:00 AM - 5:00 PM PCMH: No Languages: Spanish, Tagalog Ipanj
PCMH: No M-TH 9:00 AM - 5:00 PM 11 Getty Ave
Weidenhammer, Adam MD F 9:00 AM - 12:00 PM Paterson, NJ 07503
Rahman, Mohammad MD PCMH: No (973) 754-2270
Provider ID: 1344818 Fax: (973) 754-4392
Provider ID: 1344875 Gender: Male Demarco, Joseph MD 00 Yrs/130 Yrs
Gender: Male St Josephs Healthcare Inc Provider ID: 1487213 Childrens Ambulatory Surgery
224 Hamburg Tpke Gender: Male Center of NJ
St Josephs Healthcare Inc
224 Hamburg Tpke Wayne, NJ 07470 Wound Healing Associates PC St. Joseph's Hospital Reg
290 Lafayette Ave Ste 1 Medical Center
Wayne, NJ 07470 (973) 956-3327
Hawthorne, NJ 07506 Languages: Spanish, Italian
(973) 754-2946 Fax: (973) 389-4069
(973) 427-9200 M-TH 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (973) 427-9201 F 9:00 AM - 12:00 PM
St. Joseph's Hospital Reg St. Joseph's Hospital Reg
00 Yrs/130 Yrs PCMH: No
Medical Center Medical Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM
PCMH: No PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 293
Updated: 11/26/2018

Specialty Physicians
Passaic
Plastic & Reconstructive Chowdhury, Dolan DPM Espiritusanto, Yokaira DPM Gambetta, Louis DPM
Surgery - cont. Provider ID: 455116
Provider ID: 1723628 Provider ID: 1317824 Gender: Male
Podda, Silvio MD Gender: Male Gender: Female IPA of North Jersey Inc
Provider ID: 398291 Podiatry Center of New A and E Advanced Foot And 275 Paterson Ave
Gender: Male Jersey Ankle Car Little Falls, NJ 07424
Ipanj 510 Hamburg Tpke Ste 108 916 Main Ave Unit 2A (973) 785-3334
703 Main St Fl 1 Wayne, NJ 07470 Passaic, NJ 07055 Fax: (973) 785-7760
Paterson, NJ 75032 (973) 925-4111 (973) 495-3338 00 Yrs/130 Yrs
(973) 754-2000 Fax: (973) 925-7711 Fax: (973) 246-5765 St. Joseph's Hospital Reg
00 Yrs/130 Yrs 12 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center
Childrens Ambulatory Surgery St. Joseph's Hospital Reg Raritan Bay Medical Center MT 1:00 AM - 6:00 PM
Center of NJ Medical Center Perth Amboy W 1:00 AM - 5:00 PM
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg THFSat 9:00 AM - 1:00 PM
Medical Center PCMH: No Medical Center PCMH: No
Languages: Spanish, Italian M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Chowdhury, Dolan DPM PCMH: No Gendy, Remon DPM
PCMH: No Provider ID: 946312
Provider ID: 1723628 Freundlich, William DPM Gender: Male
Podiatry Gender: Male Foot and Ankle Medical Clinic
Podiatry Center of New Provider ID: 1261567 520 Clifton Ave
Briganti, Robert DPM Jersey Gender: Male Clifton, NJ 07011
Provider ID: 1436469 62 Central Ave William A Freundlich DPM (973) 928-2399
Gender: Male Passaic, NJ 07055 Sub Specialty: HIV/AIDs Fax: (973) 272-3843
Bhmg - United Medical (973) 925-4111 1010 Clifton Ave Ste 102 00 Yrs/130 Yrs
533 Lexington Ave 12 Yrs/130 Yrs Clifton, NJ 07013 St. Joseph's Hospital Reg
Clifton, NJ 07011 St. Joseph's Hospital Reg (973) 591-0606 Medical Center
(973) 546-6844 Medical Center Fax: (973) 591-0070 Languages: Spanish, Arabic
Fax: (973) 546-7707 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs PCMH: No M 1:00 AM - 7:00 PM PCMH: No
Saint Barnabas Medical TW 10:00 AM - 5:00 PM
Center Livingston Chung, Caleb DPM TH 10:00 AM - 12:00 PM Godoy, Irma DPM
M-F 8:00 AM - 5:00 PM Provider ID: 944555 PCMH: No Provider ID: 1192611
PCMH: No Gender: Male Gender: Female
Caleb Y Chung DPM PC Fusaro, Michael DPM Evas Village Inc
Castiblanco, Jose DPM Sub Specialty: HIV/AIDs Provider ID: 398190 20 Jackson St
Provider ID: 1067337 1003 Main Ave Gender: Male Paterson, NJ 07501
Gender: Male Clifton, NJ 07011 IPA of North Jersey Inc (973) 523-6220
Foot and Ankle Medical Clinic (973) 777-9595 32 Hine St Ste 212 Fax: (973) 825-7201
520 Clifton Ave Ste 2 Fax: (973) 777-1311 Paterson, NJ 07503 00 Yrs/130 Yrs
Clifton, NJ 07011 00 Yrs/130 Yrs (973) 742-9111 AHS Hospital
(973) 928-2399 St. Joseph's Hospital Reg Fax: (973) 742-9017 Languages: Spanish
Fax: (973) 272-3843 Medical Center 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Languages: Korean St. Joseph's Hospital Reg PCMH: No
St. Joseph's Hospital Reg M 1:00 AM - 6:00 PM Medical Center
Medical Center PCMH: No M-TH 9:00 AM - 5:00 PM
Languages: Spanish, Arabic F 9:00 AM - 12:00 PM
M-F 9:00 AM - 7:00 PM PCMH: No
Sat 9:00 AM - 2:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 294
Updated: 11/26/2018

Specialty Physicians
Passaic
Podiatry - cont. Healey, Kevin DPM Kesler, Michael DPM Levine, Peter DPM
Provider ID: 449889
Goler, Scott DPM Provider ID: 465123 Provider ID: 387915 Gender: Male
Provider ID: 1168316 Gender: Male Gender: Male Peter Levine DPM
Gender: Male 152 Lakeview Ave Kesler Podiatry PC Sub Specialty: HIV/AIDs
Sovereign Medical Group LLC Clifton, NJ 07011 601 Hamburg Tpke Ste 100 714 Broadway
265 E 33rd St (973) 340-8970 Wayne, NJ 07470 Paterson, NJ 07514
Paterson, NJ 07504 Fax: (973) 340-8632 (973) 835-8350 (201) 303-1875
(973) 684-1011 00 Yrs/130 Yrs Fax: (973) 835-8340 Fax: (201) 854-5199
Fax: (973) 684-4534 St. Joseph's Hospital Reg 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs Medical Center St. Joseph's Hospital Reg St Michael's Medical Center
Prime Health Services-St M-F 9:00 AM - 5:00 PM Medical Center Languages: Spanish
Marys Hospital PCMH: No Languages: Russian M-F 9:00 AM - 5:00 PM
Languages: Spanish MW 8:00 AM - 9:00 PM PCMH: No
M 9:00 AM - 6:00 PM Healey, Kevin DPM T 3:30 AM - 9:00 PM
T 1:00 AM - 5:00 PM TH 8:00 AM - 6:30 PM McEvoy, John DPM
W 9:00 AM - 12:00 PM Provider ID: 465123 F 8:00 AM - 5:00 PM Provider ID: 455135
TH 3:00 AM - 7:00 PM Gender: Male PCMH: No Gender: Male
F 9:00 AM - 3:00 PM 504 Hamburg Tpke Ste 101 IPA of North Jersey Inc
PCMH: No Wayne, NJ 07470 Klein, Paul DPM 152 Lakeview Ave
(973) 956-8600 Provider ID: 1722408 Clifton, NJ 07011
Gomez, Claudio DPM Fax: (973) 956-7005 Gender: Male (973) 340-8970
Provider ID: 789844 00 Yrs/130 Yrs Paul Klein DPM PA Fax: (973) 340-8632
Gender: Male St. Joseph's Hospital Reg 401 Hamburg Tpke Ste 110 00 Yrs/130 Yrs
Claudio Gomez DPM LLC Medical Center Wayne, NJ 07470 St. Joseph's Hospital Reg
641 Broadway Ste 1 M-F 9:00 AM - 5:00 PM (973) 595-1555 Medical Center
Paterson, NJ 07514 PCMH: No Fax: (973) 595-6849 MT 9:00 AM - 6:00 PM
(973) 225-2424 00 Yrs/130 Yrs W 9:00 AM - 11:30 PM
Fax: (908) 271-4496 Heller, Jon DPM St. Joseph's Hospital Reg THF 9:00 AM - 12:00 PM
00 Yrs/130 Yrs Provider ID: 455121 Medical Center PCMH: No
Languages: Spanish Gender: Male M-F 9:00 AM - 5:00 PM
M 9:00 AM - 6:00 PM Jon I Heller DPM PCMH: No Michael, Jonathan DPM
T 9:00 AM - 5:00 PM 384 Union Blvd
W 9:00 AM - 1:30 PM Totowa, NJ 07512 Leodori, Mark DPM Provider ID: 945645
PCMH: No (973) 389-9000 Provider ID: 398239 Gender: Male
Fax: (973) 389-9011 Gender: Male Tri County Foot and Ankle
Haspel, Marc DPM 00 Yrs/130 Yrs IPA of North Jersey Inc Center
Provider ID: 1207585 St. Joseph's Hospital Reg 194 Union Blvd Fl 1 520 Clifton Ave
Gender: Male Medical Center Totowa, NJ 07512 Clifton, NJ 07011
Marc Haspel DPM Languages: Spanish (973) 790-1303 (973) 928-2399
Sub Specialty: HIV/AIDs M-F 9:00 AM - 5:00 PM Fax: (973) 790-5033 Fax: (973) 794-2382
1100 Clifton Ave Ste C PCMH: No 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Clifton, NJ 07013 St. Joseph's Hospital Reg Bayonne Medical Center
(973) 777-4650 Kesler, Michael DPM Medical Center Languages: Arabic
Fax: (973) 777-8298 Provider ID: 387915 M-TH 9:00 AM - 5:00 PM M 9:30 AM - 6:30 PM
00 Yrs/130 Yrs Gender: Male F 9:00 AM - 12:00 PM PCMH: No
Languages: French 1083 Goffle Rd PCMH: No
M 9:00 AM - 6:00 PM Hawthorne, NJ 07506
TW 9:00 AM - 1:00 PM (973) 835-8350
TH 9:00 AM - 7:00 PM 00 Yrs/130 Yrs
F 9:00 AM - 2:00 PM St. Joseph's Hospital Reg
Sat 9:00 AM - 12:30 PM Medical Center
PCMH: No Languages: Russian
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 295
Updated: 11/26/2018

Specialty Physicians
Passaic
Podiatry - cont. Pollack, Daniel DPM Rosenblum, Michael DPM Schiowitz, Ira DPM
Provider ID: 398318
Miller, Jeffrey DPM Provider ID: 1512425 Provider ID: 970771 Gender: Male
Provider ID: 1273075 Gender: Male Gender: Male IPA of North Jersey Inc
Gender: Male Foot and Ankle Center Michael B Rosenblum DPM 703 Main St
Affiliated Foot Ankle 52 Skyline Dr Sub Specialty: HIV/AIDs Paterson, NJ 07503
Specialists Ringwood, NJ 07456 680 Broadway (973) 754-2270
Sub Specialty: HIV/AIDs (973) 962-7775 Paterson, NJ 07514 00 Yrs/130 Yrs
1117 Rte 46 Ste 203 Fax: (973) 869-4144 (973) 356-1012 St. Joseph's Hospital Reg
Clifton, NJ 07013 00 Yrs/130 Yrs Fax: (201) 773-8683 Medical Center
(973) 365-2208 Englewood Hospital and 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (973) 777-4895 Medical Center Prime Health Services-St PCMH: No
00 Yrs/130 Yrs M 9:30 AM - 3:00 PM Marys Hospital
St. Joseph's Hospital Reg T 3:00 AM - 8:00 PM Languages: Spanish Shansky, David DPM
Medical Center PCMH: No MF 1:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM T 9:00 AM - 2:00 PM Provider ID: 666016
PCMH: No Ramirez, Lenny DPM W 9:00 AM - 5:30 PM Gender: Male
Provider ID: 1594982 TH 9:00 AM - 12:00 PM Paterson Community Health
Modugno, James DPM Gender: Male PCMH: No Center
Provider ID: 1100736 Prohealth Care Associates of Sub Specialty: HIV/AIDs
Gender: Male NJ Samofal, Russell DPM 227 Broadway
Edward Montoya DPM 625 Main Ave Fl 2 Paterson, NJ 07501
197 Passaic Ave Passaic, NJ 07055 Provider ID: 1179659 (973) 278-2600
Passaic, NJ 07055 (973) 614-9800 Gender: Male 00 Yrs/130 Yrs
(973) 767-2448 Fax: (973) 614-0151 Podiatry Center of New Jersey City Medical Center
Fax: (908) 264-0772 00 Yrs/130 Yrs Jersey Languages: Spanish, Italian
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Sub Specialty: HIV/AIDs M-F 9:00 AM - 5:00 PM
St Michael's Medical Center PCMH: No 510 Hamburg Tpke Ste 108 PCMH: No
M-F 9:00 AM - 5:00 PM Wayne, NJ 07470
PCMH: No Richardson, James DPM (973) 925-4111 Shansky, David DPM
Fax: (973) 925-7711
Montoya, Edward DPM Provider ID: 1687192 00 Yrs/130 Yrs Provider ID: 666016
Gender: Male St. Joseph's Hospital Reg Gender: Male
Provider ID: 540827 James M Richardson Medical Center Paterson Community Health
Gender: Male 107 E 37th St M-F 9:00 AM - 5:00 PM Center
Edward Montoya DPM Paterson, NJ 07514 PCMH: No Sub Specialty: HIV/AIDs
197 Passaic Ave (973) 754-8344 32 Clinton St
Passaic, NJ 07055 Fax: (973) 807-7722 Schiowitz, Ira DPM Paterson, NJ 07522
(973) 767-2448 00 Yrs/130 Yrs Provider ID: 398318 (973) 790-6594
Fax: (908) 264-0772 St. Joseph's Hospital Reg Gender: Male Fax: (973) 389-2197
00 Yrs/130 Yrs Medical Center IPA of North Jersey Inc 00 Yrs/130 Yrs
Trinitas Regional Medical Cent MF 10:00 AM - 7:00 PM 2024 Macopin Rd Ste A Jersey City Medical Center
M 12:00 AM - 6:00 PM TTH 12:00 AM - 7:00 PM West Milford, NJ 07480 Languages: Spanish, Italian
T 8:30 AM - 1:00 PM W 4:00 AM - 7:00 PM (973) 728-3591 M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No Fax: (973) 728-7548 PCMH: No
00 Yrs/130 Yrs
Nelson, Larry DPM St. Joseph's Hospital Reg
Provider ID: 539829 Medical Center
Gender: Male M-F 9:00 AM - 5:00 PM
Larry Nelson, DPM PCMH: No
344 Lafayette Ave
Hawthorne, NJ 07506
(973) 238-0660
Fax: (973) 238-1003
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 296
Updated: 11/26/2018

Specialty Physicians
Passaic
Podiatry - cont. Sysounthone, Vilayvanh DPM Arroyo, Louis MD Elrafei, Mohamed MD
Provider ID: 976400 Provider ID: 1138926
Shehada, Almutasemb DPM Provider ID: 1594981 Gender: Male Gender: Male
Gender: Female St Josephs Hospital & Med Wayne Behavioral Service, LLC
Provider ID: 981995 Advanced Ankle and Foot Center 401 Hamburg Tpke Ste 302
Gender: Male Center, LLC 56 Hamilton St Wayne, NJ 07470
Main Froot and Ankle Clinic 220 Hamburg Tpke Ste 14 Paterson, NJ 07505 (973) 790-9222
LLC Wayne, NJ 07470 (973) 754-4750 Fax: (973) 790-0671
Sub Specialty: HIV/AIDs (973) 263-5500 Fax: (973) 754-4777 21 Yrs/130 Yrs
1040 Main St Ste 1 Fl 2 Fax: (201) 590-4907 12 Yrs/130 Yrs M 1:00 AM - 7:30 PM
Paterson, NJ 07503 00 Yrs/130 Yrs St. Joseph's Hospital Reg TW 1:00 AM - 6:30 PM
(862) 336-1266 AHS Hospital Medical Center PCMH: No
Fax: (862) 336-1267 Saint Clares Hospital Languages: Spanish
00 Yrs/130 Yrs St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Galvez, Lenoy MD
M-F 9:00 AM - 5:00 PM Medical Center PCMH: No Provider ID: 1027844
PCMH: No M 10:00 AM - 6:00 PM Gender: Male
PCMH: No Bhalla, Ravinder MD Transcendence Psychiatry and
Slomowitz, Henry DPM Medici
Zisa, John DPM Provider ID: 933735 1414 Main Ave
Provider ID: 398329 Provider ID: 398367 Gender: Male Clifton, NJ 07011
Gender: Male Gender: Male Mental Health Clinic of (856) 359-0274
IPA of North Jersey Inc Conservative Foot Passaic Fax: (973) 253-6009
265 E 33rd St Sub Specialty: HIV/AIDs 1451 Van Houten Ave 18 Yrs/130 Yrs
Paterson, NJ 07504 85 Berkshire Ave Clifton, NJ 07013 St. Joseph's Hospital Reg
(973) 684-1011 Paterson, NJ 07502 (973) 473-2775 Medical Center
Fax: (973) 684-4534 (973) 942-4545 Fax: (973) 473-3625 Languages: Spanish
00 Yrs/130 Yrs Fax: (973) 942-3966 00 Yrs/130 Yrs M 9:00 AM - 6:00 PM
St. Joseph's Hospital Reg 00 Yrs/130 Yrs Prime Health Services-St TW 2:00 AM - 7:00 PM
Medical Center St. Joseph's Hospital Reg Marys Hospital TH 9:00 AM - 3:00 PM
M-TH 9:00 AM - 5:00 PM Medical Center MTWF 9:00 AM - 5:00 PM PCMH: No
F 9:00 AM - 12:00 PM Languages: Spanish TH 9:00 AM - 8:00 PM
PCMH: No M-TH 9:00 AM - 5:00 PM PCMH: No Galvez, Lenoy MD
F 9:00 AM - 12:00 PM Provider ID: 712096
Staunton, Paul DPM PCMH: No Czartorysky, Bohdan MD Gender: Male
Provider ID: 1584982 Lenoy Galvez MD
Gender: Male
Psychiatry Provider ID: 1164792 703 Main St Sjrmc-Dept of
Paul Staunton, DPM Gender: Male Psychiatry
Arroyo, Louis MD Bridgeway Rehabilitation Paterson, NJ 07503
11 Windsor Pl
Wayne, NJ 07470 Provider ID: 976400 Services (973) 754-2841
(973) 942-4603 Gender: Male 13 Fairfield Ave Ste 202 Fax: (973) 754-4350
Fax: (973) 782-5633 Sjrmc Little Falls, NJ 07424 00 Yrs/130 Yrs
40 Yrs/130 Yrs 703 Main St (973) 638-1113 St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM Paterson, NJ 07503 18 Yrs/130 Yrs Medical Center
PCMH: No (973) 754-2000 Trinitas Regional Medical Cent Languages: Spanish
Fax: (973) 754-2129 PCMH: No M-F 9:00 AM - 5:00 PM
12 Yrs/130 Yrs PCMH: No
St. Joseph's Hospital Reg
Medical Center
Languages: Spanish
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 297
Updated: 11/26/2018

Specialty Physicians
Passaic
Psychiatry - cont. Khanna, Bindu MD Marrero-Figarella, Arturo MD Sandoval Castellanos, Oscar
Provider ID: 976442 MD
Garcia, Dianelys MD Gender: Female Provider ID: 976835 Provider ID: 653107
Provider ID: 1127831 St Josephs Healthcare Inc Gender: Male Gender: Male
Gender: Female 56 Hamilton St St Josephs Hospital & Med O.E. Sandoval MD PC
St Josephs Healthcare Inc Paterson, NJ 07505 Center 642 Broad St
Sub Specialty: HIV/AIDs (973) 754-4750 56 Hamilton St Clifton, NJ 07013
56 Hamilton St 2nd Fl Fax: (973) 754-4777 Paterson, NJ 07505 (201) 866-6970
Paterson, NJ 07505 12 Yrs/130 Yrs (973) 754-4750 Fax: (201) 866-7144
(973) 754-4750 St. Joseph's Hospital Reg Fax: (973) 754-4777 18 Yrs/80 Yrs
Fax: (973) 754-4777 Medical Center 02 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Languages: Spanish, Italian Languages: Spanish, PCMH: No
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Portuguese
Medical Center PCMH: No M-F 9:00 AM - 5:00 PM Schiffman, Erica MD
M-F 9:00 AM - 5:00 PM PCMH: No Provider ID: 541662
PCMH: No Khanna, Bindu MD Gender: Female
Provider ID: 976442 Mirza, Nighat MD Schiffman, Erica, MD
Kashoqa, Amer MD Gender: Female Provider ID: 976413 703 Main St Sjrmc-Dept of
Provider ID: 1530443 St Josephs Healthcare Inc Gender: Female Psychiatry
Gender: Male 621 Main St Sjrmc Paterson, NJ 07503
224 Hamburg Tpke Paterson, NJ 75033 703 Main St (973) 684-5122
Wayne, NJ 07470 (973) 754-4750 Paterson, NJ 07503 Fax: (973) 754-5511
(973) 942-6900 Fax: (973) 754-4777 (973) 754-2000 00 Yrs/130 Yrs
18 Yrs/130 Yrs 12 Yrs/130 Yrs Fax: (973) 754-2249 St. Joseph's Hospital Reg
St. Joseph's Hospital Reg St. Joseph's Hospital Reg 12 Yrs/130 Yrs Medical Center
Medical Center Medical Center St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish, Italian Medical Center PCMH: No
PCMH: No M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
PCMH: No PCMH: No Taylor, Jennifer MD
Kashoqa, Amer MD Provider ID: 1596875
Khanna, Bindu MD Ribalta, Marcia MD Gender: Female
Provider ID: 1530443 Provider ID: 976442 Provider ID: 434400 St. Joseph's Healthcare Inc.
Gender: Male Gender: Female Gender: Female 703 Main St
Kashoqa Psychiatry Associates St Josephs Healthcare Inc St Joseph's Health Care Inc Paterson, NJ 07503
PC 703 Main St 703 Main St (973) 754-2010
506 Hamburg Tpke Ste 203 Paterson, NJ 07503 Paterson, NJ 07503 Fax: (973) 754-3721
Wayne, NJ 07470 (973) 754-4750 (973) 754-2805 00 Yrs/130 Yrs
(973) 633-1996 12 Yrs/130 Yrs 00 Yrs/130 Yrs MTWTHFSat 9:00 AM - 5:00
Fax: (973) 633-8078 St. Joseph's Hospital Reg St. Joseph's Hospital Reg PM
18 Yrs/130 Yrs Medical Center Medical Center PCMH: No
St. Joseph's Hospital Reg Languages: Spanish, Italian Languages: Spanish
Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Wang, Cecilia MD
MW 10:00 AM - 5:00 PM PCMH: No PCMH: No Provider ID: 797654
TTH 9:00 AM - 6:30 PM Gender: Female
F 9:00 AM - 5:30 PM Marrero-Figarella, Arturo MD Rice, Harvey MD North Jersey Psychiatry
PCMH: No Provider ID: 1460329 Associates
Provider ID: 976835 Gender: Male 2035 Hamburg Tpke Ste M
Gender: Male Jewish Family Service and Wayne, NJ 07470
Sjrmc Child Center (973) 839-2945
703 Main St 925 Allwood Rd Fax: (973) 839-1244
Paterson, NJ 07503 Clifton, NJ 07012 00 Yrs/130 Yrs
(973) 754-4750 (973) 777-7638 Englewood Hospital and
02 Yrs/130 Yrs Fax: (973) 777-9311 Medical Center
Languages: Spanish, 50 Yrs/110 Yrs Languages: Chinese, Mandarin
Portuguese M-TH 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM F 9:00 AM - 1:00 PM PCMH: No
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 298
Updated: 11/26/2018

Specialty Physicians
Passaic
Psychiatry - cont. Demeyer, Joseph PHD McNulty, Kathleen PHD Stacom, Elizabeth PHD
Provider ID: 912104
Wang, Wei MD Gender: Male Provider ID: 1603783 Provider ID: 1212203
Provider ID: 1101734 Joseph A De Meyer PHD PC Gender: Female Gender: Female
Gender: Female 1330 Hamburg Tpke St Joseph Healthcare Inc St Josephs Healthcare Inc
North Hudson Community Wayne, NJ 07470 641 Amin St Sub Specialty: Adolescent/
Action Corpo (973) 696-8554 Paterson, NJ 07503 Children Issues
220 Passaic St Fax: (908) 756-2283 (973) 754-4750 11 Getty Ave Bldg 275 Fl 2
Passaic, NJ 07055 00 Yrs/130 Yrs Fax: (973) 754-4777 Paterson, NJ 07503
(201) 210-0200 AHS Hospital 00 Yrs/130 Yrs (973) 754-3081
Fax: (973) 955-4264 Languages: French, German, St. Joseph's Hospital Reg Fax: (973) 754-2039
00 Yrs/130 Yrs Dutch Medical Center 00 Yrs/130 Yrs
Englewood Hospital and M-F 9:00 AM - 8:00 PM M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Medical Center Sat 9:00 AM - 2:00 PM PCMH: No Medical Center
MTTHF 8:30 AM - 5:00 PM PCMH: No M-F 9:00 AM - 5:00 PM
W 10:30 AM - 7:00 PM Meza, Teissy MD PCMH: No
PCMH: No Fazelpoor, Guity MD Provider ID: 976425
Provider ID: 1105060 Gender: Female Stacom, Elizabeth PHD
Psychology Gender: Male Sjrmc
St Josephs Healthcare Inc 703 Main St Provider ID: 1212203
Altman, Harold PHD 56 Hamilton St Paterson, NJ 07503 Gender: Female
Provider ID: 1105057 Paterson, NJ 07505 (973) 754-2510 St Josephs Healthcare Inc
Gender: Male (973) 754-4750 Fax: (973) 754-2039 Sub Specialty: Adolescent/
703 Main St Fax: (973) 754-4777 12 Yrs/130 Yrs Children Issues
Paterson, NJ 07503 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 1350 Rte 23
(973) 754-2000 St. Joseph's Hospital Reg PCMH: No Wayne, NJ 07470
18 Yrs/130 Yrs Medical Center (973) 754-3081
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Parra, Guillermo PHD Fax: (973) 754-2039
Medical Center PCMH: No Provider ID: 1255711 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Gender: Male St. Joseph's Hospital Reg
PCMH: No Joseph, Judith MD North Hudson Community Medical Center
Provider ID: 1105066 Action Corp M-F 9:00 AM - 5:00 PM
Altman, Harold PHD Gender: Female 220 Passaic St PCMH: No
Provider ID: 1105057 St Josephs Healthcare Inc Passaic, NJ 07055
Gender: Male 56 Hamilton St (201) 210-0200 Pulmonary Disease
St Josephs Healthcare Inc Paterson, NJ 07505 Fax: (973) 955-4264
56 Hamilton St (973) 754-4750 00 Yrs/130 Yrs Al Shrouf, Amal MD
Paterson, NJ 07505 Fax: (973) 754-4777 Englewood Hospital and Provider ID: 976377
(973) 754-4750 00 Yrs/130 Yrs Medical Center Gender: Female
Fax: (973) 754-4777 St. Joseph's Hospital Reg MTWFSat 8:30 AM - 5:00 PM 703 Main St
18 Yrs/130 Yrs Medical Center TH 8:30 AM - 7:00 PM Paterson, NJ 75032
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM PCMH: No (973) 754-2450
Medical Center PCMH: No 12 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
PCMH: No Medical Center
Languages: Arabic
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 299
Updated: 11/26/2018

Specialty Physicians
Passaic
Pulmonary Disease - cont. Al-Shrouf, Amal MD Desai, Viren MD Khan, Muhammad MD
Provider ID: 1301591 Provider ID: 1534542 Provider ID: 398219
Alberaqdar, Enis MD Gender: Female Gender: Male Gender: Male
Provider ID: 1209213 Medical Associates of Pulmonary and Sleep Care IPA of North Jersey Inc
Gender: Male Englewood, PC Associates 703 Main St
Pulmonary and Critical Care 37 Crooks Ave Ste 43 467 Clifton Ave Paterson, NJ 07503
Assoc Paterson, NJ 07503 Clifton, NJ 07011 (973) 754-2270
Sub Specialty: HIV/AIDs (973) 685-9922 (973) 546-2088 Fax: (973) 754-2469
380 Belmont Ave Fax: (973) 685-9920 Fax: (973) 546-2119 00 Yrs/130 Yrs
Haledon, NJ 07508 00 Yrs/130 Yrs 18 Yrs/130 Yrs St. Joseph's Hospital Reg
(973) 925-4850 St. Joseph's Hospital Reg Clara Maass Medical Center Medical Center
Fax: (973) 925-4851 Medical Center Prime Health Services-St Languages: Spanish, Urdu
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Marys Hospital M-TH 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg PCMH: No St. Joseph's Hospital Reg F 9:00 AM - 12:00 PM
Medical Center Medical Center PCMH: No
M-F 9:00 AM - 5:00 PM Al-Shrouf, Amal MD M 3:30 AM - 7:00 PM
PCMH: No Provider ID: 542399 PCMH: No Levin, Daniel MD
Gender: Female Provider ID: 440293
Alfakir, Maria MD Paterson Community Clinic Desai, Viren MD Gender: Male
Provider ID: 1222544 355 21st Ave Ste 1 Provider ID: 507718 224 Hamburg Tpke
Gender: Female Paterson, NJ 75013 Gender: Male Wayne, NJ 07470
Medical Group of Northern (973) 523-9090 Thoracic Medical Associates (973) 942-6900
New Jerse Fax: (973) 523-5222 LLC 16 Yrs/130 Yrs
Sub Specialty: HIV/AIDs 05 Yrs/130 Yrs 721 Clifton Ave Languages: Russian
378 Belmont Ave St. Joseph's Hospital Reg Clifton, NJ 07013 M-F 9:00 AM - 5:00 PM
Haledon, NJ 07508 Medical Center (973) 777-9677 PCMH: No
(973) 925-4848 Languages: Spanish, Arabic Fax: (201) 460-8350
Fax: (973) 925-4851 MWF 12:00 AM - 5:00 PM 16 Yrs/130 Yrs Levin, Daniel MD
00 Yrs/130 Yrs TTH 10:00 AM - 3:00 PM Clara Maass Medical Center Provider ID: 440293
St. Joseph's Hospital Reg PCMH: No Prime Health Services-St Gender: Male
Medical Center Marys Hospital
St. Joseph's Hospital Reg 703 Main St Ste X223
M-F 9:00 AM - 5:00 PM Amoruso, Robert MD Paterson, NJ 75032
Provider ID: 398119 Medical Center
PCMH: No (973) 754-2450
Gender: Male Languages: Hindi
M 2:00 AM - 6:30 PM 16 Yrs/130 Yrs
Al-Shrouf, Amal MD 703 Main St Languages: Russian
Paterson, NJ 07503 PCMH: No
Provider ID: 1301591 M-F 9:00 AM - 5:00 PM
Gender: Female (973) 754-2000 PCMH: No
Ismail, Medhat MD
Medical Associates of 00 Yrs/130 Yrs
Englewood, PC St. Joseph's Hospital Reg Mahmood, Nader MD
355 21st Ave Ste 1 Medical Center Provider ID: 848533
Gender: Male Provider ID: 1695101
Paterson, NJ 75013 Languages: Italian Gender: Male
(973) 523-9090 M-F 9:00 AM - 5:00 PM 246 Hamburg Tpke Ste 208
Wayne, NJ 07470 Nader Mahmood MD
Fax: (973) 523-5222 PCMH: No 1040 Main St Fl 3
00 Yrs/130 Yrs (973) 790-3433
Fax: (973) 790-0433 Paterson, NJ 07503
St. Joseph's Hospital Reg (973) 321-1670
Medical Center 00 Yrs/130 Yrs
St. Joseph's Hospital Reg Fax: (973) 321-1672
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
PCMH: No Medical Center
Languages: Arabic St. Joseph's Hospital Reg
MF 2:00 AM - 5:00 PM Medical Center
T 1:30 AM - 6:00 PM M 8:30 AM - 12:30 PM
W 3:00 AM - 6:30 PM TWTHF 8:30 AM - 5:00 PM
TH 11:00 AM - 3:30 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 300
Updated: 11/26/2018

Specialty Physicians
Passaic
Pulmonary Disease - cont. Solis, Roberto MD Wahba, Magdy MD Haffty, Bruce MD
Provider ID: 431848 Provider ID: 1542920 Provider ID: 1696593
Rappaport, Liviu MD Gender: Male Gender: Male Gender: Male
Depaul Ambulatory Center 401 Hamburg Tpke Ste 310 St Josephs Healhcare Inc
Provider ID: 641409 11 Getty Ave Bldg Ste 275 Fl 2 Wayne, NJ 07470 703 Main St
Gender: Male Paterson, NJ 07503 (973) 790-5300 Paterson, NJ 07503
Pulmonary Medicine of (973) 754-2270 Fax: (973) 790-0900 (973) 754-2675
Wayne Fax: (973) 754-4392 00 Yrs/130 Yrs 00 Yrs/130 Yrs
508 Hamburg Tpke Ste 202 00 Yrs/130 Yrs St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Wayne, NJ 07470 St. Joseph's Hospital Reg Medical Center Medical Center
(973) 956-1404 Medical Center M-F 9:00 AM - 5:00 PM MTWTHFSatSun 9:00 AM -
Fax: (973) 956-1646 Languages: Spanish PCMH: No 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
St. Joseph's Hospital Reg PCMH: No Radiation Oncology
Medical Center Hathout, Lara MD
Languages: Romanian Solis, Roberto MD Bond, Laura MD Provider ID: 1696597
M-F 9:00 AM - 5:00 PM Provider ID: 431848 Provider ID: 1696581 Gender: Female
PCMH: No Gender: Male Gender: Female St Josephs Healhcare Inc
Pulmonary & Critical Care St Josephs Healhcare Inc 703 Main St
Refaie, Tarek MD Associate 703 Main St Paterson, NJ 07503
Provider ID: 608307 205 Browertown Rd Ste 206 Paterson, NJ 07503 (973) 754-2675
Gender: Male Woodland Park, NJ 07424 (973) 754-2675 00 Yrs/130 Yrs
Tarek Refaie, MD (973) 569-6112 00 Yrs/130 Yrs St. Joseph's Hospital Reg
508 Hamburg Tpke Fax: (973) 837-6780 St. Joseph's Hospital Reg Medical Center
Wayne, NJ 07470 00 Yrs/130 Yrs Medical Center MTWTHFSatSun 9:00 AM -
(973) 956-1459 St. Joseph's Hospital Reg MTWTHFSatSun 9:00 AM - 5:00 PM
Fax: (973) 956-1473 Medical Center 5:00 PM PCMH: No
00 Yrs/130 Yrs Languages: Spanish PCMH: No
M 3:00 AM - 6:00 PM Herskovic, Thomas MD
St. Joseph's Hospital Reg
Medical Center T 9:00 AM - 12:00 PM Ennis, Ronald MD
Languages: Spanish, Arabic WF 1:00 AM - 4:00 PM Provider ID: 1696590 Provider ID: 988690
M-F 9:00 AM - 5:00 PM TH 11:00 AM - 2:00 PM Gender: Male Gender: Male
PCMH: No PCMH: No St Josephs Healhcare Inc No. Jersey Radiation Onco
703 Main St 703 Main St
Sanchez-Pena, Jose MD Solis, Roberto MD Paterson, NJ 07503 Paterson, NJ 07503
Provider ID: 431848 (973) 754-2675 (973) 754-2683
Provider ID: 967911 Gender: Male 00 Yrs/130 Yrs Fax: (973) 754-2679
Gender: Male St Josephs Healthcare Inc St. Joseph's Hospital Reg 18 Yrs/130 Yrs
Integrated Medical Services 703 Main St Medical Center Bayonne Medical Center
PC Paterson, NJ 07503 MTWTHFSatSun 9:00 AM - Prime Health Services-St
583 Broadway Fl 2 (973) 754-2450 5:00 PM Marys Hospital
Paterson, NJ 07514 Fax: (973) 785-2205 PCMH: No St. Joseph's Hospital Reg
00 Yrs/130 Yrs Medical Center
(973) 278-8818
St. Joseph's Hospital Reg Gorshein, Dov MD M-F 7:00 AM - 4:00 PM
Fax: (973) 278-6841
Medical Center Provider ID: 1604018 PCMH: No
12 Yrs/130 Yrs
Prime Health Services-St Languages: Spanish Gender: Male
Marys Hospital M-F 9:00 AM - 5:00 PM Wayne Cancer Center LLC
Languages: Spanish PCMH: No 234 Hamburg Turpike
MT 9:00 AM - 6:00 PM Wayne, NJ 07470
W 9:00 AM - 2:00 PM (973) 310-0300
PCMH: No Fax: (973) 595-1625
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 301
Updated: 11/26/2018

Specialty Physicians
Passaic
Radiation Oncology - Radiology - Interventional Brar, Harleen MD Grinchenko, Tatyana DO
cont. & Vascular Provider ID: 976395
Gender: Female Provider ID: 504854
Mahmoud, Omar MD Edelman, Mark MD Med Solutions LLC Gender: Female
Provider ID: 1696600 220 Hamburg Tpke Arthritis Alliance, PC
Gender: Male Provider ID: 1063529 Wayne, NJ 07470 506 Hamburg Tpke Ste 201
St Josephs Healhcare Inc Gender: Male (973) 977-2250 Wayne, NJ 07470
703 Main St Center For Vein Restoration 12 Yrs/130 Yrs (201) 282-8356
Paterson, NJ 07503 NJ LLC St. Joseph's Hospital Reg Fax: (888) 502-1596
(973) 754-2675 205 Browertown Rd Ste 001 Medical Center 00 Yrs/130 Yrs
00 Yrs/130 Yrs Little Falls, NJ 07424 Languages: Spanish, Hindi Languages: Russian
St. Joseph's Hospital Reg (855) 830-8346 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Medical Center Fax: (240) 473-4321 PCMH: No PCMH: No
MTWTHFSatSun 9:00 AM - 00 Yrs/130 Yrs
5:00 PM M-F 8:00 AM - 5:00 PM Brar, Harleen MD Guma, Michael DO
PCMH: No PCMH: No Provider ID: 976395
Gender: Female Provider ID: 1611339
Pereira, Michael MD Koh, Elsie MD Med Solutions LLC Gender: Male
Provider ID: 398286 Provider ID: 568584 680 Broadway Ste 506 Prohealth Care Associates of
Gender: Male Gender: Female Paterson, NJ 07514 New Je
IPA of North Jersey Inc Access Care Physicians of NJ (973) 977-2250 930 Clifton Ave
703 Main St Sub Specialty: HIV/AIDs 12 Yrs/130 Yrs Clifton, NJ 07013
Paterson, NJ 07503 1225 McBride Ave Ste 116 St. Joseph's Hospital Reg (973) 859-5115
(973) 754-2683 Woodland Park, NJ 07424 Medical Center Fax: (973) 859-5118
Fax: (973) 754-2675 (973) 837-1018 Languages: Spanish, Hindi 18 Yrs/130 Yrs
00 Yrs/130 Yrs Fax: (973) 837-1329 M-F 9:00 AM - 5:00 PM Clara Maass Medical Center
St. Joseph's Hospital Reg 12 Yrs/130 Yrs PCMH: No St Michael's Medical Center
Medical Center Prime Health Services-St M-F 9:00 AM - 5:00 PM
M-TH 9:00 AM - 5:00 PM Marys Hospital Chu, Alice MD PCMH: No
F 9:00 AM - 12:00 PM M-F 8:00 AM - 5:00 PM Provider ID: 469998
PCMH: No PCMH: No Gender: Female Lewko, Michael MD
New Life Rheumatology Provider ID: 398243
Wayne Cancer Center LLC Fc Rheumatology Center LLC Gender: Male
Sub Specialty: HIV/AIDs NJ Arthritis and Osteoporosis
Provider ID: 1484030 Barr, Jerome MD 889 Allwood Rd Center
246 Hamburg Turnpike Provider ID: 656070 Clifton, NJ 07012 Sub Specialty: HIV/AIDs
Wayne, NJ 07470 Gender: Male (973) 778-6800 871 Allwood Rd Ste 1
(973) 310-0300 11 Getty Ave Bldg 275 Fl 2 Fax: (973) 653-3028 Clifton, NJ 07012
Fax: (201) 855-8360 Paterson, NJ 07503 00 Yrs/130 Yrs (973) 405-5163
00 Yrs/130 Yrs (973) 754-2270 Prime Health Services-St Fax: (973) 365-8004
M-F 9:00 AM - 5:00 PM Fax: (973) 754-4392 Marys Hospital 00 Yrs/130 Yrs
PCMH: No 12 Yrs/130 Yrs Languages: Spanish, Korean St. Joseph's Hospital Reg
Morristown Memorial M 8:00 AM - 2:00 PM Medical Center
Hospital TTH 8:00 AM - 4:00 PM Languages: Spanish, Polish,
St. Joseph's Hospital Reg W 8:00 AM - 6:30 PM Ukrainian
Medical Center F 8:00 AM - 12:30 PM M-TH 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No F 9:00 AM - 12:00 PM
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 302
Updated: 11/26/2018

Specialty Physicians
Passaic
Rheumatology - cont. Sleep Medicine Moulayes, Nadra DO Urology
Provider ID: 1485318
Lewko, Michael MD Miller, Jeffrey DO Gender: Female Awad, Safwat MD
Provider ID: 398243 Provider ID: 911648 St Josephs Healthcare Inc Provider ID: 442605
Gender: Male Gender: Male 234 Hamburg Tpke Ste 204 Gender: Male
St Josephs Healthcare Inc NJ Sleep Care LLC Wayne, NJ 07470 599 Broadway
Sub Specialty: HIV/AIDs 6 Brighton Rd Ste 106 (973) 310-0315 Paterson, NJ 07514
703 Main St Clifton, NJ 07012 Fax: (973) 292-5076 (973) 345-1443
Paterson, NJ 07503 (973) 272-6933 00 Yrs/130 Yrs Fax: (973) 345-1511
(973) 405-5153 Fax: (973) 272-6935 St. Joseph's Hospital Reg 18 Yrs/130 Yrs
Fax: (973) 365-8004 00 Yrs/130 Yrs Medical Center St. Joseph's Hospital Reg
00 Yrs/130 Yrs Bayonne Medical Center M-F 9:00 AM - 5:00 PM Medical Center
St. Joseph's Hospital Reg Languages: Spanish, Russian, PCMH: No M-F 9:00 AM - 5:00 PM
Medical Center Hebrew PCMH: No
Languages: Spanish, Polish, MT 9:00 AM - 7:00 PM Thoracic & Cardiovascular
Ukrainian WF 9:00 AM - 4:00 PM Surgery Chang, David MD
M-F 9:00 AM - 5:00 PM TH 9:00 AM - 5:00 PM Provider ID: 688125
PCMH: No Sat 8:00 AM - 12:30 PM Vega, Dennis MD Gender: Male
PCMH: No Provider ID: 1429689 246 Hamburg Tpke Ste 104
Raklyar, Irina MD Gender: Male Wayne, NJ 07470
Provider ID: 681576 Surgical Oncology Dennis Vega MD LLC (973) 790-0954
Gender: Female 703 Main St A2415 Fax: (973) 790-0848
Adult Geriatric Rheumatology Moulayes, Nadra DO Paterson, NJ 07503 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs Provider ID: 1485318 (973) 754-2486 St. Joseph's Hospital Reg
871 Allwood Rd Ste 1 Gender: Female Fax: (973) 754-2975 Medical Center
Clifton, NJ 07012 11 Getty Ave Bldg 275 2nd Fl 00 Yrs/130 Yrs Surgicare Surgical Assoc of
(973) 405-5163 Paterson, NJ 07503 Holy Name Medical Center Wayne LLC
Fax: (973) 365-8004 (973) 754-2270 St. Joseph's Hospital Reg Languages: Spanish
00 Yrs/130 Yrs Fax: (973) 754-2153 Medical Center M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PCMH: No
Medical Center St. Joseph's Hospital Reg PCMH: No
Languages: Russian Medical Center Chang, David MD
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Thoracic Surgery Provider ID: 688125
PCMH: No PCMH: No Gender: Male
Connolly, Mark MD 703 Main St
Raklyar, Irina MD Moulayes, Nadra DO Paterson, NJ 07503
Provider ID: 681576 Provider ID: 1485318 Provider ID: 619723 (973) 754-2000
Gender: Female Gender: Female Gender: Male 00 Yrs/130 Yrs
St Josephs Healthcare Inc St Josephs Healthcare Inc Mark Connolly St. Joseph's Hospital Reg
Sub Specialty: HIV/AIDs 1135 Broad St 3rd Fl Ste 1A 703 Main St Sjrmc-Dept of Medical Center
703 Main St Clifton, NJ 07013 Surgery Surgicare Surgical Assoc of
Paterson, NJ 07503 (973) 754-2196 Wayne LLC
Paterson, NJ 07503
(973) 405-5153 Fax: (973) 754-2153 Languages: Spanish
(973) 754-2460
Fax: (973) 365-8004 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (973) 754-2462
00 Yrs/130 Yrs St. Joseph's Hospital Reg PCMH: No
00 Yrs/130 Yrs
St. Joseph's Hospital Reg Medical Center St Michael's Medical Center
Medical Center M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Languages: Russian PCMH: No PCMH: No
M-F 9:00 AM - 5:00 PM
PCMH: No

www.wellcare.com/New-Jersey | 303
Updated: 11/26/2018

Specialty Physicians
Passaic
Urology - cont. Howhannesian, Andranik MD Vascular Medicine Cohen, David MD
Provider ID: 1183909
Chang, David MD Provider ID: 398208 Altschul, Dorothea MD Gender: Male
Provider ID: 688125 Gender: Male Advanced Vascular Associates
Gender: Male IPA of North Jersey Inc Provider ID: 945569 Sub Specialty: HIV/AIDs
Sovereign Medical Group LLC 703 Main St Gender: Female 1135 Broad St Fl 3
205 Browertown Rd Ste 101 Paterson, NJ 07503 Neurosurgical Assc NJ PC Clifton, NJ 07013
Woodland Park, NJ 07424 (973) 754-2270 703 Main St (973) 754-2022
(973) 785-8888 00 Yrs/130 Yrs Paterson, NJ 07503 Fax: (973) 540-9717
Fax: (973) 785-8899 St. Joseph's Hospital Reg (973) 754-5882 00 Yrs/130 Yrs
00 Yrs/130 Yrs Medical Center Fax: (973) 754-3708 St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Languages: French, German 00 Yrs/130 Yrs Medical Center
Medical Center M-TH 9:00 AM - 5:00 PM Languages: Spanish, German M-F 9:00 AM - 5:00 PM
Surgicare Surgical Assoc of F 9:00 AM - 12:00 PM MT 9:00 AM - 5:00 PM PCMH: No
Wayne LLC PCMH: No PCMH: No
Languages: Spanish Cohen, David MD
M 9:00 AM - 1:00 PM Howhannesian, Andranik MD Vascular Surgery Provider ID: 1183909
T 9:30 AM - 1:00 PM Gender: Male
W 1:00 AM - 4:00 PM Provider ID: 686323 Beniwal, Jagbir MD Advanced Vascular Associates
PCMH: No Gender: Male Provider ID: 1235125 Sub Specialty: HIV/AIDs
Sovereign Medical Group LLC Gender: Male 871 Allwood Rd Fl 2
Christiensen, Keith MD Clifton, NJ 07012
14-01 Broadway North Jersey Vascular C
Wayne, NJ 07470 1429 Broad St (973) 779-2273
Provider ID: 1596857 (201) 791-4544 Clifton, NJ 07013 Fax: (973) 779-5250
Gender: Male 00 Yrs/130 Yrs (973) 532-7899 00 Yrs/130 Yrs
St. Joseph's Healthcare Inc. St. Joseph's Hospital Reg Fax: (862) 238-7213 St. Joseph's Hospital Reg
11 Getty Ave Bldg 275, 2nd Fl Medical Center 18 Yrs/130 Yrs Medical Center
Paterson, NJ 07503 Languages: Spanish St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
(973) 754-2575 M-F 9:00 AM - 5:00 PM Medical Center PCMH: No
00 Yrs/130 Yrs PCMH: No Languages: Spanish
MTWTHFSat 9:00 AM - 5:00 M-W 8:00 AM - 5:00 PM Elrabie, Nazmi MD
PM Stock, Jeffrey MD PCMH: No Provider ID: 398176
PCMH: No Provider ID: 681737 Gender: Male
Gender: Male Bobila, Alexis MD Elrabie, Nazmi A MD
Ghosh, Propa MD Sovereign Medical Group LLC Provider ID: 398141 1020 Main St Ste A
Provider ID: 1522246 205 Browertown Rd Ste 101 Gender: Male Paterson, NJ 07503
Gender: Female Woodland Park, NJ 07424 St Josephs Healthcare Inc (973) 684-1103
Atlantic Medical Group (973) 785-8888 703 Main St Fax: (973) 684-2332
1777 Hamburg Tpke Ste 304 Fax: (973) 890-9621 Paterson, NJ 07503 00 Yrs/130 Yrs
Wayne, NJ 07470 00 Yrs/130 Yrs (973) 754-4305 St. Joseph's Hospital Reg
(973) 616-8400 Newark Beth Israel Med Fax: (973) 754-3830 Medical Center
Fax: (973) 616-8485 Center 00 Yrs/130 Yrs Surgicare Surgical Assoc of
16 Yrs/130 Yrs Saint Barnabas Medical Wayne LLC
St. Joseph's Hospital Reg
AHS Hospital Center Livingston Medical Center Languages: Spanish, Arabic
M 9:00 AM - 1:00 PM M 1:00 AM - 7:00 PM Languages: Spanish, Filipino M-TH 9:00 AM - 5:00 PM
TW 9:00 AM - 5:00 PM PCMH: No M-TH 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM
TH 9:00 AM - 3:00 PM F 9:00 AM - 12:00 PM PCMH: No
PCMH: No PCMH: No

www.wellcare.com/New-Jersey | 304
Updated: 11/26/2018

Specialty Physicians
Passaic
Vascular Surgery - cont. Patel, Amit MD Teehan, Edwin MD
Provider ID: 1156788 Provider ID: 945057
James, Kevin MD Gender: Male Gender: Male
Provider ID: 1140877 Advanced Vascular Associates Dr Edwin P Teehan
Gender: Male Sub Specialty: HIV/AIDs 510 Hamburg Tpke 205
Advanced Vascular Associates 1135 Broad St Fl 3, Ste 1 Wayne, NJ 07470
1135 Broad St Fl 3 Ste 1 Clifton, NJ 07013 (973) 720-8333
Clifton, NJ 07013 (973) 540-9700 Fax: (973) 720-0408
(973) 540-9700 Fax: (973) 540-9717 18 Yrs/130 Yrs
Fax: (973) 540-9717 00 Yrs/130 Yrs AHS Hospital
00 Yrs/130 Yrs St. Joseph's Hospital Reg Prime Health Services-St
Morristown Memorial Medical Center Marys Hospital
Hospital M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Saint Clares Hospital PCMH: No Medical Center
St. Joseph's Hospital Reg Languages: Spanish, Persian -
Medical Center Resnikoff, Michael MD Farsi, Armenian
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 4:00 PM
PCMH: No Provider ID: 1154617 PCMH: No
Gender: Male
Lee, Thomas MD Tulsyan, Nirman MD
Advanced Vascular Associates
Provider ID: 1148828 Provider ID: 1139897
Sub Specialty: HIV/AIDs
Gender: Male Gender: Male
1135 Broad St Fl 3 Ste 1
Advanced Vascular Associates Clifton, NJ 07013 Advanced Vascular Associates
Sub Specialty: HIV/AIDs 1135 Broad St Fl 3, Ste 1
(973) 540-9700
1135 Broad St Fl 3, Ste 1 Clifton, NJ 07013
Fax: (973) 540-9717
Clifton, NJ 07013 (973) 540-9700
00 Yrs/130 Yrs
(973) 540-9700 Fax: (973) 540-9717
Morristown Memorial
Fax: (973) 540-9717 Hospital 00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: Spanish Morristown Memorial
St. Joseph's Hospital Reg Hospital
M-F 9:00 AM - 5:00 PM
Medical Center M-F 9:00 AM - 5:00 PM
PCMH: No
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No Shah, Tejas MD
Provider ID: 1171480
Pappas, Peter MD Gender: Male
Provider ID: 1184933 Advanced Vascular Associates
Gender: Male Sub Specialty: HIV/AIDs
Center For Vein Restoration 1135 Broad St Fl 2, Ste 1
NJ LLC Clifton, NJ 07013
205 Browertown Rd Ste 2 (973) 540-9700
Woodland Park, NJ 07424 Fax: (973) 540-9717
(855) 830-8346 00 Yrs/130 Yrs
Fax: (240) 473-4321 Saint Barnabas Medical
18 Yrs/130 Yrs Center Livingston
Morristown Memorial Saint Clares Hospital
Hospital M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM PCMH: No
PCMH: No

www.wellcare.com/New-Jersey | 305
Updated: 11/26/2018

Hospitals
Bergen
Critical Access Hospital Holy Name Medical Center

Select Specialty Hospital - Provider ID: 186348


Northeast NE Sub Specialty: Cardiac
Provider ID: 627955 Catherization Services,
96 Pkwy Physical Therapy Fac Service,
Rochelle Park, NJ 07662 Medical Managed
(201) 221-2390 Detoxification, Diagnostic
Fax: (201) 221-2390 Radiology, Mammography,
18 Yrs/130 Yrs Speech Therapy Facility Serv,
OUTPATIENT MENTAL
Hospital HEALTH CLINIC, Critical Care
Services ICU, Surgical Services,
Occupational Therapy Fac
Bergen Regional Medical Serv, Outpatient Dialysis
Center 718 Teaneck Rd
Provider ID: 191559 Teaneck, NJ 07666
Sub Specialty: OPIOID (201) 833-3000
TREATMENT PROGRAMS, Fax: (201) 227-6287
Medical Managed
Detoxification, SHORT TERM 00 Yrs/130 Yrs
RESDI-SUBSTANCE, Intensive
Outpatient Substance, MED
SUP WITHDRAWAL INP,
Substance Use Outpatient
230 E Ridgewood Ave
Paramus, NJ 07652
(201) 967-4000
00 Yrs/130 Yrs
Languages: Spanish, Korean
Englewood Hospital and
Medical Center
Provider ID: 366600
Sub Specialty: Physical
Therapy Fac Service, Critical
Care Services ICU, Diagnostic
Radiology, Mammography,
Occupational Therapy Fac
Serv, Cardiac Catherization
Services
350 Engle St
Englewood, NJ 07631
(201) 894-3000
Fax: (201) 894-1971
00 Yrs/130 Yrs

www.wellcare.com/New-Jersey | 306
Updated: 11/26/2018

Hospitals
Hudson
Hospital Christ Hospital Newark Beth Israel Med
Provider ID: 203555 Center
Bayonne Medical Center Sub Specialty: Substance Use Provider ID: 316248
Outpatient, Medical Managed Sub Specialty: Inpatient
Provider ID: 205941 Detoxification, MED SUP Psychiatric Center,
Sub Specialty: Medical WITHDRAWAL INP, Intensive OUTPATIENT MENTAL
Managed Detoxification, INPT Outpatient Substance, INPT HEALTH CLINIC, Medical
PSYCH HOSPITALIZATION PSYCH HOSPITALIZATION, Managed Detoxification,
SHORT TERM RESDI- Partial Hospitalization,
29th St & Ave E SUBSTANCE Outpatient Infusion/Chemo
Bayonne, NJ 07002 176 Palisade Ave 16 E 29 St
(201) 858-5000 Jersey City, NJ 07306 Bayonne, NJ 07002
Fax: (201) 858-7355 (201) 795-8300 (973) 926-7000
00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Childrens Specialized Hospital Hoboken University Medical MTWTHFSatSun 9:00 AM -
Provider ID: 956427 9:00 PM
Center
Sub Specialty: Speech
Provider ID: 384408 Palisades Medical Center
Therapy Facility Serv,
Inpatient Psychiatric Center, Sub Specialty: INPT PSYCH
Occupational Therapy Fac HOSPITALIZATION, PARTIAL Provider ID: 765
Serv, Physical Therapy Fac CARE, Medical Managed Sub Specialty: Medical
Service, Critical Care Services Detoxification Managed Detoxification,
ICU 308 Willow Ave OUTPATIENT MENTAL
1825 John F Kennedy Blvd Hoboken, NJ 07030 HEALTH CLINIC
Jersey City, NJ 07305 (201) 418-1000 7600 River Rd
(732) 507-6551 00 Yrs/130 Yrs North Bergen, NJ 07047
00 Yrs/130 Yrs (201) 854-5000
Languages: Spanish Hudson Regional Hospital 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
Provider ID: 1691759
Childrens Specialized Hospital 55 Meadowlands Pkwy
Secaucus, NJ 07094
Provider ID: 956427 (201) 392-3100
Sub Specialty: Speech 40 Yrs/130 Yrs
Therapy Facility Serv,
Inpatient Psychiatric Center, Jersey City Medical Center
Occupational Therapy Fac
Serv, Physical Therapy Fac Provider ID: 102246
Service, Critical Care Services Sub Specialty: INPT PSYCH
ICU HOSPITALIZATION,
815 Broadway PSYCHIATRIC IP UNIT, Partial
Bayonne, NJ 07002 Hospitalization, Intensive
(201) 823-5921 Outpatient Substance,
00 Yrs/130 Yrs Intensive Psychiatric Rehab,
Languages: Spanish OUTPATIENT MENTAL
M 8:00 AM - 5:00 PM HEALTH CLINIC
TWTHF 9:00 AM - 5:00 PM 355 Grand St
Jersey City, NJ 07302
(201) 915-2000
00 Yrs/130 Yrs

www.wellcare.com/New-Jersey | 307
Updated: 11/26/2018

Hospitals
Passaic
Hospital St. Joseph's Hospital Reg
Medical Center
Childrens Specialized Hospital Provider ID: 391705
Sub Specialty: SHORT TERM
Provider ID: 956427 RESDI-SUBSTANCE, Partial
Sub Specialty: Speech Care Substance Use,
Therapy Facility Serv, OUTPATIENT MENTAL
Inpatient Psychiatric Center, HEALTH CLINIC, Partial
Occupational Therapy Fac Hospitalization, Intensive
Serv, Physical Therapy Fac Outpatient Substance,
Service, Critical Care Services Substance Use Outpatient,
ICU Medical Managed
Detoxification, INPT PSYCH
1135 Broad St HOSPITALIZATION
Clifton, NJ 07013 224 Hamburg Tpke
(888) 244-5373 Wayne, NJ 07470
00 Yrs/130 Yrs (973) 942-6900
Languages: Spanish 00 Yrs/130 Yrs
M 8:00 AM - 5:00 PM
TWTHF 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Medical Center
Prime Health Services-St
Provider ID: 391705
Marys Hospital
Sub Specialty: SHORT TERM
Provider ID: 1028129 RESDI-SUBSTANCE, Partial
Sub Specialty: Substance Use Care Substance Use,
Outpatient, Partial OUTPATIENT MENTAL
Hospitalization HEALTH CLINIC, Partial
350 Blvd Hospitalization, Intensive
Passaic, NJ 07055 Outpatient Substance,
(973) 365-4300 Substance Use Outpatient,
Fax: (973) 365-4369 Medical Managed
00 Yrs/130 Yrs Detoxification, INPT PSYCH
HOSPITALIZATION
Prime Health Services-St 703 Main St
Marys Hospital Paterson, NJ 07503
Provider ID: 1028129 (973) 754-2000
Sub Specialty: Substance Use 00 Yrs/130 Yrs
Outpatient, Partial
Hospitalization
530 Main Ave
Passaic, NJ 07055
(973) 470-3056
Fax: (973) 471-3408
00 Yrs/130 Yrs

www.wellcare.com/New-Jersey | 308
Updated: 11/26/2018

Ancillary Providers
All
Laboratory Pathology
Testing
Labcorp
For Providers and Locations
Please Call:
(888) 522-2677
Quest Diagnostics
For Providers and Locations
Please Call:
(888) 277-8772
Medically Necessary
Transportation
WellCare Customer Service
For Providers and Locations
Please Call:
(888) 453-2534

www.wellcare.com/New-Jersey | 309
Updated: 11/26/2018

Ancillary Providers
Bergen
Ambulatory Surgery Paramus Endoscopy LLC Audiology Vantage Healthsystem
Center Provider ID: 944660
Provider ID: 1467244 Gotlieb Hearing Center 93 W Palisade Ave
Childrens Ambulatory Surgery 80 Eisenhower Dr Ste 100 Provider ID: 946413 Englewood, NJ 07631
Center of NJ Paramus, NJ 07652 14-12 River Rd (201) 567-0500
Provider ID: 982520 (201) 336-1100 Fair Lawn, NJ 07410 Fax: (201) 567-9335
Children's Ambulatory Surgery Fax: (201) 336-1040 (201) 703-6800 00 Yrs/130 Yrs
Center O 00 Yrs/130 Yrs Fax: (201) 703-6805 MT 9:00 AM - 8:00 PM
14-01 Broadway M-F 7:00 AM - 5:00 PM 00 Yrs/130 Yrs WTHF 9:00 AM - 5:00 PM
Fair Lawn, NJ 07410 Languages: Hebrew
(201) 791-0100 River Drive Surgery Center M-F 9:00 AM - 5:00 PM West Bergen
Fax: (201) 791-8800 LLC Mentalhealthcare
00 Yrs/18 Yrs Provider ID: 427614 Hearx LTD Provider ID: 944662
M-F 6:00 AM - 4:00 PM River Drive Surgery Center, Provider ID: 127534 Sub Specialty: Adult Mental
LLC 66 N Rte 17 Health Rehab, Medication
Endoscopy Center of 619 River Dr Paramus, NJ 07652 Management, PARTIAL CARE
Hackensack LLC Elmwood Park, NJ 07407 (201) 291-0550 120 Chestnut St
Provider ID: 1007680 (201) 703-2900 Fax: (201) 291-8900 Ridgewood, NJ 07450
170 Prospect Ave Fax: (201) 703-1780 00 Yrs/130 Yrs (201) 444-3550
Hackensack, NJ 07601 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 652-1613
(201) 498-0030 Languages: Spanish 00 Yrs/130 Yrs
Fax: (201) 708-6300 MTWTHFSat 7:00 AM - 5:00 Total Hearing Care-Westwood Languages: Spanish, Hindi,
18 Yrs/110 Yrs PM Yiddish
Languages: Spanish Provider ID: 945782 M-TH 8:00 AM - 8:00 PM
M-F 7:00 AM - 5:00 PM Surgicare of Central Jersey 400 Old Hook Rd Ste 1-5 F 8:00 AM - 5:00 PM
Provider ID: 576649 Westwood, NJ 07675
Metropolitan Surgery Center Bergen Passaic Cataract West Bergen
(201) 483-2960 Mentalhealthcare
Surgery Fax: (908) 288-7430
Provider ID: 1013624 18-01 Pollitt Dr Ste 4 Provider ID: 944662
00 Yrs/130 Yrs
433 Hackensack Ave LL01 Fair Lawn, NJ 07410 Sub Specialty: Adult Mental
M-F 9:00 AM - 5:00 PM Health Rehab, Medication
Hackensack, NJ 07601 (201) 414-5649
(201) 527-6800 00 Yrs/130 Yrs Behavioral Health Facility Management,
3 Post Rd
PARTIAL CARE
Fax: (201) 342-9381 Languages: Spanish, Mandarin,
Italian Oakland, NJ 07436
00 Yrs/130 Yrs Team Management 2000 Inc
(201) 651-1900
M-F 7:00 AM - 5:00 PM Fc
Surgicare of Central Jersey Fax: (201) 651-9608
Provider ID: 1710071
Northern New Jersey Center Provider ID: 576649 00 Yrs/130 Yrs
Sub Specialty: Outpatient
For Advanced Ramapo Valley Surgical Center Languages: Spanish, Hindi,
Services
500 N Franklin Tpk Yiddish
Provider ID: 1236621 84 Main St
Ramsey, NJ 07446 MT 1:00 AM - 8:00 PM
Northern New Jersey Center Hackensack, NJ 07601
For Adva (201) 995-9975 (201) 487-4700 West Bergen
270 Sylvan Ave Ste 100 00 Yrs/130 Yrs Fax: (201) 487-4787 Mentalhealthcare
Englewood Cliffs, NJ 07632 Languages: Spanish, Mandarin, 14 Yrs/130 Yrs
Italian Provider ID: 944662
(201) 408-5505 MWTH 9:00 AM - 9:00 PM Sub Specialty: Adult Mental
Fax: (201) 408-5654 T 9:00 AM - 5:00 PM Health Rehab, Medication
Surgicare Surgical Associates
18 Yrs/110 Yrs F 9:00 AM - 7:00 PM Management, PARTIAL CARE
of Fairlaw
Languages: Spanish, Russian 615 Franklin Tpke
M-F 6:45 AM - 5:00 PM Provider ID: 698786 Vantage Healthsystem
Surgicare Surgical Associates Ridgewood, NJ 07450
Provider ID: 944660 (201) 857-0080
of Fa
2 Park Ave Fax: (201) 857-0073
15 01 Broadway
Dumont, NJ 07628 00 Yrs/130 Yrs
Fair Lawn, NJ 07410
(201) 385-4400 Languages: Spanish, Hindi,
(201) 703-8487
Fax: (201) 384-7007 Yiddish
Fax: (201) 791-6585
00 Yrs/130 Yrs M-TH 8:00 AM - 8:00 PM
00 Yrs/130 Yrs
MTF 9:00 AM - 5:00 PM F 8:00 AM - 5:00 PM
Languages: Spanish
WTH 9:00 AM - 8:00 PM
M-F 6:00 AM - 5:30 PM

www.wellcare.com/New-Jersey | 310
Updated: 11/26/2018

Ancillary Providers
Bergen
Diagnostic and Treatment Holy Name Breast Imaging Progressive Medical Imaging University Radiology Group
Center Partners of Hackensac PC
Provider ID: 946780 Provider ID: 567623 Provider ID: 502557
Redi Diagnostics Corp 718 Teaneck Rd Progressive Medical Imaging 699 Teaneck Rd
Provider ID: 553392 Teaneck, NJ 07666 of Hack Teaneck, NJ 07666
1 Broadway Ste 102 (201) 833-7100 385 Prospect Ave 1st Fl (201) 836-2500
Elmwood Park, NJ 07407 Fax: (201) 833-7248 Hackensack, NJ 07601 Fax: (201) 836-7921
(201) 773-4255 00 Yrs/130 Yrs (201) 580-4200 00 Yrs/130 Yrs
Fax: (201) 773-3160 Languages: Spanish, Korean Fax: (201) 488-9558 Languages: Spanish
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Languages: Spanish, Russian M-F 8:00 AM - 5:00 PM
Holy Name Peace Health University Radiology Teaneck
M-F 9:00 AM - 9:00 PM
Partners PC Ridgefield Imaging Center, Inc LLC
Sat 9:00 AM - 6:00 PM
Provider ID: 944592 Provider ID: 985923
Diagnostic Imaging 718 Teaneck Rd Provider ID: 944360 500 Grand Ave
Teaneck, NJ 07666 Ridgefield Imaging Center Inc Englewood, NJ 07631
Diagnostic Imaging Associates (201) 833-3280 669 Broad Ave Ste 103 (201) 836-2500
of North J Fax: (201) 541-5291 Ridgefield, NJ 07657 Fax: (800) 398-1083
Provider ID: 928748 00 Yrs/130 Yrs (201) 945-3410 00 Yrs/130 Yrs
Fair Lawn Diagnostic Imaing Languages: Spanish Fax: (201) 945-4430 Languages: Spanish
Center M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
19-04 Fair Lawn Ave Languages: Spanish, Russian,
Fair Lawn, NJ 07410 Njin of Rutherford Korean Dialysis
(201) 794-3132 Provider ID: 501620 M-TH 8:00 AM - 7:30 PM
Fax: (201) 794-6291 New Jersey Imaging Network F 8:00 AM - 6:00 PM Hackensack Dialysis
00 Yrs/130 Yrs LLC Sat 8:00 AM - 4:00 PM
Languages: Spanish, Russian 69 Orient Way Provider ID: 903609
M-F 8:00 AM - 7:00 PM Rutherford, NJ 07070 Sovereign Health Imaging LLC 113 W Essex St
Sat 8:00 AM - 12:30 PM (201) 559-4140 Maywood, NJ 07607
Fax: (201) 933-5662 Provider ID: 1254002 (201) 843-3875
Fair Lawn Diagnosticimaging 00 Yrs/130 Yrs 630 Broad St Fax: (201) 843-0632
Center M-F 7:00 AM - 7:00 PM Carlstadt, NJ 07072 18 Yrs/130 Yrs
Provider ID: 945127 Sat 8:00 AM - 2:00 PM (201) 372-1020 MWF 12:00 AM - 11:30 PM
88 Market St Fax: (201) 372-1028 TTHSat 4:30 AM - 8:00 PM
Saddle Brook, NJ 07663 Oradell Medical Imaging 00 Yrs/130 Yrs
(201) 880-6600 Center LLC Fc Radburn Dialysis
M-F 8:00 AM - 5:30 PM
Fax: (201) 880-6595 Provider ID: 1551338 Sat 9:00 AM - 2:00 PM Provider ID: 1095244
00 Yrs/130 Yrs 550 Kinderkamack Rd Ste 1 Caverns Dialysis LLC
M-F 9:00 AM - 5:00 PM Oradell, NJ 07649 The Radiology Center of 15-00 Pollitt Dr
(201) 599-8100 Lyndhurst Fair Lawn, NJ 07410
Fairlawn Diagnosticimaging Fax: (201) 599-8480 Provider ID: 945943 (201) 796-1385
Center 00 Yrs/130 Yrs A G Dikengil, MD, PA DBA The Fax: (201) 794-0150
Provider ID: 945128 M-TH 8:30 AM - 8:00 PM Radiol 00 Yrs/130 Yrs
19-04 Fair Lawn Ave FSat 8:30 AM - 5:00 PM 736 Page Ave M-W 7:00 AM - 9:00 PM
Fair Lawn, NJ 07410 Lyndhurst, NJ 07071
(201) 794-3132 Pinnacle MRI Group LLC (201) 729-1234 Renal Center of Englewood
Fax: (201) 794-6811 Fax: (201) 729-1233 LLC
00 Yrs/130 Yrs Provider ID: 1293659 00 Yrs/130 Yrs Provider ID: 1240696
Languages: Hindi Pinnacle MRI Group Languages: Spanish, 300 Grand Ave Ste 103
M-F 9:00 AM - 5:00 PM 97 Linden Ave Portuguese, Turkish Englewood, NJ 07631
Elmwood Park, NJ 07407 M-F 8:30 AM - 8:00 PM (201) 731-3149
(201) 426-4550 Sat 8:30 AM - 5:00 PM Fax: (201) 731-3172
Fax: (201) 754-9850 18 Yrs/130 Yrs
12 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM
MTWTHFSat 9:00 AM - 7:00
PM

www.wellcare.com/New-Jersey | 311
Updated: 11/26/2018

Ancillary Providers
Bergen
Durable Medical Have Shoes Will Travel Integra Partners LLC Integra Partners LLC
Equipment Provider ID: 389627 Provider ID: 389627
Provider ID: 1202329 Orthopedic Specialties Union City Medical Supply
At Home Medical 724 Anderson Ave Unlimited Inc.
Provider ID: 944748 Cliffside Park, NJ 07010 340 W. Passaic St 1 Madison St A-4
Athome Medical (201) 366-4101 Emerson, NJ 07630 East Rutherford, NJ 07073
315 Phillips Ave Fax: (201) 917-3645 (888) 700-5004 (888) 700-5004
South Hackensack, NJ 07606 21 Yrs/130 Yrs Fax: (888) 700-7313 Fax: (888) 700-7313
(800) 287-0463 Languages: Spanish 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (975) 538-2703 M-F 10:00 AM - 5:00 PM Languages: Spanish, Hebrew Languages: Spanish, Hebrew
00 Yrs/130 Yrs Sat 0:00 AM - 0:00 PM M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM
B and L Medical Supply Inc Integra Partners LLC KCI USA Inc
Provider ID: 389627 Integra Partners LLC Provider ID: 373083
Provider ID: 944826 Allcare Orthotic & Prosthetic Provider ID: 389627 192 Atlantic St
23-21 Broadway Servi Partners Medical Supplies Hackensack, NJ 07601
Fair Lawn, NJ 07410 15 Emerald St 395 Broad Ave (800) 275-4524
(201) 797-0304 Hackensack, NJ 07601 Ridgefield, NJ 07657 Fax: (888) 245-2295
Fax: (201) 797-0454 (888) 700-5004 (201) 917-5844 00 Yrs/130 Yrs
05 Yrs/130 Yrs Fax: (888) 700-7313 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Languages: Spanish, Russian 00 Yrs/130 Yrs Languages: Spanish, Hebrew
Languages: Spanish, Hebrew MTWTHFSatSun 9:00 AM - Levy's Pharmacy of Lyndhurst
M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM 6:00 PM LLC
Center Pharmacy Provider ID: 917152
Integra Partners LLC Integra Partners LLC 299 Stuyvesant Ave
Provider ID: 944137
251 Main St Provider ID: 389627 Provider ID: 389627 Lyndhurst, NJ 07071
Fort Lee, NJ 07024 Cranial Technologies R.Assoc Medical Systems, Inc (201) 438-1026
(201) 947-5550 2 University Plaza DR Ste 111 184 Central Ave Ste 5 Fax: (201) 438-1668
Fax: (201) 947-0514 Hackensack, NJ 07601 Westwood, NJ 07675 00 Yrs/130 Yrs
00 Yrs/130 Yrs (888) 700-5004 (888) 700-5004 Languages: Spanish
MTWTHFSat 9:00 AM - 8:00 Fax: (888) 700-7313 Fax: (888) 700-7313 M-F 9:00 AM - 9:00 PM
PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs Sat 9:00 AM - 6:00 PM
Languages: Spanish, Hebrew Languages: Spanish, Hebrew Sun 9:00 AM - 1:00 PM
Comfort Shoes and Supplies M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Inc Lincare Inc
Provider ID: 926074 Integra Partners LLC Integra Partners LLC Provider ID: 922708
659 Anderson Ave Provider ID: 389627 Provider ID: 389627 1771 U S Hwy 34 Unit 3
Cliffside Park, NJ 07010 Golden Cares Pharmacy The Ortho Remedy, Inc. Farmingdale, NJ 07401
(201) 943-0340 57 W Fort Lee Rd 522 Anderson Ave (877) 467-4418
Fax: (201) 943-0347 Bogota, NJ 07603 Cliffside Park, NJ 07010 Fax: (877) 467-4418
50 Yrs/100 Yrs (201) 343-1170 (888) 700-5004 00 Yrs/130 Yrs
Languages: Spanish, Russian 00 Yrs/130 Yrs Fax: (888) 700-7313 M-F 8:00 AM - 5:00 PM
M 10:00 AM - 4:00 PM Languages: Spanish, Hebrew 00 Yrs/130 Yrs
Languages: Spanish, Hebrew Lincare Inc NY
TWTHF 10:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
M-TH 8:00 AM - 4:00 PM Provider ID: 276198
Sat 9:00 AM - 6:00 PM
Ej and Jj Inc F 8:00 AM - 12:00 PM 260 W Crescent Ave
Provider ID: 944444 Integra Partners LLC Allendale, NJ 07401
The Medicine Shoppe Provider ID: 389627 (201) 327-8105
Pharmacy Lorelei Orthotics & 00 Yrs/130 Yrs
2468 Lemoine Ave Prosthetics, In M-F 9:00 AM - 5:00 PM
Fort Lee, NJ 07024 63 Lenox Ave
(201) 944-1002 Maywood, NJ 07607
Fax: (201) 944-6336 (888) 700-5004
00 Yrs/130 Yrs Fax: (888) 700-7313
Languages: Korean 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Languages: Spanish, Hebrew
M 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 312
Updated: 11/26/2018

Ancillary Providers
Bergen
Durable Medical Pomac Bray Orthotics Pomac Rinko Orthopedic North Hudson Community
Equipment - cont. Prsthetics Appliances Action Corp
Provider ID: 873201 Provider ID: 819193 Provider ID: 798803
Medsurg Durables LLC 217 Old Hook Rd 25-09 Broadway North Hudson Community
Provider ID: 1276637 Westwood, NJ 07675 Fair Lawn, NJ 07410 Action Corpo
Med Surg Durables LLC (973) 666-6647 (201) 262-4330 25 E Salem St Fl 6
85 Harristown Rd Fax: (973) 666-5551 Fax: (201) 465-3521 Hackensack, NJ 07601
Glen Rock, NJ 07452 00 Yrs/130 Yrs 00 Yrs/130 Yrs (551) 996-2121
(201) 855-8317 Languages: Spanish M-F 9:00 AM - 5:00 PM Fax: (551) 996-4435
Fax: (201) 444-2942 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs Sunny Pharmacy Languages: Spanish
Pomac Garden State Provider ID: 1007395 MTTHFSat 8:30 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Orthopedic Hankwon DBA Sunny W 8:30 AM - 7:00 PM
Mercy Home Care & Mecical Provider ID: 834273 Pharmacy
Supplies 9 Post Rd 711 Anderson Ave North Hudson Community
Provider ID: 944092 Oakland, NJ 07436 Cliffside Park, NJ 07010 Action Corp
456 Paterson Ave (201) 337-5566 (201) 313-9797 Provider ID: 798803
East Rutherford, NJ 07073 Fax: (201) 337-1456 Fax: (201) 313-9798 North Hudson Community
(201) 296-0001 00 Yrs/130 Yrs 00 Yrs/130 Yrs Action Corpo
Fax: (201) 896-9467 M-F 9:00 AM - 5:00 PM Languages: Korean 535 Midland Ave
00 Yrs/130 Yrs M-F 9:00 AM - 8:00 PM Garfield, NJ 07026
Pomac Nouveau Prosthetics Sat 9:00 AM - 6:00 PM (973) 340-1182
Languages: Spanish,
Portuguese and Orthotics Fax: (973) 340-1156
M-F 9:00 AM - 5:00 PM Provider ID: 910934 Yang Shoe Corporation 00 Yrs/130 Yrs
385 Prospect Ave Languages: Spanish
Mikhael Ruzhin LTD Hackensack, NJ 07601 Provider ID: 945189 MTTHFSat 8:30 AM - 5:00 PM
Provider ID: 944143 (732) 739-0888 101 W Palisade Ave W 8:30 AM - 7:00 PM
26-17 Broadway Fax: (732) 739-5351 Englewood, NJ 07631
Fai Lawn, NJ 07410 00 Yrs/130 Yrs (201) 567-3333 Hearing Aid Supplier
(201) 797-5355 M-F 9:00 AM - 5:00 PM Fax: (201) 567-3084
Fax: (201) 791-4995 00 Yrs/130 Yrs Archer, Wyman Had
Pomac Othopedic Specialties Provider ID: TPV05611-01
00 Yrs/130 Yrs MTWTHFSat 10:00 AM - 7:00
Unlimited PM Gender: Male
Languages: Spanish, Russian
M-F 9:00 AM - 5:00 PM Provider ID: 835953 Sun 10:00 AM - 6:30 PM HearUSA
134 Munsey Rd 1021 Main St
Millers Of Wychoff Inc Emerson, NJ 07630 Federally Qualified River Edge, NJ 07661
(973) 262-4330 Health Center (201) 291-0550
Provider ID: 973085 Fax: (973) 265-3521 Fax: (201) 343-7840
678 Wyckoff Ave 00 Yrs/130 Yrs North Hudson Community 21 Yrs/99 Yrs
Wyckoff, NJ 07481 M-F 9:00 AM - 5:00 PM Action Corp M-F 9:00 AM - 5:00 PM
(201) 891-3333 Provider ID: 798803
Pomac Othopedic Specialties Diefenbacher, Joseph Had
Fax: (201) 891-6258 North Hudson Community
Unlimited Action Corpo Provider ID: TPV08237-01
00 Yrs/130 Yrs Provider ID: 835953 197 S Van Brunt St Gender: Male
Languages: Spanish, French, 340 W Passaic St Englewood, NJ 07631 HearUSA
Russian, Hindi
Rochelle Park, NJ 07662 (201) 537-4442 1021 Main St
M-F 9:00 AM - 5:00 PM
(973) 262-4330 Fax: (201) 568-1876 River Edge, NJ 07661
Pomac Biodynamic Fax: (973) 265-3521 00 Yrs/130 Yrs (201) 291-0550
Technologies 00 Yrs/130 Yrs Languages: Spanish Fax: (201) 343-7840
Provider ID: 834276 M-F 9:00 AM - 5:00 PM MTWTHFSat 8:30 AM - 5:00 21 Yrs/99 Yrs
1 Madison St Ste A4 PM M-F 9:00 AM - 5:00 PM
East Rutherford, NJ 07073
(800) 879-2276
Fax: (800) 686-6801
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 313
Updated: 11/26/2018

Ancillary Providers
Bergen
Hearing Aid Supplier - Angels Care LLC Care 4 Me LLC Preferred Home Health Care
cont. Provider ID: 946348 Provider ID: 945662 and Nursing S
87 Old River St 901 Teaneck Rd Provider ID: 886449
Otero, Crystal Had Hackensack, NJ 07601 Teaneck, NJ 07666 Preferred Home Care and
Provider ID: TPV17426-01 (201) 265-2818 (201) 837-7779 Nursing Ser
Gender: Female Fax: (201) 265-2817 Fax: (201) 837-7789 669 River Dr Ste 130
HearUSA 00 Yrs/130 Yrs 00 Yrs/130 Yrs Elmwood Park, NJ 07407
1021 Main St Languages: Spanish, French, Languages: Spanish, Russian (201) 883-1100
River Edge, NJ 07661 Korean, Polish M-F 9:00 AM - 5:00 PM Fax: (201) 794-4628
(201) 291-0550 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Fax: (201) 343-7840 Care4me LLC Languages: Spanish, Russian
Bayada Home Healthcare Inc Provider ID: 940082 M-F 9:00 AM - 5:00 PM
21 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Care 4me LLC
Provider ID: 945568 901 Teaneck Rd Secura Home Health LLC
Home Health Care Bayada Home Health Care Inc Teaneck, NJ 07666
90 Main St Ste 100 (201) 837-7779 Provider ID: 1069047
A Joy Health Care LLC Hackensack, NJ 07601 Fax: (201) 837-7789 190 Moore St
Provider ID: 1707515 (201) 343-7100 18 Yrs/130 Yrs Hackensack, NJ 07601
663 Grand Ave Ste 1 Fax: (201) 343-3895 Languages: Spanish, Russian (201) 525-7470
Ridgefield, NJ 07657 00 Yrs/130 Yrs Fax: (201) 592-7003
(201) 941-4900 M-F 9:00 AM - 5:00 PM Confident Care Corp 00 Yrs/130 Yrs
Fax: (201) 941-4901 Provider ID: 928798 Languages: Spanish, Russian,
18 Yrs/130 Yrs Bayada Home Healthcare Inc 3 University Plz Ste 340 Hebrew, Armenian
M-F 8:30 AM - 5:00 PM Hackensack, NJ 07601 M-F 9:00 AM - 5:00 PM
Provider ID: 945568 (201) 498-9400
Above and Beyond Home Unique Home Care Agency
Bayada Home Health Care Inc Fax: (201) 498-1556
Care Services 00 Yrs/130 Yrs Inc
90 Main St Ste 202
Provider ID: 944575 Hackensack, NJ 07601 Languages: Spanish, Russian, Provider ID: 924100
835 Main St (201) 488-1262 Hindi, Korean 12-18 River Rd Ste 1/Rear
Hackensack, NJ 07607 Fax: (201) 343-0629 M-F 9:00 AM - 5:00 PM Fair Lawn, NJ 07410
(201) 494-4005 00 Yrs/130 Yrs (201) 794-9262
Fax: (201) 968-5888 Maxim Healthcare Services Fax: (201) 794-2122
M-F 9:00 AM - 5:00 PM
60 Yrs/130 Yrs Inc 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Bergen Home Care Nursing Provider ID: 287949 Languages: Spanish
Inc 505 Main St Fl 1 M-F 9:00 AM - 5:00 PM
Always There Home Health Provider ID: 984944 Hackensack, NJ 07601
Care of Bergen (201) 489-0222 Visiting Homemaker Home
136 Essex St
Provider ID: 925339 Fax: (877) 717-2776 Health Aide Serv
Hackensack, NJ 07601
Always There Home Health (201) 342-3402 00 Yrs/130 Yrs Provider ID: 975141
Care of Be Fax: (201) 342-3405 M-F 8:00 AM - 6:00 PM Visiting Homemaker Home
191 Main St Health Aide
00 Yrs/130 Yrs
Hackensack, NJ 07601 Maxim Healthcareservices Inc 298 Union St
M-F 8:30 AM - 4:30 PM
(201) 287-0400 Hackensack, NJ 07601
Fax: (201) 646-9640 Broadway Respite and Home Provider ID: 946671 (201) 488-0041
00 Yrs/130 Yrs Care LLC 505 Main St Fax: (201) 525-1950
Languages: Spanish Provider ID: 927443 Hackensack, NJ 07601 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM 24-20 Broadway (201) 489-0222 Languages: Spanish, Polish
Fair Lawn, NJ 07410 Fax: (201) 489-0299
(201) 703-3980 00 Yrs/130 Yrs
Fax: (201) 703-3984 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

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Ancillary Providers
Bergen
Home Health Care - cont. Laboratory Pathology Lyons, Michael OP East Coast Orthotic and
Testing Provider ID: TPV012095005183 Prosthetic Corp
Visiting Nurse Association of Gender: Male Provider ID: 1321846
Englewood Bio Reference Laboratories Sterling Optical East Coast Orthotic and
Provider ID: 1035045 Inc 2100 Paramus Park Mall Prosthetic
Visiting Nurse Association of Provider ID: 107205 Paramus, NJ 07652 39 Broad Ave
Engle 481 Edward H Ross Dr (201) 712-9838 Palisades Park, NJ 07650
15 Engle St Elmwood Park, NJ 07407 Fax: (201) 712-9848 (201) 943-4448
Englewood, NJ 07631 (201) 791-2600 00 Yrs/99 Yrs Fax: (201) 941-1711
(201) 894-3333 Fax: (201) 791-1941 Languages: Spanish 00 Yrs/130 Yrs
Fax: (201) 894-1710 00 Yrs/130 Yrs Languages: Spanish
00 Yrs/130 Yrs Orthotics & Prosthetics MTWTHFSatSun 8:00 AM -
Languages: Spanish Bio Reference Laboratories 8:00 PM
M-F 8:30 AM - 4:30 PM Inc Achilles Prosthetics&
Provider ID: 107205 Orthotics LLC Ej and Jj Inc
Hospice 487 Edward H Ross Dr Provider ID: 944587 Provider ID: 944444
Elmwood Park, NJ 07407 Achilles Prosthetics and The Medicine Shoppe
Fidelity Care (201) 791-2600 Orthotics Pharmacy
Provider ID: 984868 Fax: (201) 791-1941 503 N Franklin Tpke Ste 12 2468 Lemoine Ave
113 Dewitt St Ste 204 00 Yrs/130 Yrs Ramsey, NJ 07446 Fort Lee, NJ 07024
Garfield, NJ 07026 (204) 785-9944 (201) 944-1002
(973) 478-3500 Optometry Fax: (201) 785-9945 Fax: (201) 944-6336
Fax: (973) 478-9399 00 Yrs/130 Yrs 00 Yrs/130 Yrs
12 Yrs/130 Yrs Gallina, Paul OP M-F 9:00 AM - 5:00 PM Languages: Korean
M-F 8:30 AM - 5:30 PM Provider ID: M-F 9:00 AM - 5:00 PM
TPV025878009607 Allcare Orthotic and
Holy Name Medical Center Gender: Male Prosthetic Services Hanger Clinic
Gallina Vision Center Provider ID: 648732 Provider ID: 134894
Provider ID: 995796 1619 Palisade Ave Allcare Orthotic and Hanger Pros Orth East Inc
718 Teaneck Rd Fort Lee, NJ 07024 Prosthetic Ser 140 N Rte 17 Ste 115
Teaneck, NJ 07666 (201) 947-9797 50 Essex St Ste 7 Paramus, NJ 07652
(201) 833-3740 Fax: (201) 947-9790 Rochelle Park, NJ 07662 (201) 225-9025
Fax: (201) 833-3456 00 Yrs/99 Yrs (877) 678-4101 Fax: (201) 225-9030
21 Yrs/130 Yrs Languages: Spanish, Fax: (908) 688-5785 00 Yrs/130 Yrs
Languages: Spanish Portuguese 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 4:00 PM Languages: Spanish
Iarossi, Jeffrey OP M-F 8:30 AM - 5:00 PM Integra Partners LLC
Life Source Services LLC Provider ID: TPV015564006055 Provider ID: 389627
Gender: Male At Home Medical Allcare Orthotic & Prosthetic
Optical Techniques Provider ID: 944748 Servi
Provider ID: 1123671
286 Market St Athome Medical 15 Emerald St
700 Kinderkamack Rd Ste 105
Elmwood Park, NJ 07407 315 Phillips Ave Hackensack, NJ 07601
Oradell, NJ 07649
(201) 797-5835 South Hackensack, NJ 07606 (888) 700-5004
(201) 967-4313
00 Yrs/99 Yrs (800) 287-0463 Fax: (888) 700-7313
Fax: (201) 225-4769
Languages: Spanish Fax: (975) 538-2703 00 Yrs/130 Yrs
00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: Spanish, Hebrew
Languages: Spanish, Korean Iarossi, Laila OP M-F 8:30 AM - 5:00 PM
Provider ID:
TPV027299006055 Integra Partners LLC
Gender: Female Provider ID: 389627
Optical Techniques Cranial Technologies
286 Market St 2 University Plaza DR Ste 111
Elmwood Park, NJ 07407 Hackensack, NJ 07601
(201) 797-5835 (888) 700-5004
00 Yrs/99 Yrs Fax: (888) 700-7313
Languages: Spanish 00 Yrs/130 Yrs
Languages: Spanish, Hebrew
M-F 8:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 315
Updated: 11/26/2018

Ancillary Providers
Bergen
Orthotics & Prosthetics - Integra Partners LLC Millers Of Wychoff Inc Eldin, Khaled DDS
cont. Provider ID: 389627 Provider ID: TPVNJSP33368-01
R.Assoc Medical Systems, Inc Provider ID: 973085 Gender: Male
Integra Partners LLC 184 Central Ave Ste 5 678 Wyckoff Ave Saddle Brook Dental
Provider ID: 389627 Westwood, NJ 07675 Wyckoff, NJ 07481 Associates LLC
Golden Cares Pharmacy (888) 700-5004 (201) 891-3333 220 5th St
57 W Fort Lee Rd Fax: (888) 700-7313 Fax: (201) 891-6258 Saddle Brook, NJ 07663
Bogota, NJ 07603 00 Yrs/130 Yrs 00 Yrs/130 Yrs (973) 478-1616
(201) 343-1170 Languages: Spanish, Hebrew Languages: Spanish, French, Fax: (973) 478-1732
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Russian, Hindi 00 Yrs/06 Yrs
Languages: Spanish, Hebrew M-F 9:00 AM - 5:00 PM Languages: Arabic
M-F 9:00 AM - 5:00 PM Integra Partners LLC M-TH 9:00 AM - 8:00 PM
Sat 9:00 AM - 6:00 PM Provider ID: 389627 Pediatric Dentistry F 9:00 AM - 5:00 PM
The Ortho Remedy, Inc. Sat 9:00 AM - 3:00 PM
Integra Partners LLC 522 Anderson Ave Aboelsaad, Mohamed DDS
Provider ID: 389627 Cliffside Park, NJ 07010 Pizzano, Marc DDS
Lorelei Orthotics & (888) 700-5004 Provider ID: TPVNJSP166428-0 Provider ID: TPVNJSP40387-01
Prosthetics, In Fax: (888) 700-7313 Gender: Male Gender: Male
63 Lenox Ave 00 Yrs/130 Yrs Saddle Brook Dental Parkview Dental
Maywood, NJ 07607 Languages: Spanish, Hebrew Associates LLC 1200 E Ridgewood Ave Ste 215
(888) 700-5004 M-TH 8:00 AM - 4:00 PM 220 5th St W Wing
Fax: (888) 700-7313 F 8:00 AM - 12:00 PM Saddle Brook, NJ 07663 Ridgewood, NJ 07450
00 Yrs/130 Yrs (973) 478-1616 (201) 857-5777
Languages: Spanish, Hebrew Integra Partners LLC Fax: (973) 478-1732 Fax: (201) 857-5778
M 9:00 AM - 5:00 PM Provider ID: 389627 00 Yrs/06 Yrs 06 Yrs/06 Yrs
Union City Medical Supply Languages: Arabic Languages: Spanish
Integra Partners LLC Inc. M-TH 9:00 AM - 8:00 PM M-TH 10:00 AM - 7:00 PM
Provider ID: 389627 1 Madison St A-4 F 9:00 AM - 5:00 PM F 10:00 AM - 6:00 PM
Orthopedic Specialties East Rutherford, NJ 07073 Sat 9:00 AM - 3:00 PM Sat 12:00 AM - 3:30 PM
Unlimited (888) 700-5004
340 W. Passaic St Fax: (888) 700-7313 Aviarbakh, Hanna DDS Rahman, Mohammed DDS
Emerson, NJ 07630 00 Yrs/130 Yrs Provider ID: TPVNJSP143802-0 Provider ID: TPVNJSP175522-0
(888) 700-5004 Languages: Spanish, Hebrew Gender: Female Gender: Male
Fax: (888) 700-7313 M-F 8:00 AM - 5:00 PM All Family Dental Center LLC Saddle Brook Dental
00 Yrs/130 Yrs 45 US Hwy 46 Associates LLC
Languages: Spanish, Hebrew Mercy Home Care & Mecical Ridgefield Park, NJ 07660 220 5th St
M-F 8:00 AM - 6:00 PM Supplies (201) 440-2100 Saddle Brook, NJ 07663
Sat 9:00 AM - 1:00 PM Provider ID: 944092 Fax: (201) 440-1279 (973) 478-1616
456 Paterson Ave 00 Yrs/06 Yrs Fax: (973) 478-1732
Integra Partners LLC East Rutherford, NJ 07073 Languages: Russian 00 Yrs/06 Yrs
Provider ID: 389627 (201) 296-0001 M-F 10:00 AM - 6:00 PM Languages: Arabic
Partners Medical Supplies Fax: (201) 896-9467 M-TH 9:00 AM - 8:00 PM
395 Broad Ave 00 Yrs/130 Yrs Aviarbakh, Hanna DDS F 9:00 AM - 5:00 PM
Ridgefield, NJ 07657 Languages: Spanish, Provider ID: TPVNJSP143802-0 Sat 9:00 AM - 3:00 PM
(201) 917-5844 Portuguese Gender: Female
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Aesthetic Dental Center of Rosenblatt, Debra DDS
Languages: Spanish, Hebrew Hackensack LLC Provider ID: TPVNJSP39059-02
MTWTHFSatSun 9:00 AM - 163 Main St Gender: Female
6:00 PM Hackensack, NJ 07601 The Smile Spa of North Jersey
(201) 488-8866 LLC
Fax: (201) 488-7663 251 Godwin Ave
00 Yrs/06 Yrs Midland Park, NJ 07432
Languages: Russian (201) 445-2797
M-F 10:00 AM - 6:00 PM Fax: (201) 445-8340
03 Yrs/06 Yrs
MTTHF 9:00 AM - 5:00 PM
W 9:00 AM - 12:00 PM

www.wellcare.com/New-Jersey | 316
Updated: 11/26/2018

Ancillary Providers
Bergen
Pediatric Dentistry - cont. Kessler Institute For Kessler Institute For Kessler Institute For
Rehabilitation Rehabilitation Rehabilitation
Zakaim, Elvis DMD Provider ID: 465894 Provider ID: 465894 Provider ID: 465894
Provider ID: TPVNJSP39078-02 Kessler Institute For Kessler Rehabilitation Center Kessler Rehabilitation Center
Gender: Male Rehabilitatio 15 01 Broadway Ste 9 300 Market St
Elvis Zakaim DMD 223 Old Hook Rd Ste 101 Fair Lawn, NJ 07410 Saddle Brook, NJ 07663
413 Farview Ave Westwood, NJ 07675 (201) 791-8989 (201) 368-6260
Paramus, NJ 07652 (201) 666-2056 Fax: (201) 791-7126 Fax: (201) 368-6075
(201) 261-0216 Fax: (201) 664-0610 16 Yrs/130 Yrs 16 Yrs/130 Yrs
Fax: (201) 261-5187 16 Yrs/130 Yrs Languages: Spanish Languages: Spanish
02 Yrs/06 Yrs Languages: Spanish MT 7:00 AM - 8:00 PM MTTH 8:00 AM - 8:00 PM
MTTHF 8:00 AM - 5:00 PM MW 7:00 AM - 8:00 PM W 2:00 AM - 8:00 PM WF 8:00 AM - 5:00 PM
W 8:00 AM - 8:00 PM T 8:00 AM - 2:00 PM TH 7:00 AM - 3:00 PM
TH 10:00 AM - 8:00 PM Kessler Institute For
Rehabilitation Facility F 7:00 AM - 4:00 PM Kessler Institute For Rehabilitation
Rehabilitation Provider ID: 465894
Careplus Rehab LLC Kessler Institute For Provider ID: 465894 Kessler Rehabilitation Center
Provider ID: 910477 Rehabilitation Kessler Rehabilitation Center 370 Grand Ave Ste 103
217 Hergesell Ave Provider ID: 465894 27 Kinderkamack Rd Englewood, NJ 07631
Maywood, NJ 07607 Kessler Rehabilitation Center Emerson, NJ 07630 (201) 541-3900
(201) 291-8811 1120 Promenade Blvd (201) 261-2718 Fax: (201) 541-3905
Fax: (201) 291-8833 Fair Lawn, NJ 07410 Fax: (201) 261-2978 16 Yrs/130 Yrs
00 Yrs/130 Yrs (201) 703-8820 16 Yrs/130 Yrs Languages: Spanish
Languages: Spanish, French, Fax: (201) 703-8906 Languages: Spanish MT 8:00 AM - 8:00 PM
Creole, Hindi 16 Yrs/130 Yrs MT 3:00 AM - 8:00 PM W 7:00 AM - 8:00 PM
M-F 9:00 AM - 4:00 PM Languages: Spanish W 7:00 AM - 1:00 PM
MT 7:00 AM - 8:00 PM Kessler Institute For
Careplus Rehab LLC W 2:00 AM - 8:00 PM Kessler Institute For Rehabilitation
Provider ID: 910477 TH 7:00 AM - 3:00 PM Rehabilitation Provider ID: 465894
340 Evelyn St Provider ID: 465894 Kessler Rehabilitation Center
Paramus, NJ 07652 Kessler Institute For Kessler Rehabilitation Center 400 Franklin Tpke
(201) 265-0606 Rehabilitation 275 Forest Ave Mahwah, NJ 07430
Fax: (201) 265-0630 Provider ID: 465894 Paramus, NJ 07645 (201) 825-2027
00 Yrs/130 Yrs Kessler Rehabilitation Center (201) 634-6900 Fax: (201) 825-2095
Languages: Spanish, French, 125 Washington Ave Fax: (201) 634-6905 16 Yrs/130 Yrs
Creole, Hindi Dumont, NJ 07628 16 Yrs/130 Yrs Languages: Spanish
M-F 9:00 AM - 6:00 PM (201) 385-6272 Languages: Spanish M 8:00 AM - 8:00 PM
Fax: (201) 385-7410 MT 7:00 AM - 8:00 PM T 3:00 AM - 8:00 PM
Kessler Institute For 16 Yrs/130 Yrs W 9:00 AM - 8:00 PM W 8:00 AM - 3:00 PM
Rehabilitation Languages: Spanish TH 7:00 AM - 3:00 PM TH 7:00 AM - 3:00 PM
Provider ID: 465894 MT 7:00 AM - 8:00 PM
Kessler Institute For W 12:00 AM - 8:00 PM Kessler Institute For Kessler Institute For
Rehabilitatio TH 7:00 AM - 3:00 PM Rehabilitation Rehabilitation
194 The Plz Provider ID: 465894 Provider ID: 465894
Teaneck, NJ 07666 Kessler Institute For Kessler Rehabilitation Center Kessler Rehabilitation Center
(201) 837-0337 Rehabilitation 288 Blvd Ste 2A 440 Old Hook Rd
Fax: (201) 530-7474 Provider ID: 465894 Hasbrouck Heights, NJ 07604 Emerson, NJ 07630
16 Yrs/130 Yrs Kessler Rehabilitation Center (201) 288-2950 (201) 265-0500
Languages: Spanish 142 John St Fl 3 Fax: (201) 727-8914 Fax: (201) 265-3036
MTTH 9:30 AM - 7:30 PM Hackensack, NJ 07601 16 Yrs/130 Yrs 16 Yrs/130 Yrs
WF 9:30 AM - 1:30 PM (201) 342-1404 Languages: Spanish Languages: Spanish
16 Yrs/130 Yrs MT 7:00 AM - 8:00 PM MT 8:00 AM - 8:00 PM
Languages: Spanish W 3:00 AM - 8:00 PM W 10:00 AM - 8:00 PM
M-W 8:00 AM - 8:00 PM TH 7:00 AM - 3:00 PM TH 7:00 AM - 4:00 PM
TH 8:00 AM - 12:00 PM

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Updated: 11/26/2018

Ancillary Providers
Bergen
Rehabilitation Facility - Skilled Nursing Facility Care One At Pine Rest Christian Health Care Center
cont.
Armenian Nursing and Provider ID: 232461 Provider ID: 1039312
Kessler Institute For Rehabilitation Cent Care One At Ridgewood 301 Sicomac Ave
Rehabilitation Avenue Wyckoff, NJ 07481
Provider ID: 465894 Provider ID: 958603 90 W Ridgewood Ave (201) 848-5200
Kessler Rehabilitation Center Armenian Nursing and Paramus, NJ 07652 Fax: (201) 848-9758
49 W Allendale Ave Rehabilitation (201) 652-1950 00 Yrs/130 Yrs
Allendale, NJ 07401 70 Main St Fax: (201) 652-2880
(201) 856-0623 Emerson, NJ 07630 00 Yrs/130 Yrs Christian Health Care Center
Fax: (201) 825-0626 (201) 261-6662 Languages: Spanish, French,
16 Yrs/130 Yrs Fax: (201) 261-5509 Polish Provider ID: 1463588
Languages: Spanish 00 Yrs/130 Yrs 301 Sicomac Ave
MT 7:00 AM - 8:00 PM Languages: Spanish, French, Care One At Teaneck Wyckoff, NJ 07481
W 2:00 AM - 8:00 PM Russian, Arabic (201) 848-5200
TH 7:00 AM - 3:00 PM Provider ID: 499865 Fax: (201) 848-9758
Atrium Post Acute Care of 544 Teaneck Rd 00 Yrs/130 Yrs
Kessler Institute For Park Ridge Fort Lee, NJ 07024
Rehabilitation Provider ID: 960555 (201) 862-3300 County Manor Rehab &
Provider ID: 465894 Atrium At Park Ridge LLC DBA Fax: (201) 287-8600 Health Care Center LLC
Kessler Rehabilitation Center Plaza 00 Yrs/130 Yrs
500 N Franklin Tpke 120 Noyes Dr Provider ID: 1006247
Ramsey, NJ 07446 Park Ridge, NJ 07656 Care One At Valley County Manor Rehabilitation
(201) 760-2180 (201) 505-1777 and Hea
Fax: (201) 760-2185 Fax: (201) 505-0483 Provider ID: 506894 133 County Rd
16 Yrs/130 Yrs 18 Yrs/130 Yrs 300 Old Hook Rd Tenafly, NJ 07670
Languages: Spanish MTWTHFSat 8:00 AM - 5:00 Westwood, NJ 07675 (201) 567-7800
MT 7:00 AM - 8:00 PM PM (201) 664-8888 Fax: (201) 567-9144
W 2:00 AM - 8:00 PM Bergen Regional Medical Fax: (201) 802-7526 50 Yrs/110 Yrs
TH 7:00 AM - 3:00 PM Center 00 Yrs/130 Yrs
Languages: Spanish Dellridge Health and Rehab
Kessler Institute For Provider ID: 1355385 Center
Rehabilitation 230 E Ridgewood Ave Care One At Wellington Provider ID: 488528
Provider ID: 465894 Paramus, NJ 07652 532 N Farview Ave
Kessler Rehabilitation Center (201) 967-4000
Provider ID: 956109 Paramus, NJ 07652
629 Ridge Rd Fax: (201) 225-7101
301 Union St (201) 265-5600
Lyndhurst, NJ 07071 00 Yrs/130 Yrs
Hackensack, NJ 07601 Fax: (201) 261-3164
(201) 372-3240 Bergen Regional Medical (201) 487-4900 00 Yrs/130 Yrs
Fax: (201) 939-6404 Center Fax: (201) 487-8028
16 Yrs/130 Yrs Emerson Convalescent Center
Provider ID: 191559 00 Yrs/130 Yrs
Languages: Spanish Inc
Bergen Regional Medical
MW 7:00 AM - 8:00 PM Careone At Crestskill Provider ID: 960712
Center
T 10:00 AM - 8:00 PM Emerson Convalescent Center
230 E Ridgewood Ave
TH 3:00 AM - 8:00 PM DBA Hea
Paramus, NJ 07652 Provider ID: 488100
F 7:00 AM - 3:00 PM 100 Kinderkamack Rd
(201) 967-4000 Care One At Cresskill
Emerson, NJ 07630
00 Yrs/130 Yrs 221 County Rd
Vdb Enterprises LLC DBA (201) 265-3700
Bergen Regional Medical Cresskill, NJ 07626
Rehabilitation S Fax: (201) 265-0157
Center (201) 567-9310
Provider ID: 981166 University Hospital 18 Yrs/130 Yrs
Fax: (201) 541-9224
Rehabilitation Specialists Languages: Spanish, Korean M-F 8:00 AM - 50:00 PM
00 Yrs/130 Yrs
18-01 Pollitt Dr Ste 1A
Fair Lawn, NJ 07410
(201) 478-4200
Fax: (201) 478-4201
18 Yrs/130 Yrs
Languages: Spanish
M-F 8:30 AM - 4:00 PM

www.wellcare.com/New-Jersey | 318
Updated: 11/26/2018

Ancillary Providers
Bergen
Skilled Nursing Facility - Prospect Heights Care Center Woodcliff Lake Health & Excel Urgent Care of Paramus
cont. Rehab Center LLC
Provider ID: 325562 Provider ID: 487408 Provider ID: 1138897
Inglemoor Center Prspective Heights Care 555 Chestnut Ridge Rd Excel Urgent Care of Paramus,
Provider ID: 940390 Center Woodcliff Lake, NJ 07677 LLC
333 Grand Ave 336 Prospect Ave (201) 391-0900 110 E Ridgewood Ave
Englewood, NJ 07631 Hackensack, NJ 07601 Fax: (201) 391-1186 Paramus, NJ 07652
(201) 568-0900 (201) 678-1800 00 Yrs/130 Yrs (845) 565-3700
Fax: (201) 568-9666 Fax: (201) 678-1801 Fax: (845) 565-3696
00 Yrs/130 Yrs Woodcrest Health Care 00 Yrs/130 Yrs
21 Yrs/130 Yrs
Languages: Spanish, Filipino, Center M-F 8:00 AM - 8:00 PM
Jewish Home At Rockleigh Tagalog Provider ID: 956322 Sat-Sun 9:00 AM - 4:00 PM
800 River Rd
Regent Care Center New Milford, NJ 07646 Medexpress Urgent Care New
Provider ID: 499943
Provider ID: 955803 (201) 967-1700 Jersey Inc
10 Link Dr
50 Polifly Rd 00 Yrs/130 Yrs Provider ID: 920034
Rockleigh, NJ 07647
Hackensack, NJ 07601 Medexpress Urgent Care Lodi
(201) 784-1414 Speech Therapy
(201) 646-1166 184 Essex St Space F1
Fax: (201) 784-0006
Fax: (201) 487-3825 Lodi, NJ 07644
18 Yrs/130 Yrs Bergen County Adult Day
00 Yrs/130 Yrs (201) 843-3207
Languages: Spanish, French, Care LLC DBA New Fax: (201) 843-3215
Maple Glen Center
German, Hindi Provider ID: 975058 02 Yrs/130 Yrs
Provider ID: 937666
New Life Adult Day Care MTWTHFSatSun 8:00 AM -
12-15 Saddle River Rd
Ridgewood Center 340 Evelyn St 8:00 PM
Fair Lawn, NJ 07410
Provider ID: 940386 Paramus, NJ 07652
(201) 797-9522 PM Pediatrics of Livingston
330 Franklin Tpke (201) 265-0606
Fax: (201) 703-0613
Ridgewood, NJ 07450 Fax: (201) 265-0630
21 Yrs/130 Yrs
(201) 447-1900 00 Yrs/130 Yrs Provider ID: 1239430
Mr of Teaneck LLC Fax: (201) 447-8957 Languages: Spanish, Russian, 160 Rte 17
21 Yrs/130 Yrs Korean Paramus, NJ 07652
Provider ID: 960807
M-F 9:00 AM - 5:00 PM (201) 262-5437
Teaneck Nursing Center
The Actors Fund Home 00 Yrs/21 Yrs
1104 Teaneck Rd Urgent Care Center
Teaneck, NJ 07666 M-F 9:00 AM - 5:00 PM
(201) 833-2400 Provider ID: 987347
155 175 W Hudson Ave Concentra Urgent Care Rmd Urgent Care
Fax: (201) 833-4867
Englewood, NJ 07631 Provider ID: 1177473
00 Yrs/130 Yrs
(201) 871-8882 Provider ID: 1230498 1428 Teaneck Rd
Oakland Operator LLC Fax: (201) 871-9511 American Current Care of Teaneck, NJ 07666
60 Yrs/130 Yrs New Jersey (201) 591-1350
150 North St 00 Yrs/130 Yrs
Provider ID: 1175455 The Buckingham At Norwood Teterboro, NJ 07608 M-F 8:00 AM - 8:00 PM
20 Breakneck Rd Care Rehabil (866) 944-6046 Sat-Sun 9:00 AM - 6:00 PM
Oakland, NJ 07436
Provider ID: 914268 Fax: (209) 393-9008
(201) 337-3300
The Buckingham At Norwood 00 Yrs/130 Yrs
00 Yrs/130 Yrs Care Reh M-F 8:00 AM - 5:00 PM
Oradell Health Care Center 100 McClellen St
Norwood, NJ 07648 Doctors Office of New Jersey
(201) 768-6222 LLC
Provider ID: 948381 Provider ID: 1150571
Fax: (201) 768-4045
600 Kinderkamack Rd 85 Godwin Ave
00 Yrs/130 Yrs
Oradell, NJ 07649 Midland Park, NJ 07432
(201) 967-0002 (845) 565-3700
Fax: (201) 967-8774 Fax: (845) 565-3395
00 Yrs/130 Yrs 02 Yrs/130 Yrs
Languages: Spanish, French M-F 8:00 AM - 8:00 PM
Sat-Sun 9:00 AM - 4:00 PM

www.wellcare.com/New-Jersey | 319
Updated: 11/26/2018

Ancillary Providers
Hudson
Ambulatory Surgery Clinic Advanced Womens Imaging Hudson River Radiology
Center LLC Center LLC
Christ Hospital Provider ID: 1094903 Provider ID: 371152
Ambulatory Center For Provider ID: 203555 560 60th St Hudson River Radiology
Endocopy LLC Christ Hospital Neighborhood West New York, NJ 07093 120 48th St
Provider ID: 974411 Health (201) 472-8291 Union City, NJ 07087
7600 River Rd Fl 4 1901 W. St Fax: (201) 624-7148 (201) 330-1606
North Bergen, NJ 07047 Union City, NJ 07087 00 Yrs/130 Yrs Fax: (201) 330-7622
(201) 705-1080 (973) 646-5500 MWF 8:00 AM - 6:00 PM 00 Yrs/130 Yrs
Fax: (201) 705-1090 Fax: (201) 821-8680 TTH 8:00 AM - 8:00 PM Languages: Spanish
18 Yrs/130 Yrs 00 Yrs/130 Yrs Sat 8:00 AM - 3:00 PM M-F 8:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM Christ Hospital Sat 8:00 AM - 12:00 PM
M-F 8:00 AM - 4:00 PM Bergenline X Ray Diagnostic
Liberty Amulatory Surgery Center Hudson River Radiology
Center LLC Diagnostic Imaging Provider ID: 443505 Center LLC
Provider ID: 648291 Bergenline X-Ray Diagnostic Provider ID: 371152
Liberty Ambulatory Surgical Advanced Magnetic Imaging Center Hudson River Radiology
Center PA 402 43rd St 547 Summit Ave
377 Jersey Ave Ste 510 Provider ID: 420723 Union City, NJ 07087 Jersey City, NJ 07306
Jersey City, NJ 07302 6416 Bergenline Ave (201) 348-6060 (201) 656-5050
(201) 878-3211 West New York, NJ 07093 Fax: (201) 348-2064 Fax: (800) 706-0381
Fax: (201) 878-3201 (201) 295-1099 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs Fax: (201) 295-1035 Languages: Spanish, French, Languages: Spanish
Languages: Spanish, Hebrew, 00 Yrs/130 Yrs Italian, Tagalog M-F 8:00 AM - 7:00 PM
Portuguese, Tagalog Languages: Urdu, Tamil M-F 7:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 8:00 PM Sat 7:00 AM - 4:00 PM
Sat 8:00 AM - 5:00 PM Jersey Advanced MRI and
Surgicare Surgical Associates Hoboken Radiology LLC Diagnostic Center
of Jersey Advanced Open MRI Ofwest Provider ID: 1003471
Provider ID: 1468618 Hudson PA Provider ID: 627381 Jersey Advanced MRI
Surgicare Surgical Associates Provider ID: 944392 79 Hudson St Ste 100 2127 Kennedy Blvd
of Je 723 Elm St Hoboken, NJ 07030 North Bergen, NJ 07047
631 Grand St Kearny, NJ 07032 (201) 222-2500 (201) 552-9464
Jersey City, NJ 07304 (201) 997-7300 Fax: (201) 469-0555 Fax: (201) 552-9467
(201) 830-2280 Fax: (201) 997-2709 00 Yrs/130 Yrs 05 Yrs/130 Yrs
Fax: (201) 830-2285 00 Yrs/130 Yrs Languages: Spanish MTWTHFSat 9:00 AM - 6:00
00 Yrs/130 Yrs Languages: Spanish, Urdu, M-F 7:00 AM - 7:30 PM PM
M-F 9:00 AM - 5:00 PM Tamil Sat 9:00 AM - 2:00 PM
M-F 8:00 AM - 8:00 PM Jersey City Diagnostic Center
Behavioral Health Facility Sat-Sun 9:00 AM - 5:00 PM Hudson MRI PA Inc
Provider ID: 497354 Provider ID: 696100
Turning Point Inc Advanced Radiology 170 Erie St 2300 John F Kennedy Blvd
Provider ID: 944854 Solutions Jersey City, NJ 07302 Jersey City, NJ 07304
595 County Ave Provider ID: 1072152 (201) 659-1177 (201) 432-2100
Secaucus, NJ 07094 55 Meadowlands Pkwy Fax: (201) 659-2262 Fax: (201) 432-1900
(973) 239-9400 Secaucus, NJ 07094 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (973) 857-4407 (201) 392-3100 MTWTHFSun 8:00 AM - 9:00 Languages: Spanish, Arabic
00 Yrs/130 Yrs 00 Yrs/130 Yrs PM M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM

www.wellcare.com/New-Jersey | 320
Updated: 11/26/2018

Ancillary Providers
Hudson
Diagnostic Imaging - cont. Dialysis Delta Orthopedic Labinc Integra Partners LLC
Provider ID: 945601 Provider ID: 389627
Montclair Radiological Bayonne Renal Centerllc 1010 Summit Ave Jerry's Drug and Surgical
Associates PA Jersey City, NJ 07307 455 Brdway
Provider ID: 1470101 Provider ID: 946825 (201) 222-7777 Bayonne, NJ 07002
Montclair Radiological Assoc Bayonnerenal Center LLC Fax: (201) 222-7740 (888) 700-5004
PA 434-436 Broadway 00 Yrs/130 Yrs Fax: (888) 700-7313
550 Summit Ave Bayonne, NJ 07002 Languages: Spanish 00 Yrs/130 Yrs
Jersey City, NJ 07306 (201) 436-1664 M-F 9:00 AM - 5:00 PM Languages: Spanish, Hebrew
(973) 661-4674 Fax: (201) 436-5133 MTWTHFSat 9:00 AM - 9:00
Fax: (973) 284-6310 18 Yrs/130 Yrs H Singers Pharmacy PM
02 Yrs/130 Yrs M-W 5:30 AM - 6:30 PM Provider ID: 926613 Sun 10:00 AM - 2:00 PM
M 8:30 AM - 7:00 PM 5532 Bergenline Ave
TWTHF 8:30 AM - 5:00 PM Dialysis At Palisades Medical West New York, NJ 07093 Integra Partners LLC
Sat 8:30 AM - 12:30 PM Center (201) 864-1168 Provider ID: 389627
Provider ID: 1281921 Fax: (201) 864-5577 Pro Med Quip
Njin of Union City Dialysis At Palisades Medical 00 Yrs/130 Yrs 3509 Park Ave
Provider ID: 818674 Center Languages: Spanish Union City, NJ 07087
3196 Kennedy Blvd Ste A 7650 River Rd Ste 150 M-F 9:00 AM - 5:00 PM (888) 700-5004
Union City, NJ 07087 North Bergen, NJ 07047 Fax: (888) 700-7313
(201) 537-8920 (201) 861-1031 Healing Hands Homecare Inc 00 Yrs/130 Yrs
Fax: (201) 856-6102 Fax: (201) 758-2794 Languages: Spanish, Hebrew
00 Yrs/130 Yrs M-W 6:00 AM - 4:00 PM Provider ID: 813184 M-F 9:30 AM - 5:30 PM
M-F 9:00 AM - 5:00 PM 725 Newark Ave
Distinct Part Unit Psych Jersey City, NJ 07306 Jerrys Drug and Surgical
North Jersey Imaging Center Supply
(201) 792-1234
60th Newark Beth Israel Med Provider ID: 504100
Fax: (201) 792-1236
Provider ID: 431562 Center 00 Yrs/130 Yrs Jerrys Drug and Surgical
North Jersey Imaging Center Provider ID: 316248 Languages: Spanish, Arabic 455 Broadway
307 60th St Newark Beth Israel Physican M-F 9:00 AM - 5:00 PM Bayonne, NJ 07002
West New York, NJ 07093 Special (201) 339-1992
(201) 854-1200 Sub Specialty: PSYCHIATRIC Herberts Drug and Surgical Fax: (201) 858-1714
Fax: (201) 854-3333 IP UNIT Sales Co 00 Yrs/130 Yrs
00 Yrs/130 Yrs 16 E 29 St Provider ID: 944134 Languages: Spanish
Languages: Spanish, Italian, Bayonne, NJ 07002 753 Bergen Ave MTTHFSat 9:00 AM - 9:00 PM
Tagalog (973) 926-7000 Jersey City, NJ 07306 W 9:00 AM - 6:00 PM
M-F 8:30 AM - 5:30 PM 00 Yrs/130 Yrs (201) 333-4110 Sun 10:00 AM - 9:00 PM
Sat 8:00 AM - 12:00 PM MTWTHFSatSun 9:00 AM - Fax: (201) 200-0525
9:00 PM 00 Yrs/130 Yrs MD Respiratory Service Inc
Sonoview Consulting Inc
Durable Medical M-F 9:00 AM - 5:00 PM
Provider ID: 464627
Provider ID: 1063216 Equipment Integra Partners LLC 6 W 21st St
5600 Kennedy Blvd Provider ID: 389627 Bayonne, NJ 07002
West New York, NJ 07093 Comfort Care Medical LLC Healing Hands Homecare Inc (201) 823-3100
(201) 624-1800 725 Newark Ave Fax: (201) 823-8470
Fax: (201) 624-1465 Provider ID: 452025 Jersey City, NJ 07306 00 Yrs/130 Yrs
18 Yrs/130 Yrs Comfort Care Medical, LLC (888) 700-5004 M-F 9:00 AM - 5:00 PM
MTWTHFSat 9:00 AM - 3:00 1699 John F Kennedy Blvd Fax: (888) 700-7313 Sat 9:00 AM - 2:00 PM
PM Jersey City, NJ 07305 00 Yrs/130 Yrs
(201) 536-8900 Languages: Spanish, Hebrew
Fax: (201) 536-8999 M-F 9:30 AM - 6:00 PM
00 Yrs/130 Yrs Sat 9:30 AM - 3:00 PM
Languages: Spanish, Russian
M-F 10:00 AM - 4:00 PM

www.wellcare.com/New-Jersey | 321
Updated: 11/26/2018

Ancillary Providers
Hudson
Durable Medical Horizon Health Center North Hudson Community Hearing Aid Supplier
Equipment - cont. Action Corp
Provider ID: 798489 Provider ID: 798803 Diefenbacher, Joseph Had
Pomac Delta Orthopedic Lab 714 Bergen Ave North Hudson Community Provider ID: TPV08237-10
Jersey City, NJ 07306 Action Corpo Gender: Male
Provider ID: 505713 (201) 451-6300 2500 Kennedy Blvd HearUSA
1010 Summit Ave Fax: (201) 451-0619 Union City, NJ 07087 7401 Bergenline Ave. Ste 3
Jersey City, NJ 07307 00 Yrs/130 Yrs (201) 553-7888 N Bergen, NJ 07047
(201) 222-7777 Languages: Spanish, Urdu, Fax: (201) 553-7885 (201) 854-1800
Fax: (201) 222-7740 Arabic, Faroese 00 Yrs/130 Yrs Fax: (204) 861-0269
00 Yrs/130 Yrs MT 8:00 AM - 8:00 PM Languages: Spanish 21 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM WTHF 8:00 AM - 5:00 PM MTWFSat 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
TH 8:30 AM - 7:00 PM
Pro Medquip LLC Metropolitan Health Family Otero, Crystal Had
Network North Hudson Community Provider ID: TPV17426-03
Provider ID: 798800
Provider ID: 798619 Action Corp Gender: Female
3509 Park Ave
5300 Bergenline Provider ID: 798803 HearUSA
Union City, NJ 07087
West New York, NJ 07093 North Hudson Community 7401 Bergenline Ave. Ste 3
(201) 766-4293
(201) 478-5800 Action Corpo N Bergen, NJ 07047
Fax: (201) 766-4295
00 Yrs/130 Yrs 324 Palisade Ave (201) 854-1800
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Jersey City, NJ 07307 Fax: (204) 861-0269
Languages: Spanish, Russian (201) 459-8888 21 Yrs/99 Yrs
M-F 9:30 AM - 5:30 PM Metropolitan Health Family Fax: (201) 239-0318 M-F 9:00 AM - 5:00 PM
St Clara Medical Supplies Network 00 Yrs/130 Yrs
Corp Provider ID: 798619 Languages: Spanish Home Health Care
Provider ID: 719503 857 Bergen Ave MTWFSat 8:30 AM - 5:00 PM
125 48th St Jersey City, NJ 07304 TH 8:30 AM - 7:00 PM Always Caring Health Care
Union City, NJ 07087 (201) 478-5859 Services LLC
00 Yrs/130 Yrs North Hudson Community
(201) 863-2424 Provider ID: 921581
M-F 9:00 AM - 5:00 PM Action Corp
Fax: (201) 863-8585 Always Caring Health Care
Provider ID: 798803 Services
00 Yrs/130 Yrs Metropolitan Health Family North Hudson Community 5810 Bergenline Ave
M-F 10:00 AM - 7:00 PM Action Corpo
Network West New York, NJ 07093
Sat 10:00 AM - 6:00 PM 5301 Broadway
Provider ID: 798619 (201) 662-0042
Federally Qualified Metropolitan Family Health West New York, NJ 07093 Fax: (201) 662-0043
935 Garfield Ave (201) 866-9320 00 Yrs/130 Yrs
Health Center Fax: (201) 866-7588
Jersey City, NJ 07304 Languages: Spanish
(201) 478-5800 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Horizon Health Center
00 Yrs/130 Yrs Languages: Spanish
MTTH 8:30 AM - 7:00 PM M-TH 8:30 AM - 7:00 PM Armas Home Care LLC
Provider ID: 798489 FSat 8:30 AM - 5:00 PM
WF 8:30 AM - 5:00 PM Provider ID: 1035713
115 Christopher Columbus Dr Sat 8:30 AM - 1:30 PM Armas Home Care
Jersey City, NJ 07302 North Hudson Community
400 60th St 2nd Fl
(201) 451-6300 North Hudson Community Action Corp
West New York, NJ 07093
Fax: (201) 451-8300 Action Corp Provider ID: 798803 (201) 868-6520
00 Yrs/130 Yrs Provider ID: 798803 North Hudson Community Fax: (201) 861-6475
Languages: Spanish, Urdu, 1116 43rd St Action Corpo
Arabic, Faroese 00 Yrs/130 Yrs
North Bergen, NJ 07047 714 31st St
M-F 9:00 AM - 5:00 PM Languages: Spanish
(201) 866-9320 Union City, NJ 07087
M-F 9:00 AM - 5:00 PM
Fax: (201) 330-7784 (201) 863-7077
00 Yrs/130 Yrs Fax: (201) 863-1470
Languages: Spanish 00 Yrs/130 Yrs
MTTHF 8:30 AM - 5:00 PM Languages: Spanish
W 8:30 AM - 7:00 PM MTWFSat 8:30 AM - 5:00 PM
TH 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 322
Updated: 11/26/2018

Ancillary Providers
Hudson
Home Health Care - cont. Confident Care Corp Rosario E Magno Int'L Staffing Martinez, Javier OP
Provider ID: 928798 Inc Provider ID:
Bayada Home Healthcare Inc 3196 Kennedy Blvd Ste 3 Provider ID: 1208790 TPV040929005776
Union City, NJ 07087 Rosario E Magno Intl Staffing Gender: Male
Provider ID: 945568 (201) 271-1022 Inc Sterling Opticalmr Martinez
150 Warren St Fax: (201) 271-1205 591 Summit Ave Ste 406 OP
Jersey City, NJ 07302 00 Yrs/130 Yrs Jersey City, NJ 07306 6000 Bergenline Ave
(800) 305-3000 Languages: Spanish, Russian, (201) 963-1010 West New York, NJ 07093
Fax: (800) 705-1429 Hindi, Korean Fax: (201) 963-5591 (201) 854-7007
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs Fax: (201) 854-9088
M-F 9:00 AM - 5:00 PM Languages: Filipino 00 Yrs/99 Yrs
Confident Care Corp MTWTHFSatSun 9:00 AM - Languages: Spanish
Bayada Home Healthcare Inc Provider ID: 928798 9:00 PM
591 Summit Ave Ground Fl Romero, Roger OP
Unit 5 Secura Home Health LLC Provider ID: TPV033135008285
Provider ID: 945568
299 Grand St Unit 116&118 Jersey City, NJ 07306 Gender: Male
Jersey City, NJ 07302 (201) 427-9818 Provider ID: 1069047 Ez MD Optical
(800) 305-3000 Fax: (201) 427-9822 6406 Bergenline Ave 3196 Kennedy Blvd
Fax: (800) 705-1429 00 Yrs/130 Yrs West New York, NJ 07093 Union City, NJ 07087
00 Yrs/130 Yrs Languages: Spanish, Russian, (201) 854-5508 (201) 628-1465
Hindi, Korean Fax: (201) 854-5528 Fax: (201) 863-8431
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/99 Yrs
Bayada Home Healthcare Inc Languages: Spanish, Russian, Languages: Spanish
Home Care For You Inc Hebrew, Armenian
M-F 9:00 AM - 5:00 PM Shah, Nilam OP
Provider ID: 945568 Provider ID:
Provider ID: 1016455
473 Broadway Bayonne Pl Optometry TPV029426003549
440 60th St Ste 102 - 104
Bayonne, NJ 07002 Gender: Female
West New York, NJ 07093
(973) 909-5150 Altahtamoni, Basel OP 2020 Vision LLC
(201) 758-8688
Fax: (973) 909-5155 1516 Summit Ave
Fax: (201) 758-8687 Provider ID: TPV008427013110
00 Yrs/130 Yrs Union City, NJ 07087
00 Yrs/130 Yrs Gender: Male
M-F 9:00 AM - 5:00 PM (201) 974-0401
Languages: Russian, Ukrainian, Eye Savers Optical
Twi 3513 John F Kennedy Blvd Fax: (201) 974-0401
Bayada Home Healthcare Inc
M-F 9:00 AM - 5:00 PM Jersey City, NJ 07307 00 Yrs/99 Yrs
(201) 420-8162 Languages: Hindi, Gujarati
Provider ID: 945568 Jersey Home Care Fc Fax: (201) 420-8163
Bayada Home Health Care Inc Provider ID: 1440189 00 Yrs/99 Yrs Orthotics & Prosthetics
3196 Kennedy Blvd 780 Newark Ave Ste 203 Languages: Spanish
Union City, NJ 07087 Jersey City, NJ 07306 Carlascio Inc
MWFSat 9:00 AM - 8:00 PM
(973) 909-5150 (201) 222-8908 Provider ID: 467741
TTH 9:00 AM - 6:00 PM
Fax: (973) 909-5155 Fax: (732) 640-5633 283 Grove St
00 Yrs/130 Yrs 00 Yrs/130 Yrs Duran, Jose OP Jersey City, NJ 07302
M-F 9:00 AM - 5:00 PM Languages: Hindi, Gujarati Provider ID: TPV028560005781 (201) 333-8716
M-F 9:00 AM - 5:00 PM Gender: Male Fax: (201) 200-9391
Bayada Home Healthcare Inc Optivision 00 Yrs/130 Yrs
Promise Care NJ LLC 6110 Bergenline Ave Languages: Spanish, Armenian
Provider ID: 945568 Provider ID: 945677 West New York, NJ 07093 M-F 8:30 AM - 5:00 PM
Bayada Home Health Care, Inc 2 Jefferson Ave (201) 861-1234
123 Liberty View Dr Jersey City, NJ 07306 Fax: (201) 868-3577 Delta Orthopedic Labinc
Jersey City, NJ 07302 (201) 418-6800 00 Yrs/99 Yrs Provider ID: 945601
(201) 339-1330 Fax: (201) 418-6892 Languages: Spanish, 1010 Summit Ave
Fax: (201) 339-1396 00 Yrs/130 Yrs Portuguese Jersey City, NJ 07307
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M 10:00 AM - 8:00 PM (201) 222-7777
M-F 9:00 AM - 5:00 PM TWTHFSat 10:00 AM - 6:00 Fax: (201) 222-7740
PM 00 Yrs/130 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 323
Updated: 11/26/2018

Ancillary Providers
Hudson
Orthotics & Prosthetics - Belgrave, Gerald DDS Kathawala, Samina DDS Orjiekwe, Ogonna DMD
cont. Provider ID: TPVNJSP41827-01 Provider ID: TPVNJSP41173-01
Gender: Male Provider ID: TPVNJSP125832-0 Gender: Male
Integra Partners LLC Horizon Health Center Gender: Female Diamond Dental Group
Provider ID: 389627 115 Christopher Columbus Dr Horizon Health Center 2778 John F Kennedy Blvd
Healing Hands Homecare Inc Jersey City, NJ 07302 714 Bergen Ave Jersey City, NJ 07306
725 Newark Ave (201) 710-2201 Jersey City, NJ 07306 (201) 659-7000
Jersey City, NJ 07306 Fax: (551) 226-6871 (201) 451-6300 Fax: (201) 659-7003
(888) 700-5004 00 Yrs/06 Yrs Fax: (551) 226-6871 00 Yrs/06 Yrs
Fax: (888) 700-7313 Languages: Arabic 00 Yrs/06 Yrs Languages: Spanish
00 Yrs/130 Yrs MTTH 9:00 AM - 7:00 PM Languages: Arabic M-W 9:00 AM - 5:00 PM
Languages: Spanish, Hebrew WF 9:00 AM - 5:00 PM MTTH 9:00 AM - 7:00 PM TH 9:00 AM - 7:00 PM
M-F 9:30 AM - 6:00 PM WF 9:00 AM - 5:00 PM F 9:00 AM - 3:00 PM
Sat 9:30 AM - 3:00 PM Belgrave, Gerald DDS Sat 9:00 AM - 2:00 PM
Provider ID: TPVNJSP41827-02 Lavandeira, Janet DMD
Integra Partners LLC Gender: Male Ouzer, Amanda DMD
Provider ID: 389627 Horizon Health Center Provider ID: TPVNJSP41652-04 Provider ID: TPVNJSP157655-0
Jerry's Drug and Surgical 714 Bergen Ave Gender: Female Gender: Female
455 Brdway Jersey City, NJ 07306 North Hudson Community Metropolitan Family Health
Bayonne, NJ 07002 (201) 451-6300 Action Corporation Network
(888) 700-5004 Fax: (551) 226-6871 5301 Broadway 935 Garfield Ave
Fax: (888) 700-7313 00 Yrs/06 Yrs West New York, NJ 07093 Jersey City, NJ 07304
00 Yrs/130 Yrs Languages: Arabic (201) 866-9320 (201) 478-5800
Languages: Spanish, Hebrew MTTH 9:00 AM - 7:00 PM Fax: (201) 866-7588 Fax: (201) 478-5814
MTWTHFSat 9:00 AM - 9:00 WF 9:00 AM - 5:00 PM 00 Yrs/06 Yrs 00 Yrs/06 Yrs
PM Languages: Spanish Languages: Arabic
Sun 10:00 AM - 2:00 PM Espinosa-Dovale, Maria DDS M-TH 8:30 AM - 7:00 PM MTH 9:00 AM - 7:00 PM
FSat 8:30 AM - 5:00 PM TWF 9:00 AM - 5:00 PM
Integra Partners LLC Provider ID: TPVNJSP103703-0 Sun 8:30 AM - 3:00 PM
Provider ID: 389627 Gender: Female Park, Min DDS
Pro Med Quip North Hudson Community Lee, Michael DDS Provider ID: TPVNJSP112263-0
3509 Park Ave Action Corporation Provider ID: TPVNJSP32351-01 Gender: Female
Union City, NJ 07087 5301 Broadway Gender: Male Horizon Health Center
(888) 700-5004 West New York, NJ 07093 Grace Dental Union City LLC 115 Christopher Columbus Dr
Fax: (888) 700-7313 (201) 866-9320 3133 Central Ave Ste 204 Jersey City, NJ 07302
00 Yrs/130 Yrs Fax: (201) 866-7588 Union City, NJ 07087 (201) 710-2201
Languages: Spanish, Hebrew 00 Yrs/06 Yrs (201) 330-3333 Fax: (551) 226-6871
M-F 9:30 AM - 5:30 PM Languages: Spanish Fax: (201) 617-8210 00 Yrs/06 Yrs
M-TH 8:30 AM - 7:00 PM 06 Yrs/06 Yrs Languages: Arabic
Pediatric Dentistry FSat 8:30 AM - 5:00 PM Languages: Korean MTTH 9:00 AM - 7:00 PM
Sun 8:30 AM - 3:00 PM M-W 9:00 AM - 6:00 PM WF 9:00 AM - 5:00 PM
Ahmed, Nasrine DDS
Provider ID: TPVNJSP39569-01 Kathawala, Samina DDS Obi, Nneka DDS Park, Min DDS
Gender: Female Provider ID: TPVNJSP125832-0 Provider ID: TPVNJSP169488-0 Provider ID: TPVNJSP112263-0
Metropolitan Family Health Gender: Female Gender: Female Gender: Female
Network Horizon Health Center Metropolitan Family Health Horizon Health Center
935 Garfield Ave 115 Christopher Columbus Dr Network 714 Bergen Ave
Jersey City, NJ 07304 Jersey City, NJ 07302 935 Garfield Ave Jersey City, NJ 07306
(201) 478-5800 (201) 710-2201 Jersey City, NJ 07304 (201) 451-6300
Fax: (201) 478-5814 Fax: (551) 226-6871 (201) 478-5800 Fax: (551) 226-6871
00 Yrs/06 Yrs 00 Yrs/06 Yrs Fax: (201) 478-5814 00 Yrs/06 Yrs
Languages: Arabic Languages: Arabic 00 Yrs/06 Yrs Languages: Arabic
MTH 9:00 AM - 7:00 PM MTTH 9:00 AM - 7:00 PM Languages: Arabic MTTH 9:00 AM - 7:00 PM
TWF 9:00 AM - 5:00 PM WF 9:00 AM - 5:00 PM MTH 9:00 AM - 7:00 PM WF 9:00 AM - 5:00 PM
TWF 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 324
Updated: 11/26/2018

Ancillary Providers
Hudson
Pediatric Dentistry - cont. Yapor, Eddy DDS Careplus Rehab LLC Kessler Institute For
Provider ID: TPVNJSP103705-0 Provider ID: 910477 Rehabilitation
Pena, Carmen DDS Gender: Male 3610 Palisade Ave Provider ID: 465894
Provider ID: TPVNJSP105018-0 North Hudson Community Union City, NJ 07087 Kessler Rehabilitation Center
Gender: Female Action Corporation (201) 864-0400 2854 John F Kennedy Blvd
Metropolitan Family Health 5301 Broadway Fax: (201) 864-6834 Jersey City, NJ 07306
Network West New York, NJ 07093 00 Yrs/130 Yrs (201) 792-2582
935 Garfield Ave (201) 866-9320 Languages: Spanish, French, Fax: (201) 656-5925
Jersey City, NJ 07304 Fax: (201) 866-7588 Creole, Hindi 16 Yrs/130 Yrs
(201) 478-5800 00 Yrs/06 Yrs M-F 9:00 AM - 5:00 PM Languages: Spanish
Fax: (201) 478-5814 Languages: Spanish MWTH 7:00 AM - 8:00 PM
00 Yrs/06 Yrs M-TH 8:30 AM - 7:00 PM Careplus Rehab LLC T 8:00 AM - 8:00 PM
Languages: Spanish FSat 8:30 AM - 5:00 PM Provider ID: 910477 F 7:00 AM - 3:00 PM
MTH 9:00 AM - 7:00 PM Sun 8:30 AM - 3:00 PM 49 Morton Pl Ste 51
TWF 9:00 AM - 5:00 PM Jersey City, NJ 07305 Kessler Institute For
Rehabilitation Facility (201) 209-0001 Rehabilitation
Razeghi, Nezhat DDS Fax: (201) 209-1333 Provider ID: 465894
Provider ID: TPVNJSP40013-01 Audslp Diagnostic and 00 Yrs/130 Yrs Kessler Rehabilitation Center
Gender: Female Rehabilitation Cli Languages: Spanish, French, 4100 Park Ave Ste 8B
Horizon Health Center Provider ID: 987701 Creole, Hindi Weehawken, NJ 07086
115 Christopher Columbus Dr Audslp Diagnostic and M-F 9:00 AM - 6:00 PM (201) 271-0800
Jersey City, NJ 07302 Rehabilitatio Fax: (201) 271-0808
(201) 710-2201 1825 JFK Blvd Ste 103 Kessler Institute For 16 Yrs/130 Yrs
Fax: (551) 226-6871 Jersey City, NJ 07305 Rehabilitation Languages: Spanish
00 Yrs/06 Yrs (551) 225-3238 Provider ID: 465894 MT 8:00 AM - 8:00 PM
Languages: Arabic Fax: (551) 225-3255 Kessler Rehabilitation Center W 9:00 AM - 8:00 PM
MTTH 9:00 AM - 7:00 PM 00 Yrs/130 Yrs 200 Washington St Fl 3 TH 8:00 AM - 1:00 PM
WF 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Hoboken, NJ 07030
(201) 876-5200 Kessler Institute For
Razeghi, Nezhat DDS Baldwin Physical Therapy Fax: (201) 876-5205 Rehabilitation
Provider ID: TPVNJSP40013-02 Provider ID: 492029 16 Yrs/130 Yrs Provider ID: 465894
Gender: Female 8 Baldwin Ave 1st Fl Languages: Spanish Kessler Rehabilitation Center
Horizon Health Center Jersey City, NJ 07304 MT 7:00 AM - 8:00 PM 620 Essex St
714 Bergen Ave (201) 451-9900 W 12:00 AM - 8:00 PM Harrison, NJ 07029
Jersey City, NJ 07306 Fax: (201) 451-3900 TH 7:00 AM - 4:00 PM (973) 483-6159
(201) 451-6300 18 Yrs/130 Yrs Fax: (973) 483-6409
M-W 3:00 AM - 7:00 PM Kessler Institute For 16 Yrs/130 Yrs
Fax: (551) 226-6871
TH 8:00 AM - 12:00 PM Rehabilitation Languages: Spanish
00 Yrs/06 Yrs
Languages: Arabic Provider ID: 465894 MT 7:00 AM - 8:00 PM
MTTH 9:00 AM - 7:00 PM Careplus Rehab LLC Kessler Rehabilitation Center W 10:00 AM - 8:00 PM
WF 9:00 AM - 5:00 PM Provider ID: 910477 21-29 W. The Forum Fitness TH 7:00 AM - 4:00 PM
300 Broadway Club
Williams, Hallie DDS Bayonne, NJ 07002 Bayonne, NJ 07002 Kessler Institute For
Provider ID: TPVNJSP36020-01 (201) 864-0400 (201) 339-4160 Rehabilitation
Gender: Female Fax: (201) 864-6834 Fax: (201) 338-4592 Provider ID: 465894
Metropolitan Family Health 00 Yrs/130 Yrs 16 Yrs/130 Yrs Kessler Rehabilitation Center
Network Languages: Spanish, French, Languages: Spanish 6400 River Rd
935 Garfield Ave Creole, Hindi M-W 7:00 AM - 8:00 PM North Bergen, NJ 07047
Jersey City, NJ 07304 M-F 9:00 AM - 5:00 PM (201) 868-8899
(201) 478-5800 Fax: (201) 868-8186
Fax: (201) 478-5814 16 Yrs/130 Yrs
00 Yrs/06 Yrs Languages: Spanish
Languages: Arabic MWTH 8:00 AM - 8:00 PM
MTH 9:00 AM - 7:00 PM T 8:00 AM - 12:00 PM
TWF 9:00 AM - 5:00 PM F 8:00 AM - 1:00 PM

www.wellcare.com/New-Jersey | 325
Updated: 11/26/2018

Ancillary Providers
Hudson
Rehabilitation Facility - Harborview Healthcare Palisade Operations LLC Concentra Urgent Care
cont. Center
Provider ID: 502163 Provider ID: 960798 Provider ID: 1230483
Kessler Institute For Harborview Health Care Palisade Nursing Center American Current Care of
Rehabilitation Center 6819 Blvd E New Jersey
Provider ID: 465894 178-198 Ogden Ave Guttenberg, NJ 07093 6701 Bergenline Ave
Kessler Rehabilitation Center Jersey City, NJ 07307 (201) 868-3600 West New York, NJ 07093
654 Broadway (718) 567-0400 Fax: (201) 868-3013 (866) 944-6046
Bayonne, NJ 07002 Fax: (718) 567-0600 00 Yrs/130 Yrs Fax: (201) 758-9511
(201) 339-1257 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 339-1524 Saint Anns Home For The Age MTWTHFSun 8:00 AM - 7:00
Hudson Hills Senior Living LLC PM
16 Yrs/130 Yrs
Languages: Spanish Provider ID: 983343 Sat 9:00 AM - 2:00 PM
MW 7:00 AM - 8:00 PM Provider ID: 1642150 198 Bergen Ave
TF 7:00 AM - 3:00 PM 3161 Kennedy Blvd Jersey City, NJ 07305 Concentra Urgent Care
TH 7:00 AM - 7:00 PM North Bergen, NJ 07047 (201) 433-0950
(201) 867-3585 Fax: (201) 433-6554 Provider ID: 1230495
Skilled Nursing Facility Fax: (201) 758-5014 00 Yrs/130 Yrs American Current Care of
55 Yrs/100 Yrs New Jersey
Alaris Health At Castle Hill The Harborage 30 Seaview Dr
Hudsonview Care & Rehab Secaucus, NJ 07094
Provider ID: 479424
Center (770) 672-0330
Provider ID: 452109 7600 River Rd
Castle Hill Provider ID: 432802 North Bergen, NJ 07047 Fax: (770) 683-6889
615 23rd St Castle Hill Health North Bergen Healthcare LLC (201) 854-5400 00 Yrs/130 Yrs
Care Center DBA Hud M-F 7:00 AM - 7:00 PM
00 Yrs/130 Yrs
Union City, NJ 07087 Sub Specialty: Respite Care Palisades Medical Center
(201) 348-0818 9020 Wall St Languages: Spanish
Fax: (201) 348-0783 North Bergen, NJ 07047
00 Yrs/130 Yrs (201) 861-4040 West Hudson Sub Acute Care
Fax: (201) 869-8842 Center LLC
Alaris Health At Hamilton 18 Yrs/110 Yrs Provider ID: 1044341
Park West Hudson Post Acute
Manhattanview Operations
Provider ID: 441072 206 Bergen Ave
LLC
Hamilton Park Care Center Kearny, NJ 07032
525 Monmouth St Ste Ste 535 Provider ID: 961092 (201) 955-7067
Jersey City, NJ 07302 Manhattanview Healthcare Fax: (201) 955-7749
Center
(201) 239-8504 18 Yrs/110 Yrs
3200 Hudson Ave
Fax: (201) 239-8586 Languages: Spanish
Union City, NJ 07087
00 Yrs/130 Yrs
(201) 325-8400 Urgent Care Center
Belgrove Post Acute Care Fax: (201) 325-8412
Center 00 Yrs/130 Yrs Concentra Urgent Care
Provider ID: 961086 Newport Nursing and Rehab
195 Belgrove Dr Provider ID: 1230471
Kearny, NJ 07032 American Current Care of
(973) 844-8400 Provider ID: 960528 New Jersey
Fax: (973) 844-4898 198 Stevens Ave 574 Summit Ave Fl 4
00 Yrs/130 Yrs Jersey City, NJ 07303 Jersey City, NJ 07306
(201) 451-9000 (866) 944-6046
Fax: (201) 451-6609 Fax: (201) 656-0664
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 8:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 326
Updated: 11/26/2018

Ancillary Providers
Passaic
Ambulatory Surgery Diagnostic Imaging Medical Park Imaging Personal Touch Radiology LLC
Center Provider ID: 797649
Clifton Imaging Center LLC 2713 Rte 23 Provider ID: 511864
Access Care Physicians of NJ Newfoundland, NJ 07435 Personal Touch Radiology, LLC
LLC Provider ID: 763951 (973) 696-5770 680 Broadway Ste 111
Provider ID: 1640162 1117 Rte 46 Fax: (973) 633-1204 Paterson, NJ 07514
1225 McBride Ave Ste 117 Clifton, NJ 07013 00 Yrs/130 Yrs (979) 977-6662
Woodland Park, NJ 07424 (732) 321-1100 Languages: Spanish, Korean Fax: (973) 341-1128
(973) 837-1018 Fax: (732) 321-1150 MTTH 7:30 AM - 9:00 PM 00 Yrs/130 Yrs
Fax: (973) 873-1329 00 Yrs/130 Yrs WF 7:30 AM - 6:00 PM MT 8:00 AM - 7:00 PM
18 Yrs/130 Yrs M-F 9:00 AM - 9:00 PM Sat 8:00 AM - 3:00 PM W 8:00 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM TH 4:00 AM - 8:00 PM
Medical Park Imaging F 8:00 AM - 3:00 PM
Surgicare Surgical Assoc of Clifton MRI LLC Fc Provider ID: 797649 Sat 8:00 AM - 2:00 PM
Wayne LLC Provider ID: 1722434 330 Ratzer Rd
Provider ID: 550168 Clifton MRI, LLC Wayne, NJ 07470 Dialysis
Surgicare Surgical Assoc of 750 Clifton Ave (973) 696-5770
Wayne L Clifton, NJ 07013 Fax: (973) 633-1204 East Paterson Dialysis
246 Hamburg Tpke (973) 852-3690 00 Yrs/130 Yrs Provider ID: 1071510
Wayne, NJ 07470 Fax: (973) 852-3696 Languages: Spanish, Korean Eufaula Dialysis LLC
(973) 790-0954 05 Yrs/130 Yrs MTTH 7:30 AM - 9:00 PM 680 Broadway Ste 103
Fax: (973) 790-0848 M-F 11:00 AM - 6:00 PM WF 7:30 AM - 6:00 PM Paterson, NJ 07514
00 Yrs/130 Yrs Sat 8:00 AM - 3:00 PM (973) 535-7807
MTWTHFSat 7:00 AM - 3:00 Garden State Open MRI Fax: (973) 279-1825
PM Njin of Clifton 00 Yrs/130 Yrs
Provider ID: 540865 Provider ID: 364348 M-W 8:00 AM - 11:00 PM
Behavioral Health Facility New Jersey Imaging Network
831 Main Ave
Passaic, NJ 07055 LLC Great Falls Dialysis LLC
Adult Family Health Services 1339 Broad St
(973) 614-9400 Provider ID: 1482407
LLC Clifton, NJ 07013
Fax: (973) 614-9441 Ara Great Falls Dialysis
Provider ID: 1488528 (973) 745-7440
00 Yrs/130 Yrs 498 E 30th St
53 Orchard St Fax: (973) 778-4846
Languages: Spanish Paterson, NJ 07504
Clifton, NJ 07013 00 Yrs/130 Yrs
M-F 9:00 AM - 6:00 PM (973) 569-0500
(973) 773-7600 M-F 7:00 AM - 8:00 PM Fax: (973) 569-0510
Fax: (973) 773-7011 Hudson River Radiology Sat 8:00 AM - 3:00 PM 00 Yrs/130 Yrs
18 Yrs/130 Yrs Center LLC MTWTHFSat 6:00 AM - 6:00
M-F 8:00 AM - 4:00 PM Provider ID: 371152 Northeast Imaging and PM
Hudson River Radiology Diagnostics LLC
Turning Point Inc Provider ID: 531658 Physicians Dialysis Passaic
516 Hamburg Tpke Ste 6
Provider ID: 944854 Northeast Imaging and
Wayne, NJ 07470
680 Broadway Diagnostic LL
(973) 820-0050 Provider ID: 1611976
Paterson, NJ 07514 472 Union Blvd
Fax: (800) 706-0381 10 Clifton Blvd
(973) 239-9400 Totowa, NJ 07512
00 Yrs/130 Yrs Clifton, NJ 07011
Fax: (973) 857-4407 (973) 942-2440
Languages: Spanish (973) 594-9100
00 Yrs/130 Yrs Fax: (973) 942-3367
M-F 8:00 AM - 7:00 PM Fax: (973) 594-9119
M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs
Sat 8:00 AM - 12:00 PM 30 Yrs/130 Yrs
Languages: Spanish MTWTHFSat 5:30 AM - 7:00
McBride Imaging Center LLC MWF 9:00 AM - 6:00 PM PM
TTH 9:00 AM - 7:00 PM
Provider ID: 818981 Sat 9:00 AM - 2:00 PM
1167 McBride Ave Ste 3
Woodland Park, NJ 07424
(973) 837-8100
Fax: (973) 638-1300
05 Yrs/130 Yrs
Languages: Spanish
M-F 8:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 327
Updated: 11/26/2018

Ancillary Providers
Passaic
Dialysis - cont. Bergen Passaic Respiratory Integra Partners LLC New Lucys Pharmacy Inc
Care Inc Provider ID: 389627
Renal Center of Passaic LLC Provider ID: 452396 Best Care Medical Supply Co Provider ID: 946789
933 Van Houten Ave Inc 286-288 Monroe St
Provider ID: 946841 Clifton, NJ 07013 61 Lakeview Ave Passaic, NJ 07055
10 Clifton Blvd Ste 1 (973) 773-7171 Clifton, NJ 07011 (973) 778-4495
Clifton, NJ 07011 Fax: (973) 773-7115 (888) 700-5004 Fax: (973) 778-2746
(973) 594-9100 00 Yrs/130 Yrs Fax: (888) 700-7313 00 Yrs/130 Yrs
Fax: (973) 954-9119 Languages: Spanish, Russian, 00 Yrs/130 Yrs M-F 10:00 AM - 8:00 PM
00 Yrs/130 Yrs Polish, Slovak Languages: Spanish, Hebrew Sat 10:00 AM - 6:00 PM
MTWTHFSat 5:00 AM - 6:30 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:30 PM Sun 11:00 AM - 5:00 PM
PM
Best Care Medical Supply Integra Partners LLC Park Ave Drugs LLC
Woodland Park Dialysis Provider ID: 389627 Provider ID: 993918
Center LLC Provider ID: 459311 Carmen's Pharmacy 107 Park Ave
Provider ID: 1482413 61 Lakeview Ave 418 River St Paterson, NJ 07501
American Renal Associates Clifton, NJ 07011 Paterson, NJ 07524 (973) 928-8888
LLC (973) 478-8300 (888) 700-5004 Fax: (973) 742-0806
1225 McBride Ave Fax: (973) 478-0804 Fax: (888) 700-7313 00 Yrs/130 Yrs
Little Falls, NJ 07424 00 Yrs/130 Yrs 00 Yrs/130 Yrs Languages: Spanish, Arabic
(973) 890-2394 M-F 8:30 AM - 5:30 PM Languages: Spanish, Hebrew M-F 9:00 AM - 7:00 PM
Fax: (973) 890-2649 Sat 9:00 AM - 3:00 PM M-F 9:00 AM - 7:30 PM Sat 10:00 AM - 5:00 PM
00 Yrs/130 Yrs Sat 9:00 AM - 4:00 PM Sun 10:00 AM - 2:00 PM
MTWTHFSat 6:00 AM - 6:00 Carmens Pharmacy and
PM Medical Supplies I Integra Partners LLC Passaic Community Pharmacy
Provider ID: 513714 Provider ID: 389627 Inc
Durable Medical Carmens Pharmacy and Pharmacy Plus & Surgical Provider ID: 946004
Equipment Medical Suppl Supplies Passaic Community Pharmacy
418 River St 900 Main St 339 Passaic St
4 Community Pharmacy LLC Paterson, NJ 07524 Paterson, NJ 07503 Passaic, NJ 07055
(973) 279-0200 (888) 700-5004 (973) 471-0160
Provider ID: 1007398 Fax: (973) 279-7200 Fax: (888) 700-7313 Fax: (973) 471-0110
900 Main St 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Paterson, NJ 07503 Languages: Spanish, Italian Languages: Spanish, Hebrew Languages: Spanish
(862) 257-9990 M-F 9:00 AM - 7:30 PM M-F 9:00 AM - 9:00 PM M-F 10:00 AM - 8:00 PM
Fax: (862) 257-9991 Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sat 10:00 AM - 6:00 PM
00 Yrs/130 Yrs Sun 10:00 AM - 5:00 PM
Languages: Spanish, Hindi, Integra Partners LLC Plains Pharmacy
Arabic Provider ID: 389627 J & J Medical Supply LLC Provider ID: 944648
M-F 9:00 AM - 9:00 PM Advance Medical Supply 578 Valley Rd
Sat 9:00 AM - 5:00 PM 12 Legion Place Provider ID: 460160 Wayne, NJ 07470
Sun 10:00 AM - 6:00 PM Wayne, NJ 07470 J J Medical Supply LLC (973) 694-5522
(888) 700-5004 669 Broadway Gr Fl Fax: (973) 694-1751
Beneficial Medicalsupply Fax: (888) 700-7313 Paterson, NJ 07514 00 Yrs/130 Yrs
00 Yrs/130 Yrs (973) 553-2405 Languages: Portuguese
Provider ID: 945828 Languages: Spanish, Hebrew Fax: (973) 653-9027 M-F 9:00 AM - 5:00 PM
Beneficial Medical Supply M-TH 11:00 AM - 6:00 PM 00 Yrs/130 Yrs
361 Passaic St F 10:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Passaic, NJ 07055
(973) 773-4566
Fax: (973) 473-8568
00 Yrs/130 Yrs
Languages: Spanish, Russian
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 328
Updated: 11/26/2018

Ancillary Providers
Passaic
Durable Medical Federally Qualified Home Health Care Casa Home Care Inc
Equipment - cont. Health Center Provider ID: 943494
Always There Inc 100 Scales Plz
Rivas Medical Supplies LLC North Hudson Community Provider ID: 930801 Clifton, NJ 07013
Passaic Action Corp Always There Home Health (201) 474-8063
Provider ID: 557330 Provider ID: 798803 Care Fax: (201) 905-8050
Rivas Medical Supplies North Hudson Community 1443 Union Valley Rd 18 Yrs/130 Yrs
176 Jefferson St Ste 178 Action Corpo West Milford, NJ 07480 Languages: Spanish, Russian,
Passaic, NJ 07055 220 Passaic St (973) 506-7500 Polish
(973) 249-8989 Passaic, NJ 07055 Fax: (973) 506-7323 M-F 9:00 AM - 5:00 PM
Fax: (973) 249-0899 (201) 210-0200 00 Yrs/130 Yrs
00 Yrs/130 Yrs Fax: (973) 955-4264 Languages: Spanish Casa Home Care Inc
Languages: Spanish 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 943494
M-F 10:00 AM - 7:00 PM Languages: Spanish 930 Clifton Ave Ste 100
Sat 10:00 AM - 2:00 PM MTTHF 8:30 AM - 5:00 PM Always There Inc Clifton, NJ 07013
W 8:30 AM - 7:00 PM Provider ID: 930801 (201) 474-8063
Rivas Medical Supplies LLC Always There Home Health Fax: (201) 905-8050
Passaic Hearing Aid Supplier Care 18 Yrs/130 Yrs
Provider ID: 557330 383 Lafayette Ave Languages: Spanish, Russian,
Rivas Medical Supplies Brown, Jenny Had Hawthorne, NJ 07506 Polish
599A Main Ave Provider ID: TPV16525-01 (973) 427-7459 M-F 9:00 AM - 5:00 PM
Passaic, NJ 07055 Gender: Female Fax: (973) 427-6837
(973) 249-8989 Total Hearing Care 00 Yrs/130 Yrs Confident Care Corp
Fax: (973) 249-0899 601 Hamburg Tpke Languages: Spanish Provider ID: 928798
00 Yrs/130 Yrs Wayne, NJ 07470 M-F 9:00 AM - 5:00 PM 100 Hamilton Pla
Languages: Spanish (862) 257-1370 Paterson, NJ 07505
M-F 10:00 AM - 7:00 PM Fax: (862) 257-1371 Bayada Home Healthcare Inc (973) 684-9996
Sat 10:00 AM - 2:00 PM 21 Yrs/99 Yrs Fax: (973) 684-8488
M-F 9:00 AM - 5:00 PM Provider ID: 945568 00 Yrs/130 Yrs
Sheefa Pharmacy 45 E Madison Ave Ste 9 Languages: Spanish, Russian,
Provider ID: 525773 Brown, Jenny Had Clifton, NJ 07011 Hindi, Korean
472 Clifton Ave Provider ID: TPV16525-02 (973) 909-5150 M-F 9:00 AM - 5:00 PM
Clifton, NJ 07011 Gender: Female Fax: (973) 909-5155
Emerald Health Care Services
(973) 772-7600 Total Hearing Care 00 Yrs/130 Yrs
Inc
Fax: (973) 772-7603 601 Hamburg Turnpike M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Wayne, NJ 07470 Provider ID: 945210
Languages: Spanish, Arabic, (862) 257-1370 Bayada Home Healthcare Inc 1700 Rte 23 Ste 125
Turkish Fax: (862) 257-1371 Wayne, NJ 07470
M-F 9:00 AM - 6:00 PM 21 Yrs/99 Yrs Provider ID: 945568 (973) 694-6688
Sat 9:00 AM - 1:00 PM M-F 9:00 AM - 5:00 PM Bayada Home Health Care, Inc Fax: (973) 694-7277
1117 Main Ave Ste 202 00 Yrs/130 Yrs
Wilpage Inc Okken, John Had Clifton, NJ 07011 M-F 9:00 AM - 5:00 PM
Provider ID: 1111780 Provider ID: TPV10953-01 (973) 574-1120
146 Genevieve Ave Epic Health Services Inc
Gender: Male Fax: (973) 574-1127
Hawthorne, NJ 07506 Wayne Hearing Aid Center 00 Yrs/130 Yrs
(973) 423-4100 1581 State Rte 23 M-F 9:00 AM - 5:00 PM Provider ID: 1275102
Fax: (973) 440-1833 Wayne, NJ 07470 2 Brighton Rd Ste 402
00 Yrs/130 Yrs (973) 696-7110 Bayada Home Healthcare Inc Clifton, NJ 07012
M-F 9:00 AM - 5:00 PM 21 Yrs/99 Yrs (856) 780-1090
M-F 9:00 AM - 5:00 PM Provider ID: 945568 Fax: (856) 234-5753
Bayada Home Health Care, Inc 00 Yrs/130 Yrs
163 East Main St Ste B M-F 9:00 AM - 5:00 PM
Little Falls, NJ 07424
(973) 909-5159
Fax: (973) 909-5112
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 329
Updated: 11/26/2018

Ancillary Providers
Passaic
Home Health Care - cont. Hospice Integra Partners LLC Plains Pharmacy
Provider ID: 389627 Provider ID: 944648
Excellent Home Health Care Compassionate Care Hospice Advance Medical Supply 578 Valley Rd
Inc of Clifton LL Fc 12 Legion Place Wayne, NJ 07470
Provider ID: 951389 Provider ID: 1571276 Wayne, NJ 07470 (973) 694-5522
Excellent Home Health Care Compassionate Care Hospice (888) 700-5004 Fax: (973) 694-1751
640 Broadway of Clift Fax: (888) 700-7313 00 Yrs/130 Yrs
Paterson, NJ 07514 1373 Broad St Ste 306 00 Yrs/130 Yrs Languages: Portuguese
(973) 742-3828 Clifton, NJ 07013 Languages: Spanish, Hebrew M-F 9:00 AM - 5:00 PM
Fax: (973) 742-2848 (973) 916-1400 M-TH 11:00 AM - 6:00 PM
00 Yrs/130 Yrs Fax: (973) 472-5496 F 10:00 AM - 5:00 PM Pediatric Dentistry
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Integra Partners LLC Aboelsaad, Mohamed DDS
Secura Home Health LLC Optometry Provider ID: 389627
Best Care Medical Supply Co Provider ID: TPVNJSP166428-0
Provider ID: 1069047 Elhabbak, Ali OP Inc Gender: Male
1373 Broad St Ste 301 Provider ID: TPV036884007591 61 Lakeview Ave Woodland Park Dental Center
Clifton, NJ 07013 Gender: Male Clifton, NJ 07011 482 Notch Rd
(973) 779-4427 Zacs Optical (888) 700-5004 Woodland Park, NJ 07424
Fax: (973) 779-6322 456 Belmont Ave Fax: (888) 700-7313 (973) 256-3300
00 Yrs/130 Yrs Haledon, NJ 07508 00 Yrs/130 Yrs Fax: (973) 256-1655
Languages: Spanish, Russian, (973) 341-4300 Languages: Spanish, Hebrew 00 Yrs/06 Yrs
Hebrew, Armenian Fax: (973) 341-4300 M-F 9:00 AM - 5:30 PM Languages: Arabic
M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs M-TH 9:00 AM - 8:00 PM
www.zacsoptical.com Integra Partners LLC F 9:00 AM - 5:00 PM
Visiting Therapy Services LLC Provider ID: 389627 Sat 9:00 AM - 3:00 PM
Frankel, Alan OP Carmen's Pharmacy
Provider ID: 1231825 Provider ID: TPV023456007526 418 River St Alexander, Victoria DDS
Homecare Perks Gender: Male Paterson, NJ 07524 Provider ID: TPVNJSP169355-0
188 Newark Pompton Tpke Optical Services Eye Center (888) 700-5004 Gender: Female
Little Falls, NJ 07424 1187 Main Ave Ste 1F Fax: (888) 700-7313 Pediatric Dentistry of
(877) 887-3574 Clifton, NJ 07011 00 Yrs/130 Yrs Paterson
Fax: (862) 279-7580 (973) 478-1124 Languages: Spanish, Hebrew 1 W Broadway
00 Yrs/130 Yrs Fax: (973) 546-1708 M-F 9:00 AM - 7:30 PM Paterson, NJ 07505
M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 4:00 PM (973) 233-4931
Traino, Alan OP Fax: (973) 200-2240
Visiting Visiting Homemaker Integra Partners LLC 00 Yrs/06 Yrs
Service of P Provider ID: Provider ID: 389627 Languages: Arabic
TPV003627007294
Provider ID: 984050 Pharmacy Plus & Surgical M-F 10:00 AM - 5:00 PM
Gender: Male
Visiting Homemaker Service Supplies
Seymour Pollack Opticians
of Passa 900 Main St Asmar, Diane DMD
769 Lafayette Ave
783 Riverview Dr Paterson, NJ 07503 Provider ID: TPVNJSP169872-0
Hawthorne, NJ 07506
Totowa, NJ 07512 (888) 700-5004 Gender: Female
(973) 427-2020
(973) 523-1224 Fax: (888) 700-7313 Paterson Dental
Fax: (973) 427-8866
Fax: (973) 523-5228 00 Yrs/130 Yrs 1010 Main St Ste 6 Fl 2
00 Yrs/99 Yrs
05 Yrs/130 Yrs Languages: Spanish, Hebrew Paterson, NJ 07503
Languages: Spanish, Italian, Orthotics & Prosthetics M-F 9:00 AM - 9:00 PM (973) 225-9975
Arabic, Polish Sat 9:00 AM - 6:00 PM Fax: (973) 225-9982
Carlascio Inc Sun 10:00 AM - 5:00 PM 00 Yrs/06 Yrs
Provider ID: 467741 Languages: Spanish
1094 Main Ave M 8:00 AM - 6:00 PM
Clifton, NJ 07011 TWTHF 9:00 AM - 6:00 PM
(973) 340-6500 Sat 8:00 AM - 3:00 PM
Fax: (973) 778-3838
00 Yrs/130 Yrs
Languages: Spanish, Armenian
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 330
Updated: 11/26/2018

Ancillary Providers
Passaic
Pediatric Dentistry - cont. Fuentes, Peter DDS Kim, Vivian DDS Patel, Lajja DMD
Provider ID: TPVNJSP41372-04 Provider ID: TPVNJSP169543-0 Provider ID: TPVNJSP168663-0
Butler, Thomas DMD Gender: Male Gender: Female Gender: Female
Provider ID: TPVNJSP152582-0 Paterson Dental Paterson Community Health Paterson Dental
Gender: Male 1010 Main St Ste 6 Fl 2 Center Inc 1010 Main St Ste 6 Fl 2
St Josephs Hospital Medical Paterson, NJ 07503 32 Clinton St Paterson, NJ 07503
Center (973) 225-9975 Paterson, NJ 07522 (973) 225-9975
11 Getty Ave Bldg 275 Fax: (973) 225-9982 (973) 790-6594 Fax: (973) 225-9982
Paterson, NJ 07503 00 Yrs/06 Yrs Fax: (973) 389-2197 00 Yrs/06 Yrs
(973) 754-4250 Languages: Spanish 00 Yrs/06 Yrs Languages: Spanish
Fax: (973) 754-3071 M 8:00 AM - 6:00 PM Languages: Spanish M 8:00 AM - 6:00 PM
00 Yrs/06 Yrs TWTHF 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM TWTHF 9:00 AM - 6:00 PM
Languages: Arabic Sat 8:00 AM - 3:00 PM Sat 8:00 AM - 3:00 PM
M-F 9:00 AM - 3:00 PM Loutfy, Rana DMD
George, Titus DDS Provider ID: TPVNJSP149247-0 Pavone, Salvatore DDS
Cao, Dao DDS Provider ID: TPVNJSP124616-0 Gender: Female Provider ID: TPVNJSP34448-04
Provider ID: TPVNJSP149246-0 Gender: Male St Josephs Hospital Medical Gender: Male
Gender: Female Paterson Community Health Center Paterson Dental
St Josephs Hospital Medical Center Inc 11 Getty Ave Bldg 275 1010 Main St Ste 6 Fl 2
Center 32 Clinton St Paterson, NJ 07503 Paterson, NJ 07503
11 Getty Ave Bldg 275 Paterson, NJ 07522 (973) 754-4250 (973) 225-9975
Paterson, NJ 07503 (973) 790-6594 Fax: (973) 754-3071 Fax: (973) 225-9982
(973) 754-4250 Fax: (973) 389-2197 00 Yrs/06 Yrs 00 Yrs/06 Yrs
Fax: (973) 754-3071 00 Yrs/06 Yrs Languages: Arabic Languages: Spanish
00 Yrs/06 Yrs Languages: Spanish M-F 9:00 AM - 3:00 PM M 8:00 AM - 6:00 PM
Languages: Arabic M-F 9:00 AM - 5:00 PM TWTHF 9:00 AM - 6:00 PM
M-F 9:00 AM - 3:00 PM Monje, Jonas DDS Sat 8:00 AM - 3:00 PM
George, Titus DDS Provider ID: TPVNJSP123631-0
Diamond, Marshall DMD Provider ID: TPVNJSP124616-0 Gender: Male Pimanov, Anton DMD
Provider ID: TPVNJSP34305-02 Gender: Male Paterson Dental Provider ID: TPVNJSP156750-0
Gender: Male Paterson Community Health 1010 Main St Ste 6 Fl 2 Gender: Male
Paterson Community Health Center Inc Paterson, NJ 07503 Paterson Dental
Center Inc 227 Broadway (973) 225-9975 1010 Main St Ste 6 Fl 2
227 Broadway Paterson, NJ 07501 Fax: (973) 225-9982 Paterson, NJ 07503
Paterson, NJ 07501 (973) 278-2600 00 Yrs/06 Yrs (973) 225-9975
(973) 278-2600 Fax: (973) 389-2197 Languages: Spanish Fax: (973) 225-9982
Fax: (973) 389-2197 00 Yrs/06 Yrs M 8:00 AM - 6:00 PM 00 Yrs/06 Yrs
00 Yrs/06 Yrs M-F 9:00 AM - 5:00 PM TWTHF 9:00 AM - 6:00 PM Languages: Spanish
M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 3:00 PM M 8:00 AM - 6:00 PM
Gowda, Anjana DDS TWTHF 9:00 AM - 6:00 PM
Eldin, Khaled DDS Provider ID: TPVNJSP139743-0 Mouner, Amer DDS Sat 8:00 AM - 3:00 PM
Provider ID: TPVNJSP33368-02 Gender: Female Provider ID: TPVNJSP166313-0
Gender: Male Paterson Dental Gender: Male Rehman, Aneeza DMD
Woodland Park Dental Center 1010 Main St Ste 6 Fl 2 Woodland Park Dental Center Provider ID: TPVNJSP144704-0
482 Notch Rd Paterson, NJ 07503 482 Notch Rd Gender: Female
Woodland Park, NJ 07424 (973) 225-9975 Woodland Park, NJ 07424 Paterson Dental
(973) 256-3300 Fax: (973) 225-9982 (973) 256-3300 1010 Main St Ste 6 Fl 2
Fax: (973) 256-1655 00 Yrs/06 Yrs Fax: (973) 256-1655 Paterson, NJ 07503
00 Yrs/06 Yrs Languages: Spanish 00 Yrs/06 Yrs (973) 225-9975
Languages: Arabic M 8:00 AM - 6:00 PM Languages: Arabic Fax: (973) 225-9982
M-TH 9:00 AM - 8:00 PM TWTHF 9:00 AM - 6:00 PM M-TH 9:00 AM - 8:00 PM 00 Yrs/06 Yrs
F 9:00 AM - 5:00 PM Sat 8:00 AM - 3:00 PM F 9:00 AM - 5:00 PM Languages: Spanish, Arabic
Sat 9:00 AM - 3:00 PM Sat 9:00 AM - 3:00 PM M 8:00 AM - 6:00 PM
TWTHF 9:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 331
Updated: 11/26/2018

Ancillary Providers
Passaic
Pediatric Dentistry - cont. Yacoub, Kinda DDS Careplus Rehab LLC Kessler Institute For
Provider ID: TPVNJSP41635-02 Provider ID: 910477 Rehabilitation
Saad, Nader DDS Gender: Female 63 Grove St Provider ID: 465894
Provider ID: TPVNJSP40975-02 Chrystal Dental Care Passaic, NJ 07055 Kessler Rehabilitation Center
Gender: Male 2025 Hamburg Tpke Ste F (973) 779-4228 1358 Broad St
The Fresh Breath Wayne, NJ 07470 Fax: (973) 779-4238 Clifton, NJ 07013
1180 Clifton Ave (973) 520-8787 00 Yrs/130 Yrs (973) 249-0249
Clifton, NJ 07013 Fax: (973) 850-4718 Languages: Spanish, French, Fax: (973) 249-0251
(973) 249-9600 06 Yrs/06 Yrs Creole, Hindi 16 Yrs/130 Yrs
Fax: (973) 249-7887 Languages: Spanish, Arabic M-F 9:00 AM - 5:00 PM Languages: Spanish
06 Yrs/06 Yrs M 8:00 AM - 5:00 PM M-W 7:00 AM - 8:00 PM
Languages: Arabic T 9:00 AM - 12:00 PM Kessler Institute For TH 7:00 AM - 4:00 PM
M 3:00 AM - 6:00 PM W 9:00 AM - 5:00 PM Rehabilitation
T 3:00 AM - 8:00 PM TH 9:00 AM - 1:00 PM Provider ID: 465894 Kessler Institute For
W 11:00 AM - 2:00 PM Kessler Institute For Rehabilitation
Yassein, Ibraheim DDS Rehabilitatio Provider ID: 465894
Seedat, Ghazala DDS Provider ID: TPVNJSP40970-01 1025 McBride Ave Kessler Rehabilitation Center
Provider ID: TPVNJSP102674-0 Gender: Male Woodland Park, NJ 07424 251 Clifton Ave
Gender: Female Dental Care Center (973) 237-3275 Clifton, NJ 07011
Paterson Dental 426 Union Ave Fax: (973) 237-1272 (973) 340-7092
1010 Main St Ste 6 Fl 2 Paterson, NJ 07502 16 Yrs/130 Yrs Fax: (973) 340-1503
Paterson, NJ 07503 (973) 595-8083 Languages: Spanish 16 Yrs/130 Yrs
(973) 225-9975 Fax: (973) 595-7940 M-W 7:00 AM - 8:00 PM Languages: Spanish
Fax: (973) 225-9982 00 Yrs/06 Yrs TH 7:00 AM - 3:00 PM MT 7:00 AM - 8:00 PM
00 Yrs/06 Yrs Languages: Spanish, Arabic W 2:00 AM - 8:00 PM
Kessler Institute For TH 7:00 AM - 3:00 PM
Languages: Spanish MWTH 9:00 AM - 5:00 PM Rehabilitation
M 8:00 AM - 6:00 PM T 9:00 AM - 7:00 PM
Provider ID: 465894 Kessler Institute For
TWTHF 9:00 AM - 6:00 PM F 9:00 AM - 2:00 PM
Kessler Rehabilitation Center Rehabilitation
Sat 8:00 AM - 3:00 PM
Rehabilitation Facility 1025 McBride Ave Plaza Provider ID: 465894
Shamshuddin, Safa DMD Square Shopping Center Kessler Rehabilitation Center
Little Falls, NJ 07424 484 Lafayette Ave
Provider ID: TPVNJSP172863-0 Audslp Diagnostic and
Rehabilitation Cli (973) 237-3275 Hawthorne, NJ 07506
Gender: Female
Provider ID: 987701 Fax: (973) 237-1272 (973) 720-8200
Smile Central Passaic
Audslp Diagnostic and 16 Yrs/130 Yrs Fax: (973) 720-9213
625 Main Ave 3rd Fl
Rehabilitatio Languages: Spanish 16 Yrs/130 Yrs
Passaic, NJ 07055
680 Broadway Ste 115 M-W 7:00 AM - 8:00 PM Languages: Spanish
(973) 574-1000
Paterson, NJ 07514 TH 7:00 AM - 3:00 PM MT 8:00 AM - 8:00 PM
Fax: (973) 574-1001
00 Yrs/06 Yrs (973) 278-4382 W 5:00 AM - 8:00 PM
Kessler Institute For
Languages: Arabic Fax: (973) 225-0186 TH 8:00 AM - 4:00 PM
Rehabilitation
M-F 9:00 AM - 7:00 PM 00 Yrs/130 Yrs
Provider ID: 465894 Kessler Institute For
Sat 9:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM
Kessler Rehabilitation Center Rehabilitation
Careplus Rehab LLC 1135 Broad St Provider ID: 465894
Skjeveland, Richard DDS
Provider ID: 910477 Clifton, NJ 07013 Kessler Rehabilitation Center
Provider ID: TPVNJSP39564-05
100 Hamilton Plz Ground Fl (973) 574-8585 701 Hamburg Tpke Plaza
Gender: Male
Paterson, NJ 07505 Fax: (973) 574-8590 Square Shopping Center
Paterson Dental
(973) 523-3179 16 Yrs/130 Yrs Wayne, NJ 07470
1010 Main St Ste 6 Fl 2
Fax: (797) 377-9423 Languages: Spanish (973) 636-6550
Paterson, NJ 07503
00 Yrs/130 Yrs M-W 7:00 AM - 8:00 PM Fax: (973) 636-9461
(973) 225-9975
Languages: Spanish, French, TH 7:00 AM - 4:00 PM 16 Yrs/130 Yrs
Fax: (973) 225-9982
Creole, Hindi Languages: Spanish
00 Yrs/06 Yrs
M-F 9:00 AM - 5:00 PM MT 7:00 AM - 8:00 PM
Languages: Spanish
W 3:00 AM - 8:00 PM
M 8:00 AM - 6:00 PM
TH 7:00 AM - 4:00 PM
TWTHF 9:00 AM - 6:00 PM
Sat 8:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 332
Updated: 11/26/2018

Ancillary Providers
Passaic
Skilled Nursing Facility Chestnut Hill Convalescent Lakeland Health Care Center Preakness Healthcare Center
Rehabilitat
1120 Alps RD Operating Provider ID: 642422 Provider ID: 1047763 Provider ID: 1540147
Company LLC Chestnut Hill Convalescent 25 5th Ave 305 Oldham Rd
Provider ID: 1235035 and Reha Haskell, NJ 07420 Wayne, NJ 07470
1120 Alps Rd DBA Post Acute 360 Chestnut St (973) 839-6000 (973) 585-2132
Care of Wayne Passaic, NJ 07055 Fax: (718) 567-0600 Fax: (973) 790-1568
Wayne, NJ 07470 (973) 777-7800 18 Yrs/130 Yrs 18 Yrs/130 Yrs
(973) 694-2100 Fax: (973) 778-9013
Fax: (973) 305-5834 18 Yrs/130 Yrs Llanfair House Care Regency Gardens Nursing
18 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Rehabilitation Cen Center LLC
M-F 8:00 AM - 5:00 PM Provider ID: 487261
Complete Care At Passaic Provider ID: 914730 296 Hamburg Tpke
Barnert Subacute Wayne, NJ 07470
Llanfiar House Care
Rehabilitation Center Provider ID: 1438089 Rehabilitation (973) 790-5800
77 E 43rd St 1140 Black Oak Ridge Rd Fax: (973) 790-6870
Provider ID: 681547 Paterson, NJ 07514 Wayne, NJ 07470 00 Yrs/130 Yrs
Barnert Subacute (797) 327-5467 (973) 835-7443
Rehabilitation Center Fax: (973) 754-6776 Fax: (973) 835-1926 St Joseph's Home For The
680 Broadway Ste 301 00 Yrs/130 Yrs 00 Yrs/130 Yrs Eldery
Paterson, NJ 07514 M-F 9:00 AM - 5:00 PM Provider ID: 1013053
(973) 754-0999 Daughter of Miriam St Josephs Home For The
Fax: (973) 333-6995 Centerthe Gallen Ins Milford Manor Nursing Home Eldery
00 Yrs/130 Yrs Provider ID: 924970 140 Shepherds Ln
Daughter of Miriam Center Provider ID: 1020832 Totowa, NJ 07512
Bloomingdale Nursing and The Galle (973) 942-0300
69 Maple Rd
Rehabilitation 155 Hazel St Fax: (973) 942-7201
West Milford, NJ 07480
Provider ID: 1020673 Clifton, NJ 07011 60 Yrs/130 Yrs
(973) 697-5640
Bloomingdale Nursing and (973) 772-3700 Fax: (973) 697-2450
Rehabilita Fax: (973) 253-5389 Tri State Healthcare
50 Yrs/110 Yrs
255 Union Ave 00 Yrs/130 Yrs Management
Languages: Spanish
Bloomingdale, NJ 07403 Provider ID: 1217920
(973) 283-1700 Doctors Subacute Care Oak Ridge Rehabilitation and Lakeview Rehabilitation and
Fax: (973) 283-9812 Nursing Cen Care Center
18 Yrs/130 Yrs Provider ID: 397467 Provider ID: 961123 130 Terhune Dr
Languages: Chinese, Hebrew, 59 Birch St Oak Ridge Rehabilitation and Wayne, NJ 07470
Tagalog Paterson, NJ 07522 Nursin (973) 839-4500
M-F 8:00 AM - 5:00 PM (973) 942-8899 261 Terhune Dr Fax: (718) 567-0600
00 Yrs/130 Yrs Wayne, NJ 07470 00 Yrs/130 Yrs
Careone At Wayne
(973) 835-3871
Hamilton Plaza Nursing and Tri State Healthcare
Fax: (860) 589-3148
Provider ID: 509193 Rehabilition Management
18 Yrs/110 Yrs
Care One At Wayne Provider ID: 961103 Provider ID: 1355366
493 Black Oak Ridge Rd Hamilton Plaza Nursing and Preakness Healthcare Center Lakeview Rehabilitation and
Wayne, NJ 07470 Rehabili Care Center
(973) 692-9500 56 Hamilton Ave 130 Terhune Dr
Provider ID: 1038265
Fax: (973) 692-1992 Passaic, NJ 07055 Wayne, NJ 07470
305 Oldham Rd
00 Yrs/130 Yrs (973) 773-7070 (973) 839-4500
Wayne, NJ 07470
Fax: (973) 773-3171 Fax: (718) 567-0600
(973) 585-2132
18 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (973) 790-1568
18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 333
Updated: 11/26/2018

Ancillary Providers
Passaic
Skilled Nursing Facility - PM Pediatrics of Livingston
cont.
Provider ID: 1239430
Wanaque Nursing and 780 Rte 3
Rehabilitation LLC Clifton, NJ 07012
Provider ID: 1018517 (973) 777-6767
Wanaque Nursing and Fax: (973) 777-6745
Rehabilitation 00 Yrs/21 Yrs
1433 Ringwood Ave M-F 9:00 AM - 5:00 PM
Haskell, NJ 07420
(973) 839-2119
Fax: (973) 616-4193
00 Yrs/130 Yrs
Languages: Spanish, Chinese,
Hebrew, Tagalog
M-F 8:00 AM - 5:00 PM
Urgent Care Center
Concentra Urgent Care

Provider ID: 1230442


American Current Care of
New Jersey
283 Piaget Ave
Clifton, NJ 07011
(866) 944-6046
Fax: (973) 772-1498
00 Yrs/130 Yrs
MTWTHFSatSun 8:00 AM -
7:00 PM
Get Well Urgent Care Clifton
LLC
Provider ID: 1274503
35 Ackerman Ave
Clifton, NJ 07011
(973) 928-2880
Fax: (973) 928-2881
02 Yrs/130 Yrs
Languages: Spanish, Polish
M-F 8:00 AM - 8:00 PM
Sat-Sun 9:00 AM - 5:00 PM
Medexpress Urgent Care New
Jersey Inc
Provider ID: 920034
Medexpress Urgent Care
Totowa
225 US Hwy 46 Ste A
Totowa, NJ 07512
(973) 256-0452
Fax: (973) 256-0453
02 Yrs/130 Yrs
MTWTHFSatSun 8:00 AM -
8:00 PM

www.wellcare.com/New-Jersey | 334
Updated: 11/26/2018

Allied Providers
Bergen
Acupuncture Audiology Reid, Mary ARNP Albracht, Barbara LCSW
Provider ID: 1642524
Rhee, Stephen LAC Cielesz, Amanda AUD Gender: Female Provider ID: 905056
Provider ID: 1696372 Provider ID: TPV16392-01 Medical Associates of Gender: Female
Gender: Male Gender: Female Englewood, PC Care Plus NJ Inc
Tbw Acupuncture HearUSA 350 Engle St Berrie 6 230 E Ridgewood Ave
100 Grand Ave 1021 Main St Englewood, NJ 07631 Paramus, NJ 07652
Leonia, NJ 07605 River Edge, NJ 07661 (201) 894-3893 (201) 986-5000
(201) 472-8900 (201) 291-0550 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (888) 724-6567 Fax: (201) 343-7840 Englewood Hospital and M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 21 Yrs/99 Yrs Medical Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Albracht, Barbara LCSW

Addiction Medicine Cronk, Rebecca AUD Reid, Mary ARNP Provider ID: 905056
Provider ID: TPV05424-01 Provider ID: 1642524 Gender: Female
Gentile, Susan ARNP Gender: Female Gender: Female Care Plus NJ Inc
Provider ID: 954048 HearUSA Medical Associates of 610 Valley Health Plz
Gender: Female 1021 Main St Englewood, PC Paramus, NJ 07652
Bergen Regional Medical River Edge, NJ 07661 375 Engle St (201) 265-8200
Center (201) 291-0550 Englewood, NJ 07631 Fax: (201) 265-0366
230 E Ridgewood Ave Fax: (201) 343-7840 (201) 894-0400 00 Yrs/130 Yrs
Paramus, NJ 07652 21 Yrs/99 Yrs Fax: (201) 894-1022 M-TH 9:00 AM - 8:00 PM
(201) 967-4000 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs F 9:00 AM - 7:00 PM
Fax: (201) 225-7101 Englewood Hospital and Sat 9:00 AM - 5:00 PM
12 Yrs/130 Yrs Johnson, Lynn AUD Medical Center
Bergen Regional Medical Provider ID: TPV08031-01 M-F 9:00 AM - 5:00 PM Albracht, Barbara LCSW
Center Gender: Female
M-F 9:00 AM - 5:30 PM Reid, Mary ARNP
HearUSA Provider ID: 905056
1021 Main St Provider ID: 1642524
Gender: Female Gender: Female
Rivadelo, Sonia CNP River Edge, NJ 07661
Medical Associates of Care Plus NJ Inc
Provider ID: 1045345 (201) 291-0550
Englewood, PC 611 Rte 46 W Ste 100
Gender: Female Fax: (201) 343-7840
97 Engle St Hasbrouck Heights, NJ 07604
Bergen Regional Medical 21 Yrs/99 Yrs
Englewood, NJ 07631 (201) 986-5000
Center M-F 9:00 AM - 5:00 PM
(201) 227-5533 00 Yrs/130 Yrs
230 E Ridgewood Ave
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 Bariatric Surgery
(201) 967-4000 Englewood Hospital and Augustine-Phalen, Tara LCSW
Fax: (201) 225-7101 Reid, Mary ARNP Medical Center
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Provider ID: 1642524 Provider ID: 905182
Bergen Regional Medical Gender: Female
Center Behavioral Health Gender: Female
Medical Associates of Counseling Care Plus NJ Inc
M-F 9:00 AM - 5:30 PM Englewood, PC 17 07 Romaine St
350 Engle St 2 NW
Allergy & Immunology Albracht, Barbara LCSW Fair Lawn, NJ 07410
Englewood, NJ 07631 (201) 986-5000
(201) 608-2800
Rawal, Chilka PA Provider ID: 905056 Fax: (201) 797-5025
Fax: (201) 608-2478
Provider ID: 1231456 Gender: Female 00 Yrs/130 Yrs
00 Yrs/130 Yrs
Gender: Female Care Plus NJ Inc M-F 9:00 AM - 5:00 PM
Englewood Hospital and
Allergy Partners of NJ Medical Center 17-07 Romaine St
Sub Specialty: HIV/AIDs M-F 9:00 AM - 5:00 PM Fair Lawn, NJ 07410
185 Cedar Ln Ste L2 (201) 986-5000
Teaneck, NJ 07666 00 Yrs/130 Yrs
(201) 836-6400 M-F 9:00 AM - 5:00 PM
Fax: (201) 836-0399
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 335
Updated: 11/26/2018

Allied Providers
Bergen
Behavioral Health Bersch, Kristine LCSW Demers, Kathleen LCSW Gehrig-Mullins, Lorraine
Counseling - cont. Provider ID: 910527 LCSW
Gender: Female Provider ID: 915211 Provider ID: 903122
Augustine-Phalen, Tara LCSW Care Plus NJ Inc Gender: Female Gender: Female
17-07 Romaine St Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 905182 Fair Lawn, NJ 07410 610 Valley Health Plz 17 07 Romaine St
Gender: Female (201) 797-2660 Paramus, NJ 07652 Fair Lawn, NJ 07410
Care Plus NJ Inc Fax: (201) 797-5025 (201) 265-8200 (201) 797-2660
230 E Ridgewood Ave 00 Yrs/130 Yrs Fax: (201) 265-0366 Fax: (201) 797-5025
Paramus, NJ 07652 Languages: Spanish, Russian, 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 Portuguese Languages: French, Hindi, Languages: Spanish, Russian,
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Sindhi Portuguese
M-F 9:00 AM - 5:00 PM M 10:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM
Chapman, Mark LCSW T 9:00 AM - 6:00 PM
Augustine-Phalen, Tara LCSW Provider ID: 912109 Gehrig-Mullins, Lorraine
W 9:00 AM - 5:00 PM
Gender: Male LCSW
TH 9:00 AM - 9:00 PM
395 Main St Provider ID: 903122
Provider ID: 905182
Hackensack, NJ 07601 Demers, Kathleen LCSW Gender: Female
Gender: Female
(201) 646-0333 Care Plus NJ Inc
Care Plus NJ Inc
00 Yrs/130 Yrs Provider ID: 915211 230 E Ridgewood Ave
610 Valley Health Plz
MTH 9:00 AM - 5:00 PM Gender: Female Paramus, NJ 07652
Paramus, NJ 07652
T 12:00 AM - 9:00 PM Care Plus NJ Inc (201) 986-5000
(201) 986-5000
W 1:00 AM - 9:00 PM 611 Rte 46 W Ste 100 00 Yrs/130 Yrs
Fax: (201) 265-0366
F 9:00 AM - 4:00 PM Hasbrouck Heights, NJ 07604 Languages: Spanish, Russian,
00 Yrs/130 Yrs Portuguese
M-F 9:00 AM - 5:00 PM (201) 986-5000
Demers, Kathleen LCSW M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
Augustine-Phalen, Tara LCSW Languages: French, Hindi, Gehrig-Mullins, Lorraine
Provider ID: 915211 Sindhi LCSW
Provider ID: 905182 Gender: Female M-F 9:00 AM - 5:00 PM Provider ID: 903122
Gender: Female Care Plus NJ Inc
Diniro, Joanne LCSW Gender: Female
Care Plus NJ Inc 17 07 Romaine St
Care Plus NJ Inc
611 Rte 46 W Ste 100 Fair Lawn, NJ 07410 Provider ID: 815568
610 Valley Health Plz
Hasbrouck Heights, NJ 07604 (201) 986-5000 Gender: Female
Paramus, NJ 07652
(201) 986-5000 00 Yrs/130 Yrs Joanne Diniro LCSW
(201) 986-5044
00 Yrs/130 Yrs Languages: French, Hindi, 50 N Franklin Tpke Ste 204
Sindhi Fax: (201) 265-0366
M-F 9:00 AM - 5:00 PM Ho Ho Kus, NJ 07423
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(201) 741-5184
Languages: Spanish, Russian,
Bellamy, Mike LCSW Fax: (201) 857-3810
Demers, Kathleen LCSW Portuguese
Provider ID: 1054981 16 Yrs/75 Yrs M-TH 9:00 AM - 5:00 PM
Gender: Male M-F 10:00 AM - 7:00 PM F 9:00 AM - 5:30 PM
Bergen Regional Medical Provider ID: 915211 Sat 10:00 AM - 3:00 PM
Center Gender: Female Gehrig-Mullins, Lorraine
230 E Ridgewood Ave Care Plus NJ Inc Doerr, Christine ARNP LCSW
Paramus, NJ 07652 230 E Ridgewood Ave Provider ID: 903122
(800) 730-2762 Paramus, NJ 07652 Provider ID: 909532 Gender: Female
Fax: (201) 225-7101 (201) 986-5000 Gender: Female Care Plus NJ Inc
05 Yrs/130 Yrs 00 Yrs/130 Yrs 395 Main St 611 Rte 46 W Ste 100
Bergen Regional Medical Languages: French, Hindi, Hackensack, NJ 07601 Hasbrouck Heights, NJ 07604
Center Sindhi (201) 646-0333 (201) 986-5000
M-TH 9:00 AM - 5:30 PM M-F 9:00 AM - 5:00 PM Fax: (201) 646-0334 00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: Spanish, Russian,
Bergen Regional Medical Portuguese
Center M-F 9:00 AM - 5:00 PM
Languages: Spanish
M 9:00 AM - 5:00 PM
T 11:30 AM - 7:30 PM

www.wellcare.com/New-Jersey | 336
Updated: 11/26/2018

Allied Providers
Bergen
Behavioral Health Heguy, Susannah LCSW Kuperinsky, Renee LCSW Martino, Jodi LCSW
Counseling - cont. Provider ID: 903250
Provider ID: 903112 Provider ID: 996030 Gender: Female
Glick-Novack, Stacey LCSW Gender: Female Gender: Female Care Plus NJ Inc
Care Plus NJ Inc Bergen Regional Medical 610 Valley Health Plz
Provider ID: 900825 611 Rte 46 W Ste 100 Center Paramus, NJ 07652
Gender: Female Hasbrouck Heights, NJ 07604 230 E Ridgewood Ave (201) 986-5044
Relief and Solutions (201) 986-5000 Paramus, NJ 07652 Fax: (201) 265-0366
Counseling 00 Yrs/130 Yrs (800) 730-2762 00 Yrs/130 Yrs
192 3rd Ave Ste 3 and 4 Languages: Spanish, Russian, Fax: (201) 225-7101 MW 11:00 AM - 8:00 PM
Westwood, NJ 07675 Portuguese 05 Yrs/130 Yrs TTH 9:00 AM - 6:00 PM
(201) 666-2400 M-F 9:00 AM - 5:00 PM Bergen Regional Medical F 8:30 AM - 3:00 PM
Fax: (201) 666-2472 Center
12 Yrs/130 Yrs Holway, Lorelle LCSW M-TH 8:00 AM - 7:30 PM Martino, Jodi LCSW
M-F 9:00 AM - 5:00 PM Provider ID: 903376 F 8:00 AM - 4:30 PM Provider ID: 903250
Gender: Female Gender: Female
Heguy, Susannah LCSW Care Plus NJ Inc Losak, Drew LCSW Care Plus NJ Inc
17-07 Romaine St Provider ID: 1049703 611 Rte 46 W Ste 100
Provider ID: 903112 Fair Lawn, NJ 07410 Gender: Male Hasbrouck Heights, NJ 07604
Gender: Female (201) 986-5000 Bergen Regional Medical (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs Center 00 Yrs/130 Yrs
17 07 Romaine St M-F 9:00 AM - 5:00 PM 230 E Ridgewood Ave M-F 9:00 AM - 5:00 PM
Fair Lawn, NJ 07410 Paramus, NJ 07652
(201) 797-2660 Holway, Lorelle LCSW (800) 730-2762 McGrath, Kathleen LCSW
Fax: (201) 797-5025 Provider ID: 903376 Fax: (201) 225-7101
00 Yrs/130 Yrs Gender: Female 12 Yrs/130 Yrs Provider ID: 903637
Languages: Spanish, Russian, Care Plus NJ Inc Bergen Regional Medical Gender: Female
Portuguese 230 E Ridgewood Ave Center Kathleen J McGrath
M-F 9:00 AM - 5:00 PM Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM 65 N Maple Ave
(201) 986-5000 Ridgewood, NJ 07450
Heguy, Susannah LCSW 00 Yrs/130 Yrs Martino, Jodi LCSW (201) 666-3797
M-F 9:00 AM - 5:00 PM Provider ID: 903250 Fax: (908) 317-6887
Gender: Female 12 Yrs/130 Yrs
Provider ID: 903112
Holway, Lorelle LCSW Care Plus NJ Inc M-W 11:00 AM - 9:00 PM
Gender: Female
Provider ID: 903376 17 07 Romaine St
Care Plus NJ Inc
Gender: Female Fair Lawn, NJ 07410 McKenna, Regina LCSW
230 E Ridgewood Ave
Care Plus NJ Inc (201) 986-5000
Paramus, NJ 07652
610 Valley Health Plz 00 Yrs/130 Yrs Provider ID: 907344
(201) 986-5000
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM Gender: Female
00 Yrs/130 Yrs
Languages: Spanish, Russian, (201) 265-8200 516 Valley Brook Ave
Fax: (201) 265-0366 Martino, Jodi LCSW
Portuguese Lyndhurst, NJ 07071
00 Yrs/130 Yrs Provider ID: 903250
M-F 9:00 AM - 5:00 PM (201) 935-3322
M-F 9:00 AM - 8:00 PM Gender: Female Fax: (201) 935-9196
Heguy, Susannah LCSW Sat 9:00 AM - 5:00 PM Care Plus NJ Inc 00 Yrs/130 Yrs
230 E Ridgewood Ave Languages: Spanish
Holway, Lorelle LCSW Paramus, NJ 07652
Provider ID: 903112 M 9:00 AM - 9:00 PM
Provider ID: 903376 (201) 986-5000
Gender: Female T 10:30 AM - 9:30 PM
Gender: Female 00 Yrs/130 Yrs
Care Plus NJ Inc WTH 9:00 AM - 6:00 PM
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM
610 Valley Health Plz
Paramus, NJ 07652 611 Rte 46 W Ste 100
(201) 986-5044 Hasbrouck Heights, NJ 07604
Fax: (201) 265-0366 (201) 986-5000
00 Yrs/130 Yrs 00 Yrs/130 Yrs
Languages: Spanish, Russian, M-F 9:00 AM - 5:00 PM
Portuguese
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 337
Updated: 11/26/2018

Allied Providers
Bergen
Behavioral Health Meiselman, Lorie LCSW Montuore, Lisa LCSW Robinson, Christopher LCSW
Counseling - cont. Provider ID: 904338
Provider ID: 911654 Gender: Female Provider ID: 903173
McQuillen, Nicole LCSW Gender: Female Care Plus NJ Inc Gender: Male
Counseling Services Inc 610 Valley Health Plz Relief and Solutions
Provider ID: 910115 555 North Ave Ste 23P Paramus, NJ 07652 Counseling Center
Gender: Female Fort Lee, NJ 07024 (201) 986-5000 192 3rd Ave Ste 3
Care Plus NJ Inc (201) 363-8840 Fax: (201) 265-0366 Westwood, NJ 07675
17 07 Romaine St Fax: (201) 363-8748 00 Yrs/130 Yrs (201) 666-2400
Fair Lawn, NJ 07410 00 Yrs/130 Yrs MF 9:00 AM - 5:00 PM Fax: (201) 666-2472
(201) 986-5000 MTH 9:00 AM - 9:00 PM TWTH 9:00 AM - 9:00 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs T 12:00 AM - 10:00 PM M-F 7:00 AM - 10:00 PM
M-F 9:00 AM - 5:00 PM W 6:00 AM - 10:00 PM Montuore, Lisa LCSW Sat-Sun 9:00 AM - 5:00 PM
F 9:00 AM - 2:00 PM Provider ID: 904338
McQuillen, Nicole LCSW Gender: Female Romeo, Dawn LCSW
Millan, Valeska LCSW Care Plus NJ Inc Provider ID: 910657
Provider ID: 910115 Provider ID: 904287 611 Rte 46 W Ste 100 Gender: Female
Gender: Female Gender: Female Hasbrouck Heights, NJ 07604 516 Valley Brook Ave
Care Plus NJ Inc Care Plus NJ Inc (201) 986-5000 Lyndhurst, NJ 07071
230 E Ridgewood Ave 610 Valley Health Plz 00 Yrs/130 Yrs (201) 935-3322
Paramus, NJ 07652 Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM Fax: (201) 935-9196
(201) 986-5000 (201) 986-5000 00 Yrs/130 Yrs
Fax: (201) 265-0366 Pettinati, Marilyn LCSW MW 9:00 AM - 9:00 PM
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs T 9:00 AM - 5:00 PM
Languages: Spanish, Russian Provider ID: 904344 TH 9:00 AM - 2:00 PM
McQuillen, Nicole LCSW MT 3:00 AM - 9:00 PM Gender: Female
Care Plus NJ Inc Rudo, Antonio LMHC
Provider ID: 910115 Montuore, Lisa LCSW 610 Valley Health Plz Provider ID: 902039
Gender: Female Provider ID: 904338 Paramus, NJ 07652 Gender: Male
Care Plus NJ Inc Gender: Female (201) 986-5000 Care Plus NJ Inc
610 Valley Health Plz Care Plus NJ Inc Fax: (201) 265-0366 17 07 Romaine St
Paramus, NJ 07652 17 07 Romaine St 00 Yrs/130 Yrs Fair Lawn, NJ 07410
(201) 986-5000 Fair Lawn, NJ 07410 MT 8:00 AM - 11:00 PM (201) 986-5000
Fax: (201) 265-0366 (201) 986-5000 W 5:30 AM - 9:30 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs TH 8:00 AM - 12:00 PM Languages: Spanish, Italian,
M-F 9:00 AM - 5:00 PM Greek
M-F 9:00 AM - 5:00 PM
Rivera, Antonio LCSW M-F 9:00 AM - 5:00 PM
McQuillen, Nicole LCSW Montuore, Lisa LCSW Provider ID: 959289
Provider ID: 904338 Gender: Male Rudo, Antonio LMHC
Gender: Female Antonio L Rivera Provider ID: 902039
Provider ID: 910115
Care Plus NJ Inc 786 Grange Rd Gender: Male
Gender: Female
230 E Ridgewood Ave Teaneck, NJ 07666 Care Plus NJ Inc
Care Plus NJ Inc
Paramus, NJ 07652 (973) 907-0864 610 Valley Health Plz
611 Rte 46 W Ste 100
(201) 986-5000 12 Yrs/130 Yrs Paramus, NJ 07652
Hasbrouck Heights, NJ 07604
00 Yrs/130 Yrs Languages: Spanish (201) 265-8200
(201) 986-5000
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (201) 265-0366
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Languages: Spanish, Italian,
Greek
M-F 8:30 AM - 9:00 PM

www.wellcare.com/New-Jersey | 338
Updated: 11/26/2018

Allied Providers
Bergen
Behavioral Health Tuttle, Gloria LCSW Vitiello, Anna LCSW Cardiology
Counseling - cont. Provider ID: 903247 Provider ID: 901976
Gender: Female Gender: Female Catena, Michele ARNP
Rudo, Antonio LMHC Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 902039 230 E Ridgewood Ave 610 Valley Health Plz Provider ID: 1725506
Gender: Male Paramus, NJ 07652 Paramus, NJ 07652 Gender: Female
Care Plus NJ Inc (201) 986-5000 (201) 986-5044 Mulkay Cardiology
611 Rte 46 W Ste 100 00 Yrs/130 Yrs Fax: (201) 265-0366 Consultants At Ho
Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 15 Ver Valen St
(201) 986-5000 Languages: Spanish, Russian, Closter, NJ 07624
00 Yrs/130 Yrs Tuttle, Gloria LCSW Hindi, Korean (201) 996-9244
Languages: Spanish, Italian, Provider ID: 903247 MTHF 9:00 AM - 4:00 PM Fax: (201) 996-9243
Greek Gender: Female TW 2:00 AM - 9:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc Holy Name Medical Center
610 Valley Health Plz Vitiello, Anna LCSW M-F 9:00 AM - 5:00 PM
Sacher, Jeremy LCSW Paramus, NJ 07652 Provider ID: 901976
Provider ID: 909497 (201) 986-5044 Gender: Female Catena, Michele ARNP
Gender: Male Fax: (201) 265-0366 Care Plus NJ Inc
395 Main St 00 Yrs/130 Yrs 611 Rte 46 W Ste 100 Provider ID: 1725506
Hackensack, NJ 07601 M-F 9:00 AM - 9:00 PM Hasbrouck Heights, NJ 07604 Gender: Female
(201) 646-0333 Sat 9:00 AM - 5:00 PM (201) 986-5000 Mulkay Cardiology
Fax: (201) 646-0283 00 Yrs/130 Yrs Consultants At Ho
00 Yrs/130 Yrs Tuttle, Gloria LCSW Languages: Spanish, Russian, 493 Essex St
MT 9:00 AM - 5:00 PM Provider ID: 903247 Hindi, Korean Hackensack, NJ 07601
W 12:00 AM - 8:00 PM Gender: Female M-F 9:00 AM - 5:00 PM (201) 996-9244
TH 9:00 AM - 6:00 PM Care Plus NJ Inc Fax: (201) 996-9243
F 9:00 AM - 4:00 PM 611 Rte 46 W Ste 100 Vollenweider, Diane LCSW 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 Holy Name Medical Center
Smith, Patricia LCSW (201) 986-5000 Provider ID: 901912 M-F 9:00 AM - 5:00 PM
Provider ID: 903248 00 Yrs/130 Yrs Gender: Female
Gender: Female M-F 9:00 AM - 5:00 PM Relief and Solutions Herrera, Maryeth ARNP
Care Plus NJ Inc Counseling
610 Valley Health Plz Vitiello, Anna LCSW 192 3rd Ave Stes 3 and 4 Provider ID: 1181224
Paramus, NJ 07652 Provider ID: 901976 Westwood, NJ 07675 Gender: Female
(201) 986-5044 Gender: Female (201) 666-2400 Mulkay Cardiology
Fax: (201) 265-0366 Care Plus NJ Inc Fax: (201) 666-2472 Consultants At Ho
00 Yrs/130 Yrs 17 07 Romaine St 00 Yrs/130 Yrs 493 Essex St Fl 2
Bergen Regional Medical Fair Lawn, NJ 07410 M-TH 4:30 AM - 10:00 PM Hackensack, NJ 07601
Center (201) 986-5000 F 9:00 AM - 5:00 PM (201) 996-9244
M 6:00 AM - 9:00 PM 00 Yrs/130 Yrs Sat 8:00 AM - 5:00 PM Fax: (201) 996-9243
T 10:00 AM - 12:00 PM Languages: Spanish, Russian, 18 Yrs/110 Yrs
W 10:00 AM - 9:00 PM Hindi, Korean Wint, Keisha LCSW Holy Name Medical Center
TH 10:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 901029 Palisades Medical Center
Gender: Female M-F 9:00 AM - 6:00 PM
Tuttle, Gloria LCSW Vitiello, Anna LCSW Care Plus NJ Inc
Provider ID: 903247 Provider ID: 901976 610 Valley Health Plz
Gender: Female Gender: Female Paramus, NJ 07652
Care Plus NJ Inc Care Plus NJ Inc (201) 986-5044
17 07 Romaine St 230 E Ridgewood Ave Fax: (201) 265-0366
Fair Lawn, NJ 07410 Paramus, NJ 07652 00 Yrs/130 Yrs
(201) 986-5000 (201) 986-5000 M 4:00 AM - 9:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs T 9:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish, Russian, WF 9:00 AM - 5:00 PM
Hindi, Korean TH 9:00 AM - 9:00 PM
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 339
Updated: 11/26/2018

Allied Providers
Bergen
Cardiology - cont. Clinical Social Work Tider, Toby CSW Nardone, Jennifer ARNP
Provider ID: 1640666
Kapoor, Deepa PA Kardonsky, Elena LCSW Gender: Female Provider ID: 923896
Provider ID: 1315946 Medical Associates of Gender: Female
Gender: Female Provider ID: 1552265 Englewood, PC Dr Mathias Zemel LLC
Medical Associates of Gender: Female 24 Elm St 33-00 Broadway Ste 204
Englewood, PC Psychological Counseling and Harrington Pk, NJ 07640 Fair Lawn, NJ 07410
177 N Dean St 1st Fl Empowe (201) 784-0123 (973) 279-1232
Englewood, NJ 07631 71 Franklin Tpke Ste 1-2 Fax: (201) 784-0065 Fax: (973) 279-5001
(201) 569-4901 Waldwick, NJ 07463 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 569-6111 (917) 612-7100 MW 10:00 AM - 8:00 PM Languages: Tagalog
00 Yrs/130 Yrs Fax: (201) 943-8859 TTH 9:00 AM - 5:00 PM M 10:00 AM - 2:00 PM
Englewood Hospital and 00 Yrs/130 Yrs
Medical Center M 10:00 AM - 7:00 PM Dermatology Dietician
M-F 8:00 AM - 6:00 PM TWTH 10:00 AM - 6:00 PM
FSat 10:00 AM - 4:00 PM Carmona, Corinne ARNP McSpirittguzio, Marilyn RD
Clinical Neurophysiology
Rawls, Valerie CSW Provider ID: 972809 Provider ID: 1707503
Boreale, Kathleen ARNP Provider ID: 1647597 Gender: Female Gender: Female
Gender: Female Jeffrey Rapaport MD PA Medical Associates of
Provider ID: 984945 Teamup Counseling 333 Sylvan Ave Ste 207 Englewood, PC
Gender: Female 632B Bergen Blvd Englewood Cliffs, NJ 07632 180 Engle St
Epilepsy and Neurophysiology Ridgefield, NJ 07657 (201) 224-6655 Englewood, NJ 07631
Medica (201) 917-3048 Fax: (201) 227-8313 (201) 567-2050
20 Prospect Ave Ste 800 Fax: (201) 328-9404 00 Yrs/130 Yrs Fax: (201) 568-8936
Hackensack, NJ 07601 00 Yrs/21 Yrs MTTH 9:00 AM - 6:00 PM 00 Yrs/130 Yrs
(201) 343-6676 M-F 9:00 AM - 5:00 PM W 7:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 343-6689 F 8:00 AM - 1:00 PM
00 Yrs/130 Yrs Siegel, Rebecca CSW McSpirittguzio, Marilyn RD
M-F 9:00 AM - 5:00 PM Provider ID: 1646447 Desiato, Lisa PA
Gender: Female Provider ID: 980618 Provider ID: 1707503
Cassarello Fernandez, Lillian Prohealth Care Associates of Gender: Female Gender: Female
APRN New Je 333 Sylvan Ave Ste 207 Medical Associates of
Provider ID: 811432 221 Park Ave Englewood Cliffs, NJ 07632 Englewood, PC
Gender: Female Rutherford, NJ 07070 (201) 224-6655 24 Elm St
Epilepsy and Neurophysiology (201) 293-0976 Fax: (201) 227-8313 Harrington Park, NJ 07640
Medica Fax: (201) 293-0977 00 Yrs/130 Yrs (201) 784-0123
20 Hackensack Ave Ste 800 00 Yrs/130 Yrs Fax: (201) 784-0065
Hackensack, NJ 07601 M-F 9:00 AM - 5:00 PM Fermano, Tina PA 00 Yrs/130 Yrs
(201) 343-6676 Provider ID: 1069358 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Tider, Toby CSW Gender: Female
M-F 9:00 AM - 5:00 PM Provider ID: 1640666 Skin Laser Surgery Specialists McSpirittguzio, Marilyn RD
Gender: Female of
Medical Associates of 20 Prospect Ave Ste 702 Provider ID: 1707503
Englewood, PC Hackensack, NJ 07601 Gender: Female
1 N Washington Ave (201) 441-9890 Medical Associates of
Bergenfield, NJ 07621 Fax: (201) 441-9893 Englewood, PC
(201) 374-9201 00 Yrs/130 Yrs 25 Rockwood Place Ste 120
Fax: (201) 784-0065 M-F 9:00 AM - 5:00 PM Englewood, NJ 07631
00 Yrs/130 Yrs (201) 568-3335
M-F 9:00 AM - 5:00 PM Mallen, Carrie PA
Provider ID: 682104 Fax: (201) 568-2450
Gender: Female 00 Yrs/130 Yrs
333 Sylvan Ave Ste 207 M-F 9:00 AM - 5:00 PM
Englewood Cliffs, NJ 07632
(201) 224-6655
Fax: (201) 227-8313
00 Yrs/130 Yrs

www.wellcare.com/New-Jersey | 340
Updated: 11/26/2018

Allied Providers
Bergen
Dietician - cont. Family Practice Shuldgach, Deborah ARNP Spinellidrenth, Rosemarie
ARNP
McSpirittguzio, Marilyn RD Green, Hyeryong ARNP Provider ID: 1078039 Provider ID: 1474473
Gender: Female Gender: Female
Provider ID: 1707503 Provider ID: 1586068 North Hudson Community Medical Associates of
Gender: Female Gender: Female Action Corpo Englewood PC
Medical Associates of Medical Associates of Sub Specialty: HIV/AIDs 22-18 Broadway Ste 101
Englewood, PC Englewood, PC 535 Midland Ave Fair Lawn, NJ 07410
370 Grand Ave 1 N Washington Ave Ste A Garfield, NJ 07026 (201) 797-4503
Englewood, NJ 07631 Bergenfield, NJ 76212 (973) 340-1182 Fax: (201) 797-4270
(201) 567-3370 (201) 374-2829 Fax: (973) 340-1156 00 Yrs/130 Yrs
Fax: (201) 816-1265 Fax: (201) 374-2835 12 Yrs/130 Yrs St. Joseph's Hospital Reg
00 Yrs/130 Yrs 00 Yrs/130 Yrs MTTHFSat 8:30 AM - 5:00 PM Medical Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM W 8:30 AM - 7:00 PM M-F 9:00 AM - 5:00 PM

Yorke, Maureen RD Ramos, Luz ARNP Spinellidrenth, Rosemarie Spinelli-Drenth, Rosemarie


ARNP ARNP
Provider ID: 1075400
Gender: Female Provider ID: 1277775 Provider ID: 696080
Provider ID: 1565917
North Hudson Community Gender: Female Gender: Female
Gender: Female
Action Corpo Medical Associates of Comprehensive Health Care
Bhmg-United Medical
Sub Specialty: HIV/AIDs Englewood PC of New Je
612 Rutherford Ave
197 S Van Brunt St 22-18 Broadway Ste 104 22-18 Broadway Ste 104
Lyndhurst, NJ 07071
Englewood, NJ 07631 Fair Lawn, NJ 07410 Fair Lawn, NJ 07410
(201) 460-0063
(201) 537-4442 (201) 797-4503 (201) 797-4503
Fax: (201) 460-1684
Fax: (201) 568-1876 Fax: (201) 797-4270 Fax: (201) 797-4270
00 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Endocrinology, Diabetes, Medical Center Medical Center
Shuldgach, Deborah ARNP M-F 9:00 AM - 5:00 PM Languages: Italian
Metabolism M 10:00 AM - 2:30 PM
Spinellidrenth, Rosemarie TTH 10:00 AM - 6:00 PM
Dershowitz, Meir PA Provider ID: 1075395
ARNP W 10:00 AM - 5:00 PM
Gender: Female
Provider ID: 1358663 F 11:00 AM - 4:30 PM
Provider ID: 1436843 North Hudson Community
Action Corpo Gender: Female
Gender: Male Medical Associates of General Surgery
Bhmg - United Medical Sub Specialty: HIV/AIDs
197 S Van Brunt St Englewood PC
612 Rutherford Ave Fl 1 1 N Washington Ave Beck, Jaclyn PA
Lyndhurst, NJ 07071 Englewood, NJ 07631
Bergenfield, NJ 07621 Provider ID: 1645515
(201) 460-0063 (201) 537-4442
(201) 374-9201 Gender: Female
Fax: (201) 460-1684 Fax: (201) 568-1876
Fax: (973) 797-4270 University Physicians
00 Yrs/130 Yrs 12 Yrs/130 Yrs
00 Yrs/130 Yrs Associates of
Saint Barnabas Medical M-F 8:30 AM - 5:00 PM
St. Joseph's Hospital Reg 230 E. Ridgewood Ave
Center Livingston Medical Center Paramus, NJ 07652
Shuldgach, Deborah ARNP
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (201) 967-4000
Fax: (201) 967-4117
Provider ID: 1078028 00 Yrs/130 Yrs
Gender: Female University Hospital
North Hudson Community M-F 9:00 AM - 5:00 PM
Action Corpo
Sub Specialty: HIV/AIDs
25 E Salem St 6th Fl
Hackensack, NJ 07601
(551) 996-2121
Fax: (551) 996-4435
12 Yrs/130 Yrs
MTTHF 8:30 AM - 5:00 PM
W 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 341
Updated: 11/26/2018

Allied Providers
Bergen
General Surgery - cont. Bowe, Geraldine ARNP Diggs, Carsandra PA Mazzola, Patricia ARNP
Provider ID: 1568901
Mitchell, Bridgette ARNP Provider ID: 1499458 Gender: Female Provider ID: 1581348
Gender: Female Medical Associates of Gender: Female
Provider ID: 1642523 Holy Name Pulmonary Englewood,PC Medical Associates of
Gender: Female Associates PA 350 Engle St Engelwood, PC
Medical Associates of 718 Teaneck Rd Critical Care Englewood, NJ 07631 350 Engle St
Englewood, PC Teaneck, NJ 07666 (201) 894-3202 Englewood, NJ 07631
350 Engle St 4th Fl Berrie Bldg (201) 833-3102 Fax: (201) 894-1722 (201) 608-2136
Englewood, NJ 07631 Fax: (201) 833-3098 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 894-3893 18 Yrs/110 Yrs M-F 9:00 AM - 5:00 PM Englewood Hospital and
Fax: (201) 894-3764 Holy Name Medical Center Medical Center
00 Yrs/130 Yrs MTWF 9:00 AM - 5:00 PM Jones, Maliaka ARNP M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM TH 9:00 AM - 7:00 PM
Provider ID: 1314561 Monti, Erika PA
Gynecological Oncology Cahill, Kathleen ARNP Gender: Female Provider ID: 1579266
Provider ID: 1460263 Holy Name Pulmonary Gender: Female
Rogers, Michelle PA Gender: Female Associates PC Medical Associates of
Provider ID: 1366959 Medical Associates of 200 Grand Ave Ste 102 Englewood, PC
Gender: Female Englewood PC Englewood, NJ 07631 350 Engle St
Excelcare Medical Associates 1 N Washington Ave (201) 871-3636 Englewood, NJ 07631
PA Bergenfield, NJ 07621 Fax: (201) 871-2286 (201) 608-2136
718 Teaneck Rd (201) 374-9201 18 Yrs/110 Yrs Fax: (201) 818-3350
Teaneck, NJ 07666 Fax: (201) 784-0065 Englewood Hospital and 00 Yrs/130 Yrs
(201) 227-6200 00 Yrs/130 Yrs Medical Center Englewood Hospital and
Fax: (201) 227-6209 Englewood Hospital and Holy Name Medical Center Medical Center
16 Yrs/130 Yrs Medical Center Palisades Medical Center M-F 9:00 AM - 5:00 PM
Holy Name Medical Center Languages: Spanish M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Morales, Annette ARNP
Joseph, Dionne ARNP
Internal Medicine Casimiro, Nita ARNP Provider ID: 1570501
Provider ID: 1449057 Gender: Female
Berfet, Shontelle PA Provider ID: 1181228 Gender: Female Bhmg United Medical
Gender: Female Medical Associates of 612 Rutherford Ave
Provider ID: 1706343 Medical Associates of Englewood PC Lyndhurst, NJ 07071
Gender: Female Englewood PC 1 North Washington Ave (201) 460-0063
Prohealth Care Associates of 25 Rockwood Pl Ste 120 Bergenfield, NJ 07621 Fax: (201) 460-1684
New Je Englewood, NJ 07631 (201) 374-9201 00 Yrs/130 Yrs
935 River Rd Ste 301 (201) 568-3335 Fax: (201) 784-0065 Languages: Spanish
Edgewater, NJ 07020 Fax: (201) 568-2450 00 Yrs/130 Yrs M-TH 8:00 AM - 5:00 PM
(201) 699-0448 16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM F 8:00 AM - 0:50 PM
Fax: (201) 699-0443 M-W 8:00 AM - 6:30 PM
TH 8:00 AM - 6:00 PM Lang, Anna ARNP Neufville, Deborah ARNP
00 Yrs/130 Yrs
JFK Medical Center F 8:00 AM - 5:00 PM Provider ID: 1579265
M-F 9:00 AM - 5:00 PM Gender: Female Provider ID: 1611321
Deserio, Josephine ARNP Medical Associates of Gender: Female
Englewood,PC Medical Associates of
Provider ID: 1442407 350 Engle St Englewood, PC
Gender: Female Englewood, NJ 07631 350 Engle St 2 Dean
Medical Associates of (201) 594-3892 Englewood, NJ 07631
Englewood, PC 00 Yrs/130 Yrs (201) 894-3146
1 N Washington Ave Englewood Hospital and 02 Yrs/130 Yrs
Bergenfield, NJ 07621 Medical Center M-F 9:00 AM - 5:00 PM
(201) 374-9201 M-TH 8:00 AM - 4:00 PM
Fax: (201) 784-0065
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 342
Updated: 11/26/2018

Allied Providers
Bergen
Internal Medicine - cont. Sonzogni, Lisa ARNP Licensed Clinical Social Basilio, Deborah CSW
Provider ID: 1579267 Worker Provider ID: 904492
Park, Myoung ARNP Gender: Female Gender: Female
Provider ID: 1440173 Medical Associates of Altamura, Christina LCSW Care Plus NJ Inc
Gender: Female Englewood, PC 230 E Ridgewood Ave
Bhmg-United Medical 350 Engle St Provider ID: 1425278 Paramus, NJ 07652
612 Rutherford Ave Fl 1 Englewood, NJ 07631 Gender: Female (201) 986-5000
Lyndhurst, NJ 07071 (201) 894-3202 Care Plus NJ Inc 00 Yrs/130 Yrs
(201) 460-0063 00 Yrs/130 Yrs 17-07 Romaine St M-F 9:00 AM - 5:00 PM
Fax: (201) 460-1684 Englewood Hospital and Fair Lawn, NJ 07410
16 Yrs/130 Yrs Medical Center (201) 986-5000 Basilio, Deborah CSW
Saint Barnabas Medical M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Provider ID: 904492
Center Livingston M-TH 9:00 AM - 9:00 PM Gender: Female
M-TH 8:00 AM - 7:00 PM Terrone, Deborah ARNP Care Plus NJ Inc
FSat 9:00 AM - 5:00 PM
F 8:00 AM - 5:00 PM 610 Valley Health Plz
Sat 8:00 AM - 12:00 PM Provider ID: 1536045 Altamura, Christina LCSW Paramus, NJ 07652
Gender: Female (201) 986-5000
Pizzi, Rose ARNP Medical Associates of Fax: (201) 265-0366
Provider ID: 1425278
Provider ID: 1325503 Englewood, PC 00 Yrs/130 Yrs
Gender: Female
Gender: Female 22-18 Broadway Ste 201 M-TH 9:00 AM - 9:00 PM
Care Plus NJ Inc
Medical Associates of Fair Lawn, NJ 07410 FSat 9:00 AM - 5:00 PM
230 E Ridgewood Ave
Englewood PC (201) 475-5050 Paramus, NJ 07652
1 N Washington Ave Fax: (201) 475-5522 Basilio, Deborah CSW
(201) 986-5000
Bergenfield, NJ 07621 00 Yrs/130 Yrs Provider ID: 904492
00 Yrs/130 Yrs
(201) 374-9201 M-F 9:00 AM - 5:00 PM Gender: Female
M-F 9:00 AM - 5:00 PM
Fax: (201) 784-0065 Care Plus NJ Inc
00 Yrs/130 Yrs Viera, Jorge ARNP 611 Rte 46 W Ste 100
Altamura, Christina LCSW
MTWTHFSatSun 5:00 AM - Provider ID: 1518395 Hasbrouck Heights, NJ 07604
11:30 PM Gender: Male (201) 986-5000
Provider ID: 1425278
Bhmg-United Medical 00 Yrs/130 Yrs
Sonzogni, Elaine ARNP Gender: Female
612 Rutherford Ave M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc
Lyndhurst, NJ 07071
610 Valley Health Plz
Provider ID: 1324195 (201) 460-0063 Blane, Daniel LCSW
Paramus, NJ 07652
Gender: Female Fax: (201) 460-7195 Provider ID: 1249779
(201) 986-5000
Medical Associates of 00 Yrs/130 Yrs Gender: Male
Englewood PC 00 Yrs/130 Yrs
Saint Barnabas Medical Care Plus NJ Inc
1 N Washington Ave Center Livingston M-F 9:00 AM - 5:00 PM
17-07 Romaine St
Bergenfield, NJ 07621 Languages: Spanish Fair Lawn, NJ 07410
Altamura, Christina LCSW
(201) 374-9106 M-F 9:00 AM - 5:00 PM (201) 986-5000
Fax: (201) 608-2453 00 Yrs/130 Yrs
00 Yrs/130 Yrs Interventional Cardiology Provider ID: 1425278
M-F 9:00 AM - 5:00 PM
MTWTHFSatSun 5:00 AM - Gender: Female
11:30 PM Mulder, Cynthia ARNP Care Plus NJ Inc Blane, Daniel LCSW
611 Rte 46 W Ste 100 Provider ID: 1249779
Sonzogni, Elaine ARNP Provider ID: 1545291 Hasbrouck Heights, NJ 07604 Gender: Male
Gender: Female (201) 986-5000 Care Plus NJ Inc
Provider ID: 1355633 Medical Associates of 00 Yrs/130 Yrs 230 E Ridgewood Ave
Gender: Female Englewood, PC M-F 9:00 AM - 5:00 PM Paramus, NJ 07652
Medical Associates of 350 Engle St Lowr Lvl (201) 986-5000
Englewood PC Basilio, Deborah CSW
Englewood, NJ 76311 00 Yrs/130 Yrs
596 Anderson Ave Ste 216 (201) 894-3000 Provider ID: 904492
M-F 9:00 AM - 5:00 PM
Cliffside Park, NJ 07010 Fax: (201) 871-9227 Gender: Female
(201) 943-7246 00 Yrs/130 Yrs Care Plus NJ Inc
Fax: (201) 943-7037 Englewood Hospital and 17 07 Romaine St
00 Yrs/130 Yrs Medical Center Fair Lawn, NJ 07410
MTWTHFSatSun 5:00 AM - M-F 9:00 AM - 5:00 PM (201) 986-5000
11:30 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 343
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Clinical Social Caraccio, Steve LCSW Christensen, Lindsey LCSW Couceiro, Marian LCSW
Worker - cont. Provider ID: 1263627
Gender: Male Provider ID: 1429378 Provider ID: 1369893
Blane, Daniel LCSW Care Plus NJ Inc Gender: Female Gender: Female
Provider ID: 1249779 610 Valley Health Plz Care Plus NJ Inc Care Plus NJ Inc
Gender: Male Paramus, NJ 07652 Sub Specialty: Intensive 610 Valley Health Plz
Care Plus NJ Inc (201) 265-8200 Outpatient Program, Paramus, NJ 07652
610 Valley Health Plz 00 Yrs/130 Yrs Medication Management (201) 265-8200
Paramus, NJ 07652 Languages: Spanish 610 Valley Health Plaza Fax: (201) 265-0366
(201) 265-8200 M-TH 9:00 AM - 9:00 PM Paramus, NJ 07652 00 Yrs/130 Yrs
Fax: (201) 265-0366 FSat 9:00 AM - 5:00 PM (201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
MFSat 9:00 AM - 5:00 PM Caraccio, Steve LCSW M-F 9:00 AM - 5:00 PM Couceiro, Marian LCSW
TWTH 9:00 AM - 9:00 PM Provider ID: 1263627
Gender: Male Christensen, Lindsey LCSW Provider ID: 1369893
Blane, Daniel LCSW Care Plus NJ Inc Gender: Female
Provider ID: 1249779 611 Rte 46 W Ste 100 Provider ID: 1429378 Care Plus NJ Inc
Gender: Male Hasbrouck Heights, NJ 07604 Gender: Female 611 Rte 46 W Ste 100
Care Plus NJ Inc (201) 986-5000 Care Plus NJ Inc Hasbrouck Heights, NJ 07604
611 Rte 46 W Ste 100 00 Yrs/130 Yrs Sub Specialty: Intensive (201) 986-5000
Hasbrouck Heights, NJ 07604 Languages: Spanish Outpatient Program, 00 Yrs/130 Yrs
(201) 986-5000 M-F 9:00 AM - 5:00 PM Medication Management M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 611 Rte 46 W. Ste 100
M-F 9:00 AM - 5:00 PM Christensen, Lindsey LCSW Hasbrouck Heights, NJ 07604 Del Sordo, Amie LCSW
(201) 986-5000
Caraccio, Steve LCSW Provider ID: 1429378 00 Yrs/130 Yrs Provider ID: 1440158
Provider ID: 1263627 Gender: Female M-F 9:00 AM - 5:00 PM Gender: Female
Gender: Male Care Plus NJ Inc Care Plus NJ Inc
Care Plus NJ Inc Sub Specialty: Intensive Couceiro, Marian LCSW
17-07 Romaine St
17-07 Romaine St Outpatient Program, Fair Lawn, NJ 07410
Fair Lawn, NJ 07410 Medication Management Provider ID: 1369893 (201) 986-5000
(201) 986-5000 17-07 Romaine St Gender: Female 00 Yrs/130 Yrs
00 Yrs/130 Yrs Fair Lawn, NJ 07410 Care Plus NJ Inc M-F 9:00 AM - 5:00 PM
Languages: Spanish (201) 986-5000 17-07 Romaine St
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Fair Lawn, NJ 07410 Del Sordo, Amie LCSW
M-F 9:00 AM - 5:00 PM (201) 986-5000
Caraccio, Steve LCSW 00 Yrs/130 Yrs Provider ID: 1440158
Provider ID: 1263627 Christensen, Lindsey LCSW M-F 9:00 AM - 5:00 PM Gender: Female
Gender: Male Care Plus NJ Inc
Care Plus NJ Inc Provider ID: 1429378 Couceiro, Marian LCSW
230 E. Ridgewood Ave
230 E Ridgewood Ave Gender: Female Paramus, NJ 07652
Paramus, NJ 07652 Care Plus NJ Inc Provider ID: 1369893 (201) 986-5000
(201) 986-5000 Sub Specialty: Intensive Gender: Female 00 Yrs/130 Yrs
00 Yrs/130 Yrs Outpatient Program, Care Plus NJ Inc M-F 9:00 AM - 5:00 PM
Languages: Spanish Medication Management 230 E Ridgewood Ave
M-F 9:00 AM - 5:00 PM 230 E. Ridgewood Ave Paramus, NJ 07652 Del Sordo, Amie LCSW
Paramus, NJ 07652 (201) 986-5000
(201) 986-5000 00 Yrs/130 Yrs Provider ID: 1440158
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Gender: Female
M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc
610 Valley Health Plaza
Paramus, NJ 07652
(201) 986-5000
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 344
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Clinical Social Gagescu, Melissa LCSW Garcia, Jessica LCSW King, Marcy LCSW
Worker - cont. Provider ID: 1429461 Provider ID: 1253993
Provider ID: 1429440 Gender: Female Gender: Female
Del Sordo, Amie LCSW Gender: Female Care Plus NJ Inc Care Plus NJ Inc
Care Plus NJ Inc 230 E. Ridgewood Ave 230 E Ridgewood Ave
Provider ID: 1440158 17-07 Romaine St Paramus, NJ 07652 Paramus, NJ 07652
Gender: Female Fair Lawn, NJ 07410 (201) 986-5000 (201) 986-5000
Care Plus NJ Inc (201) 986-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs
611 Rte 46 W. Ste 100 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM
(201) 986-5000 Garcia, Jessica LCSW King, Marcy LCSW
00 Yrs/130 Yrs Gagescu, Melissa LCSW Provider ID: 1429461 Provider ID: 1253993
M-F 9:00 AM - 5:00 PM Gender: Female Gender: Female
Provider ID: 1429440 Care Plus NJ Inc Care Plus NJ Inc
Fagan, Sara LCSW Gender: Female 610 Valley Health Plaza 610 Valley Health Plz
Provider ID: 1366971 Care Plus NJ Inc Paramus, NJ 07652 Paramus, NJ 07652
Gender: Female 230 E. Ridgewood Ave (201) 986-5000 (201) 986-5000
Care Plus NJ Inc Paramus, NJ 07652 00 Yrs/130 Yrs 00 Yrs/130 Yrs
17-07 Romaine St (201) 986-5000 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Fair Lawn, NJ 07410 00 Yrs/130 Yrs
(201) 986-5000 M-F 9:00 AM - 5:00 PM Garcia, Jessica LCSW King, Marcy LCSW
00 Yrs/130 Yrs Provider ID: 1429461 Provider ID: 1253993
M-F 9:00 AM - 5:00 PM Gagescu, Melissa LCSW Gender: Female Gender: Female
Care Plus NJ Inc Care Plus NJ Inc
Fagan, Sara LCSW Provider ID: 1429440 611 Rte 46 W. Ste 100 611 Rte 46 W Ste 100
Provider ID: 1366971 Gender: Female Hasbrouck Heights, NJ 07604 Hasbrouck Heights, NJ 07604
Gender: Female Care Plus NJ Inc (201) 986-5000 (201) 986-5000
Care Plus NJ Inc 610 Valley Health Plaza 00 Yrs/130 Yrs 00 Yrs/130 Yrs
230 E Ridgewood Ave Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 (201) 265-8200
(201) 986-5000 Gonzalez, Leticia CSW Kleiwerda, Melissa LCSW
Fax: (201) 265-0366
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1611331 Provider ID: 1405164
Gender: Female Gender: Female
Fagan, Sara LCSW Gagescu, Melissa LCSW Prohealth Care Associates of Care Plus NJ Inc
Provider ID: 1366971 New Je 17-07 Romaine St
Gender: Female Provider ID: 1429440 221 Park Ave Fair Lawn, NJ 07410
Care Plus NJ Inc Gender: Female Rutherford, NJ 07070 (201) 986-5000
610 Valley Health Plz Care Plus NJ Inc (201) 293-0976 00 Yrs/130 Yrs
Paramus, NJ 07652 611 Rte 46 W. Ste 100 Fax: (201) 293-0977 M-F 9:00 AM - 5:00 PM
(201) 265-8200 Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs
Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM Kleiwerda, Melissa LCSW
(201) 986-5000
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM King, Marcy LCSW Provider ID: 1405164
M-F 9:00 AM - 5:00 PM
Provider ID: 1253993 Gender: Female
Fagan, Sara LCSW Garcia, Jessica LCSW Gender: Female Care Plus NJ Inc
Provider ID: 1366971 Provider ID: 1429461 Care Plus NJ Inc 230 E Ridgewood Ave
Gender: Female Gender: Female 17-07 Romaine St Paramus, NJ 07652
Care Plus NJ Inc Care Plus NJ Inc Fair Lawn, NJ 07410 (201) 986-5000
611 Rte 46 W Ste 100 17-07 Romaine St (201) 986-5000 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 986-5000 (201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 345
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Clinical Social Kloss, Allyson LCSW Mack, Kyle LCSW Meany, Joseph LCSW
Worker - cont. Provider ID: 1405165 Provider ID: 1695069 Provider ID: 1429383
Gender: Female Gender: Male Gender: Male
Kleiwerda, Melissa LCSW Care Plus NJ Inc Medical Associates of Care Plus NJ Inc
611 Rte 46 W Ste 100 Englewood, PC 17-07 Romaine St
Provider ID: 1405164 Hasbrouck Heights, NJ 07604 25 Rockwood Pl Ste 120 Fair Lawn, NJ 07410
Gender: Female (201) 986-5000 Englewood, NJ 07631 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs (201) 568-3335 00 Yrs/130 Yrs
610 Valley Health Plz M-F 9:00 AM - 5:00 PM Fax: (201) 568-2450 M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 00 Yrs/130 Yrs
(201) 986-5000 Lauber, Kristen LCSW Englewood Hospital and Meany, Joseph LCSW
00 Yrs/130 Yrs Provider ID: 1419151 Medical Center Provider ID: 1429383
M-F 9:00 AM - 5:00 PM Gender: Female M-F 9:00 AM - 5:00 PM Gender: Male
Care Plus NJ Inc Care Plus NJ Inc
Kleiwerda, Melissa LCSW 17-07 Romaine St McAuley, Jennifer LCSW 230 E. Ridgewood Ave
Fair Lawn, NJ 07410 Paramus, NJ 07652
Provider ID: 1405164 (201) 986-5000 Provider ID: 1466763 (201) 986-5000
Gender: Female 00 Yrs/130 Yrs Gender: Female 00 Yrs/130 Yrs
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Care Plus NJ Inc M-F 9:00 AM - 5:00 PM
611 Rte 46 W Ste 100 17 07 Romaine St
Lauber, Kristen LCSW Fair Lawn, NJ 07410 Meany, Joseph LCSW
Hasbrouck Heights, NJ 07604
(201) 986-5000 Provider ID: 1419151 (201) 986-5000 Provider ID: 1429383
00 Yrs/130 Yrs Gender: Female 00 Yrs/130 Yrs Gender: Male
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
230 E Ridgewood Ave 610 Valley Health Plaza
Kloss, Allyson LCSW Paramus, NJ 07652 McAuley, Jennifer LCSW Paramus, NJ 07652
Provider ID: 1405165 (201) 986-5000 (201) 986-5000
Gender: Female 00 Yrs/130 Yrs Provider ID: 1466763 Fax: (201) 265-0366
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Gender: Female 00 Yrs/130 Yrs
17-07 Romaine St Care Plus NJ Inc M-F 9:00 AM - 5:00 PM
Lauber, Kristen LCSW 230 E Ridgewood Ave
Fair Lawn, NJ 07410
Provider ID: 1419151 Paramus, NJ 07652 Meany, Joseph LCSW
(201) 986-5000
00 Yrs/130 Yrs Gender: Female (201) 986-5000 Provider ID: 1429383
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc 00 Yrs/130 Yrs Gender: Male
610 Valley Health Plz M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
Kloss, Allyson LCSW Paramus, NJ 07652 611 Rte 46 W. Ste 100
Provider ID: 1405165 (201) 986-5000 McAuley, Jennifer LCSW Hasbrouck Heights, NJ 07604
Gender: Female 00 Yrs/130 Yrs (201) 986-5000
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Provider ID: 1466763 00 Yrs/130 Yrs
230 E Ridgewood Ave Gender: Female M-F 9:00 AM - 5:00 PM
Lauber, Kristen LCSW Care Plus NJ Inc
Paramus, NJ 07652
Provider ID: 1419151 610 Valley Health Plz Motoki, Lobsang LCSW
(201) 986-5000
00 Yrs/130 Yrs Gender: Female Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc (201) 986-5000 Provider ID: 1429389
611 Rte 46 W. Ste 100 00 Yrs/130 Yrs Gender: Female
Kloss, Allyson LCSW Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
Provider ID: 1405165 (201) 986-5000 17-07 Romaine St
Gender: Female 00 Yrs/130 Yrs McAuley, Jennifer LCSW Fair Lawn, NJ 07410
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM (201) 986-5000
610 Valley Health Plz Provider ID: 1466763 00 Yrs/130 Yrs
Paramus, NJ 07652 Gender: Female M-F 9:00 AM - 5:00 PM
(201) 265-8200 Care Plus NJ Inc
Fax: (201) 265-0366 611 Rte 46 W. Ste 100
00 Yrs/130 Yrs Hasbrouck Heights, NJ 07604
M-F 9:00 AM - 5:00 PM (201) 986-5000
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 346
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Clinical Social Qureshi, Nadia LCSW Schrader, Cheryl LCSW Vasco, Yajaira LCSW
Worker - cont. Provider ID: 1252031 Provider ID: 1429454
Gender: Female Provider ID: 1249788 Gender: Female
Motoki, Lobsang LCSW Care Plus NJ Inc Gender: Female Care Plus NJ Inc
230 E Ridgewood Ave Care Plus NJ Inc 611 Rte 46 W. Ste 100
Provider ID: 1429389 Paramus, NJ 07652 610 Valley Health Plz Hasbrouck Heights, NJ 07604
Gender: Female (201) 986-5000 Paramus, NJ 07652 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs (201) 986-5000 00 Yrs/130 Yrs
230 E. Ridgewood Ave Languages: Hindi 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 9:00 PM
(201) 986-5000 FSat 9:00 AM - 5:00 PM Walsh, Lauren LCSW
00 Yrs/130 Yrs Qureshi, Nadia LCSW Provider ID: 1255298
M-F 9:00 AM - 5:00 PM Provider ID: 1252031 Schrader, Cheryl LCSW Gender: Female
Gender: Female Care Plus NJ Inc
Motoki, Lobsang LCSW Care Plus NJ Inc Provider ID: 1249788 17-07 Romaine St
610 Valley Health Plz Gender: Female Fair Lawn, NJ 07410
Provider ID: 1429389 Paramus, NJ 07652 Care Plus NJ Inc (201) 797-2660
Gender: Female (201) 265-8200 611 Rte 46 W Ste 100 Fax: (201) 797-5025
Care Plus NJ Inc Fax: (201) 265-0366 Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs
610 Valley Health Plaza 00 Yrs/130 Yrs (201) 986-5000 M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 Languages: Hindi 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Walsh, Lauren LCSW
(201) 265-8200
Fax: (201) 265-0366 Provider ID: 1255298
Qureshi, Nadia LCSW Vasco, Yajaira LCSW Gender: Female
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1252031 Provider ID: 1429454 Care Plus NJ Inc
Gender: Female Gender: Female 230 E Ridgewood Ave
Motoki, Lobsang LCSW Care Plus NJ Inc Care Plus NJ Inc Paramus, NJ 07652
611 Rte 46 W Ste 100 17-07 Romaine St (201) 986-5000
Provider ID: 1429389 Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410 00 Yrs/130 Yrs
Gender: Female (201) 986-5000 (201) 986-5000 M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Languages: Hindi M-F 9:00 AM - 5:00 PM Walsh, Lauren LCSW
611 Rte 46 W. Ste 100
M-F 9:00 AM - 5:00 PM Provider ID: 1255298
Hasbrouck Heights, NJ 07604
Vasco, Yajaira LCSW Gender: Female
(201) 986-5000 Schrader, Cheryl LCSW Provider ID: 1429454 Care Plus NJ Inc
00 Yrs/130 Yrs
Gender: Female 610 Valley Health Plz
M-F 9:00 AM - 5:00 PM
Provider ID: 1249788 Care Plus NJ Inc Paramus, NJ 07652
Qureshi, Nadia LCSW Gender: Female 230 E. Ridgewood Ave (201) 986-5000
Provider ID: 1252031 Care Plus NJ Inc Paramus, NJ 07652 00 Yrs/130 Yrs
Gender: Female 17-07 Romaine St (201) 986-5000 M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc Fair Lawn, NJ 07410 00 Yrs/130 Yrs
(201) 797-2660 M-F 9:00 AM - 5:00 PM Walsh, Lauren LCSW
17-07 Romaine St
Fax: (201) 797-5025 Provider ID: 1255298
Fair Lawn, NJ 07410
00 Yrs/130 Yrs Vasco, Yajaira LCSW Gender: Female
(201) 986-5000
M-F 9:00 AM - 5:00 PM Provider ID: 1429454 Care Plus NJ Inc
00 Yrs/130 Yrs
Gender: Female 611 Rte 46 W Ste 100
Languages: Hindi
Schrader, Cheryl LCSW Care Plus NJ Inc Hasbrouck Heights, NJ 07604
M-F 9:00 AM - 5:00 PM
610 Valley Health Plaza (201) 986-5000
Provider ID: 1249788 Paramus, NJ 07652 00 Yrs/130 Yrs
Gender: Female (201) 986-5000 M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc 00 Yrs/130 Yrs
230 E Ridgewood Ave M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652
(201) 986-5000
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 347
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Clinical Social Zeik, Carol LCSW Fidalgo, Lara LMFT Goldfinger, Danielle LMFT
Worker - cont. Provider ID: 1232145 Provider ID: 1405932
Gender: Female Gender: Female Provider ID: 1407200
Willets, Catharine LCSW Bergen Regional Medical Care Plus NJ Inc Gender: Female
Center 17-07 Romaine St Care Plus NJ Inc
Provider ID: 1255299 230 E Ridgewood Ave Fair Lawn, NJ 07410 230 E Ridgewood Ave
Gender: Female Paramus, NJ 07652 (201) 986-5000 Paramus, NJ 07652
Care Plus NJ Inc (800) 730-2762 00 Yrs/130 Yrs (201) 986-5000
17-07 Romaine St Fax: (201) 967-4117 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 986-5000 M-F 8:00 AM - 4:30 PM Fidalgo, Lara LMFT
00 Yrs/130 Yrs Provider ID: 1405932 Goldfinger, Danielle LMFT
M-F 9:00 AM - 5:00 PM
Licensed Marriage and Gender: Female
Family Therapist Care Plus NJ Inc Provider ID: 1407200
Willets, Catharine LCSW 230 E Ridgewood Ave Gender: Female
Del Tufo, Laura LMFT Paramus, NJ 07652 Care Plus NJ Inc
Provider ID: 1255299 Provider ID: 1366970 (201) 986-5000 610 Valley Health Plz
Gender: Female Gender: Female 00 Yrs/130 Yrs Paramus, NJ 07652
Care Plus NJ Inc Care Plus NJ Inc M-F 9:00 AM - 5:00 PM (201) 986-5000
230 E Ridgewood Ave 17-07 Romaine St 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 Fidalgo, Lara LMFT M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652
(201) 986-5000 (201) 986-5000 Provider ID: 1405932
00 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Female Goldfinger, Danielle LMFT
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
610 Valley Health Plz Provider ID: 1407200
Willets, Catharine LCSW Del Tufo, Laura LMFT Paramus, NJ 07652 Gender: Female
Provider ID: 1366970 (201) 265-8200 Care Plus NJ Inc
Provider ID: 1255299 Gender: Female Fax: (201) 265-0366 611 Rte 46 W Ste 100
Gender: Female Care Plus NJ Inc 00 Yrs/130 Yrs Hasbrouck Heights, NJ 07604
Care Plus NJ Inc 230 E Ridgewood Ave M-F 9:00 AM - 5:00 PM (201) 986-5000
610 Valley Health Plz Paramus, NJ 07652 00 Yrs/130 Yrs
(201) 986-5000 Fidalgo, Lara LMFT
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Provider ID: 1405932
(201) 986-5000
M-F 9:00 AM - 5:00 PM Gender: Female Massoud, Daniel LMFT
00 Yrs/130 Yrs
Care Plus NJ Inc
M-F 9:00 AM - 5:00 PM Del Tufo, Laura LMFT 611 Rte 46 W. Ste 100 Provider ID: 1429377
Willets, Catharine LCSW Provider ID: 1366970 Hasbrouck Heights, NJ 07604 Gender: Male
Gender: Female (201) 986-5000 Care Plus NJ Inc
Care Plus NJ Inc 00 Yrs/130 Yrs 17-07 Romaine St
Provider ID: 1255299
610 Valley Health Plz M-F 9:00 AM - 5:00 PM Fair Lawn, NJ 07410
Gender: Female
Paramus, NJ 07652 (201) 986-5000
Care Plus NJ Inc Goldfinger, Danielle LMFT
(201) 986-5000 00 Yrs/130 Yrs
611 Rte 46 W Ste 100
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Hasbrouck Heights, NJ 07604
M-F 9:00 AM - 5:00 PM Provider ID: 1407200
(201) 986-5000
Gender: Female Massoud, Daniel LMFT
00 Yrs/130 Yrs Del Tufo, Laura LMFT Care Plus NJ Inc
M-F 9:00 AM - 5:00 PM Provider ID: 1366970 17-07 Romaine St Provider ID: 1429377
Gender: Female Fair Lawn, NJ 07410 Gender: Male
Care Plus NJ Inc (201) 986-5000 Care Plus NJ Inc
611 Rte 46 W Ste 100 00 Yrs/130 Yrs 230 E. Ridgewood Ave
Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM Paramus, NJ 07652
(201) 986-5000 (201) 986-5000
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 348
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Marriage and O'Neill, Megan LMFT Oshman, Meredith LMFT Squire, Alexa LMFT
Family Therapist - cont. Provider ID: 1260604
Provider ID: 1429394 Provider ID: 1429395 Gender: Female
Massoud, Daniel LMFT Gender: Female Gender: Female Care Plus NJ Inc
Care Plus NJ Inc Care Plus NJ Inc 17-07 Romaine St
Provider ID: 1429377 610 Valley Health Plaza 611 Rte 46 W. Ste 100 Fair Lawn, NJ 07410
Gender: Male Paramus, NJ 07652 Hasbrouck Heights, NJ 07604 (201) 986-5000
Care Plus NJ Inc (201) 986-5000 (201) 986-5000 00 Yrs/130 Yrs
610 Valley Health Plaza 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(201) 986-5000 Squire, Alexa LMFT
00 Yrs/130 Yrs O'Neill, Megan LMFT Simon, John LMFT Provider ID: 1260604
M-TH 9:00 AM - 9:00 PM Provider ID: 1263632 Gender: Female
FSat 9:00 AM - 5:00 PM Provider ID: 1429394 Gender: Male Care Plus NJ Inc
Gender: Female Care Plus NJ Inc 230 E Ridgewood Ave
Massoud, Daniel LMFT Care Plus NJ Inc 17-07 Romaine St Paramus, NJ 07652
611 Rte 46 W. Ste 100 Fair Lawn, NJ 07410 (201) 986-5000
Provider ID: 1429377 Hasbrouck Heights, NJ 07604 (201) 986-5000 00 Yrs/130 Yrs
Gender: Male (201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Squire, Alexa LMFT
611 Rte 46 W. Ste 100
Hasbrouck Heights, NJ 07604 Simon, John LMFT Provider ID: 1260604
(201) 986-5000 Oshman, Meredith LMFT Provider ID: 1263632 Gender: Female
00 Yrs/130 Yrs Gender: Male Care Plus NJ Inc
M-F 9:00 AM - 5:00 PM Provider ID: 1429395 Care Plus NJ Inc 610 Valley Health Plz
Gender: Female 230 E Ridgewood Ave Paramus, NJ 07652
O'Neill, Megan LMFT Care Plus NJ Inc Paramus, NJ 07652 (201) 986-5000
17-07 Romaine St (201) 986-5000 00 Yrs/130 Yrs
Provider ID: 1429394 Fair Lawn, NJ 07410 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Gender: Female (201) 986-5000 M-F 9:00 AM - 5:00 PM
Squire, Alexa LMFT
Care Plus NJ Inc 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Simon, John LMFT Provider ID: 1260604
17-07 Romaine St
Provider ID: 1263632 Gender: Female
Fair Lawn, NJ 07410
Oshman, Meredith LMFT Gender: Male Care Plus NJ Inc
(201) 986-5000
Care Plus NJ Inc 611 Rte 46 W Ste 100
00 Yrs/130 Yrs
Provider ID: 1429395 610 Valley Health Plz Hasbrouck Heights, NJ 07604
M-F 9:00 AM - 5:00 PM
Gender: Female Paramus, NJ 07652 (201) 986-5000
O'Neill, Megan LMFT Care Plus NJ Inc (201) 265-8200 00 Yrs/130 Yrs
230 E. Ridgewood Ave Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM
Provider ID: 1429394 Paramus, NJ 07652 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Zihal, Annmarie LMFT
Gender: Female (201) 986-5000
Provider ID: 1249645
Care Plus NJ Inc 00 Yrs/130 Yrs
Simon, John LMFT Gender: Female
230 E. Ridgewood Ave M-F 9:00 AM - 5:00 PM
Provider ID: 1263632 Care Plus NJ Inc
Paramus, NJ 07652
Oshman, Meredith LMFT Gender: Male 17-07 Romaine St
(201) 986-5000
Care Plus NJ Inc Fair Lawn, NJ 07410
00 Yrs/130 Yrs
611 Rte 46 W Ste 100 (201) 797-2660
M-F 9:00 AM - 5:00 PM Provider ID: 1429395
Hasbrouck Heights, NJ 07604 Fax: (201) 797-5025
Gender: Female
(201) 986-5000 00 Yrs/130 Yrs
Care Plus NJ Inc
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
610 Valley Health Plaza
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
(201) 265-8200
Fax: (201) 265-0366
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 349
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Marriage and Miller, Tari LMHC Alkhalaileh, Michelle LPC Arlia, Jaime LPC
Family Therapist - cont. Provider ID: 1429386 Provider ID: 1249630
Gender: Female Provider ID: 1289285 Gender: Female
Zihal, Annmarie LMFT Care Plus NJ Inc Gender: Female Care Plus NJ Inc
Provider ID: 1249645 610 Valley Health Plaza Care Plus NJ Inc 611 Rte 46 W Ste 100
Gender: Female Paramus, NJ 07652 611 Rte 46 W Ste 100 Hasbrouck Heights, NJ 07604
Care Plus NJ Inc (201) 265-8200 Hasbrouck Heights, NJ 07604 (201) 986-5000
230 E Ridgewood Ave Fax: (201) 265-0366 (201) 986-5000 00 Yrs/130 Yrs
Paramus, NJ 07652 00 Yrs/130 Yrs 00 Yrs/130 Yrs Languages: Spanish,
(201) 986-5000 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Portuguese
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Miller, Tari LMHC Arlia, Jaime LPC
Provider ID: 1429386 Provider ID: 1249630 Brown Huston, Heather LPC
Zihal, Annmarie LMFT Gender: Female Gender: Female
Provider ID: 1249645 Care Plus NJ Inc Care Plus NJ Inc Provider ID: 1405136
Gender: Female 611 Rte 46 W. Ste 100 17-07 Romaine St Gender: Female
Care Plus NJ Inc Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410 Care Plus NJ Inc
610 Valley Health Plz (201) 986-5000 (201) 986-5000 17-07 Romaine St
Paramus, NJ 07652 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fair Lawn, NJ 07410
(201) 265-8200 M-F 9:00 AM - 5:00 PM Languages: Spanish, (201) 986-5000
00 Yrs/130 Yrs Portuguese 00 Yrs/130 Yrs
M-TH 9:00 AM - 9:00 PM Licensed Professional M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
FSat 9:00 AM - 5:00 PM Counselor
Arlia, Jaime LPC Brown Huston, Heather LPC
Zihal, Annmarie LMFT Alkhalaileh, Michelle LPC Provider ID: 1249630
Provider ID: 1249645 Gender: Female Provider ID: 1405136
Gender: Female Provider ID: 1289285 Care Plus NJ Inc Gender: Female
Care Plus NJ Inc Gender: Female 230 E Ridgewood Ave Ste 100 Care Plus NJ Inc
611 Rte 46 W Ste 100 Care Plus NJ Inc Paramus, NJ 07652 230 E Ridgewood Ave
Hasbrouck Heights, NJ 07604 17-07 Romaine St (201) 986-5000 Paramus, NJ 07652
(201) 986-5000 Fair Lawn, NJ 07410 00 Yrs/130 Yrs (201) 986-5000
00 Yrs/130 Yrs (201) 986-5000 Languages: Spanish, 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Portuguese M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Licensed Mental Health Brown Huston, Heather LPC
Counselor Alkhalaileh, Michelle LPC Arlia, Jaime LPC
Provider ID: 1249630 Provider ID: 1405136
Miller, Tari LMHC Provider ID: 1289285 Gender: Female Gender: Female
Provider ID: 1429386 Gender: Female Care Plus NJ Inc Care Plus NJ Inc
Gender: Female Care Plus NJ Inc 610 Valley Health Plz 610 Valley Health Plz
Care Plus NJ Inc 230 E Ridgewood Ave Paramus, NJ 07652 Paramus, NJ 07652
17-07 Romaine St Paramus, NJ 07652 (201) 265-8200 (201) 265-8200
Fair Lawn, NJ 07410 (201) 986-5000 Fax: (201) 265-0366 Fax: (201) 265-0366
(201) 986-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Languages: Spanish, M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Portuguese
Alkhalaileh, Michelle LPC M-TH 9:00 AM - 9:00 PM Brown Huston, Heather LPC
Miller, Tari LMHC F 9:00 AM - 5:00 PM
Provider ID: 1429386 Provider ID: 1289285 Provider ID: 1405136
Gender: Female Gender: Female Gender: Female
Care Plus NJ Inc Care Plus NJ Inc Care Plus NJ Inc
230 E. Ridgewood Ave 610 Valley Health Plz 611 Rte 46 W Ste 100
Paramus, NJ 07652 Paramus, NJ 07652 Hasbrouck Heights, NJ 07604
(201) 986-5000 (201) 986-5000 (201) 986-5000
00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM
FSat 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 350
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Professional Coleman, Katherine LPC Dickens, Allison LPC Findura, John LPC
Counselor - cont. Provider ID: 1367349 Provider ID: 1441086
Provider ID: 1429675 Gender: Female Gender: Male
Bruce, Nivioska LPC Gender: Female Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1405138 Care Plus NJ Inc 17-07 Romaine St 230 E. Ridgewood Ave
Gender: Female 17-07 Romaine St Fair Lawn, NJ 07410 Paramus, NJ 07652
Care Plus NJ Inc Fair Lawn, NJ 07410 (201) 986-5000 (201) 986-5000
17-07 Romaine St (201) 986-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Dickens, Allison LPC Findura, John LPC
M-F 9:00 AM - 5:00 PM Coleman, Katherine LPC Provider ID: 1367349 Provider ID: 1441086
Gender: Female Gender: Male
Bruce, Nivioska LPC Provider ID: 1429675 Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1405138 Gender: Female 230 E Ridgewood Ave 610 Valley Health Plaza
Gender: Female Care Plus NJ Inc Paramus, NJ 07652 Paramus, NJ 07652
Care Plus NJ Inc 230 E Ridgewood Ave (201) 986-5000 (201) 265-8200
230 E Ridgewood Ave Paramus, NJ 07652 00 Yrs/130 Yrs Fax: (201) 265-0366
Paramus, NJ 07652 (201) 986-5000 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Dickens, Allison LPC
M-F 9:00 AM - 5:00 PM Provider ID: 1367349 Findura, John LPC
Coleman, Katherine LPC Gender: Female Provider ID: 1441086
Bruce, Nivioska LPC Care Plus NJ Inc Gender: Male
Provider ID: 1405138 Provider ID: 1429675 610 Valley Health Plz Care Plus NJ Inc
Gender: Female Gender: Female Paramus, NJ 07652 611 Rte 46 W. Ste 100
Care Plus NJ Inc Care Plus NJ Inc (201) 265-8200 Hasbrouck Heights, NJ 07604
610 Valley Health Plz 610 Valley Health Plaza Fax: (201) 265-0366 (201) 986-5000
Paramus, NJ 07652 Paramus, NJ 07652 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 (201) 265-8200 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Fax: (201) 265-0366
M-F 9:00 AM - 5:00 PM Dickens, Allison LPC Kim, Mee Hyea LPC
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1367349 Provider ID: 1407617
Bruce, Nivioska LPC Gender: Female Gender: Female
Provider ID: 1405138 Coleman, Katherine LPC Care Plus NJ Inc Care Plus NJ Inc
Gender: Female 611 Rte 46 W. Ste 100 17-07 Romaine St
Care Plus NJ Inc Provider ID: 1429675 Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410
611 Rte 46 W Ste 100 Gender: Female (201) 986-5000 (201) 986-5000
Hasbrouck Heights, NJ 07604 Care Plus NJ Inc 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 611 Rte 46 W. Ste 100 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Hasbrouck Heights, NJ 07604
M-F 9:00 AM - 5:00 PM Findura, John LPC Kim, Mee Hyea LPC
(201) 986-5000
Provider ID: 1441086 Provider ID: 1407617
00 Yrs/130 Yrs
Bryer, Janice LPC Gender: Male Gender: Female
M-F 9:00 AM - 5:00 PM
Provider ID: 1025241 Care Plus NJ Inc Care Plus NJ Inc
Gender: Female Davis, Orkeem LPC 17-07 Romaine St 230 E Ridgewood Ave
Janice Bryer Provider ID: 1585616 Fair Lawn, NJ 07410 Paramus, NJ 07652
61 N Maple Ave Ste 301 Gender: Male (201) 986-5000 (201) 986-5000
Ridgewood, NJ 07450 Sub Specialty: Substance 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 757-4000 Abuse Assessment, SA M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 670-7671 Intensive Outpatient Prog
18 Yrs/130 Yrs 121 Cedar Lane
M-F 1:00 AM - 8:00 PM Teaneck, NJ 07666
(609) 277-6988
Fax: (201) 492-5010
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 351
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Professional Lagana, Jamie LPC Martino Woods, Teresa LPC Narbone, L. LPC
Counselor - cont. Provider ID: 1260599 Provider ID: 1429393
Gender: Female Provider ID: 1429681 Gender: Female
Kim, Mee Hyea LPC Care Plus NJ Inc Gender: Female Care Plus NJ Inc
Provider ID: 1407617 611 Rte 46 W Ste 100 Care Plus NJ Inc 611 Rte 46 W. Ste 100
Gender: Female Hasbrouck Heights, NJ 07604 610 Valley Health Plaza Hasbrouck Heights, NJ 07604
Care Plus NJ Inc (201) 986-5000 Paramus, NJ 07652 (201) 986-5000
610 Valley Health Plz 00 Yrs/130 Yrs (201) 986-5000 00 Yrs/130 Yrs
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Lee, Joon Eui LPC O'Connell, Lauren LPC
M-F 9:00 AM - 5:00 PM Provider ID: 1591604 Martino Woods, Teresa LPC Provider ID: 1436818
Gender: Male Gender: Female
Kim, Mee Hyea LPC Bergen Psychotherapy Provider ID: 1429681 Care Plus NJ Inc
Provider ID: 1407617 Practice, LLC Gender: Female 17-07 Romaine St
Gender: Female Sub Specialty: Depression, Care Plus NJ Inc Fair Lawn, NJ 07410
Care Plus NJ Inc Aggression, Anxiety, Stress 611 Rte 46 W. Ste 100 (201) 986-5000
611 Rte 46 W. Ste 100 Management, Family Issues Fax: (201) 265-0366
Hasbrouck Heights, NJ 07604
Hasbrouck Heights, NJ 07604 121 Cedar Ln Ste 3B 00 Yrs/130 Yrs
(201) 986-5000
(201) 986-5000 Teaneck, NJ 07666 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
00 Yrs/130 Yrs (201) 240-8043 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Fax: (201) 353-2315 O'Connell, Lauren LPC
00 Yrs/130 Yrs Narbone, L. LPC Provider ID: 1436818
Lagana, Jamie LPC MTTH 9:00 AM - 8:00 PM Provider ID: 1429393 Gender: Female
Provider ID: 1260599 WF 5:00 AM - 8:00 PM Gender: Female Care Plus NJ Inc
Gender: Female Sat 9:00 AM - 3:00 PM Care Plus NJ Inc 230 E Ridgewood Ave
Care Plus NJ Inc 17-07 Romaine St Paramus, NJ 07652
Martino Woods, Teresa LPC
17-07 Romaine St Fair Lawn, NJ 07410 (201) 986-5000
Fair Lawn, NJ 07410 (201) 986-5000 00 Yrs/130 Yrs
(201) 986-5000 Provider ID: 1429681 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Gender: Female M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc O'Connell, Lauren LPC
17-07 Romaine St Narbone, L. LPC Provider ID: 1436818
Lagana, Jamie LPC Fair Lawn, NJ 07410 Provider ID: 1429393 Gender: Female
Provider ID: 1260599 (201) 986-5000 Gender: Female Care Plus NJ Inc
Gender: Female 00 Yrs/130 Yrs Care Plus NJ Inc 610 Valley Health Plz
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM 230 E. Ridgewood Ave Paramus, NJ 07652
230 E Ridgewood Ave Paramus, NJ 07652 (201) 986-5000
Martino Woods, Teresa LPC 00 Yrs/130 Yrs
Paramus, NJ 07652 (201) 986-5000
(201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Provider ID: 1429681 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Gender: Female O'Connell, Lauren LPC
Care Plus NJ Inc Narbone, L. LPC Provider ID: 1436818
Lagana, Jamie LPC 230 E Ridgewood Ave Provider ID: 1429393 Gender: Female
Provider ID: 1260599 Paramus, NJ 07652 Gender: Female Care Plus NJ Inc
Gender: Female (201) 986-5000 Care Plus NJ Inc 611 Rte 46 W Ste 100
Care Plus NJ Inc 00 Yrs/130 Yrs 610 Valley Health Plaza Hasbrouck Heights, NJ 07604
610 Valley Health Plz M-F 9:00 AM - 5:00 PM Paramus, NJ 07652 (201) 986-5000
Paramus, NJ 07652 (201) 265-8200 00 Yrs/130 Yrs
(201) 986-5000 Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 352
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Professional Proano, Jayme LPC Santana, Rosemary LPC Varughese, Joe LPC
Counselor - cont. Provider ID: 1429420 Provider ID: 1429450
Gender: Female Provider ID: 1429436 Gender: Male
Parker, Princess LPC Care Plus NJ Inc Gender: Female Care Plus NJ Inc
Provider ID: 1263629 230 E. Ridgewood Ave Care Plus NJ Inc 610 Valley Health Plaza
Gender: Female Paramus, NJ 07652 610 Valley Health Plaza Paramus, NJ 07652
Care Plus NJ Inc (201) 986-5000 Paramus, NJ 07652 (201) 265-8200
17-07 Romaine St 00 Yrs/130 Yrs (201) 986-5000 Fax: (201) 265-0366
Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Proano, Jayme LPC
M-F 9:00 AM - 5:00 PM Provider ID: 1429420 Santana, Rosemary LPC Varughese, Joe LPC
Gender: Female Provider ID: 1429450
Parker, Princess LPC Care Plus NJ Inc Provider ID: 1429436 Gender: Male
Provider ID: 1263629 610 Valley Health Plaza Gender: Female Care Plus NJ Inc
Gender: Female Paramus, NJ 07652 Care Plus NJ Inc 611 Rte 46 W. Ste 100
Care Plus NJ Inc (201) 986-5000 611 Rte 46 W. Ste 100 Hasbrouck Heights, NJ 07604
230 E Ridgewood Ave 00 Yrs/130 Yrs Hasbrouck Heights, NJ 07604 (201) 986-5000
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM (201) 986-5000 00 Yrs/130 Yrs
(201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Proano, Jayme LPC M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 1429420 Walpole, Joan LPC
Gender: Female Torres, Luz LPC Provider ID: 1260608
Parker, Princess LPC Care Plus NJ Inc Provider ID: 1587809 Gender: Female
Provider ID: 1263629 611 Rte 46 W. Ste 100 Gender: Female Care Plus NJ Inc
Gender: Female Hasbrouck Heights, NJ 07604 Lpcnj, LLC 17-07 Romaine St
Care Plus NJ Inc (201) 986-5000 426 Hudson St Fl 2 Fair Lawn, NJ 07410
610 Valley Health Plz 00 Yrs/130 Yrs Hackensack, NJ 07601 (201) 986-5000
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM (201) 481-8733 00 Yrs/130 Yrs
(201) 986-5000 Fax: (201) 820-0735 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Santana, Rosemary LPC 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 8:00 PM Walpole, Joan LPC
Provider ID: 1429436 Provider ID: 1260608
Parker, Princess LPC Gender: Female Varughese, Joe LPC Gender: Female
Provider ID: 1263629 Care Plus NJ Inc Provider ID: 1429450 Care Plus NJ Inc
Gender: Female 17-07 Romaine St Gender: Male 230 E Ridgewood Ave
Care Plus NJ Inc Fair Lawn, NJ 07410 Care Plus NJ Inc Paramus, NJ 07652
611 Rte 46 W Ste 100 (201) 986-5000 17-07 Romaine St (201) 986-5000
Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs Fair Lawn, NJ 07410 00 Yrs/130 Yrs
(201) 986-5000 M-F 9:00 AM - 5:00 PM (201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Santana, Rosemary LPC M-F 9:00 AM - 5:00 PM Walpole, Joan LPC
Provider ID: 1260608
Proano, Jayme LPC Provider ID: 1429436 Varughese, Joe LPC Gender: Female
Provider ID: 1429420 Gender: Female Provider ID: 1429450 Care Plus NJ Inc
Gender: Female Care Plus NJ Inc Gender: Male 610 Valley Health Plz
Care Plus NJ Inc 230 E. Ridgewood Ave Care Plus NJ Inc Paramus, NJ 07652
17-07 Romaine St Paramus, NJ 07652 230 E. Ridgewood Ave (201) 986-5000
Fair Lawn, NJ 07410 (201) 986-5000 Paramus, NJ 07652 00 Yrs/130 Yrs
(201) 986-5000 00 Yrs/130 Yrs (201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 353
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Professional Licensed Social Worker Breitwieser, Jamie LSW Burgos, Rolando LSW
Counselor - cont. Provider ID: 1366965
Artis, Ladeana CSW Provider ID: 1255296 Gender: Male
Walpole, Joan LPC Provider ID: 1367339 Gender: Female Care Plus NJ Inc
Provider ID: 1260608 Gender: Female Care Plus NJ Inc 230 E Ridgewood Ave
Gender: Female Care Plus NJ Inc 17-07 Romaine St Paramus, NJ 07652
Care Plus NJ Inc 17-07 Romaine St Fair Lawn, NJ 07410 (201) 986-5000
611 Rte 46 W Ste 100 Fair Lawn, NJ 07410 (201) 986-5000 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 (201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-TH 9:00 AM - 9:00 PM Burgos, Rolando LSW
M-F 9:00 AM - 5:00 PM FSat 9:00 AM - 5:00 PM Breitwieser, Jamie LSW Provider ID: 1366965
Gender: Male
Zihal, Annmarie LMFT Artis, Ladeana CSW Provider ID: 1255296 Care Plus NJ Inc
Provider ID: 1249645 Provider ID: 1367339 Gender: Female 610 Valley Health Plz
Gender: Female Gender: Female Care Plus NJ Inc Paramus, NJ 07652
Care Plus NJ Inc Care Plus NJ Inc 230 E Ridgewood Ave (201) 265-8200
17-07 Romaine St 230 E Ridgewood Ave Paramus, NJ 07652 Fax: (201) 265-0366
Fair Lawn, NJ 07410 Paramus, NJ 07652 (201) 986-5000 00 Yrs/130 Yrs
(201) 797-2660 (201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (201) 797-5025 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Burgos, Rolando LSW
M-F 9:00 AM - 5:00 PM Breitwieser, Jamie LSW Provider ID: 1366965
Artis, Ladeana CSW Gender: Male
Zihal, Annmarie LMFT Provider ID: 1367339 Provider ID: 1255296 Care Plus NJ Inc
Provider ID: 1249645 Gender: Female Gender: Female 611 Rte 46 W Ste 100
Gender: Female Care Plus NJ Inc Care Plus NJ Inc Hasbrouck Heights, NJ 07604
Care Plus NJ Inc 610 Valley Health Plz 610 Valley Health Plz (201) 986-5000
230 E Ridgewood Ave Paramus, NJ 07652 Paramus, NJ 07652 00 Yrs/130 Yrs
Paramus, NJ 07652 (201) 265-8200 (201) 986-5000 M-F 9:00 AM - 5:00 PM
(201) 986-5000 Fax: (201) 265-0366 00 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs Coppola, Adrienne LSW
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Breitwieser, Jamie LSW Provider ID: 1364392
Zihal, Annmarie LMFT Artis, Ladeana CSW Gender: Female
Provider ID: 1249645 Provider ID: 1367339 Provider ID: 1255296 Care Plus NJ Inc
Gender: Female Gender: Female Gender: Female 17-07 Romaine St
Care Plus NJ Inc Care Plus NJ Inc Care Plus NJ Inc Fair Lawn, NJ 07410
610 Valley Health Plz 611 Rte 46 W. Ste 100 611 Rte 46 W Ste 100 (201) 986-5000
Paramus, NJ 07652 Hasbrouck Heights, NJ 07604 Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs
(201) 265-8200 (201) 986-5000 (201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-TH 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM Coppola, Adrienne LSW
M-F 9:00 AM - 5:00 PM
FSat 9:00 AM - 5:00 PM
Bellamy, Mike LCSW Burgos, Rolando LSW Provider ID: 1364392
Zihal, Annmarie LMFT Provider ID: 1054981 Provider ID: 1366965 Gender: Female
Provider ID: 1249645 Gender: Male Gender: Male Care Plus NJ Inc
Gender: Female Bergen Regional Medical Care Plus NJ Inc 230 E Ridgewood Ave
Care Plus NJ Inc Center Paramus, NJ 07652
17-07 Romaine St
611 Rte 46 W Ste 100 230 E Ridgewood Ave (201) 986-5000
Fair Lawn, NJ 07410
Hasbrouck Heights, NJ 07604 Paramus, NJ 07652 00 Yrs/130 Yrs
(201) 986-5000
(201) 986-5000 (800) 730-2762 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
00 Yrs/130 Yrs Fax: (201) 225-7101 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM 05 Yrs/130 Yrs
Bergen Regional Medical
Center
M-TH 9:00 AM - 5:30 PM

www.wellcare.com/New-Jersey | 354
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Social Worker - Donohue, Melissa LSW Gregor, Sarah LSW Hanley, Kayla LSW
cont. Provider ID: 1367023 Provider ID: 1367025
Provider ID: 1251983 Gender: Female Gender: Female
Coppola, Adrienne LSW Gender: Female Care Plus NJ Inc Care Plus NJ Inc
Care Plus NJ Inc 17-07 Romaine St 230 E Ridgewood Ave
Provider ID: 1364392 611 Rte 46 W Ste 100 Fair Lawn, NJ 07410 Paramus, NJ 07652
Gender: Female Hasbrouck Heights, NJ 07604 (201) 986-5000 (201) 986-5000
Care Plus NJ Inc (201) 986-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs
610 Valley Health Plz 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
(201) 986-5000 Gregor, Sarah LSW Hanley, Kayla LSW
00 Yrs/130 Yrs Genova, Alexandra LSW Provider ID: 1367023 Provider ID: 1367025
M-F 9:00 AM - 5:00 PM Gender: Female Gender: Female
Provider ID: 1364393 Care Plus NJ Inc Care Plus NJ Inc
Coppola, Adrienne LSW Gender: Female 230 E Ridgewood Ave 610 Valley Health Plz
Care Plus NJ Inc Paramus, NJ 07652 Paramus, NJ 07652
Provider ID: 1364392 17-07 Romaine St (201) 986-5000 (201) 986-5000
Gender: Female Fair Lawn, NJ 07410 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Care Plus NJ Inc (201) 986-5000 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
611 Rte 46 W. Ste 100 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Gregor, Sarah LSW Hanley, Kayla LSW
Hasbrouck Heights, NJ 07604
(201) 986-5000 Provider ID: 1367023 Provider ID: 1367025
00 Yrs/130 Yrs Genova, Alexandra LSW Gender: Female Gender: Female
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1364393 610 Valley Health Plz 611 Rte 46 W Ste 100
Donohue, Melissa LSW Gender: Female Paramus, NJ 07652 Hasbrouck Heights, NJ 07604
Care Plus NJ Inc (201) 986-5000 (201) 986-5000
Provider ID: 1251983 230 E Ridgewood Ave 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Gender: Female Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc (201) 986-5000
Gregor, Sarah LSW Kim, Sun LSW
17-07 Romaine St 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1367023 Provider ID: 1252010
Fair Lawn, NJ 07410
Gender: Female Gender: Female
(201) 986-5000
Genova, Alexandra LSW Care Plus NJ Inc Care Plus NJ Inc
00 Yrs/130 Yrs
611 Rte 46 W Ste 100 17-07 Romaine St
M-F 9:00 AM - 5:00 PM
Provider ID: 1364393 Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410
Donohue, Melissa LSW Gender: Female (201) 986-5000 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs 00 Yrs/130 Yrs
610 Valley Health Plz M-F 9:00 AM - 5:00 PM Languages: Korean
Provider ID: 1251983
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
Gender: Female Hanley, Kayla LSW
Care Plus NJ Inc (201) 986-5000
Provider ID: 1367025 Kim, Sun LSW
230 E Ridgewood Ave 00 Yrs/130 Yrs
Gender: Female Provider ID: 1252010
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc Gender: Female
(201) 986-5000
Genova, Alexandra LSW 17-07 Romaine St Care Plus NJ Inc
00 Yrs/130 Yrs Fair Lawn, NJ 07410 230 E Ridgewood Ave
M-F 9:00 AM - 5:00 PM (201) 986-5000 Paramus, NJ 07652
Provider ID: 1364393
Donohue, Melissa LSW 00 Yrs/130 Yrs (201) 986-5000
Gender: Female
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Care Plus NJ Inc
Languages: Korean
Provider ID: 1251983 611 Rte 46 W. Ste 100
M-F 9:00 AM - 5:00 PM
Gender: Female Hasbrouck Heights, NJ 07604
Care Plus NJ Inc (201) 986-5000
610 Valley Health Plz 00 Yrs/130 Yrs
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
(201) 986-5000
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 355
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Social Worker - Leighton, Jennifer LSW Madden, Victoria LSW Mitchell, Michelle LSW
cont. Provider ID: 1429677
Provider ID: 1405171 Gender: Female Provider ID: 1249783
Kim, Sun LSW Gender: Female Care Plus NJ Inc Gender: Female
Provider ID: 1252010 Care Plus NJ Inc 611 Rte 46 W. Ste 100 Care Plus NJ Inc
Gender: Female 610 Valley Health Plz Hasbrouck Heights, NJ 07604 17-07 Romaine St
Care Plus NJ Inc Paramus, NJ 07652 (201) 986-5000 Fair Lawn, NJ 07410
610 Valley Health Plz (201) 265-8200 00 Yrs/130 Yrs (201) 986-5000
Paramus, NJ 07652 Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(201) 265-8200 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM Maury, Allison CSW
00 Yrs/130 Yrs Provider ID: 1442598 Mitchell, Michelle LSW
Languages: Korean Leighton, Jennifer LSW Gender: Female
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc Provider ID: 1249783
Provider ID: 1405171 17-07 Romaine St Gender: Female
Kim, Sun LSW Gender: Female Fair Lawn, NJ 07410 Care Plus NJ Inc
Provider ID: 1252010 Care Plus NJ Inc (201) 797-2660 230 E Ridgewood Ave
Gender: Female 611 Rte 46 W Ste 100 Fax: (201) 797-5025 Paramus, NJ 07652
Care Plus NJ Inc Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs (201) 986-5000
611 Rte 46 W Ste 100 (201) 986-5000 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 986-5000 M-F 9:00 AM - 5:00 PM Maury, Allison CSW
00 Yrs/130 Yrs Provider ID: 1442598 Mitchell, Michelle LSW
Languages: Korean Madden, Victoria LSW Gender: Female
M-F 9:00 AM - 5:00 PM Provider ID: 1429677 Care Plus NJ Inc Provider ID: 1249783
Gender: Female 230 E. Ridgewood Ave Gender: Female
Leighton, Jennifer LSW Care Plus NJ Inc Paramus, NJ 07652 Care Plus NJ Inc
17-07 Romaine St (201) 986-5000 610 Valley Health Plz
Provider ID: 1405171 Fair Lawn, NJ 07410 00 Yrs/130 Yrs Paramus, NJ 07652
Gender: Female (201) 986-5000 M-F 9:00 AM - 5:00 PM (201) 265-8200
Care Plus NJ Inc 00 Yrs/130 Yrs 00 Yrs/130 Yrs
17-07 Romaine St M-F 9:00 AM - 5:00 PM Maury, Allison CSW M-TH 9:00 AM - 9:00 PM
Fair Lawn, NJ 07410 Provider ID: 1442598 FSat 9:00 AM - 5:00 PM
(201) 797-2660 Madden, Victoria LSW Gender: Female
Fax: (201) 797-5025 Provider ID: 1429677 Care Plus NJ Inc Mitchell, Michelle LSW
00 Yrs/130 Yrs Gender: Female 610 Valley Health Plaza
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc Paramus, NJ 07652 Provider ID: 1249783
230 E Ridgewood Ave (201) 986-5000 Gender: Female
Leighton, Jennifer LSW Paramus, NJ 07652 00 Yrs/130 Yrs Care Plus NJ Inc
(201) 986-5000 M-F 9:00 AM - 5:00 PM 611 Rte 46 W Ste 100
Provider ID: 1405171 00 Yrs/130 Yrs Hasbrouck Heights, NJ 07604
M-F 9:00 AM - 5:00 PM Maury, Allison CSW
Gender: Female (201) 986-5000
Care Plus NJ Inc Provider ID: 1442598 00 Yrs/130 Yrs
230 E Ridgewood Ave Madden, Victoria LSW Gender: Female M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 Provider ID: 1429677 Care Plus NJ Inc
(201) 986-5000 Gender: Female 611 Rte 46 W. Ste 100 Panavelil, Jillu LSW
00 Yrs/130 Yrs Care Plus NJ Inc Hasbrouck Heights, NJ 07604 Provider ID: 1445070
M-F 9:00 AM - 5:00 PM 610 Valley Health Plaza (201) 986-5000 Gender: Female
Paramus, NJ 07652 00 Yrs/130 Yrs Care Plus NJ Inc
(201) 265-8200 M-F 9:00 AM - 5:00 PM 230 E. Ridgewood Ave
Fax: (201) 265-0366 Paramus, NJ 07652
00 Yrs/130 Yrs (201) 986-5000
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 356
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Social Worker - Purwin, Nicole LSW Requena, Caitlin CSW Rodriguez, Catherine LSW
cont. Provider ID: 1249785 Provider ID: 1367344
Gender: Female Gender: Female Provider ID: 1429427
Panavelil, Jillu LSW Care Plus NJ Inc Care Plus NJ Inc Gender: Female
Provider ID: 1445070 17-07 Romaine St 230 E Ridgewood Ave Care Plus NJ Inc
Gender: Female Fair Lawn, NJ 07410 Paramus, NJ 07652 610 Valley Health Plaza
Care Plus NJ Inc (201) 986-5000 (201) 986-5000 Paramus, NJ 07652
611 Rte 46 W. Ste 100 00 Yrs/130 Yrs 00 Yrs/130 Yrs (201) 265-8200
Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (201) 265-0366
(201) 986-5000 00 Yrs/130 Yrs
00 Yrs/130 Yrs Purwin, Nicole LSW Requena, Caitlin CSW M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 1249785 Provider ID: 1367344
Gender: Female Gender: Female Rodriguez, Catherine LSW
Powell, Jacqueline LSW Care Plus NJ Inc Care Plus NJ Inc
230 E Ridgewood Ave 610 Valley Health Plz Provider ID: 1429427
Provider ID: 1451063 Paramus, NJ 07652 Paramus, NJ 07652 Gender: Female
Gender: Female (201) 986-5000 (201) 986-5000 Care Plus NJ Inc
Care Plus NJ Inc 00 Yrs/130 Yrs 00 Yrs/130 Yrs 611 Rte 46 W. Ste 100
17-07 Romaine St M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Hasbrouck Heights, NJ 07604
Fair Lawn, NJ 07410 (201) 986-5000
(201) 986-5000 Purwin, Nicole LSW Requena, Caitlin CSW 00 Yrs/130 Yrs
00 Yrs/130 Yrs Provider ID: 1249785 Provider ID: 1367344 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Gender: Female Gender: Female
Care Plus NJ Inc Care Plus NJ Inc Rudolph, Justin LSW
Powell, Jacqueline LSW 610 Valley Health Plz 611 Rte 46 W. Ste 100 Provider ID: 1429433
Paramus, NJ 07652 Hasbrouck Heights, NJ 07604 Gender: Male
Provider ID: 1451063 (201) 986-5000 (201) 986-5000 Care Plus NJ Inc
Gender: Female 00 Yrs/130 Yrs 00 Yrs/130 Yrs 17-07 Romaine St
Care Plus NJ Inc M-TH 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM Fair Lawn, NJ 07410
230 E. Ridgewood Ave FSat 9:00 AM - 5:00 PM (201) 986-5000
Rodriguez, Catherine LSW 00 Yrs/130 Yrs
Paramus, NJ 07652
Purwin, Nicole LSW M-F 9:00 AM - 5:00 PM
(201) 986-5000
00 Yrs/130 Yrs Provider ID: 1249785 Provider ID: 1429427
M-F 9:00 AM - 5:00 PM Gender: Female Gender: Female Rudolph, Justin LSW
Care Plus NJ Inc Care Plus NJ Inc Provider ID: 1429433
Powell, Jacqueline LSW 611 Rte 46 W Ste 100 17-07 Romaine St Gender: Male
Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410 Care Plus NJ Inc
Provider ID: 1451063 (201) 986-5000 (201) 986-5000 230 E. Ridgewood Ave
Gender: Female 00 Yrs/130 Yrs 00 Yrs/130 Yrs Paramus, NJ 07652
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (201) 986-5000
610 Valley Health Plz 00 Yrs/130 Yrs
Requena, Caitlin CSW Rodriguez, Catherine LSW M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652
Provider ID: 1367344
(201) 986-5000
Gender: Female Provider ID: 1429427 Rudolph, Justin LSW
00 Yrs/130 Yrs
Care Plus NJ Inc Gender: Female Provider ID: 1429433
M-F 9:00 AM - 5:00 PM
17-07 Romaine St Care Plus NJ Inc Gender: Male
Powell, Jacqueline LSW Fair Lawn, NJ 07410 230 E. Ridgewood Ave Care Plus NJ Inc
(201) 986-5000 Paramus, NJ 07652 610 Valley Health Plaza
00 Yrs/130 Yrs (201) 986-5000 Paramus, NJ 07652
Provider ID: 1451063
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs (201) 265-8200
Gender: Female
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Fax: (201) 265-0366
611 Rte 46 W. Ste 100 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM
(201) 986-5000
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 357
Updated: 11/26/2018

Allied Providers
Bergen
Licensed Social Worker - Urato, Gabriella LSW Valenciano, Marilyn LSW You, Eun LSW
cont. Provider ID: 1250245 Provider ID: 1249794
Gender: Female Provider ID: 1429443 Gender: Female
Rudolph, Justin LSW Care Plus NJ Inc Gender: Female Care Plus NJ Inc
Provider ID: 1429433 17-07 Romaine St Care Plus NJ Inc 610 Valley Health Plz
Gender: Male Fair Lawn, NJ 07410 230 E. Ridgewood Ave Paramus, NJ 07652
Care Plus NJ Inc (201) 986-5000 Paramus, NJ 07652 (201) 265-8200
611 Rte 46 W. Ste 100 00 Yrs/130 Yrs (201) 986-5000 Fax: (201) 265-0366
Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 M-F 9:00 AM - 5:00 PM Languages: Korean
00 Yrs/130 Yrs Urato, Gabriella LSW M-TH 9:00 AM - 9:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 1250245 Valenciano, Marilyn LSW FSat 9:00 AM - 5:00 PM
Gender: Female
Schwartz, Jessica LSW Care Plus NJ Inc Provider ID: 1429443 You, Eun LSW
Provider ID: 1429439 230 E Ridgewood Ave Gender: Female Provider ID: 1249794
Gender: Female Paramus, NJ 07652 Care Plus NJ Inc Gender: Female
Care Plus NJ Inc (201) 986-5000 610 Valley Health Plaza Care Plus NJ Inc
17-07 Romaine St 00 Yrs/130 Yrs Paramus, NJ 07652 611 Rte 46 W Ste 100
Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM (201) 265-8200 Hasbrouck Heights, NJ 07604
(201) 986-5000 Fax: (201) 265-0366 (201) 986-5000
00 Yrs/130 Yrs Urato, Gabriella LSW 00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1250245 M-F 9:00 AM - 5:00 PM Languages: Korean
Gender: Female M-F 9:00 AM - 5:00 PM
Schwartz, Jessica LSW Care Plus NJ Inc Valenciano, Marilyn LSW
Provider ID: 1429439 610 Valley Health Plz Marriage & Family
Gender: Female Paramus, NJ 07652 Provider ID: 1429443 Therapy
Care Plus NJ Inc (201) 265-8200 Gender: Female
230 E. Ridgewood Ave Fax: (201) 265-0366 Care Plus NJ Inc Placenti, Joseph LPC
Paramus, NJ 07652 00 Yrs/130 Yrs 611 Rte 46 W. Ste 100
(201) 986-5000 M-TH 9:00 AM - 9:00 PM Hasbrouck Heights, NJ 07604 Provider ID: 1436404
00 Yrs/130 Yrs FSat 9:00 AM - 5:00 PM (201) 986-5000 Gender: Male
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Care Plus NJ Inc
Urato, Gabriella LSW 17-07 Romaine St
M-F 9:00 AM - 5:00 PM
Schwartz, Jessica LSW Provider ID: 1250245 Fair Lawn, NJ 07410
Provider ID: 1429439 Gender: Female You, Eun LSW (201) 986-5000
Gender: Female Care Plus NJ Inc Provider ID: 1249794 00 Yrs/130 Yrs
Care Plus NJ Inc 611 Rte 46 W Ste 100 Gender: Female M-F 9:00 AM - 5:00 PM
610 Valley Health Plaza Hasbrouck Heights, NJ 07604 Care Plus NJ Inc
Paramus, NJ 07652 (201) 986-5000 17-07 Romaine St Placenti, Joseph LPC
(201) 986-5000 00 Yrs/130 Yrs Fair Lawn, NJ 07410
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (201) 986-5000 Provider ID: 1436404
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Gender: Male
Valenciano, Marilyn LSW Languages: Korean Care Plus NJ Inc
Schwartz, Jessica LSW M-F 9:00 AM - 5:00 PM 230 E Ridgewood Ave
Provider ID: 1429439 Provider ID: 1429443 Paramus, NJ 07652
Gender: Female Gender: Female You, Eun LSW (201) 986-5000
Care Plus NJ Inc Care Plus NJ Inc Provider ID: 1249794 00 Yrs/130 Yrs
611 Rte 46 W. Ste 100 17-07 Romaine St Gender: Female M-F 9:00 AM - 5:00 PM
Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410 Care Plus NJ Inc
(201) 986-5000 (201) 986-5000 230 E Ridgewood Ave
00 Yrs/130 Yrs 00 Yrs/130 Yrs Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (201) 986-5000
00 Yrs/130 Yrs
Languages: Korean
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 358
Updated: 11/26/2018

Allied Providers
Bergen
Marriage & Family McCrone, Erin ARNP Skidmore, Leah ARNP Nurse Midwife
Therapy - cont. Provider ID: 1075340
Gender: Female Provider ID: 1278843 Fisherman, Amy CNM
Placenti, Joseph LPC Epilepsy and Neurophysiology Gender: Female
Medica Epilepsy and Neurophsyiology Provider ID: 1238103
Provider ID: 1436404 20 Prospect Ave Ste 800 Med Gender: Female
Gender: Male Hackensack, NJ 07601 400 Frank W Burr Blvd North Hudson Community
Care Plus NJ Inc (201) 343-6676 Teaneck, NJ 07666 Action Corp
610 Valley Health Plz 00 Yrs/130 Yrs (201) 343-6676 Sub Specialty: HIV/AIDs
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM Fax: (201) 343-6689 535 Midland Ave
(201) 986-5000 00 Yrs/130 Yrs Garfield, NJ 07026
McCrone, Erin ARNP M-F 9:00 AM - 5:00 PM (973) 340-1182
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1075340 Fax: (973) 340-1156
Gender: Female Skidmore, Leah ARNP 00 Yrs/130 Yrs
Placenti, Joseph LPC Epilepsy and Neurophysiology St. Joseph's Hospital Reg
Medica Provider ID: 1278843 Medical Center
400 Frank W Burr Blvd Gender: Female M-TH 8:30 AM - 7:00 PM
Provider ID: 1436404
Teaneck, NJ 07666 Epilepsy and Neurophsyiology F 8:30 AM - 5:00 PM
Gender: Male
(201) 343-6676 Med Sat 8:30 AM - 3:00 PM
Care Plus NJ Inc
Fax: (201) 343-6689 400 Old Hook Rd Ste 1-1
611 Rte 46 W Ste 100
00 Yrs/130 Yrs Westwood, NJ 07676 Fisherman, Amy CNM
Hasbrouck Heights, NJ 07604
M-F 9:00 AM - 5:00 PM (201) 343-6676
(201) 986-5000
00 Yrs/130 Yrs Fax: (201) 343-6689 Provider ID: 1238105
McCrone, Erin ARNP 00 Yrs/130 Yrs Gender: Female
M-F 9:00 AM - 5:00 PM Provider ID: 1075340 M-F 9:00 AM - 5:00 PM North Hudson Community
Neurology Gender: Female Action Corp
Epilepsy and Neurophysiology Neurosurgery Sub Specialty: HIV/AIDs
Medica 25 E Salem St Fl 6
Brophy, Shannon ARNP
77 Prospect Ave Gabay, Theresa ARNP Hackensack, NJ 07601
Hackensack, NJ 07601 (551) 996-2121
Provider ID: 808680 (201) 343-6676
Gender: Female Provider ID: 1705838 Fax: (551) 996-4435
00 Yrs/130 Yrs Gender: Female 00 Yrs/130 Yrs
Epilepsy and Neurophysiology M-F 9:00 AM - 5:00 PM
Medica Advanced Neurosurgery St. Joseph's Hospital Reg
20 Prospect Ave Ste 800 Associates Medical Center
Skidmore, Leah ARNP MTTHFSat 8:30 AM - 5:00 PM
Hackensack, NJ 07601 201 Rte 17 Ste 501
(201) 343-6676 Rutherford, NJ 07070 W 8:30 AM - 7:00 PM
Provider ID: 1278843 (201) 457-0044
Fax: (201) 343-6689 Gender: Female Fax: (201) 457-0049 Fisherman, Amy CNM
00 Yrs/130 Yrs Epilepsy and Neurophsyiology 00 Yrs/130 Yrs
Holy Name Medical Center Med
Languages: Spanish M-F 9:00 AM - 5:00 PM Provider ID: 1238118
20 Prospect Ave Ste 800 Gender: Female
M-F 9:00 AM - 5:00 PM Hackensack, NJ 07601 North Hudson Community
(201) 343-6676 Action Corp
Dirk, Heather PA
Fax: (201) 343-6689 Sub Specialty: HIV/AIDs
Provider ID: 1696378 00 Yrs/130 Yrs 197 S Van Brunt St
Gender: Female M-F 9:00 AM - 5:00 PM Englewood, NJ 07631
Epilepsy and Neurophysiology
Medica (201) 537-4442
20 Prospect Ave Ste 800 Fax: (201) 568-1876
Hackensack, NJ 07601 00 Yrs/130 Yrs
(201) 343-6676 St. Joseph's Hospital Reg
Fax: (201) 343-6689 Medical Center
00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 359
Updated: 11/26/2018

Allied Providers
Bergen
Nurse Midwife - cont. Powell, Carole CNM Rake, Shari CNM Herrera, Maryeth ARNP
Provider ID: 797973
Naranjo, Erika CNM Provider ID: 1250767 Gender: Female Provider ID: 1181224
Gender: Female North Hudson Community Gender: Female
Provider ID: 1241770 North Hudson Community Action Corp Mulkay Cardiology
Gender: Female Action Corp 535 Midland Ave Consultants At Ho
North Hudson Community 197 S Van Brunt St Passaic, NJ 07026 493 Essex St Fl 2
Action Corp Englewood, NJ 07631 (973) 340-1182 Hackensack, NJ 07601
535 Midland Ave (201) 537-4442 Fax: (201) 340-1156 (201) 996-9244
Garfield, NJ 07026 Fax: (201) 568-1876 00 Yrs/130 Yrs Fax: (201) 996-9243
(973) 340-1182 00 Yrs/130 Yrs Palisades Medical Center 18 Yrs/110 Yrs
Fax: (973) 340-1156 Palisades Medical Center MTTHFSat 8:30 AM - 5:00 PM Holy Name Medical Center
00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM W 10:30 AM - 7:00 PM Palisades Medical Center
Saint Clares Hospital M-F 9:00 AM - 6:00 PM
M-TH 8:30 AM - 7:00 PM Powell, Carole CNM Rivera Delvalle, Gail CNM
F 8:30 AM - 5:00 PM Provider ID: 1250775 Lopinto, Patricia ARNP
Sat 8:30 AM - 3:00 PM Gender: Female Provider ID: 711285
North Hudson Community Gender: Female Provider ID: 1180070
Naranjo, Erika CNM Action Corp St. Joseph's Healthcare Inc Gender: Female
25 E Salem St Fl 6 Sub Specialty: HIV/AIDs Medical Associates of
Provider ID: 1241772 Hackensack, NJ 07601 30 W Century Rd Englewood PC
Gender: Female (551) 996-2121 Paramus, NJ 07652 1 N Washington Ave
North Hudson Community Fax: (551) 996-4435 (973) 754-4200 Bergenfield, NJ 07621
Action Corp 00 Yrs/130 Yrs 00 Yrs/130 Yrs (201) 374-9201
25 E Salem St Fl 6 Palisades Medical Center St. Joseph's Hospital Reg Fax: (201) 784-0065
Hackensack, NJ 07601 MTTHFSat 8:30 AM - 5:00 PM Medical Center 00 Yrs/130 Yrs
(551) 996-2121 W 8:30 AM - 7:00 PM Languages: Spanish Englewood Hospital and
Fax: (551) 996-4435 MTWTHFSatSun 9:00 AM - Medical Center
00 Yrs/130 Yrs Powell, Carole CNM 5:00 PM M-F 9:00 AM - 5:00 PM
Saint Clares Hospital Provider ID: 1250776
M-TH 8:30 AM - 7:00 PM Gender: Female Nurse Practitioner Lopinto, Patricia ARNP
F 8:30 AM - 5:00 PM North Hudson Community
Sat 8:30 AM - 3:00 PM Action Corp Atlas, Kellie ARNP Provider ID: 1180070
535 Midland Ave Provider ID: 1096039 Gender: Female
Naranjo, Erika CNM Garfield, NJ 07026 Gender: Female Medical Associates of
(973) 340-1182 North Hudson Community Englewood PC
Provider ID: 1241778 Fax: (973) 340-1156 Action Corpo 350 Engle St Ste 4503
Gender: Female 00 Yrs/130 Yrs 535 Midland Ave Englewood, NJ 07631
North Hudson Community Palisades Medical Center Garfield, NJ 07026 (201) 894-3202
Action Corp M-TH 8:30 AM - 7:00 PM (973) 340-1182 Fax: (201) 894-3764
197 S Van Brunt St F 8:30 AM - 5:00 PM Fax: (973) 340-1156 00 Yrs/130 Yrs
Englewood, NJ 07631 Sat 8:30 AM - 3:00 PM 00 Yrs/21 Yrs Englewood Hospital and
(201) 537-4442 MTTHFSat 8:30 AM - 5:00 PM Medical Center
Fax: (201) 568-1876 Rake, Shari CNM W 8:30 AM - 7:00 PM M 8:30 AM - 4:00 PM
00 Yrs/130 Yrs Provider ID: 797973 TWTHF 8:00 AM - 4:00 PM
Gender: Female Atlas, Kellie ARNP
Saint Clares Hospital
North Hudson Community Provider ID: 1096065 McCrone, Erin ARNP
M-F 8:30 AM - 5:00 PM
Action Corp Gender: Female Provider ID: 1075340
25 E Salem St North Hudson Community Gender: Female
Hackensack, NJ 07601 Action Corpo Epilepsy and Neurophysiology
(551) 996-2121 197 S Van Brunt St Medica
Fax: (551) 996-4435 Englewood, NJ 07631 20 Prospect Ave Ste 800
00 Yrs/130 Yrs (201) 537-4442 Hackensack, NJ 07601
Palisades Medical Center Fax: (201) 568-1876 (201) 343-6676
MTTHFSat 8:30 AM - 5:00 PM 00 Yrs/21 Yrs 00 Yrs/130 Yrs
W 8:30 AM - 7:00 PM MTWTHFSat 8:30 AM - 5:00 M-F 9:00 AM - 5:00 PM
PM

www.wellcare.com/New-Jersey | 360
Updated: 11/26/2018

Allied Providers
Bergen
Nurse Practitioner - cont. Bazile, Rosenancy CNP Cianci, Carol ARNP Golabek, Agnieszka ARNP
Provider ID: 1512424
McCrone, Erin ARNP Provider ID: 954054 Gender: Female Provider ID: 1695059
Provider ID: 1075340 Gender: Female Medical Associates of Gender: Female
Gender: Female Bergen Regional Medical Englewood, PC Prohealth Care Associates of
Epilepsy and Neurophysiology Center 350 Engle St New Je
Medica 230 E Ridgewood Ave Englewood, NJ 07631 299 Market St Ste 110
400 Frank W Burr Blvd Paramus, NJ 07652 (201) 894-3364 Saddle Brook, NJ 07663
Teaneck, NJ 07666 (201) 225-7130 Fax: (201) 894-5693 (201) 368-1717
(201) 343-6676 Fax: (201) 225-7101 00 Yrs/130 Yrs Fax: (201) 368-9618
Fax: (201) 343-6689 18 Yrs/110 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs Bergen Regional Medical M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Center De LA Rosa, Nila ARNP
M-F 9:00 AM - 5:30 PM Isip, Rachele ARNP
McCrone, Erin ARNP Provider ID: 1587896
Provider ID: 1075340 Bowersox, Linda ARNP Gender: Female Provider ID: 1538004
Gender: Female Provider ID: 1603777 Medical Associates of Gender: Female
Epilepsy and Neurophysiology Gender: Female Englewood PC Medical Associates of
Medica St Joseph Healthcare Inc 350 Engle St Wilson Kaplen Englewood, PC
77 Prospect Ave 289 Market St Ste 2 Infusion Center 350 Engle St Fl 4 Berrie Bldg
Hackensack, NJ 07601 Saddle Brook, NJ 07663 Englewood, NJ 07631 Englewood, NJ 07631
(201) 343-6676 (973) 942-5224 (201) 894-3600 (201) 894-3202
00 Yrs/130 Yrs Fax: (973) 925-4056 Fax: (201) 541-2454 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs Englewood Hospital and
St. Joseph's Hospital Reg Englewood Hospital and Medical Center
Terrone, Deborah ARNP Medical Center Medical Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: 1175297 Kattwinkel, Karen CNP
Gender: Female Busto, Mary ARNP Demarco, Christina ARNP
New Jersey Medical and Provider ID: 1654570 Provider ID: 1008893
Health Assoc Gender: Female Provider ID: 1723918 Gender: Female
22-18 Broadway Ste 201 Prohealth Care Associates of Gender: Female Bergen Regional Medical
Fair Lawn, NJ 07410 New Je Medical Associates of Center
(201) 475-5050 30 Prospect Ave Englewood, PC 230 E Ridgewood Ave
Fax: (201) 475-5522 Hackensack, NJ 07601 350 Engle St Paramus, NJ 07652
18 Yrs/130 Yrs (201) 996-5306 Englewood, NJ 07631 (201) 225-7130
Christ Hospital 00 Yrs/130 Yrs (201) 568-5250 18 Yrs/110 Yrs
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Fax: (201) 568-5358 Bergen Regional Medical
Medical Center 00 Yrs/130 Yrs Center
M-F 9:00 AM - 5:00 PM Chen, Jenny ARNP Englewood Hospital and M-F 9:00 AM - 5:00 PM
Provider ID: 1243418 Medical Center
Nurse Practitioner Adult Gender: Female M-F 9:00 AM - 5:00 PM Kutzleb, Judith ARNP
Health Medical Assocoiates of Provider ID: 1467488
Englewood PC Geronimo, Cynthia ARNP Gender: Female
Aboulnaja, Mona ARNP 22-18 Broadway Ste 201 222 Cedar Lane Ste 109
Fair Lawn, NJ 07410 Provider ID: 1650355 Teaneck, NJ 07666
Provider ID: 1650635 (201) 475-5050 Gender: Female (201) 833-7140
Gender: Female Fax: (201) 475-5522 Prohealth Care Associates of Fax: (201) 833-7068
Prohealth Care Associates of 00 Yrs/130 Yrs New Je 18 Yrs/130 Yrs
New Je Englewood Hospital and 30 Prospect Ave Holy Name Medical Center
1 Maywood Ave Medical Center Hackensack, NJ 07601
Maywood, NJ 07607 M-F 9:00 AM - 5:00 PM (551) 996-2000
(201) 342-8130 00 Yrs/130 Yrs
Fax: (201) 342-5275 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 361
Updated: 11/26/2018

Allied Providers
Bergen
Nurse Practitioner Adult McCarthy, Stephanie ARNP Nurse Practitioner Family Buehler, Lyndsay ARNP
Health - cont. Medicine
Provider ID: 1255714 Provider ID: 1367030
Kutzleb, Judith ARNP Gender: Female Atlas, Kellie ARNP Gender: Female
Excelcare Medical Associates Provider ID: 883817 Progressive Neurology PC
Provider ID: 1467488 PA Gender: Female 260 Old Hook Rd 200
Gender: Female 222 Cedar Ln Ste 109 North Hudson Community Westwood, NJ 07675
Holy Name Primary Care and Teaneck, NJ 07666 Action Corpo (201) 546-8510
Special (201) 833-7140 25 E Salem St Fax: (201) 503-8142
751 Teaneck Rd Fax: (201) 833-7068 Hackensack, NJ 07601 00 Yrs/130 Yrs
Teaneck, NJ 07666 00 Yrs/130 Yrs (201) 996-2121 M-F 9:00 AM - 5:00 PM
(201) 837-3200 Holy Name Medical Center Fax: (201) 996-4435
Fax: (201) 837-8993 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Buehler, Lyndsay ARNP
18 Yrs/130 Yrs Languages: Spanish
Holy Name Medical Center Pella, Reynaldo APRN M-F 9:00 AM - 5:00 PM Provider ID: 1367030
MTWF 9:00 AM - 5:00 PM Gender: Female
TH 9:00 AM - 7:00 PM Provider ID: 1602423 Azoyan, Narine ARNP Progressive Neurology PC
Gender: Male 381 Park St Ste 200
Lubinski, Diane ARNP Mulkay Cardiology Provider ID: 1728359 Hackensack, NJ 07601
Consultants At Ho Gender: Female (201) 546-8510
Provider ID: 1448821 15 Vervalen St Prohealth Care Associates of Fax: (201) 957-7316
Gender: Female Closter, NJ 07624 New Je 00 Yrs/130 Yrs
Medical Associates of (201) 996-9244 1 Maywood Ave M-F 9:00 AM - 5:00 PM
Englewood PC 18 Yrs/130 Yrs Maywood, NJ 07607
1 N Washington Ave Holy Name Medical Center (201) 293-4030 Colon Cabassa, Sylvia ARNP
Bergenfield, NJ 07621 M-F 9:00 AM - 5:00 PM Fax: (201) 293-4099
(201) 374-9201 00 Yrs/130 Yrs Provider ID: 1449032
Fax: (201) 784-0065 Severini ARNP MWTHF 8:00 AM - 4:30 PM Gender: Female
00 Yrs/130 Yrs Provider ID: 1648252 T 8:00 AM - 4:00 PM Medical Associates of
Englewood Hospital and Pan S Ko MD PC D/B/A Sylvan Englewood PC
Medical Center Infec Baldeo-Dat, Dhanmatie ARNP 350 Engle St
M-F 9:00 AM - 5:00 PM 260 Old Hook Rd Ste 300 Englewood, NJ 07631
Westwood, NJ 07675 Provider ID: 1236296 (201) 894-3280
Lynch, Kaitlin APRN (201) 408-5314 Gender: Female 00 Yrs/130 Yrs
Fax: (201) 408-4431 North Hudson Community M-F 9:00 AM - 5:00 PM
Provider ID: 1640748 00 Yrs/130 Yrs Action Corp
Gender: Female M-F 8:30 AM - 5:00 PM 197 S Van Brunt St Cox, Jill ARNP
Excelcare Medical Associates, Englewood, NJ 07631 Provider ID: 598661
PA Severini ARNP (201) 537-4442 Gender: Female
175 Bergen Blvd Provider ID: 1648252 Fax: (201) 568-1876 Medicl Associates of
Fairview, NJ 07022 Pan S Ko MD PC D/B/A Sylvan 00 Yrs/130 Yrs Englewood PC
(201) 943-2900 Infec M-F 8:30 AM - 5:00 PM 350 Engle St
Fax: (201) 945-4441 400 Sylvan Ave Ste 108 Englewood, NJ 07632
00 Yrs/130 Yrs Englewood Cliffs, NJ 07632 Baldeo-Dat, Dhanmatie ARNP (201) 894-3202
M-F 9:00 AM - 5:00 PM (201) 408-5314 Fax: (201) 894-1722
Fax: (201) 408-4431 Provider ID: 1236311 00 Yrs/130 Yrs
00 Yrs/130 Yrs Gender: Female M-F 9:00 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM North Hudson Community
Action Corp
25 E Salem St Fl 6
Hackensack, NJ 07601
(551) 996-2121
Fax: (551) 996-4435
00 Yrs/130 Yrs
M-TH 8:30 AM - 7:00 PM
F 8:30 AM - 5:00 PM
Sat 8:30 AM - 3:00 PM

www.wellcare.com/New-Jersey | 362
Updated: 11/26/2018

Allied Providers
Bergen
Nurse Practitioner Family Kulik, Gabrielle ARNP Vranesich, Sarah ARNP Miller-Westfield, Chae APRN
Medicine - cont.
Provider ID: 1695074 Provider ID: 1653523 Provider ID: 1511362
Inocencio, Mark ARNP Gender: Female Gender: Female Gender: Female
Prohealth Care Associates of Prohealth Care Associates of Epilepsy Neurophysiology
Provider ID: 1436414 New Je New Je Medical C
Gender: Male 74 Oak St 935 River Rd Ste 301 400 Frank W Burr Blvd
Bhmg-United Medical Ridgewood, NJ 07450 Edgewater, NJ 07020 Teaneck, NJ 07666
612 Rutherford Ave (201) 345-3481 (201) 917-3313 (201) 343-6676
Lyndhurst, NJ 07071 Fax: (201) 345-3689 Fax: (201) 917-3122 Fax: (201) 343-6689
(201) 460-0063 00 Yrs/130 Yrs 18 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 460-1684 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Holy Name Medical Center
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Clara Maass Medical Center OH, Beomseok ARNP Nurse Practitioner
Languages: Tagalog Gerentology Nurse Practitioner
M-TH 8:00 AM - 7:00 PM Provider ID: 1727027 Pediatric
F 8:00 AM - 5:00 PM Gender: Male Ahern, Barbara ARNP
Sat 8:00 AM - 12:00 PM Riverside Pediatric Group, PC Fletcher, Indeya ARNP
(D/B/ Provider ID: 1653533
Kihwaga, Naomi APRN 200 Main St Gender: Female Provider ID: 1695054
Provider ID: 1250188 Ridgefield Park, NJ 07660 Prohealth Care Associates of Gender: Female
Gender: Female (201) 870-6099 New Je Prohealth Care Associates of
North Hudson Community Fax: (201) 870-6098 200 Main St New Je
Action Corp 00 Yrs/130 Yrs Ridgefield Park, NJ 07660 718 Teaneck Rd
535 Midland Ave M-F 8:00 AM - 8:00 PM (201) 870-6099 Teaneck, NJ 07666
Garfield, NJ 07026 Sat-Sun 8:00 AM - 4:00 PM Fax: (201) 870-6098 (201) 833-3000
(973) 340-1182 00 Yrs/130 Yrs 00 Yrs/18 Yrs
Fax: (973) 340-1156 Trigoura, Mabel ARNP M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
M-TH 8:30 AM - 7:00 PM Provider ID: 1653516 Javadpoor, Michele ARNP Gregory, Josefina ARNP
F 8:30 AM - 5:00 PM Gender: Female
Sat 8:30 AM - 3:00 PM Prohealth Care Associates of Provider ID: 1707508 Provider ID: 1240875
New Je Gender: Female Gender: Female
Kihwaga, Naomi APRN 62 Ridge Rd Holy Name Hospital North Hudson Community
Provider ID: 1250190 North Arlington, NJ 07031 718 Teaneck Rd Action Corp
Gender: Female (201) 991-8565 Teaneck, NJ 07666 535 Midland Ave
North Hudson Community Fax: (201) 991-2408 (201) 833-3000 Garfield, NJ 07026
Action Corp 00 Yrs/130 Yrs 00 Yrs/130 Yrs (973) 340-1182
25 E Salem St Fl 6 M-F 9:00 AM - 5:00 PM Holy Name Medical Center Fax: (973) 340-1156
Hackensack, NJ 07601 M-F 9:00 AM - 5:00 PM 00 Yrs/21 Yrs
(551) 996-2121 Vassallo, Christina ARNP M-TH 8:30 AM - 7:00 PM
Fax: (551) 996-4435 Miller-Westfield, Chae APRN F 8:30 AM - 5:00 PM
00 Yrs/130 Yrs Provider ID: 1444270 Sat 8:30 AM - 3:00 PM
MTTHFSat 8:30 AM - 5:00 PM Gender: Female Provider ID: 1511362
W 8:30 AM - 7:00 PM Bhmg-United Medical Gender: Female Gregory, Josefina ARNP
612 Rutherford Ave Epilepsy Neurophysiology
Kihwaga, Naomi APRN Lyndhurst, NJ 07071 Medical C Provider ID: 1240880
Provider ID: 1250196 (201) 460-0063 20 Prospect Ave Ste 800 Gender: Female
Gender: Female Fax: (201) 460-7195 Hackensack, NJ 07601 North Hudson Community
North Hudson Community 00 Yrs/130 Yrs (201) 343-6676 Action Corp
Action Corp Saint Barnabas Medical Fax: (201) 343-6689 25 E Salem St Fl 6
197 S Van Brunt St Center Livingston 00 Yrs/130 Yrs Hackensack, NJ 07601
Englewood, NJ 07631 Languages: Spanish Holy Name Medical Center (551) 996-2121
(201) 537-4442 M-F 8:00 AM - 4:30 PM M-F 9:00 AM - 5:00 PM Fax: (551) 996-4435
Fax: (201) 568-1876 00 Yrs/21 Yrs
00 Yrs/130 Yrs MTTHFSat 8:30 AM - 5:00 PM
M-F 8:30 AM - 5:00 PM W 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 363
Updated: 11/26/2018

Allied Providers
Bergen
Nurse Practitioner Vales-Buckwald, Nicole ARNP Davison, Carol ARNP Fallon, Elizabeth ARNP
Pediatric - cont.
Provider ID: 1249595 Provider ID: 1436488 Provider ID: 1259224
Gregory, Josefina ARNP Gender: Female Gender: Female Gender: Female
North Hudson Community Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1240893 Action Corp 611 Rte 46 W Ste 100 611 Rte 46 W Ste 100
Gender: Female 535 Midland Ave Hasbrouck Heights, NJ 07604 Hasbrouck Heights, NJ 07604
North Hudson Community Garfield, NJ 07026 (201) 986-5000 (201) 986-5000
Action Corp (973) 340-1182 00 Yrs/130 Yrs 00 Yrs/130 Yrs
197 S Van Brunt St Fax: (973) 340-1156 M-F 9:00 AM - 5:00 PM Languages: Spanish
Englewood, NJ 07631 00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM
(201) 537-4442 JFK Medical Center Fallon, Elizabeth ARNP
Fax: (201) 568-1876 M-TH 8:30 AM - 7:00 PM Nurse Practitioner
00 Yrs/21 Yrs F 8:30 AM - 5:00 PM Provider ID: 1259224 Womens Health
M-F 8:30 AM - 5:00 PM Sat 8:30 AM - 3:00 PM Gender: Female
Care Plus NJ Inc Sandhaus, Leah ARNP
Vales-Buckwald, Nicole ARNP Nurse Practitioner 17-07 Romaine St
Psychiatric Mental Health Fair Lawn, NJ 07410 Provider ID: 1591222
Provider ID: 1249572 (201) 986-5000 Gender: Female
Gender: Female Davison, Carol ARNP 00 Yrs/130 Yrs Medical Associates of
North Hudson Community Languages: Spanish Englewood, Oc
Action Corp Provider ID: 1436488 M-F 9:00 AM - 5:00 PM 350 Engle St 3 Berrie
197 S Van Brunt St Gender: Female Englewood, NJ 07631
Englewood, NJ 07631 Care Plus NJ Inc Fallon, Elizabeth ARNP (201) 894-3202
(201) 537-4442 17-07 Romaine St 00 Yrs/130 Yrs
Fax: (201) 568-1876 Fair Lawn, NJ 07410 Provider ID: 1259224 M 1:00 AM - 5:00 PM
00 Yrs/21 Yrs (973) 744-6522 Gender: Female TW 8:00 AM - 4:00 PM
JFK Medical Center Fax: (201) 797-5025 Care Plus NJ Inc TH 8:00 AM - 12:00 PM
M-F 8:30 AM - 5:00 PM 00 Yrs/130 Yrs 230 E Ridgewood Ave
M-F 9:00 AM - 5:00 PM Paramus, NJ 07652 Nutrition
Vales-Buckwald, Nicole ARNP (201) 986-5000
Davison, Carol ARNP 00 Yrs/130 Yrs Albaum, Rachel RD
Provider ID: 1249592 Languages: Spanish Provider ID: 1436410
Gender: Female Provider ID: 1436488 M-F 9:00 AM - 5:00 PM Gender: Female
North Hudson Community Gender: Female Bhmg-United Medical
Action Corp Care Plus NJ Inc Fallon, Elizabeth ARNP 612 Rutherford Ave Fl 1
25 E Salem St Fl 6 230 E Ridgewood Ave Lyndhurst, NJ 07071
Hackensack, NJ 07601 Paramus, NJ 07652 Provider ID: 1259224 (201) 460-0063
(551) 996-2121 (201) 986-5000 Gender: Female Fax: (201) 460-1684
Fax: (551) 996-4435 00 Yrs/130 Yrs Care Plus NJ Inc 00 Yrs/130 Yrs
00 Yrs/21 Yrs M-F 9:00 AM - 5:00 PM 610 Valley Health Plz M-F 8:00 AM - 7:00 PM
JFK Medical Center Paramus, NJ 07652
MTTHFSat 8:30 AM - 5:00 PM Davison, Carol ARNP (201) 986-5042 Quintana, Marilyn RD
W 8:30 AM - 7:00 PM Fax: (201) 265-7645 Provider ID: 783608
Provider ID: 1436488 00 Yrs/130 Yrs Gender: Female
Gender: Female Languages: Spanish Center For Medical Nutrition
Care Plus NJ Inc M-TH 9:00 AM - 9:00 PM Therap
610 Valley Health Plz FSat 9:00 AM - 5:00 PM 26 Byrne Pl
Paramus, NJ 07652 Bergenfield, NJ 07621
(201) 986-5000 (551) 486-6604
00 Yrs/130 Yrs Fax: (201) 501-0543
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Languages: Tagalog
M 1:00 AM - 6:00 PM
T 10:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 364
Updated: 11/26/2018

Allied Providers
Bergen
Nutrition - cont. Dailsay, Aurora ARNP Orthopaedic Surgery Fuchs, Mae ARNP
Provider ID: 1596541
Vero, Linda RD Provider ID: 1072158 Petronaci, Brian PA Gender: Female
Provider ID: 1201411 Gender: Female Medical Associates of
Gender: Female North Hudson Community Provider ID: 1654281 Englewood, PC
Nutrition Vitality and Action Corpo Gender: Male 350 Engle St 5th Fl Berrie Ste
Conditioning Sub Specialty: HIV/AIDs Excelcare Medical Associates, 5512
172 Broadway Front Bldg Ste 25 E Salem St PA Englewood, NJ 07631
202 Hackensack, NJ 07601 433 Hackensack Ave (201) 487-7246
Woodcliff Lake, NJ 07677 (551) 996-2121 Hackensack, NJ 07601 Fax: (201) 225-0207
(201) 724-9646 Fax: (551) 996-4435 (201) 343-1717 00 Yrs/130 Yrs
Fax: (201) 215-0683 00 Yrs/130 Yrs Fax: (201) 343-3217 Holy Name Medical Center
00 Yrs/130 Yrs MTTHF 8:30 AM - 5:00 PM 18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M 9:00 AM - 3:00 PM W 8:30 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
T 5:00 AM - 8:00 PM Pediatrics
W 9:00 AM - 12:00 PM Dailsay, Aurora ARNP Pain Management
TH 9:00 AM - 2:00 PM Calilap Bernardo, Charmane
Fuchs, Mae ARNP ARNP
Provider ID: 1072158
Yachechak, Suzanne RD Gender: Female Provider ID: 1596536 Provider ID: 1096272
North Hudson Community Gender: Female Gender: Female
Provider ID: 976099 Action Corpo Medical Associates of North Hudson Community
Gender: Female Sub Specialty: HIV/AIDs Englewood, PC Action Corpo
Suzanne M Yachechak Rnd 535 Midland Ave Ste 2 309 Engle St Ste 7 197 S Van Brunt St
180 Overlook Ave Garfield, NJ 07026 Englewood, NJ 07631 Englewood, NJ 07631
Hackensack, NJ 07601 (973) 340-1182 (201) 487-7246 (201) 537-4442
(201) 487-6564 Fax: (973) 340-1156 Fax: (201) 225-0207 Fax: (201) 568-1876
Fax: (201) 880-4124 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/18 Yrs
00 Yrs/130 Yrs MTTHFSat 8:30 AM - 5:00 PM Holy Name Medical Center MTWTHFSat 8:30 AM - 5:00
M-TH 8:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM PM
W 8:30 AM - 7:00 PM
F 8:00 AM - 4:00 PM Calilap Bernardo, Charmane
Occupational Therapy Fuchs, Mae ARNP
ARNP
Obstetrics/Gynecology Provider ID: 1596537
Provider ID: 1096290
Gioffre, Darren OT Gender: Female
Dailsay, Aurora ARNP Gender: Female
Provider ID: 1648483 Medical Associates of
Englewood, PC North Hudson Community
Gender: Male Action Corpo
Provider ID: 1072158 Dynamic Physical Therapy and 22-18 Broadway Ste 301 25 E Salem St Fl 6
Gender: Female Sports Fair Lawn, NJ 07410
Hackensack, NJ 07601
North Hudson Community 220 Livingston St Ste 112 (973) 321-2755
(551) 996-2121
Action Corpo Northvale, NJ 07647 Fax: (973) 321-2750
Fax: (551) 996-4435
Sub Specialty: HIV/AIDs (201) 564-7515 00 Yrs/130 Yrs
00 Yrs/18 Yrs
197 S Van Brunt St Fax: (201) 564-7514 Holy Name Medical Center
MTTHFSat 8:30 AM - 5:00 PM
Englewood, NJ 07631 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
W 8:30 AM - 7:00 PM
(201) 537-4442 M-F 9:00 AM - 5:00 PM
Fax: (201) 568-1876 Fuchs, Mae ARNP Calilap Bernardo, Charmane
00 Yrs/130 Yrs Provider ID: 1596540 ARNP
M-F 9:00 AM - 5:00 PM Gender: Female Provider ID: 1096291
Medical Associates of Gender: Female
Englewood, PC
North Hudson Community
350 Engle St 6th Fl Berrie Ste Action Corpo
6530
535 Midland Ave
Englewood, NJ 07631
Garfield, NJ 07026
(201) 487-7246
(973) 340-1182
Fax: (201) 225-0207
Fax: (973) 340-1156
00 Yrs/130 Yrs
00 Yrs/18 Yrs
Holy Name Medical Center
MTTHFSat 8:30 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
W 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 365
Updated: 11/26/2018

Allied Providers
Bergen
Physical Medicine & Kryagin, Michael PT Psychiatry Cummins, Margaret ARNP
Rehabilitation Provider ID: 974384
Gender: Male Bianco, Kathleen ARNP Provider ID: 909819
Pachella, Cheryl ARNP Cliffside Medical LLC Gender: Female
663 Palisade Ave Ste 101 Provider ID: 903596 Care Plus NJ Inc
Provider ID: 1282648 Cliffside Park, NJ 07010 Gender: Female 17-07 Romaine St
Gender: Female (201) 945-0491 Care Plus NJ Inc Fair Lawn, NJ 07410
Kessler Professional Services Fax: (201) 945-1157 17-07 Romaine St (201) 986-5000
LLC 00 Yrs/130 Yrs Fair Lawn, NJ 07410 00 Yrs/130 Yrs
300 Market St Languages: Spanish, Russian (201) 986-5000 M-F 9:00 AM - 5:00 PM
Saddle Brook, NJ 07663 M-F 8:00 AM - 8:00 PM 00 Yrs/130 Yrs
(201) 368-6000 Sat 8:00 AM - 4:00 PM M-F 9:00 AM - 5:00 PM Cummins, Margaret ARNP
Fax: (201) 368-6135 Sun 8:00 AM - 2:00 PM
18 Yrs/110 Yrs Bianco, Kathleen ARNP Provider ID: 909819
M-F 9:00 AM - 5:00 PM Mercado, Christopher PT Gender: Female
Provider ID: 903596 Care Plus NJ Inc
Physical Therapy Provider ID: 1644301 Gender: Female 230 E Ridgewood Ave
Gender: Male Care Plus NJ Inc Paramus, NJ 07652
Bednarski, Stephanie PT 220 Livingston St Ste 112 17-07 Romaine St Ste 100 (201) 986-5000
Northvale, NJ 07647 Fair Lawn, NJ 07410 00 Yrs/130 Yrs
Provider ID: 1027466 (201) 564-7515 (201) 986-5000 M-F 9:00 AM - 5:00 PM
Gender: Female Fax: (201) 564-7514 00 Yrs/130 Yrs
Bergen Physical Therapy 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Cummins, Margaret ARNP
31-00 Broadway 3rd Fl M-F 9:00 AM - 5:00 PM
Fair Lawn, NJ 07410 Bianco, Kathleen ARNP Provider ID: 909819
(201) 773-9209 Physician Assistant Gender: Female
Fax: (201) 773-9211 Provider ID: 903596 Care Plus NJ Inc
00 Yrs/130 Yrs Dobkowski, Darlene PA Gender: Female 610 Valley Health Plz
Languages: Spanish Care Plus NJ Inc Paramus, NJ 07652
M-W 9:00 AM - 8:00 PM Provider ID: 940432 230 E Ridgewood Ave (201) 986-5000
TH 9:00 AM - 5:00 PM Gender: Female Paramus, NJ 07652 Fax: (201) 265-0366
Excelcare Medical Associates (201) 986-5000 00 Yrs/130 Yrs
Ebeido, Motaz PT PA 00 Yrs/130 Yrs MF 9:00 AM - 5:00 PM
Provider ID: 1552263 718 Teaneck Rd M-F 9:00 AM - 5:00 PM TWTH 9:00 AM - 9:00 PM
Gender: Male Teaneck, NJ 07666
Core Basics Physical Therapy (201) 541-5988 Bianco, Kathleen ARNP Cummins, Margaret ARNP
255 W Spring Valley Ave Ste Fax: (201) 541-5910
109 18 Yrs/130 Yrs Provider ID: 903596 Provider ID: 909819
Maywood, NJ 07607 Holy Name Medical Center Gender: Female Gender: Female
(201) 300-9897 Languages: Spanish, Korean Care Plus NJ Inc Care Plus NJ Inc
Fax: (201) 575-4943 M-F 9:00 AM - 5:00 PM 610 Valley Health Plz 611 Rte 46 W Ste 100
00 Yrs/130 Yrs Paramus, NJ 07652 Hasbrouck Heights, NJ 07604
M 3:00 AM - 7:00 PM Skory, Christopher PA (201) 986-5042 (201) 986-5000
TTH 8:00 AM - 7:00 PM Fax: (201) 265-7645 00 Yrs/130 Yrs
W 2:00 AM - 7:00 PM Provider ID: 1640313 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
F 9:00 AM - 5:00 PM Gender: Male MF 9:00 AM - 5:00 PM
Center For Vein Restoration TWTH 9:00 AM - 9:00 PM Doerr, Chris ARNP
NJ LLC Provider ID: 902730
211 Essex St Ste 403 Gender: Male
Hackensack, NJ 07601 Care Plus NJ Inc
(855) 653-8346 17-07 Romaine St
Fax: (240) 473-4321 Fair Lawn, NJ 07410
00 Yrs/130 Yrs (201) 986-5000
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Bergen Regional Medical
Center
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 366
Updated: 11/26/2018

Allied Providers
Bergen
Psychiatry - cont. Louis, Kristan ARNP Tendler, Catherine ARNP Speech & Language
Pathology
Doerr, Chris ARNP Provider ID: 915223 Provider ID: 906616
Provider ID: 902730 Gender: Female Gender: Female Hwang, Kyung SLP
Gender: Male Care Plus NJ Inc 395 Main St Provider ID: 1550119
Care Plus NJ Inc 230 E Ridgewood Ave Hackensack, NJ 07601 Gender: Female
230 E Ridgewood Ave Paramus, NJ 07652 (201) 646-0333 Italk Speech and Language
Paramus, NJ 07652 (201) 986-5000 Fax: (201) 646-0283 Center
(201) 986-5000 18 Yrs/80 Yrs 00 Yrs/130 Yrs 2460 Lemoine Ave Ste 307
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:00 PM Fort Lee, NJ 07024
Bergen Regional Medical F 9:00 AM - 4:00 PM (201) 419-6114
Center Louis, Kristan ARNP Fax: (201) 419-6114
M-F 9:00 AM - 5:00 PM Pulmonary Disease 00 Yrs/130 Yrs
Provider ID: 915223 MTWTHFSatSun 9:00 AM -
Doerr, Chris ARNP Gender: Female Bowe, Geraldine ARNP 6:00 PM
Provider ID: 902730 Care Plus NJ Inc
Gender: Male 610 Valley Health Plz Provider ID: 1499458 Malmrose, Katherine SLP
Care Plus NJ Inc Paramus, NJ 07652 Gender: Female
610 Valley Health Plz (201) 265-8200 Holy Name Pulmonary Provider ID: 1487217
Paramus, NJ 07652 Fax: (201) 265-0366 Associates PA Gender: Female
(201) 265-8200 18 Yrs/80 Yrs 718 Teaneck Rd Critical Care Katherine Malmrose MS Ccc-
Fax: (201) 265-0366 M-F 9:00 AM - 8:00 PM Teaneck, NJ 07666 SLP
00 Yrs/130 Yrs Sat 9:00 AM - 5:00 PM (201) 833-3102 160 Overlook Ave
Bergen Regional Medical Fax: (201) 833-3098 Hackensack, NJ 07601
Center Louis, Kristan ARNP 18 Yrs/110 Yrs (201) 230-5607
M-F 9:00 AM - 4:00 PM Holy Name Medical Center 00 Yrs/130 Yrs
Provider ID: 915223 MTWF 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Doerr, Chris ARNP
Gender: Female TH 9:00 AM - 7:00 PM
Provider ID: 902730 Care Plus NJ Inc
Speech Therapy
Gender: Male Radiology - Interventional
611 Rte 46 W Ste 100
Care Plus NJ Inc & Vascular Gelfer, Carole SLP
Hasbrouck Heights, NJ 07604
611 Rte 46 W Ste 100 Provider ID: 1311442
(201) 986-5000
Hasbrouck Heights, NJ 07604 Mantel, Janet ARNP Gender: Female
18 Yrs/80 Yrs
(201) 986-5000 Provider ID: 1603669 Sovereign Medical Group LLC
M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Gender: Female 44 Godwin Ave
Bergen Regional Medical Prendergast, Kathleen ARNP Peace Health Partners, PC Midland Park, NJ 07432
Center (201) 445-2900
718 Teaneck Rd
M-F 9:00 AM - 5:00 PM Fax: (201) 445-8679
Provider ID: 914904 Teaneck, NJ 07666
Gender: Female (201) 833-3740 00 Yrs/130 Yrs
Louis, Kristan ARNP MT 10:00 AM - 2:00 PM
Care Plus NJ Inc Fax: (201) 833-3164
610 Valley Health Plz 18 Yrs/130 Yrs
Provider ID: 915223 M-F 9:00 AM - 5:00 PM
Surgical Oncology
Paramus, NJ 07652
Gender: Female
(201) 986-5000
Care Plus NJ Inc Schwegman, Julie PA
Fax: (201) 265-0366
17-07 Romaine St
00 Yrs/130 Yrs
Fair Lawn, NJ 07410 Provider ID: 1607302
Holy Name Medical Center
(201) 986-5000 Gender: Female
M-F 9:00 AM - 5:00 PM
18 Yrs/80 Yrs Excelcare Medical Associates,
M-F 9:00 AM - 5:00 PM PA
718 Teaneck Rd
Teaneck, NJ 07666
(201) 541-5989
Fax: (201) 808-9414
18 Yrs/130 Yrs
Holy Name Medical Center
M-TH 9:00 AM - 7:00 PM
F 9:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 367
Updated: 11/26/2018

Allied Providers
Bergen
Surgical Oncology - cont. Urology Oncology
Simpson, Jasmine ARNP Dobkowski, Darlene PA

Provider ID: 1706743 Provider ID: 940432


Gender: Female Gender: Female
Medical Associates of Excelcare Medical Associates
Englewood, PC PA
350 Engle St Ste 6530 718 Teaneck Rd
Englewood, NJ 07631 Teaneck, NJ 07666
(201) 894-5999 (201) 541-5988
Fax: (201) 894-3799 Fax: (201) 541-5910
00 Yrs/130 Yrs 18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Holy Name Medical Center
Languages: Spanish, Korean
Thoracic & Cardiovascular M-F 9:00 AM - 5:00 PM
Surgery
Vascular Surgery
Chan, Erwin PA
Provider ID: 1605709 Beck, Jaclyn PA
Gender: Male Provider ID: 1645515
Medical Associates of Gender: Female
Englewood, PC University Physicians
22-18 Broadway Ste 301 Associates of
Fair Lawn, NJ 07410 230 E. Ridgewood Ave
(201) 894-3636 Paramus, NJ 07652
Fax: (201) 541-2188 (201) 967-4000
00 Yrs/130 Yrs Fax: (201) 967-4117
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
University Hospital
Chan, Erwin PA M-F 9:00 AM - 5:00 PM
Provider ID: 1605709
Gender: Male Woodhull, Courtney PA
Medical Associates of
Englewood, PC Provider ID: 1231490
350 Engle St 5 Main Gender: Female
Englewood, NJ 07631 Medical Associates of
(201) 894-3636 Englewood PC
00 Yrs/130 Yrs 350 Engle St Fl 2
M-F 9:00 AM - 5:00 PM Englewood, NJ 07631
(201) 894-3689
Thoracic Surgery Fax: (201) 541-2965
00 Yrs/130 Yrs
Shah, Rupali PA M-F 9:00 AM - 5:00 PM
Provider ID: 1430798
Gender: Female
Medical Associates of
Englewood PC
350 Engle St
Englewood, NJ 07631
(201) 894-3636
Fax: (201) 894-3764
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 368
Updated: 11/26/2018

Allied Providers
Hudson
Acupuncture Kornhaber, Arlene AUD Herrera, Maryeth ARNP Diaz, Jasmine CSW
Provider ID: TPV05524-02 Provider ID: 1652015
Rhee, Stephen LAC Gender: Female Provider ID: 1181224 Gender: Female
Provider ID: 1696372 HearUSA Gender: Female Metropolitan Family Health
Gender: Male 7401 Bergenline Ave. Ste 3 Mulkay Cardiology Network
Tbw Acupuncture N Bergen, NJ 07047 Consultants At Ho 935 Garfield Ave
327 60th St (201) 854-1800 529 39th St Ste 1 Jersey City, NJ 07304
West New York, NJ 07093 Fax: (204) 861-0269 Union City, NJ 07087 (201) 478-5800
(888) 724-6457 21 Yrs/99 Yrs (201) 601-0900 Fax: (201) 478-5814
Fax: (201) 429-8161 M-F 9:00 AM - 5:00 PM Fax: (201) 601-0995 00 Yrs/130 Yrs
00 Yrs/130 Yrs 18 Yrs/110 Yrs M-F 9:00 AM - 5:00 PM
MT 10:00 AM - 7:00 PM Behavioral Health Holy Name Medical Center
W 10:0 AM - 7:00 PM Counseling Palisades Medical Center Perlaza, Jessica CSW
TH 1:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1645309
McClendon, Elizabeth LCSW Gender: Female
Allergy & Immunology Clinical Social Work Prohealth Care Associates of
Provider ID: 1032355 New Je
LA Torre, Debora ARNP Gender: Female Anjos, Arlene CSW 225 60th St
Mount Carmel Guild Provider ID: 1651633 West New York, NJ 07093
Provider ID: 1695079 Behavioral Healt Gender: Female (201) 876-3215
Gender: Female 2201 Bergenline Ave Metropolitan Family Health Fax: (201) 876-3218
Prohealth Care Associates of Union City, NJ 07087 Network 00 Yrs/130 Yrs
New Je (201) 558-3700 857 Bergen Ave M-F 9:00 AM - 5:00 PM
1425 Bloomfield St Fax: (800) 227-7705 Jersey City, NJ 07306
Hoboken, NJ 07030 (201) 478-5800 Siegel, Rebecca CSW
05 Yrs/130 Yrs
(973) 759-5842 Languages: Spanish Fax: (201) 478-5814 Provider ID: 1646447
Fax: (973) 759-0403 M-F 8:30 AM - 5:00 PM 00 Yrs/130 Yrs Gender: Female
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Prohealth Care Associates of
M-F 9:00 AM - 5:00 PM McClendon, Elizabeth LCSW New Je
Anjos, Arlene CSW 1425 Bloomfield St
LA Torre, Debora ARNP Provider ID: 1651633 Hoboken, NJ 07030
Provider ID: 1032355
Gender: Female (201) 293-0976
Gender: Female
Provider ID: 1695079 Metropolitan Family Health Fax: (201) 861-0941
Mount Carmel Guild
Gender: Female Behavioral Healt Network 00 Yrs/130 Yrs
Prohealth Care Associates of 285 Magnolia Ave 935 Garfield Ave M-F 9:00 AM - 5:00 PM
New Je Jersey City, NJ 07304 Jersey City, NJ 07304
(201) 478-5800 Siegel, Rebecca CSW
33 Hudson St Liberty Towers (201) 395-4800
Jersey City, NJ 07302 Fax: (201) 478-5814 Provider ID: 1646447
Fax: (201) 395-4813
(973) 759-5842 00 Yrs/130 Yrs Gender: Female
05 Yrs/130 Yrs
Fax: (973) 759-0403 M-F 9:00 AM - 5:00 PM Prohealth Care Associates of
Languages: Spanish New Je
00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM Diaz, Jasmine CSW 225 60th St
M-F 9:00 AM - 5:00 PM
Cardiology Provider ID: 1652015 West New York, NJ 07093
Audiology Gender: Female (201) 293-0976
Catena, Michele ARNP Metropolitan Family Health Fax: (201) 293-0977
Cohen, Heather AUD Network 00 Yrs/130 Yrs
857 Bergen Ave M-F 9:00 AM - 5:00 PM
Provider ID: 1725506 Jersey City, NJ 07306
Provider ID: 1608954 Gender: Female (201) 478-5800
Gender: Female Mulkay Cardiology Fax: (201) 478-5814
Prohealth Care Associates of Consultants At Ho
New Je 00 Yrs/130 Yrs
529 39th St
714 10th St M-F 9:00 AM - 5:00 PM
Union City, NJ 07087
Secaucus, NJ 07094 (201) 601-0900
(201) 863-3346 Fax: (201) 601-0995
Fax: (201) 863-5251 00 Yrs/130 Yrs
00 Yrs/130 Yrs Holy Name Medical Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 369
Updated: 11/26/2018

Allied Providers
Hudson
Clinical Social Work - Guan, Xin PA Lewis, Kristen ARNP Marion, Anthony PA
cont. Provider ID: 1569492
Gender: Female Provider ID: 1324114 Provider ID: 1709309
Siegel, Rebecca CSW North Jersey Dermatology Gender: Female Gender: Male
Provider ID: 1646447 Center PC NJ Certified Dermatology PC North Jersey Dermatology
Gender: Female 655 Kearny Ave Ste 103 668-670 Brdway Center, P.
Prohealth Care Associates of Kearny, NJ 07032 Bayonne, NJ 07002 655 Kearny Ave Ste 103
New Je (201) 428-1938 (732) 456-7777 Kearny, NJ 07032
6045 Kennedy Blvd 00 Yrs/130 Yrs Fax: (848) 251-2189 (201) 428-1938
North Bergen, NJ 07047 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 293-0976 Community Medical Center M-F 8:00 AM - 7:00 PM
Fax: (201) 861-0941 Gupta, Ritu ARNP M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Provider ID: 1283131 McCormick, Kimbreya ARNP
M-F 9:00 AM - 5:00 PM Gender: Female Lobato, Larissa ARNP
NJ Certified Dermatology PC Provider ID: 1320079
Dermatology 668-670 Broadway Provider ID: 1314562 Gender: Female
Bayonne, NJ 07002 Gender: Female NJ Certified Dermatology PC
Chehet, Svetlana ARNP (732) 456-7777 NJ Certified Dermatology PC 668-670 Broadway
Fax: (732) 797-9110 668-670 Broadway Bayonne, NJ 07002
Provider ID: 1322501 00 Yrs/130 Yrs Bayonne, NJ 07002 (732) 456-7777
Gender: Female M-F 9:00 AM - 5:00 PM (732) 456-7777 Fax: (848) 251-2189
NJ Certified Dermatology PC Fax: (848) 251-2189 00 Yrs/130 Yrs
668-670 Brdway Johnson, Kathryn ARNP Community Medical Center
00 Yrs/130 Yrs
Bayonne, NJ 07002 Community Medical Center M-F 9:00 AM - 5:00 PM
(732) 456-7777 Provider ID: 1327704 M-F 9:00 AM - 5:00 PM
Fax: (848) 251-2189 Gender: Female Occhiuto, Tina ARNP
00 Yrs/130 Yrs NJ Certified Dermatology PC Mallardi, Brittany PA Provider ID: 1569880
M-F 9:00 AM - 5:00 PM 670 Brdway Gender: Female
Bayonne, NJ 07002 Provider ID: 1569157 North Jersey Dermatology
Falis, Ashley PA (732) 456-7777 Gender: Female Center PC
Provider ID: 1643767 Fax: (848) 251-2189 North Jersey Dermatology 655 Kearny Ave Ste 103
Gender: Female 00 Yrs/130 Yrs Center PC Kearny, NJ 07032
North Jersey Dermatology Clara Maass Medical Center 655 Kearny Ave Ste 103 (201) 428-1938
Center PC M-F 9:00 AM - 5:00 PM Kearny, NJ 07032 Fax: (551) 580-7307
655 Kearny Ave Ste 102 (201) 428-1938 00 Yrs/130 Yrs
Kearny, NJ 07032 Kull, Katie APRN 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 428-1938 Provider ID: 1341362 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Gender: Female Peereboom, Erika PA
M-F 9:00 AM - 5:00 PM NJ Certified Dermatology PC Malloy Craig, Shannon ARNP
670 Brdway Provider ID: 1569655
Fisher, Daisy ARNP Bayonne, NJ 07002 Provider ID: 1344173 Gender: Female
Provider ID: 725641 (732) 456-7777 Gender: Female North Jersey Dermatology
Gender: Female Fax: (848) 251-2189 NJ Certified Dermatology PC Center PC
Dermone Dermatology Assoc. 00 Yrs/130 Yrs 668-670 Brdway 655 Kearny Ave Ste 103
of NJ M-F 9:00 AM - 5:00 PM Bayonne, NJ 07002 Kearny, NJ 07032
668-670 Broadway (732) 456-7777 (201) 428-1938
Bayonne, NJ 07002 Ledden, Lisa ARNP 00 Yrs/130 Yrs
Fax: (848) 251-2189
(201) 214-1234 Provider ID: 1653148 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Gender: Female M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM NJ Certified Dermatology PC
670 Broadway
Bayonne, NJ 07002
(732) 453-7777
Fax: (848) 251-2189
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 370
Updated: 11/26/2018

Allied Providers
Hudson
Dermatology - cont. Rivera, Elsie ARNP Tenpenny, Ela ARNP Yorke, Maureen RD
Provider ID: 1283135
Perez, Sujelis PA Gender: Female Provider ID: 1653192 Provider ID: 1565917
Provider ID: 1642154 NJ Certified Dermatology PC Gender: Female Gender: Female
Gender: Female 670 Broadway NJ Certified Dermatology PC Bhmg-United Medical
North Jersey Dermatology Bayonne, NJ 07002 670 Broadway 988 Broadway Ste 201
Center PC (732) 456-7777 Bayonne, NJ 07002 Bayonne, NJ 07002
655 Kearny Ave Ste 103 Fax: (201) 354-9210 (732) 453-7777 (201) 339-6111
Kearny, NJ 07032 00 Yrs/130 Yrs Fax: (848) 251-2189 Fax: (201) 339-6333
(201) 428-1938 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (551) 580-7307 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Sanchez, Matthew ARNP
M-F 9:00 AM - 5:00 PM Walker, Elizabeth ARNP Endocrinology, Diabetes,
Provider ID: 1428952 Metabolism
Polizio, Vincent PA Gender: Male Provider ID: 1321294
Provider ID: 1654932 NJ Certified Dermatology PC Gender: Female Dershowitz, Meir PA
Gender: Male 668-670 Broadway NJ Certified Dermatology PC
NJ Certified Dermatology PC Bayonne, NJ 07002 668-670 Brdway Provider ID: 1436843
670 Broadway (732) 456-7777 Bayonne, NJ 07002 Gender: Male
Bayonne, NJ 07002 Fax: (732) 797-9110 (732) 456-7777 Bhmg - United Medical
(732) 453-7777 00 Yrs/130 Yrs Fax: (848) 251-2189 988 Broadway Ste 201
Fax: (848) 251-2189 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Bayonne, NJ 07002
00 Yrs/130 Yrs St Francis Medical Center (201) 339-6111
M-F 9:00 AM - 5:00 PM Sidwa, Charles PA M-F 9:00 AM - 5:00 PM Fax: (201) 339-6333
Provider ID: 1654915 00 Yrs/130 Yrs
Portanova, Brian ARNP Gender: Male Yanusz, Donna ARNP Saint Barnabas Medical
NJ Certified Dermatology PC Center Livingston
Provider ID: 1315074 670 Broadway Provider ID: 1693013 M-F 9:00 AM - 5:00 PM
Gender: Male Bayonne, NJ 07002 Gender: Female
NJ Certified Dermatology PC (732) 453-7777 NJ Certified Dermatology PC Family Practice
668-670 Brdway Fax: (848) 251-2189 670 Broadway
Bayonne, NJ 07002 00 Yrs/130 Yrs Bayonne, NJ 07002 Bondarenko, Ruta ARNP
(732) 456-7777 M-F 9:00 AM - 5:00 PM (732) 453-7777
Fax: (848) 251-2189 Fax: (848) 251-2189 Provider ID: 1552272
00 Yrs/130 Yrs Sidwa, Vickie ARNP 00 Yrs/130 Yrs Gender: Female
Community Medical Center MTWTHFSatSun 9:00 AM - New Jersey Medical and
M-F 9:00 AM - 5:00 PM Provider ID: 1653187 5:00 PM Health Assoc
Gender: Female 1 Journal Square Plz Ste 2
Reinagle, Rachael ARNP NJ Certified Dermatology PC Dietician Jersey City, NJ 07306
670 Broadway (201) 216-3030
Provider ID: 1314544 Bayonne, NJ 07002 Lenkovskiy, Irina RD Fax: (201) 499-0247
Gender: Female (732) 453-7777 Provider ID: 1498095 00 Yrs/130 Yrs
NJ Certified Dermatology PC Fax: (848) 251-2189 Gender: Female Languages: Lithuanian
668-670 Broadway 00 Yrs/130 Yrs Nutritional Services LLC MWTHF 9:00 AM - 5:00 PM
Bayonne, NJ 07002 M-F 9:00 AM - 5:00 PM 55 Meadowlands Pkwy Ste 3C T 9:00 AM - 4:30 PM
(732) 456-7777 Secaucus, NJ 07094
Fax: (732) 797-9110 Tan, Flerida ARNP (646) 637-8889
00 Yrs/130 Yrs Provider ID: 1405980 Fax: (201) 392-3514
Community Medical Center Gender: Female 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM NJ Certified Dermatology PC M-F 9:00 AM - 5:00 PM
668-670 Brdway
Bayonne, NJ 07002
(732) 456-7777
Fax: (848) 251-2189
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 371
Updated: 11/26/2018

Allied Providers
Hudson
Family Practice - cont. Mbadugha, Nkechi PA Saunders, Abby PA Shuldgach, Deborah ARNP
Provider ID: 1429690
Dekhtyar, Yuliya PA Gender: Female Provider ID: 1506529 Provider ID: 1078032
Provider ID: 1159673 New Jersey Medical and Gender: Female Gender: Female
Gender: Female Health Assoc New Jersey Medical and North Hudson Community
New Jersey Medicaid and 1 Journal Sq 2nd Fl Health Assoc Action Corpo
Health Assoc Jersey City, NJ 07306 1 Journal Square Plz Ste 2 Sub Specialty: HIV/AIDs
1 Journal Square Plz (201) 216-3030 Jersey City, NJ 07306 714 31st St
Jersey City, NJ 07306 Fax: (201) 499-0247 (201) 216-6303 Union City, NJ 07087
(201) 216-3030 00 Yrs/130 Yrs Fax: (201) 499-0247 (201) 863-7077
Fax: (201) 499-0247 M-F 9:00 AM - 6:00 PM 00 Yrs/130 Yrs Fax: (201) 863-1470
00 Yrs/130 Yrs Hoboken University Medical 12 Yrs/130 Yrs
Languages: Russian Polishchuk, Yelena APRN Center MTTHF 8:30 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 946184 M-W 9:00 AM - 5:30 PM W 8:30 AM - 7:00 PM
Gender: Female THF 9:00 AM - 5:00 PM
Gibson, Laura PA Garden St Healthcare Assc Sat 9:30 AM - 2:30 PM Shuldgach, Deborah ARNP
Provider ID: 1491199 176 Palisade Ave
Gender: Female Jersey City, NJ 07306 Shuldgach, Deborah ARNP Provider ID: 1078034
New Jersey Medicaid and (201) 795-8200 Gender: Female
Health Assoc 18 Yrs/130 Yrs Provider ID: 1078030 North Hudson Community
1 Journal Square Plz Christ Hospital Gender: Female Action Corpo
Jersey City, NJ 07306 Languages: Spanish North Hudson Community Sub Specialty: HIV/AIDs
(201) 216-3030 M-F 9:00 AM - 5:00 PM Action Corpo 1116 43rd St
Fax: (201) 499-0247 Sub Specialty: HIV/AIDs North Bergen, NJ 07047
00 Yrs/130 Yrs Pritsiolas, Kristine APRN 5301 Broadway (201) 330-2632
MW 9:00 AM - 5:30 PM Provider ID: 946185 West New York, NJ 07093 Fax: (201) 330-2638
TTHF 9:00 AM - 6:00 PM Gender: Female (201) 866-9320 12 Yrs/130 Yrs
Bayonne Medical Center Fax: (201) 866-7588 MTWFSat 8:30 AM - 5:00 PM
Macalalag, Angeline ARNP 29 E 29th St 12 Yrs/130 Yrs TH 8:30 AM - 7:00 PM
Bayonne, NJ 07002 MT 8:30 AM - 7:00 PM
Provider ID: 1250203 (201) 858-5000 WTH 8:30 AM - 5:00 PM Vicente, Natali PA
Gender: Female Fax: (201) 858-7322 Provider ID: 1540071
North Hudson Community 18 Yrs/130 Yrs Shuldgach, Deborah ARNP Gender: Female
Action Corp Bayonne Medical Center New Jersey Medical and
Sub Specialty: HIV/AIDs Languages: Spanish Provider ID: 1078031 Health Assoc
5301 Broadway M-W 9:00 AM - 5:00 PM Gender: Female 1 Journal Square Plz Ste 2
West New York, NJ 07093 North Hudson Community Jersey City, NJ 07306
(201) 866-9320 Pritsiolas, Kristine APRN Action Corpo (201) 216-3030
Fax: (201) 866-7588 Provider ID: 946186 Sub Specialty: HIV/AIDs Fax: (201) 499-0247
00 Yrs/130 Yrs Gender: Female 324 Palisade Ave 00 Yrs/130 Yrs
Languages: Spanish, Filipino Hoboken Univ Medical Jersey City, NJ 07307 M-F 9:00 AM - 5:00 PM
M-TH 8:30 AM - 7:00 PM Center (201) 459-8888
F 8:30 AM - 5:00 PM 308 Willow Ave Fax: (201) 239-0318 General Surgery
Sat 8:30 AM - 3:00 PM Hoboken, NJ 07030 12 Yrs/130 Yrs
(301) 222-5200 MTTHF 8:30 AM - 5:00 PM Diaz, Michelle PA
Mathew, Selvi APRN 18 Yrs/130 Yrs W 8:30 AM - 7:00 PM Provider ID: 1701343
Provider ID: 946161 Bayonne Medical Center Gender: Female
Gender: Female Languages: Spanish Excelcare Medical Associates,
Christ Hospital MT 9:00 AM - 5:00 PM PA
176 Palisade Ave 3196 Kennedy Blvd
Jersey City, NJ 07306 Union City, NJ 07087
(201) 795-8200 (201) 795-9080
18 Yrs/130 Yrs Fax: (201) 795-9434
Christ Hospital 18 Yrs/130 Yrs
Languages: Spanish Holy Name Medical Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 372
Updated: 11/26/2018

Allied Providers
Hudson
Geriatric Medicine Internal Medicine Broomes, Tarashon ARNP Jones, Maliaka ARNP

Gorishernandez, Joselina Barbour, Marva ARNP Provider ID: 1606819 Provider ID: 1314560
ARNP Gender: Female Gender: Female
Provider ID: 944042 Provider ID: 1610850 New Jersey Medical and Holy Name Pulmonary
Gender: Female Gender: Female Health Assoc Associates PC
New Jersey Medical and New Jersey Medical and 196 Jewett Ave 8305 Bergenline Ave Ste A
Health Assoc Health Assoc Jersey City, NJ 07304 North Bergen, NJ 07047
Sub Specialty: Aged, HIV/AIDs, 196 Jewett Ave (201) 536-9000 (201) 854-7200
Developmental Disabilities Jersey City, NJ 07304 Fax: (201) 536-9047 Fax: (201) 854-0827
196 Jewett Ave (201) 536-9000 00 Yrs/130 Yrs 18 Yrs/110 Yrs
Jersey City, NJ 07304 Fax: (201) 536-9047 M-F 9:00 AM - 5:00 PM Englewood Hospital and
(201) 536-9000 00 Yrs/130 Yrs Medical Center
Fax: (201) 536-9047 M-F 9:00 AM - 5:00 PM Brown, Melva PA Holy Name Medical Center
00 Yrs/130 Yrs Sat 9:00 AM - 2:30 PM Provider ID: 1524287 Palisades Medical Center
Languages: Spanish Gender: Female M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 3:00 PM Berfet, Shontelle PA Parkside Medical Center
127 Lafayette St Lawrence, Natasha ARNP
Gramatica, Nelson APRN Jersey City, NJ 07304
Provider ID: 1706346
Provider ID: 944044 Gender: Female (201) 770-1103 Provider ID: 1156763
Gender: Male Prohealth Care Associates of Fax: (201) 770-1104 Gender: Female
Comm Housecall Phys LLC New Je 00 Yrs/130 Yrs New Jersey Medical and
196 Jewett Ave 714 10th St Hoboken University Medical Health Assoc
Jersey City, NJ 07304 Secaucus, NJ 07094 Center 196 Jewett Ave
(201) 536-9000 (201) 863-3346 Jersey City Medical Center Jersey City, NJ 07304
Fax: (201) 536-9047 Fax: (201) 863-5251 M-F 9:00 AM - 4:00 PM (201) 536-9000
18 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 536-9047
Languages: Spanish JFK Medical Center Degiovine, Donna ARNP 12 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Provider ID: 1164804
Gramatica, Nelson ARNP Berkovich, Gady ARNP Gender: Female Lawrence, Natasha ARNP
Bridgeway Rehabilitation
Provider ID: 983086 Provider ID: 1700775 Services Provider ID: 1425776
Gender: Male Gender: Male Sub Specialty: HIV/AIDS, Aged Gender: Female
New Jersey Medical and New Jersey Kidney Care LLC 152 Central Ave MM Jersey City Breathing
Health Assoc 26 Greenville Ave Jersey City, NJ 07306 Center
196 Jewett Ave Jersey City, NJ 07305 (201) 885-2539 Sub Specialty: Developmental
Jersey City, NJ 07304 18 Yrs/130 Yrs Disabilities, HIV/AIDS, Aged
(201) 333-8222
(201) 536-9000 M-F 9:00 AM - 5:00 PM 550 Summit Ave Ste 1A
Fax: (210) 333-0095
Fax: (201) 536-9047 Jersey City, NJ 07306
18 Yrs/130 Yrs
18 Yrs/130 Yrs Gothi, Mona PA (201) 222-5450
MTTH 10:00 AM - 5:30 PM
Languages: Spanish Provider ID: 1695060 12 Yrs/130 Yrs
W 10:00 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM Gender: Female M-F 9:00 AM - 5:00 PM
F 10:00 AM - 4:00 PM
Prohealth Care Associates of
Keck, Martha APRN New Je Lawrence, Natasha ARNP
Bonheur, Magnolita ARNP
Provider ID: 944045 714 10th St
Gender: Female Secaucus, NJ 07094 Provider ID: 1425777
Provider ID: 1436477
Comm Housecall Phys LLC (201) 863-3346 Gender: Female
Gender: Female
196 Jewett Ave Fax: (201) 863-5251 MM Jersey City Breathing
Bhmg - United Medical
Jersey City, NJ 07304 00 Yrs/130 Yrs Center
988 Broadway Ste 201
(201) 536-9000 Hoboken University Medical Sub Specialty: Aged,
Bayonne, NJ 07002 Developmental Disabilities,
Fax: (201) 536-9047 Center
(201) 339-6111 Holy Name Medical Center HIV/AIDS
18 Yrs/130 Yrs Fax: (201) 339-6333 Prime Health Services-St 1856 Kennedy Blvd
M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs Marys Hospital Jersey City, NJ 07305
M-F 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (201) 333-7606
12 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 373
Updated: 11/26/2018

Allied Providers
Hudson
Internal Medicine - cont. Morales, Annette ARNP Newton, David ARNP Prendergass, Kimlin ARNP
Provider ID: 1520014
Liu, Sizhu ARNP Provider ID: 1570503 Gender: Male Provider ID: 1520619
Provider ID: 1201395 Gender: Female Parkside Medical Center Gender: Female
Gender: Female Bhmg United Medical 127 Lafayette St Metropolitan Family Health
Emad Jacob MD PC 988 Broadway Ste 203 Jersey City, NJ 07304 Network
714 Kearny Ave Bayonne, NJ 07002 (201) 434-1111 935 Garfield Ave
Kearny, NJ 07032 (201) 339-6111 Fax: (201) 432-0192 Jersey City, NJ 07304
(201) 772-5211 Fax: (201) 339-6333 00 Yrs/130 Yrs (201) 478-5800
Fax: (201) 428-1627 00 Yrs/130 Yrs Jersey City Medical Center Fax: (201) 478-5814
18 Yrs/130 Yrs Languages: Spanish M 9:00 AM - 4:00 PM 02 Yrs/130 Yrs
MTWTHFSatSun 9:00 AM - M-TH 8:00 AM - 7:00 PM T 9:00 AM - 5:30 PM M-F 9:00 AM - 5:00 PM
5:00 PM F 8:00 AM - 5:00 PM W 9:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM TH 9:00 AM - 5:00 PM Prendergass, Kimlin ARNP
Loaiza, Diego ARNP
Morales, Annette ARNP Ojelade, Michael ARNP Provider ID: 1520620
Provider ID: 1610793 Gender: Female
Gender: Male Provider ID: 1570504 Provider ID: 1537214 Metropolitan Family Health
Diligent Medical Care PC Gender: Female Gender: Male Network
3807 Bergenline Ave Fl 1 Bhmg United Medical Parkside Medical Center 5300 Bergenline Ave
Union City, NJ 70874 988 Broadway Ste 203 127 Lafayette St West New York, NJ 07093
(201) 758-7250 Bayonne, NJ 07002 Jersey City, NJ 07304 (201) 478-5800
Fax: (201) 758-7251 (201) 339-6111 (201) 434-1111 02 Yrs/130 Yrs
00 Yrs/130 Yrs Fax: (201) 339-6333 Fax: (201) 432-0192 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 18 Yrs/130 Yrs
Languages: Spanish M-TH 9:00 AM - 4:00 PM Prendergass, Kimlin ARNP
Lubinski, Diane ARNP M-TH 8:00 AM - 7:00 PM
F 8:00 AM - 5:00 PM Park, Seongae ARNP Provider ID: 1520621
Provider ID: 1565902 Sat 8:00 AM - 12:00 PM Provider ID: 1104273 Gender: Female
Gender: Female Gender: Female Metropolitan Family Health
New Jersey Medical and Neville Fernandes, Jamie PA MM Jersey City Breathing Network
Health Assoc Center 857 Bergen Ave
196 Jewett Ave Provider ID: 1520606 192 Harrison Ave Jersey City, NJ 07306
Jersey City, NJ 07304 Gender: Female Jersey City, NJ 07304 (201) 478-5800
(201) 536-9000 New Jersey Medicaid and (201) 333-5363 02 Yrs/130 Yrs
Fax: (201) 603-6688 Health Assoc Fax: (201) 333-4710 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 1 Journal Square Plz Ste 2 18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Jersey City, NJ 07306 Jersey City Medical Center Reyes, Nancy ARNP
(201) 216-3030 M 9:00 AM - 7:30 PM Provider ID: 982762
Lukusa, Heather ARNP Fax: (201) 499-0247 TWTHF 9:00 AM - 7:00 PM Gender: Female
00 Yrs/130 Yrs Sat 9:00 AM - 5:30 PM New Jersey Medical and
Provider ID: 1247560 Prime Health Services-St Health Assoc
Gender: Female Marys Hospital Park, Seongae ARNP 196 Jewett Ave
North Hudson Community M-F 9:00 AM - 5:00 PM Provider ID: 1104273 Jersey City, NJ 07304
Action Corp Gender: Female (201) 536-9000
Sub Specialty: Developmental MM Jersey City Breathing Fax: (201) 536-9047
Disabilities, HIV/AIDS, Aged Center 12 Yrs/130 Yrs
714 31st St 550 Summit Ave Languages: Spanish
Union City, NJ 07087 Jersey City, NJ 07306 M-F 8:00 AM - 4:00 PM
(201) 863-7077 (201) 333-5445
Fax: (201) 863-1470 Fax: (201) 333-4710
00 Yrs/130 Yrs 18 Yrs/130 Yrs
Community Medical Center Jersey City Medical Center
MTWFSat 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
TH 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 374
Updated: 11/26/2018

Allied Providers
Hudson
Internal Medicine - cont. Viera, Jorge ARNP Gonzalez, Leticia CSW Meyers, Tracie LCSW
Provider ID: 1518404 Provider ID: 1285413
Santiago, Doris ARNP Gender: Male Provider ID: 1611331 Gender: Female
Provider ID: 1087107 Bhmg-United Medical Gender: Female Horizon Health Center
Gender: Female 988 Broadway Prohealth Care Associates of 714 Bergen Ave
New Jersey Medical and Bayonne, NJ 07002 New Je Jersey City, NJ 07306
Health Assoc (201) 339-6111 1425 Bloomfield St (201) 451-6300
196 Jewett Ave 00 Yrs/130 Yrs Hoboken, NJ 07030 Fax: (201) 451-8300
Jersey City, NJ 07304 Saint Barnabas Medical (201) 293-0976 00 Yrs/130 Yrs
(201) 536-9000 Center Livingston Fax: (201) 861-0941 M-F 9:00 AM - 5:00 PM
Fax: (201) 536-9047 Languages: Spanish 00 Yrs/130 Yrs
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Viera, Ruth LCSW
M-F 9:00 AM - 5:00 PM Provider ID: 1124070
Viola, Kyle PA Gonzalez, Leticia CSW Gender: Female
Taylor, Bellazmin PA Provider ID: 1727509 Mount Carmel Guild
Gender: Male Provider ID: 1611331 Behavioral Healt
Provider ID: 1524995 Riverside Medical Group Gender: Female 285 Magnolia Ave
Gender: Female 714 10th St Prohealth Care Associates of Jersey City, NJ 07306
Parkside Medical Center Secaucus, NJ 07094 New Je (973) 596-5101
127 Lafayette St (201) 865-2050 225 60th St Fax: (973) 639-5049
Jersey City, NJ 07304 00 Yrs/130 Yrs West New York, NJ 07093 00 Yrs/130 Yrs
(201) 434-1111 MTWTHFSatSun 7:00 AM - (201) 293-0976 M-F 9:00 AM - 5:00 PM
Fax: (201) 432-0192 12:00 PM Fax: (201) 293-0977
00 Yrs/130 Yrs 00 Yrs/130 Yrs Licensed Social Worker
Hoboken University Medical Zedan, Eman ARNP M-F 9:00 AM - 5:00 PM
Center Provider ID: 1570107 Coleman, Carol CSW
Jersey City Medical Center Gender: Female Gonzalez, Leticia CSW Provider ID: 1038679
MT 9:30 AM - 3:30 PM Radhika Chinai LLC Gender: Female
W 10:00 AM - 4:00 PM 129 Newark Ave Fl 1 Provider ID: 1611331 Mount Carmel Guild
Jersey City, NJ 73022 Gender: Female Behavioral Healt
Trusty, Mazie ARNP (201) 451-8867 Prohealth Care Associates of 285 Magnolia Ave
Fax: (201) 451-2819 New Je Jersey City, NJ 07306
Provider ID: 1253081 00 Yrs/130 Yrs 6045 Kennedy Blvd (201) 395-4812
Gender: Female Languages: Arabic North Bergen, NJ 07047 Fax: (201) 435-9580
North Hudson Community M-F 8:00 AM - 5:00 PM (201) 293-0976 05 Yrs/130 Yrs
Action Corp Fax: (201) 861-0941 M-F 8:30 AM - 5:00 PM
Sub Specialty: Developmental Licensed Clinical Social 00 Yrs/130 Yrs
Disabilities, Aged, HIV/AIDS Worker M-F 9:00 AM - 5:00 PM Neurology
714 31st St
Union City, NJ 07087 Giannantonio, Ahylzabeth Meyers, Tracie LCSW McCrone, Erin ARNP
(201) 863-7077 LCSW Provider ID: 1285413 Provider ID: 1075340
Fax: (201) 863-1470 Provider ID: 1046702 Gender: Female Gender: Female
12 Yrs/130 Yrs Gender: Female Horizon Health Center Epilepsy and Neurophysiology
Englewood Hospital and Mount Carmel Guild Medica
115 Christopher Columbus Dr
Medical Center Behavioral Healt 377 Jersey Ave Ste 440
Jersey City, NJ 07306
MTTHF 8:30 AM - 5:00 PM 2201 Bergenline Ave Jersey City, NJ 07302
(201) 451-6300
W 8:30 AM - 7:00 PM Union City, NJ 07087 (201) 343-6670
Fax: (201) 451-8300
(201) 558-3737 00 Yrs/130 Yrs
00 Yrs/130 Yrs
Fax: (201) 392-5048 M-F 9:00 AM - 5:00 PM
02 Yrs/130 Yrs
MTF 8:30 AM - 5:00 PM
WTH 8:30 AM - 6:00 PM

www.wellcare.com/New-Jersey | 375
Updated: 11/26/2018

Allied Providers
Hudson
Neurology - cont. Neurosurgery Fisherman, Amy CNM Fisherman, Amy CNM

Quiambao, Cherrielyn ARNP Gabay, Theresa ARNP Provider ID: 1238102 Provider ID: 1238115
Gender: Female Gender: Female
Provider ID: 1512904 Provider ID: 1705838 North Hudson Community North Hudson Community
Gender: Female Gender: Female Action Corp Action Corp
New Jersey Medical and Advanced Neurosurgery Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs
Health Assoc Associates 5301 Broadway 2500 Kennedy Blvd
142 Palisade Ave Ste 200 355 Grand St West New York, NJ 07093 Union City, NJ 07087
Jersey City, NJ 07306 Jersey City, NJ 07302 (201) 866-9320 (201) 553-7888
(201) 795-8596 (201) 457-0044 Fax: (201) 866-7588 Fax: (201) 553-7885
Fax: (201) 418-7067 Fax: (201) 457-0049 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs St. Joseph's Hospital Reg St. Joseph's Hospital Reg
Christ Hospital M-F 9:00 AM - 5:00 PM Medical Center Medical Center
M-F 9:00 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM MTTHFSat 8:30 AM - 5:00 PM
Nurse Midwife F 8:30 AM - 5:00 PM W 8:30 AM - 7:00 PM
Quiambao, Cherrielyn ARNP Sat 8:30 AM - 3:00 PM
Ditommaso, Marie CNM Fisherman, Amy CNM
Provider ID: 1512904 Fisherman, Amy CNM
Gender: Female Provider ID: 437716 Provider ID: 1238120
New Jersey Medical and Gender: Female Provider ID: 1238106 Gender: Female
Health Assoc Metropolitan Family Health Gender: Female North Hudson Community
176 Palisade Ave Network North Hudson Community Action Corp
Jersey City, NJ 07306 Sub Specialty: HIV/AIDs Action Corp Sub Specialty: HIV/AIDs
(201) 795-5745 5300 Bergenline Ave Sub Specialty: HIV/AIDs 324 Palisade Ave
Fax: (201) 795-8450 West New York, NJ 07093 1116 43rd St Jersey City, NJ 07307
00 Yrs/130 Yrs (201) 478-5800 North Bergen, NJ 07047 (201) 459-8888
Christ Hospital 00 Yrs/130 Yrs (201) 330-2632 Fax: (201) 239-0318
M-F 9:00 AM - 5:00 PM Languages: Spanish Fax: (201) 330-2638 00 Yrs/130 Yrs
MTWTHFSat 9:00 AM - 9:00 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Skidmore, Leah ARNP PM St. Joseph's Hospital Reg Medical Center
Medical Center M-F 8:30 AM - 5:00 PM
Provider ID: 1278843 Ditommaso, Marie CNM MTTHF 8:30 AM - 5:00 PM
Gender: Female W 8:30 AM - 7:00 PM Francis, Randa CNM
Epilepsy and Neurophsyiology Provider ID: 437716
Med Gender: Female Fisherman, Amy CNM Provider ID: 1255716
377 Skinner Memorial Dr Ste Metropolitan Family Health Gender: Female
440 Network Provider ID: 1238108 Garden State Healthcare
Jersey City, NJ 07302 Sub Specialty: HIV/AIDs Gender: Female Assoc
(732) 828-1373 857 Bergen Ave North Hudson Community 122-132 Clinton St
Fax: (201) 343-6689 Jersey City, NJ 07306 Action Corp Hoboken, NJ 07030
00 Yrs/130 Yrs (201) 478-5859 Sub Specialty: HIV/AIDs (201) 418-3101
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 714 31st St Fax: (201) 418-3148
Languages: Spanish Union City, NJ 07087 00 Yrs/130 Yrs
MTWTHFSat 9:00 AM - 9:00 (201) 863-7077 Hoboken University Medical
PM Fax: (201) 863-1470 Center
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg
Medical Center
MTWFSat 8:30 AM - 5:00 PM
TH 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 376
Updated: 11/26/2018

Allied Providers
Hudson
Nurse Midwife - cont. Naranjo, Erika CNM Powell, Carole CNM Rake, Shari CNM
Provider ID: 1250774 Provider ID: 797973
Naranjo, Erika CNM Provider ID: 1241779 Gender: Female Gender: Female
Gender: Female North Hudson Community North Hudson Community
Provider ID: 1241763 North Hudson Community Action Corp Action Corp
Gender: Female Action Corp 1116 43rd St 2500 Kennedy Blvd
North Hudson Community 324 Palisade Ave North Bergen, NJ 07047 Union City, NJ 07087
Action Corp Jersey City, NJ 07307 (201) 330-2632 (201) 553-7888
5301 Broadway (201) 459-8888 Fax: (201) 330-2638 Fax: (201) 553-7885
West New York, NJ 07093 Fax: (201) 239-0318 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 866-9320 00 Yrs/130 Yrs Palisades Medical Center Palisades Medical Center
Fax: (201) 866-7588 Saint Clares Hospital MTTHF 8:30 AM - 5:00 PM MTWFSat 8:30 AM - 5:00 PM
00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM W 8:30 AM - 7:00 PM TH 8:30 AM - 7:00 PM
Saint Clares Hospital
M-TH 8:30 AM - 7:00 PM Naranjo, Erika CNM Powell, Carole CNM Rake, Shari CNM
F 8:30 AM - 5:00 PM Provider ID: 1250778 Provider ID: 797973
Sat 8:30 AM - 3:00 PM Provider ID: 1241784 Gender: Female Gender: Female
Gender: Female North Hudson Community North Hudson Community
Naranjo, Erika CNM North Hudson Community Action Corp Action Corp
Action Corp 324 Palisade Ave 324 Palisade Ave
Provider ID: 1241774 2500 Kennedy Blvd Jersey City, NJ 07307 Jersey City, NJ 07307
Gender: Female Union City, NJ 07087 (201) 459-8888 (201) 459-8888
North Hudson Community (201) 553-7888 Fax: (201) 239-0318 Fax: (201) 239-0318
Action Corp Fax: (201) 553-7885 00 Yrs/130 Yrs 00 Yrs/130 Yrs
1116 43rd St 00 Yrs/130 Yrs Palisades Medical Center Palisades Medical Center
North Bergen, NJ 07047 Saint Clares Hospital M-F 8:30 AM - 5:00 PM MTWFSat 8:30 AM - 5:00 PM
(201) 330-2632 M-F 8:30 AM - 5:00 PM TH 8:30 AM - 7:00 PM
Fax: (201) 330-2638 Powell, Carole CNM
00 Yrs/130 Yrs Powell, Carole CNM Provider ID: 1250779 Rake, Shari CNM
Saint Clares Hospital Provider ID: 1250766 Gender: Female Provider ID: 797973
MTTHF 8:30 AM - 5:00 PM Gender: Female North Hudson Community Gender: Female
W 8:30 AM - 7:00 PM North Hudson Community Action Corp North Hudson Community
Action Corp 5301 Broadway Action Corp
Naranjo, Erika CNM 2500 Kennedy Blvd West New York, NJ 07093 5301 Broadway
Union City, NJ 07087 (201) 866-9320 West New York, NJ 07093
Provider ID: 1241775 (201) 553-7888 Fax: (201) 866-7588 (201) 866-2255
Gender: Female Fax: (201) 553-7885 00 Yrs/130 Yrs Fax: (201) 866-7588
North Hudson Community 00 Yrs/130 Yrs Palisades Medical Center 00 Yrs/130 Yrs
Action Corp Palisades Medical Center M-TH 8:30 AM - 7:00 PM Palisades Medical Center
714 31st St M-F 8:30 AM - 5:00 PM F 8:30 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM
Union City, NJ 07087 Sat 8:30 AM - 3:00 PM FSat 8:30 AM - 5:00 PM
(201) 863-7077 Powell, Carole CNM
Provider ID: 1250771 Rake, Shari CNM Rake, Shari CNM
Fax: (201) 863-1470
00 Yrs/130 Yrs Gender: Female Provider ID: 797973 Provider ID: 797973
Saint Clares Hospital North Hudson Community Gender: Female Gender: Female
MTWFSat 8:30 AM - 5:00 PM Action Corp North Hudson Community North Hudson Community
714 31st St Action Corp Action Corp
TH 8:30 AM - 7:00 PM
Union City, NJ 07087 1116 43rd St 714 31st St
(201) 863-7077 North Bergen, NJ 07047 Union City, NJ 07087
Fax: (201) 863-1470 (201) 330-2632 (201) 863-7077
00 Yrs/130 Yrs Fax: (201) 330-2638 Fax: (201) 863-1470
Palisades Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
MTWFSat 8:30 AM - 5:00 PM Palisades Medical Center Palisades Medical Center
TH 8:30 AM - 7:00 PM MTTHF 8:30 AM - 5:00 PM MTTHFSat 8:30 AM - 5:00 PM
W 8:30 AM - 7:00 PM W 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 377
Updated: 11/26/2018

Allied Providers
Hudson
Nurse Midwife - cont. Nurse Practitioner Taliercio, Joseph ARNP Nurse Practitioner Adult
Health
Rivera Delvalle, Gail CNM Herrera, Maryeth ARNP Provider ID: 1549575
Gender: Male Aboulnaja, Mona ARNP
Provider ID: 711285 Provider ID: 1181224 New Jersey Medical and
Gender: Female Gender: Female Health Assoc Provider ID: 1650634
St. Joseph's Healthcare Inc Mulkay Cardiology 1 Journal Square Plz Fl 2 Gender: Female
Sub Specialty: HIV/AIDs Consultants At Ho Jersey City, NJ 07306 Prohealth Care Associates of
158 14th St 529 39th St Ste 1 (201) 216-3030 New Je
Hoboken, NJ 07030 Union City, NJ 07087 00 Yrs/130 Yrs 46 Essex St
(973) 754-4200 (201) 601-0900 Jersey City Medical Center Jersey City, NJ 07302
00 Yrs/130 Yrs Fax: (201) 601-0995 M-F 9:00 AM - 6:00 PM (201) 360-2228
St. Joseph's Hospital Reg 18 Yrs/110 Yrs Sat 9:00 AM - 2:30 PM Fax: (201) 360-2258
Medical Center Holy Name Medical Center 00 Yrs/130 Yrs
Languages: Spanish Palisades Medical Center Thomas, Yasmine ARNP M-F 9:00 AM - 5:00 PM
MTWTHFSatSun 9:00 AM - M-F 9:00 AM - 5:00 PM
5:00 PM Provider ID: 1703450 Acevedo, Yanitza ARNP
McCrone, Erin ARNP Gender: Female
Walker, Molly CNM Provider ID: 1075340 Prohealth Care Associates of Provider ID: 1654278
Provider ID: 988811 Gender: Female New Je Gender: Female
Gender: Female Epilepsy and Neurophysiology 432 Broadway Palisades Medical Associates
Horizon Health Center Medica Bayonne, NJ 07002 LLC
115 Christopher Columbus Dr 377 Jersey Ave Ste 440 (201) 471-7015 8100 Kennedy Blvd
Jersey City, NJ 07302 Jersey City, NJ 07302 Fax: (201) 471-7016 North Bergen, NJ 07047
(201) 451-6300 (201) 343-6670 00 Yrs/130 Yrs (201) 866-6770
Fax: (551) 226-6871 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 866-6771
12 Yrs/130 Yrs 00 Yrs/130 Yrs
Languages: Spanish, Arabic
Nurse Practitioner Acute Thomas, Yasmine ARNP
Care Palisades Medical Center
M 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
T 8:30 AM - 7:00 PM Provider ID: 1703450
WTHF 8:30 AM - 5:00 PM Lazo, Maria ARNP Anike, Appolonia APRN
Gender: Female
Provider ID: 1639117 Prohealth Care Associates of
Walker, Molly CNM Gender: Female New Je Provider ID: 1642031
Provider ID: 988811 West Hudson Pulmonary 506 Broadway Gender: Male
Gender: Female Associates Bayonne, NJ 07002 New Jersey Medical and
Horizon Health Center 816 Kearny Ave (201) 471-7012 Health Assoc
714 Bergen Ave Kearny, NJ 07032 Fax: (201) 471-7014 196 Jewett Ave
Jersey City, NJ 07306 (201) 991-4544 00 Yrs/130 Yrs Jersey City, NJ 07304
(201) 451-6300 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (201) 536-9000
Fax: (201) 451-8300 M-F 9:00 AM - 5:00 PM Fax: (201) 536-9047
12 Yrs/130 Yrs Thomas, Yasmine ARNP 00 Yrs/130 Yrs
Newton, David ARNP
Languages: Spanish, Arabic Christ Hospital
M-TH 8:00 AM - 8:00 PM Provider ID: 1703450 Jersey City Medical Center
F 8:00 AM - 6:00 PM Provider ID: 1217459 Gender: Female M-F 9:00 AM - 5:00 PM
Gender: Male Prohealth Care Associates of
Greenville Medical Center New Je Arce Fung, Maria Kristen
Limited Liab 714 10th St ARNP
450 Ocean Ave Secaucus, NJ 07094 Provider ID: 1690806
Jersey City, NJ 07305 (201) 865-2050 Gender: Female
(201) 547-3550 Fax: (201) 865-0015 Prohealth Care Associates of
Fax: (201) 547-8355 00 Yrs/130 Yrs New Je
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 432 Broadway
Jersey City Medical Center Bayonne, NJ 07002
M-F 9:30 AM - 5:00 PM (201) 471-7012
Fax: (201) 471-7014
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 378
Updated: 11/26/2018

Allied Providers
Hudson
Nurse Practitioner Adult Dillon, Elaine APRN Geronimo, Cynthia ARNP Pineda, Edson ARNP
Health - cont. Provider ID: 1463047
Gender: Female Provider ID: 1333957 Provider ID: 1695556
Arce Fung, Maria Kristen New Jersey Medical and Gender: Female Gender: Male
ARNP Health Assoc New Jersey Medical and Prohealth Care Associates of
Provider ID: 1690810 196 Jewett Ave Health Assoc New Je
Gender: Female Jersey City, NJ 07304 206 Bergen Ave Ste 203 544 Broadway
Prohealth Care Associates of (201) 536-9000 Kearny, NJ 07032 Bayonne, NJ 07002
New Je Fax: (201) 536-9047 (201) 821-8931 (201) 535-5601
506 Broadway 00 Yrs/130 Yrs Fax: (201) 603-6688 Fax: (201) 535-5602
Bayonne, NJ 07002 Jersey City Medical Center 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 471-7012 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 471-7014
00 Yrs/130 Yrs Dixon, Kari-Ann ARNP Geronimo, Cynthia ARNP Rowe, Nivia ARNP
M-F 9:00 AM - 5:00 PM Provider ID: 1713657
Provider ID: 1341032 Provider ID: 1333957 Gender: Female
Arigbe, Evelyn ARNP Gender: Female Gender: Female Horizon Health Center
New Jersey Medical and New Jersey Medical and 115 Christopher Columbus Dr
Provider ID: 1687055 Health Assoc Health Assoc Jersey City, NJ 07302
Gender: Female 744 Broadway Ste 1 744 Broadway Ste 1 (201) 451-6300
Fastmed of NJ LLC Bayonne, NJ 07002 Bayonne, NJ 07002 Fax: (201) 450-8300
538 62nd St (201) 436-8888 (201) 821-8931 18 Yrs/130 Yrs
West New York, NJ 07093 Fax: (201) 436-6644 Fax: (201) 603-6688 MW 9:00 AM - 5:00 PM
(201) 351-1630 00 Yrs/130 Yrs 00 Yrs/130 Yrs TTH 9:00 AM - 7:00 PM
Fax: (201) 351-1631 M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 6:00 PM F 9:00 AM - 6:00 PM
18 Yrs/130 Yrs
St. Joseph's Hospital Reg Dixon, Kari-Ann ARNP Obradovic, Dragana ARNP Rowe, Nivia ARNP
Medical Center Provider ID: 1713659
M-F 8:00 AM - 5:30 PM Provider ID: 1341033 Provider ID: 1558424 Gender: Female
Gender: Female Gender: Female Horizon Health Center
Bautista, Zoraida ARNP New Jersey Medical and New Jersey Medical and 714 Bergen Ave
Health Assoc Health Assoc Jersey City, NJ 07306
Provider ID: 1654415 206 Bergen Ave Ste 203 196 Jewett Ave (201) 451-6300
Gender: Female Kearny, NJ 07032 Jersey City, NJ 07304 Fax: (201) 451-8300
Prohealth Care Associates of (201) 991-9090 (201) 332-3354 18 Yrs/130 Yrs
New Je Fax: (201) 991-1486 Fax: (201) 332-0180 M-TH 8:00 AM - 8:00 PM
609 Washington St 00 Yrs/130 Yrs 12 Yrs/130 Yrs F 8:00 AM - 6:00 PM
Hoboken, NJ 07030 M-F 9:00 AM - 6:00 PM Christ Hospital
(201) 706-8488 Languages: Croatian, Stern, Marianne ARNP
Fax: (201) 706-8489 Ernst, Jeanne ARNP Macedonian, Serbian Provider ID: 1653474
00 Yrs/130 Yrs Provider ID: 1232140 M-F 9:00 AM - 5:00 PM Gender: Female
M-F 9:00 AM - 5:00 PM Gender: Female Palisades Medical Associates,
Palisades Medical Associates Pella, Reynaldo APRN LLC
Canning, Mark ARNP 8100 Kennedy Blvd 8100 Kennedy Blvd
North Bergen, NJ 07047 Provider ID: 1602423 North Bergen, NJ 07047
Provider ID: 1515925 (201) 866-6770 Gender: Male (201) 866-6770
Gender: Male Fax: (201) 866-6771 Mulkay Cardiology Fax: (201) 866-6771
Garden State Healthcare 00 Yrs/130 Yrs Consultants At Ho 00 Yrs/130 Yrs
Associates Palisades Medical Center 529 39th St Palisades Medical Center
122-132 Clinton St M-TH 10:00 AM - 6:00 PM Union City, NJ 07087 M-F 9:00 AM - 5:00 PM
Hoboken, NJ 07030 (201) 601-0900
(201) 418-3100 Fax: (201) 601-0995
Fax: (201) 418-3148 18 Yrs/130 Yrs
00 Yrs/130 Yrs Holy Name Medical Center
Hoboken University Medical M-F 9:00 AM - 5:00 PM
Center
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 379
Updated: 11/26/2018

Allied Providers
Hudson
Nurse Practitioner Adult Atlas, Kellie ARNP Baldeo-Dat, Dhanmatie ARNP Brun, Darlene ARNP
Health - cont. Provider ID: 883817
Gender: Female Provider ID: 1236300 Provider ID: 1240449
Vera, Abraham ARNP North Hudson Community Gender: Female Gender: Female
Provider ID: 1572983 Action Corpo North Hudson Community New Jersey Medical and
Gender: Male 5301 Broadway Action Corp Health Assoc
Rwj Barnabas Health, Inc. West New York, NJ 07093 324 Palisade Ave 196 Jewett Ave
303 Grand St Unit G (201) 210-0200 Jersey City, NJ 07307 Jersey City, NJ 07304
Jersey City, NJ 07302 Fax: (201) 386-5291 (201) 459-8888 (201) 536-9000
(201) 897-7800 00 Yrs/130 Yrs Fax: (201) 239-0318 Fax: (201) 536-9047
Fax: (201) 516-2577 Languages: Spanish 00 Yrs/130 Yrs 12 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 8:30 AM - 5:00 PM Jersey City Medical Center
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM
Atlas, Kellie ARNP Baldeo-Dat, Dhanmatie ARNP
Nurse Practitioner Family Provider ID: 883817 Cavanaugh, Kelly ARNP
Medicine Gender: Female Provider ID: 1236308
North Hudson Community Gender: Female Provider ID: 1694835
Antonovich, Palina ARNP Action Corpo North Hudson Community Gender: Female
714 31st St Action Corp Prohealth Care Associates of
Union City, NJ 07087 1116 43rd St New Je
Provider ID: 1650347
(201) 863-7077 North Bergen, NJ 07047 714 10th St
Gender: Female
Fax: (201) 863-6176 (201) 330-2632 Secaucus, NJ 07094
Prohealth Care Associates of
New Je 00 Yrs/130 Yrs Fax: (201) 330-2638 (201) 863-3346
714 10th St Ste 3 Languages: Spanish 00 Yrs/130 Yrs Fax: (201) 863-5251
Secaucus, NJ 70942 M-F 9:00 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM 00 Yrs/130 Yrs
(201) 863-3346 F 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Azoyan, Narine ARNP Sat 8:30 AM - 3:00 PM
Fax: (201) 863-5251
00 Yrs/130 Yrs Daly, Marisa ARNP
Provider ID: 1728360 Baldeo-Dat, Dhanmatie ARNP Provider ID: 1692800
M-F 9:00 AM - 5:00 PM
Gender: Female Gender: Female
Atlas, Kellie ARNP Prohealth Care Associates of Provider ID: 1246204 Prohealth Care Associates of
Provider ID: 883817 New Je Gender: Female New Je
Gender: Female 255 Rte 3 5301 Broadway 714 10th St
North Hudson Community Secaucus, NJ 07094 West New York, NJ 07093 Secaucus, NJ 07094
Action Corpo (201) 392-1866 (201) 866-9320 (201) 865-2050
2500 Kennedy Blvd Fax: (201) 392-1867 Fax: (201) 866-7588 Fax: (201) 863-5251
Union City, NJ 07087 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 553-7888 MWTHF 8:00 AM - 4:30 PM M-TH 8:30 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Fax: (201) 553-7886 T 8:00 AM - 4:00 PM F 8:30 AM - 5:00 PM
00 Yrs/130 Yrs Sat 8:30 AM - 3:00 PM Dickman, Rona ARNP
Baldeo-Dat, Dhanmatie ARNP
Languages: Spanish
M-F 9:00 AM - 5:00 PM Branch, Karon ARNP Provider ID: 1652037
Provider ID: 1236288 Gender: Female
Atlas, Kellie ARNP Gender: Female Provider ID: 1537229 Metropolitan Family Health
Provider ID: 883817 North Hudson Community Gender: Female Network
Gender: Female Action Corp New Jersey Medical and 857 Bergen Ave
North Hudson Community 714 31st St Health Assoc Jersey City, NJ 07306
Action Corpo Union City, NJ 07087 1 Journal Square Plz Ste 2 (201) 478-5800
324 Palisade Ave (201) 863-7077 Jersey City, NJ 07306 Fax: (201) 478-5814
Jersey City, NJ 07307 Fax: (201) 239-0318 (201) 216-3030 00 Yrs/130 Yrs
(201) 210-0200 00 Yrs/130 Yrs Fax: (201) 499-0247 Jersey City Medical Center
Fax: (201) 239-0318 MTWFSat 8:30 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs TH 8:30 AM - 7:00 PM Robert Wood Johnson
Languages: Spanish University Hospital
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 6:00 PM

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Updated: 11/26/2018

Allied Providers
Hudson
Nurse Practitioner Family Kihwaga, Naomi APRN Lucas, Shkeirra ARNP Ortiz, Nathalie ARNP
Medicine - cont. Provider ID: 1250191 Provider ID: 1652021
Gender: Female Provider ID: 1451074 Gender: Female
Dickman, Rona ARNP North Hudson Community Gender: Female Metropolitan Family Health
Provider ID: 1652041 Action Corp New Jersey Medical and Network
Gender: Female 1116 43rd St Health Assoc 935 Garfield Ave
Metropolitan Family Health North Bergen, NJ 07047 1 Journal Square Plz 2nd Fl Jersey City, NJ 07304
Network (201) 330-2632 Jersey City, NJ 07306 (201) 478-5800
5300 Bergenline Ave Ste 2 Fax: (201) 330-2638 (201) 216-3030 Fax: (201) 478-5814
West New York, NJ 07093 00 Yrs/130 Yrs Fax: (201) 499-0247 00 Yrs/130 Yrs
(201) 478-5800 MTTHF 8:30 AM - 5:00 PM 00 Yrs/130 Yrs Jersey City Medical Center
Fax: (201) 478-5814 W 8:30 AM - 7:00 PM Jersey City Medical Center M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Jersey City Medical Center Kihwaga, Naomi APRN Pagan, Sharon ARNP
M-F 9:00 AM - 5:00 PM Nammour, Adel ARNP
Provider ID: 1250192 Provider ID: 1695536
Ibrahim, Intisar APRN Gender: Female Provider ID: 1650638 Gender: Female
North Hudson Community Gender: Male Prohealth Care Associates of
Provider ID: 1604516 Action Corp Prohealth Care Associates of New Je
Gender: Female 714 31st St New Je 714 10th St
West Hudson Pulmonary Union City, NJ 07087 609 Washington St Secaucus, NJ 07094
Associates (201) 863-7077 Hoboken, NJ 07030 (201) 865-2050
816 Kearny Ave Fax: (201) 863-1470 (201) 706-8490 Fax: (201) 865-0015
Kearny, NJ 07032 00 Yrs/130 Yrs Fax: (201) 942-9321 00 Yrs/130 Yrs
(201) 991-8524 MTWFSat 8:30 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs TH 8:30 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Patel, Sunita ARNP
Kihwaga, Naomi APRN Omar, Susan ARNP
Inocencio, Mark ARNP Provider ID: 1250198 Provider ID: 1695539
Gender: Female Provider ID: 1532193 Gender: Female
Provider ID: 1436417 North Hudson Community Gender: Female Prohealth Care Associates of
Gender: Male Action Corp Hudson Hematology New Je
Bhmg-United Medical 324 Palisade Ave Oncology LLC 714 10th St
988 Broadway Jersey City, NJ 07307 377 Jersey Ave Ste 160 Secaucus, NJ 07094
Bayonne, NJ 07002 (201) 459-8888 Jersey City, NJ 07302 (201) 865-2050
(201) 339-6111 Fax: (201) 239-0318 (201) 333-8248 Fax: (201) 865-0015
Fax: (973) 546-7707 00 Yrs/130 Yrs Fax: (201) 333-8469 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Clara Maass Medical Center M-F 9:00 AM - 5:00 PM
Lockhart, Shakeerah ARNP Ruzehaji, Sevim ARNP
Languages: Tagalog
M-TH 8:00 AM - 7:00 PM Ortiz, Nathalie ARNP
F 8:00 AM - 5:00 PM Provider ID: 1406013 Provider ID: 1652021 Provider ID: 1647404
Sat 8:00 AM - 12:00 PM Gender: Female Gender: Female Gender: Female
New Jersey Medical and Metropolitan Family Health Saleem Mahmood MD PC
Kihwaga, Naomi APRN Health Assoc Network 8 Jordan Ave
Provider ID: 1250187 1 Journal Square Plz 2nd Fl 857 Bergen Ave Jersey City, NJ 07306
Gender: Female Jersey City, NJ 07306 Jersey City, NJ 07306 (201) 432-5744
North Hudson Community (201) 216-3030 (201) 478-5800 00 Yrs/130 Yrs
Action Corp Fax: (201) 436-6644 Fax: (201) 478-5814 MWF 9:00 AM - 5:00 PM
5301 Broadway 00 Yrs/130 Yrs 00 Yrs/130 Yrs TTH 12:00 AM - 6:00 PM
West New York, NJ 07093 Newark Beth Israel Med Jersey City Medical Center Sat 9:00 AM - 12:00 PM
(201) 866-9320 Center M-F 9:00 AM - 5:00 PM
Fax: (201) 866-7588 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
M-TH 8:30 AM - 7:00 PM
F 8:30 AM - 5:00 PM
Sat 8:30 AM - 3:00 PM

www.wellcare.com/New-Jersey | 381
Updated: 11/26/2018

Allied Providers
Hudson
Nurse Practitioner Family Trigoura, Mabel ARNP Nurse Practitioner Miller-Westfield, Chae APRN
Medicine - cont. Gerentology
Provider ID: 1653518 Provider ID: 1511362
Singh, Samantha ARNP Gender: Female Chen, Ling ARNP Gender: Female
Prohealth Care Associates of Provider ID: 1637876 Epilepsy Neurophysiology
Provider ID: 1549559 New Je Gender: Female Medical C
Gender: Female 714 10th St New Jersey Medical and 377 Jersey Ave Ste 440
New Jersey Medical and Secaucus, NJ 07094 Health Assoc Jersey City, NJ 07302
Health Assoc (201) 865-2050 654 Broadway (201) 343-6676
196 Jewett Ave Fax: (201) 865-0015 Bayonne, NJ 07002 Fax: (201) 608-6970
Jersey City, NJ 07304 00 Yrs/130 Yrs (201) 436-8888 00 Yrs/130 Yrs
(201) 536-9000 M-F 9:00 AM - 5:00 PM Fax: (201) 436-6644 Holy Name Medical Center
Fax: (201) 536-9047 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Vassallo, Christina ARNP Bayonne Medical Center
Jersey City Medical Center Christ Hospital Nurse Practitioner
M-F 8:00 AM - 5:00 PM Provider ID: 1444271 Hoboken University Medical Nephrology
Gender: Female Center
Smith, Josephine APRN Bhmg-United Medical M-F 9:00 AM - 5:00 PM Back, Jiyoung ARNP
988 Brdway
Fries, Danielle APRN
Provider ID: 946208 Bayonne, NJ 07002 Provider ID: 1530128
Gender: Female (201) 339-6111 Gender: Female
Bayonne Medical Center Fax: (201) 339-6333 Provider ID: 1610399 New Jersey Kidney Care LLC
29 E 29th St 00 Yrs/130 Yrs Gender: Female 26 Greenville Ave
Bayonne, NJ 07002 Saint Barnabas Medical West Hudson Pulmonary Jersey City, NJ 07305
Center Livingston Associates
(201) 858-5000 (201) 333-8222
Languages: Spanish 816 Kearny Ave
Fax: (201) 858-7322 Fax: (201) 333-0095
M 8:00 AM - 4:00 PM Kearny, NJ 07032
18 Yrs/130 Yrs 18 Yrs/130 Yrs
TWTHF 8:00 AM - 4:30 PM (201) 991-4544
Bayonne Medical Center M-F 9:00 AM - 5:00 PM
Fax: (201) 991-8524
Languages: Spanish
Walsh, Bernadette ARNP 00 Yrs/130 Yrs Berkovich, Gady ARNP
MTWTHFSatSun 8:00 AM -
4:30 PM M-F 9:00 AM - 5:00 PM
Provider ID: 1653527 Provider ID: 1700775
Sorkin, Craig ARNP Garrido, Laura ARNP
Gender: Female Gender: Male
Prohealth Care Associates of New Jersey Kidney Care LLC
Provider ID: 1703446 New Je Provider ID: 1699165 26 Greenville Ave
Gender: Male 714 10th St Gender: Female Jersey City, NJ 07305
Prohealth Care Associates of Secaucus, NJ 07094 Palisades Medical Associates, (201) 333-8222
New Je (201) 865-2050 LLC
Fax: (210) 333-0095
324 Palisade Ave Fax: (201) 865-0015 6045 Kennedy Blvd Ste B
18 Yrs/130 Yrs
Jersey City, NJ 07307 00 Yrs/130 Yrs North Bergen, NJ 07047
MTTH 10:00 AM - 5:30 PM
(201) 656-0001 M-F 9:00 AM - 5:00 PM (201) 453-0322
W 10:00 AM - 1:00 PM
Fax: (201) 656-0093 Fax: (201) 453-0325
F 10:00 AM - 4:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
Hoboken University Medical Palisades Medical Center Goodman, Denise ARNP
Center M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 1525436
Lynch, Claudia ARNP
Provider ID: 1582838 Gender: Female
Gender: Female New Jersey Kidney Care LLC
New Jersey Medical Health 26 Greenville Ave
and Assoc Jersey City, NJ 07305
196 Jewett Ave (201) 333-8222
Jersey City, NJ 07304 Fax: (201) 333-0095
(201) 536-9000 18 Yrs/130 Yrs
Fax: (201) 536-9047 Christ Hospital
00 Yrs/130 Yrs Hoboken University Medical
Center
M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 382
Updated: 11/26/2018

Allied Providers
Hudson
Nurse Practitioner Gregory, Josefina ARNP Lukusa, Heather ARNP Vales-Buckwald, Nicole ARNP
Nephrology - cont.
Provider ID: 1240887 Provider ID: 1247560 Provider ID: 1249564
Goodman, Denise ARNP Gender: Female Gender: Female Gender: Female
North Hudson Community North Hudson Community North Hudson Community
Provider ID: 1525436 Action Corp Action Corp Action Corp
Gender: Female 714 31st St 714 31st St 2500 Kennedy Blvd
New Jersey Kidney Care LLC Union City, NJ 07087 Union City, NJ 07087 Union City, NJ 07087
510 31st St Bsmt (201) 863-7077 (201) 863-7077 (201) 553-7888
Union City, NJ 07087 Fax: (201) 863-1470 Fax: (201) 863-1470 Fax: (201) 553-7885
(201) 866-3322 00 Yrs/21 Yrs 00 Yrs/130 Yrs 00 Yrs/21 Yrs
Fax: (201) 866-2289 MTWFSat 8:30 AM - 5:00 PM Community Medical Center JFK Medical Center
18 Yrs/130 Yrs TH 8:30 AM - 7:00 PM MTWFSat 8:30 AM - 5:00 PM MTTHFSat 8:30 AM - 5:00 PM
Christ Hospital TH 8:30 AM - 7:00 PM W 8:30 AM - 7:00 PM
Hoboken University Medical Gregory, Josefina ARNP
Center Mmereole, Paulina ARNP Vales-Buckwald, Nicole ARNP
M-F 9:00 AM - 5:00 PM Provider ID: 1240896
Gender: Female Provider ID: 1573483 Provider ID: 1249568
Nurse Practitioner North Hudson Community Gender: Female Gender: Female
Pediatric Action Corp Robert Mmereole, LLC North Hudson Community
324 Palisade Ave 6101 Kennedy Blvd E Ste 1 Action Corp
Gregory, Josefina ARNP Jersey City, NJ 07307 West New York, NJ 07093 324 Palisade Ave
(201) 459-8888 (201) 448-2804 Jersey City, NJ 07307
Provider ID: 1240874 Fax: (201) 386-5291 Fax: (201) 448-2806 (201) 459-8888
Gender: Female 00 Yrs/21 Yrs 00 Yrs/21 Yrs Fax: (201) 239-0318
North Hudson Community M-F 8:30 AM - 5:00 PM Palisades Medical Center 00 Yrs/21 Yrs
Action Corp M-F 9:00 AM - 5:00 PM JFK Medical Center
5301 Broadway Gregory, Josefina ARNP Sat 8:00 AM - 12:00 PM M-F 8:30 AM - 5:00 PM
West New York, NJ 07093
(201) 866-9320 Provider ID: 1240900 Raymond, Sara ARNP Vales-Buckwald, Nicole ARNP
Fax: (201) 974-2872 Gender: Female
00 Yrs/21 Yrs North Hudson Community Provider ID: 1695541 Provider ID: 1249587
M-TH 8:30 AM - 7:00 PM Action Corp Gender: Female Gender: Female
F 8:30 AM - 5:00 PM 2500 Kennedy Blvd Prohealth Care Associates of North Hudson Community
Sat 8:30 AM - 3:00 PM Union City, NJ 07087 New Je Action Corp
(201) 553-7888 609 Washington St 714 31st St
Gregory, Josefina ARNP Fax: (201) 553-7885 Hoboken, NJ 07030 Union City, NJ 07087
00 Yrs/21 Yrs (201) 706-8488 (201) 863-7077
Provider ID: 1240882 M-F 8:30 AM - 5:00 PM Fax: (201) 706-8489 Fax: (201) 863-1470
Gender: Female 00 Yrs/18 Yrs 00 Yrs/21 Yrs
North Hudson Community Hedlund, Julie ARNP M-F 9:00 AM - 5:00 PM JFK Medical Center
Action Corp MTWFSat 8:30 AM - 5:00 PM
1116 43rd St Provider ID: 1464715 Raymond, Sara ARNP TH 8:30 AM - 7:00 PM
North Bergen, NJ 07047 Gender: Female
(201) 330-2632 We Care Pediatrics Provider ID: 1695544
Fax: (201) 330-2638 7505 Bergenline Ave Gender: Female
00 Yrs/21 Yrs North Bergen, NJ 07047 Prohealth Care Associates of
MTTHF 8:30 AM - 5:00 PM (201) 868-1950 New Je
W 8:30 AM - 7:00 PM 00 Yrs/21 Yrs 1111 Hudson St
Christ Hospital Hoboken, NJ 07030
M-F 9:00 AM - 5:00 PM (201) 942-9320
Sat 9:00 AM - 12:00 PM Fax: (201) 942-9321
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 383
Updated: 11/26/2018

Allied Providers
Hudson
Nurse Practitioner Marquet, Judith ARNP Nutrition Obstetrics/Gynecology
Pediatric - cont.
Provider ID: 1430553 Albaum, Rachel RD Dailsay, Aurora ARNP
Vales-Buckwald, Nicole ARNP Gender: Female Provider ID: 1436410
Barnabas Health Medical Gender: Female Provider ID: 1072158
Provider ID: 1249590 Group South Bhmg-United Medical Gender: Female
Gender: Female 395 Grand St Fl 2 988 Broadway Ste 201 North Hudson Community
North Hudson Community Jersey City, NJ 07302 Bayonne, NJ 07002 Action Corpo
Action Corp (201) 915-2000 (201) 339-6111 Sub Specialty: HIV/AIDs
1116 43rd St Fax: (201) 915-2837 Fax: (201) 339-6333 1116 43rd St
North Bergen, NJ 07047 00 Yrs/130 Yrs 00 Yrs/130 Yrs North Bergen, NJ 07047
(201) 330-2632 Jersey City Medical Center M-TH 8:00 AM - 7:00 PM (201) 330-2632
Fax: (201) 330-2638 M-F 9:00 AM - 5:00 PM F 8:00 AM - 5:00 PM Fax: (201) 330-2638
00 Yrs/21 Yrs 00 Yrs/130 Yrs
JFK Medical Center Wood, Chelsea ARNP Duda, Jennifer RD MTTHF 8:30 AM - 5:00 PM
MTTHF 8:30 AM - 5:00 PM Provider ID: 1431139 Provider ID: 1037668 W 8:30 AM - 7:00 PM
W 8:30 AM - 7:00 PM Gender: Female Gender: Female
Barnabas Health Medical Jennifer A Duda Dailsay, Aurora ARNP
Vales-Buckwald, Nicole ARNP Group South 600 Pavonia Ave Fl 8
395 Grand St Jersey City, NJ 07306 Provider ID: 1072158
Provider ID: 1249598 Jersey City, NJ 07302 (201) 456-5657 Gender: Female
Gender: Female (800) 300-0628 00 Yrs/130 Yrs North Hudson Community
North Hudson Community Fax: (201) 915-2269 Holy Name Medical Center Action Corpo
Action Corp 00 Yrs/130 Yrs M-W 10:00 AM - 5:00 PM Sub Specialty: HIV/AIDs
5301 Broadway Jersey City Medical Center 2500 Kennedy Blvd
West New York, NJ 07093 M-F 9:00 AM - 5:00 PM Goldstein, Leslie RD Union City, NJ 07087
(201) 866-9320 Provider ID: 1213358 (201) 553-7888
Fax: (201) 866-7588 Nurse Practitioner Gender: Female Fax: (201) 553-7885
00 Yrs/21 Yrs Womens Health Leslie Goldstein 00 Yrs/130 Yrs
JFK Medical Center 8100 Kennedy Blvd MTTHF 8:30 AM - 5:00 PM
M-TH 8:30 AM - 7:00 PM De Pina, Eneida ARNP North Bergen, NJ 07047 W 8:30 AM - 7:00 PM
F 8:30 AM - 5:00 PM Provider ID: 955641 (201) 866-6770
Sat 8:30 AM - 3:00 PM Gender: Female Fax: (201) 866-6771 Dailsay, Aurora ARNP
North Hudson Community 00 Yrs/130 Yrs
Nurse Practitioner Action Corpo M-F 10:30 AM - 7:00 PM Provider ID: 1072158
Psychiatric Mental Health 324 Palisade Ave Gender: Female
Jersey City, NJ 07307 Quintana, Marilyn RD North Hudson Community
Marquet, Judith ARNP (201) 330-2632 Provider ID: 783608 Action Corpo
Fax: (201) 330-2638 Gender: Female Sub Specialty: HIV/AIDs
Provider ID: 1430553 00 Yrs/130 Yrs Center For Medical Nutrition 324 Palisade Ave
Languages: Spanish Therap Jersey City, NJ 07307
Gender: Female
M-TH 8:30 AM - 7:00 PM 3000 Kennedy Blvd Ste 313A (201) 459-8888
Barnabas Health Medical
Group South F 8:30 AM - 5:00 PM Jersey City, NJ 07306 Fax: (201) 239-0318
355 Grand St Sat 8:30 AM - 3:00 PM (551) 226-7960 00 Yrs/130 Yrs
Jersey City, NJ 07302 Fax: (551) 226-8894 MTTHF 8:30 AM - 5:00 PM
(201) 915-2000 00 Yrs/130 Yrs W 8:30 AM - 7:00 PM
Fax: (201) 369-6301 Languages: Tagalog
00 Yrs/130 Yrs M 11:00 AM - 6:00 PM
Jersey City Medical Center
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 384
Updated: 11/26/2018

Allied Providers
Hudson
Obstetrics/Gynecology - Locke, Linda CNM O'Donnell, Maria CNM Lisak, Victor OT
cont. Provider ID: 1006340 Provider ID: 1576781
Gender: Female Provider ID: 1042804 Gender: Male
Dailsay, Aurora ARNP Horizon Health Center Gender: Female Four C's Learning and Therapy
115 Columbus Dr Ste 3 New Margaret Hague Women Center
Provider ID: 1072158 Jersey City, NJ 73025 Health Ins 7012 Park Ave Ste 2
Gender: Female (201) 706-3808 Sub Specialty: HIV/AIDs Guttenberg, NJ 07093
North Hudson Community Fax: (201) 369-8032 59 Washington St (201) 869-1000
Action Corpo 12 Yrs/130 Yrs Hoboken, NJ 07030 Fax: (201) 869-4360
Sub Specialty: HIV/AIDs Hoboken University Medical (201) 792-7929 00 Yrs/18 Yrs
5301 Broadway Center Fax: (201) 792-7934 M-F 10:00 AM - 7:00 PM
West New York, NJ 07093 Languages: Italian, Hindi, 00 Yrs/130 Yrs
(201) 866-9320 Arabic, Gujarati Monmouth Medical Center Yagudayev, Leonid OT
Fax: (201) 866-7588 MWF 9:00 AM - 5:00 PM Languages: Spanish, Tagalog Provider ID: 1005239
00 Yrs/130 Yrs T 9:00 AM - 8:00 PM M-F 9:00 AM - 5:00 PM Gender: Male
MWTH 8:30 AM - 5:00 PM TH 9:00 AM - 7:00 PM Bizy PT PC
T 8:30 AM - 7:00 PM Occupational Therapy 675 Garfield Ave
Locke, Linda CNM Jersey City, NJ 07305
Dailsay, Aurora ARNP Provider ID: 1006340 Balshem, Alina OT (201) 333-9300
Gender: Female Provider ID: 840669 Fax: (201) 399-3945
Provider ID: 1072158 Horizon Health Center Gender: Female 00 Yrs/130 Yrs
Gender: Female 714 Bergen Ave Careplus Rehab LLC Languages: Spanish, Russian
North Hudson Community Jersey City, NJ 07306 3610 Palisade Ave M-W 9:00 AM - 5:00 PM
Action Corpo (201) 451-6300 Union City, NJ 07087
Sub Specialty: HIV/AIDs Fax: (201) 451-8300 (732) 423-9094 Orthopaedic Surgery
714 31st St 12 Yrs/130 Yrs Fax: (732) 692-8447
Union City, NJ 07087 Hoboken University Medical 00 Yrs/130 Yrs Punla, Paul PA
(201) 863-7077 Center M-F 9:00 AM - 5:00 PM Provider ID: 1147141
Fax: (201) 863-1470 Languages: Italian, Hindi, Gender: Male
Arabic, Gujarati Daubert, Aaron OT Excelcare Medical Associates
00 Yrs/130 Yrs
MWF 9:00 AM - 5:00 PM Provider ID: 714047 PA
MTTHF 8:30 AM - 5:00 PM
TTH 9:00 AM - 7:00 PM Gender: Male 211 60th St
W 8:30 AM - 7:00 PM
Therapro Corf LLC West New York, NJ 07093
O'Donnell, Maria CNM (201) 343-1717
Lawton, Jeffrey PA 9225 Kennedy Blvd
Provider ID: 1607965 North Bergen, NJ 07047 Fax: (201) 343-3217
Gender: Male Provider ID: 1042804 (201) 869-2707 18 Yrs/130 Yrs
Palisades Medical Associates, Gender: Female Fax: (201) 869-2717 Clara Maass Medical Center
LLC New Margaret Hague Women 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
7600 River Rd Health Ins MW 11:00 AM - 7:00 PM
North Bergen, NJ 07047 Sub Specialty: HIV/AIDs TTH 8:00 AM - 4:00 PM Swingle, Christine PA
(201) 854-5000 355 Grand St Provider ID: 1539516
Fax: (201) 758-2742 Jersey City, NJ 07302 Goss, Anthony OT Gender: Female
00 Yrs/130 Yrs (201) 309-2000 Provider ID: 906275 Galloping Hill Orthopedics,
Palisades Medical Center Fax: (201) 309-2381 Gender: Male LLC
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Therapro Corf LLC 654 Broadway Fl 2
Monmouth Medical Center 9225 Kennedy Blvd Ste A Bayonne, NJ 07002
Languages: Spanish, Tagalog North Bergen, NJ 07047 (201) 858-1500
M-F 9:00 AM - 5:00 PM (201) 869-2707 Fax: (201) 436-8110
Fax: (201) 869-2717 00 Yrs/130 Yrs
00 Yrs/130 Yrs Overlook Hospital
MWTH 8:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
TSat 8:00 AM - 5:00 PM
F 8:00 AM - 6:00 PM

www.wellcare.com/New-Jersey | 385
Updated: 11/26/2018

Allied Providers
Hudson
Pediatric Endocrinology Calilap Bernardo, Charmane William, Pushpam ARNP Estanislao, Mylen PT
ARNP
Diaz Garcia, Mary ARNP Provider ID: 1096279 Provider ID: 1007453 Provider ID: 1584629
Gender: Female Gender: Female Gender: Female
Provider ID: 1105085 North Hudson Community Horizon Health Center Therapro Corf, LLC
Gender: Female Action Corpo 115 Christopher Columbus Dr 600 Pavonia Ave Ste 7
New Jersey Medical and 5301 Broadway Jersey City, NJ 07302 Jersey City, NJ 07306
Health Assoc West New York, NJ 07093 (201) 451-6300 (201) 418-0197
193 Palisade Ave (201) 866-9320 Fax: (551) 226-6871 Fax: (201) 758-2311
Jersey City, NJ 07306 Fax: (201) 866-7588 00 Yrs/21 Yrs 05 Yrs/130 Yrs
(201) 656-1042 00 Yrs/18 Yrs Languages: Arabic, Tamil, MW 8:00 AM - 7:00 PM
Fax: (201) 656-7656 M-TH 8:30 AM - 7:00 PM Malayalam T 8:00 AM - 5:00 PM
00 Yrs/130 Yrs FSat 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM TH 8:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM F 8:00 AM - 12:00 PM
Calilap Bernardo, Charmane Physical Therapy
Vassallo, Christina ARNP ARNP Estanislao, Mylen PT
Provider ID: 1096287 Elhalim, Esmat PT
Provider ID: 1084182 Gender: Female Provider ID: 1520689 Provider ID: 1584629
Gender: Female North Hudson Community Gender: Male Gender: Female
Action Corpo Quality Care Rehabilitation,
New Jersey Medical and Therapro Corf, LLC
Health Assoc 714 31st St LLC 9225 Kennedy Blvd Ste A
193 Palisade Ave Union City, NJ 07087 2120 Kennedk Blvd North Bergen, NJ 07047
Jersey City, NJ 07306 (201) 863-7077 Jersey City, NJ 07305 (201) 869-2707
(201) 656-1042 Fax: (201) 863-1470 (201) 332-9988 Fax: (201) 869-2717
Fax: (201) 656-7656 00 Yrs/18 Yrs Fax: (201) 332-4552 05 Yrs/130 Yrs
00 Yrs/18 Yrs MTWFSat 8:30 AM - 5:00 PM 00 Yrs/130 Yrs MWTH 8:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM TH 8:30 AM - 7:00 PM Languages: Arabic T 8:00 AM - 5:00 PM
MTWTHFSat 9:00 AM - 7:00 F 8:00 AM - 6:00 PM
Pediatrics Calilap Bernardo, Charmane PM Sat 8:00 AM - 12:00 PM
ARNP
Calilap Bernardo, Charmane Provider ID: 1096292 Esche, Roxana PT Joshi, Janki PT
ARNP Gender: Female Provider ID: 1597375
North Hudson Community Provider ID: 1640183
Provider ID: 1096274 Gender: Female Gender: Female
Action Corpo Therapro
Gender: Female Prohealth Care Associates of
1116 43rd St 600 Pavonia Ave Fl 7
North Hudson Community New Je
Action Corpo North Bergen, NJ 07047 Jersey City, NJ 07306
(201) 330-2632 255 State Rt 3 Ste 104F
324 Palisade Ave (201) 418-0197 Secaucus, NJ 07094
Jersey City, NJ 07307 Fax: (201) 330-2638 Fax: (201) 758-2311
00 Yrs/130 Yrs (551) 257-7910
(201) 459-8888 00 Yrs/130 Yrs Fax: (551) 257-7911
Fax: (201) 239-0318 MTTHF 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
W 8:30 AM - 7:00 PM 00 Yrs/130 Yrs
00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM
MTWFSat 8:30 AM - 5:00 PM Esche, Roxana PT
William, Pushpam ARNP
TH 8:30 AM - 7:00 PM Provider ID: 1597375 Joshi, Janki PT
Gender: Female Provider ID: 1640183
Calilap Bernardo, Charmane Provider ID: 1007451 Therapro Gender: Female
ARNP Gender: Female 9225 Kennedy Ave Ste A Prohealth Care Associates of
Provider ID: 1096277 Horizon Health Center Jersey City, NJ 07306 New Je
Gender: Female 714 Bergen Ave (201) 869-2707 324 Palisade Ave
North Hudson Community Jersey City, NJ 07306 Fax: (201) 758-2707 Jersey City, NJ 07307
Action Corpo (201) 451-6300 00 Yrs/130 Yrs (201) 479-8610
2500 Kennedy Blvd Fax: (551) 226-6871 M-F 9:00 AM - 5:00 PM Fax: (201) 479-8611
Union City, NJ 07087 00 Yrs/21 Yrs 00 Yrs/130 Yrs
(201) 553-7888 Languages: Arabic, Tamil, M-F 9:00 AM - 5:00 PM
Fax: (201) 553-7885 Malayalam
00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM
MTWFSat 8:30 AM - 5:00 PM
TH 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 386
Updated: 11/26/2018

Allied Providers
Hudson
Physical Therapy - cont. Veytsman, Zinaida PT Taranto, Elizabeth PA McKeever, Kristin PA
Provider ID: 672961
Maier, Jason PT Gender: Female Provider ID: 1710058 Provider ID: 1706745
Provider ID: 1488601 Bizy PT PC Gender: Female Gender: Female
Gender: Male 675 Garfield Ave Ste 1 Garden State Healthcare Palisades Medical Associates,
Synergy Sports and Medical Jersey City, NJ 07305 Associates LLC
Rehab (201) 333-9300 176 Palisade Ave 7600 River Rd
6120 Buchanan Pl Fax: (201) 399-3945 Jersey City, NJ 07306 North Bergen, NJ 07047
West New York, NJ 07093 00 Yrs/130 Yrs (201) 795-8200 (201) 854-5000
(201) 758-5238 Languages: Chinese, Arabic, 00 Yrs/130 Yrs Fax: (201) 758-2742
Fax: (201) 708-7341 Hebrew, Afrikaans M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs MT 8:00 AM - 6:00 PM Palisades Medical Center
M 8:30 AM - 7:00 PM Taranto, Elizabeth PA M-F 8:00 AM - 5:00 PM
TTH 8:30 AM - 8:00 PM Yoshovayev, Anatoli PT
W 9:00 AM - 4:00 PM Provider ID: 1710058 Sedlak, Christen PA
Provider ID: 984358 Gender: Female
Nunez, Juan PT Gender: Male Garden State Healthcare Provider ID: 1706748
Provider ID: 1573471 Dynamic Rehab PT PC Associates Gender: Female
Gender: Male 55 Meadowlands Pkwy Fl 3 29 E 29th St Palisades Medical Associates,
Top Choice Physical Therapy Secaucus, NJ 07094 Bayonne, NJ 07002 LLC
and Wel (973) 910-0307 (201) 795-8200 7600 River Rd
515 22nd St Ste 1 Fax: (718) 233-2570 00 Yrs/130 Yrs North Bergen, NJ 07047
Union City, NJ 07087 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (201) 854-5000
(201) 348-0200 Languages: Russian, Hebrew Fax: (201) 758-2742
Fax: (201) 510-0442 M-F 9:00 AM - 5:00 PM Taranto, Elizabeth PA 00 Yrs/130 Yrs
00 Yrs/130 Yrs Palisades Medical Center
M-F 9:00 AM - 5:00 PM Physician Assistant Provider ID: 1710058 M-F 9:00 AM - 5:00 PM
Gender: Female
Rojas Currier, Rosalba PT Punla, Paul PA Hoboken University Medical Psychiatry
Provider ID: 1147141 Center
Provider ID: 464943 Gender: Male 308 Willow Ave Oyem, Kingsley ARNP
Gender: Female Excelcare Medical Associates Hoboken, NJ 07030
Santa Fe Physical Therapy PA (201) 795-8200 Provider ID: 1563806
Sub Specialty: HIV/AIDs 211 60th St 00 Yrs/130 Yrs Gender: Male
405 43rd St West New York, NJ 07093 M-F 9:00 AM - 5:00 PM Barnabas Health Medical
Union City, NJ 07087 (201) 343-1717 Group South
(201) 617-0880 Fax: (201) 343-3217 Physician Assistant OB/ 395 Grand St
Fax: (201) 617-9735 18 Yrs/130 Yrs GYN Jersey City, NJ 07302
00 Yrs/130 Yrs Clara Maass Medical Center (201) 915-2410
Languages: Spanish M-F 9:00 AM - 5:00 PM Gomola, Ashley PA Fax: (201) 915-2411
M-W 7:30 AM - 1:30 PM 00 Yrs/130 Yrs
Reyes, Elizabeth PA Provider ID: 1706740 M-F 8:00 AM - 5:00 PM
Salama, Mina PT Provider ID: 1138923 Gender: Female
Provider ID: 1499459 Gender: Female Palisades Womens Group
Gender: Male North Bergen Pediatrics 7600 River Rd
Synergy Sports and Medical Sub Specialty: HIV/AIDs North Bergen, NJ 07047
Rehabili 2811 Kennedy Blvd (201) 854-5000
6120 Buchanan Pl North Bergen, NJ 07047 Fax: (201) 758-2742
West New York, NJ 07093 (201) 552-9233 00 Yrs/130 Yrs
(201) 758-5238 Fax: (201) 552-9238 Palisades Medical Center
Fax: (201) 708-7341 00 Yrs/21 Yrs MTTHF 8:00 AM - 5:00 PM
18 Yrs/130 Yrs St. Joseph's Hospital Reg W 11:30 AM - 8:00 PM
Languages: Arabic Medical Center
M 8:30 AM - 7:30 PM M-F 9:00 AM - 5:00 PM
TTH 8:30 AM - 8:00 PM
W 8:30 AM - 7:00 PM
F 8:30 AM - 3:00 PM

www.wellcare.com/New-Jersey | 387
Updated: 11/26/2018

Allied Providers
Hudson
Speech & Language
Pathology
Duran, Chrystie SLP

Provider ID: 1576779


Gender: Female
Four C's Learning and Therapy
Center
7012 Park Ave Ste 2
Guttenberg, NJ 07093
(201) 869-1000
Fax: (201) 869-4360
00 Yrs/130 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM

Tronza, Claudia SLP


Provider ID: 1532191
Gender: Female
Four C's Learning and Therapy
Center
7012 Park Ave Ste 2
Guttenberg, NJ 07093
(201) 869-1000
Fax: (201) 869-4360
00 Yrs/18 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 388
Updated: 11/26/2018

Allied Providers
Passaic
Advance Registered Allergy & Immunology Gromack, Gary AUD Wasser Malmud, Andrea
Nurse Practitioner Provider ID: TPV16537-02 LCSW
Psychiatrist Rawal, Chilka PA Gender: Male Provider ID: 1004584
Provider ID: 1231456 Total Hearing Care Gender: Female
Sonnenblick, Elizabeth APRN Gender: Female 601 Hamburg Tpke Newbridge Services Inc
Allergy Partners of NJ Wayne, NJ 07470 105 Hamburg Tpke
Provider ID: 976464 Sub Specialty: HIV/AIDs (862) 257-1370 Pompton Lakes, NJ 07442
Gender: Female 57 Willowbrook Blvd Ste 303 Fax: (862) 257-1371 (973) 686-2200
Sjrmc Wayne, NJ 07470 21 Yrs/99 Yrs 18 Yrs/130 Yrs
703 Main St Fl 7 (973) 754-4060 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Paterson, NJ 07503 Fax: (973) 754-4007
00 Yrs/130 Yrs Witzmann, Christopher AUD Cardiology
(973) 754-3316
00 Yrs/18 Yrs St. Joseph's Hospital Reg
Medical Center Provider ID: TPV05496-03 Moore, Claire ARNP
St. Joseph's Hospital Reg
Medical Center M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 1322390
M-F 9:00 AM - 5:00 PM Total Hearing Care Gender: Female
Audiology 601 Hamburg Tpke Atlantic Medical Group
Tirado, Roberto APRN Wayne, NJ 07470 1777 Hamburg Tpke Ste 102
Provider ID: 976423 Biondi, Pat AUD (862) 257-1370 Wayne, NJ 07470
Gender: Male Provider ID: TPV03918-01 Fax: (862) 257-1371 (973) 831-7455
St.Josephs Healthcare Gender: Male 21 Yrs/99 Yrs Fax: (973) 831-7585
56 Hamilton St Audiology Hearing Aid M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Paterson, NJ 07503 Solutons Newark Beth Israel Med
(973) 754-4750 1115 Clifton Ave Ste 102 Behavioral Health Center
Fax: (973) 754-4777 Clifton, NJ 07013 Counseling M-F 9:00 AM - 4:00 PM
12 Yrs/130 Yrs (973) 777-5335
Fax: (973) 777-3348 Goer, Joanne LPC Cardiovascular Surgery
M-F 9:00 AM - 5:00 PM
21 Yrs/99 Yrs Provider ID: 1005803
Advanced Practice M-F 9:00 AM - 5:00 PM Pampinella, Jeffrey PA
Gender: Female
Midwife New Bridge Services Inc Provider ID: 712634
Biondi, Pat AUD Gender: Male
105 Hamburg Tpke
Kanazik, Christy Lynn CNM Provider ID: TPV03918-02 Pompton Lakes, NJ 07442 Jeffrey E Pampinella PA
Gender: Male (973) 831-0613 703 Main St Rm A2415
Audiology Hearing Aid Fax: (973) 831-0957 Paterson, NJ 07503
Provider ID: 1723924 Solutions 21 Yrs/130 Yrs (973) 754-2486
Gender: Female 525 Wanaque Ave Ste 101 M-F 9:00 AM - 5:00 PM Fax: (973) 754-2975
Gentle Birth Midwives, PC Pompton Lakes, NJ 07442 00 Yrs/130 Yrs
141 Passaic Ave (973) 777-0011 Slavin, Timothy LMFT St. Joseph's Hospital Reg
Passaic, NJ 07055 Fax: (973) 777-3348 Medical Center
(973) 309-6854 Provider ID: 1032818
21 Yrs/99 Yrs Gender: Male M-F 9:00 AM - 5:00 PM
Fax: (800) 915-0387 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Newbridge Services Inc Certified Nurse Midwife
St. Joseph's Hospital Reg 105 Hamburg Tpke
Egarian, April AUD
Medical Center Pompton Lakes, NJ 07442
Provider ID: TPV17857-01 Blaustein, Sylvia CNM
M-F 9:00 AM - 5:00 PM (973) 831-0613
Gender: Female Provider ID: 1596856
Fax: (973) 831-0957
Audiology Hearing Aid Gender: Female
00 Yrs/130 Yrs
Solutons St. Joseph's Healthcare Inc.
M-TH 9:00 AM - 9:00 PM
1115 Clifton Ave Ste 102 11 Getty Ave Bldg 275, 2nd Fl
F 9:00 AM - 5:00 PM
Clifton, NJ 07013 Paterson, NJ 07503
(973) 777-5335 (973) 754-4200
Fax: (973) 777-3348 Fax: (973) 754-4298
21 Yrs/99 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM MTWTHFSat 9:00 AM - 5:00
PM

www.wellcare.com/New-Jersey | 389
Updated: 11/26/2018

Allied Providers
Passaic
Certified Nurse Midwife - Miller, Suzanne CSW Ricklis, Pearl LCSW Dermatology
cont. Provider ID: 1456741 Provider ID: 1464719
Gender: Female Gender: Female Falis, Ashley PA
Katz, Debra CNM 110 Main Ave 110 Main Ave Provider ID: 1643767
Provider ID: 1169994 Passaic, NJ 07055 Passaic, NJ 07055 Gender: Female
Gender: Female (973) 777-7638 (973) 777-7638 North Jersey Dermatology
St. Joseph's Healthcare Inc 00 Yrs/130 Yrs 00 Yrs/130 Yrs Center PC
11 Getty Ave Bldg 275 2nd Fl Languages: German M-F 8:00 AM - 5:00 PM 7 Oak Ridge Rd Apt 3
Paterson, NJ 07501 M-F 8:00 AM - 5:00 PM Newfoundland, NJ 07435
(973) 754-2720 Ricklis, Pearl LCSW (973) 208-8110
Fax: (973) 754-2724 Miller, Suzanne CSW Provider ID: 1464719 00 Yrs/130 Yrs
00 Yrs/130 Yrs Provider ID: 1456741 Gender: Female M-F 9:00 AM - 5:00 PM
MTWTHFSatSun 9:00 AM - Gender: Female Jewish Family Service and
5:00 PM Jewish Family Service and Chilrens Falis, Ashley PA
Chilrens 925 Allwood Rd Provider ID: 1643767
Katz, Debra CNM 925 Allwood Rd Clifton, NJ 07012 Gender: Female
Provider ID: 1169994 Clifton, NJ 07012 (973) 777-7638 North Jersey Dermatology
Gender: Female (973) 777-7638 Fax: (973) 777-9311 Center PC
St. Joseph's Healthcare Inc Fax: (973) 777-9311 00 Yrs/130 Yrs 925 Clifton Ave 2nd Fl Ste 207
703 Main St Rm A2402 00 Yrs/130 Yrs MTTH 9:00 AM - 9:00 PM Clifton, NJ 07013
Paterson, NJ 07503 Languages: German W 9:00 AM - 90:0 PM (973) 955-4800
(973) 754-2720 M-TH 9:00 AM - 9:00 PM F 9:00 AM - 1:00 PM 00 Yrs/130 Yrs
Fax: (973) 754-4392 F 9:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Stein, Eileen CSW
MTWTHFSatSun 9:00 AM - Pomrantz, Shira LCSW Provider ID: 1457715 Feinstein, Esther PA
5:00 PM Provider ID: 1463068 Gender: Female
Gender: Female Jewish Family Service and Provider ID: 1582841
Clinical Social Work Jewish Family Service and Chilrens Gender: Female
Chilrens 110 Main Ave Dr. Mathias Zemel, LLC
East, Esther CSW 110 Main Ave Passaic, NJ 07055 675 Broadway Ste 5
Provider ID: 1467817 Passaic, NJ 07055 (973) 777-7638 Paterson, NJ 07514
Gender: Female (973) 777-7638 00 Yrs/130 Yrs (973) 279-1232
Jewish Family Service and 00 Yrs/130 Yrs M-F 8:00 AM - 5:00 PM Fax: (973) 279-5001
Chilrens Languages: Spanish 00 Yrs/130 Yrs
110 Main Ave M-F 8:00 AM - 5:00 PM Stein, Eileen CSW M-F 9:00 AM - 5:00 PM
Passaic, NJ 07055 Provider ID: 1457715
(973) 777-7638 Pomrantz, Shira LCSW Gender: Female Fisher, Daisy ARNP
00 Yrs/130 Yrs Provider ID: 1463068 Jewish Family Service and Provider ID: 725641
Languages: Hebrew Gender: Female Chilrens Gender: Female
M-F 8:00 AM - 5:00 PM Jewish Family Service and 925 Allwood Rd Dermone Dermatology Assoc.
Chilrens Clifton, NJ 07012 of NJ
East, Esther CSW 925 Allwood Rd (973) 777-7638 330 Lafayette Ave
Provider ID: 1467817 Clifton, NJ 07012 Fax: (973) 777-9311 Hawthorne, NJ 07506
Gender: Female (973) 777-7638 00 Yrs/130 Yrs (973) 999-9999
Jewish Family Service and Fax: (973) 777-9311 M-TH 9:00 AM - 9:00 PM Fax: (973) 949-3736
Chilrens 00 Yrs/130 Yrs F 9:00 AM - 3:00 PM 00 Yrs/130 Yrs
925 Allwood Rd Languages: Spanish Sat 10:00 AM - 4:00 PM M-F 9:00 AM - 5:00 PM
Clifton, NJ 07012 M-TH 9:00 AM - 9:00 PM
(973) 777-7638 F 9:00 AM - 3:00 PM
Fax: (973) 777-9311
00 Yrs/130 Yrs
Languages: Hebrew
M-F 9:00 AM - 9:00 PM
Sat 10:00 AM - 4:00 PM

www.wellcare.com/New-Jersey | 390
Updated: 11/26/2018

Allied Providers
Passaic
Dermatology - cont. Marion, Anthony PA Occhiuto, Tina ARNP Perez, Sujelis PA
Provider ID: 1569880 Provider ID: 1642154
Guan, Xin PA Provider ID: 1709309 Gender: Female Gender: Female
Provider ID: 1569492 Gender: Male North Jersey Dermatology North Jersey Dermatology
Gender: Female North Jersey Dermatology Center PC Center PC
North Jersey Dermatology Center, P. 925 Clifton Ave 2nd Fl Ste 207 925 Clifton Ave Fl 2
Center PC 7 Oak Ridge Rd Apt 3 Clifton, NJ 07013 Clifton, NJ 07013
7 Oak Ridge Rd Apt 3 Newfoundland, NJ 07435 (973) 955-4800 (973) 955-4800
Newfoundland, NJ 07435 (973) 208-8110 Fax: (973) 955-4804 Fax: (973) 955-4804
(973) 208-8110 Fax: (973) 208-8106 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 7:00 PM
Peereboom, Erika PA Dietician
Guan, Xin PA Marion, Anthony PA
Provider ID: 1569492 Provider ID: 1569655 McSpirittguzio, Marilyn RD
Gender: Female Provider ID: 1709309 Gender: Female
North Jersey Dermatology Gender: Male North Jersey Dermatology Provider ID: 1707503
Center PC North Jersey Dermatology Center PC Gender: Female
925 Clifton Ave Fl 2 Ste 207 Center, P. 7 Oak Ridge Rd Ste 3 Medical Associates of
Clifton, NJ 07013 925 Clifton Ave Ste 207 Newfoundland, NJ 07435 Englewood, PC
(973) 955-4800 Clifton, NJ 07013 (973) 208-8110 871 Allwood Rd
00 Yrs/130 Yrs (973) 955-4800 Fax: (973) 208-8106 Clifton, NJ 07012
M-F 9:00 AM - 5:00 PM Fax: (973) 955-4804 00 Yrs/130 Yrs (862) 249-4904
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (862) 249-4903
Mallardi, Brittany PA M-F 8:00 AM - 7:00 PM 00 Yrs/130 Yrs
Peereboom, Erika PA M-F 9:00 AM - 5:00 PM
Provider ID: 1569157 Nardone, Jennifer ARNP
Gender: Female Provider ID: 1569655 Yorke, Maureen RD
North Jersey Dermatology Provider ID: 923896 Gender: Female
Center PC Gender: Female North Jersey Dermatology Provider ID: 1565917
7 Oak Ridge Rd Apt 3 Dr Mathias Zemel LLC Center PC Gender: Female
Newfoundland, NJ 07435 675 Broadway Ste 5 925 Clifton Ave 2nd Fl Ste 207 Bhmg-United Medical
(973) 208-8110 Paterson, NJ 07514 Clifton, NJ 07013 533 Lexington Ave
00 Yrs/130 Yrs (973) 279-1232 (973) 955-4800 Clifton, NJ 07011
M-F 9:00 AM - 5:00 PM Fax: (973) 279-5001 00 Yrs/130 Yrs (973) 546-6844
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (973) 546-7707
Mallardi, Brittany PA 00 Yrs/130 Yrs
Languages: Tagalog
M-F 9:00 AM - 6:00 PM Perez, Sujelis PA M-F 9:00 AM - 5:00 PM
Provider ID: 1569157 Provider ID: 1642154
Gender: Female Occhiuto, Tina ARNP Gender: Female Endocrinology, Diabetes,
North Jersey Dermatology Provider ID: 1569880 North Jersey Dermatology Metabolism
Center PC Gender: Female Center PC
925 Clifton Ave 2nd Fl Ste 207 North Jersey Dermatology 7 Oak Ridge Rd Apt 3 Dershowitz, Meir PA
Clifton, NJ 07013 Center PC Newfoundland, NJ 07435
(973) 955-4800 7 Oak Ridge Rd Ste 3 (973) 208-8110 Provider ID: 1436843
00 Yrs/130 Yrs Newfoundland, NJ 07435 Fax: (973) 208-8106 Gender: Male
M-F 9:00 AM - 5:00 PM (973) 208-8110 00 Yrs/130 Yrs Bhmg - United Medical
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 533 Lexington Ave
M-F 9:00 AM - 5:00 PM Clifton, NJ 07011
(973) 546-6844
Fax: (973) 546-7707
00 Yrs/130 Yrs
Saint Barnabas Medical
Center Livingston
M-TH 8:00 AM - 6:30 PM

www.wellcare.com/New-Jersey | 391
Updated: 11/26/2018

Allied Providers
Passaic
Family Practice Kordie, Dennis APRN Vitale, Mary APRN Hematology & Oncology
Provider ID: 976458
Fishkin, Adria APRN Provider ID: 1207270 Gender: Female Ambe Nguni, Irene ARNP
Provider ID: 944432 Gender: Male West Paterson Fam Med
Gender: Female Fastmed of NJ LLC Center Provider ID: 1136714
New Jersey Physicians LLC 680 Broadway Ste 101 1031 McBride Ave Ste D109 Gender: Female
Sub Specialty: HIV/AIDs Paterson, NJ 07514 Woodland Park, NJ 07424 Fastmed of NJ LLC
6 Brighton Rd 2nd Fl (973) 594-7977 (973) 785-4020 476 Colfax Ave
Clifton, NJ 07012 Fax: (973) 341-1119 Fax: (973) 785-3186 Clifton, NJ 07013
(973) 436-4155 18 Yrs/130 Yrs 02 Yrs/130 Yrs (973) 594-7977
Fax: (973) 473-5958 M-F 8:00 AM - 6:00 PM Languages: Spanish, Bengali Fax: (973) 594-9983
16 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Languages: Spanish, Russian, Lane, Joann APRN M-F 9:00 AM - 5:00 PM
Italian Provider ID: 944059 General Surgery
M-F 9:00 AM - 5:00 PM Gender: Female Internal Medicine
The Dermatology Group PA Varma, Marianne PA
Goldenberg, Linda APRN Sub Specialty: HIV/AIDs Provider ID: 712266 Cebedo, Judith ARNP
1900 Union Valley Rd Ste 303 Gender: Female
Provider ID: 712061 Hewitt, NJ 07421 Marianne Varma PA Provider ID: 1517377
Gender: Female (973) 571-2121 703 Main St Gender: Female
703 Main St 00 Yrs/130 Yrs Paterson, NJ 07503 Paterson Community Health
Paterson, NJ 07503 M-F 9:00 AM - 5:00 PM (973) 754-2486 Center In
(973) 942-6900 Fax: (973) 754-2462 32 Clinton St
00 Yrs/130 Yrs Shuldgach, Deborah ARNP 00 Yrs/130 Yrs Paterson, NJ 07522
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (973) 790-6594
Provider ID: 1078036 Fax: (973) 389-2197
Keaney, Karen ARNP Gender: Female Geriatric Medicine 00 Yrs/130 Yrs
Provider ID: 1170013 North Hudson Community M-F 9:00 AM - 5:00 PM
Gender: Female Action Corpo Hallon, Mervat ARNP
St. Joseph's Healthcare Inc Sub Specialty: HIV/AIDs Cebedo, Judith ARNP
703 Main St 220 Passaic St Provider ID: 1463057
Paterson, NJ 07503 Passaic, NJ 07055 Gender: Female Provider ID: 1517379
(973) 754-3021 (201) 210-0200 Gamil Makar MD LLC Gender: Female
00 Yrs/130 Yrs Fax: (973) 955-4264 1700 Rte 3 W. Paterson Community Health
MTWTHFSatSun 9:00 AM - 12 Yrs/130 Yrs Clifton, NJ 07013 Center In
5:00 PM MTTHF 8:30 AM - 5:00 PM (862) 249-4901 227 Broadway
W 8:30 AM - 7:00 PM Fax: (973) 928-2650 Paterson, NJ 07501
Kordie, Dennis APRN 12 Yrs/130 Yrs (973) 790-6594
Shuldgach, Deborah ARNP St. Joseph's Hospital Reg Fax: (973) 389-2197
Provider ID: 1207270 Medical Center 00 Yrs/130 Yrs
Gender: Male Provider ID: 1078038 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Fastmed of NJ LLC Gender: Female
476 Colfax Ave North Hudson Community Thompson, Sara ARNP
Clifton, NJ 07013 Action Corpo
(973) 594-7977 Sub Specialty: HIV/AIDs Provider ID: 1217455
Fax: (973) 594-9983 220 Passaic St Gender: Female
18 Yrs/130 Yrs Passaic, NJ 07055 Evas Village Inc
M-F 9:00 AM - 5:00 PM (201) 210-0200 20 Jackson St
Fax: (973) 955-4264 Paterson, NJ 07501
12 Yrs/130 Yrs (973) 523-6220
M-W 8:30 AM - 5:00 PM Fax: (973) 825-7201
18 Yrs/130 Yrs
AHS Hospital
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 392
Updated: 11/26/2018

Allied Providers
Passaic
Internal Medicine - cont. Murphy, Martina ARNP Roque, Evangelina ARNP Danzger, Tamar LCSW
Provider ID: 1467512
Gallagher, Nancy ARNP Provider ID: 1166908 Provider ID: 1651264 Gender: Female
Gender: Female Gender: Female Jewish Family Service and
Provider ID: 1278829 Fastmed of NJ LLC Passaic Medical Care Inc. Child
Gender: Female 680 Broadway Ste 101 1135 Main Ave Ste 3 925 Allwood Rd
Medical Associates of Paterson, NJ 07514 Clifton, NJ 07011 Clifton, NJ 07012
Englewood PC (973) 925-2040 (973) 777-3222 (973) 777-7638
Sub Specialty: Developmental Fax: (973) 925-2044 Fax: (973) 777-3225 Fax: (973) 777-9311
Disabilities, HIV/AIDS, Aged 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
680 Broadway Ste 116A M-F 9:00 AM - 5:00 PM MTWTHFSat 8:00 AM - 6:00 Languages: Russian, Hebrew
Paterson, NJ 07514 PM MT 8:30 AM - 3:30 PM
(973) 684-3663 OH, Soon Ja APRN W 8:00 AM - 3:00 PM
Fax: (862) 264-2386 Thompson, Sara ARNP TH 4:4 AM - 7:00 PM
00 Yrs/130 Yrs Provider ID: 1637658 F 8:30 AM - 12:30 PM
St. Joseph's Hospital Reg Gender: Female Provider ID: 1217455 Sat 9:00 AM - 6:00 PM
Medical Center G and S Medical Association Gender: Female
M-F 9:00 AM - 5:00 PM 91 Main St Evas Village Inc Danzger, Tamar LCSW
Paterson, NJ 07505 20 Jackson St Provider ID: 1467512
Konzel, Cara ARNP Paterson, NJ 07501 Gender: Female
(973) 523-4000
Provider ID: 1133251 Fax: (862) 239-9201 (973) 523-6220 Jewish Family Service and
Gender: Female 06 Yrs/130 Yrs Fax: (973) 825-7201 Chilrens
Angela Family Care Prime Health Services-St 18 Yrs/130 Yrs 110 Main Ave
721 Clifton Ave Ste 2A Marys Hospital AHS Hospital Passaic, NJ 07055
Clifton, NJ 07013 St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM (973) 777-7638
(973) 777-7727 Medical Center 00 Yrs/130 Yrs
Fax: (973) 779-7906 M-F 9:00 AM - 6:00 PM Viera, Jorge ARNP Languages: Russian, Hebrew
16 Yrs/130 Yrs Sat 9:00 AM - 2:00 PM Provider ID: 1518400 M-F 8:00 AM - 5:00 PM
St. Joseph's Hospital Reg Gender: Male
Medical Center Park, Myoung ARNP Bhmg-United Medical Kolaritsch, Kathleen CSW
M-F 9:00 AM - 5:00 PM Provider ID: 1440174 533 Lexington Ave
Gender: Female Clifton, NJ 07011 Provider ID: 1057023
Morales, Annette ARNP Bhmg-United Medical Gender: Female
(973) 546-6844
533 Lexington Ave Fax: (973) 546-7707 Newbridge Services, Inc
Provider ID: 1570504 Clifton, NJ 07011 00 Yrs/130 Yrs 105 Hamburg Tpke
Gender: Female (973) 546-6844 Saint Barnabas Medical Pompton Lakes, NJ 07442
Bhmg United Medical 16 Yrs/130 Yrs Center Livingston (973) 831-0613
533 Lexington Ave M-F 9:00 AM - 5:00 PM Languages: Spanish Fax: (973) 831-0957
Clifton, NJ 07011 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(973) 546-5844 Rodriguez, Edith ARNP M-F 9:00 AM - 5:00 PM
Fax: (973) 546-7707 Licensed Clinical Social
00 Yrs/130 Yrs Provider ID: 1499466 Worker MacDonald, Anne Marie
Languages: Spanish Gender: Female LCSW
M 8:00 AM - 4:00 PM Internal Medicine and Cohen, Laura LCSW Provider ID: 1491201
TWTHF 8:00 AM - 5:00 PM Geriatrics Pr Provider ID: 1527992 Gender: Female
1414 Main Ave Ste B Gender: Female Jewish Family Service and
Murphy, Martina ARNP Clifton, NJ 07011 Kashoqa Psychiatry Associates Chilrens
(973) 253-6000 PC 110 Main Ave
Provider ID: 1124072 Fax: (973) 253-6009 506 Hamburg Tpke Ste 203 Passaic, NJ 07055
Gender: Female 00 Yrs/130 Yrs Wayne, NJ 07470 (973) 777-7638
Fastmed of NJ LLC St. Joseph's Hospital Reg (973) 633-1996 00 Yrs/130 Yrs
476 Colfax Ave Medical Center Fax: (973) 633-8078 M-F 8:00 AM - 5:00 PM
Clifton, NJ 07013 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(973) 594-7977 M 9:00 AM - 7:30 PM
Fax: (973) 594-9983 T 3:30 AM - 7:30 PM
00 Yrs/130 Yrs W 10:00 AM - 2:00 PM
M-F 9:00 AM - 5:00 PM TH 3:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 393
Updated: 11/26/2018

Allied Providers
Passaic
Licensed Clinical Social Tavares, Sarah LCSW Edelman, Christina CNM Fisherman, Amy CNM
Worker - cont. Provider ID: 1523364
Gender: Female Provider ID: 1485320 Provider ID: 1238113
MacDonald, Anne Marie Kashoqa Psychiatry Associates Gender: Female Gender: Female
LCSW PC St Josephs Healthcare Inc North Hudson Community
Provider ID: 1491201 506 Hamburg Tpke Ste 203 11 Getty Ave Ste 275 2nd Fl Action Corp
Gender: Female Wayne, NJ 07470 Paterson, NJ 07503 Sub Specialty: HIV/AIDs
Jewish Family Service and (973) 633-1996 (973) 754-2720 220 Passaic St
Chilrens Fax: (973) 633-8078 Fax: (973) 754-4999 Passaic, NJ 07055
925 Allwood Rd 00 Yrs/130 Yrs 12 Yrs/130 Yrs (201) 210-0200
Clifton, NJ 07012 M 10:00 AM - 6:00 PM St. Joseph's Hospital Reg Fax: (973) 955-4264
(973) 777-7638 TTH 5:00 AM - 8:00 PM Medical Center 00 Yrs/130 Yrs
Fax: (973) 777-9311 W 2:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
00 Yrs/130 Yrs Medical Center
M-F 9:00 AM - 5:00 PM Neurosurgery Fisherman, Amy CNM MTTHF 8:30 AM - 5:00 PM
Provider ID: 1095911 W 8:30 AM - 7:00 PM
Nies, Diane LCSW Rogaski, Krista PA Gender: Female
Provider ID: 1004573 St Josephs Healthcare Inc Matza, Ilene APRN
Gender: Female Provider ID: 1570096 Sub Specialty: HIV/AIDs Provider ID: 608459
Newbridge Services Inc Gender: Female 11 Getty Ave 2nd Fl Gender: Female
1801 Greenwood Lake Tpke University Physician Paterson, NJ 07503 Ilene S. Matza, Apn
Hewitt, NJ 07421 Associates (973) 754-2270 703 Main St
(973) 728-3938 350 Blvd Ground Fl Fax: (973) 754-4999 Paterson, NJ 07503
00 Yrs/130 Yrs Passaic, NJ 07055 12 Yrs/130 Yrs (973) 854-2631
M 9:00 AM - 9:00 PM (973) 365-4300 St. Joseph's Hospital Reg Fax: (973) 754-2327
T 5:00 AM - 9:00 PM Fax: (973) 972-2333 Medical Center 00 Yrs/130 Yrs
W 10:00 AM - 9:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 4:30 PM
TH 9:00 AM - 5:00 PM Saint Clares Hospital
University Hospital Fisherman, Amy CNM Naranjo, Erika CNM
Schessler, Peter LCSW M-F 9:00 AM - 5:00 PM
Provider ID: 1467507 Provider ID: 1238111 Provider ID: 1241776
Gender: Male Nurse Midwife Gender: Female Gender: Female
Jewish Family Service and North Hudson Community North Hudson Community
Child Crowther, Maryanne APRN Action Corp Action Corp
925 Allwood Rd Sub Specialty: HIV/AIDs 220 Passaic St
Clifton, NJ 07012 Provider ID: 608471 220 Passaic St Passaic, NJ 07055
(973) 777-7638 Gender: Female Passaic, NJ 07055 (201) 210-0200
Fax: (973) 777-9311 Maryanne Crowther, Apn (201) 210-0200 Fax: (973) 955-4264
00 Yrs/130 Yrs 703 Main St Sjrmc- Fax: (973) 955-4264 00 Yrs/130 Yrs
M-TH 9:00 AM - 9:00 PM Cardiovascular X1291a 00 Yrs/130 Yrs Saint Clares Hospital
F 9:00 AM - 2:00 PM Paterson, NJ 07503 St. Joseph's Hospital Reg MTWFSat 8:30 AM - 5:00 PM
(973) 754-2065 Medical Center TH 8:30 AM - 7:00 PM
Schessler, Peter LCSW Fax: (973) 754-2327 M 8:30 AM - 7:00 PM
Provider ID: 1467507 00 Yrs/130 Yrs TWTHF 8:30 AM - 5:30 PM Naranjo, Erika CNM
Gender: Male M-F 9:00 AM - 5:00 PM
Jewish Family Service and Provider ID: 1241777
Chilrens Gender: Female
110 Main Ave North Hudson Community
Passaic, NJ 07055 Action Corp
(973) 777-7638 220 Passaic St
00 Yrs/130 Yrs Passaic, NJ 07055
M-F 8:00 AM - 5:00 PM (201) 210-0200
Fax: (973) 955-4264
00 Yrs/130 Yrs
Saint Clares Hospital
M 8:30 AM - 7:00 PM
TWTHF 8:30 AM - 5:30 PM

www.wellcare.com/New-Jersey | 394
Updated: 11/26/2018

Allied Providers
Passaic
Nurse Midwife - cont. Patuto, Jennifer CNM Powell, Carole CNM Rivera Delvalle, Gail CNM
Provider ID: 1072228 Provider ID: 1250770
Nierenberg, Susan CNM Gender: Female Gender: Female Provider ID: 711285
St. Joseph's Healthcare Inc North Hudson Community Gender: Female
Provider ID: 693640 Sub Specialty: HIV/AIDs Action Corp St. Joseph's Healthcare Inc
Gender: Female 11 Getty Ave 220 Passaic St Sub Specialty: HIV/AIDs
St Josephs Healthcare Inc Paterson, NJ 07503 Passaic, NJ 07055 703 Main St Rm A2402
Sub Specialty: HIV/AIDs (973) 754-2720 (201) 210-0200 Paterson, NJ 07503
11 Getty Ave Bldg Ste 275, Fl 2 Fax: (973) 754-4999 Fax: (973) 955-4264 (973) 754-4200
Paterson, NJ 07501 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(973) 754-4701 St. Joseph's Hospital Reg Palisades Medical Center St. Joseph's Hospital Reg
Fax: (973) 754-4740 Medical Center MTWFSat 8:30 AM - 5:00 PM Medical Center
00 Yrs/130 Yrs MTWTHFSatSun 9:00 AM - TH 8:30 AM - 7:00 PM Languages: Spanish
St. Joseph's Hospital Reg 5:00 PM MTWTHFSatSun 9:00 AM -
Medical Center Rivera Delvalle, Gail CNM 5:00 PM
Languages: Spanish Patuto, Jennifer CNM
M-F 9:00 AM - 5:00 PM Provider ID: 1072228 Provider ID: 711285 Silverberg Urian, Yael CNM
Gender: Female Gender: Female
Nierenberg, Susan CNM St. Joseph's Healthcare Inc St Josephs Healthcare Inc Provider ID: 712085
Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs Gender: Female
Provider ID: 693640 21 Market St 11 Getty Ave Bldg Ste 275, Fl 2 Sjhmc Midwifery Practice
Gender: Female Paterson, NJ 07503 Paterson, NJ 07501 703 Main St Rm A2402
St. Joseph's Healthcare Inc (973) 754-4200 (973) 754-2270 Paterson, NJ 07503
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs Fax: (973) 754-4999 (973) 754-2720
703 Main St St. Joseph's Hospital Reg 00 Yrs/130 Yrs Fax: (973) 754-4999
Paterson, NJ 07503 Medical Center St. Joseph's Hospital Reg 00 Yrs/130 Yrs
(973) 754-4200 MTWTHFSatSun 9:00 AM - Medical Center M-TH 9:00 AM - 5:00 PM
5:00 PM Languages: Spanish
00 Yrs/130 Yrs
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Silverberg Urian, Yael CNM
Patuto, Jennifer CNM
Medical Center
Provider ID: 1072228 Rivera Delvalle, Gail CNM
Languages: Spanish Provider ID: 712085
Gender: Female
MTWTHFSatSun 9:00 AM - Gender: Female
5:00 PM St. Joseph's Healthcare Inc Provider ID: 711285 St Josephs Healthcare Inc
Sub Specialty: HIV/AIDs Gender: Female 11 Getty Ave Bldg Ste 275, Fl 2
Ozurumba, Dorothy APRN 703 Main St St. Joseph's Healthcare Inc Paterson, NJ 07501
Paterson, NJ 07503 Sub Specialty: HIV/AIDs (973) 754-4200
Provider ID: 620178 (973) 754-2720 1350 Rte 23 Fax: (973) 754-4298
Gender: Female 00 Yrs/130 Yrs Wayne, NJ 07470 00 Yrs/130 Yrs
Sub Specialty: HIV/AIDs St. Joseph's Hospital Reg (973) 754-4200 M-F 9:00 AM - 5:00 PM
Medical Center
11 Getty Ave Bldg 275 2nd Fl 00 Yrs/130 Yrs
MTWTHFSatSun 9:00 AM - Terrone, Deborah APRN
Paterson, NJ 07503 St. Joseph's Hospital Reg
5:00 PM
(973) 754-2270 Medical Center
Fax: (973) 754-4392 Powell, Carole CNM Languages: Spanish Provider ID: 608588
00 Yrs/130 Yrs MTWTHFSatSun 9:00 AM - Gender: Female
Provider ID: 1250769
St. Joseph's Hospital Reg 5:00 PM Deborah Terrone, APRN
Gender: Female
Medical Center 703 Main St Sjrmc-
North Hudson Community
M-F 9:00 AM - 5:00 PM Action Corp Cardiovascular Xavier 1291A
220 Passaic St Paterson, NJ 07503
Passaic, NJ 07055 (973) 754-3751
(201) 210-0200 Fax: (973) 754-4349
Fax: (973) 955-4264 00 Yrs/130 Yrs
00 Yrs/130 Yrs St. Joseph's Hospital Reg
Palisades Medical Center Medical Center
M 8:30 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
TWTHF 8:30 AM - 5:30 PM

www.wellcare.com/New-Jersey | 395
Updated: 11/26/2018

Allied Providers
Passaic
Nurse Practitioner Luttenberger, Kristen APRN Nurse Practitioner Adult Beenstock, Dana APRN
Health
Ambe Nguni, Irene APRN Provider ID: 1072226 Provider ID: 1072211
Gender: Female Adams, Richard APRN Gender: Female
Provider ID: 1129449 St Josephs Physician Provider ID: 1072304 St. Joseph's Healthcare Inc
Gender: Female Healthcare Gro Gender: Male 703 Main St
Paterson Medical Health 999 McBride Ave Ste B204 St. Joseph's Physicians Paterson, NJ 07503
Services Co Little Falls, NJ 07424 Healthcare (973) 754-2240
680 Broadway Ste 101 (973) 256-5667 246 Hamburg Tpke Ste 201 00 Yrs/130 Yrs
Paterson, NJ 07514 00 Yrs/130 Yrs Wayne, NJ 07470 St. Joseph's Hospital Reg
(973) 925-2040 St. Joseph's Hospital Reg (973) 942-1141 Medical Center
Fax: (973) 925-2044 Medical Center Fax: (973) 942-1250 MTWTHFSatSun 9:00 AM -
00 Yrs/130 Yrs MTWTHFSatSun 9:00 AM - 00 Yrs/130 Yrs 5:00 PM
M-F 9:00 AM - 5:00 PM 5:00 PM St. Joseph's Hospital Reg
Medical Center Bowersox, Linda ARNP
Terrone, Deborah ARNP Luttenberger, Kristen APRN MTWTHFSatSun 9:00 AM -
5:00 PM Provider ID: 1603777
Provider ID: 1175297 Provider ID: 1072226 Gender: Female
Gender: Female Gender: Female Arigbe, Evelyn ARNP St Joseph Healthcare Inc
New Jersey Medical and St. Joseph's Healthcare Inc 502 Hamburg Tpke Ste 108
Health Assoc 703 Main St Fl 2 Provider ID: 1687040 Wayne, NJ 07470
1225 McBride Ave Ste 201 Paterson, NJ 07503 Gender: Female (973) 754-4717
Woodland Park, NJ 07424 (973) 754-2300 Fastmed of NJ LLC Fax: (973) 925-4056
(973) 812-0377 00 Yrs/130 Yrs 680 Broadway Ste 101 00 Yrs/130 Yrs
Fax: (973) 812-0383 St. Joseph's Hospital Reg Paterson, NJ 07514 St. Joseph's Hospital Reg
18 Yrs/130 Yrs Medical Center (973) 925-2040 Medical Center
Christ Hospital MTWTHFSatSun 9:00 AM - Fax: (973) 925-2044 M-F 9:00 AM - 5:00 PM
St. Joseph's Hospital Reg 5:00 PM 18 Yrs/130 Yrs
Medical Center St. Joseph's Hospital Reg Mandel, Irina ARNP
M-F 9:00 AM - 5:00 PM Nair, Salini APRN Medical Center
Provider ID: 1072227 M-F 8:00 AM - 5:30 PM Provider ID: 1571922
Nurse Practitioner Acute Gender: Female Gender: Female
Care St. Joseph's Healthcare Inc Beenstock, Dana APRN Atlantic Medical Group
11 Getty Ave 1055 Hamburg Tpke Ste 200
Bolton, Maryanne ARNP Paterson, NJ 07503 Provider ID: 1072211 Wayne, NJ 07470
(973) 754-7462 Gender: Female (973) 248-1440
Provider ID: 1199976 00 Yrs/130 Yrs St Josephs Healthcare Inc Fax: (973) 248-1448
Gender: Female St. Joseph's Hospital Reg 11 Getty Ave Bldg 275 2nd Fl 00 Yrs/130 Yrs
Evas Village Inc Medical Center Paterson, NJ 07503 AHS Hospital
20 Jackson St MTWTHFSatSun 9:00 AM - (973) 754-2270 MTH 8:30 AM - 5:00 PM
5:00 PM Fax: (973) 754-4392
Paterson, NJ 07501 TW 8:00 AM - 5:00 PM
(973) 523-6220 00 Yrs/130 Yrs F 9:00 AM - 3:00 PM
Nair, Salini APRN
Fax: (973) 825-7201 St. Joseph's Hospital Reg
Provider ID: 1072227 Medical Center Ramsay, Calene ARNP
00 Yrs/130 Yrs Gender: Female M-F 9:00 AM - 5:00 PM
M-W 10:00 AM - 3:00 PM St. Joseph's Healthcare Inc
Provider ID: 1206592
703 Main St
Gender: Female
Paterson, NJ 07503
New Jersey Medical and
(973) 754-7462 Health Assoc
00 Yrs/130 Yrs 1225 McBride Ave Ste 201
St. Joseph's Hospital Reg Woodland Park, NJ 07424
Medical Center
(973) 812-0377
MTWTHFSatSun 9:00 AM -
5:00 PM Fax: (973) 812-0383
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 396
Updated: 11/26/2018

Allied Providers
Passaic
Nurse Practitioner Adult Nurse Practitioner Family Baldeo-Dat, Dhanmatie ARNP Kihwaga, Naomi APRN
Health - cont. Medicine Provider ID: 1250193
Provider ID: 1236289 Gender: Female
Roque, Evangelina ARNP Adlawan, Eina APRN Gender: Female North Hudson Community
Provider ID: 1592593 North Hudson Community Action Corp
Provider ID: 1699468 Gender: Female Action Corp 220 Passaic St
Gender: Female St Joseph Healthcare Inc 220 Passaic St Passaic, NJ 07055
Passaic Medical Care 11 Getty Ave Bldg 275 2nd Fl Passaic, NJ 07055 (201) 210-0200
1135 Main Ave Ste 3 Paterson, NJ 07503 (201) 210-0200 Fax: (973) 955-4264
Clifton, NJ 07011 (973) 754-2270 Fax: (973) 955-4264 00 Yrs/130 Yrs
(862) 238-8181 Fax: (973) 754-7167 00 Yrs/130 Yrs MTWFSat 8:30 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs MTTHF 8:30 AM - 5:00 PM TH 8:30 AM - 7:00 PM
St. Joseph's Hospital Reg St. Joseph's Hospital Reg W 8:30 AM - 7:00 PM
Medical Center Medical Center Kihwaga, Naomi APRN
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Baldeo-Dat, Dhanmatie ARNP
Provider ID: 1250202
Roque, Evangelina ARNP Adlawan, Eina APRN Provider ID: 1236292 Gender: Female
Provider ID: 1592597 Gender: Female North Hudson Community
Provider ID: 1699468 Gender: Female North Hudson Community Action Corp
Gender: Female St Joseph Healthcare Inc Action Corp 220 Passaic St
Passaic Medical Care 703 Main St 220 Passaic St Passaic, NJ 07055
362 Monroe St Paterson, NJ 07503 Passaic, NJ 07055 (201) 210-0200
Passaic, NJ 07055 (973) 754-2270 (201) 210-0200 Fax: (973) 955-4264
(973) 777-3222 Fax: (973) 754-7167 Fax: (973) 955-4264 00 Yrs/130 Yrs
Fax: (973) 777-3225 00 Yrs/130 Yrs 00 Yrs/130 Yrs M 8:30 AM - 7:00 PM
00 Yrs/130 Yrs St. Joseph's Hospital Reg M 8:30 AM - 7:00 PM TWTHF 8:30 AM - 5:30 PM
St. Joseph's Hospital Reg Medical Center TWTHF 8:30 AM - 5:30 PM
Medical Center M-F 9:00 AM - 5:00 PM Kilroy, Jeanne ARNP
M-F 9:00 AM - 5:00 PM Blackett, Natasha ARNP Provider ID: 1322379
Appelbaum, Lori ARNP Gender: Female
Speziale, Liss ARNP Provider ID: 1178132 Medical Associates of
Provider ID: 1289271 Gender: Female Englewood PC
Provider ID: 1687537 Gender: Female Palisades Medical Billing LLC 1225 McBride Ave Ste 200
Gender: Female Evas Village Inc 1081 Paulison Ave Woodland Park, NJ 07424
A and S General Physician LLC20 Jackson St Clifton, NJ 07015 (973) 339-9755
1137 Main Ave Paterson, NJ 07501 (973) 779-7999 Fax: (973) 785-7760
Clifton, NJ 07011 (973) 523-6220 Fax: (973) 799-7939 00 Yrs/130 Yrs
(973) 773-0303 Fax: (973) 825-7201 00 Yrs/130 Yrs M 10:00 AM - 7:00 PM
Fax: (973) 773-0004 18 Yrs/130 Yrs MTWTHFSat 8:00 AM - 5:00 T 9:00 AM - 6:00 PM
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM PM W 11:30 AM - 5:30 PM
St. Joseph's Hospital Reg TH 9:30 AM - 5:00 PM
Medical Center Atlas, Kellie ARNP Inocencio, Mark ARNP
Provider ID: 883817 Kitele, Maria ARNP
MF 7:30 AM - 4:30 PM
TWTH 7:30 AM - 5:30 PM Gender: Female Provider ID: 1436416
North Hudson Community Gender: Male Provider ID: 1327702
Action Corpo Bhmg-United Medical Gender: Female
220 Passaic St 533 Lexington Ave Fastmed of NJ LLC
Passaic, NJ 07055 Clifton, NJ 07011 680 Broadway Ste 1
(201) 210-0200 (973) 546-6844 Paterson, NJ 07514
Fax: (973) 955-4264 Fax: (973) 546-7707 (973) 345-3883
00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (973) 345-4250
Languages: Spanish Clara Maass Medical Center 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Languages: Tagalog M 8:00 AM - 6:00 PM
M-TH 8:00 AM - 7:00 PM TWTHF 9:00 AM - 6:00 PM
F 8:00 AM - 5:00 PM Sat 8:00 AM - 4:00 PM
Sat 8:00 AM - 12:00 PM Sun 9:00 AM - 12:00 PM

www.wellcare.com/New-Jersey | 397
Updated: 11/26/2018

Allied Providers
Passaic
Nurse Practitioner Family Vassallo, Christina ARNP Nurse Practitioner Floyd, Therese ARNP
Medicine - cont. Nephrology Provider ID: 1485312
Provider ID: 1444274 Gender: Female
Konstantaros, Patricia APRN Gender: Female Letizia, Lauren ARNP St Josephs Healthcare Inc
Bhmg-United Medical 11 Getty Ave Ste 275 2nd Fl
Provider ID: 1600974 533 Lexington Ave Provider ID: 1351135 Paterson, NJ 07503
Gender: Female Clifton, NJ 07011 Gender: Female (973) 754-2575
Paterson Community Health (973) 546-6844 North Jersey Nephrology Fax: (973) 754-2579
Center In Fax: (973) 546-7707 Associates 00 Yrs/21 Yrs
32 Clinton St 00 Yrs/130 Yrs 246 Hamburg Tpke Ste 207 St. Joseph's Hospital Reg
Paterson, NJ 07522 Saint Barnabas Medical Wayne, NJ 07470 Medical Center
(973) 790-6594 Center Livingston (973) 653-3366 M-F 9:00 AM - 5:00 PM
Fax: (973) 389-2197 Languages: Spanish Fax: (973) 653-3365
00 Yrs/130 Yrs MWF 8:00 AM - 4:30 PM 00 Yrs/130 Yrs Gregory, Josefina ARNP
M-F 9:00 AM - 5:00 PM TTH 8:00 AM - 4:00 PM St. Joseph's Hospital Reg
Medical Center Provider ID: 1240889
Simpson, Josephine ARNP Nurse Practitioner M-F 9:00 AM - 5:00 PM Gender: Female
Gerentology North Hudson Community
Provider ID: 1653512 Nurse Practitioner Action Corp
Gender: Female Bumbaco, Alison ARNP Pediatric 220 Passaic St
Prohealth Care Associates of Provider ID: 1603773 Passaic, NJ 07055
New Je Gender: Female Dasilva, Veronica ARNP (201) 210-0200
98 Broadway St Joseph Healthcare Inc Fax: (973) 955-4264
Passaic, NJ 07055 224 Hamburg Tpke Provider ID: 1692801 00 Yrs/21 Yrs
(973) 836-5577 Wayne, NJ 07470 Gender: Female MTWFSat 8:30 AM - 5:00 PM
Fax: (973) 815-0747 (973) 754-2842 Prohealth Care Associates of TH 8:30 AM - 7:00 PM
00 Yrs/130 Yrs Fax: (973) 754-5630 New Je
Holy Name Medical Center 00 Yrs/130 Yrs 98 Broadway Gregory, Josefina ARNP
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg Passaic, NJ 07055
Medical Center (973) 473-1180 Provider ID: 1240891
Simpson, Josephine ARNP M-F 9:00 AM - 5:00 PM Fax: (973) 815-0747 Gender: Female
00 Yrs/18 Yrs North Hudson Community
Bumbaco, Alison ARNP Action Corp
Provider ID: 1653514 M-F 9:00 AM - 5:00 PM
Gender: Female 220 Passaic St
Prohealth Care Associates of Provider ID: 1603773 Dasilva, Veronica ARNP Passaic, NJ 07055
New Je Gender: Female (201) 210-0200
280 E 33rd St St Joseph Healthcare Inc Provider ID: 1692802 Fax: (973) 955-4264
Paterson, NJ 07504 703 Main St Gender: Female 00 Yrs/21 Yrs
(973) 684-0606 Paterson, NJ 07503 Prohealth Care Associates of M 8:30 AM - 7:00 PM
Fax: (973) 684-5575 (973) 754-2842 New Je TWTHF 8:30 AM - 5:30 PM
00 Yrs/130 Yrs Fax: (973) 754-5630 280 E 33rd St
Holy Name Medical Center 00 Yrs/130 Yrs Paterson, NJ 07504 Hedlund, Julie ARNP
M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg (973) 684-0606
Medical Center Fax: (973) 684-5575 Provider ID: 1464716
Taormina, Donna ARNP M-F 9:00 AM - 5:00 PM 00 Yrs/18 Yrs Gender: Female
M-F 9:00 AM - 5:00 PM We Care Pediatrics
Provider ID: 1306392 1187 Clifton Ave Ste 2D
Gender: Female Clifton, NJ 07011
Millennium Gastroenterology (973) 478-9299
Inc Fax: (973) 478-9652
397 Haledon Ave Ste 103 00 Yrs/21 Yrs
Haledon, NJ 07508 Christ Hospital
(973) 782-4872 M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs Sat 9:00 AM - 12:00 PM
St. Joseph's Hospital Reg
Medical Center
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 398
Updated: 11/26/2018

Allied Providers
Passaic
Nurse Practitioner Santana, Juan ARNP Nurse Practitioner Obstetrics/Gynecology
Pediatric - cont. Psychiatric Mental Health
Provider ID: 1706767 Bello-Hornak, Rosemarie
Lentini Rivera, Angela ARNP Gender: Male Dettmore, Diane ARNP CNM
Passaic Pediatrics, PA Provider ID: 398135
Provider ID: 1603763 298 Passaic St Provider ID: 1525366 Gender: Female
Gender: Female Passaic, NJ 07055 Gender: Female IPA of North Jersey Inc
St Joseph Healthcare Inc (973) 249-8100 Kashoqa Psychiatry Associates 703 Main St Rm A2402
11 Getty Ave Bldg 275 2nd Fl Fax: (973) 249-8110 PC Paterson, NJ 07503
Paterson, NJ 07503 00 Yrs/21 Yrs 506 Hamburg Tpke Ste 203 (973) 754-2720
(973) 754-2570 St. Joseph's Hospital Reg Wayne, NJ 07470 Fax: (973) 754-4999
Fax: (973) 754-2628 Medical Center (973) 633-1996 00 Yrs/130 Yrs
00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM Fax: (973) 633-8078 St. Joseph's Hospital Reg
St. Joseph's Hospital Reg 18 Yrs/130 Yrs Medical Center
Medical Center Vales-Buckwald, Nicole ARNP M-F 10:00 AM - 7:00 PM M-TH 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM
Provider ID: 1249577 Nutrition
Lentini Rivera, Angela ARNP Bello-Hornak, Rosemarie
Gender: Female
Albaum, Rachel RD CNM
North Hudson Community
Action Corp Provider ID: 1436410 Provider ID: 398135
Provider ID: 1603765
220 Passaic St Gender: Female Gender: Female
Gender: Female
Passaic, NJ 07055 Bhmg-United Medical St Josephs Healthcare Inc
St Joseph Healthcare Inc
(201) 210-0200 533 Lexington Ave 11 Getty Ave Bldg Ste 275, Fl 2
703 Main St
Fax: (973) 955-4264 Clifton, NJ 07011 Paterson, NJ 07501
Paterson, NJ 07503
00 Yrs/21 Yrs (973) 546-6844 (973) 754-2270
(973) 754-2570
JFK Medical Center Fax: (973) 546-7707 Fax: (973) 754-4999
Fax: (973) 754-2628
M 8:30 AM - 7:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/18 Yrs
TWTHF 8:30 AM - 5:30 PM M-F 8:00 AM - 7:00 PM St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Medical Center
Medical Center
Vales-Buckwald, Nicole ARNP Mendez, Victor RD M-TH 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Provider ID: 1111278 F 9:00 AM - 12:00 PM
Santana, Juan ARNP Provider ID: 1249582 Gender: Male Berkovsky, Elina PA
Gender: Female Victor Mendez
Provider ID: 1506523
Provider ID: 1706733 North Hudson Community 716 Broad St 2nd Fl Ste 2E
Action Corp Gender: Female
Gender: Male Clifton, NJ 07013
220 Passaic St Charles Haddad MD
Passaic Pediatrics, PA (973) 777-7938
Passaic, NJ 07055 1033 Rte 46 Ste 102
200 Gregory Ave Fl 2 18 Yrs/130 Yrs
(201) 210-0200 Clifton, NJ 07013
Passaic, NJ 07055 MT 5:30 AM - 7:00 PM
Fax: (973) 955-4264 (973) 779-7979
(973) 249-8100 W 9:00 AM - 4:00 PM
00 Yrs/21 Yrs Fax: (973) 779-7970
Fax: (973) 249-8110
JFK Medical Center Pula, Jaime RD 00 Yrs/130 Yrs
00 Yrs/21 Yrs
MTTHF 8:30 AM - 5:00 PM Provider ID: 976404 M-F 8:00 AM - 5:00 PM
St. Joseph's Hospital Reg
Medical Center W 8:30 AM - 7:00 PM Gender: Female Dailsay, Aurora ARNP
M-F 9:00 AM - 5:00 PM St Josephs Healthcare
703 Main St
Paterson, NJ 07503 Provider ID: 1072158
(973) 754-2700 Gender: Female
Fax: (973) 754-2725 North Hudson Community
Action Corpo
02 Yrs/130 Yrs
Sub Specialty: HIV/AIDs
M-F 9:00 AM - 5:00 PM
220 Passaic St
Passaic, NJ 07055
(201) 210-0200
Fax: (973) 955-4264
00 Yrs/130 Yrs
MTTHF 8:30 AM - 5:00 PM
W 10:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 399
Updated: 11/26/2018

Allied Providers
Passaic
Obstetrics/Gynecology - Occupational Therapy Junankar, Asha OT Kho, Kathleen OT
cont. Provider ID: 591385 Provider ID: 1156794
Abion, Kristine OT Gender: Female Gender: Female
Escobar, Paola CNM Provider ID: 977097 Sub Specialty: HIV/AIDs Holsman Physical Therapy and
Provider ID: 1145192 Gender: Female 235 Lakeview Ave Rehabi
Gender: Female Holsman Physical Therapy and Clifton, NJ 07011 1070 Clifton Ave Ste 1A
Holistic OB/GYN LLC Rehabi (973) 772-8006 Clifton, NJ 07013
1700 Rte 3 1070 Clifton Ave Ste 1A Fax: (973) 772-0907 (973) 246-6565
Clifton, NJ 07013 Clifton, NJ 07013 00 Yrs/130 Yrs Fax: (973) 883-0140
(973) 747-5217 (973) 246-6565 MTH 8:00 AM - 7:00 PM 00 Yrs/130 Yrs
Fax: (973) 396-8832 Fax: (973) 883-0140 TW 8:30 AM - 7:00 PM Languages: Tagalog
12 Yrs/130 Yrs 00 Yrs/130 Yrs F 9:00 AM - 4:30 PM M-F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish, Chinese,
Tagalog Junankar, Prashant OT Ocana, Tiffany OT
Mathews, Stefanie ARNP MTWTHFSat 8:00 AM - 8:00 Provider ID: 590501 Provider ID: 714340
PM Gender: Male Gender: Female
Provider ID: 1337864 Sub Specialty: HIV/AIDs Holsman Physical Therapy and
Gioffre, Darren OT 1479 Rte 23 Ste 201 Rehabi
Gender: Female
Provider ID: 1648483 Wayne, NJ 07470 1070 Clifton Ave Ste 1A
St Josephs Healthcare Inc
Gender: Male (973) 772-8006 Clifton, NJ 07013
11 Getty Ave Bldg 275 2nd Fl
Dynamic Physical Therapy and Fax: (973) 772-0907 (973) 246-6565
Paterson, NJ 07503 Sports 00 Yrs/130 Yrs Fax: (973) 883-0140
(973) 754-4275 680 Broadway Ste 507 MT 7:00 AM - 10:30 PM 00 Yrs/130 Yrs
Fax: (973) 754-4298 Paterson, NJ 07514 W 7:00 AM - 12:00 PM Languages: Filipino
12 Yrs/130 Yrs (862) 257-1073 M-F 9:00 AM - 4:30 PM
St. Joseph's Hospital Reg Fax: (862) 257-1074 Junankar, Prashant OT
Medical Center
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Provider ID: 590501 Pediatric Endocrinology
M-F 9:00 AM - 5:00 PM Gender: Male
Stansfield-Panzera, Dorothy Sub Specialty: HIV/AIDs Dougan, Sascha ARNP
CNM Henson, Dante OT 61 Lakeview Ave
Provider ID: 398332 Provider ID: 987761 Clifton, NJ 07011 Provider ID: 1650343
Gender: Female Gender: Male (973) 772-8006 Gender: Female
IPA of North Jersey Inc Holsman Physical Therapy and Fax: (973) 772-0907 Practice Associates Medical
Rehabi Group
703 Main St Rm A2402 00 Yrs/130 Yrs
1070 Clifton Ave Ste 1A 1777 Hamburg Tpke Ste 205
Paterson, NJ 07503 MW 10:00 AM - 7:00 PM
Clifton, NJ 07013 Wayne, NJ 07470
(973) 754-2720 T 11:30 AM - 5:30 PM
(973) 393-5545 (973) 971-4340
Fax: (973) 754-4999 TH 11:00 AM - 7:00 PM
Fax: (973) 246-6565 Fax: (973) 290-7367
00 Yrs/130 Yrs F 10:00 AM - 7:30 PM
00 Yrs/130 Yrs 00 Yrs/21 Yrs
St. Joseph's Hospital Reg
Medical Center Languages: Spanish, Tagalog Kalalo, Amory OT Morristown Memorial
M-TH 9:00 AM - 5:00 PM M-F 8:00 AM - 8:00 PM Provider ID: 1263825 Hospital
F 9:00 AM - 12:00 PM Gender: Male M-F 9:00 AM - 5:00 PM
Junankar, Asha OT
Holsman Physical Therapy and
Stansfield-Panzera, Dorothy Provider ID: 591385 Rehab Pediatrics
CNM Gender: Female 1070 Clifton Ave Ste 1A
Provider ID: 398332 Sub Specialty: HIV/AIDs Clifton, NJ 07013 Calilap Bernardo, Charmane
Gender: Female 1479 Rte 23 Ste 201 (973) 246-6565 ARNP
St Josephs Healthcare Inc Wayne, NJ 07470 00 Yrs/130 Yrs Provider ID: 1096282
11 Getty Ave Bldg Ste 275, Fl 2 (973) 686-0007 Languages: Tagalog Gender: Female
Paterson, NJ 07501 Fax: (973) 686-0001 M-F 8:00 AM - 8:00 PM North Hudson Community
(973) 754-2270 00 Yrs/130 Yrs Action Corpo
Fax: (973) 754-4999 M-TH 7:30 AM - 7:00 PM 220 Passaic St
00 Yrs/130 Yrs F 7:30 AM - 4:30 PM Passaic, NJ 07055
St. Joseph's Hospital Reg (201) 210-0200
Medical Center Fax: (973) 955-4264
M-TH 9:00 AM - 5:00 PM 00 Yrs/18 Yrs
MTTHF 8:30 AM - 5:00 PM
W 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 400
Updated: 11/26/2018

Allied Providers
Passaic
Pediatrics - cont. Legoff, Yassel PA Physical Therapy Espeleta, Benigno PT
Provider ID: 1583352 Provider ID: 1253991
Calilap Bernardo, Charmane Gender: Female Abdullah, Cinderella PT Gender: Male
ARNP Passaic Pediatrics, PA Holsman Physical Therapy and
Provider ID: 1096284 298 Passaic St Provider ID: 1007496 Rehab
Gender: Female Passaic, NJ 07055 Gender: Female 1070 Clifton Ave Ste 1A
North Hudson Community (973) 249-8100 Holsman Physical Therapy and Clifton, NJ 07013
Action Corpo Fax: (973) 249-8110 Rehabi (973) 246-6565
220 Passaic St 00 Yrs/18 Yrs 1070 Clifton Ave Ste 1 A Fax: (973) 883-0140
Passaic, NJ 07055 St. Joseph's Hospital Reg Clifton, NJ 07013 00 Yrs/130 Yrs
(201) 210-0200 Medical Center (973) 246-6565 Languages: Tagalog
Fax: (973) 955-4264 M-F 9:00 AM - 5:00 PM Fax: (973) 883-0140 MTWTHFSat 8:00 AM - 8:00
00 Yrs/18 Yrs 00 Yrs/130 Yrs PM
M 8:30 AM - 7:00 PM Legoff, Yassel PA M-F 9:00 AM - 5:00 PM
TWTHF 8:30 AM - 5:00 PM Provider ID: 1724238 Holsman, Richard PT
Gender: Female Barba, Melchor PT Provider ID: 659516
Calilap Bernardo, Charmane Passaic Pediatrics, PA Provider ID: 1592581 Gender: Male
ARNP 200 Gregory Ave 2nd Fl Gender: Male Holsman Physical Therapy and
Provider ID: 1096285 Passaic, NJ 07055 Ultra Comprehensive Physical Rehabi
Gender: Female (973) 249-8100 Therap 1070 Clifton Ave Ste 1A
North Hudson Community Fax: (973) 249-8110 246 Clifton Ave Clifton, NJ 07013
Action Corpo 00 Yrs/18 Yrs Clifton, NJ 07011 (973) 246-6565
220 Passaic St St. Joseph's Hospital Reg (862) 899-7900 Fax: (973) 883-0140
Passaic, NJ 07055 Medical Center Fax: (862) 899-7901 00 Yrs/130 Yrs
(201) 210-0200 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Languages: Spanish, Tagalog
Fax: (973) 955-4264 M-TH 9:00 AM - 7:00 PM MTWTHFSat 8:00 AM - 8:00
00 Yrs/130 Yrs Montanez, Vanessa ARNP F 9:00 AM - 5:00 PM PM
MTTHF 8:30 AM - 5:00 PM Sat 9:00 AM - 1:00 PM
W 10:30 AM - 7:00 PM Provider ID: 1210234 Jani, Himani PT
Gender: Female Barba, Melchor PT Provider ID: 1100779
Chui, Joey PA Passaic Pediatrics PA Provider ID: 1592603 Gender: Female
Provider ID: 1583356 200 Gregory Ave Fl 2 Gender: Male Haledon Physical Therapy II
Gender: Male Passaic, NJ 07055 Ultra Comprehensive Physical LLC
Passaic Pediatrics, PA (973) 249-8100 Therap Sub Specialty: HIV/AIDs
298 Passaic St Fax: (973) 249-8110 246 Clifton Ave 401 Haledon Ave
Passaic, NJ 07055 00 Yrs/130 Yrs Clifton, NJ 07011 Haledon, NJ 07508
(973) 249-8100 St. Joseph's Hospital Reg (862) 899-7900 (973) 689-6112
Fax: (973) 249-8110 Medical Center Fax: (862) 899-7901 Fax: (973) 689-6114
00 Yrs/18 Yrs M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs 02 Yrs/130 Yrs
St. Joseph's Hospital Reg M-TH 9:00 AM - 7:00 PM M-W 9:00 AM - 6:00 PM
Medical Center Montanez, Vanessa ARNP F 9:00 AM - 5:00 PM TH 9:00 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 1:00 PM
Kabbani, Nour PT
Provider ID: 1210235
Chui, Joey PA Encabo, Michelle Gallardo PT Provider ID: 1085791
Gender: Female
Provider ID: 1708380 Passaic Pediatrics PA Gender: Female
Gender: Male 298 Passaic St Provider ID: 956874 Ultimate Physical Therapy LLC
Passaic Pediatrics, PA Passaic, NJ 07055 Gender: Male 922 Main St Ste 101
200 Gregory Ave 2nd Fl (973) 249-8100 Holsman Physical Therapy and Paterson, NJ 07503
Passaic, NJ 07055 Fax: (973) 249-8110 Rehabi (973) 345-8200
(973) 249-8100 00 Yrs/130 Yrs 1070 Clifton Ave Ste 1 A Fax: (973) 345-2906
Fax: (973) 249-8110 St. Joseph's Hospital Reg Clifton, NJ 07013 00 Yrs/130 Yrs
00 Yrs/18 Yrs Medical Center (973) 246-6565 M-TH 8:30 AM - 7:00 PM
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Fax: (973) 883-0140 F 8:30 AM - 4:30 PM
Medical Center 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 8:00 PM

www.wellcare.com/New-Jersey | 401
Updated: 11/26/2018

Allied Providers
Passaic
Physical Therapy - cont. Manley, Robert PT Ojugo, Elizabeth PT Reyna, Angel David PT
Provider ID: 590353 Provider ID: 1277818 Provider ID: 1602009
Laureano, Mark PT Gender: Male Gender: Female Gender: Male
Provider ID: 1284186 235 Lakeview Ave Cepp Innovation Sports Allied Rehab Care Specialists,
Gender: Male Clifton, NJ 07011 1081 Paulison Ave Ste 4 LLC
Holsman Physical Therapy and (973) 772-8006 Clifton, NJ 07011 1135 Clifton Ave Ste 204
Rehab Fax: (973) 772-0907 (973) 471-3500 Clifton, NJ 07013
1070 Clifton Ave Ste 1A 00 Yrs/130 Yrs Fax: (973) 471-3504 (973) 955-2656
Clifton, NJ 07013 MWF 8:00 AM - 8:00 PM 00 Yrs/130 Yrs Fax: (973) 955-2657
(973) 246-6565 TTH 12:00 AM - 8:00 PM M-W 11:00 AM - 5:00 PM 02 Yrs/130 Yrs
Fax: (973) 883-0140 Sat 8:00 AM - 12:00 PM M-W 9:00 AM - 7:00 PM
00 Yrs/130 Yrs Patel, Hezal PT TH 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Mercado, Christopher PT Provider ID: 906422 F 9:00 AM - 12:00 PM
Gender: Female
Letizia, Robert PT Provider ID: 1644301 Holsman Physical Therapy and Salama, Mina PT
Provider ID: 1341020 Gender: Male Rehabi Provider ID: 1499459
Gender: Male Dynamic Physical Therapy and 1070 Clifton Ave Ste 1 Gender: Male
Spectrum Therapeutics of NJ Sports Clifton, NJ 07013 Synergy Sports and Medical
LLC 680 Broadway Ste 507 (973) 246-6565 Rehabili
401 Hamburg Tpke Ste 105 Paterson, NJ 07514 Fax: (973) 883-0140 911 E 23rd St
Wayne, NJ 07470 (862) 257-1073 00 Yrs/130 Yrs Paterson, NJ 07513
(973) 689-7123 Fax: (862) 257-1074 Languages: Hindi, Gujarati, (201) 758-5238
Fax: (973) 840-7143 00 Yrs/130 Yrs Marathi Fax: (201) 708-7341
00 Yrs/130 Yrs M-F 8:00 AM - 8:00 PM M-F 8:15 AM - 4:30 PM 18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Languages: Arabic
Moscaritola, Anthony PT Qazi, Shakeel PT M-F 9:00 AM - 5:00 PM
Maier, Jason PT Provider ID: 1195694
Provider ID: 1488601 Provider ID: 1085792 Gender: Male Silletti, Michael PT
Gender: Male Gender: Male Northern Rehab, Inc Provider ID: 1110539
Synergy Sports and Medical Ultimate Physical Therapy LLC 401 Hamburg Tpke Ste 204 Gender: Male
Rehab 1117 Main Ave Ste 101 Wayne, NJ 07470 Ultimate Physical Therapy LLC
911 E 23rd St Clifton, NJ 07011 (973) 790-9010 1117 Main Ave Ste 101
Paterson, NJ 07513 (973) 345-8200 Fax: (973) 790-9050 Clifton, NJ 07011
(201) 758-5238 Fax: (973) 345-2906 00 Yrs/130 Yrs (973) 405-6090
Fax: (201) 708-7341 00 Yrs/130 Yrs Languages: Hindi, Urdu, Fax: (973) 405-6088
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Persian - Farsi, Punjabi 00 Yrs/130 Yrs
M 8:30 AM - 7:00 PM M-TH 9:00 AM - 3:00 PM M-F 8:00 AM - 7:00 PM
TTH 8:30 AM - 8:00 PM Moscaritola, Anthony PT
W 9:00 AM - 4:00 PM Reyna, Alita PT Silletti, Michael PT
Provider ID: 1603075 Provider ID: 1110539
Provider ID: 1085792
Maniti, Whilma PT Gender: Female Gender: Male
Gender: Male
Provider ID: 1148830 Allied Rehab Care Specialist, Ultimate Physical Therapy LLC
Ultimate Physical Therapy LLC LLC
Gender: Female 922 Main St Ste 304
922 Main St Ste 101
Holsman Physical Therapy and Paterson, NJ 07503 1135 Clifton Ave Ste 204 Paterson, NJ 07503
Rehabi Clifton, NJ 07013 (973) 345-8200
(973) 345-8200
1070 Clifton Ave Ste 1A (973) 955-2656 Fax: (973) 354-5290
Fax: (973) 345-2906
Clifton, NJ 07013 Fax: (973) 955-2657 00 Yrs/130 Yrs
00 Yrs/130 Yrs
(397) 324-6656 02 Yrs/130 Yrs M-F 8:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM
Fax: (973) 883-0140 M-W 9:00 AM - 7:00 PM
00 Yrs/130 Yrs TH 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM F 9:00 AM - 12:00 PM

www.wellcare.com/New-Jersey | 402
Updated: 11/26/2018

Allied Providers
Passaic
Physical Therapy - cont. Vashi, Pooja PT Physician Assistant Reyes, Elizabeth PA
Provider ID: 1517848 Provider ID: 1138923
Talati, Dhaval PT Gender: Female Elzomor, Walid PA Gender: Female
Provider ID: 709118 Ultra Comprehensive Physical Provider ID: 712093 Passaic Pediatrics II
Gender: Male Therap Gender: Male Sub Specialty: HIV/AIDs
Holsman Physical Therapy and 246 Clifton Ave Ste 5 Elzomor Walid PA 913 Main Ave
Rehabi Clifton, NJ 07011 703 Main St Sjrmc Dept of Passaic, NJ 07055
1070 Clifton Ave Ste 1A (862) 899-7900 Cardiothoracic Surg (973) 458-8000
Clifton, NJ 07013 00 Yrs/130 Yrs Paterson, NJ 07503 Fax: (973) 458-8425
(973) 246-6565 M-F 9:00 AM - 7:00 PM (973) 754-2486 00 Yrs/21 Yrs
Fax: (973) 883-0140 Sat 9:00 AM - 2:00 PM Fax: (973) 754-2482 St. Joseph's Hospital Reg
00 Yrs/130 Yrs 00 Yrs/130 Yrs Medical Center
Languages: Hindi Voloshin, Igor PT St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 441384 Medical Center
Gender: Male M-F 9:00 AM - 5:00 PM Reyes, Elizabeth PA
Tuason, Cayetano PT I M Physical Therapy PC Provider ID: 1138923
Provider ID: 1602011 1225 McBride Ave Ste 203 Gruboy, Irina PA Gender: Female
Gender: Male Woodland Park, NJ 07424 Provider ID: 645935 Passaic Pediatrics II
Allied Rehab Care Specialists, (973) 339-9902 Gender: Female Sub Specialty: HIV/AIDs
LLC Fax: (973) 339-9903 Irina Gruboy, PA 93 Market St
1135 Clifton Ave Ste 204 00 Yrs/130 Yrs 703 Main St Rm A2415 Passaic, NJ 07055
Clifton, NJ 07013 M-F 9:00 AM - 5:00 PM Paterson, NJ 07503 (862) 238-8333
(973) 955-2656 (973) 754-2460 Fax: (862) 238-8338
Fax: (973) 955-2657 Vora, Kena PT Fax: (973) 754-2462 00 Yrs/21 Yrs
02 Yrs/130 Yrs Provider ID: 1530799 00 Yrs/130 Yrs St. Joseph's Hospital Reg
M-W 9:00 AM - 7:00 PM Gender: Female M-F 9:00 AM - 5:00 PM Medical Center
TH 9:00 AM - 5:00 PM Alpha One Physical Therapy M-F 9:00 AM - 5:00 PM
F 9:00 AM - 12:00 PM PC Hamded, Anthony PA
470 Chamberlain Ave Provider ID: 476636 Soliven, Christine PA
Ucol, Carlo PT Paterson, NJ 07522 Gender: Male Provider ID: 1072231
Provider ID: 1014907 (973) 942-1212 Anthony Hamded, PA Gender: Female
Gender: Male Fax: (973) 839-3653 Sub Specialty: HIV/AIDs St. Joseph's Healthcare Inc
Sub Specialty: HIV/AIDs 00 Yrs/130 Yrs 703 Main St Sjrmc-Dept. of 703 Main St
201 Lower Notch Rd Ste A-3 MT 2:00 AM - 7:00 PM Surgery Paterson, NJ 07503
Little Falls, NJ 07424 Paterson, NJ 07503 (973) 754-2486
(973) 837-6600 Yoshovayev, Anatoli PT (973) 754-2460 00 Yrs/130 Yrs
Fax: (973) 837-6601 Fax: (973) 754-2462 St. Joseph's Hospital Reg
00 Yrs/130 Yrs Provider ID: 984358 00 Yrs/130 Yrs Medical Center
MTWTHFSat 8:00 AM - 8:00 Gender: Male M-F 9:00 AM - 5:00 PM MTWTHFSatSun 9:00 AM -
PM Dynamic Rehab PT PC 5:00 PM
316 N 6th St Fl 2 Lebow, Elissa PA
Uri, Ida Cristina PT Prospect Park, NJ 07508 Provider ID: 1095880 Physician Assistant
Provider ID: 1163158 (973) 910-0307 Gender: Female Pediatric
Gender: Female Fax: (718) 233-2570 St Josephs Healthcare Inc
Holsman Physical Therapy and 00 Yrs/130 Yrs Sub Specialty: HIV/AIDs Bottino, Nicole PA
Rehabi Languages: Russian, Hebrew 703 Main St Provider ID: 1712553
1070 Clifton Ave Ste 1A M-W 8:30 AM - 4:00 PM Paterson, NJ 07503 Gender: Female
Clifton, NJ 07013 (973) 754-2486 Practice Associates Medical
(973) 246-6565 Fax: (973) 754-2975 Group
Fax: (973) 883-0140 00 Yrs/130 Yrs 1055 Hamburg Tpke Ste 100
00 Yrs/130 Yrs St. Joseph's Hospital Reg Wayne, NJ 07470
MTWTHFSat 8:00 AM - 8:00 Medical Center (973) 971-7830
PM M-F 9:00 AM - 5:00 PM Fax: (973) 538-1065
00 Yrs/21 Yrs
Morristown Memorial
Hospital
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 403
Updated: 11/26/2018

Allied Providers
Passaic
Speech & Language Thoracic & Cardiovascular
Pathology Surgery
Alqudah, Mohammad SLP Patten, Anthony PA
Provider ID: 681583
Provider ID: 1467537 Gender: Male
Gender: Male Anthony Patten, PA
Garden State Rehab Services 703 Main St Sjrmc-Dept of
227 Lakeview Ave Psychiatry
Clifton, NJ 07011 Paterson, NJ 07503
(862) 238-7000 (973) 754-2486
Fax: (973) 859-0792 Fax: (973) 754-2482
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

Speech Therapy Wilson, Althea PA


Provider ID: 1072238
Kumarasamy, Priyadarsini SLP Gender: Female
St. Joseph's Healthcare Inc
Provider ID: 925648 Sub Specialty: HIV/AIDs
Gender: Female 703 Main St Rm A2415
Holsman Physical Therapy and Paterson, NJ 07503
Rehabi (973) 754-2486
1070 Clifton Ave 00 Yrs/130 Yrs
Clifton, NJ 07013 St. Joseph's Hospital Reg
(973) 246-6565 Medical Center
Fax: (973) 883-0140 MTWTHFSatSun 9:00 AM -
00 Yrs/130 Yrs 5:00 PM
M-F 9:00 AM - 5:00 PM

Valdes, Stephanie SLP

Provider ID: 1167044


Gender: Female
Ultimate Physical Therapy LLC
1117 Main Ave Ste 101
Clifton, NJ 07011
(973) 405-6090
Fax: (973) 405-6088
00 Yrs/130 Yrs
M-F 9:00 AM - 7:00 PM

Valdes, Stephanie SLP

Provider ID: 1167044


Gender: Female
Ultimate Physical Therapy LLC
922 Main St Ste 101
Paterson, NJ 07503
(973) 345-8200
Fax: (973) 345-2906
00 Yrs/130 Yrs
M-F 9:00 AM - 7:00 PM

www.wellcare.com/New-Jersey | 404
List of Plan Providers for Managed
Long Term Services and Supports
(MLTSS)
Lista de proveedores del plan para
servicios y recursos de apoyo
administrados a largo plazo (MLTSS)

The providers in this section may only be selected by MLTSS members. If you have questions,
1-
call the MLTSS Customer Service Department toll-free at 1-855-642-6185 (TTY 711).00000000000000

Los proveedores en esta sección solo pueden ser seleccionados por miembros de MLTSS.
Si tiene preguntas, llame sin cargo al Departamento de Servicio al Cliente de MLTSS al
1-855-642-6185 (TTY 711).000000000000000
Updated: 11/26/2018

Managed Long Term Services And Supports


All
Laboratory Pathology
Testing
Labcorp
For Providers and Locations
Please Call:
(888) 522-2677
Quest Diagnostics
For Providers and Locations
Please Call:
(888) 277-8772
Medically Necessary
Transportation
WellCare Customer Service
For Providers and Locations
Please Call:
(888) 453-2534

www.wellcare.com/New-Jersey | 406
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Addiction Psychiatry Good Shepard Adult Day Care Sunshine Adult Day Health Long Life Adult Day Care LLC
Care Center
Reddy, Srikanth MD Provider ID: 982356 Provider ID: 976118 Provider ID: 983386
725 Valley Brook Ave Sunshine Adult Day Health 596 Anderson Ave Ste 110
Provider ID: 271911 Lyndhurst, NJ 07071 Care Center Cliffside Park, NJ 07010
Gender: Male (201) 933-0711 16 N Washington Ave (201) 943-7111
Bergen Regional Medical Fax: (201) 933-0611 Bergenfield, NJ 07621 Fax: (201) 943-8859
Center 18 Yrs/130 Yrs (201) 387-8500 60 Yrs/130 Yrs
230 E Ridgewood Ave Languages: Spanish, Arabic, Fax: (201) 387-0300 Languages: Spanish, Russian,
Paramus, NJ 07652 Korean 16 Yrs/130 Yrs Korean, Indonesian
(800) 730-2762 MTWTHFSat 7:30 AM - 6:30 Languages: Spanish, Hindi, M-F 9:00 AM - 7:00 PM
Fax: (201) 225-7101 PM Tagalog
18 Yrs/130 Yrs MTWTHFSat 7:00 AM - 7:00 Assisted Living Services
Bergen Regional Medical Holy Name Medical Center PM
Center Bright Side Manor
M-F 8:00 AM - 4:00 PM Provider ID: 995796
Adult Medical Day Care Provider ID: 994608
718 Teaneck Rd 300 Teaneck Rd
Adult Day Care Atmiya Adult Day Care LLC
Teaneck, NJ 07666 Teaneck, NJ 07666
(201) 833-3740 (201) 692-1000
Careway Medical Adult Day Fax: (201) 833-3456 Provider ID: 1087653 Fax: (201) 692-0293
Care Corp Fc 21 Yrs/130 Yrs 109 Midland Ave 50 Yrs/110 Yrs
Provider ID: 1618944 Languages: Spanish Elmwood Park, NJ 07407
511 Mola Blvd M-F 8:30 AM - 4:00 PM (201) 509-8870 Christian Health Care Center
Elmwood Park, NJ 07407 Fax: (201) 509-8564
(201) 773-0779 Jay Shree Krishna Little Ferry 60 Yrs/130 Yrs Provider ID: 1016992
Fax: (201) 703-0780 LLC Languages: Spanish, Chinese, Christian Health Care Center
18 Yrs/130 Yrs Provider ID: 1087147 Hindi, Gujarati DBA Ch
MTWTHFSatSun 8:30 AM - Peaceful Adult Day Care M-F 8:00 AM - 4:00 PM 301 Sicomac Ave
7:00 PM Center Wyckoff, NJ 07481
101 Industrial Ave Ste C Bergen County Adult Day
(201) 848-5785
Gallen Adult Day Healthcare Little Ferry, NJ 07643 Care LLC DBA New
Fax: (201) 848-4310
(201) 870-6265 Provider ID: 975058 00 Yrs/130 Yrs
Provider ID: 1406767 Fax: (201) 870-6263 New Life Adult Day Care
10 Link Dr 60 Yrs/130 Yrs 340 Evelyn St Geriatric Living Solutions Inc
Rockleigh, NJ 07647 M-F 8:00 AM - 6:30 PM Paramus, NJ 07652
(201) 784-1414 Sat 9:00 AM - 2:00 PM (201) 265-0606 Provider ID: 1304943
Fax: (201) 750-4257 Fax: (201) 265-0630 Portable Assisted Living
18 Yrs/130 Yrs My Home Adult Day Care 00 Yrs/130 Yrs Services
M-F 9:00 AM - 5:00 PM Center Inc Languages: Spanish, Russian, 100 Madison Ave
Provider ID: 1012348 Korean Westwood, NJ 07675
Golden Adult Day Care Inc Fc My Home Adult Day Care M-F 9:00 AM - 5:00 PM (201) 497-8688
Center Fax: (201) 497-8690
217 Hergesell Ave Broadway Adult Medical Day
Provider ID: 1571882 Care 60 Yrs/130 Yrs
53-57 W Fort Lee Rd Maywood, NJ 07607 Languages: Polish
(201) 291-8811 Provider ID: 984129
Bogota, NJ 07603
Fax: (201) 291-8833 24-20 Broadway Jewish Home Assisted Living
(201) 457-1007
40 Yrs/130 Yrs Fair Lawn, NJ 07410
Fax: (201) 457-1005
M-F 7:30 AM - 7:30 PM (201) 797-1177
16 Yrs/130 Yrs Provider ID: 995943
Fax: (201) 796-3344
MTWTHFSatSun 8:00 AM - 685 Westwood Ave
New Jersey Adult Medical Day 00 Yrs/130 Yrs
6:30 PM Rivervale, NJ 07675
Care Center M-F 9:00 AM - 5:00 PM
(201) 666-2370
Provider ID: 975344
18 Yrs/130 Yrs
22-08 Rte 208
Fair Lawn, NJ 07410
(201) 773-9090
Fax: (201) 773-9088
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Assisted Living Services - Johnson, Lynn AUD Albracht, Barbara LCSW Augustine-Phalen, Tara LCSW
cont. Provider ID: TPV08031-01
Gender: Female Provider ID: 905056 Provider ID: 905182
The Actors Fund Homes HearUSA Gender: Female Gender: Female
1021 Main St Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 995463 River Edge, NJ 07661 610 Valley Health Plz 610 Valley Health Plz
155 W Hudson Ave Ste 175 (201) 291-0550 Paramus, NJ 07652 Paramus, NJ 07652
Englewood, NJ 07631 Fax: (201) 343-7840 (201) 265-8200 (201) 986-5000
(201) 871-8882 21 Yrs/99 Yrs Fax: (201) 265-0366 Fax: (201) 265-0366
Fax: (201) 871-9511 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
18 Yrs/130 Yrs M-TH 9:00 AM - 8:00 PM M-F 9:00 AM - 5:00 PM
Total Hearing Care-Westwood F 9:00 AM - 7:00 PM
Audiology Sat 9:00 AM - 5:00 PM Augustine-Phalen, Tara LCSW
Provider ID: 945782
Cielesz, Amanda AUD 400 Old Hook Rd Ste 1-5 Albracht, Barbara LCSW Provider ID: 905182
Provider ID: TPV16392-01 Westwood, NJ 07675 Gender: Female
Gender: Female (201) 483-2960 Provider ID: 905056 Care Plus NJ Inc
HearUSA Fax: (908) 288-7430 Gender: Female 611 Rte 46 W Ste 100
1021 Main St 00 Yrs/130 Yrs Care Plus NJ Inc Hasbrouck Heights, NJ 07604
River Edge, NJ 07661 M-F 9:00 AM - 5:00 PM 611 Rte 46 W Ste 100 (201) 986-5000
(201) 291-0550 Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs
Fax: (201) 343-7840 Behavioral Health (201) 986-5000 M-F 9:00 AM - 5:00 PM
21 Yrs/99 Yrs Counseling 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Bellamy, Mike LCSW
Albracht, Barbara LCSW Provider ID: 1054981
Cronk, Rebecca AUD Augustine-Phalen, Tara LCSW Gender: Male
Provider ID: TPV05424-01 Provider ID: 905056 Bergen Regional Medical
Gender: Female Gender: Female Provider ID: 905182 Center
HearUSA Care Plus NJ Inc Gender: Female 230 E Ridgewood Ave
1021 Main St 17-07 Romaine St Care Plus NJ Inc Paramus, NJ 07652
River Edge, NJ 07661 Fair Lawn, NJ 07410 17 07 Romaine St (800) 730-2762
(201) 291-0550 (201) 986-5000 Fair Lawn, NJ 07410 Fax: (201) 225-7101
Fax: (201) 343-7840 00 Yrs/130 Yrs (201) 986-5000 05 Yrs/130 Yrs
21 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 797-5025 Bergen Regional Medical
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Center
Albracht, Barbara LCSW M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 5:30 PM
Gotlieb Hearing Center
Provider ID: 946413 Augustine-Phalen, Tara LCSW Bersch, Kristine LCSW
Provider ID: 905056
14-12 River Rd Gender: Female Provider ID: 910527
Fair Lawn, NJ 07410 Care Plus NJ Inc Provider ID: 905182 Gender: Female
(201) 703-6800 230 E Ridgewood Ave Gender: Female Care Plus NJ Inc
Fax: (201) 703-6805 Paramus, NJ 07652 Care Plus NJ Inc 17-07 Romaine St
00 Yrs/130 Yrs (201) 986-5000 230 E Ridgewood Ave Fair Lawn, NJ 07410
Languages: Hebrew 00 Yrs/130 Yrs Paramus, NJ 07652 (201) 797-2660
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (201) 986-5000 Fax: (201) 797-5025
00 Yrs/130 Yrs 00 Yrs/130 Yrs
Hearx LTD M-F 9:00 AM - 5:00 PM Languages: Spanish, Russian,
Provider ID: 127534 Portuguese
66 N Rte 17 M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652
(201) 291-0550
Fax: (201) 291-8900
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Behavioral Health Demers, Kathleen LCSW Gehrig-Mullins, Lorraine Heguy, Susannah LCSW
Counseling - cont. LCSW
Provider ID: 915211 Provider ID: 903122 Provider ID: 903112
Chapman, Mark LCSW Gender: Female Gender: Female Gender: Female
Provider ID: 912109 Care Plus NJ Inc Care Plus NJ Inc Care Plus NJ Inc
Gender: Male 611 Rte 46 W Ste 100 230 E Ridgewood Ave 17 07 Romaine St
395 Main St Hasbrouck Heights, NJ 07604 Paramus, NJ 07652 Fair Lawn, NJ 07410
Hackensack, NJ 07601 (201) 986-5000 (201) 986-5000 (201) 797-2660
(201) 646-0333 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 797-5025
00 Yrs/130 Yrs Languages: French, Hindi, Languages: Spanish, Russian, 00 Yrs/130 Yrs
MTH 9:00 AM - 5:00 PM Sindhi Portuguese Languages: Spanish, Russian,
T 12:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Portuguese
W 1:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM
Diniro, Joanne LCSW Gehrig-Mullins, Lorraine
F 9:00 AM - 4:00 PM
Provider ID: 815568 LCSW Heguy, Susannah LCSW
Demers, Kathleen LCSW Gender: Female Provider ID: 903122
Joanne Diniro LCSW Gender: Female Provider ID: 903112
50 N Franklin Tpke Ste 204 Care Plus NJ Inc Gender: Female
Provider ID: 915211
Ho Ho Kus, NJ 07423 610 Valley Health Plz Care Plus NJ Inc
Gender: Female
(201) 741-5184 Paramus, NJ 07652 230 E Ridgewood Ave
Care Plus NJ Inc
Fax: (201) 857-3810 (201) 986-5044 Paramus, NJ 07652
17 07 Romaine St
16 Yrs/75 Yrs Fax: (201) 265-0366 (201) 986-5000
Fair Lawn, NJ 07410
M-F 10:00 AM - 7:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000
Sat 10:00 AM - 3:00 PM Languages: Spanish, Russian, Languages: Spanish, Russian,
00 Yrs/130 Yrs Portuguese Portuguese
Languages: French, Hindi,
Doerr, Christine ARNP M-TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Sindhi
F 9:00 AM - 5:30 PM
M-F 9:00 AM - 5:00 PM
Provider ID: 909532 Heguy, Susannah LCSW
Gehrig-Mullins, Lorraine
Demers, Kathleen LCSW Gender: Female LCSW
395 Main St Provider ID: 903112
Provider ID: 903122
Provider ID: 915211 Hackensack, NJ 07601 Gender: Female
Gender: Female
Gender: Female (201) 646-0333 Care Plus NJ Inc
Care Plus NJ Inc
Care Plus NJ Inc Fax: (201) 646-0334 610 Valley Health Plz
611 Rte 46 W Ste 100
230 E Ridgewood Ave 00 Yrs/130 Yrs Paramus, NJ 07652
Hasbrouck Heights, NJ 07604
Paramus, NJ 07652 Bergen Regional Medical (201) 986-5044
(201) 986-5000
(201) 986-5000 Center Fax: (201) 265-0366
00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: Spanish 00 Yrs/130 Yrs
Languages: Spanish, Russian,
Languages: French, Hindi, M 9:00 AM - 5:00 PM Languages: Spanish, Russian,
Portuguese
Sindhi T 11:30 AM - 7:30 PM Portuguese
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Gehrig-Mullins, Lorraine Glick-Novack, Stacey LCSW
Demers, Kathleen LCSW LCSW Heguy, Susannah LCSW
Provider ID: 903122
Gender: Female Provider ID: 900825
Provider ID: 915211 Provider ID: 903112
Care Plus NJ Inc Gender: Female
Gender: Female Gender: Female
17 07 Romaine St Relief and Solutions
Care Plus NJ Inc Counseling Care Plus NJ Inc
610 Valley Health Plz Fair Lawn, NJ 07410 611 Rte 46 W Ste 100
192 3rd Ave Ste 3 and 4
Paramus, NJ 07652 (201) 797-2660 Hasbrouck Heights, NJ 07604
Westwood, NJ 07675
(201) 265-8200 Fax: (201) 797-5025 (201) 986-5000
(201) 666-2400
Fax: (201) 265-0366 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 666-2472
00 Yrs/130 Yrs Languages: Spanish, Russian, Languages: Spanish, Russian,
Portuguese 12 Yrs/130 Yrs
Languages: French, Hindi, Portuguese
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Sindhi M-F 9:00 AM - 5:00 PM
M 10:00 AM - 9:00 PM
T 9:00 AM - 6:00 PM
W 9:00 AM - 5:00 PM
TH 9:00 AM - 9:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Behavioral Health Kuperinsky, Renee LCSW Martino, Jodi LCSW McQuillen, Nicole LCSW
Counseling - cont. Provider ID: 903250
Provider ID: 996030 Gender: Female Provider ID: 910115
Holway, Lorelle LCSW Gender: Female Care Plus NJ Inc Gender: Female
Provider ID: 903376 Bergen Regional Medical 610 Valley Health Plz Care Plus NJ Inc
Gender: Female Center Paramus, NJ 07652 17 07 Romaine St
Care Plus NJ Inc 230 E Ridgewood Ave (201) 986-5044 Fair Lawn, NJ 07410
17-07 Romaine St Paramus, NJ 07652 Fax: (201) 265-0366 (201) 986-5000
Fair Lawn, NJ 07410 (800) 730-2762 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 Fax: (201) 225-7101 MW 11:00 AM - 8:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 05 Yrs/130 Yrs TTH 9:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM Bergen Regional Medical F 8:30 AM - 3:00 PM McQuillen, Nicole LCSW
Center
Holway, Lorelle LCSW M-TH 8:00 AM - 7:30 PM Martino, Jodi LCSW Provider ID: 910115
Provider ID: 903376 F 8:00 AM - 4:30 PM Provider ID: 903250 Gender: Female
Gender: Female Gender: Female Care Plus NJ Inc
Care Plus NJ Inc Losak, Drew LCSW Care Plus NJ Inc 230 E Ridgewood Ave
230 E Ridgewood Ave Provider ID: 1049703 611 Rte 46 W Ste 100 Paramus, NJ 07652
Paramus, NJ 07652 Gender: Male Hasbrouck Heights, NJ 07604 (201) 986-5000
(201) 986-5000 Bergen Regional Medical (201) 986-5000 00 Yrs/130 Yrs
00 Yrs/130 Yrs Center 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM 230 E Ridgewood Ave M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 McQuillen, Nicole LCSW
Holway, Lorelle LCSW (800) 730-2762 McGrath, Kathleen LCSW
Provider ID: 903376 Fax: (201) 225-7101 Provider ID: 910115
Gender: Female 12 Yrs/130 Yrs Provider ID: 903637 Gender: Female
Care Plus NJ Inc Bergen Regional Medical Gender: Female Care Plus NJ Inc
610 Valley Health Plz Center Kathleen J McGrath 610 Valley Health Plz
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM 65 N Maple Ave Paramus, NJ 07652
(201) 265-8200 Ridgewood, NJ 07450 (201) 986-5000
Martino, Jodi LCSW
Fax: (201) 265-0366 (201) 666-3797 Fax: (201) 265-0366
00 Yrs/130 Yrs Provider ID: 903250 Fax: (908) 317-6887 00 Yrs/130 Yrs
M-F 9:00 AM - 8:00 PM Gender: Female 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 5:00 PM Care Plus NJ Inc M-W 11:00 AM - 9:00 PM
17 07 Romaine St McQuillen, Nicole LCSW
Holway, Lorelle LCSW Fair Lawn, NJ 07410 McKenna, Regina LCSW
Provider ID: 903376 (201) 986-5000
Provider ID: 910115
Gender: Female 00 Yrs/130 Yrs Provider ID: 907344 Gender: Female
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Gender: Female Care Plus NJ Inc
611 Rte 46 W Ste 100 516 Valley Brook Ave 611 Rte 46 W Ste 100
Martino, Jodi LCSW
Hasbrouck Heights, NJ 07604 Lyndhurst, NJ 07071 Hasbrouck Heights, NJ 07604
(201) 986-5000 Provider ID: 903250 (201) 935-3322 (201) 986-5000
00 Yrs/130 Yrs Gender: Female Fax: (201) 935-9196 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
230 E Ridgewood Ave Languages: Spanish
Paramus, NJ 07652 M 9:00 AM - 9:00 PM
(201) 986-5000 T 10:30 AM - 9:30 PM
00 Yrs/130 Yrs WTH 9:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Behavioral Health Montuore, Lisa LCSW Robinson, Christopher LCSW Rudo, Antonio LMHC
Counseling - cont. Provider ID: 904338 Provider ID: 902039
Gender: Female Provider ID: 903173 Gender: Male
Meiselman, Lorie LCSW Care Plus NJ Inc Gender: Male Care Plus NJ Inc
610 Valley Health Plz Relief and Solutions 611 Rte 46 W Ste 100
Provider ID: 911654 Paramus, NJ 07652 Counseling Center Hasbrouck Heights, NJ 07604
Gender: Female (201) 986-5000 192 3rd Ave Ste 3 (201) 986-5000
Counseling Services Inc Fax: (201) 265-0366 Westwood, NJ 07675 00 Yrs/130 Yrs
555 North Ave Ste 23P 00 Yrs/130 Yrs (201) 666-2400 Languages: Spanish, Italian,
Fort Lee, NJ 07024 MF 9:00 AM - 5:00 PM Fax: (201) 666-2472 Greek
(201) 363-8840 TWTH 9:00 AM - 9:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (201) 363-8748 M-F 7:00 AM - 10:00 PM
Montuore, Lisa LCSW Sat-Sun 9:00 AM - 5:00 PM Sacher, Jeremy LCSW
00 Yrs/130 Yrs
MTH 9:00 AM - 9:00 PM Provider ID: 904338 Provider ID: 909497
T 12:00 AM - 10:00 PM Gender: Female Romeo, Dawn LCSW Gender: Male
W 6:00 AM - 10:00 PM Care Plus NJ Inc Provider ID: 910657 395 Main St
F 9:00 AM - 2:00 PM 611 Rte 46 W Ste 100 Gender: Female Hackensack, NJ 07601
Hasbrouck Heights, NJ 07604 516 Valley Brook Ave (201) 646-0333
Millan, Valeska LCSW (201) 986-5000 Lyndhurst, NJ 07071 Fax: (201) 646-0283
Provider ID: 904287 00 Yrs/130 Yrs (201) 935-3322 00 Yrs/130 Yrs
Gender: Female M-F 9:00 AM - 5:00 PM Fax: (201) 935-9196 MT 9:00 AM - 5:00 PM
Care Plus NJ Inc 00 Yrs/130 Yrs W 12:00 AM - 8:00 PM
610 Valley Health Plz Pettinati, Marilyn LCSW MW 9:00 AM - 9:00 PM TH 9:00 AM - 6:00 PM
Paramus, NJ 07652 T 9:00 AM - 5:00 PM F 9:00 AM - 4:00 PM
(201) 986-5000 Provider ID: 904344 TH 9:00 AM - 2:00 PM
Gender: Female Smith, Patricia LCSW
Fax: (201) 265-0366
00 Yrs/130 Yrs Care Plus NJ Inc Rudo, Antonio LMHC Provider ID: 903248
Languages: Spanish, Russian 610 Valley Health Plz Provider ID: 902039 Gender: Female
MT 3:00 AM - 9:00 PM Paramus, NJ 07652 Gender: Male Care Plus NJ Inc
(201) 986-5000 Care Plus NJ Inc 610 Valley Health Plz
Montuore, Lisa LCSW Fax: (201) 265-0366 17 07 Romaine St Paramus, NJ 07652
Provider ID: 904338 00 Yrs/130 Yrs Fair Lawn, NJ 07410 (201) 986-5044
Gender: Female MT 8:00 AM - 11:00 PM (201) 986-5000 Fax: (201) 265-0366
Care Plus NJ Inc W 5:30 AM - 9:30 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
17 07 Romaine St TH 8:00 AM - 12:00 PM Languages: Spanish, Italian, Bergen Regional Medical
Fair Lawn, NJ 07410 Greek Center
(201) 986-5000 Rivera, Antonio LCSW M-F 9:00 AM - 5:00 PM M 6:00 AM - 9:00 PM
00 Yrs/130 Yrs Provider ID: 959289 T 10:00 AM - 12:00 PM
Gender: Male Rudo, Antonio LMHC W 10:00 AM - 9:00 PM
M-F 9:00 AM - 5:00 PM
Antonio L Rivera Provider ID: 902039 TH 10:00 AM - 6:00 PM
Montuore, Lisa LCSW 786 Grange Rd Gender: Male
Teaneck, NJ 07666 Care Plus NJ Inc Tuttle, Gloria LCSW
Provider ID: 904338
Gender: Female (973) 907-0864 610 Valley Health Plz Provider ID: 903247
Care Plus NJ Inc 12 Yrs/130 Yrs Paramus, NJ 07652 Gender: Female
230 E Ridgewood Ave Languages: Spanish (201) 265-8200 Care Plus NJ Inc
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM Fax: (201) 265-0366 17 07 Romaine St
(201) 986-5000 00 Yrs/130 Yrs Fair Lawn, NJ 07410
00 Yrs/130 Yrs Languages: Spanish, Italian, (201) 986-5000
M-F 9:00 AM - 5:00 PM Greek 00 Yrs/130 Yrs
M-F 8:30 AM - 9:00 PM M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Behavioral Health Vitiello, Anna LCSW Wint, Keisha LCSW West Bergen
Counseling - cont. Provider ID: 901976 Provider ID: 901029 Mentalhealthcare
Gender: Female Gender: Female Provider ID: 944662
Tuttle, Gloria LCSW Care Plus NJ Inc Care Plus NJ Inc Sub Specialty: Adult Mental
Provider ID: 903247 230 E Ridgewood Ave 610 Valley Health Plz Health Rehab, Medication
Gender: Female Paramus, NJ 07652 Paramus, NJ 07652 Management, PARTIAL CARE
Care Plus NJ Inc (201) 986-5000 (201) 986-5044 120 Chestnut St
230 E Ridgewood Ave 00 Yrs/130 Yrs Fax: (201) 265-0366 Ridgewood, NJ 07450
Paramus, NJ 07652 Languages: Spanish, Russian, 00 Yrs/130 Yrs (201) 444-3550
(201) 986-5000 Hindi, Korean M 4:00 AM - 9:00 PM Fax: (201) 652-1613
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM T 9:00 AM - 6:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM WF 9:00 AM - 5:00 PM Languages: Spanish, Hindi,
Vitiello, Anna LCSW TH 9:00 AM - 9:00 PM Yiddish
Tuttle, Gloria LCSW Provider ID: 901976 M-TH 8:00 AM - 8:00 PM
Provider ID: 903247 Gender: Female Behavioral Health Facility F 8:00 AM - 5:00 PM
Gender: Female Care Plus NJ Inc
Team Management 2000 Inc West Bergen
Care Plus NJ Inc 610 Valley Health Plz
Fc Mentalhealthcare
610 Valley Health Plz Paramus, NJ 07652
(201) 986-5044 Provider ID: 1710071 Provider ID: 944662
Paramus, NJ 07652
Fax: (201) 265-0366 Sub Specialty: Outpatient Sub Specialty: Adult Mental
(201) 986-5044 Health Rehab, Medication
Fax: (201) 265-0366 00 Yrs/130 Yrs Services
Management, PARTIAL CARE
00 Yrs/130 Yrs Languages: Spanish, Russian, 84 Main St
3 Post Rd
M-F 9:00 AM - 9:00 PM Hindi, Korean Hackensack, NJ 07601
Oakland, NJ 07436
Sat 9:00 AM - 5:00 PM MTHF 9:00 AM - 4:00 PM (201) 487-4700
(201) 651-1900
TW 2:00 AM - 9:00 PM Fax: (201) 487-4787
Fax: (201) 651-9608
Tuttle, Gloria LCSW 14 Yrs/130 Yrs
Vitiello, Anna LCSW 00 Yrs/130 Yrs
Provider ID: 903247 MWTH 9:00 AM - 9:00 PM
Provider ID: 901976 Languages: Spanish, Hindi,
Gender: Female T 9:00 AM - 5:00 PM Yiddish
Care Plus NJ Inc Gender: Female F 9:00 AM - 7:00 PM MT 1:00 AM - 8:00 PM
611 Rte 46 W Ste 100 Care Plus NJ Inc
Hasbrouck Heights, NJ 07604 611 Rte 46 W Ste 100 Vantage Healthsystem West Bergen
(201) 986-5000 Hasbrouck Heights, NJ 07604 Provider ID: 944660 Mentalhealthcare
00 Yrs/130 Yrs (201) 986-5000 2 Park Ave Provider ID: 944662
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Dumont, NJ 07628 Sub Specialty: Adult Mental
Languages: Spanish, Russian, (201) 385-4400 Health Rehab, Medication
Vitiello, Anna LCSW Hindi, Korean Fax: (201) 384-7007 Management, PARTIAL CARE
Provider ID: 901976 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 615 Franklin Tpke
Gender: Female MTF 9:00 AM - 5:00 PM Ridgewood, NJ 07450
Vollenweider, Diane LCSW WTH 9:00 AM - 8:00 PM
Care Plus NJ Inc (201) 857-0080
17 07 Romaine St Fax: (201) 857-0073
Fair Lawn, NJ 07410 Provider ID: 901912 Vantage Healthsystem 00 Yrs/130 Yrs
(201) 986-5000 Gender: Female Provider ID: 944660 Languages: Spanish, Hindi,
00 Yrs/130 Yrs Relief and Solutions 93 W Palisade Ave Yiddish
Languages: Spanish, Russian, Counseling Englewood, NJ 07631 M-TH 8:00 AM - 8:00 PM
Hindi, Korean 192 3rd Ave Stes 3 and 4 (201) 567-0500 F 8:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Westwood, NJ 07675 Fax: (201) 567-9335
(201) 666-2400 00 Yrs/130 Yrs
Fax: (201) 666-2472 MT 9:00 AM - 8:00 PM
00 Yrs/130 Yrs WTHF 9:00 AM - 5:00 PM
M-TH 4:30 AM - 10:00 PM
F 9:00 AM - 5:00 PM
Sat 8:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 412
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Chore/Housekeeping Rawls, Valerie CSW Durable Medical Have Shoes Will Travel
Services Provider ID: 1647597 Equipment
Gender: Female Provider ID: 1202329
All Metro Health Care Teamup Counseling At Home Medical 724 Anderson Ave
Provider ID: 964963 632B Bergen Blvd Provider ID: 944748 Cliffside Park, NJ 07010
All Metro Home Care Services Ridgefield, NJ 07657 Athome Medical (201) 366-4101
of New (201) 917-3048 315 Phillips Ave Fax: (201) 917-3645
214 State St Ste 104 Fax: (201) 328-9404 South Hackensack, NJ 07606 21 Yrs/130 Yrs
Hackensack, NJ 07601 00 Yrs/21 Yrs (800) 287-0463 Languages: Spanish
(201) 488-6151 M-F 9:00 AM - 5:00 PM Fax: (975) 538-2703 M-F 10:00 AM - 5:00 PM
Fax: (201) 488-6165 00 Yrs/130 Yrs Sat 0:00 AM - 0:00 PM
00 Yrs/130 Yrs Siegel, Rebecca CSW
Languages: Spanish, Arabic Provider ID: 1646447 B and L Medical Supply Inc Integra Partners LLC
M-F 9:00 AM - 5:00 PM Gender: Female Provider ID: 389627
Prohealth Care Associates of Provider ID: 944826 Allcare Orthotic & Prosthetic
Angels Care LLC New Je 23-21 Broadway Servi
Provider ID: 946348 221 Park Ave Fair Lawn, NJ 07410 15 Emerald St
87 Old River St Rutherford, NJ 07070 (201) 797-0304 Hackensack, NJ 07601
Hackensack, NJ 07601 (201) 293-0976 Fax: (201) 797-0454 (888) 700-5004
(201) 265-2818 Fax: (201) 293-0977 05 Yrs/130 Yrs Fax: (888) 700-7313
Fax: (201) 265-2817 00 Yrs/130 Yrs Languages: Spanish, Russian 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish, Hebrew
Languages: Spanish, French, M-F 8:30 AM - 5:00 PM
Korean, Polish Tider, Toby CSW Center Pharmacy
M-F 9:00 AM - 5:00 PM Provider ID: 1640666 Provider ID: 944137 Integra Partners LLC
Gender: Female 251 Main St Provider ID: 389627
Loving Care Agency Inc Medical Associates of Fort Lee, NJ 07024 Cranial Technologies
Englewood, PC (201) 947-5550 2 University Plaza DR Ste 111
Provider ID: 1008554 1 N Washington Ave Fax: (201) 947-0514 Hackensack, NJ 07601
190 Moore St Bergenfield, NJ 07621 00 Yrs/130 Yrs (888) 700-5004
Hackensack, NJ 07601 (201) 374-9201 MTWTHFSat 9:00 AM - 8:00 Fax: (888) 700-7313
(201) 525-7470 Fax: (201) 784-0065 PM 00 Yrs/130 Yrs
Fax: (201) 592-7003 00 Yrs/130 Yrs Languages: Spanish, Hebrew
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Comfort Shoes and Supplies M-F 8:00 AM - 5:00 PM
Languages: Spanish, Russian, Inc
Polish, Ukrainian Tider, Toby CSW Provider ID: 926074 Integra Partners LLC
M-F 9:00 AM - 5:00 PM Provider ID: 1640666 659 Anderson Ave Provider ID: 389627
Gender: Female Cliffside Park, NJ 07010 Golden Cares Pharmacy
Clinical Social Work Medical Associates of (201) 943-0340 57 W Fort Lee Rd
Englewood, PC Fax: (201) 943-0347 Bogota, NJ 07603
Kardonsky, Elena LCSW 24 Elm St 50 Yrs/100 Yrs (201) 343-1170
Harrington Pk, NJ 07640 Languages: Spanish, Russian 00 Yrs/130 Yrs
Provider ID: 1552265 (201) 784-0123 M 10:00 AM - 4:00 PM Languages: Spanish, Hebrew
Gender: Female Fax: (201) 784-0065 TWTHF 10:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Psychological Counseling and 00 Yrs/130 Yrs Sat 9:00 AM - 6:00 PM
Empowe MW 10:00 AM - 8:00 PM Ej and Jj Inc
71 Franklin Tpke Ste 1-2 TTH 9:00 AM - 5:00 PM Provider ID: 944444 Integra Partners LLC
Waldwick, NJ 07463 The Medicine Shoppe Provider ID: 389627
(917) 612-7100 Pharmacy Lorelei Orthotics &
Fax: (201) 943-8859 2468 Lemoine Ave Prosthetics, In
00 Yrs/130 Yrs Fort Lee, NJ 07024 63 Lenox Ave
M 10:00 AM - 7:00 PM (201) 944-1002 Maywood, NJ 07607
TWTH 10:00 AM - 6:00 PM Fax: (201) 944-6336 (888) 700-5004
FSat 10:00 AM - 4:00 PM 00 Yrs/130 Yrs Fax: (888) 700-7313
Languages: Korean 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Languages: Spanish, Hebrew
M 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Durable Medical Integra Partners LLC Medsurg Durables LLC Pomac Bray Orthotics
Equipment - cont. Provider ID: 389627 Provider ID: 1276637 Prsthetics
Union City Medical Supply Med Surg Durables LLC Provider ID: 873201
Integra Partners LLC Inc. 85 Harristown Rd 217 Old Hook Rd
Provider ID: 389627 1 Madison St A-4 Glen Rock, NJ 07452 Westwood, NJ 07675
Orthopedic Specialties East Rutherford, NJ 07073 (201) 855-8317 (973) 666-6647
Unlimited (888) 700-5004 Fax: (201) 444-2942 Fax: (973) 666-5551
340 W. Passaic St Fax: (888) 700-7313 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Emerson, NJ 07630 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Languages: Spanish
(888) 700-5004 Languages: Spanish, Hebrew M-F 9:00 AM - 5:00 PM
Fax: (888) 700-7313 M-F 8:00 AM - 5:00 PM Mercy Home Care & Mecical
00 Yrs/130 Yrs Supplies Pomac Garden State
Languages: Spanish, Hebrew KCI USA Inc Provider ID: 944092 Orthopedic
M-F 8:00 AM - 6:00 PM Provider ID: 373083 456 Paterson Ave Provider ID: 834273
Sat 9:00 AM - 1:00 PM 192 Atlantic St East Rutherford, NJ 07073 9 Post Rd
Hackensack, NJ 07601 (201) 296-0001 Oakland, NJ 07436
Integra Partners LLC (800) 275-4524 Fax: (201) 896-9467 (201) 337-5566
Provider ID: 389627 Fax: (888) 245-2295 00 Yrs/130 Yrs Fax: (201) 337-1456
Partners Medical Supplies 00 Yrs/130 Yrs Languages: Spanish, 00 Yrs/130 Yrs
395 Broad Ave M-F 9:00 AM - 5:00 PM Portuguese M-F 9:00 AM - 5:00 PM
Ridgefield, NJ 07657 M-F 9:00 AM - 5:00 PM
Levy's Pharmacy of Lyndhurst Pomac Nouveau Prosthetics
(201) 917-5844
LLC Mikhael Ruzhin LTD and Orthotics
00 Yrs/130 Yrs
Languages: Spanish, Hebrew Provider ID: 917152 Provider ID: 944143 Provider ID: 910934
MTWTHFSatSun 9:00 AM - 299 Stuyvesant Ave 26-17 Broadway 385 Prospect Ave
6:00 PM Lyndhurst, NJ 07071 Fai Lawn, NJ 07410 Hackensack, NJ 07601
(201) 438-1026 (201) 797-5355 (732) 739-0888
Integra Partners LLC Fax: (201) 438-1668 Fax: (201) 791-4995 Fax: (732) 739-5351
Provider ID: 389627 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
R.Assoc Medical Systems, Inc Languages: Spanish Languages: Spanish, Russian M-F 9:00 AM - 5:00 PM
184 Central Ave Ste 5 M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 6:00 PM Pomac Othopedic Specialties
Westwood, NJ 07675
Sun 9:00 AM - 1:00 PM Millers Of Wychoff Inc Unlimited
(888) 700-5004
Fax: (888) 700-7313 Provider ID: 835953
00 Yrs/130 Yrs Lincare Inc Provider ID: 973085 134 Munsey Rd
Languages: Spanish, Hebrew Provider ID: 922708 678 Wyckoff Ave Emerson, NJ 07630
M-F 9:00 AM - 5:00 PM 1771 U S Hwy 34 Unit 3 Wyckoff, NJ 07481 (973) 262-4330
Farmingdale, NJ 07401 (201) 891-3333 Fax: (973) 265-3521
Integra Partners LLC (877) 467-4418 Fax: (201) 891-6258 00 Yrs/130 Yrs
Provider ID: 389627 Fax: (877) 467-4418 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
The Ortho Remedy, Inc. 00 Yrs/130 Yrs Languages: Spanish, French, Pomac Othopedic Specialties
522 Anderson Ave M-F 8:00 AM - 5:00 PM Russian, Hindi
Unlimited
Cliffside Park, NJ 07010 M-F 9:00 AM - 5:00 PM
Lincare Inc NY Provider ID: 835953
(888) 700-5004
Provider ID: 276198 Pomac Biodynamic 340 W Passaic St
Fax: (888) 700-7313
260 W Crescent Ave Technologies Rochelle Park, NJ 07662
00 Yrs/130 Yrs
Allendale, NJ 07401 Provider ID: 834276 (973) 262-4330
Languages: Spanish, Hebrew
(201) 327-8105 1 Madison St Ste A4 Fax: (973) 265-3521
M-TH 8:00 AM - 4:00 PM
00 Yrs/130 Yrs East Rutherford, NJ 07073 00 Yrs/130 Yrs
F 8:00 AM - 12:00 PM
M-F 9:00 AM - 5:00 PM (800) 879-2276 M-F 9:00 AM - 5:00 PM
Fax: (800) 686-6801
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

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Managed Long Term Services And Supports


Bergen
Durable Medical Smiley, Stephen DDS Aviarbakh, Hanna DDS Botero-Mondul, Claudia DDS
Equipment - cont. Provider ID: TPVP39399-02 Provider ID: TPVP143802-02
Gender: Male Gender: Female Provider ID: TPVP33556-01
Pomac Rinko Orthopedic Stephen Smiley DDS LLC Aesthetic Dental Center of Gender: Female
Appliances 1 Broadway Ste 405 Hackensack LLC Dental Health Care PC
Provider ID: 819193 Elmwood Park, NJ 07407 163 Main St 190 Main St Ste 302
25-09 Broadway (201) 791-7700 Hackensack, NJ 07601 Hackensack, NJ 07601
Fair Lawn, NJ 07410 Fax: (201) 251-2245 (201) 488-8866 (201) 343-5363
(201) 262-4330 00 Yrs/99 Yrs Fax: (201) 488-7663 Fax: (201) 343-5916
Fax: (201) 465-3521 MTTHF 9:00 AM - 5:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/130 Yrs W 9:00 AM - 8:00 PM Languages: Russian Languages: Spanish
M-F 9:00 AM - 5:00 PM M-F 10:00 AM - 6:00 PM M-TH 10:00 AM - 5:00 PM
General Dentistry F 10:00 AM - 2:00 PM
Sunny Pharmacy Barysenka, Alena DDS
Provider ID: 1007395 Aboelsaad, Mohamed DDS Provider ID: TPVP140701-01 Carto, Faith DMD
Hankwon DBA Sunny Gender: Female Provider ID: TPVP39226-01
Pharmacy Provider ID: TPVP166428-01 All Family Dental Center LLC Gender: Female
711 Anderson Ave Gender: Male 45 US Hwy 46 Main Street Dental LLC
Cliffside Park, NJ 07010 Saddle Brook Dental Ridgefield Park, NJ 07660 131 Main St Dental Ste 110
(201) 313-9797 Associates LLC (201) 440-2100 Hackensack, NJ 07601
Fax: (201) 313-9798 220 5th St Fax: (201) 440-1279 (201) 488-0008
00 Yrs/130 Yrs Saddle Brook, NJ 07663 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Korean (973) 478-1616 Languages: Russian M-TH 9:30 AM - 2:30 PM
M-F 9:00 AM - 8:00 PM Fax: (973) 478-1732 M-F 10:00 AM - 6:00 PM F 9:00 AM - 2:00 PM
Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
Blades, Brandon DMD Chong, Sarah DDS
Languages: Arabic
Yang Shoe Corporation M-TH 9:00 AM - 8:00 PM Provider ID: TPVP39445-01 Provider ID: TPVP32665-01
F 9:00 AM - 5:00 PM Gender: Male Gender: Female
Provider ID: 945189 Sat 9:00 AM - 3:00 PM Brandon Blades DMD Bo Orthodontics
101 W Palisade Ave 757 Teaneck Rd 269 Livingston St Unit G
Englewood, NJ 07631 Alexander, Victoria DDS Teaneck, NJ 07666 Northvale, NJ 07647
(201) 567-3333 (201) 837-1666 (201) 784-1930
Fax: (201) 567-3084 Provider ID: TPVP169355-01 Fax: (201) 837-1012 Fax: (201) 784-1939
00 Yrs/130 Yrs Gender: Female 00 Yrs/99 Yrs 00 Yrs/99 Yrs
MTWTHFSat 10:00 AM - 7:00 Laser Dentistry For Children M 9:00 AM - 6:00 PM Languages: Korean
PM 751 Teaneck Rd T 1:00 AM - 6:00 PM MTTHF 10:00 AM - 7:00 PM
Sun 10:00 AM - 6:30 PM Teaneck, NJ 07666 W 9:00 AM - 2:00 PM W 10:00 AM - 8:00 PM
(201) 837-1612 Sat 9:00 AM - 4:00 PM
Endodontics Blades, Brandon DMD
Fax: (201) 837-8651
Provider ID: TPVP39445-02 Choudhary, Geeta DDS
00 Yrs/99 Yrs
Smiley, Stephen DDS Gender: Male Provider ID: TPVP41580-01
MTH 10:00 AM - 6:00 PM
Provider ID: TPVP39399-01 Laser Dentistry For Children Gender: Male
TWF 11:00 AM - 6:00 PM
Gender: Male 751 Teaneck Rd Choudhany Geeta DDS PC
Sat 9:00 AM - 2:00 PM
Stephen Smiley DDS LLC Teaneck, NJ 07666 422 Pascack Rd 2nd Fl
541 Cedar Hill Ave Aviarbakh, Hanna DDS (201) 837-1612 Township of Washington, NJ
Wyckoff, NJ 07481 Provider ID: TPVP143802-01 Fax: (201) 837-8651 07676
(201) 251-3888 Gender: Female 00 Yrs/99 Yrs (201) 497-3990
Fax: (201) 251-2245 All Family Dental Center LLC MTH 10:00 AM - 6:00 PM Fax: (201) 825-5999
00 Yrs/99 Yrs 45 US Hwy 46 TWF 11:00 AM - 6:00 PM 00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Ridgefield Park, NJ 07660 Sat 9:00 AM - 2:00 PM Languages: Spanish
(201) 440-2100 M-F 10:00 AM - 5:00 PM
Fax: (201) 440-1279
00 Yrs/99 Yrs
Languages: Russian
M-F 10:00 AM - 6:00 PM

www.wellcare.com/New-Jersey | 415
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Managed Long Term Services And Supports


Bergen
General Dentistry - cont. Espinosa-Dovale, Maria DDS Halim, Katerine DMD Jahansouz, Maryam DDS
Provider ID: TPVP156809-02 Provider ID: TPVP41473-01
Drutsko, Sergey DMD Provider ID: TPVP103703-01 Gender: Female Gender: Female
Provider ID: TPVP136131-02 Gender: Female Great Expressions Dental Sunflower Dental Group of
Gender: Male North Hudson Community Centers Westwood PC
All Family Dental Center LLC Action Corporation 370 Pleasantview Ave Ste 14A 316 C Kinderkamack Rd
45 US Hwy 46 535 Midland Ave Hackensack, NJ 07601 Westwood, NJ 07675
Ridgefield Park, NJ 07660 Garfield, NJ 07026 (201) 843-4800 (201) 497-6532
(201) 440-2100 (973) 340-1182 Fax: (201) 843-4773 Fax: (201) 488-1137
Fax: (201) 440-1279 Fax: (973) 340-1156 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 PM Languages: Persian - Farsi
Languages: Russian Languages: Spanish W 8:00 AM - 8:00 PM M 9:30 AM - 5:00 PM
M-F 10:00 AM - 6:00 PM MTTHFSat 8:30 AM - 5:00 PM T 9:30 AM - 4:00 PM
W 8:30 AM - 7:00 PM Hur, Eun DMD W 9:30 AM - 2:00 PM
Edalat, Fariba DDS Provider ID: TPVP158812-01 TH 9:30 AM - 1:00 PM
Provider ID: TPVP136125-02 Estedrak, Maryz DDS Gender: Female F 8:00 AM - 2:00 PM
Gender: Female Provider ID: TPVP155881-01 Bo Orthodontics
Cozy Dentistry LLC Gender: Male 269 Livingston St Unit G Kim, Yoojin DDS
174 Main St Ever Smile Dental Northvale, NJ 07647 Provider ID: TPVP141581-01
Ridgefield Park, NJ 07660 479 N Midland Ave (201) 784-1930 Gender: Female
(201) 267-6700 Saddle Brook, NJ 07663 Fax: (201) 784-1939 Bo Orthodontics
Fax: (201) 267-6701 (201) 773-3992 00 Yrs/99 Yrs 269 Livingston St Unit G
00 Yrs/99 Yrs Fax: (551) 224-8426 Languages: Korean Northvale, NJ 07647
MT 10:00 AM - 7:00 PM 00 Yrs/99 Yrs MTTHF 10:00 AM - 7:00 PM (201) 784-1930
W 2:00 AM - 7:00 PM Languages: Arabic W 10:00 AM - 8:00 PM Fax: (201) 784-1939
TH 11:00 AM - 6:00 PM MTH 9:00 AM - 8:00 PM Sat 9:00 AM - 4:00 PM 00 Yrs/99 Yrs
F 9:00 AM - 2:00 PM TWF 9:00 AM - 5:00 PM Languages: Korean
Sat 9:00 AM - 3:00 PM Igdalev, Igor DMD MTTHF 10:00 AM - 7:00 PM
Eldin, Khaled DDS Provider ID: TPVP153278-01 W 10:00 AM - 8:00 PM
Provider ID: TPVP33368-01 Fine, Craig DDS Gender: Male Sat 9:00 AM - 4:00 PM
Gender: Male Provider ID: TPVP41325-01 Painless DDS PC
Saddle Brook Dental Gender: Male 1625 Anderson Ave Ste 202 Lavandeira, Janet DMD
Associates LLC Fine Family Dentistry Fort Lee, NJ 07024
220 5th St 240 E Palisades Ave Ste 11C (201) 224-9444 Provider ID: TPVP41652-01
Saddle Brook, NJ 07663 Englewood, NJ 07631 Fax: (201) 224-9422 Gender: Female
(973) 478-1616 (201) 569-9393 00 Yrs/99 Yrs North Hudson Community
Fax: (973) 478-1732 Fax: (201) 541-9164 Languages: Russian Action Corporation
00 Yrs/99 Yrs 00 Yrs/99 Yrs MSat 9:00 AM - 3:00 PM 535 Midland Ave
Languages: Arabic Languages: Spanish TWTHF 9:00 AM - 6:00 PM Garfield, NJ 07026
M-TH 9:00 AM - 8:00 PM M-TH 9:00 AM - 4:00 PM (973) 340-1182
F 9:00 AM - 5:00 PM F 9:00 AM - 2:00 PM Igdalev, Julia DDS Fax: (973) 340-1156
Sat 9:00 AM - 3:00 PM Provider ID: TPVP41059-01 00 Yrs/99 Yrs
Gerges, Nabil DDS Gender: Female Languages: Spanish
Elfar, Mina DMD Provider ID: TPVP39415-01 Painless DDS PC MTTHFSat 8:30 AM - 5:00 PM
Provider ID: TPVP157892-01 Gender: Male 1625 Anderson Ave Ste 202 W 8:30 AM - 7:00 PM
Gender: Male St Mary St Katherine Dental Fort Lee, NJ 07024
DS Dental Arts LLC Associates LLC (201) 224-9444 Lazar, Jonathan DMD
634 Anderson Ave 167 Grove St Fax: (201) 224-9422 Provider ID: TPVP157904-01
Cliffside Park, NJ 07010 Lodi, NJ 07644 00 Yrs/99 Yrs Gender: Male
(201) 945-1119 (973) 458-1156 Languages: Russian Wallington Family Dentistry
Fax: (201) 945-1411 Fax: (973) 458-1155 MSat 9:00 AM - 3:00 PM 172 Maple Ave
00 Yrs/99 Yrs 00 Yrs/99 Yrs TWTHF 9:00 AM - 6:00 PM Wallington, NJ 07057
Languages: Arabic Languages: Arabic (973) 778-0918
M-F 10:00 AM - 6:00 PM MTTH 4:00 AM - 8:00 PM Fax: (973) 778-9275
WF 9:00 AM - 2:00 PM 00 Yrs/99 Yrs
Languages: Persian - Farsi
MT 9:00 AM - 7:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
General Dentistry - cont. Ouhame, Nisrine DDS Rao, Nirmala DMD Rozehzadeh, Joseph DDS
Provider ID: TPVP158795-01 Provider ID: TPVP139294-02
Margolin, Jerome DDS Gender: Female Gender: Female Provider ID: TPVP41793-03
Provider ID: TPVP40609-01 United Dental Group Great Expressions Dental Gender: Male
Gender: Male 946 Main St Centers Wallington Family Dentistry
Margolin Dental Assoc LLC Hackensack, NJ 07601 370 Pleasantview Ave Ste 14A 172 Maple Ave
620 Palisade Ave (201) 464-4783 Hackensack, NJ 07601 Wallington, NJ 07057
Englewood Cliffs, NJ 07632 Fax: (844) 631-0047 (201) 843-4800 (973) 778-0918
(201) 567-0405 00 Yrs/99 Yrs Fax: (201) 843-4773 Fax: (973) 778-9275
Fax: (201) 541-7070 Languages: Arabic 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-TH 9:00 AM - 6:00 PM MTTHF 8:00 AM - 5:00 PM Languages: Persian - Farsi
Languages: Spanish F 9:00 AM - 5:00 PM W 8:00 AM - 8:00 PM MT 9:00 AM - 7:00 PM
M-W 7:30 AM - 7:00 PM
TH 7:00 AM - 5:00 PM Petlyuk, Nataliya DDS Redzio, Ursula DDS Ruggiero, James DMD
F 8:00 AM - 3:00 PM Provider ID: TPVP170022-01 Provider ID: TPVP35641-01 Provider ID: TPVP132181-01
Gender: Female Gender: Female Gender: Male
Meskin, Vladimir DDS All Family Dental Center LLC Family Dental Care - Urszula Center For Dentistry
Provider ID: TPVP37146-01 45 US Hwy 46 Redzio 30 Prospect Ave
Gender: Male Ridgefield Park, NJ 07660 235 Wessington Ave Hackensack, NJ 07601
All Family Dental Center LLC (201) 440-2100 Garfield, NJ 07026 (551) 996-2111
45 US Hwy 46 Fax: (201) 440-1279 (973) 772-0026 Fax: (551) 996-0530
Ridgefield Park, NJ 07660 00 Yrs/99 Yrs Fax: (973) 772-0336 00 Yrs/99 Yrs
(201) 440-2100 Languages: Russian 00 Yrs/99 Yrs Languages: Spanish
Fax: (201) 440-1279 M-F 10:00 AM - 6:00 PM Languages: Polish M-F 8:00 AM - 4:30 PM
00 Yrs/99 Yrs M-TH 10:00 AM - 8:00 PM
Languages: Russian Pizzano, Marc DDS F 10:00 AM - 2:00 PM Severe, Martha DDS
M-F 10:00 AM - 6:00 PM Provider ID: TPVP40387-01 Provider ID: TPVP33674-02
Gender: Male Rehman, Aneeza DMD Gender: Female
Meskin, Vladimir DDS Parkview Dental Provider ID: TPVP144704-02 Hudson Hackensack Dental
Provider ID: TPVP37146-03 1200 E Ridgewood Ave Ste 215 Gender: Female 133 Hudson St Ste 1
Gender: Male W Wing Aesthetic Dental Center of Hackensack, NJ 07601
Aesthetic Dental Center of Ridgewood, NJ 07450 Hackensack LLC (201) 389-4080
Hackensack LLC (201) 857-5777 163 Main St Fax: (201) 596-3130
163 Main St Fax: (201) 857-5778 Hackensack, NJ 07601 00 Yrs/99 Yrs
Hackensack, NJ 07601 00 Yrs/99 Yrs (201) 488-8866 M-W 9:00 AM - 3:00 PM
(201) 488-8866 Languages: Spanish Fax: (201) 488-7663
Fax: (201) 488-7663 M-TH 10:00 AM - 7:00 PM 00 Yrs/99 Yrs Shin, Hyun Won DDS
00 Yrs/99 Yrs F 10:00 AM - 6:00 PM Languages: Russian, Arabic Provider ID: TPVP28680-01
Languages: Russian Sat 12:00 AM - 3:30 PM M-F 10:00 AM - 6:00 PM Gender: Female
M-F 10:00 AM - 6:00 PM Modern Dental
Rahman, Mohammed DDS Rosenblatt, Debra DDS 422 Main St1st Fl
Morcos, Safinaz DDS Provider ID: TPVP175522-01 Provider ID: TPVP39059-02 Fort Lee, NJ 07024
Provider ID: TPVP39829-01 Gender: Male Gender: Female (201) 585-1838
Gender: Female Saddle Brook Dental The Smile Spa of North Jersey Fax: (201) 585-1719
Gentle Dental Service Associates LLC LLC 00 Yrs/99 Yrs
32 Anderson St 220 5th St 251 Godwin Ave Languages: Korean
Hackensack, NJ 07601 Saddle Brook, NJ 07663 Midland Park, NJ 07432 M 9:00 AM - 6:00 PM
(201) 457-1010 (973) 478-1616 (201) 445-2797 TWTH 10:00 AM - 7:00 PM
Fax: (201) 457-1540 Fax: (973) 478-1732 Fax: (201) 445-8340 F 10:00 AM - 2:00 PM
00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Arabic Languages: Arabic MTTHF 9:00 AM - 5:00 PM
M-TH 10:00 AM - 7:00 PM M-TH 9:00 AM - 8:00 PM W 9:00 AM - 12:00 PM
F 9:00 AM - 2:00 PM F 9:00 AM - 5:00 PM
Sat 9:00 AM - 3:00 PM

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Bergen
General Dentistry - cont. Yun, Sung DDS Diefenbacher, Joseph Had Angels Care LLC
Provider ID: TPVP41776-01 Provider ID: TPV08237-01 Provider ID: 946348
Tadros, Jacklyn DDS Gender: Male Gender: Male 87 Old River St
Provider ID: TPVP108954-01 Bo Orthodontics HearUSA Hackensack, NJ 07601
Gender: Female 269 Livingston St Unit G 1021 Main St (201) 265-2818
Jacklyn Tadros DDS LLC Northvale, NJ 07647 River Edge, NJ 07661 Fax: (201) 265-2817
379 Main Ave Ste 2 (201) 784-1930 (201) 291-0550 00 Yrs/130 Yrs
Wallington, NJ 07057 Fax: (201) 784-1939 Fax: (201) 343-7840 Languages: Spanish, French,
(973) 778-7800 00 Yrs/99 Yrs 21 Yrs/99 Yrs Korean, Polish
Fax: (973) 778-7811 Languages: Korean M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs MTTHF 10:00 AM - 7:00 PM
Languages: Arabic W 10:00 AM - 8:00 PM Otero, Crystal Had Bayada Home Healthcare Inc
M-W 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM Provider ID: TPV17426-01
THF 9:00 AM - 5:00 PM Gender: Female Provider ID: 945568
Zakaim, Elvis DMD HearUSA Bayada Home Health Care Inc
Xenakis, George DDS Provider ID: TPVP39078-02 1021 Main St 90 Main St Ste 100
Provider ID: TPVP35812-01 Gender: Male River Edge, NJ 07661 Hackensack, NJ 07601
Gender: Male Elvis Zakaim DMD (201) 291-0550 (201) 343-7100
United Dental Group 413 Farview Ave Fax: (201) 343-7840 Fax: (201) 343-3895
946 Main St Paramus, NJ 07652 21 Yrs/99 Yrs 00 Yrs/130 Yrs
Hackensack, NJ 07601 (201) 261-0216 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(201) 464-4783 Fax: (201) 261-5187
Fax: (844) 631-0047 00 Yrs/99 Yrs Home Health Care Bayada Home Healthcare Inc
00 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 PM
Languages: Arabic W 8:00 AM - 8:00 PM A Joy Health Care LLC Provider ID: 945568
M-TH 9:00 AM - 6:00 PM Provider ID: 1707515 Bayada Home Health Care Inc
F 9:00 AM - 5:00 PM Zakjyev, Rustam DMD 663 Grand Ave Ste 1 90 Main St Ste 202
Provider ID: TPVP146310-01 Ridgefield, NJ 07657 Hackensack, NJ 07601
Yapor, Eddy DDS Gender: Male (201) 941-4900 (201) 488-1262
Provider ID: TPVP103705-01 Aesthetic Dental Center of Fax: (201) 941-4901 Fax: (201) 343-0629
Gender: Male Hackensack LLC 18 Yrs/130 Yrs 00 Yrs/130 Yrs
North Hudson Community 163 Main St M-F 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Action Corporation Hackensack, NJ 07601
535 Midland Ave (201) 488-8866 Above and Beyond Home Bergen Home Care Nursing
Garfield, NJ 07026 Fax: (201) 488-7663 Care Services Inc
(973) 340-1182 00 Yrs/99 Yrs Provider ID: 944575 Provider ID: 984944
Fax: (973) 340-1156 Languages: Russian 835 Main St 136 Essex St
00 Yrs/99 Yrs M-F 10:00 AM - 6:00 PM Hackensack, NJ 07607 Hackensack, NJ 07601
Languages: Spanish (201) 494-4005 (201) 342-3402
MTTHFSat 8:30 AM - 5:00 PM Hearing Aid Supplier Fax: (201) 968-5888 Fax: (201) 342-3405
W 8:30 AM - 7:00 PM 60 Yrs/130 Yrs 00 Yrs/130 Yrs
Archer, Wyman Had M-F 9:00 AM - 5:00 PM M-F 8:30 AM - 4:30 PM
Yu, Seo DDS Provider ID: TPV05611-01
Provider ID: TPVP138289-01 Gender: Male Always There Home Health Broadway Respite and Home
Gender: Female HearUSA Care of Bergen Care LLC
Bo Orthodontics 1021 Main St Provider ID: 925339 Provider ID: 927443
269 Livingston St Unit G River Edge, NJ 07661 Always There Home Health 24-20 Broadway
Northvale, NJ 07647 (201) 291-0550 Care of Be Fair Lawn, NJ 07410
(201) 784-1930 Fax: (201) 343-7840 191 Main St (201) 703-3980
Fax: (201) 784-1939 21 Yrs/99 Yrs Hackensack, NJ 07601 Fax: (201) 703-3984
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM (201) 287-0400 00 Yrs/130 Yrs
Languages: Korean Fax: (201) 646-9640 M-F 9:00 AM - 5:00 PM
MTTHF 10:00 AM - 7:00 PM 00 Yrs/130 Yrs
W 10:00 AM - 8:00 PM Languages: Spanish
Sat 9:00 AM - 4:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 418
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Home Health Care - cont. Preferred Home Health Care Visiting Nurse Association of Altamura, Christina LCSW
and Nursing S Englewood
Care 4 Me LLC Provider ID: 886449 Provider ID: 1035045 Provider ID: 1425278
Provider ID: 945662 Preferred Home Care and Visiting Nurse Association of Gender: Female
901 Teaneck Rd Nursing Ser Engle Care Plus NJ Inc
Teaneck, NJ 07666 669 River Dr Ste 130 15 Engle St 611 Rte 46 W Ste 100
(201) 837-7779 Elmwood Park, NJ 07407 Englewood, NJ 07631 Hasbrouck Heights, NJ 07604
Fax: (201) 837-7789 (201) 883-1100 (201) 894-3333 (201) 986-5000
00 Yrs/130 Yrs Fax: (201) 794-4628 Fax: (201) 894-1710 00 Yrs/130 Yrs
Languages: Spanish, Russian 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish, Russian Languages: Spanish
M-F 9:00 AM - 5:00 PM M-F 8:30 AM - 4:30 PM Basilio, Deborah CSW
Care4me LLC Provider ID: 904492
Provider ID: 940082 Secura Home Health LLC Licensed Clinical Social Gender: Female
Care 4me LLC Worker Care Plus NJ Inc
901 Teaneck Rd Provider ID: 1069047 17 07 Romaine St
Teaneck, NJ 07666 190 Moore St Altamura, Christina LCSW Fair Lawn, NJ 07410
(201) 837-7779 Hackensack, NJ 07601 (201) 986-5000
Fax: (201) 837-7789 (201) 525-7470 Provider ID: 1425278 00 Yrs/130 Yrs
18 Yrs/130 Yrs Fax: (201) 592-7003 Gender: Female M-F 9:00 AM - 5:00 PM
Languages: Spanish, Russian 00 Yrs/130 Yrs Care Plus NJ Inc
Languages: Spanish, Russian, 17-07 Romaine St Basilio, Deborah CSW
Confident Care Corp Hebrew, Armenian Fair Lawn, NJ 07410 Provider ID: 904492
Provider ID: 928798 M-F 9:00 AM - 5:00 PM (201) 986-5000 Gender: Female
3 University Plz Ste 340 00 Yrs/130 Yrs Care Plus NJ Inc
Hackensack, NJ 07601 Unique Home Care Agency M-TH 9:00 AM - 9:00 PM 230 E Ridgewood Ave
(201) 498-9400 Inc FSat 9:00 AM - 5:00 PM Paramus, NJ 07652
Fax: (201) 498-1556 Provider ID: 924100 (201) 986-5000
00 Yrs/130 Yrs 12-18 River Rd Ste 1/Rear Altamura, Christina LCSW 00 Yrs/130 Yrs
Languages: Spanish, Russian, Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
Hindi, Korean (201) 794-9262 Provider ID: 1425278
M-F 9:00 AM - 5:00 PM Fax: (201) 794-2122 Gender: Female Basilio, Deborah CSW
00 Yrs/130 Yrs Care Plus NJ Inc Provider ID: 904492
Maxim Healthcare Services Languages: Spanish Gender: Female
230 E Ridgewood Ave
Inc M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
Paramus, NJ 07652
Provider ID: 287949 (201) 986-5000 610 Valley Health Plz
505 Main St Fl 1 Visiting Homemaker Home
00 Yrs/130 Yrs Paramus, NJ 07652
Hackensack, NJ 07601 Health Aide Serv
M-F 9:00 AM - 5:00 PM (201) 986-5000
(201) 489-0222 Provider ID: 975141 Fax: (201) 265-0366
Fax: (877) 717-2776 Visiting Homemaker Home Altamura, Christina LCSW 00 Yrs/130 Yrs
00 Yrs/130 Yrs Health Aide
M-TH 9:00 AM - 9:00 PM
M-F 8:00 AM - 6:00 PM 298 Union St
Provider ID: 1425278 FSat 9:00 AM - 5:00 PM
Hackensack, NJ 07601
Maxim Healthcareservices Inc (201) 488-0041 Gender: Female
Care Plus NJ Inc Basilio, Deborah CSW
Fax: (201) 525-1950
610 Valley Health Plz Provider ID: 904492
Provider ID: 946671 00 Yrs/130 Yrs
Paramus, NJ 07652 Gender: Female
505 Main St Languages: Spanish, Polish
(201) 986-5000 Care Plus NJ Inc
Hackensack, NJ 07601 00 Yrs/130 Yrs 611 Rte 46 W Ste 100
(201) 489-0222 M-F 9:00 AM - 5:00 PM Hasbrouck Heights, NJ 07604
Fax: (201) 489-0299 (201) 986-5000
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 419
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Clinical Social Caraccio, Steve LCSW Christensen, Lindsey LCSW Couceiro, Marian LCSW
Worker - cont. Provider ID: 1263627
Gender: Male Provider ID: 1429378 Provider ID: 1369893
Blane, Daniel LCSW Care Plus NJ Inc Gender: Female Gender: Female
Provider ID: 1249779 230 E Ridgewood Ave Care Plus NJ Inc Care Plus NJ Inc
Gender: Male Paramus, NJ 07652 Sub Specialty: Intensive 230 E Ridgewood Ave
Care Plus NJ Inc (201) 986-5000 Outpatient Program, Paramus, NJ 07652
17-07 Romaine St 00 Yrs/130 Yrs Medication Management (201) 986-5000
Fair Lawn, NJ 07410 Languages: Spanish 230 E. Ridgewood Ave 00 Yrs/130 Yrs
(201) 986-5000 M-F 9:00 AM - 5:00 PM Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs (201) 986-5000
M-F 9:00 AM - 5:00 PM Caraccio, Steve LCSW 00 Yrs/130 Yrs Couceiro, Marian LCSW
Provider ID: 1263627 M-F 9:00 AM - 5:00 PM
Blane, Daniel LCSW Gender: Male Provider ID: 1369893
Provider ID: 1249779 Care Plus NJ Inc Christensen, Lindsey LCSW Gender: Female
Gender: Male 610 Valley Health Plz Care Plus NJ Inc
Care Plus NJ Inc Paramus, NJ 07652 Provider ID: 1429378 610 Valley Health Plz
230 E Ridgewood Ave (201) 265-8200 Gender: Female Paramus, NJ 07652
Paramus, NJ 07652 00 Yrs/130 Yrs Care Plus NJ Inc (201) 265-8200
(201) 986-5000 Languages: Spanish Sub Specialty: Intensive Fax: (201) 265-0366
00 Yrs/130 Yrs M-TH 9:00 AM - 9:00 PM Outpatient Program, 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM FSat 9:00 AM - 5:00 PM Medication Management M-F 9:00 AM - 5:00 PM
610 Valley Health Plaza
Blane, Daniel LCSW Caraccio, Steve LCSW Paramus, NJ 07652 Couceiro, Marian LCSW
Provider ID: 1249779 Provider ID: 1263627 (201) 986-5000
Gender: Male Gender: Male 00 Yrs/130 Yrs Provider ID: 1369893
Care Plus NJ Inc Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Gender: Female
610 Valley Health Plz 611 Rte 46 W Ste 100 Care Plus NJ Inc
Hasbrouck Heights, NJ 07604 Christensen, Lindsey LCSW
Paramus, NJ 07652 611 Rte 46 W Ste 100
(201) 265-8200 (201) 986-5000 Hasbrouck Heights, NJ 07604
Fax: (201) 265-0366 00 Yrs/130 Yrs Provider ID: 1429378 (201) 986-5000
00 Yrs/130 Yrs Languages: Spanish Gender: Female 00 Yrs/130 Yrs
MFSat 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Care Plus NJ Inc M-F 9:00 AM - 5:00 PM
TWTH 9:00 AM - 9:00 PM Sub Specialty: Intensive
Christensen, Lindsey LCSW Outpatient Program, Del Sordo, Amie LCSW
Blane, Daniel LCSW Medication Management
Provider ID: 1249779 Provider ID: 1429378 611 Rte 46 W. Ste 100
Provider ID: 1440158
Gender: Male Gender: Female Hasbrouck Heights, NJ 07604
Gender: Female
Care Plus NJ Inc Care Plus NJ Inc (201) 986-5000
Care Plus NJ Inc
611 Rte 46 W Ste 100 Sub Specialty: Intensive 00 Yrs/130 Yrs
17-07 Romaine St
Hasbrouck Heights, NJ 07604 Outpatient Program, M-F 9:00 AM - 5:00 PM
Fair Lawn, NJ 07410
(201) 986-5000 Medication Management
Couceiro, Marian LCSW (201) 986-5000
00 Yrs/130 Yrs 17-07 Romaine St 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
(201) 986-5000 Provider ID: 1369893
Caraccio, Steve LCSW 00 Yrs/130 Yrs Gender: Female Del Sordo, Amie LCSW
Provider ID: 1263627 M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
Gender: Male 17-07 Romaine St
Provider ID: 1440158
Care Plus NJ Inc Fair Lawn, NJ 07410
Gender: Female
17-07 Romaine St (201) 986-5000
Care Plus NJ Inc
Fair Lawn, NJ 07410 00 Yrs/130 Yrs
230 E. Ridgewood Ave
(201) 986-5000 M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652
00 Yrs/130 Yrs (201) 986-5000
Languages: Spanish 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 420
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Clinical Social Fagan, Sara LCSW Garcia, Jessica LCSW King, Marcy LCSW
Worker - cont. Provider ID: 1366971 Provider ID: 1429461 Provider ID: 1253993
Gender: Female Gender: Female Gender: Female
Del Sordo, Amie LCSW Care Plus NJ Inc Care Plus NJ Inc Care Plus NJ Inc
611 Rte 46 W Ste 100 17-07 Romaine St 17-07 Romaine St
Provider ID: 1440158 Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410 Fair Lawn, NJ 07410
Gender: Female (201) 986-5000 (201) 986-5000 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
610 Valley Health Plaza M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652
(201) 986-5000 Gagescu, Melissa LCSW Garcia, Jessica LCSW King, Marcy LCSW
00 Yrs/130 Yrs Provider ID: 1429461 Provider ID: 1253993
M-F 9:00 AM - 5:00 PM Provider ID: 1429440 Gender: Female Gender: Female
Gender: Female Care Plus NJ Inc Care Plus NJ Inc
Del Sordo, Amie LCSW Care Plus NJ Inc 230 E. Ridgewood Ave 230 E Ridgewood Ave
17-07 Romaine St Paramus, NJ 07652 Paramus, NJ 07652
Provider ID: 1440158 Fair Lawn, NJ 07410 (201) 986-5000 (201) 986-5000
Gender: Female (201) 986-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Care Plus NJ Inc 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
611 Rte 46 W. Ste 100 M-F 9:00 AM - 5:00 PM
Garcia, Jessica LCSW King, Marcy LCSW
Hasbrouck Heights, NJ 07604
(201) 986-5000 Gagescu, Melissa LCSW Provider ID: 1429461 Provider ID: 1253993
00 Yrs/130 Yrs Gender: Female Gender: Female
M-F 9:00 AM - 5:00 PM Provider ID: 1429440 Care Plus NJ Inc Care Plus NJ Inc
Gender: Female 610 Valley Health Plaza 610 Valley Health Plz
Fagan, Sara LCSW Care Plus NJ Inc Paramus, NJ 07652 Paramus, NJ 07652
Provider ID: 1366971 230 E. Ridgewood Ave (201) 986-5000 (201) 986-5000
Gender: Female Paramus, NJ 07652 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Care Plus NJ Inc (201) 986-5000 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
17-07 Romaine St 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Garcia, Jessica LCSW King, Marcy LCSW
Fair Lawn, NJ 07410
(201) 986-5000 Provider ID: 1429461 Provider ID: 1253993
00 Yrs/130 Yrs Gagescu, Melissa LCSW Gender: Female Gender: Female
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1429440 611 Rte 46 W. Ste 100 611 Rte 46 W Ste 100
Fagan, Sara LCSW Gender: Female Hasbrouck Heights, NJ 07604 Hasbrouck Heights, NJ 07604
Provider ID: 1366971 Care Plus NJ Inc (201) 986-5000 (201) 986-5000
Gender: Female 610 Valley Health Plaza 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Care Plus NJ Inc Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
230 E Ridgewood Ave (201) 265-8200
Gonzalez, Leticia CSW Kleiwerda, Melissa LCSW
Paramus, NJ 07652 Fax: (201) 265-0366
(201) 986-5000 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 1611331 Provider ID: 1405164
M-F 9:00 AM - 5:00 PM Gender: Female Gender: Female
Gagescu, Melissa LCSW Prohealth Care Associates of Care Plus NJ Inc
Fagan, Sara LCSW New Je 17-07 Romaine St
Provider ID: 1366971 Provider ID: 1429440 221 Park Ave Fair Lawn, NJ 07410
Gender: Female Gender: Female Rutherford, NJ 07070 (201) 986-5000
Care Plus NJ Inc Care Plus NJ Inc (201) 293-0976 00 Yrs/130 Yrs
610 Valley Health Plz 611 Rte 46 W. Ste 100 Fax: (201) 293-0977 M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs
(201) 265-8200 (201) 986-5000 M-F 9:00 AM - 5:00 PM
Fax: (201) 265-0366 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 421
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Clinical Social Kloss, Allyson LCSW Lauber, Kristen LCSW McAuley, Jennifer LCSW
Worker - cont. Provider ID: 1405165 Provider ID: 1419151
Gender: Female Gender: Female Provider ID: 1466763
Kleiwerda, Melissa LCSW Care Plus NJ Inc Care Plus NJ Inc Gender: Female
610 Valley Health Plz 611 Rte 46 W. Ste 100 Care Plus NJ Inc
Provider ID: 1405164 Paramus, NJ 07652 Hasbrouck Heights, NJ 07604 611 Rte 46 W. Ste 100
Gender: Female (201) 265-8200 (201) 986-5000 Hasbrouck Heights, NJ 07604
Care Plus NJ Inc Fax: (201) 265-0366 00 Yrs/130 Yrs (201) 986-5000
230 E Ridgewood Ave 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(201) 986-5000 Mack, Kyle LCSW
00 Yrs/130 Yrs Kloss, Allyson LCSW Provider ID: 1695069 Meany, Joseph LCSW
M-F 9:00 AM - 5:00 PM Provider ID: 1405165 Gender: Male Provider ID: 1429383
Gender: Female Medical Associates of Gender: Male
Kleiwerda, Melissa LCSW Care Plus NJ Inc Englewood, PC Care Plus NJ Inc
611 Rte 46 W Ste 100 25 Rockwood Pl Ste 120 17-07 Romaine St
Provider ID: 1405164 Hasbrouck Heights, NJ 07604 Englewood, NJ 07631 Fair Lawn, NJ 07410
Gender: Female (201) 986-5000 (201) 568-3335 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs Fax: (201) 568-2450 00 Yrs/130 Yrs
610 Valley Health Plz M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 Englewood Hospital and
Lauber, Kristen LCSW Medical Center Meany, Joseph LCSW
(201) 986-5000
Provider ID: 1419151 M-F 9:00 AM - 5:00 PM Provider ID: 1429383
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Gender: Female Gender: Male
Care Plus NJ Inc McAuley, Jennifer LCSW Care Plus NJ Inc
Kleiwerda, Melissa LCSW 17-07 Romaine St 230 E. Ridgewood Ave
Fair Lawn, NJ 07410 Provider ID: 1466763 Paramus, NJ 07652
(201) 986-5000 Gender: Female (201) 986-5000
Provider ID: 1405164
00 Yrs/130 Yrs Care Plus NJ Inc 00 Yrs/130 Yrs
Gender: Female
M-F 9:00 AM - 5:00 PM 17 07 Romaine St M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc
Fair Lawn, NJ 07410
611 Rte 46 W Ste 100 Lauber, Kristen LCSW (201) 986-5000 Meany, Joseph LCSW
Hasbrouck Heights, NJ 07604
Provider ID: 1419151 00 Yrs/130 Yrs Provider ID: 1429383
(201) 986-5000
Gender: Female M-F 9:00 AM - 5:00 PM Gender: Male
00 Yrs/130 Yrs
Care Plus NJ Inc Care Plus NJ Inc
M-F 9:00 AM - 5:00 PM McAuley, Jennifer LCSW
230 E Ridgewood Ave 610 Valley Health Plaza
Kloss, Allyson LCSW Paramus, NJ 07652 Paramus, NJ 07652
Provider ID: 1405165 (201) 986-5000 Provider ID: 1466763 (201) 986-5000
Gender: Female 00 Yrs/130 Yrs Gender: Female Fax: (201) 265-0366
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Care Plus NJ Inc 00 Yrs/130 Yrs
17-07 Romaine St 230 E Ridgewood Ave M-F 9:00 AM - 5:00 PM
Lauber, Kristen LCSW Paramus, NJ 07652
Fair Lawn, NJ 07410
Provider ID: 1419151 (201) 986-5000 Meany, Joseph LCSW
(201) 986-5000
Gender: Female 00 Yrs/130 Yrs Provider ID: 1429383
00 Yrs/130 Yrs
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Gender: Male
M-F 9:00 AM - 5:00 PM
610 Valley Health Plz Care Plus NJ Inc
Kloss, Allyson LCSW Paramus, NJ 07652 McAuley, Jennifer LCSW 611 Rte 46 W. Ste 100
Provider ID: 1405165 (201) 986-5000 Hasbrouck Heights, NJ 07604
Gender: Female 00 Yrs/130 Yrs Provider ID: 1466763 (201) 986-5000
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM Gender: Female 00 Yrs/130 Yrs
230 E Ridgewood Ave Care Plus NJ Inc M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 610 Valley Health Plz
(201) 986-5000 Paramus, NJ 07652
00 Yrs/130 Yrs (201) 986-5000
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 422
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Clinical Social Qureshi, Nadia LCSW Schrader, Cheryl LCSW Vasco, Yajaira LCSW
Worker - cont. Provider ID: 1252031 Provider ID: 1429454
Gender: Female Provider ID: 1249788 Gender: Female
Motoki, Lobsang LCSW Care Plus NJ Inc Gender: Female Care Plus NJ Inc
17-07 Romaine St Care Plus NJ Inc 610 Valley Health Plaza
Provider ID: 1429389 Fair Lawn, NJ 07410 230 E Ridgewood Ave Paramus, NJ 07652
Gender: Female (201) 986-5000 Paramus, NJ 07652 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs (201) 986-5000 00 Yrs/130 Yrs
17-07 Romaine St Languages: Hindi 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(201) 986-5000 Vasco, Yajaira LCSW
00 Yrs/130 Yrs Qureshi, Nadia LCSW Schrader, Cheryl LCSW Provider ID: 1429454
M-F 9:00 AM - 5:00 PM Provider ID: 1252031 Gender: Female
Gender: Female Provider ID: 1249788 Care Plus NJ Inc
Motoki, Lobsang LCSW Care Plus NJ Inc Gender: Female 611 Rte 46 W. Ste 100
230 E Ridgewood Ave Care Plus NJ Inc Hasbrouck Heights, NJ 07604
Provider ID: 1429389 Paramus, NJ 07652 610 Valley Health Plz (201) 986-5000
Gender: Female (201) 986-5000 Paramus, NJ 07652 00 Yrs/130 Yrs
Care Plus NJ Inc 00 Yrs/130 Yrs (201) 986-5000 M-F 9:00 AM - 5:00 PM
230 E. Ridgewood Ave Languages: Hindi 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 9:00 PM Walsh, Lauren LCSW
Paramus, NJ 07652
(201) 986-5000 FSat 9:00 AM - 5:00 PM Provider ID: 1255298
Qureshi, Nadia LCSW Gender: Female
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1252031 Schrader, Cheryl LCSW Care Plus NJ Inc
Gender: Female 17-07 Romaine St
Motoki, Lobsang LCSW Care Plus NJ Inc Provider ID: 1249788 Fair Lawn, NJ 07410
610 Valley Health Plz Gender: Female (201) 797-2660
Provider ID: 1429389 Paramus, NJ 07652 Care Plus NJ Inc Fax: (201) 797-5025
Gender: Female (201) 265-8200 611 Rte 46 W Ste 100 00 Yrs/130 Yrs
Care Plus NJ Inc Fax: (201) 265-0366 Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM
610 Valley Health Plaza 00 Yrs/130 Yrs (201) 986-5000
Languages: Hindi Walsh, Lauren LCSW
Paramus, NJ 07652 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1255298
(201) 265-8200
Gender: Female
Fax: (201) 265-0366 Qureshi, Nadia LCSW Vasco, Yajaira LCSW Care Plus NJ Inc
00 Yrs/130 Yrs
Provider ID: 1252031 Provider ID: 1429454 230 E Ridgewood Ave
M-F 9:00 AM - 5:00 PM
Gender: Female Gender: Female Paramus, NJ 07652
Motoki, Lobsang LCSW Care Plus NJ Inc Care Plus NJ Inc (201) 986-5000
611 Rte 46 W Ste 100 17-07 Romaine St 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
Provider ID: 1429389
(201) 986-5000 (201) 986-5000
Gender: Female Walsh, Lauren LCSW
00 Yrs/130 Yrs 00 Yrs/130 Yrs
Care Plus NJ Inc
Languages: Hindi M-F 9:00 AM - 5:00 PM Provider ID: 1255298
611 Rte 46 W. Ste 100
M-F 9:00 AM - 5:00 PM Gender: Female
Hasbrouck Heights, NJ 07604
Vasco, Yajaira LCSW Care Plus NJ Inc
(201) 986-5000 Schrader, Cheryl LCSW Provider ID: 1429454 610 Valley Health Plz
00 Yrs/130 Yrs
Gender: Female Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM
Provider ID: 1249788 Care Plus NJ Inc (201) 986-5000
Gender: Female 230 E. Ridgewood Ave 00 Yrs/130 Yrs
Care Plus NJ Inc Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
17-07 Romaine St (201) 986-5000
Fair Lawn, NJ 07410 00 Yrs/130 Yrs
(201) 797-2660 M-F 9:00 AM - 5:00 PM
Fax: (201) 797-5025
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 423
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Clinical Social Zeik, Carol LCSW Awca Homecare Agency Inc L & L Staffing and Home Care
Worker - cont. Provider ID: 1232145 Services
Gender: Female Provider ID: 985446 Provider ID: 973476
Walsh, Lauren LCSW Bergen Regional Medical 9 Genesee Ave 40 N Van Brunt St Ste 24
Provider ID: 1255298 Center Teaneck, NJ 07666 Englewood, NJ 07631
Gender: Female 230 E Ridgewood Ave (201) 862-9111 (201) 567-3373
Care Plus NJ Inc Paramus, NJ 07652 Fax: (201) 862-0005 Fax: (201) 567-6680
611 Rte 46 W Ste 100 (800) 730-2762 18 Yrs/130 Yrs 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 Fax: (201) 967-4117 Languages: Chinese, Korean Languages: Spanish, Russian,
(201) 986-5000 12 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Chinese, Polish
00 Yrs/130 Yrs M-F 8:00 AM - 4:30 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Bayada Home Healthcare Inc
Licensed Home Care Loving Care Agency Inc
Willets, Catharine LCSW Service Agency Provider ID: 945568
Bayada Home Health Care Inc Provider ID: 1008554
Provider ID: 1255299 Accredited Health Services 90 Main St Ste 100 190 Moore St
Gender: Female Inc Hackensack, NJ 07601 Hackensack, NJ 07601
Care Plus NJ Inc Provider ID: 1014890 (201) 343-7100 (201) 525-7470
17-07 Romaine St 235 Moore St Fax: (201) 343-3895 Fax: (201) 592-7003
Fair Lawn, NJ 07410 Hackensack, NJ 07601 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 (201) 342-8844 M-F 9:00 AM - 5:00 PM Languages: Spanish, Russian,
00 Yrs/130 Yrs Fax: (201) 342-8477 Polish, Ukrainian
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Bayada Home Healthcare Inc M-F 9:00 AM - 5:00 PM
M-F 7:30 AM - 5:30 PM
Willets, Catharine LCSW Priority Nursing Services
Provider ID: 945568
Accredited Health Services
Bayada Home Health Care Inc
Inc Fc Provider ID: 964671
Provider ID: 1255299 90 Main St Ste 202
Provider ID: 1610511 286 Union St FL2
Gender: Female Hackensack, NJ 07601
235 Moore St Hackensack, NJ 07601
Care Plus NJ Inc (201) 488-1262
Hackensack, NJ 07601 (800) 540-6957
230 E Ridgewood Ave Fax: (201) 343-0629
(201) 342-6844 Fax: (201) 881-0118
Paramus, NJ 07652 00 Yrs/130 Yrs
Fax: (201) 342-8477 00 Yrs/130 Yrs
(201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Languages: Spanish
00 Yrs/130 Yrs
M-F 7:30 AM - 5:30 PM Fidelity Care M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Provider ID: 984868
All Metro Health Care Starlight Home Care Agency
Willets, Catharine LCSW 113 Dewitt St Ste 204
Provider ID: 964963 Inc
Garfield, NJ 07026
All Metro Home Care Services (973) 478-3500 Provider ID: 945708
Provider ID: 1255299 of New 310 Cedar Ln
Gender: Female Fax: (973) 478-9399
214 State St Ste 104 Teaneck, NJ 07666
Care Plus NJ Inc 12 Yrs/130 Yrs
Hackensack, NJ 07601 (201) 836-0500
610 Valley Health Plz M-F 8:30 AM - 5:30 PM
(201) 488-6151 Fax: (201) 836-5301
Paramus, NJ 07652 Fax: (201) 488-6165 Gentle Heart Careagency 00 Yrs/130 Yrs
(201) 986-5000 00 Yrs/130 Yrs Languages: Spanish, Russian
00 Yrs/130 Yrs Languages: Spanish, Arabic M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: 944455
M-F 9:00 AM - 5:00 PM
333 Sylvan Ave Ste 205 Unlimited Care Inc
Willets, Catharine LCSW Always Home Care Englewood Cliffs, NJ 07632 Provider ID: 607834
Provider ID: 944544 (201) 613-6173 106 Grand Ave 3rd Fl
Provider ID: 1255299 187 Main St Fax: (201) 621-5052 Englewood, NJ 07631
Gender: Female Hackensack, NJ 07601 00 Yrs/130 Yrs (201) 894-0004
Care Plus NJ Inc (201) 603-3133 Languages: Korean Fax: (201) 894-8916
611 Rte 46 W Ste 100 Fax: (201) 342-0660 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs Languages: Spanish
(201) 986-5000 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 424
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Professional Arlia, Jaime LPC Brown Huston, Heather LPC Bruce, Nivioska LPC
Counselor Provider ID: 1249630 Provider ID: 1405138
Gender: Female Provider ID: 1405136 Gender: Female
Alkhalaileh, Michelle LPC Care Plus NJ Inc Gender: Female Care Plus NJ Inc
17-07 Romaine St Care Plus NJ Inc 230 E Ridgewood Ave
Provider ID: 1289285 Fair Lawn, NJ 07410 17-07 Romaine St Paramus, NJ 07652
Gender: Female (201) 986-5000 Fair Lawn, NJ 07410 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs (201) 986-5000 00 Yrs/130 Yrs
17-07 Romaine St Languages: Spanish, 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fair Lawn, NJ 07410 Portuguese M-F 9:00 AM - 5:00 PM
(201) 986-5000 M-F 9:00 AM - 5:00 PM Bruce, Nivioska LPC
00 Yrs/130 Yrs Brown Huston, Heather LPC Provider ID: 1405138
Arlia, Jaime LPC Gender: Female
M-F 9:00 AM - 5:00 PM
Provider ID: 1249630 Provider ID: 1405136 Care Plus NJ Inc
Alkhalaileh, Michelle LPC Gender: Female Gender: Female 610 Valley Health Plz
Care Plus NJ Inc Care Plus NJ Inc Paramus, NJ 07652
Provider ID: 1289285 230 E Ridgewood Ave Ste 100 230 E Ridgewood Ave (201) 986-5000
Gender: Female Paramus, NJ 07652 Paramus, NJ 07652 00 Yrs/130 Yrs
Care Plus NJ Inc (201) 986-5000 (201) 986-5000 M-F 9:00 AM - 5:00 PM
230 E Ridgewood Ave 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Languages: Spanish, M-F 9:00 AM - 5:00 PM Bruce, Nivioska LPC
Paramus, NJ 07652
Portuguese Provider ID: 1405138
(201) 986-5000
M-F 9:00 AM - 5:00 PM Brown Huston, Heather LPC Gender: Female
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
Arlia, Jaime LPC 611 Rte 46 W Ste 100
Provider ID: 1405136
Alkhalaileh, Michelle LPC Provider ID: 1249630 Hasbrouck Heights, NJ 07604
Gender: Female
Gender: Female (201) 986-5000
Care Plus NJ Inc
Care Plus NJ Inc 00 Yrs/130 Yrs
Provider ID: 1289285 610 Valley Health Plz
610 Valley Health Plz M-F 9:00 AM - 5:00 PM
Gender: Female Paramus, NJ 07652
Paramus, NJ 07652
Care Plus NJ Inc (201) 265-8200
(201) 265-8200 Bryer, Janice LPC
610 Valley Health Plz Fax: (201) 265-0366
Fax: (201) 265-0366 Provider ID: 1025241
Paramus, NJ 07652 00 Yrs/130 Yrs
00 Yrs/130 Yrs Gender: Female
(201) 986-5000 M-F 9:00 AM - 5:00 PM
Languages: Spanish, Janice Bryer
00 Yrs/130 Yrs Portuguese Brown Huston, Heather LPC 61 N Maple Ave Ste 301
M-TH 9:00 AM - 9:00 PM M-TH 9:00 AM - 9:00 PM Ridgewood, NJ 07450
FSat 9:00 AM - 5:00 PM F 9:00 AM - 5:00 PM
Provider ID: 1405136 (201) 757-4000
Alkhalaileh, Michelle LPC Gender: Female Fax: (201) 670-7671
Arlia, Jaime LPC 18 Yrs/130 Yrs
Provider ID: 1249630 Care Plus NJ Inc
611 Rte 46 W Ste 100 M-F 1:00 AM - 8:00 PM
Provider ID: 1289285 Gender: Female
Gender: Female Care Plus NJ Inc Hasbrouck Heights, NJ 07604 Coleman, Katherine LPC
Care Plus NJ Inc 611 Rte 46 W Ste 100 (201) 986-5000
611 Rte 46 W Ste 100 Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1429675
Hasbrouck Heights, NJ 07604 (201) 986-5000 Gender: Female
(201) 986-5000 00 Yrs/130 Yrs Bruce, Nivioska LPC Care Plus NJ Inc
00 Yrs/130 Yrs Languages: Spanish,
Provider ID: 1405138 17-07 Romaine St
M-F 9:00 AM - 5:00 PM Portuguese
Gender: Female Fair Lawn, NJ 07410
M-F 9:00 AM - 5:00 PM (201) 986-5000
Care Plus NJ Inc
17-07 Romaine St 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
(201) 986-5000
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 425
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Professional Dickens, Allison LPC Findura, John LPC Kim, Mee Hyea LPC
Counselor - cont. Provider ID: 1367349 Provider ID: 1441086 Provider ID: 1407617
Gender: Female Gender: Male Gender: Female
Coleman, Katherine LPC Care Plus NJ Inc Care Plus NJ Inc Care Plus NJ Inc
17-07 Romaine St 230 E. Ridgewood Ave 230 E Ridgewood Ave
Provider ID: 1429675 Fair Lawn, NJ 07410 Paramus, NJ 07652 Paramus, NJ 07652
Gender: Female (201) 986-5000 (201) 986-5000 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
230 E Ridgewood Ave M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652
(201) 986-5000 Dickens, Allison LPC Findura, John LPC Kim, Mee Hyea LPC
00 Yrs/130 Yrs Provider ID: 1367349 Provider ID: 1441086 Provider ID: 1407617
M-F 9:00 AM - 5:00 PM Gender: Female Gender: Male Gender: Female
Care Plus NJ Inc Care Plus NJ Inc Care Plus NJ Inc
Coleman, Katherine LPC 230 E Ridgewood Ave 610 Valley Health Plaza 610 Valley Health Plz
Paramus, NJ 07652 Paramus, NJ 07652 Paramus, NJ 07652
Provider ID: 1429675 (201) 986-5000 (201) 265-8200 (201) 986-5000
Gender: Female 00 Yrs/130 Yrs Fax: (201) 265-0366 00 Yrs/130 Yrs
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
610 Valley Health Plaza M-F 9:00 AM - 5:00 PM
Dickens, Allison LPC Kim, Mee Hyea LPC
Paramus, NJ 07652
Provider ID: 1367349 Findura, John LPC Provider ID: 1407617
(201) 265-8200
Fax: (201) 265-0366 Gender: Female Provider ID: 1441086 Gender: Female
00 Yrs/130 Yrs Care Plus NJ Inc Gender: Male Care Plus NJ Inc
M-F 9:00 AM - 5:00 PM 610 Valley Health Plz Care Plus NJ Inc 611 Rte 46 W. Ste 100
Paramus, NJ 07652 611 Rte 46 W. Ste 100 Hasbrouck Heights, NJ 07604
Coleman, Katherine LPC (201) 265-8200 Hasbrouck Heights, NJ 07604 (201) 986-5000
Fax: (201) 265-0366 (201) 986-5000 00 Yrs/130 Yrs
Provider ID: 1429675 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Gender: Female M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Lagana, Jamie LPC
Care Plus NJ Inc Golfinopoulos, Catherine Pn
Dickens, Allison LPC Provider ID: 1260599
611 Rte 46 W. Ste 100
Provider ID: 1367349 Gender: Female
Hasbrouck Heights, NJ 07604
Gender: Female Provider ID: 951801 Care Plus NJ Inc
(201) 986-5000
Care Plus NJ Inc Gender: Female 17-07 Romaine St
00 Yrs/130 Yrs
611 Rte 46 W. Ste 100 A G Psychotherapy and Fair Lawn, NJ 07410
M-F 9:00 AM - 5:00 PM
Hasbrouck Heights, NJ 07604 Counseling S (201) 986-5000
Davis, Orkeem LPC (201) 986-5000 240 Frisch Ct Ste 304 00 Yrs/130 Yrs
Provider ID: 1585616 00 Yrs/130 Yrs Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
Gender: Male M-F 9:00 AM - 5:00 PM (201) 291-4100
Fax: (201) 291-4108 Lagana, Jamie LPC
Sub Specialty: Substance Findura, John LPC 00 Yrs/130 Yrs Provider ID: 1260599
Abuse Assessment, SA
Intensive Outpatient Prog Provider ID: 1441086 Languages: Greek Gender: Female
121 Cedar Lane Gender: Male M-F 9:00 AM - 9:00 PM Care Plus NJ Inc
Teaneck, NJ 07666 Care Plus NJ Inc Sat 9:00 AM - 3:00 PM 230 E Ridgewood Ave
(609) 277-6988 17-07 Romaine St Paramus, NJ 07652
Fax: (201) 492-5010 Fair Lawn, NJ 07410 Kim, Mee Hyea LPC (201) 986-5000
00 Yrs/130 Yrs (201) 986-5000 Provider ID: 1407617 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Gender: Female M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
17-07 Romaine St
Fair Lawn, NJ 07410
(201) 986-5000
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 426
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Professional Martino Woods, Teresa LPC Narbone, L. LPC O'Connell, Lauren LPC
Counselor - cont. Provider ID: 1429393 Provider ID: 1436818
Provider ID: 1429681 Gender: Female Gender: Female
Lagana, Jamie LPC Gender: Female Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1260599 Care Plus NJ Inc 610 Valley Health Plaza 611 Rte 46 W Ste 100
Gender: Female 230 E Ridgewood Ave Paramus, NJ 07652 Hasbrouck Heights, NJ 07604
Care Plus NJ Inc Paramus, NJ 07652 (201) 265-8200 (201) 986-5000
610 Valley Health Plz (201) 986-5000 Fax: (201) 265-0366 00 Yrs/130 Yrs
Paramus, NJ 07652 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 986-5000 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Parker, Princess LPC
M-F 9:00 AM - 5:00 PM Martino Woods, Teresa LPC Narbone, L. LPC Provider ID: 1263629
Provider ID: 1429393 Gender: Female
Lagana, Jamie LPC Provider ID: 1429681 Gender: Female Care Plus NJ Inc
Provider ID: 1260599 Gender: Female Care Plus NJ Inc 17-07 Romaine St
Gender: Female Care Plus NJ Inc 611 Rte 46 W. Ste 100 Fair Lawn, NJ 07410
Care Plus NJ Inc 610 Valley Health Plaza Hasbrouck Heights, NJ 07604 (201) 986-5000
611 Rte 46 W Ste 100 Paramus, NJ 07652 (201) 986-5000 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 (201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Parker, Princess LPC
M-F 9:00 AM - 5:00 PM O'Connell, Lauren LPC Provider ID: 1263629
Martino Woods, Teresa LPC Provider ID: 1436818 Gender: Female
Lee, Joon Eui LPC Gender: Female Care Plus NJ Inc
Provider ID: 1591604 Provider ID: 1429681 Care Plus NJ Inc 230 E Ridgewood Ave
Gender: Male Gender: Female 17-07 Romaine St Paramus, NJ 07652
Bergen Psychotherapy Care Plus NJ Inc Fair Lawn, NJ 07410 (201) 986-5000
Practice, LLC 611 Rte 46 W. Ste 100 (201) 986-5000 00 Yrs/130 Yrs
Sub Specialty: Depression, Hasbrouck Heights, NJ 07604 Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM
Aggression, Anxiety, Stress (201) 986-5000 00 Yrs/130 Yrs
Management, Family Issues M-F 9:00 AM - 5:00 PM Parker, Princess LPC
00 Yrs/130 Yrs
121 Cedar Ln Ste 3B Provider ID: 1263629
M-F 9:00 AM - 5:00 PM
Teaneck, NJ 07666 O'Connell, Lauren LPC Gender: Female
(201) 240-8043 Narbone, L. LPC Provider ID: 1436818 Care Plus NJ Inc
Fax: (201) 353-2315 Provider ID: 1429393 Gender: Female 610 Valley Health Plz
00 Yrs/130 Yrs Gender: Female Care Plus NJ Inc Paramus, NJ 07652
MTTH 9:00 AM - 8:00 PM Care Plus NJ Inc 230 E Ridgewood Ave (201) 986-5000
WF 5:00 AM - 8:00 PM 17-07 Romaine St Paramus, NJ 07652 00 Yrs/130 Yrs
Sat 9:00 AM - 3:00 PM Fair Lawn, NJ 07410 (201) 986-5000 M-F 9:00 AM - 5:00 PM
(201) 986-5000 00 Yrs/130 Yrs
Martino Woods, Teresa LPC M-F 9:00 AM - 5:00 PM Parker, Princess LPC
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Provider ID: 1263629
Provider ID: 1429681 O'Connell, Lauren LPC Gender: Female
Gender: Female Narbone, L. LPC Provider ID: 1436818 Care Plus NJ Inc
Care Plus NJ Inc Provider ID: 1429393 Gender: Female 611 Rte 46 W Ste 100
17-07 Romaine St Gender: Female Care Plus NJ Inc Hasbrouck Heights, NJ 07604
Fair Lawn, NJ 07410 Care Plus NJ Inc 610 Valley Health Plz (201) 986-5000
(201) 986-5000 230 E. Ridgewood Ave Paramus, NJ 07652 00 Yrs/130 Yrs
00 Yrs/130 Yrs Paramus, NJ 07652 (201) 986-5000 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM (201) 986-5000 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 427
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Professional Santana, Rosemary LPC Varughese, Joe LPC Walpole, Joan LPC
Counselor - cont. Provider ID: 1429450 Provider ID: 1260608
Provider ID: 1429436 Gender: Male Gender: Female
Proano, Jayme LPC Gender: Female Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1429420 Care Plus NJ Inc 230 E. Ridgewood Ave 610 Valley Health Plz
Gender: Female 230 E. Ridgewood Ave Paramus, NJ 07652 Paramus, NJ 07652
Care Plus NJ Inc Paramus, NJ 07652 (201) 986-5000 (201) 986-5000
17-07 Romaine St (201) 986-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(201) 986-5000 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Varughese, Joe LPC Walpole, Joan LPC
M-F 9:00 AM - 5:00 PM Santana, Rosemary LPC Provider ID: 1429450 Provider ID: 1260608
Gender: Male Gender: Female
Proano, Jayme LPC Provider ID: 1429436 Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1429420 Gender: Female 610 Valley Health Plaza 611 Rte 46 W Ste 100
Gender: Female Care Plus NJ Inc Paramus, NJ 07652 Hasbrouck Heights, NJ 07604
Care Plus NJ Inc 610 Valley Health Plaza (201) 265-8200 (201) 986-5000
230 E. Ridgewood Ave Paramus, NJ 07652 Fax: (201) 265-0366 00 Yrs/130 Yrs
Paramus, NJ 07652 (201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 986-5000 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Zihal, Annmarie LMFT
M-F 9:00 AM - 5:00 PM Varughese, Joe LPC Provider ID: 1249645
Santana, Rosemary LPC Provider ID: 1429450 Gender: Female
Proano, Jayme LPC Gender: Male Care Plus NJ Inc
Provider ID: 1429420 Provider ID: 1429436 Care Plus NJ Inc 17-07 Romaine St
Gender: Female Gender: Female 611 Rte 46 W. Ste 100 Fair Lawn, NJ 07410
Care Plus NJ Inc Care Plus NJ Inc Hasbrouck Heights, NJ 07604 (201) 797-2660
610 Valley Health Plaza 611 Rte 46 W. Ste 100 (201) 986-5000 Fax: (201) 797-5025
Paramus, NJ 07652 Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 (201) 986-5000 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Walpole, Joan LPC Zihal, Annmarie LMFT
M-F 9:00 AM - 5:00 PM
Provider ID: 1260608 Provider ID: 1249645
Proano, Jayme LPC Torres, Luz LPC Gender: Female Gender: Female
Provider ID: 1429420 Provider ID: 1587809 Care Plus NJ Inc Care Plus NJ Inc
Gender: Female Gender: Female 17-07 Romaine St 230 E Ridgewood Ave
Care Plus NJ Inc Lpcnj, LLC Fair Lawn, NJ 07410 Paramus, NJ 07652
611 Rte 46 W. Ste 100 426 Hudson St Fl 2 (201) 986-5000 (201) 986-5000
Hasbrouck Heights, NJ 07604 Hackensack, NJ 07601 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 986-5000 (201) 481-8733 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Fax: (201) 820-0735
M-F 9:00 AM - 5:00 PM Walpole, Joan LPC Zihal, Annmarie LMFT
00 Yrs/130 Yrs
M-F 9:00 AM - 8:00 PM Provider ID: 1260608 Provider ID: 1249645
Santana, Rosemary LPC Gender: Female Gender: Female
Varughese, Joe LPC Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1429436 Provider ID: 1429450 230 E Ridgewood Ave 610 Valley Health Plz
Gender: Female Gender: Male Paramus, NJ 07652 Paramus, NJ 07652
Care Plus NJ Inc Care Plus NJ Inc (201) 986-5000 (201) 265-8200
17-07 Romaine St 17-07 Romaine St 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 9:00 PM
(201) 986-5000 (201) 986-5000 FSat 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 428
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Professional Bellamy, Mike LCSW Burgos, Rolando LSW Coppola, Adrienne LSW
Counselor - cont. Provider ID: 1054981 Provider ID: 1366965
Gender: Male Gender: Male Provider ID: 1364392
Zihal, Annmarie LMFT Bergen Regional Medical Care Plus NJ Inc Gender: Female
Provider ID: 1249645 Center 17-07 Romaine St Care Plus NJ Inc
Gender: Female 230 E Ridgewood Ave Fair Lawn, NJ 07410 230 E Ridgewood Ave
Care Plus NJ Inc Paramus, NJ 07652 (201) 986-5000 Paramus, NJ 07652
611 Rte 46 W Ste 100 (800) 730-2762 00 Yrs/130 Yrs (201) 986-5000
Hasbrouck Heights, NJ 07604 Fax: (201) 225-7101 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
(201) 986-5000 05 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Bergen Regional Medical Burgos, Rolando LSW
M-F 9:00 AM - 5:00 PM Center Provider ID: 1366965 Coppola, Adrienne LSW
M-TH 9:00 AM - 5:30 PM Gender: Male
Licensed Social Worker Care Plus NJ Inc Provider ID: 1364392
Breitwieser, Jamie LSW 230 E Ridgewood Ave Gender: Female
Artis, Ladeana CSW Paramus, NJ 07652 Care Plus NJ Inc
Provider ID: 1367339 Provider ID: 1255296 (201) 986-5000 610 Valley Health Plz
Gender: Female Gender: Female 00 Yrs/130 Yrs Paramus, NJ 07652
Care Plus NJ Inc Care Plus NJ Inc M-F 9:00 AM - 5:00 PM (201) 986-5000
17-07 Romaine St 17-07 Romaine St 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 Fair Lawn, NJ 07410 Burgos, Rolando LSW M-F 9:00 AM - 5:00 PM
(201) 986-5000 (201) 986-5000 Provider ID: 1366965
00 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Male Coppola, Adrienne LSW
M-TH 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
FSat 9:00 AM - 5:00 PM 610 Valley Health Plz Provider ID: 1364392
Breitwieser, Jamie LSW Paramus, NJ 07652 Gender: Female
Artis, Ladeana CSW (201) 265-8200 Care Plus NJ Inc
Provider ID: 1367339 Provider ID: 1255296 Fax: (201) 265-0366 611 Rte 46 W. Ste 100
Gender: Female Gender: Female 00 Yrs/130 Yrs Hasbrouck Heights, NJ 07604
Care Plus NJ Inc Care Plus NJ Inc M-F 9:00 AM - 5:00 PM (201) 986-5000
230 E Ridgewood Ave 230 E Ridgewood Ave 00 Yrs/130 Yrs
Paramus, NJ 07652 Paramus, NJ 07652 Burgos, Rolando LSW M-F 9:00 AM - 5:00 PM
(201) 986-5000 (201) 986-5000 Provider ID: 1366965
00 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Male Donohue, Melissa LSW
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
611 Rte 46 W Ste 100 Provider ID: 1251983
Artis, Ladeana CSW Breitwieser, Jamie LSW Hasbrouck Heights, NJ 07604 Gender: Female
Provider ID: 1367339 (201) 986-5000 Care Plus NJ Inc
Gender: Female Provider ID: 1255296 00 Yrs/130 Yrs 17-07 Romaine St
Care Plus NJ Inc Gender: Female M-F 9:00 AM - 5:00 PM Fair Lawn, NJ 07410
610 Valley Health Plz Care Plus NJ Inc (201) 986-5000
Paramus, NJ 07652 610 Valley Health Plz Coppola, Adrienne LSW
00 Yrs/130 Yrs
(201) 265-8200 Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
Fax: (201) 265-0366 (201) 986-5000 Provider ID: 1364392
00 Yrs/130 Yrs 00 Yrs/130 Yrs Gender: Female Donohue, Melissa LSW
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
17-07 Romaine St Provider ID: 1251983
Artis, Ladeana CSW Breitwieser, Jamie LSW Fair Lawn, NJ 07410 Gender: Female
Provider ID: 1367339 (201) 986-5000 Care Plus NJ Inc
Gender: Female Provider ID: 1255296 00 Yrs/130 Yrs 230 E Ridgewood Ave
Care Plus NJ Inc Gender: Female M-F 9:00 AM - 5:00 PM Paramus, NJ 07652
611 Rte 46 W. Ste 100 Care Plus NJ Inc (201) 986-5000
Hasbrouck Heights, NJ 07604 611 Rte 46 W Ste 100 00 Yrs/130 Yrs
(201) 986-5000 Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs (201) 986-5000
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 429
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Social Worker - Genova, Alexandra LSW Hanley, Kayla LSW Kim, Sun LSW
cont. Provider ID: 1367025 Provider ID: 1252010
Provider ID: 1364393 Gender: Female Gender: Female
Donohue, Melissa LSW Gender: Female Care Plus NJ Inc Care Plus NJ Inc
Care Plus NJ Inc 17-07 Romaine St 230 E Ridgewood Ave
Provider ID: 1251983 611 Rte 46 W. Ste 100 Fair Lawn, NJ 07410 Paramus, NJ 07652
Gender: Female Hasbrouck Heights, NJ 07604 (201) 986-5000 (201) 986-5000
Care Plus NJ Inc (201) 986-5000 00 Yrs/130 Yrs 00 Yrs/130 Yrs
610 Valley Health Plz 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Languages: Korean
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(201) 986-5000 Hanley, Kayla LSW
00 Yrs/130 Yrs Gregor, Sarah LSW Provider ID: 1367025 Kim, Sun LSW
M-F 9:00 AM - 5:00 PM Provider ID: 1367023 Gender: Female Provider ID: 1252010
Gender: Female Care Plus NJ Inc Gender: Female
Donohue, Melissa LSW Care Plus NJ Inc 230 E Ridgewood Ave Care Plus NJ Inc
17-07 Romaine St Paramus, NJ 07652 610 Valley Health Plz
Provider ID: 1251983 Fair Lawn, NJ 07410 (201) 986-5000 Paramus, NJ 07652
Gender: Female (201) 986-5000 00 Yrs/130 Yrs (201) 265-8200
Care Plus NJ Inc 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 265-0366
611 Rte 46 W Ste 100 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Hanley, Kayla LSW Languages: Korean
Hasbrouck Heights, NJ 07604
(201) 986-5000 Gregor, Sarah LSW Provider ID: 1367025 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Provider ID: 1367023 Gender: Female
Gender: Female Care Plus NJ Inc Kim, Sun LSW
M-F 9:00 AM - 5:00 PM
Care Plus NJ Inc 610 Valley Health Plz Provider ID: 1252010
Genova, Alexandra LSW 230 E Ridgewood Ave Paramus, NJ 07652 Gender: Female
Paramus, NJ 07652 (201) 986-5000 Care Plus NJ Inc
Provider ID: 1364393 (201) 986-5000 00 Yrs/130 Yrs 611 Rte 46 W Ste 100
Gender: Female 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Hasbrouck Heights, NJ 07604
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM (201) 986-5000
Hanley, Kayla LSW 00 Yrs/130 Yrs
17-07 Romaine St
Gregor, Sarah LSW Provider ID: 1367025 Languages: Korean
Fair Lawn, NJ 07410
Provider ID: 1367023 Gender: Female M-F 9:00 AM - 5:00 PM
(201) 986-5000
Gender: Female Care Plus NJ Inc
00 Yrs/130 Yrs
Care Plus NJ Inc 611 Rte 46 W Ste 100 Leighton, Jennifer LSW
M-F 9:00 AM - 5:00 PM
610 Valley Health Plz Hasbrouck Heights, NJ 07604
Genova, Alexandra LSW Paramus, NJ 07652 (201) 986-5000 Provider ID: 1405171
(201) 986-5000 00 Yrs/130 Yrs Gender: Female
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
Provider ID: 1364393
Gender: Female M-F 9:00 AM - 5:00 PM 17-07 Romaine St
Kim, Sun LSW Fair Lawn, NJ 07410
Care Plus NJ Inc Gregor, Sarah LSW Provider ID: 1252010 (201) 797-2660
230 E Ridgewood Ave
Provider ID: 1367023 Gender: Female Fax: (201) 797-5025
Paramus, NJ 07652
Gender: Female Care Plus NJ Inc 00 Yrs/130 Yrs
(201) 986-5000
Care Plus NJ Inc 17-07 Romaine St M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
611 Rte 46 W Ste 100 Fair Lawn, NJ 07410
M-F 9:00 AM - 5:00 PM
Hasbrouck Heights, NJ 07604 (201) 986-5000 Leighton, Jennifer LSW
Genova, Alexandra LSW (201) 986-5000 00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: Korean Provider ID: 1405171
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Gender: Female
Provider ID: 1364393
Gender: Female Care Plus NJ Inc
Care Plus NJ Inc 230 E Ridgewood Ave
610 Valley Health Plz Paramus, NJ 07652
Paramus, NJ 07652 (201) 986-5000
(201) 986-5000 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 430
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Social Worker - Madden, Victoria LSW Mitchell, Michelle LSW Panavelil, Jillu LSW
cont. Provider ID: 1429677 Provider ID: 1445070
Gender: Female Provider ID: 1249783 Gender: Female
Leighton, Jennifer LSW Care Plus NJ Inc Gender: Female Care Plus NJ Inc
611 Rte 46 W. Ste 100 Care Plus NJ Inc 611 Rte 46 W. Ste 100
Provider ID: 1405171 Hasbrouck Heights, NJ 07604 17-07 Romaine St Hasbrouck Heights, NJ 07604
Gender: Female (201) 986-5000 Fair Lawn, NJ 07410 (201) 986-5000
Care Plus NJ Inc 00 Yrs/130 Yrs (201) 986-5000 00 Yrs/130 Yrs
610 Valley Health Plz M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
(201) 265-8200 Maury, Allison CSW Powell, Jacqueline LSW
Fax: (201) 265-0366 Provider ID: 1442598 Mitchell, Michelle LSW
00 Yrs/130 Yrs Gender: Female Provider ID: 1451063
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc Provider ID: 1249783 Gender: Female
17-07 Romaine St Gender: Female Care Plus NJ Inc
Leighton, Jennifer LSW Fair Lawn, NJ 07410 Care Plus NJ Inc 17-07 Romaine St
(201) 797-2660 230 E Ridgewood Ave Fair Lawn, NJ 07410
Provider ID: 1405171 Fax: (201) 797-5025 Paramus, NJ 07652 (201) 986-5000
Gender: Female 00 Yrs/130 Yrs (201) 986-5000 00 Yrs/130 Yrs
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
611 Rte 46 W Ste 100 M-F 9:00 AM - 5:00 PM
Maury, Allison CSW Powell, Jacqueline LSW
Hasbrouck Heights, NJ 07604
(201) 986-5000 Provider ID: 1442598 Mitchell, Michelle LSW
00 Yrs/130 Yrs Gender: Female Provider ID: 1451063
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc Provider ID: 1249783 Gender: Female
230 E. Ridgewood Ave Gender: Female Care Plus NJ Inc
Madden, Victoria LSW Paramus, NJ 07652 Care Plus NJ Inc 230 E. Ridgewood Ave
Provider ID: 1429677 (201) 986-5000 610 Valley Health Plz Paramus, NJ 07652
Gender: Female 00 Yrs/130 Yrs Paramus, NJ 07652 (201) 986-5000
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM (201) 265-8200 00 Yrs/130 Yrs
17-07 Romaine St 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Maury, Allison CSW
Fair Lawn, NJ 07410 M-TH 9:00 AM - 9:00 PM
(201) 986-5000 Provider ID: 1442598 FSat 9:00 AM - 5:00 PM Powell, Jacqueline LSW
00 Yrs/130 Yrs Gender: Female
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc Mitchell, Michelle LSW Provider ID: 1451063
610 Valley Health Plaza Gender: Female
Madden, Victoria LSW Paramus, NJ 07652 Provider ID: 1249783 Care Plus NJ Inc
Provider ID: 1429677 (201) 986-5000 Gender: Female 610 Valley Health Plz
Gender: Female 00 Yrs/130 Yrs Care Plus NJ Inc Paramus, NJ 07652
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM 611 Rte 46 W Ste 100 (201) 986-5000
230 E Ridgewood Ave Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs
Maury, Allison CSW
Paramus, NJ 07652 (201) 986-5000 M-F 9:00 AM - 5:00 PM
(201) 986-5000 Provider ID: 1442598 00 Yrs/130 Yrs
00 Yrs/130 Yrs Gender: Female Powell, Jacqueline LSW
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Care Plus NJ Inc
611 Rte 46 W. Ste 100 Panavelil, Jillu LSW Provider ID: 1451063
Madden, Victoria LSW Hasbrouck Heights, NJ 07604 Provider ID: 1445070 Gender: Female
Provider ID: 1429677 (201) 986-5000 Gender: Female Care Plus NJ Inc
Gender: Female 00 Yrs/130 Yrs Care Plus NJ Inc 611 Rte 46 W. Ste 100
Care Plus NJ Inc M-F 9:00 AM - 5:00 PM 230 E. Ridgewood Ave Hasbrouck Heights, NJ 07604
610 Valley Health Plaza Paramus, NJ 07652 (201) 986-5000
Paramus, NJ 07652 (201) 986-5000 00 Yrs/130 Yrs
(201) 265-8200 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 431
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Social Worker - Requena, Caitlin CSW Rodriguez, Catherine LSW Rudolph, Justin LSW
cont. Provider ID: 1367344 Provider ID: 1429433
Gender: Female Provider ID: 1429427 Gender: Male
Purwin, Nicole LSW Care Plus NJ Inc Gender: Female Care Plus NJ Inc
Provider ID: 1249785 230 E Ridgewood Ave Care Plus NJ Inc 611 Rte 46 W. Ste 100
Gender: Female Paramus, NJ 07652 610 Valley Health Plaza Hasbrouck Heights, NJ 07604
Care Plus NJ Inc (201) 986-5000 Paramus, NJ 07652 (201) 986-5000
17-07 Romaine St 00 Yrs/130 Yrs (201) 265-8200 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM
(201) 986-5000 00 Yrs/130 Yrs
00 Yrs/130 Yrs Requena, Caitlin CSW M-F 9:00 AM - 5:00 PM Schwartz, Jessica LSW
M-F 9:00 AM - 5:00 PM Provider ID: 1367344 Provider ID: 1429439
Gender: Female Rodriguez, Catherine LSW Gender: Female
Purwin, Nicole LSW Care Plus NJ Inc Care Plus NJ Inc
Provider ID: 1249785 610 Valley Health Plz Provider ID: 1429427 17-07 Romaine St
Gender: Female Paramus, NJ 07652 Gender: Female Fair Lawn, NJ 07410
Care Plus NJ Inc (201) 986-5000 Care Plus NJ Inc (201) 986-5000
230 E Ridgewood Ave 00 Yrs/130 Yrs 611 Rte 46 W. Ste 100 00 Yrs/130 Yrs
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM
(201) 986-5000 (201) 986-5000
00 Yrs/130 Yrs Requena, Caitlin CSW 00 Yrs/130 Yrs Schwartz, Jessica LSW
M-F 9:00 AM - 5:00 PM Provider ID: 1367344 M-F 9:00 AM - 5:00 PM Provider ID: 1429439
Gender: Female Gender: Female
Purwin, Nicole LSW Care Plus NJ Inc Rudolph, Justin LSW Care Plus NJ Inc
Provider ID: 1249785 611 Rte 46 W. Ste 100 Provider ID: 1429433 230 E. Ridgewood Ave
Gender: Female Hasbrouck Heights, NJ 07604 Gender: Male Paramus, NJ 07652
Care Plus NJ Inc (201) 986-5000 Care Plus NJ Inc (201) 986-5000
610 Valley Health Plz 00 Yrs/130 Yrs 17-07 Romaine St 00 Yrs/130 Yrs
Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
(201) 986-5000 (201) 986-5000
00 Yrs/130 Yrs Rodriguez, Catherine LSW 00 Yrs/130 Yrs Schwartz, Jessica LSW
M-TH 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 1429439
FSat 9:00 AM - 5:00 PM Provider ID: 1429427 Gender: Female
Gender: Female Rudolph, Justin LSW Care Plus NJ Inc
Purwin, Nicole LSW Care Plus NJ Inc Provider ID: 1429433 610 Valley Health Plaza
Provider ID: 1249785 17-07 Romaine St Gender: Male Paramus, NJ 07652
Gender: Female Fair Lawn, NJ 07410 Care Plus NJ Inc (201) 986-5000
Care Plus NJ Inc (201) 986-5000 230 E. Ridgewood Ave 00 Yrs/130 Yrs
611 Rte 46 W Ste 100 00 Yrs/130 Yrs Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM (201) 986-5000
(201) 986-5000 00 Yrs/130 Yrs Schwartz, Jessica LSW
00 Yrs/130 Yrs Rodriguez, Catherine LSW M-F 9:00 AM - 5:00 PM Provider ID: 1429439
M-F 9:00 AM - 5:00 PM Gender: Female
Provider ID: 1429427 Rudolph, Justin LSW Care Plus NJ Inc
Requena, Caitlin CSW Gender: Female Provider ID: 1429433 611 Rte 46 W. Ste 100
Provider ID: 1367344 Care Plus NJ Inc Gender: Male Hasbrouck Heights, NJ 07604
Gender: Female 230 E. Ridgewood Ave Care Plus NJ Inc (201) 986-5000
Care Plus NJ Inc Paramus, NJ 07652 610 Valley Health Plaza 00 Yrs/130 Yrs
17-07 Romaine St (201) 986-5000 Paramus, NJ 07652 M-F 9:00 AM - 5:00 PM
Fair Lawn, NJ 07410 00 Yrs/130 Yrs (201) 265-8200
(201) 986-5000 M-F 9:00 AM - 5:00 PM Fax: (201) 265-0366
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 432
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Licensed Social Worker - Valenciano, Marilyn LSW You, Eun LSW Vero, Linda RD
cont. Provider ID: 1249794 Provider ID: 1201411
Provider ID: 1429443 Gender: Female Gender: Female
Urato, Gabriella LSW Gender: Female Care Plus NJ Inc Nutrition Vitality and
Provider ID: 1250245 Care Plus NJ Inc 610 Valley Health Plz Conditioning
Gender: Female 230 E. Ridgewood Ave Paramus, NJ 07652 172 Broadway Front Bldg Ste
Care Plus NJ Inc Paramus, NJ 07652 (201) 265-8200 202
17-07 Romaine St (201) 986-5000 Fax: (201) 265-0366 Woodcliff Lake, NJ 07677
Fair Lawn, NJ 07410 00 Yrs/130 Yrs 00 Yrs/130 Yrs (201) 724-9646
(201) 986-5000 M-F 9:00 AM - 5:00 PM Languages: Korean Fax: (201) 215-0683
00 Yrs/130 Yrs M-TH 9:00 AM - 9:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Valenciano, Marilyn LSW FSat 9:00 AM - 5:00 PM M 9:00 AM - 3:00 PM
T 5:00 AM - 8:00 PM
Urato, Gabriella LSW Provider ID: 1429443 You, Eun LSW W 9:00 AM - 12:00 PM
Provider ID: 1250245 Gender: Female Provider ID: 1249794 TH 9:00 AM - 2:00 PM
Gender: Female Care Plus NJ Inc Gender: Female
Care Plus NJ Inc Care Plus NJ Inc Yachechak, Suzanne RD
610 Valley Health Plaza
230 E Ridgewood Ave Paramus, NJ 07652 611 Rte 46 W Ste 100
Paramus, NJ 07652 (201) 265-8200 Hasbrouck Heights, NJ 07604 Provider ID: 976099
(201) 986-5000 Fax: (201) 265-0366 (201) 986-5000 Gender: Female
00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs Suzanne M Yachechak Rnd
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Korean 180 Overlook Ave
M-F 9:00 AM - 5:00 PM Hackensack, NJ 07601
Urato, Gabriella LSW Valenciano, Marilyn LSW (201) 487-6564
Provider ID: 1250245 Nutrition Fax: (201) 880-4124
Gender: Female Provider ID: 1429443 00 Yrs/130 Yrs
Care Plus NJ Inc Gender: Female Albaum, Rachel RD M-TH 8:00 AM - 7:00 PM
610 Valley Health Plz Care Plus NJ Inc Provider ID: 1436410 F 8:00 AM - 4:00 PM
Paramus, NJ 07652 611 Rte 46 W. Ste 100 Gender: Female
(201) 265-8200 Hasbrouck Heights, NJ 07604 Bhmg-United Medical Occupational Therapy
Fax: (201) 265-0366 (201) 986-5000 612 Rutherford Ave Fl 1
00 Yrs/130 Yrs Lyndhurst, NJ 07071 Gioffre, Darren OT
00 Yrs/130 Yrs
M-TH 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM (201) 460-0063 Provider ID: 1648483
FSat 9:00 AM - 5:00 PM Fax: (201) 460-1684 Gender: Male
You, Eun LSW 00 Yrs/130 Yrs Dynamic Physical Therapy and
Urato, Gabriella LSW Provider ID: 1249794 M-F 8:00 AM - 7:00 PM Sports
Provider ID: 1250245 Gender: Female 220 Livingston St Ste 112
Gender: Female Care Plus NJ Inc Quintana, Marilyn RD Northvale, NJ 07647
Care Plus NJ Inc 17-07 Romaine St Provider ID: 783608 (201) 564-7515
611 Rte 46 W Ste 100 Fair Lawn, NJ 07410 Gender: Female Fax: (201) 564-7514
Hasbrouck Heights, NJ 07604 (201) 986-5000 Center For Medical Nutrition 00 Yrs/130 Yrs
(201) 986-5000 00 Yrs/130 Yrs Therap M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Languages: Korean 26 Byrne Pl
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Bergenfield, NJ 07621
(551) 486-6604
Valenciano, Marilyn LSW You, Eun LSW Fax: (201) 501-0543
Provider ID: 1249794 00 Yrs/130 Yrs
Provider ID: 1429443 Gender: Female Languages: Tagalog
Gender: Female Care Plus NJ Inc M 1:00 AM - 6:00 PM
Care Plus NJ Inc 230 E Ridgewood Ave T 10:00 AM - 3:00 PM
17-07 Romaine St Paramus, NJ 07652
Fair Lawn, NJ 07410 (201) 986-5000
(201) 986-5000 00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: Korean
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 433
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Ophthalmology Badami, Avni MD Bailey, Tehara MD Burrows, Adria MD
Provider ID: 1711955 Provider ID: TPV046483017655 Provider ID: 1559321
Angioletti, Lee MD Gender: Female Gender: Female Gender: Female
NJ Eye and Ear LLC Englewood Eye Center NJ Eye and Ear, LLC
Provider ID: 1367390 23 W Palisade Ave 71 Grand Ave 23 W Palisade Ave
Gender: Male Englewood, NJ 07631 Englewood, NJ 07631 Englewood, NJ 07631
Retina Center of NJ (201) 408-4441 (201) 408-4441 (973) 546-5700
1086 Teaneck Rd Ste 2A Fax: (201) 408-4452 Fax: (201) 408-4452 Fax: (973) 772-8875
Teaneck, NJ 07666 00 Yrs/130 Yrs 00 Yrs/99 Yrs 00 Yrs/130 Yrs
(201) 871-3414 St. Joseph's Hospital Reg www.englewoodeyecenter. MT 7:30 AM - 7:00 PM
Fax: (201) 871-4830 Medical Center com W 8:00 AM - 6:30 PM
05 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM TH 8:30 AM - 6:30 PM
MT 8:00 AM - 11:00 PM Sat 8:00 AM - 12:00 PM Bailey, Tehara MD F 7:30 AM - 6:00 PM
W 8:30 AM - 5:30 PM Provider ID: TPV046483037582 Sat 8:00 AM - 12:00 PM
THF 8:00 AM - 5:30 PM Badami, Avni MD Gender: Female
Provider ID: 1711955 Englewood Eye Center Burrows, Adria MD
Angioletti, Lee MD Gender: Female 245 Engle St Provider ID: 932031
NJ Eye and Ear LLC Englewood, NJ 07631 Gender: Female
Provider ID: 1367390 245 Engle St (201) 568-0770 Sub Specialty: HIV/AIDs
Gender: Male Englewood, NJ 07631 Fax: (201) 568-4233 71 Grand Ave
Retina Center of NJ (201) 568-0770 00 Yrs/99 Yrs Englewood, NJ 07631
500 N Franklin Tpke Ste 205 Fax: (201) 408-4452 www.englewoodeyecenter. (201) 408-4441
Ramsey, NJ 07446 00 Yrs/130 Yrs com Fax: (201) 408-4452
(201) 962-9396 St. Joseph's Hospital Reg 00 Yrs/130 Yrs
Medical Center Bailey, Tehara MD Englewood Hospital and
Fax: (201) 474-7048
M-F 8:00 AM - 6:00 PM Provider ID: Medical Center
05 Yrs/130 Yrs
Sat 8:00 AM - 12:00 PM TPV046483042896 Languages: Spanish, Russian
M 9:80 AM - 10:00 PM Gender: Female M 2:30 AM - 7:30 PM
T 8:30 AM - 11:00 PM Badami, Avni MD NJ Eye and Ear LLC
W 8:00 AM - 11:00 PM
Provider ID: 1711955 23 W Palisades Ave Burrows, Adria MD
Angioletti, Louis MD Gender: Female Englewood, NJ 07631 Provider ID:
NJ Eye and Ear LLC (204) 408-4441 TPV035440004246
71 Grand Ave Fax: (201) 408-4452 Gender: Female
Provider ID: 1369729
Englewood, NJ 07631 00 Yrs/99 Yrs NJ Eye and Ear LLC
Gender: Male
(201) 408-4441 M-F 8:00 AM - 6:00 PM 71 Grand Ave
Retina Center of NJ
Fax: (201) 408-4452 Sat 8:00 AM - 12:00 PM Englewood, NJ 07631
1086 Teaneck Rd Ste 2A
00 Yrs/130 Yrs (201) 408-4441
Teaneck, NJ 07666 Brazzo, Brian MD
St. Joseph's Hospital Reg Fax: (201) 408-4452
(201) 871-3414 Provider ID: 701684
Medical Center 00 Yrs/99 Yrs
Fax: (201) 871-4830 Gender: Male
M-F 8:00 AM - 6:00 PM Languages: Russian
00 Yrs/130 Yrs Phillips Eye Specialists
Sat 8:00 AM - 12:00 PM M-F 8:00 AM - 6:00 PM
Englewood Hospital and 619 River Dr FL2
Medical Center Sat 8:00 AM - 12:00 PM
Bailey, Tehara MD Elmwood Park, NJ 07407
M-F 9:00 AM - 5:00 PM Provider ID: 1559303 (201) 703-2900 Burrows, Adria MD
Angioletti, Louis MD Gender: Female Fax: (201) 703-1780 Provider ID: TPV035440017655
NJ Eye and Ear, LLC 00 Yrs/130 Yrs Gender: Female
23 W Palisades Ave River Drive Surgery Center Englewood Eye Center
Provider ID: 1369729 LLC
Englewood, NJ 07631 71 Grand Ave
Gender: Male Languages: Spanish, Russian,
(973) 546-5700 Englewood, NJ 07631
Retina Center of NJ Italian, Hindi
Fax: (973) 772-8875 (201) 408-4441
5OO N Franklin Tpke Ste 205 M 8:00 AM - 6:00 PM
00 Yrs/130 Yrs Fax: (201) 408-4452
Ramsey, NJ 07446 TWTH 8:00 AM - 5:00 PM
Prime Health Services-St 00 Yrs/99 Yrs
(201) 962-9396 Marys Hospital F 8:00 AM - 4:00 PM www.englewoodeyecenter.
Fax: (201) 474-7048 M-F 8:00 AM - 6:00 PM com
00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM Languages: Russian
Englewood Hospital and
Medical Center
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 434
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Ophthalmology - cont. Bush, Nahndi MD Chechik, Daniel MD Cuttler, Nirupa MD
Provider ID: 1559318 Provider ID:
Burrows, Andrew MD Gender: Female TPV029769002865 Provider ID: 1221478
Provider ID: 946251 NJ Eye and Ear, LLC Gender: Male Gender: Male
Gender: Male 23 W Palisade Ave NJ Eye and Ear LLC Englewood Eye Center LLC
Macula Retina PC Englewood, NJ 07631 245 Engle St 71 Grand Ave
276 Oriental Pl Ste A (204) 408-4441 Englewood, NJ 07631 Englewood, NJ 07631
Lyndhurst, NJ 07071 Fax: (204) 408-4452 (201) 568-0770 (201) 408-4452
(201) 546-9355 00 Yrs/130 Yrs Fax: (201) 568-4233 Fax: (201) 408-4452
Fax: (201) 299-7772 M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM Languages: Spanish, Hebrew St. Joseph's Hospital Reg
Englewood Hospital and M-F 8:00 AM - 6:00 PM Medical Center
Medical Center Campolattaro, Brian MD Sat 8:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish, Japanese
M 9:00 AM - 8:00 PM Provider ID: 681691 Chechik, Daniel MD Cuttler, Nirupa MD
T 9:00 AM - 6:00 PM Gender: Male Provider ID: Provider ID: 1559325
Phillips Eye Center TPV029769042896 Gender: Male
Bush, Nahndi MD 619 River Dr Fl 2 Gender: Male NJ Eye and Ear, LLC
Provider ID: 1199261 Elmwood Park, NJ 07407 NJ Eye and Ear LLC 23 W Palisade Ave
Gender: Female (201) 796-2020 23 W Palisades Ave Englewood, NJ 07631
Englewood Eye Center LLC Fax: (201) 796-3644 Englewood, NJ 07631 (973) 546-5700
245 Engle St 00 Yrs/21 Yrs (204) 408-4441 Fax: (973) 772-8875
Englewood, NJ 07631 Clara Maass Medical Center Fax: (201) 408-4452 00 Yrs/130 Yrs
(201) 568-0770 Languages: Spanish 00 Yrs/99 Yrs St. Joseph's Hospital Reg
Fax: (201) 568-4233 M-F 8:00 AM - 5:00 PM Languages: Spanish, Hebrew Medical Center
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM
East Orange General Hospital Chechik, Daniel MD Sat 8:00 AM - 12:00 PM Sat 8:00 AM - 12:00 PM
M-F 8:00 AM - 6:00 PM Provider ID: 1559322
Sat 8:00 AM - 12:00 PM Gender: Male Cuttler, Nirupa MD Doshi, Vatsal MD
NJ Eye and Ear, LLC Provider ID: 557537
Bush, Nahndi MD 23 W Palisades Ave Provider ID: 1105059 Gender: Male
Provider ID: 1199261 Englewood, NJ 07631 Gender: Male Brar Parekh Eye Associates
Gender: Female (973) 546-5700 Englewood Eye Center LLC Sub Specialty: HIV/AIDs
Englewood Eye Center LLC Fax: (973) 772-8875 Sub Specialty: HIV/AIDs 1031 McBride Ave Ste D106
71 Grand Ave 00 Yrs/130 Yrs 71 Grand Ave Woodland Park, NJ 07424
Englewood, NJ 07631 Englewood Hospital and Englewood, NJ 07631 (973) 279-7303
(201) 408-4441 Medical Center (201) 408-4452 Fax: (973) 279-4580
Fax: (201) 408-4452 Holy Name Medical Center Fax: (201) 408-4452 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs St. Joseph's Hospital Reg
East Orange General Hospital St. Joseph's Hospital Reg Medical Center
M 8:00 AM - 7:00 PM Chechik, Daniel MD Medical Center Languages: Spanish, Hindi,
T 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM Gujarati
W 9:00 AM - 6:00 PM Provider ID: 789156 M 8:00 AM - 5:00 PM
TH 7:30 AM - 6:00 PM Gender: Male Cuttler, Nirupa MD T 9:00 AM - 5:00 PM
F 8:00 AM - 6:00 PM Englewood Eye Center LLC
Sat 8:00 AM - 12:00 PM 71 Grand Ave Provider ID: 1221478
Englewood, NJ 07631 Gender: Male
(202) 408-4441 Englewood Eye Center LLC
Fax: (201) 408-4452 245 Engle St
00 Yrs/130 Yrs Englewood, NJ 07631
Englewood Hospital and (201) 568-0770
Medical Center Fax: (201) 568-4233
Holy Name Medical Center 00 Yrs/130 Yrs
Languages: Spanish, Russian, St. Joseph's Hospital Reg
Italian, Hebrew Medical Center
M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Sat 8:30 AM - 12:00 PM

www.wellcare.com/New-Jersey | 435
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Ophthalmology - cont. Eichler, Joel MD Frempong, Tamiesha MD Grayson, Douglas MD
Provider ID: 546830 Provider ID: TPV029871017655 Provider ID: 944505
Eichler, Joel MD Gender: Male Gender: Female Gender: Male
Provider ID: 546830 River Drive Surgery and Laser Englewood Eye Center Omni Eye Specialists PA
Gender: Male Center 71 Grand Ave Sub Specialty: HIV/AIDs
Hackensack University 619 River Dr FL1 Englewood, NJ 07631 218 State Rt 17 N Ste 3
Medical Center Elmwood Park, NJ 07407 (201) 408-4441 Rochelle Park, NJ 07662
30 Prospect Ave (201) 703-2900 Fax: (201) 408-4452 (201) 368-2444
Hackensack, NJ 07601 05 Yrs/130 Yrs 00 Yrs/99 Yrs Fax: (201) 368-0254
(201) 292-3100 River Drive Surgery Center www.englewoodeyecenter. 00 Yrs/130 Yrs
05 Yrs/130 Yrs LLC com Morristown Memorial
River Drive Surgery Center Languages: Spanish Hospital
LLC M 8:30 AM - 6:00 PM Frempong, Tamiesha MD M 9:00 AM - 5:00 PM
Languages: Spanish TWTH 8:30 AM - 5:00 PM Provider ID: TPV029871037582
M 8:30 AM - 6:00 PM F 8:30 AM - 4:00 PM Gender: Female Gutman, Justin MD
TWTH 8:30 AM - 5:00 PM Englewood Eye Center
F 8:30 AM - 4:00 PM Fishkin, Joseph MD 245 Engle St Provider ID: 1460254
Provider ID: 945897 Englewood, NJ 07631 Gender: Male
Eichler, Joel MD Gender: Male (201) 568-0770 Retina Center of New Jersey
Provider ID: 546830 Joseph Fishkin MD LLC Fax: (201) 568-4233 LLC
Gender: Male 85 Kinderkamack Rd Ste 201 00 Yrs/99 Yrs 1086 Teaneck Rd Ste 2A
Hudson Crossing Surery Emerson, NJ 07630 www.englewoodeyecenter. Teaneck, NJ 07666
Center (201) 383-9140 com (201) 871-3414
2 Executive Dr Fax: (201) 262-7800 Fax: (201) 871-4830
Fort Lee, NJ 07024 00 Yrs/130 Yrs Gabay, Jacqueline MD 12 Yrs/130 Yrs
(201) 292-3100 Languages: Spanish, Hebrew Provider ID: 306536 M-F 9:00 AM - 5:00 PM
05 Yrs/130 Yrs M-TH 9:00 AM - 5:00 PM Gender: Female
River Drive Surgery Center F 8:00 AM - 3:00 PM River Drive Surgery and Laser Gutman, Justin MD
LLC Sat 9:00 AM - 1:00 PM Center
Languages: Spanish 619 River Dr FL1 Provider ID: 1460254
M 8:30 AM - 6:00 PM Freilich, Benjamin MD Elmwood Park, NJ 07407 Gender: Male
TWTH 8:30 AM - 5:00 PM Provider ID: 946774 (201) 703-2900 Retina Center of New Jersey
F 8:30 AM - 4:00 PM Gender: Male 00 Yrs/130 Yrs LLC
15 Engle St Ste 106 River Drive Surgery Center 5OO N Franklin Tpke Ste 205
Eichler, Joel MD Englewood, NJ 07631 LLC Ramsey, NJ 07446
Provider ID: 546830 (201) 871-9595 Languages: Spanish (201) 962-9396
Gender: Male Fax: (201) 871-2323 M 8:30 AM - 6:00 PM Fax: (201) 474-7048
Phillips Eye Center 00 Yrs/130 Yrs TWTH 8:30 AM - 5:00 PM 12 Yrs/130 Yrs
619 River Dr FL2 Englewood Hospital and F 8:30 AM - 4:00 PM M-F 9:00 AM - 5:00 PM
Elmwood Park, NJ 07407 Medical Center
(201) 796-3330 Languages: Spanish, Hebrew Goldfarb, Mark MD Higgins, Patrick MD
Fax: (201) 796-3644 M-TH 9:00 AM - 5:00 PM Provider ID: 441808
05 Yrs/130 Yrs Provider ID: 904306 Gender: Male
River Drive Surgery Center Frempong, Tamiesha MD Gender: Male Sub Specialty: HIV/AIDs
LLC Mark Goldfarb MD 523 Forest Ave
Languages: Spanish Provider ID: 885236 130 Kinderkamack Rd Ste 205 Paramus, NJ 07652
M 8:00 AM - 6:00 PM Gender: Female River Edge, NJ 07661 (201) 262-5070
TWTH 8:00 AM - 5:00 PM Englewood Eye Center LLC (201) 488-2020 Fax: (201) 262-5933
F 8:00 AM - 4:00 PM 71 Grand Ave Fax: (201) 488-1582 00 Yrs/130 Yrs
Englewood, NJ 07631 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 408-4441 Languages: Spanish, Russian
Fax: (201) 408-4452 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
Englewood Hospital and
Medical Center
Prime Health Services-St
Marys Hospital
M 8:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 436
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Ophthalmology - cont. Jee, Jimmy MD Kamthan, Gautam MD Kazam, Tal MD
Provider ID: 946297 Provider ID: TPV051316004246 Provider ID: 1711951
Higgins, Patrick MD Gender: Male Gender: Male Gender: Female
Provider ID: 441808 Pediatric Eyecare NJ PC NJ Eye and Ear LLC NJ Eye and Ear LLC
Gender: Male 401A S Van Brunt St 200 71 Grand Ave 23 W Palisade Ave
Retina Center of NJ Englewood, NJ 07631 Englewood, NJ 07631 Englewood, NJ 07631
Sub Specialty: HIV/AIDs (201) 541-6806 (201) 408-4441 (201) 408-4441
1086 Teaneck Rd Ste 2A Fax: (201) 541-6807 Fax: (201) 408-4452 Fax: (201) 408-4452
Teaneck, NJ 07666 00 Yrs/130 Yrs 00 Yrs/99 Yrs 00 Yrs/130 Yrs
(201) 871-3414 Englewood Hospital and Languages: Chinese, Albanian St. Joseph's Hospital Reg
Fax: (866) 806-3675 Medical Center M-F 8:00 AM - 6:00 PM Medical Center
00 Yrs/130 Yrs Languages: Korean Sat 8:00 AM - 12:00 PM M-F 8:00 AM - 6:00 PM
M-W 8:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM
Kamthan, Gautam MD
Higgins, Patrick MD Kallina, Lauren MD Provider ID: TPV051316042896 Kazam, Tal MD
Provider ID: 441808 Provider ID: 1181263 Gender: Male Provider ID: 1711951
Gender: Male Gender: Female NJ Eye and Ear LLC Gender: Female
Retina Center of NJ Retina Center of NJ 23 W Palisades Ave NJ Eye and Ear LLC
Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs Englewood, NJ 07631 245 Engle St
500 N Franklin Tpke Ste 205 1086 Teaneck Rd Ste 2A (204) 408-4441 Englewood, NJ 07631
Ramsey, NJ 07446 Teaneck, NJ 07666 Fax: (201) 408-4452 (201) 568-0770
(201) 962-9396 (201) 871-3414 00 Yrs/99 Yrs Fax: (201) 408-4452
Fax: (201) 474-7048 Fax: (866) 806-3675 Languages: Chinese, Albanian 00 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM St. Joseph's Hospital Reg
M 4:00 AM - 7:00 PM Clara Maass Medical Center Sat 8:00 AM - 12:00 PM Medical Center
TW 8:00 AM - 12:00 PM Languages: Spanish M-F 8:00 AM - 6:00 PM
M-F 8:00 AM - 5:00 PM Kayserman, Larisa MD Sat 8:00 AM - 12:00 PM
Jackson, Kurt MD
Provider ID: 800149 Kallina, Lauren MD Provider ID: 1342179 Kazam, Tal MD
Gender: Male Provider ID: 1181263 Gender: Female Provider ID: 1711951
Retina Center of NJ Gender: Female Retina Consultants PA II Gender: Female
Sub Specialty: HIV/AIDs Retina Center of NJ Sub Specialty: HIV/AIDs NJ Eye and Ear LLC
1086 Teaneck Rd Ste 2A Sub Specialty: HIV/AIDs 119 Prospect St Ste 1 71 Grand Ave
Teaneck, NJ 07666 500 N Franklin Tpke Ste 205 Ridgewood, NJ 07450 Englewood, NJ 07631
(201) 871-3414 Ramsey, NJ 07446 (201) 444-3878 (201) 408-4441
Fax: (866) 806-3675 (201) 962-9396 Fax: (973) 751-6989 Fax: (201) 408-4452
00 Yrs/130 Yrs Fax: (201) 474-7048 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Clara Maass Medical Center 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
Languages: Spanish Clara Maass Medical Center Medical Center
M-F 8:00 AM - 5:00 PM Languages: Spanish Kayserman, Larisa MD M-F 8:00 AM - 6:00 PM
M 4:00 AM - 7:00 PM Sat 8:00 AM - 12:00 PM
Jackson, Kurt MD TW 8:00 AM - 12:00 PM Provider ID: 1342179
Provider ID: 800149 Kim, Daniel MD
Gender: Female
Gender: Male Kamthan, Gautam MD Provider ID: 944343
Retina Consultants PA II
Retina Center of NJ Provider ID: 1567395 Gender: Male
Sub Specialty: HIV/AIDs
Sub Specialty: HIV/AIDs Gender: Male Daniel Y Kim MD PA
1200 E Ridgewood Ave Ste
500 N Franklin Tpke Ste 205 NJ Eye and Ear, LLC 207 540 Bergen Blvd
Ramsey, NJ 07446 23 W Palisades Ave Ridgewood, NJ 07450 Palisades Park, NJ 07650
(201) 962-9396 Englewood, NJ 07631 (201) 612-9600 (201) 461-3970
Fax: (201) 474-7048 (204) 408-4441 Fax: (201) 612-0428 Fax: (201) 242-9061
00 Yrs/130 Yrs Fax: (204) 408-4452 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Clara Maass Medical Center 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Englewood Hospital and
Languages: Spanish M-F 9:00 AM - 5:00 PM Medical Center
M 4:00 AM - 7:00 PM Languages: Korean
TW 8:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Ophthalmology - cont. Latkany, Robert MD Lee, Paul MD Lee, Song MD
Provider ID: TPV048833037582 Provider ID: 1342508
Kim, John MD Provider ID: 950767 Gender: Male Gender: Female
Provider ID: 1618945 Gender: Male Englewood Eye Center Retina Consultants PA II
Gender: Male Phillips Eye Center 245 Engle St Sub Specialty: HIV/AIDs
John S Kim MD 619 River Dr Fl 2 Englewood, NJ 07631 119 Prospect St Ste 1
2500 Lemoine Ave Ste 1 Elmwood Park, NJ 07407 (201) 568-0770 Ridgewood, NJ 07450
Fort Lee, NJ 70246 (201) 796-2020 Fax: (201) 568-4233 (973) 751-8808
(201) 461-8110 Fax: (201) 796-2833 00 Yrs/99 Yrs Fax: (973) 751-6989
Fax: (201) 461-3614 00 Yrs/130 Yrs www.englewoodeyecenter. 00 Yrs/130 Yrs
00 Yrs/130 Yrs MT 8:00 AM - 5:30 PM com Clara Maass Medical Center
M-F 9:00 AM - 5:00 PM W 8:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
THF 8:30 AM - 5:00 PM Lee, Paul MD
Kirszrot, James MD Provider ID: Lee, Song MD
Provider ID: 1604010 Lee, Paul MD TPV048833042896 Provider ID: 1342508
Gender: Male Provider ID: 1567150 Gender: Male Gender: Female
NJ Eye and Ear, LLC Gender: Male NJ Eye and Ear LLC Retina Consultants PA II
23 W Palisade Ave NJ Eye and Ear, LLC 23 W Palisades Ave Sub Specialty: HIV/AIDs
Englewood, NJ 07631 23 W Palisades Ave Englewood, NJ 07631 1200 E Ridgewood Ave Ste
(201) 408-4441 Englewood, NJ 07631 (204) 408-4441 207
Fax: (201) 408-4452 (204) 408-4441 Fax: (201) 408-4452 Ridgewood, NJ 07450
00 Yrs/130 Yrs Fax: (204) 084-452 00 Yrs/99 Yrs (201) 612-9600
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM Fax: (201) 612-0428
M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM 00 Yrs/130 Yrs
Kirszrot, James MD Clara Maass Medical Center
Provider ID: 1604010 Lee, Paul MD Lee, Sangwoo MD M-F 9:00 AM - 5:00 PM
Gender: Male Provider ID: 1571010 Provider ID: 1643787
NJ Eye and Ear, LLC Gender: Male Gender: Male Lipka, Andrew MD
245 Engle St Englewood Eye Center, LLC Daniel Y Kim MD PA Provider ID: 1451130
Englewood, NJ 07631 71 Grand Ave 540 Bergen Blvd Gender: Male
(201) 568-0770 Englewood, NJ 07631 Palisades Park, NJ 07650 7631
00 Yrs/130 Yrs (201) 408-4441 (201) 461-3970 245 Engle St
M-F 9:00 AM - 5:00 PM Fax: (201) 408-4452 Fax: (201) 242-9061 Englewood, NJ 07631
00 Yrs/130 Yrs 00 Yrs/130 Yrs (201) 568-0770
Kirszrot, James MD M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Fax: (800) 878-2811
Provider ID: 1604010 00 Yrs/130 Yrs
Gender: Male Lee, Paul MD Lee, Song MD Englewood Hospital and
NJ Eye and Ear, LLC Provider ID: TPV048833017655 Provider ID: 1224193 Medical Center
71 Grand Ave Gender: Male Gender: Female M-F 9:00 AM - 5:00 PM
Englewood, NJ 07631 Englewood Eye Center Vitreoretinal Associates
(201) 408-4441 71 Grand Ave Sub Specialty: HIV/AIDs Lipka, Andrew MD
Fax: (201) 408-4452 Englewood, NJ 07631 119 Prospect St 1st Fl Provider ID: 1451130
00 Yrs/130 Yrs (201) 408-4441 Ridgewood, NJ 07450 Gender: Male
M-F 9:00 AM - 5:00 PM Fax: (201) 408-4452 (973) 751-8808 Englewood Eye Center, LLC
00 Yrs/99 Yrs Fax: (973) 751-6989 71 Grand Ave
www.englewoodeyecenter. 00 Yrs/130 Yrs Englewood, NJ 07631
com Clara Maass Medical Center (201) 408-4441
M-F 9:00 AM - 5:00 PM Fax: (201) 408-4452
00 Yrs/130 Yrs
Englewood Hospital and
Medical Center
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 438
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Ophthalmology - cont. Lipka, Andrew MD Lyu, Theodore MD Maley, Michael MD
Provider ID: TPV046511042896 Provider ID: 1559306
Lipka, Andrew MD Gender: Male Gender: Male Provider ID: 461945
Provider ID: 1559307 NJ Eye and Ear LLC NJ Eye and Ear, LLC Gender: Male
Gender: Male 23 W Palisades Ave 23 W Palisade Ave Phillips Eye Center
NJ Eye and Ear LLC Englewood, NJ 07631 Englewood, NJ 07631 619 River Dr Ste 3
245 Engle St (204) 408-4441 (973) 546-5700 Elmwood Park, NJ 07407
Englewood, NJ 07631 Fax: (201) 408-4452 Fax: (973) 772-8875 (201) 601-2020
(201) 568-0770 00 Yrs/99 Yrs 00 Yrs/130 Yrs Fax: (201) 601-9722
Fax: (800) 878-2811 M-F 8:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM Sat 8:00 AM - 12:00 PM River Drive Surgery Center
Englewood Hospital and LLC
Medical Center Liva, Bradford MD Lyu, Theodore MD M 8:30 AM - 6:00 PM
M-F 8:00 AM - 6:00 PM Provider ID: 1534530 Provider ID: 1578181 TWTH 8:30 AM - 5:00 PM
Sat 8:00 AM - 12:00 PM Gender: Male Gender: Male F 8:00 AM - 4:00 PM
Retina Consultants, PA II Daniel Y Kim MD PA
Lipka, Andrew MD 119 Prospect St Ste 1 540 Bergen Blvd Matta, Ayman MD
Provider ID: 1559307 Ridgewood, NJ 07450 Palisades Park, NJ 07650 Provider ID: TPV035427008757
Gender: Male (201) 444-3878 (201) 461-3970 Gender: Male
NJ Eye and Ear, LLC Fax: (201) 444-4035 Fax: (201) 242-9061 New Jersey Eye Institute
23 W Palisade Ave 00 Yrs/130 Yrs 00 Yrs/130 Yrs 350 Ramapo Valley Rd
Englewood, NJ 07631 Clara Maass Medical Center Holy Name Medical Center Oakland, NJ 07436
(973) 546-5700 Saint Clares Hospital M-W 9:00 AM - 5:00 PM (973) 472-3937
Fax: (973) 772-8875 M-F 8:00 AM - 5:00 PM Fax: (973) 472-3938
00 Yrs/130 Yrs Lyu, Theodore MD 00 Yrs/99 Yrs
Englewood Hospital and Liva, Bradford MD Provider ID: Languages: Spanish, Arabic
Medical Center Provider ID: 1534530 TPV046594004246 M 9:00 AM - 4:00 PM
M-F 8:00 AM - 6:00 PM Gender: Male Gender: Male
Sat 8:00 AM - 12:00 PM Retina Consultants, PA II NJ Eye and Ear LLC Milite, James MD
1200 E Ridgewood Ave Ste 71 Grand Ave Provider ID: 944508
Lipka, Andrew MD 207 Englewood, NJ 07631 Gender: Male
Provider ID: 1559310 Ridgewood, NJ 07450 (201) 408-4441 Omni Eye Specialists PA
Gender: Male (973) 751-8808 Fax: (201) 408-4452 Sub Specialty: HIV/AIDs
7631 Fax: (973) 751-6989 00 Yrs/99 Yrs 218 State Rt 17 N Ste 3
245 Engle St 00 Yrs/130 Yrs Languages: Spanish, Korean Rochelle Park, NJ 07662
Englewood, NJ 07631 Clara Maass Medical Center M-F 8:00 AM - 6:00 PM (201) 368-2444
(201) 568-0770 Saint Clares Hospital Sat 8:00 AM - 12:00 PM Fax: (201) 368-0254
Fax: (800) 878-2811 M-F 8:00 AM - 5:00 PM 00 Yrs/130 Yrs
00 Yrs/130 Yrs Lyu, Theodore MD Saint Barnabas Medical
Englewood Hospital and Liva, Bradford MD Provider ID: Center Livingston
Medical Center Provider ID: 946271 TPV046594042896 M 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Gender: Male Gender: Male
Bradford C Liva MD PA NJ Eye and Ear LLC Morgan, Charles MD
Lipka, Andrew MD 1 W Ridgewood Ave Ste 205 23 W Palisades Ave Provider ID: TPV004554017655
Provider ID: TPV046511037582 Paramus, NJ 07652 Englewood, NJ 07631 Gender: Male
Gender: Male (201) 444-1185 (204) 408-4441 Englewood Eye Center
Englewood Eye Center Fax: (201) 444-1403 Fax: (201) 408-4452 71 Grand Ave
245 Engle St 00 Yrs/130 Yrs 00 Yrs/99 Yrs Englewood, NJ 07631
Englewood, NJ 07631 Clara Maass Medical Center Languages: Spanish, Korean (201) 408-4441
(201) 568-0770 Saint Clares Hospital M-F 8:00 AM - 6:00 PM Fax: (201) 408-4452
Fax: (201) 568-4233 M-W 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs www.englewoodeyecenter.
www.englewoodeyecenter. com
com Languages: Spanish

www.wellcare.com/New-Jersey | 439
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Ophthalmology - cont. Richard, Michael MD Rothman, Murray MD Salzano, Brian MD
Provider ID: 1559312 Provider ID: TPV015385017655
Phillips, Hadley DO Gender: Male Provider ID: 666420 Gender: Male
NJ Eye and Ear, LLC Gender: Male Englewood Eye Center
Provider ID: 432849 71 Grand Ave Murray H Rothman MD 71 Grand Ave
Gender: Male Englewood, NJ 07631 17 W Passaic Ave Englewood, NJ 07631
Phillips Eye Center (201) 408-4441 Rutherford, NJ 07070 (201) 408-4441
619 River Dr Fl 2 Fax: (201) 408-4452 (201) 460-8630 Fax: (201) 408-4452
Elmwood Park, NJ 07407 00 Yrs/130 Yrs Fax: (201) 460-9003 00 Yrs/99 Yrs
(201) 703-2900 MT 7:30 AM - 7:00 PM 00 Yrs/130 Yrs www.englewoodeyecenter.
Fax: (201) 703-1780 W 8:00 AM - 6:30 PM M 1:00 AM - 7:00 PM com
00 Yrs/130 Yrs TH 8:30 AM - 6:30 PM TW 9:00 AM - 5:00 PM
River Drive Surgery Center F 7:30 AM - 6:00 PM TH 8:00 AM - 3:30 PM Salzano, Brian MD
LLC Sat 8:00 AM - 12:00 PM Provider ID: TPV015385042896
Languages: Spanish Salzano, Brian MD Gender: Male
M 8:00 AM - 6:00 PM Richard, Michael MD Provider ID: 1559324 NJ Eye and Ear LLC
TWTH 8:00 AM - 5:00 PM Provider ID: 1559314 Gender: Male 23 W Palisades Ave
F 8:00 AM - 4:00 PM Gender: Male NJ Eye and Ear, LLC Englewood, NJ 07631
Englewood Eye Center 23 W Palisade Ave (204) 408-4441
Reing, Charles MD 71 Grand Ave Englewood, NJ 07631 Fax: (201) 408-4452
Provider ID: 539677 Englewood, NJ 07631 (973) 546-5700 00 Yrs/99 Yrs
Gender: Male (201) 408-4441 Fax: (973) 772-8875 M-F 8:00 AM - 6:00 PM
18-01 Pollitt Dr Ste 4 Fax: (201) 408-4452 00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM
Fair Lawn, NJ 07410 00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM
(201) 794-8444 M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Stegman, Daniel MD
Fax: (201) 398-9132
00 Yrs/130 Yrs Richard, Michael MD Salzano, Brian MD Provider ID: 1198619
Languages: Spanish Provider ID: Provider ID: 1559324 Gender: Male
M-F 9:00 AM - 5:00 PM TPV045976004246 Gender: Male Englewood Eye Center LLC
Gender: Male NJ Eye and Ear, LLC 71 Grand Ave
Richard, Michael MD NJ Eye and Ear LLC 245 Engle St Englewood, NJ 07631
Provider ID: 1559312 71 Grand Ave Englewood, NJ 07631 (201) 408-4441
Gender: Male Englewood, NJ 07631 (973) 546-5700 Fax: (201) 408-4452
NJ Eye and Ear, LLC (201) 408-4441 Fax: (973) 772-8875 00 Yrs/130 Yrs
23 W Palisades Ave Fax: (201) 408-4452 00 Yrs/130 Yrs St. Joseph's Hospital Reg
Englewood, NJ 07631 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Medical Center
(204) 408-4441 M-F 8:00 AM - 6:00 PM MTH 8:30 AM - 6:00 PM
Fax: (204) 408-4452 Sat 8:00 AM - 12:00 PM Salzano, Brian MD TWF 9:00 AM - 6:00 PM
00 Yrs/130 Yrs Provider ID: 1559324 Sat 8:00 AM - 1:00 PM
MT 7:30 AM - 7:00 PM Richard, Michael MD Gender: Male Sun 8:30 AM - 12:00 PM
W 8:00 AM - 6:30 PM Provider ID: NJ Eye and Ear, LLC
TH 8:30 AM - 6:30 PM TPV045976042896 71 Grand Ave Stegman, Daniel MD
F 7:30 AM - 6:00 PM Gender: Male Englewood, NJ 07631 Provider ID: 1559319
Sat 7:30 AM - 1:00 PM NJ Eye and Ear LLC (973) 546-5700 Gender: Male
23 W Palisades Ave Fax: (973) 772-8875 NJ Eye and Ear, LLC
Richard, Michael MD Englewood, NJ 07631 00 Yrs/130 Yrs 23 W Palisade Ave
Provider ID: 1559312 (204) 408-4441 M-F 9:00 AM - 6:00 PM Englewood, NJ 07631
Gender: Male Fax: (201) 408-4452 (204) 408-4441
NJ Eye and Ear, LLC 00 Yrs/99 Yrs Fax: (204) 408-4452
245 Engle St M-F 8:00 AM - 6:00 PM 00 Yrs/130 Yrs
Englewood, NJ 07631 Sat 8:00 AM - 12:00 PM M-F 8:00 AM - 6:00 PM
(973) 546-5700 Sat 8:00 AM - 12:00 PM
Fax: (973) 772-8875
00 Yrs/130 Yrs
MTWTHFSat 8:00 AM - 12:00
PM

www.wellcare.com/New-Jersey | 440
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Ophthalmology - cont. Stegman, Daniel MD Weinberg, Martin MD Ariola, Jennifer OD
Provider ID: TPV031109042896 Provider ID: 945482 Provider ID: 1536376
Stegman, Daniel MD Gender: Male Gender: Male Gender: Female
Provider ID: 1559319 NJ Eye and Ear LLC 405 Cedar Ln Ste 5 Englewood Eye Center, LLC
Gender: Male 23 W Palisades Ave Teaneck, NJ 07666 71 Grand Ave
NJ Eye and Ear, LLC Englewood, NJ 07631 (201) 836-8333 Englewood, NJ 07631
245 Engle St (204) 408-4441 Fax: (201) 836-7301 (201) 408-4441
Englewood, NJ 07631 Fax: (201) 408-4452 12 Yrs/130 Yrs Fax: (201) 408-4452
(201) 408-4441 00 Yrs/99 Yrs Englewood Hospital and 00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: French, Hebrew Medical Center M-F 8:00 AM - 6:00 PM
MT 8:30 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM
W 9:00 AM - 7:00 PM Tannen, Bradford MD Sat 8:00 AM - 4:00 PM
TH 8:30 AM - 6:30 PM Provider ID: TPV038364017655 Ariola, Jennifer OD
F 7:30 AM - 6:00 PM Gender: Male Optometry Provider ID: 1559768
Sat 8:00 AM - 12:00 PM Englewood Eye Center Gender: Female
71 Grand Ave Andron, Adam OD NJ Eye and Ear, LLC
Stegman, Daniel MD Englewood, NJ 07631 Provider ID: TPV007859020433 23 W Palisade Ave
(201) 408-4441 Gender: Male Englewood, NJ 07631
Provider ID: 1559320 Fax: (201) 408-4452 Eye To Eye Vision Center (973) 546-5700
Gender: Male 00 Yrs/99 Yrs Garden State Plz Rte 4 & Rte Fax: (973) 772-8875
www.englewoodeyecenter. 17 00 Yrs/130 Yrs
Englewood Eye Center LLC
com Paramus, NJ 07652 St. Joseph's Hospital Reg
245 Engle St
Languages: Spanish (201) 845-8408 Medical Center
Englewood, NJ 07631
Fax: (201) 845-8685 M-F 8:00 AM - 6:00 PM
(201) 408-4441
Vallar, Robert MD 00 Yrs/99 Yrs Sat 8:00 AM - 12:30 PM
00 Yrs/130 Yrs
Provider ID: 1342507 www.eyezeyevision.com
M-F 9:00 AM - 5:00 PM
Gender: Male M-F 9:00 AM - 5:00 PM Ariola, Jennifer OD
Stegman, Daniel MD Retina Consultants PA II Provider ID: 1559768
Angel, Shirley OD
Provider ID: TPV031109004246 119 Prospect St Ste 1 Gender: Female
Provider ID:
Gender: Male Ridgewood, NJ 07450 NJ Eye and Ear, LLC
TPV006226045265
NJ Eye and Ear LLC (201) 444-3878 245 Engle St
Gender: Female
71 Grand Ave Fax: (201) 444-4035 Englewood, NJ 07631
Optometrist Next To
Englewood, NJ 07631 00 Yrs/130 Yrs Walmart 3159 (201) 568-0770
(201) 408-4441 Clara Maass Medical Center 1 Teterboro Landing Dr Fax: (201) 568-4233
Fax: (201) 408-4452 M-F 9:00 AM - 5:00 PM Teterboro, NJ 07608 00 Yrs/130 Yrs
00 Yrs/99 Yrs (201) 375-4005 St. Joseph's Hospital Reg
Languages: French, Hebrew Vallar, Robert MD Medical Center
Fax: (201) 288-4269
M-F 8:00 AM - 6:00 PM Provider ID: 1342507 MTTH 8:30 AM - 6:00 PM
00 Yrs/99 Yrs
Sat 8:00 AM - 12:00 PM Gender: Male W 8:30 AM - 7:00 PM
Languages: Spanish
Retina Consultants PA II F 8:00 AM - 6:00 PM
MW 10:00 AM - 6:00 PM
Stegman, Daniel MD 1200 E Ridgewood Ave Ste Sat 8:00 AM - 12:00 PM
T 10:30 AM - 6:30 PM
Provider ID: TPV031109017655 207
TH 9:00 AM - 4:00 PM Ariola, Jennifer OD
Gender: Male Ridgewood, NJ 07450
F 9:00 AM - 2:00 PM
Englewood Eye Center (201) 612-9600 Provider ID: 1559768
71 Grand Ave Fax: (201) 612-0428 Ariola, Jennifer OD Gender: Female
Englewood, NJ 07631 00 Yrs/130 Yrs NJ Eye and Ear, LLC
Provider ID: 1536376
(201) 408-4441 Clara Maass Medical Center 71 Grand Ave
Gender: Female
Fax: (201) 408-4452 M-F 9:00 AM - 5:00 PM Englewood, NJ 07631
Englewood Eye Center, LLC
00 Yrs/99 Yrs (201) 408-4441
245 Engle St
www.englewoodeyecenter. Fax: (201) 408-4452
Englewood, NJ 07631
com 00 Yrs/130 Yrs
(201) 568-0770
Languages: French, Hebrew St. Joseph's Hospital Reg
Fax: (201) 568-4233 Medical Center
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 6:00 PM Sat 8:30 AM - 12:00 PM
Sat 8:00 AM - 12:00 PM

www.wellcare.com/New-Jersey | 441
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Optometry - cont. Brody-Sendroff, Joie OD Choi, Seung-Hee OD Cusenza, Chelsea OD
Provider ID: TPV046489005123 Provider ID: 1727544 Provider ID: TPV041176006045
Ariola, Jennifer OD Gender: Female Gender: Female Gender: Not Available
Provider ID: Bergen Optometry LLC Daniel Y Kim, MD, PA Marie R Levine OD
TPV006473004246 348 Main St 540 Bergen Blvd 33 Lincoln Ave Ste 3
Gender: Female Hackensack, NJ 07601 Palisades Pk, NJ 07650 Rutherford, NJ 07070
NJ Eye and Ear LLC (201) 342-4255 (718) 661-3800 (201) 438-4418
71 Grand Ave Fax: (201) 487-4886 Fax: (718) 661-3812 Fax: (201) 438-3082
Englewood, NJ 07631 00 Yrs/99 Yrs 00 Yrs/130 Yrs 00 Yrs/99 Yrs
(201) 408-4441 MTWTHFSat 10:00 AM - 7:00 www.levineeyecenter.com
Fax: (201) 408-4452 Caloras, Steven OD PM M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Provider ID: TPV018847006097 Sun 11:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM
Languages: Spanish Gender: Male
M-F 8:00 AM - 6:00 PM Dp 17 Optometric Associates Choi-Lee, Jessica OD Cuttler, Nirupa OD
Sat 8:00 AM - 12:00 PM 875 State Rt 17 Provider ID: TPV035627019794 Provider ID: TPV033184004246
Ramsey, NJ 07446 Gender: Female Gender: Female
Ariola, Jennifer OD (201) 236-1444 Englewood Vision Care NJ Eye and Ear LLC
Provider ID: TPV006473017655 Fax: (201) 236-8500 200 Engle St Ste 12 71 Grand Ave
Gender: Female 00 Yrs/99 Yrs Englewood, NJ 07631 Englewood, NJ 07631
Englewood Eye Center Languages: Spanish (201) 569-2442 (201) 408-4441
71 Grand Ave Fax: (201) 408-4452 Fax: (201) 408-4452
Englewood, NJ 07631 Cardona, Maria OD 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 408-4441 Provider ID: TPV023750007351 Languages: Spanish, Korean M-F 8:00 AM - 6:00 PM
Fax: (201) 408-4452 Gender: Female Sat 8:00 AM - 12:00 PM
00 Yrs/99 Yrs Maria I Cardona OD Craft, Arnold OD
www.englewoodeyecenter. 74 S Paramus Rd Provider ID: Cuttler, Nirupa OD
com Paramus, NJ 07652 TPV004625005748 Provider ID: TPV033184017655
Languages: Spanish (201) 712-0101 Gender: Male Gender: Female
Fax: (201) 712-0123 Dr Arnold D Craft Englewood Eye Center
Ariola, Jennifer OD 00 Yrs/99 Yrs 201A Market St 71 Grand Ave
Provider ID: TPV006473037582 Languages: Spanish Elmwood Park, NJ 07407 Englewood, NJ 07631
Gender: Female (201) 796-0030 (201) 408-4441
Englewood Eye Center Chang, Yang OD Fax: (201) 796-3448 Fax: (201) 408-4452
245 Engle St Provider ID: TPV002746043520 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Englewood, NJ 07631 Gender: Female www.englewoodeyecenter.
(201) 568-0770 Accurate Eyecare LLC Cummins, Charles OD com
Fax: (201) 568-4233 81 E Rte 4 Ste 402B Provider ID:
00 Yrs/99 Yrs Paramus, NJ 07652 TPV016498005608 Cuttler, Nirupa OD
www.englewoodeyecenter. (201) 871-3937 Gender: Male Provider ID: TPV033184042896
com Fax: (201) 871-6009 Visionworks Drs of Gender: Female
Languages: Spanish 00 Yrs/99 Yrs Optometry 461 NJ Eye and Ear LLC
Languages: Chinese 501 N State Rt 17 23 W Palisades Ave
Bhattacharjee, Shrabanti OD Paramus, NJ 07652 Englewood, NJ 07631
Provider ID: Chocky, Michael OD (201) 265-9400 (204) 408-4441
TPV048677005608 Provider ID: Fax: (201) 265-3078 Fax: (201) 408-4452
Gender: Female TPV030042007776 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Visionworks Drs of Gender: Male www.ecca.com M-F 8:00 AM - 6:00 PM
Optometry 461 Resident Eye Care Associates Sat 8:00 AM - 12:00 PM
501 N State Rt 17 LLC
Paramus, NJ 07652 4-14 Saddle River Rd Ste 202
(201) 265-9400 Fair Lawn, NJ 07410
Fax: (201) 265-3078 (201) 797-2747
00 Yrs/99 Yrs Fax: (201) 797-5809
www.ecca.com 00 Yrs/99 Yrs
Languages: Spanish

www.wellcare.com/New-Jersey | 442
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Optometry - cont. Domingues, Maria OD Erlich, Sara OD Gallina, Paul OP
Provider ID: TPV007522016796 Provider ID: TPV028092000104 Provider ID:
Desai, Heema OD Gender: Female Gender: Female TPV025878009607
Provider ID: 1339505 Pink Vision Associates Erlich Eye Associates Gender: Male
Gender: Female 1562 Lemoine Ave 57 Main St Gallina Vision Center
Englewood Eye Center LLC Fort Lee, NJ 07024 Hackensack, NJ 07601 1619 Palisade Ave
71 Grand Ave (201) 461-7595 (201) 242-8785 Fort Lee, NJ 07024
Englewood, NJ 07631 Fax: (201) 461-7565 Fax: (205) 345-3896 (201) 947-9797
(201) 408-4441 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 947-9790
Fax: (201) 408-4452 Languages: Spanish, French www.saraerlichod.com 00 Yrs/99 Yrs
00 Yrs/130 Yrs Languages: Spanish,
M-F 9:00 AM - 5:00 PM Domingues, Maria OD Friedman, Stephen OD Portuguese
Provider ID: TPV007522019287 Provider ID: TPV040121002531
Desai, Heema OD Gender: Female Gender: Male Goldsmith, William OD
Provider ID: 1559315 Pink Vision Associates In Style Optical Provider ID:
348 Ridge Rd TPV008666006715
Gender: Female 370 Essex St Ground Fl
Lyndhurst, NJ 07071 Gender: Male
NJ Eye and Ear, LLC Lodi, NJ 07644
(201) 438-8668 Dr William B Goldsmith
23 W Palisades Ave (201) 712-1990
Fax: (201) 438-8670 13-36 River Rd
Englewood, NJ 07631 Fax: (201) 712-1990
00 Yrs/99 Yrs Fair Lawn, NJ 07410
(204) 408-4441 00 Yrs/99 Yrs
Languages: Spanish, French (201) 797-2020
Fax: (204) 408-4452 Languages: Spanish
Fax: (973) 345-3333
00 Yrs/130 Yrs
Dorman, Alicia OD Fruchtman, William OD 00 Yrs/99 Yrs
MT 7:30 AM - 7:00 PM
Provider ID: TPV021620006701 Provider ID: TPV018572005182 Languages: Spanish
W 8:00 AM - 6:30 PM
Gender: Male Gender: Male
TH 8:30 AM - 6:30 PM Graves, Jeanine OD
Anthony J Boni Alicia N William Fruchtman OD
F 7:30 AM - 6:00 PM Dorma Provider ID:
Sat 7:30 AM - 1:00 PM 196 Paterson Ave
40 Mayhill St TPV008860006233
East Rutherford, NJ 07073
Saddle Brook, NJ 07663 Gender: Female
Desai, Heema OD (201) 392-0990
(201) 845-6634 Jeanine E Graves
Provider ID: 1559315 Fax: (201) 728-9229
Fax: (201) 621-0299 11-11 River Rd
Gender: Female 00 Yrs/99 Yrs
00 Yrs/99 Yrs Fair Lawn, NJ 07410
NJ Eye and Ear, LLC www.drfruchtman.com (201) 796-2036
245 Engle St Dorse, Jennine OD Languages: Spanish, Polish Fax: (201) 796-2205
Englewood, NJ 07631 Provider ID: M-TH 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
(973) 546-5700 TPV046056007776 F 9:00 AM - 12:00 PM Languages: Spanish
Fax: (973) 772-8875 Gender: Female Sat 8:00 AM - 12:00 PM
00 Yrs/130 Yrs Resident Eye Care Associates Hodle, Mary OD
M-F 8:00 AM - 6:00 PM LLC Fures, Denise OD Provider ID: TPV019346007776
Sat 8:00 AM - 12:00 PM 4-14 Saddle River Rd Ste 202 Provider ID: TPV027101005608 Gender: Female
Fair Lawn, NJ 07410 Gender: Female Resident Eye Care Associates
Desai, Heema OD (201) 797-2747 Visionworks Drs of LLC
Provider ID: 1559315 Optometry 461
Fax: (201) 797-5809 4-14 Saddle River Rd Ste 202
Gender: Female 501 N State Rt 17
00 Yrs/99 Yrs Fair Lawn, NJ 07410
NJ Eye and Ear, LLC Paramus, NJ 07652 (201) 797-2747
71 Grand Ave Ehrenworth, Steven OD (201) 265-9400 Fax: (201) 797-5809
Englewood, NJ 07631 Provider ID: TPV034319005123 Fax: (201) 265-3078 00 Yrs/99 Yrs
(973) 546-5700 Gender: Male 00 Yrs/99 Yrs
Fax: (973) 772-8875 Bergen Optometry LLC www.ecca.com Hrymack, Kyle OD
00 Yrs/130 Yrs 348 Main St Provider ID: TPV031853007776
M 8:00 AM - 7:00 PM Hackensack, NJ 07601 Gender: Male
T 9:00 AM - 7:00 PM (201) 342-4255 Resident Eye Care Associates
W 9:00 AM - 6:00 PM Fax: (201) 487-4886 LLC
TH 7:30 AM - 6:00 PM 00 Yrs/99 Yrs 4-14 Saddle River Rd Ste 202
F 8:00 AM - 6:00 PM Fair Lawn, NJ 07410
Sat 8:00 AM - 12:00 PM (201) 797-2747
Fax: (201) 797-5809
00 Yrs/99 Yrs

www.wellcare.com/New-Jersey | 443
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Optometry - cont. Kateman, Russell OD Kim, Dong OD Koukas, Aikaterini OD
Provider ID: TPV039579003067 Provider ID: Provider ID: 1687131
Hwang, Jeslyn OD Gender: Male TPV046069007776 Gender: Female
Provider ID: TPV046145007776 Cohens Fashion Optical Gender: Male Phillips Eye Center
Gender: Female 1 Garden State Plz Ste T13a Resident Eye Care Associates 619 River Dr Fl 2
Resident Eye Care Associates Paramus, NJ 07652 LLC Elmwood Park, NJ 07407
LLC (201) 587-0122 4-14 Saddle River Rd Ste 202 (201) 796-2020
4-14 Saddle River Rd Ste 202 Fax: (201) 587-1301 Fair Lawn, NJ 07410 Fax: (201) 796-2833
Fair Lawn, NJ 07410 00 Yrs/99 Yrs (201) 797-2747 00 Yrs/130 Yrs
(201) 797-2747 Languages: Spanish Fax: (201) 797-5809 M-F 9:00 AM - 5:00 PM
Fax: (201) 797-5809 M-F 10:00 AM - 7:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs Sat 10:00 AM - 8:00 PM Languages: Spanish, Russian, Kowalik, Ronald OD
Korean, Hebrew Provider ID: TPV019134003525
Iarossi, Jeffrey OP Kim, Debbie OD Gender: Male
Provider ID: TPV015564006055 Provider ID: Kim, Martin OD
Ronald Kowalik OD
Gender: Male TPV020426007735 Provider ID: TPV033727006250 57 Belmont Ave
Optical Techniques Gender: Female Gender: Male Garfield, NJ 07026
286 Market St Debbie Kim OD Martin S Kim OD Inc (973) 340-0489
Elmwood Park, NJ 07407 520 Durie Ave 121 Broad Ave Fax: (973) 546-1708
(201) 797-5835 Closter, NJ 07624 Palisades Park, NJ 07650 00 Yrs/99 Yrs
00 Yrs/99 Yrs (201) 768-2020 (201) 421-9319 Languages: Spanish
Languages: Spanish Fax: (201) 768-5797 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish, Korean Krav, Veronika OD
Iarossi, Laila OP Provider ID: TPV041977005608
Provider ID: Kim, Debbie OD Kim, Martin OD Gender: Female
TPV027299006055 Provider ID: TPV020426011003 Provider ID: TPV033727018424 Visionworks Drs of
Gender: Female Gender: Female Gender: Male Optometry 461
Optical Techniques 9 W Eyecare LLC Optical Outlet 501 N State Rt 17
286 Market St 44 Sylvan Ave Ste 1B 222 Bergen Blvd Ste 1 Paramus, NJ 07652
Elmwood Park, NJ 07407 Englewood Cliffs, NJ 07632 Fairview, NJ 07022 (201) 265-9400
(201) 797-5835 (201) 592-1998 (201) 945-2525 Fax: (201) 265-3078
00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 945-2528 00 Yrs/99 Yrs
Languages: Spanish 00 Yrs/99 Yrs www.ecca.com
Kim, Diane OD Languages: Spanish, Korean
Insight Optical Provider ID: TPV030160010661 M-F 10:00 AM - 7:00 PM Lee, Jennifer OD
Provider ID: Gender: Female Sat 10:00 AM - 5:00 PM Provider ID: TPV024417011003
TPV028526007945 Fort Lee Vision LLC Gender: Female
740 Anderson Ave 2151 Lemoine Ave Kim, Sarah OD 9 W Eyecare LLC
Cliffside Park, NJ 07010 Fort Lee, NJ 07024 Provider ID: TPV012718005608 44 Sylvan Ave Ste 1B
(201) 313-0303 (201) 346-9000 Gender: Female Englewood Cliffs, NJ 07632
Fax: (201) 313-9461 Fax: (201) 346-9001 Visionworks Drs of (201) 592-1998
00 Yrs/99 Yrs Optometry 461
00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Spanish 501 N State Rt 17
www.fortleevision.com
MTTHF 10:00 AM - 6:00 PM Paramus, NJ 07652 Lee, Ji OD
Languages: Spanish, Korean
W 10:00 AM - 7:00 PM (201) 265-9400 Provider ID: TPV001682002865
M-F 10:00 AM - 7:30 PM
Sat 10:00 AM - 5:00 PM Fax: (201) 265-3078 Gender: Female
Sat 10:00 AM - 7:00 PM
00 Yrs/99 Yrs NJ Eye and Ear LLC
www.ecca.com 245 Engle St
Englewood, NJ 07631
Kim, Yoonsung OD (201) 568-0770
Provider ID: TPV041211011003 Fax: (201) 568-4233
Gender: Male 00 Yrs/99 Yrs
9 W Eyecare LLC Languages: Korean
44 Sylvan Ave Ste 1B M-F 8:00 AM - 6:00 PM
Englewood Cliffs, NJ 07632 Sat 8:00 AM - 12:00 PM
(201) 592-1998
00 Yrs/99 Yrs
Languages: Chinese

www.wellcare.com/New-Jersey | 444
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Optometry - cont. Lee, Ji Yun OD Linenberg, Catherine OD Mermelstein, Jack OD
Provider ID: 1559305 Provider ID: TPV019787006701 Provider ID:
Lee, Ji Yun OD Gender: Female Gender: Female TPV007705007776
Provider ID: 1277776 NJ Eye and Ear, LLC Anthony J Boni Alicia N Gender: Male
Gender: Female 245 Engle St Dorma Resident Eye Care Associates
Englewood Eye Center LLC Englewood, NJ 07631 40 Mayhill St LLC
245 Engle St (973) 546-5700 Saddle Brook, NJ 07663 4-14 Saddle River Rd Ste 202
Englewood, NJ 07631 Fax: (973) 772-8875 (201) 845-6634 Fair Lawn, NJ 07410
(201) 408-4441 00 Yrs/130 Yrs Fax: (201) 621-0299 (201) 797-2747
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs Fax: (201) 797-5809
M-F 8:00 AM - 6:00 PM Sat 8:00 AM - 4:30 PM 00 Yrs/99 Yrs
Lyons, Michael OP
Sat 8:00 AM - 12:00 PM Milov, Lyudmila OD
Lee, Ji Yun OD Provider ID: TPV012095005183
Gender: Male Provider ID: TPV036864006701
Lee, Ji Yun OD Provider ID: 1559305
Sterling Optical Gender: Female
Provider ID: 1277776 Gender: Female
2100 Paramus Park Mall Anthony J Boni Alicia N
Gender: Female NJ Eye and Ear, LLC Dorma
Englewood Eye Center LLC 71 Grand Ave Paramus, NJ 07652
(201) 712-9838 40 Mayhill St
71 Grand Ave Englewood, NJ 07631 Saddle Brook, NJ 07663
Englewood, NJ 07631 (973) 546-5700 Fax: (201) 712-9848
00 Yrs/99 Yrs (201) 845-6634
(201) 408-4441 Fax: (973) 772-8875 Fax: (201) 621-0299
Fax: (201) 408-4452 00 Yrs/130 Yrs Languages: Spanish
00 Yrs/99 Yrs
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM Ly-Schroeder, Emily My OD
M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 12:00 PM Provider ID: TPV026385006701 Moon, Carolyn OD
Gender: Female Provider ID:
Lee, Ji Yun OD Levine, Marie OD
Anthony J Boni Alicia N TPV040900017666
Provider ID: 1559304 Provider ID:
Dorma Gender: Female
Gender: Female TPV006646006045
40 Mayhill St Coopercrwn NJ
NJ Eye and Ear, LLC Gender: Female
Saddle Brook, NJ 07663 225 Broad Ave Ste 206
23 W Palisade Ave Marie R Levine OD
(201) 845-6634 Palisades Park, NJ 07650
Englewood, NJ 07631 33 Lincoln Ave Ste 3
Fax: (201) 621-0299 (201) 585-1337
(204) 408-4441 Rutherford, NJ 07070
00 Yrs/99 Yrs Fax: (201) 585-2998
Fax: (204) 408-4452 (201) 438-4418
Languages: Chinese, Swedish 00 Yrs/99 Yrs
00 Yrs/130 Yrs Fax: (201) 438-3082
Languages: Korean
M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Maimone, Terrylee OD
www.levineeyecenter.com Provider ID: TPV010985016362 Morillo, Christian OD
Lee, Ji Yun OD M-F 9:00 AM - 5:00 PM Gender: Female Provider ID: TPV024660002159
Provider ID: 1559305 Sat 9:00 AM - 1:00 PM Maimone Vision Associates Gender: Male
Gender: Female 1135 Main Ave Christian Morillo
Libassi, David OD
NJ Eye and Ear, LLC Clifton, NJ 07011 2100 Paramus Park Mall
Provider ID: TPV020835006701
23 W Palisade Ave (201) 489-8868 Paramus, NJ 07652
Gender: Male
Englewood, NJ 07631 Fax: (201) 489-9642 (201) 291-9136
Anthony J Boni Alicia N
(973) 546-5700 00 Yrs/99 Yrs Fax: (201) 712-9848
Dorma
Fax: (973) 772-8875 00 Yrs/99 Yrs
40 Mayhill St
00 Yrs/130 Yrs Maimone, Terrylee OD MT 2:00 AM - 7:00 PM
Saddle Brook, NJ 07663
M-F 8:00 AM - 6:00 PM Provider ID: TPV010985045242
(201) 845-6634
Sat 8:00 AM - 12:00 PM Gender: Female Naumova, Yulia OD
Fax: (201) 621-0299
Maimone Vision Associates Provider ID: TPV000106041005
00 Yrs/99 Yrs LLC Gender: Female
240 Rock Rd Visiting Vision Services, PC
Glen Rock, NJ 07452 222 Bergen Blvd, Ste 1
(201) 447-3138 Fairview, NJ 07022
00 Yrs/99 Yrs (201) 421-9321
Fax: (201) 482-8543
00 Yrs/99 Yrs
Languages: Russian

www.wellcare.com/New-Jersey | 445
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Optometry - cont. Patel, Nimali OD Ramirez, Joanne OD Ramsarat, Veronica OD
Provider ID: TPV030107005608 Provider ID: Provider ID: TPV046079037582
O'Hara, Michael OD Gender: Female TPV045659006055 Gender: Female
Provider ID: TPV010201005608 Visionworks Drs of Gender: Female Englewood Eye Center
Gender: Male Optometry 461 Optical Techniques 245 Engle St
Visionworks Drs of 501 N State Rt 17 286 Market St Englewood, NJ 07631
Optometry 461 Paramus, NJ 07652 Elmwood Park, NJ 07407 (201) 568-0770
501 N State Rt 17 (201) 265-9400 (201) 797-5835 Fax: (201) 568-4233
Paramus, NJ 07652 Fax: (201) 265-3078 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 265-9400 00 Yrs/99 Yrs Languages: Spanish www.englewoodeyecenter.
Fax: (201) 265-3078 www.ecca.com com
00 Yrs/99 Yrs Ramsarat, Veronica OD
www.ecca.com Patel, Urvashi OD Razmandi, Azadeh OD
Provider ID: TPV047314005608 Provider ID: 1429374 Provider ID:
Panaretos, Harry John OD Gender: Female Gender: Female TPV002356007776
Provider ID: TPV025510007776 Visionworks Drs of Englewood Eye Center LLC Gender: Female
Gender: Male Optometry 461 71 Grand Ave Resident Eye Care Associates
Resident Eye Care Associates 501 N State Rt 17 LLC
Englewood, NJ 07631
LLC Paramus, NJ 07652 4-14 Saddle River Rd Ste 202
(201) 408-4441
4-14 Saddle River Rd Ste 202 (201) 265-9400 Fair Lawn, NJ 07410
Fax: (201) 408-4452
Fair Lawn, NJ 07410 Fax: (201) 265-3078 (201) 797-2747
00 Yrs/130 Yrs
(201) 797-2747 00 Yrs/99 Yrs Fax: (201) 797-5809
M-F 9:00 AM - 5:00 PM
Fax: (201) 797-5809 www.ecca.com 00 Yrs/99 Yrs
00 Yrs/99 Yrs Ramsarat, Veronica OD
Raeva, Natalia OD Robbins, Sandra OD
Papaiya, Nilesh OD Provider ID: TPV021227007914 Provider ID:
Provider ID: TPV043274039554 Gender: Female Provider ID: 1559311 TPV025725005608
Gender: Male Gender: Female Gender: Female
Natalia Raeva OD
Edgewater Eyecare NJ Eye and Ear, LLC Visionworks Drs of
24-03 Broadway
75 River Rd Ste 210 23 W Palisades Ave Optometry 461
Fair Lawn, NJ 07410
Edgewater, NJ 07020 Englewood, NJ 07631 501 N State Rt 17
(201) 509-8300
(201) 340-6406 (973) 546-5700 Paramus, NJ 07652
Fax: (201) 509-8301
Fax: (201) 340-6407 Fax: (973) 772-8875 (201) 265-9400
00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/130 Yrs Fax: (201) 265-3078
wwwvisualeffectseyecare.
Languages: Spanish, Gujarati M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs
com
Sat 8:00 AM - 12:00 PM www.ecca.com
Languages: Russian
Patel, Hiral OD
Provider ID: Ramsarat, Veronica OD Rocha, Gary OD
Raeva, Natalia OD
TPV023792005608 Provider ID: TPV046079017655 Provider ID:
Provider ID: TPV021227008090 Gender: Female TPV048562042872
Gender: Female Gender: Female
Visionworks Drs of Englewood Eye Center Gender: Male
Natalia Raeva OD 71 Grand Ave Rocha Family Eye Care
Optometry 461 32-01 Broadway Englewood, NJ 07631 322 Rte 4
501 N State Rt 17 Fair Lawn, NJ 07410 (201) 408-4441 Paramus, NJ 07652
Paramus, NJ 07652 (201) 791-6625 Fax: (201) 408-4452 (201) 489-8868
(201) 265-9400 Fax: (201) 791-6626 00 Yrs/99 Yrs Fax: (201) 489-9642
Fax: (201) 265-3078 00 Yrs/99 Yrs www.englewoodeyecenter. 00 Yrs/99 Yrs
00 Yrs/99 Yrs wwwvisualeffectseyecare. com
www.ecca.com com Saferstein, Mitchell OD
Languages: Russian Provider ID:
TPV002669005394
Gender: Male
Professional Eyecare
Associates Inc
275 Forest Ave
Paramus, NJ 07652
(201) 986-0202
Fax: (201) 986-0977
00 Yrs/99 Yrs

www.wellcare.com/New-Jersey | 446
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Optometry - cont. Sunga, Epifanio OD Trieu, MA-Le OD Wong, Carson OD
Provider ID: TPV019096006744 Provider ID: TPV001106007634 Provider ID: TPV026775016642
Scharf, Larry OD Gender: Male Gender: Female Gender: Male
Provider ID: Dumont Eyecare Optical Outlet Sylvan Family Eyecare
TPV022534005608 52 Grant Ave 200 Engle St Ste 12 44 Sylvan Ave Ste 1B
Gender: Male Dumont, NJ 07628 Englewood, NJ 07631 Englewood Cliffs, NJ 07632
Visionworks Drs of (201) 385-3055 (201) 569-2442 (201) 592-1982
Optometry 461 Fax: (201) 385-3011 00 Yrs/99 Yrs Fax: (201) 592-1983
501 N State Rt 17 00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs
Paramus, NJ 07652 Languages: Spanish Languages: Spanish, Chinese
(201) 265-9400 Tsai, Judy OD MTWTHFSat 10:00 AM - 6:00
Fax: (201) 265-3078 Tapia, Taryn OD Provider ID: PM
00 Yrs/99 Yrs Provider ID: TPV034827005608
www.ecca.com TPV020855004493 Gender: Female Youngewirth, Maty OD
Gender: Female Visionworks Drs of Provider ID: TPV022248001971
Shah, Renu OD Eyemedics Optometry 461 Gender: Female
Provider ID: TPV010062005394 898 River Rd 501 N State Rt 17 Optical Palace
Gender: Male Edgewater, NJ 07020 Paramus, NJ 07652 6 Briarcliffe Rd
Professional Eyecare (201) 941-7331 (201) 265-9400 Bergenfield, NJ 07621
Associates Inc Fax: (201) 941-7344 Fax: (201) 265-3078 (917) 548-5083
275 Forest Ave 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Paramus, NJ 07652 Languages: Spanish www.ecca.com Languages: Yiddish
(201) 986-0202
Fax: (201) 986-0977 Visionworks Drs of Youngewirth, Maty OD
Tortorici, Michael OD
00 Yrs/99 Yrs Optometry 461 Provider ID: TPV022248022226
Provider ID: 689127
Languages: Gujarati Provider ID: Gender: Female
Gender: Male TPV039285005608 Optical Advantage PC
Phillips Eye Center 501 N State Rt 17
Sholomon, Robert OD 6 Briarcliffe Rd
Provider ID: TPV028343007776 619 River Dr Ste 3 Paramus, NJ 07652 Bergenfield, NJ 07621
Elmwood Park, NJ 07407 (201) 265-9400
Gender: Male (917) 548-5083
(201) 796-3330 Fax: (201) 265-3078
Resident Eye Care Associates Fax: (718) 253-2333
LLC Fax: (201) 796-3644 00 Yrs/99 Yrs 00 Yrs/99 Yrs
4-14 Saddle River Rd Ste 202 00 Yrs/130 Yrs www.ecca.com Languages: Yiddish
Fair Lawn, NJ 07410 Languages: Chinese, Italian, M-F 9:00 AM - 5:00 PM
Hindi, Arabic Weiss, Harvey OD
(201) 797-2747 Sat 9:00 AM - 1:00 PM
M 8:00 AM - 6:00 PM Provider ID: TPV037491005130
Fax: (201) 797-5809
TWTH 8:00 AM - 5:00 PM Gender: Male Zabarko, Diana OD
00 Yrs/99 Yrs
F 8:00 AM - 4:00 PM Dr Harvey Weiss Provider ID: TPV003104016946
Languages: Spanish, Russian
14 Elm St Gender: Female
Trajkovska, Violeta OD
Sultani, Attefa OD Oakland, NJ 07436 Diana Zabarko OD
Provider ID:
Provider ID: TPV031370013390 (201) 337-2227 286 Market St
TPV022939005608
Gender: Female Fax: (201) 337-1834 Elmwood Park, NJ 07407
Gender: Female
Family Eye Health Vision 00 Yrs/99 Yrs (201) 773-8885
Visionworks Drs of
Center LLC Fax: (201) 797-2066
Optometry 461
174 Passaic St Weiss, Harvey OD 00 Yrs/99 Yrs
501 N State Rt 17
Garfield, NJ 07026 Provider ID: TPV037491006701 www.opticaltechniques.com
Paramus, NJ 07652
(973) 330-3554 Gender: Male Languages: Spanish, Russian
(201) 265-9400
Fax: (973) 773-0816 Anthony J Boni Alicia N M 12:00 AM - 4:30 PM
Fax: (201) 265-3078
00 Yrs/99 Yrs Dorma T 9:00 AM - 1:30 PM
00 Yrs/99 Yrs
www. 40 Mayhill St
familyeyehealthandvision.com www.ecca.com Saddle Brook, NJ 07663
Languages: Spanish, French (201) 845-6634
M-W 11:00 AM - 7:45 PM Fax: (201) 621-0299
TH 10:00 AM - 6:00 PM 00 Yrs/99 Yrs
F 10:00 AM - 5:30 PM

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Managed Long Term Services And Supports


Bergen
Optometry - cont. Orthodontics Kim, Jung DDS Pediatric Dentistry
Provider ID: TPVP121620-01
Zaky, Jackline OD Berk, Jason DDS Gender: Male Aboelsaad, Mohamed DDS
Provider ID: Provider ID: TPVP153167-03 Kim Orthodontics
TPV049765005608 Gender: Male 2182 Lemoine Ave 2nd Fl Provider ID: TPVNJSP166428-0
Gender: Female Diamond Braces of Fort Lee, NJ 07024 Gender: Male
Visionworks Drs of Hackensack (201) 585-1247 Saddle Brook Dental
Optometry 461 17 Summit Ave Fax: (201) 585-1379 Associates LLC
501 N State Rt 17 Hackensack, NJ 07601 00 Yrs/99 Yrs 220 5th St
Paramus, NJ 07652 (201) 996-0770 Languages: Korean Saddle Brook, NJ 07663
(201) 265-9400 Fax: (888) 292-7017 MTWF 10:00 AM - 5:00 PM (973) 478-1616
Fax: (201) 265-3078 00 Yrs/99 Yrs TH 10:00 AM - 6:00 PM Fax: (973) 478-1732
00 Yrs/99 Yrs Languages: Russian Sat 9:00 AM - 5:00 PM 00 Yrs/06 Yrs
www.ecca.com MTHF 10:00 AM - 6:00 PM Languages: Arabic
TW 11:00 AM - 7:00 PM McCarthy, Karen DMD M-TH 9:00 AM - 8:00 PM
Zolot, Charles OD Sat 9:00 AM - 4:00 PM Provider ID: TPVP39316-01 F 9:00 AM - 5:00 PM
Provider ID: Gender: Female Sat 9:00 AM - 3:00 PM
TPV022840002060 Castronova, John DMD Dr Karen A McCarthy
Gender: Male Orthodontics LLC Aviarbakh, Hanna DDS
Dr Charles Zolot 31 Sheridan Ave Ste 2 Provider ID: TPVNJSP143802-0
Provider ID: TPVP142597-04
22 Madison Ave Ste 105 Ho Ho Kus, NJ 07423 Gender: Female
Gender: Male
Paramus, NJ 07652 (201) 612-1322 All Family Dental Center LLC
Diamond Braces of
(201) 845-7110 Hackensack Fax: (201) 612-0219 45 US Hwy 46
Fax: (201) 909-8618 17 Summit Ave 00 Yrs/99 Yrs Ridgefield Park, NJ 07660
00 Yrs/99 Yrs Hackensack, NJ 07601 Languages: Spanish (201) 440-2100
(201) 996-0770 M-W 8:30 AM - 6:00 PM Fax: (201) 440-1279
Oral & Maxillofacial 00 Yrs/06 Yrs
Fax: (888) 292-7017
Surgery 00 Yrs/99 Yrs Rabinovich, Martin DMD Languages: Russian
Languages: Russian M-F 10:00 AM - 6:00 PM
Lee, Alexander DDS MTHF 10:00 AM - 6:00 PM Provider ID: TPVP174195-01
Provider ID: TPVP135234-02 TW 11:00 AM - 7:00 PM Gender: Male Aviarbakh, Hanna DDS
Gender: Male Sat 9:00 AM - 4:00 PM Diamond Braces of Provider ID: TPVNJSP143802-0
Advanced Dental Specialty Hackensack Gender: Female
Group Huh, Ahrin DDS 17 Summit Ave Aesthetic Dental Center of
7 Sylvan Ave Provider ID: TPVP125725-13 Hackensack, NJ 07601 Hackensack LLC
Englewood Cliffs, NJ 07632 Gender: Female (201) 996-0770 163 Main St
(201) 302-0700 Laser Dentistry For Children Fax: (888) 292-7017 Hackensack, NJ 07601
Fax: (201) 302-9857 751 Teaneck Rd 00 Yrs/99 Yrs (201) 488-8866
00 Yrs/99 Yrs Teaneck, NJ 07666 Languages: Russian Fax: (201) 488-7663
Languages: Korean (201) 837-1612 MTHF 10:00 AM - 6:00 PM 00 Yrs/06 Yrs
MT 10:00 AM - 6:00 PM Fax: (201) 837-8651 TW 11:00 AM - 7:00 PM Languages: Russian
W 10:00 AM - 2:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 4:00 PM M-F 10:00 AM - 6:00 PM
Languages: Arabic
Wuebbels, Nathan DDS Sullivan, Sara DDS Eldin, Khaled DDS
MTH 10:00 AM - 6:00 PM
Provider ID: TPVP150717-04 Provider ID: TPVNJSP33368-01
TWF 11:00 AM - 6:00 PM
Provider ID: TPVP78735-01 Gender: Female Gender: Male
Sat 9:00 AM - 2:00 PM
Gender: Male Diamond Braces of Saddle Brook Dental
Barbieri Colameo Berardo Hackensack Associates LLC
Associates In Oral Max 17 Summit Ave 220 5th St
Surgery Hackensack, NJ 07601 Saddle Brook, NJ 07663
605 Broad Ave Ste 101 (201) 996-0770 (973) 478-1616
Ridgefield, NJ 07657 Fax: (888) 292-7017 Fax: (973) 478-1732
(201) 941-9494 00 Yrs/99 Yrs 00 Yrs/06 Yrs
Fax: (201) 941-1246 Languages: Russian Languages: Arabic
00 Yrs/99 Yrs MTHF 10:00 AM - 6:00 PM M-TH 9:00 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM TW 11:00 AM - 7:00 PM F 9:00 AM - 5:00 PM
Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 3:00 PM

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Managed Long Term Services And Supports


Bergen
Pediatric Dentistry - cont. Pedodontics Husain, Qudsia DDS Patel, Amy DMD
Provider ID: TPVP150687-01 Provider ID: TPVP169514-02
Pizzano, Marc DDS Ambrose, Terri DDS Gender: Female Gender: Female
Provider ID: TPVNJSP40387-01 Provider ID: TPVP150719-01 Laser Dentistry For Children All Family Dental Center LLC
Gender: Male Gender: Female 751 Teaneck Rd 45 US Hwy 46
Parkview Dental Laser Dentistry For Children Teaneck, NJ 07666 Ridgefield Park, NJ 07660
1200 E Ridgewood Ave Ste 215 751 Teaneck Rd (201) 837-1612 (201) 440-2100
W Wing Teaneck, NJ 07666 Fax: (201) 837-8651 Fax: (201) 440-1279
Ridgewood, NJ 07450 (201) 837-1612 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 857-5777 Fax: (201) 837-8651 MTH 10:00 AM - 6:00 PM Languages: Russian
Fax: (201) 857-5778 00 Yrs/99 Yrs TWF 11:00 AM - 6:00 PM M-F 10:00 AM - 6:00 PM
06 Yrs/06 Yrs MTH 10:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM
Languages: Spanish TWF 11:00 AM - 6:00 PM Shah, Rajvi DMD
M-TH 10:00 AM - 7:00 PM Sat 9:00 AM - 2:00 PM Jacobson, Barry DDS Provider ID: TPVP156673-01
F 10:00 AM - 6:00 PM Provider ID: TPVP31636-01 Gender: Female
Sat 12:00 AM - 3:30 PM Cohen, Daniel DDS Gender: Male Laser Dentistry For Children
Provider ID: TPVP32352-01 Laser Dentistry For Children 751 Teaneck Rd
Rahman, Mohammed DDS Gender: Male 751 Teaneck Rd Teaneck, NJ 07666
Provider ID: TPVNJSP175522-0 Dental Care 4 Kids Teaneck, NJ 07666 (201) 837-1612
Gender: Male 180 N Dean St Ste 1N (201) 837-1612 Fax: (201) 837-8651
Saddle Brook Dental Englewood, NJ 07631 Fax: (201) 837-8651 00 Yrs/99 Yrs
Associates LLC (201) 569-5437 00 Yrs/99 Yrs MTH 10:00 AM - 6:00 PM
220 5th St Fax: (201) 731-3567 MTH 10:00 AM - 6:00 PM TWF 11:00 AM - 6:00 PM
Saddle Brook, NJ 07663 00 Yrs/99 Yrs TWF 11:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM
(973) 478-1616 M-TH 9:00 AM - 7:00 PM Sat 9:00 AM - 2:00 PM
Fax: (973) 478-1732 F 9:00 AM - 6:00 PM Shon, Nicholle DDS
00 Yrs/06 Yrs Sat 8:00 AM - 3:00 PM Kleyman, Boris DDS Provider ID: TPVP146293-01
Languages: Arabic Provider ID: TPVP151752-02 Gender: Female
M-TH 9:00 AM - 8:00 PM Estelle, Kyle DMD Gender: Male Laser Dentistry For Children
F 9:00 AM - 5:00 PM Provider ID: TPVP177825-01 DS Dental Arts LLC 751 Teaneck Rd
Sat 9:00 AM - 3:00 PM Gender: Male 634 Anderson Ave Teaneck, NJ 07666
Bergen Pediatric Dental LLC Cliffside Park, NJ 07010 (201) 837-1612
Rosenblatt, Debra DDS 634 Anderson Ave (201) 945-1119 Fax: (201) 837-8651
Provider ID: TPVNJSP39059-02 Cliffside Park, NJ 07010 Fax: (201) 945-1411 00 Yrs/99 Yrs
Gender: Female (201) 945-1119 00 Yrs/99 Yrs MTH 10:00 AM - 6:00 PM
The Smile Spa of North Jersey Fax: (201) 945-1411 Languages: Arabic TWF 11:00 AM - 6:00 PM
LLC 00 Yrs/99 Yrs M-F 10:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM
251 Godwin Ave Languages: Russian
Midland Park, NJ 07432 Lee, Judyth DDS Sioson-Maser, Patricia DDS
M-F 10:00 AM - 6:00 PM
(201) 445-2797 Provider ID: TPVP156810-01
Fax: (201) 445-8340 Estelle, Kyle DMD Gender: Female Provider ID: TPVP41732-01
03 Yrs/06 Yrs Provider ID: TPVP177825-02 Laser Dentistry For Children Gender: Female
MTTHF 9:00 AM - 5:00 PM Gender: Male 751 Teaneck Rd Laser Dentistry For Children
W 9:00 AM - 12:00 PM DS Dental Arts LLC Teaneck, NJ 07666 751 Teaneck Rd
634 Anderson Ave (201) 837-1612 Teaneck, NJ 07666
Zakaim, Elvis DMD
Cliffside Park, NJ 07010 Fax: (201) 837-8651 (201) 837-1612
Provider ID: TPVNJSP39078-02 (201) 945-1119 00 Yrs/99 Yrs Fax: (201) 837-8651
Gender: Male Fax: (201) 945-1411 MTH 10:00 AM - 6:00 PM 00 Yrs/99 Yrs
Elvis Zakaim DMD 00 Yrs/99 Yrs TWF 11:00 AM - 6:00 PM MTH 10:00 AM - 6:00 PM
413 Farview Ave Languages: Arabic Sat 9:00 AM - 2:00 PM TWF 11:00 AM - 6:00 PM
Paramus, NJ 07652 M-F 10:00 AM - 6:00 PM Sat 9:00 AM - 2:00 PM
(201) 261-0216
Fax: (201) 261-5187
02 Yrs/06 Yrs
MTTHF 8:00 AM - 5:00 PM
W 8:00 AM - 8:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Pedodontics - cont. All Metro Health Care Bergen County Adult Day L & L Staffing and Home Care
Provider ID: 964963 Care LLC DBA New Services
Stillman, Dmitry DDS All Metro Home Care Services Provider ID: 975058 Provider ID: 973476
Provider ID: TPVP36296-03 of New New Life Adult Day Care 40 N Van Brunt St Ste 24
Gender: Male 214 State St Ste 104 340 Evelyn St Englewood, NJ 07631
DS Dental Arts LLC Hackensack, NJ 07601 Paramus, NJ 07652 (201) 567-3373
634 Anderson Ave (201) 488-6151 (201) 265-0606 Fax: (201) 567-6680
Cliffside Park, NJ 07010 Fax: (201) 488-6165 Fax: (201) 265-0630 00 Yrs/130 Yrs
(201) 945-1119 00 Yrs/130 Yrs 00 Yrs/130 Yrs Languages: Spanish, Russian,
Fax: (201) 945-1411 Languages: Spanish, Arabic Languages: Spanish, Russian, Chinese, Polish
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Korean M-F 9:00 AM - 5:00 PM
Languages: Russian, Arabic M-F 9:00 AM - 5:00 PM
M-F 10:00 AM - 6:00 PM Always Home Care Loving Care Agency Inc
Provider ID: 944544 Broadway Respite Andhome
Stillman, Dmitry DDS 187 Main St Care LLC Provider ID: 1008554
Provider ID: TPVP36296-07 Hackensack, NJ 07601 Provider ID: 944522 190 Moore St
Gender: Male (201) 603-3133 24-20 Broadway Hackensack, NJ 07601
Bergen Pediatric Dental LLC Fax: (201) 342-0660 Fair Lawn, NJ 07410 (201) 525-7470
634 Anderson Ave 00 Yrs/130 Yrs (201) 703-3980 Fax: (201) 592-7003
Cliffside Park, NJ 07010 M-F 9:00 AM - 5:00 PM Fax: (201) 703-3984 00 Yrs/130 Yrs
(201) 945-1119 00 Yrs/130 Yrs Languages: Spanish, Russian,
Fax: (201) 945-1411 Angels Care LLC Languages: Spanish, Russian, Polish, Ukrainian
00 Yrs/99 Yrs Provider ID: 946348 Arabic M-F 9:00 AM - 5:00 PM
Languages: Russian 87 Old River St M-F 8:30 AM - 7:00 PM
Hackensack, NJ 07601 Starlight Home Care Agency
M-F 10:00 AM - 6:00 PM
(201) 265-2818 Care 4 Me LLC Inc
Periodontics Fax: (201) 265-2817 Provider ID: 945662 Provider ID: 945708
00 Yrs/130 Yrs 901 Teaneck Rd 310 Cedar Ln
Obiechina, Nkemjika DMD Languages: Spanish, French, Teaneck, NJ 07666 Teaneck, NJ 07666
Korean, Polish (201) 837-7779 (201) 836-0500
M-F 9:00 AM - 5:00 PM Fax: (201) 837-7789 Fax: (201) 836-5301
Provider ID: TPVP28739-01
00 Yrs/130 Yrs 00 Yrs/130 Yrs
Gender: Female Bayada Home Healthcare Inc Languages: Spanish, Russian Languages: Spanish, Russian
Gentle Dental Service
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
32 Anderson St
Hackensack, NJ 07601 Provider ID: 945568
(201) 457-1010 Bayada Home Health Care Inc Fidelity Care Stay Well Services Inc
90 Main St Ste 100 Provider ID: 984868 Provider ID: 1166578
Fax: (201) 457-1540
Hackensack, NJ 07601 113 Dewitt St Ste 204 26-02 Broadway
00 Yrs/99 Yrs
(201) 343-7100 Garfield, NJ 07026 Fair Lawn, NJ 07410
Languages: Arabic
Fax: (201) 343-3895 (973) 478-3500 (201) 254-0206
M-TH 10:00 AM - 7:00 PM
00 Yrs/130 Yrs Fax: (973) 478-9399 Fax: (210) 625-6457
F 9:00 AM - 2:00 PM
M-F 9:00 AM - 5:00 PM 12 Yrs/130 Yrs 00 Yrs/130 Yrs
Personal Care Services M-F 8:30 AM - 5:30 PM M-F 9:00 AM - 5:00 PM
Bayada Home Healthcare Inc
Gentle Heart Careagency
A Joy Health Care LLC
Provider ID: 1707515 Provider ID: 945568
Bayada Home Health Care Inc Provider ID: 944455
663 Grand Ave Ste 1
90 Main St Ste 202 333 Sylvan Ave Ste 205
Ridgefield, NJ 07657
Hackensack, NJ 07601 Englewood Cliffs, NJ 07632
(201) 941-4900
(201) 488-1262 (201) 613-6173
Fax: (201) 941-4901
Fax: (201) 343-0629 Fax: (201) 621-5052
18 Yrs/130 Yrs
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 8:30 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Korean
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 450
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Physical Medicine & Dovlatyan, Raida MD Logvinenko, Andrei MD Parikh, Shailesh MD
Rehabilitation Provider ID: 943742
Provider ID: 1261135 Gender: Male Provider ID: 1260018
Adamova, Yelizaveta DO Gender: Female Medicine & Rehab Assoc PC Gender: Male
Kessler Professional Services 14-25 Plaza Rd Ste S 3-1 Kessler Professional Services
Provider ID: 1566499 LLC Fair Lawn, NJ 07410 LLC
Gender: Female 300 Market St (201) 797-2050 300 Market St
Kessler Professional Services, Saddle Brook, NJ 07663 Fax: (201) 797-2051 Saddle Brook, NJ 07663
LLC (201) 368-6000 18 Yrs/130 Yrs (201) 368-6000
300 Market St Fax: (201) 368-6135 Englewood Hospital and Fax: (201) 368-6135
Saddle Brook, NJ 07663 16 Yrs/130 Yrs Medical Center 16 Yrs/130 Yrs
(201) 368-6000 Kessler Institute For M 9:00 AM - 8:00 PM Kessler Institute For
16 Yrs/130 Yrs Rehabilitation T 9:00 AM - 6:00 PM Rehabilitation
Kessler Institute For M-F 9:00 AM - 5:00 PM W 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Rehabilitation
M-F 9:00 AM - 5:00 PM Hanna, Madouna DO OH Park, Mooyeon MD Pfisterer, Christine DO
Provider ID: 1610090 Provider ID: 1260015
Adler, Uri MD Gender: Female Gender: Female Provider ID: 1330836
Provider ID: 1270678 University Physician 300 Market St Gender: Female
Gender: Male Associates Saddle Brook, NJ 07663 Kessler Professional Services,
Kessler Professional Services 230 E. Ridgewood Ave (201) 368-6000 LLC
LLC Paramus, NJ 07652 16 Yrs/130 Yrs 300 Market St
300 Market St (201) 967-4000 Kessler Institute For Saddle Brook, NJ 07663
Saddle Brook, NJ 07663 Fax: (201) 967-4117 Rehabilitation (201) 368-6000
(201) 368-6021 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 368-6135
Fax: (973) 324-3695 University Hospital 16 Yrs/130 Yrs
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Pachella, Cheryl ARNP Holy Name Medical Center
Kessler Institute For M-F 9:00 AM - 5:00 PM
Rehabilitation Howell, Melanie DO Provider ID: 1282648
Languages: Spanish Provider ID: 1325498 Gender: Female Pomeranz, Bruce MD
M-F 9:00 AM - 5:00 PM Gender: Female Kessler Professional Services
Medical Associates of LLC Provider ID: 1261157
Averill, Allison MD Englewood, PC 300 Market St Gender: Male
Provider ID: 1264908 274 County Rd Ste A Saddle Brook, NJ 07663 Kessler Professional Services,
Gender: Female Tenafly, NJ 07670 (201) 368-6000 LLC
Kessler Professional Services (201) 568-0493 Fax: (201) 368-6135 300 Market St
LLC Fax: (201) 568-0483 18 Yrs/110 Yrs Saddle Brook, NJ 07663
300 Market St 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM (201) 368-6000
Saddle Brook, NJ 07663 Jersey City Medical Center Fax: (201) 368-6135
(201) 368-6000 M-F 8:00 AM - 5:00 PM Pak, Hong MD 16 Yrs/130 Yrs
Fax: (201) 368-6135 Provider ID: 945765 Kessler Institute For
18 Yrs/110 Yrs Lee, Anthony MD Gender: Male Rehabilitation
Kessler Institute For Provider ID: 1270718 Hong Sik Pak MD PC M-F 9:00 AM - 5:00 PM
Rehabilitation Gender: Male 725 Grand Ave 105
M-F 9:00 AM - 5:00 PM Kessler Professional Services Ridgefield, NJ 07657 Putcha, Nitin DO
LLC (201) 840-5055 Provider ID: 1525374
Dharia, Amishi DO 300 Market St Fax: (201) 840-5065 Gender: Male
Provider ID: 1525376 Saddle Brook, NJ 07663 05 Yrs/130 Yrs National Health Rehabilitation
Gender: Female (201) 368-6021 Holy Name Medical Center 103 River Rd Ste 101
National Health Rehabilitation Fax: (973) 324-3695 Languages: Korean Edgewater, NJ 07020
103 River Rd Ste 101 16 Yrs/130 Yrs MWF 9:00 AM - 9:00 PM (201) 308-8995
Edgewater, NJ 07020 Kessler Institute For TTH 9:00 AM - 7:00 PM Fax: (201) 917-3603
(201) 308-8995 Rehabilitation Sat 9:00 AM - 2:00 PM 00 Yrs/130 Yrs
Fax: (844) 849-5175 M-F 9:00 AM - 5:00 PM Palisades Medical Center
00 Yrs/130 Yrs M 9:00 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM T 8:30 AM - 1:00 PM
W 8:00 AM - 6:30 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Physical Medicine & Physical Therapy Psychiatry Bianco, Kathleen ARNP
Rehabilitation - cont.
Bednarski, Stephanie PT Airapetian, Karine MD Provider ID: 903596
Rivera, Leonora MD Gender: Female
Provider ID: 1027466 Provider ID: 947245 Care Plus NJ Inc
Provider ID: 1261577 Gender: Female Gender: Female 610 Valley Health Plz
Gender: Female Bergen Physical Therapy Bergen Regional Medical Paramus, NJ 07652
Kessler Professional Services 31-00 Broadway 3rd Fl Center (201) 986-5042
LLC Fair Lawn, NJ 07410 230 E Ridgewood Ave Fax: (201) 265-7645
300 Market St (201) 773-9209 Paramus, NJ 07652 00 Yrs/130 Yrs
Saddle Brook, NJ 07663 Fax: (201) 773-9211 (201) 967-4000 MF 9:00 AM - 5:00 PM
(201) 368-6000 00 Yrs/130 Yrs Fax: (201) 225-7101 TWTH 9:00 AM - 9:00 PM
Fax: (201) 368-6135 Languages: Spanish 18 Yrs/130 Yrs
18 Yrs/130 Yrs M-W 9:00 AM - 8:00 PM Languages: Russian, Armenian Cummins, Margaret ARNP
Kessler Institute For TH 9:00 AM - 5:00 PM M-F 7:00 AM - 3:00 PM
Rehabilitation Provider ID: 909819
M-F 9:00 AM - 5:00 PM Ebeido, Motaz PT Bianco, Kathleen ARNP Gender: Female
Provider ID: 1552263 Care Plus NJ Inc
Seidel, Benjamin DO Gender: Male Provider ID: 903596 17-07 Romaine St
Core Basics Physical Therapy Gender: Female Fair Lawn, NJ 07410
Provider ID: 1264925 255 W Spring Valley Ave Ste Care Plus NJ Inc (201) 986-5000
Gender: Male 109 17-07 Romaine St 00 Yrs/130 Yrs
Kessler Professional Services Maywood, NJ 07607 Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
LLC (201) 300-9897 (201) 986-5000
300 Market St Fax: (201) 575-4943 00 Yrs/130 Yrs Cummins, Margaret ARNP
Saddle Brook, NJ 07663 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(201) 368-6000 M 3:00 AM - 7:00 PM Provider ID: 909819
16 Yrs/130 Yrs TTH 8:00 AM - 7:00 PM Bianco, Kathleen ARNP Gender: Female
Kessler Institute For W 2:00 AM - 7:00 PM Care Plus NJ Inc
Rehabilitation F 9:00 AM - 5:00 PM Provider ID: 903596 230 E Ridgewood Ave
Languages: French Gender: Female Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM Kryagin, Michael PT Care Plus NJ Inc (201) 986-5000
Provider ID: 974384 17-07 Romaine St Ste 100 00 Yrs/130 Yrs
Valenza, Joseph MD Gender: Male Fair Lawn, NJ 07410 M-F 9:00 AM - 5:00 PM
Provider ID: 1264911 Cliffside Medical LLC (201) 986-5000
Gender: Male 663 Palisade Ave Ste 101 00 Yrs/130 Yrs Cummins, Margaret ARNP
300 Market St Cliffside Park, NJ 07010 M-F 9:00 AM - 5:00 PM
Saddle Brook, NJ 07663 (201) 945-0491 Provider ID: 909819
(201) 368-6000 Fax: (201) 945-1157 Bianco, Kathleen ARNP Gender: Female
16 Yrs/130 Yrs 00 Yrs/130 Yrs Care Plus NJ Inc
Kessler Institute For Languages: Spanish, Russian Provider ID: 903596 610 Valley Health Plz
Rehabilitation M-F 8:00 AM - 8:00 PM Gender: Female Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM Sat 8:00 AM - 4:00 PM Care Plus NJ Inc (201) 986-5000
Sun 8:00 AM - 2:00 PM 230 E Ridgewood Ave Fax: (201) 265-0366
Vij, Raman MD
Paramus, NJ 07652 00 Yrs/130 Yrs
Provider ID: 1261578 Mercado, Christopher PT (201) 986-5000 MF 9:00 AM - 5:00 PM
Gender: Female 00 Yrs/130 Yrs TWTH 9:00 AM - 9:00 PM
Kessler Professional Services Provider ID: 1644301 M-F 9:00 AM - 5:00 PM
LLC Gender: Male
300 Market St 220 Livingston St Ste 112
Saddle Brook, NJ 07663 Northvale, NJ 07647
(201) 368-6000 (201) 564-7515
16 Yrs/130 Yrs Fax: (201) 564-7514
Kessler Institute For 00 Yrs/130 Yrs
Rehabilitation M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Psychiatry - cont. Doerr, Chris ARNP Hossain, Asghar MD Kim, Charles MD
Provider ID: 902730 Provider ID: 1368817
Cummins, Margaret ARNP Gender: Male Provider ID: 408051 Gender: Male
Care Plus NJ Inc Gender: Male Care Plus NJ Inc
Provider ID: 909819 610 Valley Health Plz Bergen Regional Medical 610 Valley Health Plz
Gender: Female Paramus, NJ 07652 Center Paramus, NJ 07652
Care Plus NJ Inc (201) 265-8200 230 E Ridgewood Ave (201) 986-5000
611 Rte 46 W Ste 100 Fax: (201) 265-0366 Paramus, NJ 07652 00 Yrs/130 Yrs
Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs (800) 730-2762 Holy Name Medical Center
(201) 986-5000 Bergen Regional Medical Fax: (201) 225-7107 M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Center 18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 4:00 PM Bergen Regional Medical Kim, Charles MD
Center Provider ID: 1368817
Czartorysky, Bohdan MD Doerr, Chris ARNP Languages: Bengali Gender: Male
Provider ID: 902730 Care Plus NJ Inc
Provider ID: 1164792 Gender: Male Jacobs, Niama MD 611 Rte 46 W. Ste 100
Gender: Male Care Plus NJ Inc Provider ID: 1653509 Hasbrouck Heights, NJ 07604
Bridgeway Rehabilitation 611 Rte 46 W Ste 100 Gender: Female (201) 986-5000
Services Hasbrouck Heights, NJ 07604 Medical Associates of 00 Yrs/130 Yrs
611 Rte 46 Ste 210 (201) 986-5000 Englewood, PC Holy Name Medical Center
Hasbrouck Heights, NJ 07604 00 Yrs/130 Yrs 25 Rockwood Pl Ste 205 M-F 9:00 AM - 5:00 PM
(201) 880-8321 Bergen Regional Medical Englewood, NJ 07631
18 Yrs/130 Yrs Center (201) 292-1400 Kruse, George MD
Trinitas Regional Medical Cent M-F 9:00 AM - 5:00 PM Fax: (201) 894-0479 Provider ID: 897002
00 Yrs/130 Yrs Gender: Male
Doerr, Chris ARNP Hadjiesmaeiloo, Bahar MD Englewood Hospital and Care Plus NJ Inc
Provider ID: 902730 Medical Center 610 Valley Health Plz
Gender: Male Provider ID: 1631047 M-F 9:00 AM - 5:00 PM Paramus, NJ 07652
Care Plus NJ Inc Gender: Female (201) 986-5042
Prohealth Care Associates of Khoshnu, Esha MD Fax: (201) 265-7645
17-07 Romaine St
Fair Lawn, NJ 07410 New Je Provider ID: 485341 00 Yrs/130 Yrs
(201) 986-5000 221 Park Ave Gender: Female Holy Name Medical Center
00 Yrs/130 Yrs Rutherford, NJ 07070 Esha Khoshnu MD M 9:00 AM - 5:00 PM
Bergen Regional Medical (201) 293-0976 294 State St 2nd Fl TW 9:00 AM - 8:00 PM
Center Fax: (201) 293-0977 Hackensack, NJ 07601 TH 9:00 AM - 2:00 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs (973) 575-1107
M-F 9:00 AM - 5:00 PM Fax: (973) 575-1107 Levinson, Ilan MD
Doerr, Chris ARNP 00 Yrs/130 Yrs Provider ID: 1425685
Provider ID: 902730 Hall, Edward MD Overlook Hospital Gender: Male
Gender: Male Provider ID: 1052836 M-F 9:00 AM - 10:00 PM Isl LTD
Care Plus NJ Inc Gender: Male 300 Knickerbocker Rd Ste
230 E Ridgewood Ave Bergen Regional Medical Kim, Charles MD 2800 1st Fl
Paramus, NJ 07652 Center Provider ID: 1368817 Cresskill, NJ 07626
(201) 986-5000 230 E Ridgewood Ave Gender: Male (201) 608-5210
00 Yrs/130 Yrs Paramus, NJ 07652 Care Plus NJ Inc Fax: (201) 608-5211
Bergen Regional Medical (800) 730-2762 230 E Ridgewood Ave 00 Yrs/130 Yrs
Center Fax: (201) 225-7101 Paramus, NJ 07652 M 8:00 AM - 5:30 PM
M-F 9:00 AM - 5:00 PM 05 Yrs/130 Yrs (201) 986-5000
Bergen Regional Medical 00 Yrs/130 Yrs
Center Holy Name Medical Center
M-F 9:00 AM - 12:00 PM M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Psychiatry - cont. Louis, Kristan ARNP Morris, Craig MD Ostrowski, Dora MD
Provider ID: 900144 Provider ID: 943755
Lewis, Tanya MD Provider ID: 915223 Gender: Male Gender: Female
Provider ID: 1249145 Gender: Female Care Plus NJ Inc 3050 Edwin Ave 4B
Gender: Female Care Plus NJ Inc 17 07 Romaine St Fort Lee, NJ 07024
Care Plus NJ Inc 17-07 Romaine St Fair Lawn, NJ 07410 (201) 944-0272
17-07 Romaine St Fair Lawn, NJ 07410 (201) 797-2660 Fax: (201) 944-5225
Fair Lawn, NJ 07410 (201) 986-5000 Fax: (201) 797-5025 00 Yrs/130 Yrs
(201) 986-5000 18 Yrs/80 Yrs 00 Yrs/130 Yrs Holy Name Medical Center
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish
Holy Name Medical Center M 4:30 AM - 7:30 PM
M-F 9:00 AM - 5:00 PM Louis, Kristan ARNP Morris, Craig MD T 1:30 AM - 7:30 PM
Provider ID: 900144 W 8:30 AM - 3:30 PM
Lewis, Tanya MD Provider ID: 915223 Gender: Male
Provider ID: 1249145 Gender: Female Care Plus NJ Inc Palkhiwala, Bharati MD
Gender: Female Care Plus NJ Inc 230 E Ridgewood Ave
Care Plus NJ Inc 230 E Ridgewood Ave Paramus, NJ 07652 Provider ID: 982866
230 E Ridgewood Ave Paramus, NJ 07652 (201) 986-5000 Gender: Female
Paramus, NJ 07652 (201) 986-5000 00 Yrs/130 Yrs Bergen Regional Medical
(201) 986-5000 18 Yrs/80 Yrs M-F 9:00 AM - 5:00 PM Center
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 230 E Ridgewood Ave
Holy Name Medical Center Morris, Craig MD Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM Louis, Kristan ARNP Provider ID: 900144 (800) 730-2762
Gender: Male Fax: (201) 225-7101
Lewis, Tanya MD Provider ID: 915223 Care Plus NJ Inc 18 Yrs/130 Yrs
Provider ID: 1249145 Gender: Female 610 Valley Health Plz Bergen Regional Medical
Gender: Female Care Plus NJ Inc Paramus, NJ 07652 Center
Care Plus NJ Inc 610 Valley Health Plz (201) 265-8200 MT 9:00 AM - 6:00 PM
610 Valley Health Plz Paramus, NJ 07652 Fax: (201) 265-0366
Paramus, NJ 07652 00 Yrs/130 Yrs Palmer, Barbara MD
(201) 265-8200
(201) 986-5042 Fax: (201) 265-0366 MTTH 9:00 AM - 3:00 PM
Fax: (201) 265-7645 18 Yrs/80 Yrs W 11:00 AM - 1:00 PM Provider ID: 929722
00 Yrs/130 Yrs M-F 9:00 AM - 8:00 PM Gender: Female
Holy Name Medical Center Morris, Craig MD Bergen Regional Medical
Sat 9:00 AM - 5:00 PM
M-TH 9:00 AM - 9:00 PM Provider ID: 900144 Center
FSat 9:00 AM - 5:00 PM Louis, Kristan ARNP Gender: Male 230 E Ridgewood Ave
Care Plus NJ Inc Paramus, NJ 07652
Lewis, Tanya MD 611 Rte 46 W Ste 100 (800) 730-2762
Provider ID: 915223
Provider ID: 1249145 Gender: Female Hasbrouck Heights, NJ 07604 Fax: (201) 225-7101
Gender: Female Care Plus NJ Inc (201) 986-5000 18 Yrs/130 Yrs
Care Plus NJ Inc 611 Rte 46 W Ste 100 00 Yrs/130 Yrs Bergen Regional Medical
611 Rte 46 W Ste 100 M-F 9:00 AM - 5:00 PM Center
Hasbrouck Heights, NJ 07604
Hasbrouck Heights, NJ 07604 Languages: Spanish
(201) 986-5000
(201) 986-5000 Nair, Prathila MD M-F 9:00 AM - 5:00 PM
18 Yrs/80 Yrs
00 Yrs/130 Yrs Provider ID: 1045840
M-F 9:00 AM - 5:00 PM Prendergast, Kathleen ARNP
Holy Name Medical Center Gender: Female
M-F 9:00 AM - 5:00 PM Miric, Slobodan MD Bergen Regional Medical
Provider ID: 945605 Center Provider ID: 914904
Gender: Male 230 E Ridgewood Ave Gender: Female
401 S Van Brunt St Ste A Paramus, NJ 07652 Care Plus NJ Inc
Englewood, NJ 07631 (201) 967-4000 610 Valley Health Plz
(201) 871-1400 Fax: (201) 225-7101 Paramus, NJ 07652
Fax: (201) 408-2220 00 Yrs/130 Yrs (201) 986-5000
00 Yrs/130 Yrs Bergen Regional Medical Fax: (201) 265-0366
Morristown Memorial Center 00 Yrs/130 Yrs
Hospital Languages: Hindi Holy Name Medical Center
M-F 9:00 AM - 5:00 PM M-F 7:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM

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Managed Long Term Services And Supports


Bergen
Psychiatry - cont. Puthiyathu, Manoj MD Ragheb, Sameh MD Saiz Quintana, Maria MD

Primak, Dmitry MD Provider ID: 1560648 Provider ID: 897017 Provider ID: 707065
Gender: Male Gender: Male Gender: Female
Provider ID: 463142 Bergen Psychiatric Care LLC Care Plus NJ Inc Bergen Regional Medical
Gender: Male 65 N Maple Ave Ste 104 611 Rte 46 W Ste 100 Center
Bergen Regional Medical Ridgewood, NJ 07450 Hasbrouck Heights, NJ 07604 230 E Ridgewood Ave
Center (201) 956-9483 (201) 986-5000 Paramus, NJ 07652
230 E Ridgewood Ave Fax: (201) 288-5262 00 Yrs/130 Yrs (800) 730-2762
Paramus, NJ 07652 18 Yrs/130 Yrs Languages: Spanish, Russian Fax: (201) 225-7101
(201) 967-4000 Prime Health Services-St M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs
Fax: (201) 225-7101 Marys Hospital Bergen Regional Medical
00 Yrs/130 Yrs M-F 9:00 AM - 5:30 PM Ramay, Mohammad MD Center
Bergen Regional Medical Languages: Spanish
Center Ragheb, Sameh MD Provider ID: 477405 M-F 9:00 AM - 5:00 PM
M-F 7:00 AM - 3:30 PM Gender: Male
Provider ID: 897017 Sandoval Castellanos, Oscar
Bergen Regional Medical
Prince, Leonie MD Gender: Male Center MD
Provider ID: 1259231 Care Plus NJ Inc 230 E Ridgewood Ave Provider ID: 653107
Gender: Female 17 07 Romaine St Paramus, NJ 07652 Gender: Male
Care Plus NJ Inc Fair Lawn, NJ 07410 (201) 967-4000 O.E. Sandoval MD PC
610 Valley Health Plz (201) 986-5000 Fax: (201) 225-7101 365 Franklin Ave
Paramus, NJ 07652 00 Yrs/130 Yrs 18 Yrs/130 Yrs Wyckoff, NJ 07481
(201) 986-5000 Languages: Spanish, Russian Bergen Regional Medical (201) 866-6970
Fax: (201) 265-0366 M-F 9:00 AM - 5:00 PM Center Fax: (201) 866-7144
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM 18 Yrs/80 Yrs
Saint Clares Hospital Ragheb, Sameh MD M-F 9:00 AM - 5:00 PM
Languages: Spanish Provider ID: 897017 Reddy, Srikanth MD
MF 9:00 AM - 5:00 PM Gender: Male Santos, Frank MD
TWTH 9:00 AM - 9:00 PM Care Plus NJ Inc Provider ID: 271911 Provider ID: 445651
230 E Ridgewood Ave Gender: Male Gender: Male
Puthiyathu, Manoj MD Paramus, NJ 07652 Bergen Regional Medical Palisades Medical Associates
(201) 986-5000 Center LLC
Provider ID: 1247903 00 Yrs/130 Yrs 230 E Ridgewood Ave 115 River Rd Ste 305
Gender: Male Languages: Spanish, Russian Paramus, NJ 07652 Edgewater, NJ 07020
Bergen Regional Medical M-F 9:00 AM - 5:00 PM (800) 730-2762 (201) 941-4405
Center Fax: (201) 225-7101 Fax: (201) 941-4408
230 E Ridgewood Ave Ragheb, Sameh MD 18 Yrs/130 Yrs 00 Yrs/130 Yrs
Paramus, NJ 07652 Bergen Regional Medical Palisades Medical Center
(800) 730-2762 Provider ID: 897017 Center Languages: Spanish
Fax: (201) 225-7101 Gender: Male M-F 8:00 AM - 4:00 PM M-F 8:00 AM - 3:00 PM
18 Yrs/130 Yrs Care Plus NJ Inc
Bergen Regional Medical Ruvolo, Michelle MD Santos, Frank MD
610 Valley Health Plz
Center Provider ID: 950363 Provider ID: 797956
Paramus, NJ 07652
M-F 9:00 AM - 5:00 PM Gender: Female Gender: Male
(201) 265-8200
Bergen Regional Medical North Hudson Community
Fax: (201) 265-0366
Center Action Corp
00 Yrs/130 Yrs
230 E Ridgewood Ave 197 S Van Brunt St
Languages: Spanish, Russian
Paramus, NJ 07652 Englewood, NJ 07631
MF 9:00 AM - 5:00 PM
(800) 730-2762 (201) 537-4442
TWTH 9:00 AM - 9:00 PM
Fax: (201) 225-7101 Fax: (201) 568-1876
18 Yrs/130 Yrs 00 Yrs/130 Yrs
Bergen Regional Medical Palisades Medical Center
Center Languages: Spanish
M-F 9:00 AM - 5:00 PM MTWTHFSat 8:30 AM - 5:00
PM

www.wellcare.com/New-Jersey | 455
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Psychiatry - cont. Surahio, Ali MD Valiveti, Sailaja MD Vaynberg, Dina MD
Provider ID: 1343513 Provider ID: 901988
Santos, Frank MD Gender: Male Provider ID: 961048 Gender: Female
Provider ID: 797956 Holy Name Primary Care Spec Gender: Female Care Plus NJ Inc
Gender: Male Assoc Bergen Regional Medical 611 Rte 46 W Ste 100
North Hudson Community 185 Cedar Ln Center Hasbrouck Heights, NJ 07604
Action Corp Teaneck, NJ 07666 230 E Ridgewood Ave (201) 986-5000
25 E Salem St 6th Fl (201) 385-0400 Paramus, NJ 07652 18 Yrs/130 Yrs
Hackensack, NJ 07601 Fax: (201) 358-6114 (800) 730-2762 Languages: Russian
(551) 996-2121 00 Yrs/130 Yrs Fax: (201) 225-7101 M-F 9:00 AM - 5:00 PM
Fax: (551) 996-4435 Summit Oaks Hospitalinc 18 Yrs/110 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Bergen Regional Medical Wang, Wei MD
Palisades Medical Center Center Provider ID: 1101734
Languages: Spanish Surahio, Ali MD M-TH 8:00 AM - 4:30 PM Gender: Female
MTTHFSat 8:30 AM - 5:00 PM Provider ID: 1343513 F 8:00 AM - 12:00 PM North Hudson Community
W 8:30 AM - 7:00 PM Gender: Male Action Corpo
Holy Name Primary Care Spec Vaynberg, Dina MD 197 S Van Brunt St
Shah, Pritesh MD Assoc Provider ID: 901988 Englewood, NJ 07631
Provider ID: 948390 354 Old Hook Rd Ste 102 Gender: Female (201) 537-4442
Gender: Male Westwood, NJ 07675 Care Plus NJ Inc Fax: (201) 568-1876
Holy Name Primary Care and (201) 358-0400 17 07 Romaine St 00 Yrs/130 Yrs
Specialt Fax: (201) 358-6114 Fair Lawn, NJ 07410 Englewood Hospital and
185 Cedar Ln Ste U6 00 Yrs/130 Yrs (201) 797-2660 Medical Center
Teaneck, NJ 07666 Summit Oaks Hospitalinc Fax: (201) 797-5025 MTWTHFSat 8:30 AM - 5:00
(201) 836-3000 M-F 9:00 AM - 5:00 PM 18 Yrs/130 Yrs PM
Fax: (201) 836-5000 Languages: Russian
00 Yrs/130 Yrs Tendler, Catherine ARNP M-F 9:00 AM - 5:00 PM Wang, Wei MD
Holy Name Medical Center Provider ID: 1101734
Languages: Hindi, Gujarati Provider ID: 906616 Vaynberg, Dina MD Gender: Female
M 10:00 AM - 6:00 PM Gender: Female Provider ID: 901988 North Hudson Community
395 Main St Gender: Female Action Corpo
Shah, Pritesh MD Hackensack, NJ 07601 Care Plus NJ Inc 25 E Salem St Fl 6
Provider ID: 948390 (201) 646-0333 230 E Ridgewood Ave Hackensack, NJ 07601
Gender: Male Fax: (201) 646-0283 Paramus, NJ 07652 (551) 996-2121
Holy Name Primary Care and 00 Yrs/130 Yrs (201) 986-5000 Fax: (551) 996-4435
Specialt M-TH 9:00 AM - 5:00 PM 18 Yrs/130 Yrs 00 Yrs/130 Yrs
354 Old Hook Rd Ste 102 F 9:00 AM - 4:00 PM Languages: Russian Englewood Hospital and
Westwood, NJ 07675 M-F 9:00 AM - 5:00 PM Medical Center
(201) 358-0400 Thorpe, Michelle MD MTTHFSat 8:30 AM - 5:00 PM
Fax: (201) 358-6114 Provider ID: 1041322 Vaynberg, Dina MD W 8:30 AM - 7:00 PM
00 Yrs/130 Yrs Gender: Female Provider ID: 901988
Holy Name Medical Center Wang, Wei MD
Bergen Regional Medical Gender: Female
Languages: Hindi, Gujarati Center Care Plus NJ Inc Provider ID: 1101734
M 9:00 AM - 7:00 PM 230 E Ridgewood Ave 610 Valley Health Plz Gender: Female
TTH 10:00 AM - 4:00 PM Paramus, NJ 07652 Paramus, NJ 07652 North Hudson Community
W 9:00 AM - 6:00 PM (800) 730-2762 Action Corpo
(201) 986-5042
F 10:00 AM - 2:00 PM Fax: (201) 225-7101 535 Midland Ave
Fax: (201) 265-7645
05 Yrs/130 Yrs Garfield, NJ 07026
18 Yrs/130 Yrs
Bergen Regional Medical (973) 340-1182
Languages: Russian
Center Fax: (973) 340-1156
M 9:00 AM - 6:00 PM
MWTH 7:00 AM - 12:30 PM 00 Yrs/130 Yrs
T 1:00 AM - 7:00 PM Englewood Hospital and
F 1:00 AM - 5:00 PM Medical Center
MTTHFSat 8:30 AM - 5:00 PM
W 8:30 AM - 7:00 PM

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Managed Long Term Services And Supports


Bergen
Psychology Parra, Guillermo PHD Trobliger, Robert PHD Careplus Rehab LLC
Provider ID: 1255711 Provider ID: 808297 Provider ID: 910477
Borer, Gary PHD Gender: Male Gender: Male 340 Evelyn St
Provider ID: 840117 North Hudson Community Epilepsy and Neurophysiology Paramus, NJ 07652
Gender: Male Action Corp Medica (201) 265-0606
Gary S Borer PC 25 E Salem St Fl 6 77 Prospect Ave Fax: (201) 265-0630
0028 Pine Ave Hackensack, NJ 07601 Hackensack, NJ 07601 00 Yrs/130 Yrs
Fair Lawn, NJ 07410 (551) 996-2121 (201) 343-6676 Languages: Spanish, French,
(201) 791-4116 Fax: (551) 996-4435 Fax: (201) 343-6689 Creole, Hindi
Fax: (201) 796-2615 00 Yrs/130 Yrs 00 Yrs/130 Yrs M-F 9:00 AM - 6:00 PM
00 Yrs/130 Yrs Englewood Hospital and M-F 9:00 AM - 5:00 PM
M-F 9:30 AM - 10:00 PM Medical Center Kessler Institute For
M-TH 8:30 AM - 7:00 PM Vaccarella, Gerard PHD Rehabilitation
Donohue, Gerard PHD F 8:30 AM - 5:00 PM Provider ID: 465894
Provider ID: 1271289 Sat 8:30 AM - 3:00 PM Provider ID: 800286 Kessler Institute For
Gender: Male Gender: Male Rehabilitatio
Kessler Professional Services Parra, Guillermo PHD Gerard Vaccarella 194 The Plz
LLC Provider ID: 1255711 248 Blvd Teaneck, NJ 07666
300 Market St Gender: Male Hasbrouck Heights, NJ 07604 (201) 837-0337
Saddle Brook, NJ 07663 North Hudson Community (201) 288-4611 Fax: (201) 530-7474
(201) 368-6000 Action Corp Fax: (201) 288-8107 16 Yrs/130 Yrs
Fax: (973) 677-4253 535 Midland Ave 00 Yrs/130 Yrs Languages: Spanish
16 Yrs/130 Yrs Garfield, NJ 07026 M-TH 9:00 AM - 9:00 PM MTTH 9:30 AM - 7:30 PM
M-F 9:00 AM - 5:00 PM (973) 340-1182 F 9:00 AM - 5:00 PM WF 9:30 AM - 1:30 PM
Fax: (973) 340-1156
Griswold, Germaine PHD 00 Yrs/130 Yrs Wu, Ho Shyuan PHD Kessler Institute For
Englewood Hospital and Rehabilitation
Provider ID: 1277093
Provider ID: 673721 Medical Center Gender: Female Provider ID: 465894
Gender: Female M-TH 8:30 AM - 7:00 PM Kessler Professional Services Kessler Institute For
F 8:30 AM - 5:00 PM LLC Rehabilitatio
North Hudson Community
Action Corpo Sat 8:30 AM - 3:00 PM 300 Market St 223 Old Hook Rd Ste 101
25 E Salem St 6th Fl Saddle Brook, NJ 07663 Westwood, NJ 07675
Hackensack, NJ 07601 Trobliger, Robert PHD (201) 368-6000 (201) 666-2056
(551) 996-2121 Provider ID: 808297 Fax: (973) 677-4253 Fax: (201) 664-0610
Fax: (551) 996-4435 Gender: Male 16 Yrs/130 Yrs 16 Yrs/130 Yrs
00 Yrs/130 Yrs Epilepsy and Neurophysiology Englewood Hospital and Languages: Spanish
Palisades Medical Center Medica Medical Center MW 7:00 AM - 8:00 PM
MTTHFSat 8:30 AM - 5:00 PM 20 Prospect Ave Ste 800 Languages: Mandarin T 8:00 AM - 2:00 PM
W 8:30 AM - 7:00 PM Hackensack, NJ 07601 M-TH 9:00 AM - 5:00 PM TH 10:00 AM - 8:00 PM
(201) 343-6676 F 7:00 AM - 4:00 PM
Parra, Guillermo PHD Fax: (201) 343-6689 Rehabilitation Facility
00 Yrs/130 Yrs Kessler Institute For
Provider ID: 1255711
M-F 9:00 AM - 5:00 PM Careplus Rehab LLC Rehabilitation
Gender: Male
Provider ID: 910477 Provider ID: 465894
North Hudson Community
Action Corp Trobliger, Robert PHD 217 Hergesell Ave Kessler Rehabilitation Center
197 S Van Brunt St Provider ID: 808297 Maywood, NJ 07607 1120 Promenade Blvd
Englewood, NJ 07631 Gender: Male (201) 291-8811 Fair Lawn, NJ 07410
(201) 537-4442 Epilepsy and Neurophysiology Fax: (201) 291-8833 (201) 703-8820
Fax: (201) 568-1876 Medica 00 Yrs/130 Yrs Fax: (201) 703-8906
00 Yrs/130 Yrs 400 Frank W Burr Blvd Ste 55 Languages: Spanish, French, 16 Yrs/130 Yrs
Englewood Hospital and Teaneck, NJ 07666 Creole, Hindi Languages: Spanish
Medical Center (201) 343-6676 M-F 9:00 AM - 4:00 PM MT 7:00 AM - 8:00 PM
M-F 8:30 AM - 5:00 PM Fax: (201) 357-4641 W 2:00 AM - 8:00 PM
00 Yrs/130 Yrs TH 7:00 AM - 3:00 PM
M-F 9:00 AM - 5:00 PM

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Managed Long Term Services And Supports


Bergen
Rehabilitation Facility - Kessler Institute For Kessler Institute For Kessler Institute For
cont. Rehabilitation Rehabilitation Rehabilitation
Provider ID: 465894 Provider ID: 465894 Provider ID: 465894
Kessler Institute For Kessler Rehabilitation Center Kessler Rehabilitation Center Kessler Rehabilitation Center
Rehabilitation 275 Forest Ave 400 Franklin Tpke 629 Ridge Rd
Provider ID: 465894 Paramus, NJ 07645 Mahwah, NJ 07430 Lyndhurst, NJ 07071
Kessler Rehabilitation Center (201) 634-6900 (201) 825-2027 (201) 372-3240
125 Washington Ave Fax: (201) 634-6905 Fax: (201) 825-2095 Fax: (201) 939-6404
Dumont, NJ 07628 16 Yrs/130 Yrs 16 Yrs/130 Yrs 16 Yrs/130 Yrs
(201) 385-6272 Languages: Spanish Languages: Spanish Languages: Spanish
Fax: (201) 385-7410 MT 7:00 AM - 8:00 PM M 8:00 AM - 8:00 PM MW 7:00 AM - 8:00 PM
16 Yrs/130 Yrs W 9:00 AM - 8:00 PM T 3:00 AM - 8:00 PM T 10:00 AM - 8:00 PM
Languages: Spanish TH 7:00 AM - 3:00 PM W 8:00 AM - 3:00 PM TH 3:00 AM - 8:00 PM
MT 7:00 AM - 8:00 PM TH 7:00 AM - 3:00 PM F 7:00 AM - 3:00 PM
W 12:00 AM - 8:00 PM Kessler Institute For
TH 7:00 AM - 3:00 PM Rehabilitation Kessler Institute For Vdb Enterprises LLC DBA
Provider ID: 465894 Rehabilitation Rehabilitation S
Kessler Institute For Kessler Rehabilitation Center Provider ID: 465894 Provider ID: 981166
Rehabilitation 288 Blvd Ste 2A Kessler Rehabilitation Center Rehabilitation Specialists
Provider ID: 465894 Hasbrouck Heights, NJ 07604 440 Old Hook Rd 18-01 Pollitt Dr Ste 1A
Kessler Rehabilitation Center (201) 288-2950 Emerson, NJ 07630 Fair Lawn, NJ 07410
142 John St Fl 3 Fax: (201) 727-8914 (201) 265-0500 (201) 478-4200
Hackensack, NJ 07601 16 Yrs/130 Yrs Fax: (201) 265-3036 Fax: (201) 478-4201
(201) 342-1404 Languages: Spanish 16 Yrs/130 Yrs 18 Yrs/130 Yrs
16 Yrs/130 Yrs MT 7:00 AM - 8:00 PM Languages: Spanish Languages: Spanish
Languages: Spanish W 3:00 AM - 8:00 PM MT 8:00 AM - 8:00 PM M-F 8:30 AM - 4:00 PM
M-W 8:00 AM - 8:00 PM TH 7:00 AM - 3:00 PM W 10:00 AM - 8:00 PM
TH 8:00 AM - 12:00 PM TH 7:00 AM - 4:00 PM Respite Care Services
Kessler Institute For
Kessler Institute For Rehabilitation Kessler Institute For Accredited Health Services
Rehabilitation Provider ID: 465894 Rehabilitation Inc
Provider ID: 465894 Kessler Rehabilitation Center Provider ID: 465894 Provider ID: 1014890
Kessler Rehabilitation Center 300 Market St Kessler Rehabilitation Center 235 Moore St
15 01 Broadway Ste 9 Saddle Brook, NJ 07663 49 W Allendale Ave Hackensack, NJ 07601
Fair Lawn, NJ 07410 (201) 368-6260 Allendale, NJ 07401 (201) 342-8844
(201) 791-8989 Fax: (201) 368-6075 (201) 856-0623 Fax: (201) 342-8477
Fax: (201) 791-7126 16 Yrs/130 Yrs Fax: (201) 825-0626 00 Yrs/130 Yrs
16 Yrs/130 Yrs Languages: Spanish 16 Yrs/130 Yrs M-F 7:30 AM - 5:30 PM
Languages: Spanish MTTH 8:00 AM - 8:00 PM Languages: Spanish
MT 7:00 AM - 8:00 PM WF 8:00 AM - 5:00 PM MT 7:00 AM - 8:00 PM Accredited Health Services
W 2:00 AM - 8:00 PM W 2:00 AM - 8:00 PM Inc Fc
TH 7:00 AM - 3:00 PM Kessler Institute For TH 7:00 AM - 3:00 PM Provider ID: 1610511
Rehabilitation 235 Moore St
Kessler Institute For Provider ID: 465894 Kessler Institute For Hackensack, NJ 07601
Rehabilitation Kessler Rehabilitation Center Rehabilitation (201) 342-6844
Provider ID: 465894 370 Grand Ave Ste 103 Provider ID: 465894 Fax: (201) 342-8477
Kessler Rehabilitation Center Englewood, NJ 07631 Kessler Rehabilitation Center 00 Yrs/130 Yrs
27 Kinderkamack Rd (201) 541-3900 500 N Franklin Tpke M-F 7:30 AM - 5:30 PM
Emerson, NJ 07630 Fax: (201) 541-3905 Ramsey, NJ 07446
(201) 261-2718 16 Yrs/130 Yrs (201) 760-2180
Fax: (201) 261-2978 Languages: Spanish Fax: (201) 760-2185
16 Yrs/130 Yrs MT 8:00 AM - 8:00 PM 16 Yrs/130 Yrs
Languages: Spanish W 7:00 AM - 8:00 PM Languages: Spanish
MT 3:00 AM - 8:00 PM MT 7:00 AM - 8:00 PM
W 7:00 AM - 1:00 PM W 2:00 AM - 8:00 PM
TH 7:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 458
Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Respite Care Services - Fidelity Care Bergen Regional Medical Careone At Crestskill
cont. Provider ID: 984868 Center
113 Dewitt St Ste 204 Provider ID: 191559 Provider ID: 488100
All Metro Health Care Garfield, NJ 07026 Bergen Regional Medical Care One At Cresskill
Provider ID: 964963 (973) 478-3500 Center 221 County Rd
All Metro Home Care Services Fax: (973) 478-9399 230 E Ridgewood Ave Cresskill, NJ 07626
of New 12 Yrs/130 Yrs Paramus, NJ 07652 (201) 567-9310
214 State St Ste 104 M-F 8:30 AM - 5:30 PM (201) 967-4000 Fax: (201) 541-9224
Hackensack, NJ 07601 00 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 488-6151 Gentle Heart Careagency Bergen Regional Medical
Fax: (201) 488-6165 Center Christian Health Care Center
00 Yrs/130 Yrs Provider ID: 944455 University Hospital
Languages: Spanish, Arabic 333 Sylvan Ave Ste 205 Languages: Spanish, Korean Provider ID: 1039312
M-F 9:00 AM - 5:00 PM Englewood Cliffs, NJ 07632 301 Sicomac Ave
Care One At Pine Rest
(201) 613-6173 Wyckoff, NJ 07481
Always Home Care Fax: (201) 621-5052 (201) 848-5200
Provider ID: 944544 00 Yrs/130 Yrs Provider ID: 232461 Fax: (201) 848-9758
187 Main St Languages: Korean Care One At Ridgewood 00 Yrs/130 Yrs
Hackensack, NJ 07601 Avenue
M-F 9:00 AM - 5:00 PM
(201) 603-3133 90 W Ridgewood Ave Christian Health Care Center
Fax: (201) 342-0660 Skilled Nursing Facility Paramus, NJ 07652
00 Yrs/130 Yrs (201) 652-1950
Provider ID: 1463588
M-F 9:00 AM - 5:00 PM Armenian Nursing and Fax: (201) 652-2880
301 Sicomac Ave
Rehabilitation Cent 00 Yrs/130 Yrs
Wyckoff, NJ 07481
Angels Care LLC Languages: Spanish, French,
Polish (201) 848-5200
Provider ID: 946348 Provider ID: 958603 Fax: (201) 848-9758
87 Old River St Armenian Nursing and 00 Yrs/130 Yrs
Care One At Teaneck
Hackensack, NJ 07601 Rehabilitation
(201) 265-2818 70 Main St County Manor Rehab &
Fax: (201) 265-2817 Emerson, NJ 07630 Provider ID: 499865 Health Care Center LLC
00 Yrs/130 Yrs (201) 261-6662 544 Teaneck Rd
Languages: Spanish, French, Fax: (201) 261-5509 Fort Lee, NJ 07024
Provider ID: 1006247
Korean, Polish 00 Yrs/130 Yrs (201) 862-3300
County Manor Rehabilitation
M-F 9:00 AM - 5:00 PM Languages: Spanish, French, Fax: (201) 287-8600 and Hea
Russian, Arabic 00 Yrs/130 Yrs 133 County Rd
Bayada Home Healthcare Inc
Care One At Valley Tenafly, NJ 07670
Atrium Post Acute Care of (201) 567-7800
Provider ID: 945568 Park Ridge Fax: (201) 567-9144
Bayada Home Health Care Inc Provider ID: 960555 Provider ID: 506894 50 Yrs/110 Yrs
90 Main St Ste 100 Atrium At Park Ridge LLC DBA 300 Old Hook Rd
Hackensack, NJ 07601 Plaza Westwood, NJ 07675 Dellridge Health and Rehab
(201) 343-7100 120 Noyes Dr (201) 664-8888 Center
Fax: (201) 343-3895 Park Ridge, NJ 07656 Fax: (201) 802-7526 Provider ID: 488528
00 Yrs/130 Yrs (201) 505-1777 00 Yrs/130 Yrs 532 N Farview Ave
M-F 9:00 AM - 5:00 PM Fax: (201) 505-0483 Languages: Spanish Paramus, NJ 07652
18 Yrs/130 Yrs (201) 265-5600
Bayada Home Healthcare Inc MTWTHFSat 8:00 AM - 5:00 Care One At Wellington Fax: (201) 261-3164
PM 00 Yrs/130 Yrs
Provider ID: 945568 Provider ID: 956109
Bergen Regional Medical 301 Union St
Bayada Home Health Care Inc Center
90 Main St Ste 202 Hackensack, NJ 07601
Provider ID: 1355385 (201) 487-4900
Hackensack, NJ 07601 230 E Ridgewood Ave Fax: (201) 487-8028
(201) 488-1262 Paramus, NJ 07652 00 Yrs/130 Yrs
Fax: (201) 343-0629 (201) 967-4000
00 Yrs/130 Yrs Fax: (201) 225-7101
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs

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Updated: 11/26/2018

Managed Long Term Services And Supports


Bergen
Skilled Nursing Facility - Oradell Health Care Center The Buckingham At Norwood Wound, Ostomy and
cont. Care Rehabil Continence Care
Provider ID: 948381 Provider ID: 914268
Emerson Convalescent Center 600 Kinderkamack Rd The Buckingham At Norwood Cioroiu, Michael MD
Inc Oradell, NJ 07649 Care Reh Provider ID: 1226451
Provider ID: 960712 (201) 967-0002 100 McClellen St Gender: Male
Emerson Convalescent Center Fax: (201) 967-8774 Norwood, NJ 07648 Medical Associates of
DBA Hea 00 Yrs/130 Yrs (201) 768-6222 Englewood PC
100 Kinderkamack Rd Languages: Spanish, French Fax: (201) 768-4045 350 Engle St Ste 3E
Emerson, NJ 07630 00 Yrs/130 Yrs Englewood, NJ 07631
(201) 265-3700 Prospect Heights Care Center (201) 894-3361
Fax: (201) 265-0157 Woodcliff Lake Health & Fax: (201) 894-1392
18 Yrs/130 Yrs Rehab Center
Provider ID: 325562 00 Yrs/130 Yrs
M-F 8:00 AM - 50:00 PM Provider ID: 487408 Languages: Spanish,
Prspective Heights Care
Center 555 Chestnut Ridge Rd Hungarian, Romanian
Inglemoor Center 336 Prospect Ave Woodcliff Lake, NJ 07677 M-F 9:00 AM - 5:00 PM
Provider ID: 940390 Hackensack, NJ 07601 (201) 391-0900
333 Grand Ave (201) 678-1800 Fax: (201) 391-1186
Englewood, NJ 07631 Fax: (201) 678-1801 00 Yrs/130 Yrs
(201) 568-0900 00 Yrs/130 Yrs Woodcrest Health Care
Fax: (201) 568-9666 Languages: Spanish, Filipino, Center
21 Yrs/130 Yrs Tagalog
Provider ID: 956322
Jewish Home At Rockleigh Regent Care Center 800 River Rd
Provider ID: 955803 New Milford, NJ 07646
Provider ID: 499943 50 Polifly Rd (201) 967-1700
10 Link Dr Hackensack, NJ 07601 00 Yrs/130 Yrs
Rockleigh, NJ 07647 (201) 646-1166 Speech Therapy
(201) 784-1414 Fax: (201) 487-3825
Fax: (201) 784-0006 00 Yrs/130 Yrs Bergen County Adult Day
18 Yrs/130 Yrs Languages: Spanish, French, Care LLC DBA New
German, Hindi
Maple Glen Center Provider ID: 975058
Ridgewood Center New Life Adult Day Care
Provider ID: 937666
Provider ID: 940386 340 Evelyn St
12-15 Saddle River Rd
330 Franklin Tpke Paramus, NJ 07652
Fair Lawn, NJ 07410
Ridgewood, NJ 07450 (201) 265-0606
(201) 797-9522
(201) 447-1900 Fax: (201) 265-0630
Fax: (201) 703-0613
Fax: (201) 447-8957 00 Yrs/130 Yrs
21 Yrs/130 Yrs
21 Yrs/130 Yrs Languages: Spanish, Russian,
Mr of Teaneck LLC Korean
The Actors Fund Home M-F 9:00 AM - 5:00 PM
Provider ID: 960807
Teaneck Nursing Center Gelfer, Carole SLP
1104 Teaneck Rd Provider ID: 987347 Provider ID: 1311442
Teaneck, NJ 07666 155 175 W Hudson Ave Gender: Female
(201) 833-2400 Englewood, NJ 07631 Sovereign Medical Group LLC
Fax: (201) 833-4867 (201) 871-8882 44 Godwin Ave
00 Yrs/130 Yrs Fax: (201) 871-9511 Midland Park, NJ 07432
60 Yrs/130 Yrs
Oakland Operator LLC (201) 445-2900
Fax: (201) 445-8679
00 Yrs/130 Yrs
Provider ID: 1175455 MT 10:00 AM - 2:00 PM
20 Breakneck Rd
Oakland, NJ 07436
(201) 337-3300
00 Yrs/130 Yrs

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Managed Long Term Services And Supports


Hudson
Adult Day Care Hudson View Adult Medical Adult Medical Day Care Audiology
Day Care Center
Adultcare Inc Provider ID: 1025659 2nd Home Union City LLC Cohen, Heather AUD
Provider ID: 974403 North Bergen Health Care LLC
1607 Manhattan Ave 9020 Wall St Provider ID: 985443 Provider ID: 1608954
Union City, NJ 07087 North Bergen, NJ 07047 3610 Palisade Ave Gender: Female
(201) 864-5400 (201) 861-4040 Union City, NJ 07087 Prohealth Care Associates of
Fax: (201) 864-2424 Fax: (201) 869-8842 (201) 864-0400 New Je
21 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 864-6833 714 10th St
Languages: Spanish, Gujarati M-F 8:00 AM - 5:00 PM 18 Yrs/130 Yrs Secaucus, NJ 07094
M-F 9:00 AM - 5:00 PM Languages: Spanish (201) 863-3346
North Bergen Seniors Count Fax: (201) 863-5251
M-F 9:00 AM - 5:00 PM
Advanced Services LLC 00 Yrs/130 Yrs
International Inc Provider ID: 978613 Casa Manito Adult Medical M-F 9:00 AM - 5:00 PM
Provider ID: 1013560 6201 Grand Ave Day Care
Advanced Services North Bergen, NJ 07047 Provider ID: 977450 Kornhaber, Arlene AUD
International In (201) 869-4443 324 55th St Provider ID: TPV05524-02
49 51 Morton Place Fax: (201) 869-0814 West New York, NJ 07093 Gender: Female
Jersey City, NJ 07305 18 Yrs/130 Yrs (201) 223-6800 HearUSA
(201) 209-0001 M-F 8:00 AM - 6:00 PM Fax: (201) 223-6885 7401 Bergenline Ave. Ste 3
Fax: (201) 209-1333 Sat-Sun 9:00 AM - 2:00 PM 00 Yrs/130 Yrs N Bergen, NJ 07047
00 Yrs/130 Yrs Languages: Spanish (201) 854-1800
Languages: Spanish, Arabic, Senior Spirit of Jersey City M-F 8:00 AM - 6:00 PM Fax: (204) 861-0269
Gujarati Sat-Sun 9:00 AM - 2:00 PM 21 Yrs/99 Yrs
M-F 8:00 AM - 6:00 PM Provider ID: 983275 M-F 9:00 AM - 5:00 PM
675 Garfield Ave Happy Days III Adult Day
Bayonne Adult Medical Day Jersey City, NJ 07305 Healthcare LLC Behavioral Health
Care Center (201) 761-0280 Provider ID: 973136 Counseling
Provider ID: 1012855 Fax: (201) 761-0290 591 Montgomery St
Bayonne Adult Medical Day 21 Yrs/130 Yrs Jersey City, NJ 07302 McClendon, Elizabeth LCSW
Care Languages: Spanish, Russian, (201) 938-0300
801 Broadway Chinese, Mandarin Fax: (732) 905-0944
Bayonne, NJ 07002 Provider ID: 1032355
MTWTHFSat 7:00 AM - 7:00 18 Yrs/130 Yrs Gender: Female
(201) 243-0035 PM Languages: Spanish
Fax: (201) 243-0036 Mount Carmel Guild
M-F 9:00 AM - 5:00 PM Behavioral Healt
00 Yrs/130 Yrs St Ann's Home For The Aged
2201 Bergenline Ave
Languages: Russian, Polish, Assisted Living Services
Ukrainian Union City, NJ 07087
Provider ID: 998922 (201) 558-3700
M-F 9:00 AM - 7:00 PM St Anns Home Hamilton Park Atrium Opco
Sat 9:00 AM - 2:00 PM Fax: (800) 227-7705
200 Old Bergen Rd Ste 212 05 Yrs/130 Yrs
Jersey City, NJ 07305 Provider ID: 1029714 Languages: Spanish
Care With Love Adult
(201) 433-0950 330 9th St M-F 8:30 AM - 5:00 PM
Daycare Inc
Fax: (201) 433-6554 Jersey City, NJ 07302
Provider ID: 1316906 00 Yrs/130 Yrs (201) 653-8800 McClendon, Elizabeth LCSW
953 Garfield Ave M-F 7:30 AM - 3:30 PM Fax: (718) 567-0600
Jersey City, NJ 07304
(201) 333-8883 00 Yrs/130 Yrs Provider ID: 1032355
Sunflower Medical Adult Day
Fax: (201) 333-8897 Languages: Spanish Gender: Female
Care
18 Yrs/110 Yrs Mount Carmel Guild
Provider ID: 1259247
Languages: Spanish, Arabic Behavioral Healt
300 Broadway
M-F 8:00 AM - 6:30 PM 285 Magnolia Ave
Bayonne, NJ 07002 Jersey City, NJ 07304
(201) 243-0666 (201) 395-4800
Fax: (201) 243-1836 Fax: (201) 395-4813
18 Yrs/110 Yrs 05 Yrs/130 Yrs
Languages: Spanish, French, Languages: Spanish
Russian, Arabic
M-F 8:30 AM - 5:00 PM
MTWTHFSat 7:00 AM - 3:00
PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Behavioral Health Facility Anjos, Arlene CSW Siegel, Rebecca CSW Delta Orthopedic Labinc
Provider ID: 1651633 Provider ID: 1646447 Provider ID: 945601
Turning Point Inc Gender: Female Gender: Female 1010 Summit Ave
Provider ID: 944854 Metropolitan Family Health Prohealth Care Associates of Jersey City, NJ 07307
595 County Ave Network New Je (201) 222-7777
Secaucus, NJ 07094 935 Garfield Ave 1425 Bloomfield St Fax: (201) 222-7740
(973) 239-9400 Jersey City, NJ 07304 Hoboken, NJ 07030 00 Yrs/130 Yrs
Fax: (973) 857-4407 (201) 478-5800 (201) 293-0976 Languages: Spanish
00 Yrs/130 Yrs Fax: (201) 478-5814 Fax: (201) 861-0941 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM H Singers Pharmacy
Chore/Housekeeping Provider ID: 926613
Services Diaz, Jasmine CSW Siegel, Rebecca CSW 5532 Bergenline Ave
Provider ID: 1652015 Provider ID: 1646447 West New York, NJ 07093
Loving Care Agency Inc Gender: Female Gender: Female (201) 864-1168
Metropolitan Family Health Prohealth Care Associates of Fax: (201) 864-5577
Provider ID: 1008554 Network New Je 00 Yrs/130 Yrs
26 Journal Sq Fl 7 Ste 705 857 Bergen Ave 225 60th St Languages: Spanish
Jersey City, NJ 07306 Jersey City, NJ 07306 West New York, NJ 07093 M-F 9:00 AM - 5:00 PM
(201) 985-8335 (201) 478-5800 (201) 293-0976
Fax: (201) 478-5814 Fax: (201) 293-0977 Healing Hands Homecare Inc
Fax: (201) 985-3795
00 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Languages: Spanish, Russian, M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 813184
Polish, Ukrainian 725 Newark Ave
Diaz, Jasmine CSW Siegel, Rebecca CSW Jersey City, NJ 07306
M-F 9:00 AM - 5:00 PM
Provider ID: 1652015 Provider ID: 1646447 (201) 792-1234
Loving Care Agency Inc Gender: Female Gender: Female Fax: (201) 792-1236
Metropolitan Family Health Prohealth Care Associates of 00 Yrs/130 Yrs
Network New Je Languages: Spanish, Arabic
Provider ID: 1008554
935 Garfield Ave 6045 Kennedy Blvd M-F 9:00 AM - 5:00 PM
6406 Bergenline Ave
Jersey City, NJ 07304 North Bergen, NJ 07047
West New York, NJ 07093
(201) 478-5800 (201) 293-0976 Herberts Drug and Surgical
(201) 854-5508
Fax: (201) 478-5814 Fax: (201) 861-0941 Sales Co
Fax: (201) 856-5528
00 Yrs/130 Yrs 00 Yrs/130 Yrs Provider ID: 944134
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 753 Bergen Ave
Languages: Spanish, Russian,
Polish, Ukrainian Jersey City, NJ 07306
Perlaza, Jessica CSW Durable Medical (201) 333-4110
M-F 9:00 AM - 5:00 PM
Provider ID: 1645309 Equipment Fax: (201) 200-0525
Clinical Social Work Gender: Female 00 Yrs/130 Yrs
Prohealth Care Associates of Comfort Care Medical LLC M-F 9:00 AM - 5:00 PM
Anjos, Arlene CSW New Je
225 60th St Provider ID: 452025 Integra Partners LLC
Provider ID: 1651633
West New York, NJ 07093 Comfort Care Medical, LLC Provider ID: 389627
Gender: Female
(201) 876-3215 1699 John F Kennedy Blvd Healing Hands Homecare Inc
Metropolitan Family Health
Network Fax: (201) 876-3218 Jersey City, NJ 07305 725 Newark Ave
857 Bergen Ave 00 Yrs/130 Yrs (201) 536-8900 Jersey City, NJ 07306
Jersey City, NJ 07306 M-F 9:00 AM - 5:00 PM Fax: (201) 536-8999 (888) 700-5004
(201) 478-5800 00 Yrs/130 Yrs Fax: (888) 700-7313
Fax: (201) 478-5814 Languages: Spanish, Russian 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 10:00 AM - 4:00 PM Languages: Spanish, Hebrew
M-F 9:00 AM - 5:00 PM M-F 9:30 AM - 6:00 PM
Sat 9:30 AM - 3:00 PM

www.wellcare.com/New-Jersey | 462
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Durable Medical Pomac Delta Orthopedic Lab Levi, Jack DDS Belgrave, Gerald DDS
Equipment - cont. Provider ID: TPVP95475-01 Provider ID: TPVP41827-01
Provider ID: 505713 Gender: Male Gender: Male
Integra Partners LLC 1010 Summit Ave Jack Levi DDS PA Horizon Health Center
Provider ID: 389627 Jersey City, NJ 07307 48-08 Bergenline Ave 115 Christopher Columbus Dr
Jerry's Drug and Surgical (201) 222-7777 Union City, NJ 07087 Jersey City, NJ 07302
455 Brdway Fax: (201) 222-7740 (201) 385-5400 (201) 710-2201
Bayonne, NJ 07002 00 Yrs/130 Yrs Fax: (201) 863-0611 Fax: (551) 226-6871
(888) 700-5004 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (888) 700-7313 Languages: Spanish Languages: Arabic
00 Yrs/130 Yrs Pro Medquip LLC M 3:00 AM - 10:00 PM MTTH 9:00 AM - 7:00 PM
Languages: Spanish, Hebrew Provider ID: 798800 TTH 2:00 AM - 10:30 PM WF 9:00 AM - 5:00 PM
MTWTHFSat 9:00 AM - 9:00 3509 Park Ave W 6:00 AM - 10:30 PM
PM Union City, NJ 07087 F 2:00 AM - 7:00 PM Belgrave, Gerald DDS
Sun 10:00 AM - 2:00 PM (201) 766-4293 Sat 2:00 AM - 7:30 PM Provider ID: TPVP41827-02
Fax: (201) 766-4295 Sun 2:30 AM - 7:30 PM Gender: Male
Integra Partners LLC 00 Yrs/130 Yrs Horizon Health Center
Provider ID: 389627 Languages: Spanish, Russian General Dentistry 714 Bergen Ave
Pro Med Quip M-F 9:30 AM - 5:30 PM Jersey City, NJ 07306
3509 Park Ave Ahmed, Nasrine DDS (201) 451-6300
Union City, NJ 07087 St Clara Medical Supplies Provider ID: TPVP39569-01 Fax: (551) 226-6871
(888) 700-5004 Corp Gender: Female 00 Yrs/99 Yrs
Fax: (888) 700-7313 Provider ID: 719503 Metropolitan Family Health Languages: Arabic
00 Yrs/130 Yrs 125 48th St Network MTTH 9:00 AM - 7:00 PM
Languages: Spanish, Hebrew Union City, NJ 07087 935 Garfield Ave WF 9:00 AM - 5:00 PM
M-F 9:30 AM - 5:30 PM (201) 863-2424 Jersey City, NJ 07304
Fax: (201) 863-8585 (201) 478-5800 Beydoun, Fadi DDS
Jerrys Drug and Surgical 00 Yrs/130 Yrs Fax: (201) 478-5814 Provider ID: TPVP31854-01
Supply M-F 10:00 AM - 7:00 PM 00 Yrs/99 Yrs Gender: Male
Provider ID: 504100 Sat 10:00 AM - 6:00 PM Languages: Arabic New York Avenue Dental
Jerrys Drug and Surgical MTH 9:00 AM - 7:00 PM 3703 New York Ave
455 Broadway Endodontics TWF 9:00 AM - 5:00 PM Union City, NJ 07087
Bayonne, NJ 07002 (201) 305-8800
(201) 339-1992 Angelica, Robert DDS Baskin, Steven DDS Fax: (201) 305-8900
Fax: (201) 858-1714 Provider ID: TPVP39199-01 Provider ID: TPVP39255-01 00 Yrs/99 Yrs
00 Yrs/130 Yrs Gender: Male Gender: Male Languages: Arabic
Languages: Spanish Robert Angelica DDS Steven E Baskin DDS PA M-F 9:30 AM - 6:30 PM
MTTHFSat 9:00 AM - 9:00 PM 1256 Kennedy Blvd 433 Central Ave Sat 9:00 AM - 5:00 PM
W 9:00 AM - 6:00 PM Bayonne, NJ 07002 Jersey City, NJ 07307
Sun 10:00 AM - 9:00 PM (201) 339-0036 (201) 798-6522 Bishara, G DMD
Fax: (201) 339-4150 Fax: (201) 876-2918 Provider ID: TPVP40079-02
MD Respiratory Service Inc 00 Yrs/99 Yrs 00 Yrs/99 Yrs Gender: Male
Languages: Spanish MTH 8:00 AM - 5:00 PM Great Expressions Dental
Provider ID: 464627 M-TH 9:00 AM - 6:00 PM TW 9:00 AM - 7:00 PM Centers
6 W 21st St F 9:00 AM - 1:00 PM F 9:00 AM - 2:00 PM 711 Ave C
Bayonne, NJ 07002 Bayonne, NJ 07002
(201) 823-3100 (201) 437-3500
Fax: (201) 823-8470 Fax: (201) 252-4363
00 Yrs/130 Yrs 00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM MTTHF 9:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM W 1:00 AM - 8:00 PM
Sat 8:00 AM - 1:00 PM

www.wellcare.com/New-Jersey | 463
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
General Dentistry - cont. Cantuarias, Isela DDS Dalpizzol, Peter DMD Discepola, Joseph DDS
Provider ID: TPVP126597-01 Provider ID: TPVP36363-01 Provider ID: TPVP40363-01
Bral, Pourang DDS Gender: Female Gender: Male Gender: Male
Provider ID: TPVP41589-01 Complete Dental Works Saltzberg Wenger Joseph T Discepola DMD
Gender: Male 439 60th St 149 Palisade Ave 281 Central Ave
Pourang Bral DDS LLC West New York, NJ 07093 Jersey City, NJ 07306 Jersey City, NJ 07307
901 Bergen Ave 2nd Fl (201) 865-5150 (201) 798-5551 (201) 659-0295
Jersey City, NJ 07306 Fax: (201) 865-5962 Fax: (201) 963-1226 Fax: (201) 659-0065
(201) 222-1123 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 222-0060 Languages: Korean Languages: Spanish Languages: Spanish
00 Yrs/99 Yrs M 9:00 AM - 6:00 PM M 9:00 AM - 7:00 PM MWTH 9:30 AM - 6:00 PM
Languages: Arabic T 11:00 AM - 7:00 PM TWTH 9:00 AM - 6:00 PM T 8:00 AM - 4:00 PM
M-TH 11:00 AM - 7:00 PM WF 10:00 AM - 4:00 PM F 8:00 AM - 6:00 PM F 8:00 AM - 1:00 PM
F 10:00 AM - 3:00 PM TH 7:00 AM - 7:00 PM Sat-Sun 8:00 AM - 4:00 PM Sat 8:00 AM - 3:00 PM
Sat 12:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM
Dalpizzol, Peter DMD Durgam, Chithra DDS
Buchalski, Joseph DDS Cho, Chun DDS Provider ID: TPVP36363-02 Provider ID: TPVP39666-01
Provider ID: TPVP39425-01 Provider ID: TPVP164549-11 Gender: Male Gender: Female
Gender: Male Gender: Male North Hudson Community Aesthetic Dental PC
Joseph Buchalski DMD LLC Great Expressions Dental Action Corporation 9252 Kennedy Blvd Ste 5
40 Journal Square Ste 325 Centers 5301 Broadway North Bergen, NJ 07047
Jersey City, NJ 07306 711 Ave C West New York, NJ 07093 (201) 869-3033
(201) 216-0011 Bayonne, NJ 07002 (201) 866-9320 Fax: (201) 943-0533
Fax: (201) 217-1070 (201) 437-3500 Fax: (201) 866-7588 00 Yrs/99 Yrs
00 Yrs/99 Yrs Fax: (201) 252-4363 00 Yrs/99 Yrs Languages: Spanish
MW 9:00 AM - 5:30 PM 00 Yrs/99 Yrs Languages: Spanish MW 9:00 AM - 8:00 PM
T 9:00 AM - 5:00 PM MTTHF 9:00 AM - 6:00 PM M-TH 8:30 AM - 7:00 PM TTHF 9:00 AM - 5:00 PM
TH 9:00 AM - 2:00 PM W 1:00 AM - 8:00 PM FSat 8:30 AM - 5:00 PM Sat 9:00 AM - 2:00 PM
Sat 8:00 AM - 1:00 PM Sun 8:30 AM - 3:00 PM
Buckshey, Sakshi DMD Espinosa-Dovale, Maria DDS
Provider ID: TPVP170115-01 Cohen, Jacob DDS Dalpizzol, Peter DMD
Gender: Female Provider ID: TPVP40978-01 Provider ID: TPVP36363-03 Provider ID: TPVP103703-04
Dr Saima Mian LLC Gender: Male Gender: Male Gender: Female
402 36th St Drs Jacob S Cohen Sammy North Hudson Community North Hudson Community
Union City, NJ 07087 Goldstein DDS PC Action Corporation Action Corporation
(201) 866-3299 707 Summit Ave 324 Palisade Ave 5301 Broadway
Fax: (201) 866-3396 Union City, NJ 07087 Jersey City, NJ 07307 West New York, NJ 07093
00 Yrs/99 Yrs (201) 863-0816 (201) 459-8888 (201) 866-9320
Languages: Spanish Fax: (201) 866-3448 Fax: (201) 239-0318 Fax: (201) 866-7588
MTF 10:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
WTH 9:00 AM - 4:00 PM Languages: Spanish Languages: Spanish Languages: Spanish
Sat 9:00 AM - 1:00 PM M-TH 8:00 AM - 5:00 PM MTTHF 8:30 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM
F 8:00 AM - 12:00 PM W 8:30 AM - 7:00 PM FSat 8:30 AM - 5:00 PM
Sun 8:30 AM - 3:00 PM
Cohen, Steven DMD
Provider ID: TPVP66823-02
Gender: Male
Great Expressions Dental
Centers
711 Ave C
Bayonne, NJ 07002
(201) 437-3500
Fax: (201) 252-4363
00 Yrs/99 Yrs
MTTHF 9:00 AM - 6:00 PM
W 1:00 AM - 8:00 PM
Sat 8:00 AM - 1:00 PM

www.wellcare.com/New-Jersey | 464
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
General Dentistry - cont. Goldstein, Andrew DDS Herman, Harris DMD Karmann, Richard DMD
Provider ID: TPVP40082-02 Provider ID: TPVP39275-01
Espinosa-Dovale, Maria DDS Provider ID: TPVP40792-02 Gender: Male Gender: Male
Gender: Male Great Expressions Dental Richard Karmann DMD
Provider ID: TPVP103703-05 Great Expressions Dental Centers 650 Bergen Ave
Gender: Female Centers 711 Ave C Jersey City, NJ 07304
North Hudson Community 711 Ave C Bayonne, NJ 07002 (201) 435-2446
Action Corporation Bayonne, NJ 07002 (201) 437-3500 Fax: (973) 858-0310
324 Palisade Ave (201) 437-3500 Fax: (201) 252-4363 00 Yrs/99 Yrs
Jersey City, NJ 07307 Fax: (201) 252-4363 00 Yrs/99 Yrs Languages: Spanish
(201) 459-8888 00 Yrs/99 Yrs MTTHF 9:00 AM - 6:00 PM M-TH 8:00 AM - 5:30 PM
Fax: (201) 239-0318 MTTHF 9:00 AM - 6:00 PM W 1:00 AM - 8:00 PM F 10:00 AM - 5:30 PM
00 Yrs/99 Yrs W 1:00 AM - 8:00 PM Sat 8:00 AM - 1:00 PM Sat 8:00 AM - 3:00 PM
Languages: Spanish Sat 8:00 AM - 1:00 PM
MTTHF 8:30 AM - 5:00 PM Hernandez-Reyes, Fransico Kathawala, Samina DDS
W 8:30 AM - 7:00 PM Goldstein, Sammy DDS DDS Provider ID: TPVP125832-01
Provider ID: TPVP40979-01 Provider ID: TPVP157896-01 Gender: Female
Freeman Jr., Paul DDS Gender: Male Gender: Male Horizon Health Center
Provider ID: TPVP41764-01 Drs Jacob S Cohen Sammy Salazar Dental LLC 115 Christopher Columbus Dr
Gender: Male Goldstein DDS PC 6219 Bergenline Ave 2nd Fl Jersey City, NJ 07302
Freeman Freeman PC 707 Summit Ave West New York, NJ 07093 (201) 710-2201
2403 - 2405 Kennedy Blvd Union City, NJ 07087 (201) 861-1007 Fax: (551) 226-6871
Jersey City, NJ 07304 (201) 863-0816 Fax: (201) 861-1067 00 Yrs/99 Yrs
(201) 332-1664 Fax: (201) 866-3448 00 Yrs/99 Yrs Languages: Arabic
Fax: (201) 332-8808 00 Yrs/99 Yrs Languages: Spanish MTTH 9:00 AM - 7:00 PM
00 Yrs/99 Yrs Languages: Spanish M 11:00 AM - 7:00 PM WF 9:00 AM - 5:00 PM
Languages: Arabic M-TH 8:00 AM - 5:00 PM TTH 9:00 AM - 5:00 PM
MTTHF 9:00 AM - 6:00 PM F 8:00 AM - 12:00 PM W 10:00 AM - 7:00 PM Kathawala, Samina DDS
WSat 9:00 AM - 12:00 PM F 9:00 AM - 2:00 PM
Gurung, Sita DMD Provider ID: TPVP125832-02
Fuentes, Peter DDS Provider ID: TPVP140271-01 Hussain, Sakina DDS Gender: Female
Provider ID: TPVP41372-01 Gender: Female Provider ID: TPVP147975-02 Horizon Health Center
Gender: Male Bayonne Family Dental Gender: Female 714 Bergen Ave
Bayonne Family Dental 1216 Kennedy Blvd Great Expressions Dental Jersey City, NJ 07306
1216 Kennedy Blvd Bayonne, NJ 07002 Centers (201) 451-6300
Bayonne, NJ 07002 (201) 858-3800 711 Ave C Fax: (551) 226-6871
(201) 858-3800 Fax: (201) 858-4409 Bayonne, NJ 07002 00 Yrs/99 Yrs
Fax: (201) 858-4409 00 Yrs/99 Yrs (201) 437-3500 Languages: Arabic
00 Yrs/99 Yrs Languages: Spanish, Arabic Fax: (201) 252-4363 MTTH 9:00 AM - 7:00 PM
Languages: Arabic M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs WF 9:00 AM - 5:00 PM
M-F 9:00 AM - 6:00 PM Sat 8:00 AM - 2:00 PM Languages: Hindi
Sat 8:00 AM - 2:00 PM MTTHF 9:00 AM - 6:00 PM Khalid, Rashid DMD
Heisler, Patti DDS W 1:00 AM - 8:00 PM Provider ID: TPVP136141-01
Gelman, Yevgeniya DDS Provider ID: TPVP34158-01 Sat 8:00 AM - 1:00 PM Gender: Male
Provider ID: TPVP28666-02 Gender: Female West New York Dental
Gender: Female Guttenberg Family Dental 4900 Bergenline Ave 2nd Fl
Absolute Dental LLC 6800 Bergenline Ave Ste C
5526 Bergenline Ave 2nd Fl Guttenberg, NJ 07093 Union City, NJ 07087
West New York, NJ 07093 (201) 861-6000 (201) 866-3000
(201) 558-9600 Fax: (201) 861-6002 Fax: (201) 866-3001
Fax: (201) 558-9601 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 PM Languages: Russian
Languages: Russian W 8:00 AM - 8:00 PM M-F 9:30 AM - 6:00 PM
M-TH 12:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM

www.wellcare.com/New-Jersey | 465
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
General Dentistry - cont. MA, Monali DMD Mian, Saima DMD Nourbakhsh, Michael DDS
Provider ID: TPVP141577-01 Provider ID: TPVP136122-01 Provider ID: TPVP40813-03
Khaylomsky, Lena DMD Gender: Female Gender: Female Gender: Male
Provider ID: TPVP39074-01 Bergen Dental Group Dr Saima Mian LLC Hudson Dental Esthetics
Gender: Female 7601 Broadway 402 36th St 5300 Bergenline Ave Ste 8
Tower Plaza Dentistry PC North Bergen, NJ 07047 Union City, NJ 07087 West New York, NJ 07093
4100 Park Ave (201) 869-3107 (201) 866-3299 (201) 865-7750
Weehawken, NJ 07086 Fax: (201) 869-0809 Fax: (201) 866-3396 Fax: (201) 865-3299
(201) 348-1616 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 348-4877 Languages: Spanish Languages: Spanish MW 10:00 AM - 6:00 PM
00 Yrs/99 Yrs M-TH 9:00 AM - 6:00 PM MTF 10:00 AM - 6:00 PM TTH 10:00 AM - 5:30 PM
Languages: Russian WTH 9:00 AM - 4:00 PM F 10:00 AM - 5:00 PM
M-TH 10:00 AM - 8:00 PM Manchikanti, Radha DMD Sat 9:00 AM - 1:00 PM Sat 9:00 AM - 1:00 PM
FSat 10:00 AM - 3:00 PM
Provider ID: TPVP121094-01 Mulkay, Zenaida DMD Obi, Nneka DDS
Lavandeira, Janet DMD Gender: Female Provider ID: TPVP40938-03 Provider ID: TPVP169488-01
Dr Saima Mian LLC Gender: Female Gender: Female
Provider ID: TPVP41652-04 402 36th St Castillo Mulkay Dental Metropolitan Family Health
Gender: Female Union City, NJ 07087 700 79th St Network
North Hudson Community (201) 866-3299 North Bergen, NJ 07047 935 Garfield Ave
Action Corporation Fax: (201) 866-3396 (201) 854-8100 Jersey City, NJ 07304
5301 Broadway 00 Yrs/99 Yrs Fax: (201) 861-5636 (201) 478-5800
West New York, NJ 07093 Languages: Spanish 00 Yrs/99 Yrs Fax: (201) 478-5814
(201) 866-9320 MTF 10:00 AM - 6:00 PM Languages: Spanish 00 Yrs/99 Yrs
Fax: (201) 866-7588 WTH 9:00 AM - 4:00 PM M 10:00 AM - 5:00 PM Languages: Arabic
00 Yrs/99 Yrs Sat 9:00 AM - 1:00 PM TTH 9:00 AM - 5:00 PM MTH 9:00 AM - 7:00 PM
Languages: Spanish W 10:00 AM - 7:00 PM TWF 9:00 AM - 5:00 PM
M-TH 8:30 AM - 7:00 PM Martin, Howard DDS F 9:00 AM - 12:00 PM
FSat 8:30 AM - 5:00 PM Provider ID: TPVP40682-02 OH, Hyesuk DDS
Sun 8:30 AM - 3:00 PM Gender: Male Munoz, Juan DDS Provider ID: TPVP129730-01
Howard J Martin DMD Provider ID: TPVP39995-01 Gender: Female
Lee, Michael DDS 95 Martin Luther King Dr Gender: Male Newport Centre Dental
Provider ID: TPVP32351-01 Jersey City, NJ 07305 Family Union Dental Practice 30-71A Mall Dr W.
Gender: Male (201) 685-7395 PC Jersey City, NJ 07310
Grace Dental Union City LLC Fax: (201) 332-7003 2713 Bergenline Ave Ste 2F (201) 626-2500
3133 Central Ave Ste 204 00 Yrs/99 Yrs Union City, NJ 07087 Fax: (201) 626-2502
Union City, NJ 07087 M-TH 9:00 AM - 5:00 PM (201) 865-1353 00 Yrs/99 Yrs
(201) 330-3333 Fax: (201) 865-1556 Languages: Arabic
Fax: (201) 617-8210 Martirosov, Sophia DDS 00 Yrs/99 Yrs MTWTHFSat 10:00 AM - 9:00
00 Yrs/99 Yrs Languages: Spanish PM
Languages: Korean Provider ID: TPVP40872-01 M-F 9:00 AM - 7:00 PM Sun 11:00 AM - 6:00 PM
M-W 9:00 AM - 6:00 PM Gender: Female
Nathi, Lakshmi DDS Orjiekwe, Ogonna DMD
Dream Smile Dental PC
Lee, Sang DDS 6600 Bergenline Ave Provider ID: TPVP40400-01 Provider ID: TPVP41173-01
Provider ID: TPVP39741-01 West New York, NJ 07093 Gender: Female Gender: Male
Gender: Male (201) 430-8530 Angel Smiles Diamond Dental Group
Dental Office of Sang Y Lee Fax: (201) 430-8532 157 Kearny Ave 2778 John F Kennedy Blvd
DDS 00 Yrs/99 Yrs Kearny, NJ 07032 Jersey City, NJ 07306
1257 Paterson Plank Rd Languages: Russian (201) 991-4321 (201) 659-7000
Secaucus, NJ 07094 MTTHF 10:00 AM - 5:00 PM Fax: (201) 991-0925 Fax: (201) 659-7003
(201) 865-0045 W 10:00 AM - 7:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 865-0071 Sat 9:00 AM - 2:00 PM Languages: Spanish Languages: Spanish
00 Yrs/99 Yrs M-TH 10:00 AM - 5:00 PM M-W 9:00 AM - 5:00 PM
Languages: Korean F 10:00 AM - 2:00 PM TH 9:00 AM - 7:00 PM
MTH 2:30 AM - 6:00 PM F 9:00 AM - 3:00 PM
TW 9:30 AM - 12:00 PM Sat 9:00 AM - 2:00 PM

www.wellcare.com/New-Jersey | 466
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
General Dentistry - cont. Pedoeem, Victoria DDS Razeghi, Nezhat DDS Romaguera-Pazmino, Leyla
Provider ID: TPVP40692-01 Provider ID: TPVP40013-02 DMD
OST, Ellen DDS Gender: Female Gender: Female Provider ID: TPVP40555-01
Provider ID: TPVP129952-01 Victoria S Pedoeem DDS Horizon Health Center Gender: Female
Gender: Female 3426 Kennedy Blvd 714 Bergen Ave Dr L Romaguera-Pazmino
Newport Centre Dental Jersey City, NJ 07307 Jersey City, NJ 07306 DMD PA
30-71A Mall Dr W. (201) 217-9670 (201) 451-6300 526 42nd St
Jersey City, NJ 07310 Fax: (201) 217-9671 Fax: (551) 226-6871 Union City, NJ 07087
(201) 626-2500 00 Yrs/99 Yrs 00 Yrs/99 Yrs (201) 867-5160
Fax: (201) 626-2502 Languages: Persian - Farsi Languages: Arabic Fax: (201) 867-9979
00 Yrs/99 Yrs M-TH 12:00 AM - 4:00 PM MTTH 9:00 AM - 7:00 PM 00 Yrs/99 Yrs
Languages: Arabic F 9:00 AM - 4:00 PM WF 9:00 AM - 5:00 PM Languages: Spanish
MTWTHFSat 10:00 AM - 9:00 M-W 10:30 AM - 6:30 PM
PM Perricci, Jeffrey DDS Ro, Charles DMD TH 10:00 AM - 6:30 PM
Sun 11:00 AM - 6:00 PM Provider ID: TPVP39385-01 Provider ID: TPVP78335-01 F 9:00 AM - 12:00 PM
Gender: Male Gender: Not Available
Ouzer, Amanda DMD Jeffrey Perricci DDS Complete Dental Works Rueda, Robert DDS
Provider ID: TPVP157655-01 594 Kearny Ave 439 60th St Provider ID: TPVP39388-01
Gender: Female Kearny, NJ 07032 West New York, NJ 07093 Gender: Male
Metropolitan Family Health (201) 991-1733 (201) 865-5150 Robert J Rueda
Network 00 Yrs/99 Yrs Fax: (201) 865-5962 6914 Berbenline Ave
935 Garfield Ave Languages: Spanish 00 Yrs/99 Yrs Guttenberg, NJ 07093
Jersey City, NJ 07304 M 11:00 AM - 4:00 PM Languages: Korean (201) 868-6964
(201) 478-5800 TF 10:00 AM - 2:00 PM M 9:00 AM - 6:00 PM Fax: (201) 868-6978
Fax: (201) 478-5814 W 2:00 AM - 7:00 PM T 11:00 AM - 7:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs TH 3:00 AM - 8:00 PM WF 10:00 AM - 4:00 PM Languages: Spanish
Languages: Arabic TH 7:00 AM - 7:00 PM MTTH 9:30 AM - 6:30 PM
MTH 9:00 AM - 7:00 PM Rafique, Maryam DMD Sat 9:00 AM - 3:00 PM W 11:00 AM - 7:00 PM
TWF 9:00 AM - 5:00 PM Provider ID: TPVP174095-01 F 9:30 AM - 2:00 PM
Gender: Female Rodriguez, Nadia DMD
Park, Min DDS Bayonne Family Dental Provider ID: TPVP130626-02 Ruiz-Sardelli, Bertha DMD
Provider ID: TPVP112263-04 1216 Kennedy Blvd Gender: Female
Gender: Female Bayonne, NJ 07002 Smile Central Dental Hudson Provider ID: TPVP40685-02
Horizon Health Center (201) 858-3800 County PC Gender: Female
115 Christopher Columbus Dr Fax: (201) 858-4409 3196 Kennedy Blvd 3rd Fl 7800 Dental Care LLC
Jersey City, NJ 07302 00 Yrs/99 Yrs Union City, NJ 07087 7800 Bergenline Ave
(201) 710-2201 Languages: Arabic (201) 325-8444 North Bergen, NJ 07047
Fax: (551) 226-6871 M-F 9:00 AM - 6:00 PM Fax: (201) 325-8447 (201) 854-7800
00 Yrs/99 Yrs Sat 8:00 AM - 2:00 PM 00 Yrs/99 Yrs Fax: (201) 854-7802
Languages: Arabic Languages: Arabic 00 Yrs/99 Yrs
MTTH 9:00 AM - 7:00 PM Razeghi, Nezhat DDS M-F 9:00 AM - 7:00 PM Languages: Spanish
WF 9:00 AM - 5:00 PM Provider ID: TPVP40013-01 Sat 9:00 AM - 3:00 PM M-F 9:00 AM - 6:00 PM
Gender: Female Sat 9:00 AM - 3:00 PM
Park, Min DDS Horizon Health Center
Provider ID: TPVP112263-05 115 Christopher Columbus Dr Saad, Nader DDS
Gender: Female Jersey City, NJ 07302 Provider ID: TPVP40975-01
Horizon Health Center (201) 710-2201 Gender: Male
714 Bergen Ave Fax: (551) 226-6871 Tm Fresh Breath Inc
Jersey City, NJ 07306 00 Yrs/99 Yrs 570 W Side Ave
(201) 451-6300 Languages: Arabic Jersey City, NJ 07304
Fax: (551) 226-6871 MTTH 9:00 AM - 7:00 PM (201) 451-4600
00 Yrs/99 Yrs WF 9:00 AM - 5:00 PM Fax: (201) 451-2221
Languages: Arabic 00 Yrs/99 Yrs
MTTH 9:00 AM - 7:00 PM Languages: Arabic
WF 9:00 AM - 5:00 PM M 12:00 AM - 8:00 PM
TW 10:00 AM - 6:00 PM

www.wellcare.com/New-Jersey | 467
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
General Dentistry - cont. Saltzberg, David DMD Sethi, Ritu DDS Sladky, Joerg DDS
Provider ID: TPVP40189-03 Provider ID: TPVP41795-03 Provider ID: TPVP40186-02
Salazar, Maria DMD Gender: Male Gender: Female Gender: Male
Provider ID: TPVP79230-01 North Hudson Community Guttenberg Family Dental North Hudson Community
Gender: Female Action Corporation 6800 Bergenline Ave Action Corporation
Salazar Dental LLC 324 Palisade Ave Guttenberg, NJ 07093 5301 Broadway
6219 Bergenline Ave 2nd Fl Jersey City, NJ 07307 (201) 861-6000 West New York, NJ 07093
West New York, NJ 07093 (201) 459-8888 Fax: (201) 861-6002 (201) 866-9320
(201) 861-1007 Fax: (201) 239-0318 00 Yrs/99 Yrs Fax: (201) 866-7588
Fax: (201) 861-1067 00 Yrs/99 Yrs MTTHF 8:00 AM - 5:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish W 8:00 AM - 8:00 PM Languages: Spanish
Languages: Spanish MTTHF 8:30 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM
M 11:00 AM - 7:00 PM W 8:30 AM - 7:00 PM Shetty, Reshma DDS FSat 8:30 AM - 5:00 PM
TTH 9:00 AM - 5:00 PM Provider ID: TPVP159239-01 Sun 8:30 AM - 3:00 PM
W 10:00 AM - 7:00 PM Sardelli, Louis DDS Gender: Female
F 9:00 AM - 2:00 PM Provider ID: TPVP40686-02 Freeman Freeman PC Sladky, Joerg DDS
Gender: Male 2403 - 2405 Kennedy Blvd Provider ID: TPVP40186-03
Saltzberg, David DMD 7800 Dental Care LLC Jersey City, NJ 07304 Gender: Male
Provider ID: TPVP40189-01 7800 Bergenline Ave (201) 332-1664 North Hudson Community
Gender: Male North Bergen, NJ 07047 Fax: (201) 332-8808 Action Corporation
Saltzberg Wenger (201) 854-7800 00 Yrs/99 Yrs 324 Palisade Ave
149 Palisade Ave Fax: (201) 854-7802 Languages: Arabic Jersey City, NJ 07307
Jersey City, NJ 07306 00 Yrs/99 Yrs MTTHF 9:00 AM - 6:00 PM (201) 459-8888
(201) 798-5551 Languages: Spanish WSat 9:00 AM - 12:00 PM Fax: (201) 239-0318
Fax: (201) 963-1226 M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs Sat 9:00 AM - 3:00 PM Skjeveland, Richard DDS Languages: Spanish
Languages: Spanish MTTHF 8:30 AM - 5:00 PM
M 9:00 AM - 7:00 PM Seok, Bo Hyun DMD Provider ID: TPVP39564-01 W 8:30 AM - 7:00 PM
TWTH 9:00 AM - 6:00 PM Provider ID: TPVP40006-02 Gender: Male
F 8:00 AM - 6:00 PM Gender: Male Saltzberg Wenger Soliman, Raafat DMD
Sat-Sun 8:00 AM - 4:00 PM Jersey City Dental Care 149 Palisade Ave Provider ID: TPVP88417-01
3285 John F Kennedy Blvd Jersey City, NJ 07306 Gender: Male
Saltzberg, David DMD Jersey City, NJ 07307 (201) 798-5551 White and Healthy Smile
Provider ID: TPVP40189-02 (201) 659-4512 Fax: (201) 963-1226 Center LLC
Gender: Male Fax: (201) 656-5525 00 Yrs/99 Yrs 255 Broadway Ste 1L
North Hudson Community 00 Yrs/99 Yrs Languages: Spanish Bayonne, NJ 07002
Action Corporation Languages: Korean M 9:00 AM - 7:00 PM (201) 471-7600
5301 Broadway M-TH 9:00 AM - 6:00 PM TWTH 9:00 AM - 6:00 PM Fax: (201) 471-7601
West New York, NJ 07093 F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs
(201) 866-9320 Sethi, Ritu DDS Sat-Sun 8:00 AM - 4:00 PM Languages: Arabic
Fax: (201) 866-7588 Provider ID: TPVP41795-02 M-W 9:30 AM - 5:30 PM
00 Yrs/99 Yrs Gender: Female Sladky, Joerg DDS
Languages: Spanish Union City Family Dental Turanskiy, Zinoviy DDS
Provider ID: TPVP40186-01
M-TH 8:30 AM - 7:00 PM 4713 Bergenline Ave Gender: Male Provider ID: TPVP22808-01
FSat 8:30 AM - 5:00 PM Union City, NJ 07087 Saltzberg Wenger Gender: Male
Sun 8:30 AM - 3:00 PM (201) 330-8500 149 Palisade Ave Dream Smile Dental PC
Fax: (201) 330-8511 Jersey City, NJ 07306 6600 Bergenline Ave
00 Yrs/99 Yrs (201) 798-5551 West New York, NJ 07093
Languages: Spanish Fax: (201) 963-1226 (201) 430-8530
M-F 10:00 AM - 5:00 PM 00 Yrs/99 Yrs Fax: (201) 430-8532
Sat 10:00 AM - 2:00 PM Languages: Spanish 00 Yrs/99 Yrs
M 9:00 AM - 7:00 PM Languages: Spanish, Russian
TWTH 9:00 AM - 6:00 PM MTTHF 10:00 AM - 5:00 PM
F 8:00 AM - 6:00 PM W 10:00 AM - 7:00 PM
Sat-Sun 8:00 AM - 4:00 PM Sat 9:00 AM - 2:00 PM

www.wellcare.com/New-Jersey | 468
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
General Dentistry - cont. Wenger, Abraham DMD Yapor, Eddy DDS Otero, Crystal Had
Provider ID: TPVP103705-05 Provider ID: TPV17426-03
Verma, Ganga DDS Provider ID: TPVP40190-03 Gender: Male Gender: Female
Provider ID: TPVP146880-02 Gender: Male North Hudson Community HearUSA
Gender: Male North Hudson Community Action Corporation 7401 Bergenline Ave. Ste 3
Guttenberg Family Dental Action Corporation 324 Palisade Ave N Bergen, NJ 07047
6800 Bergenline Ave 324 Palisade Ave Jersey City, NJ 07307 (201) 854-1800
Guttenberg, NJ 07093 Jersey City, NJ 07307 (201) 459-8888 Fax: (204) 861-0269
(201) 861-6000 (201) 459-8888 Fax: (201) 239-0318 21 Yrs/99 Yrs
Fax: (201) 861-6002 Fax: (201) 239-0318 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish
MTTHF 8:00 AM - 5:00 PM Languages: Spanish MTTHF 8:30 AM - 5:00 PM Home Health Care
W 8:00 AM - 8:00 PM MTTHF 8:30 AM - 5:00 PM W 8:30 AM - 7:00 PM
W 8:30 AM - 7:00 PM Always Caring Health Care
Wenger, Abraham DMD Youssoufian, Anahid DDS Services LLC
Weyrauch, Michael DMD Provider ID: TPVP41058-01 Provider ID: 921581
Provider ID: TPVP40190-01 Provider ID: TPVP121081-01 Gender: Female Always Caring Health Care
Gender: Male Gender: Male Ararat Dental Services
Saltzberg Wenger Bayonne Family Dental 107 77th St 5810 Bergenline Ave
149 Palisade Ave 1216 Kennedy Blvd North Bergen, NJ 07047 West New York, NJ 07093
Jersey City, NJ 07306 Bayonne, NJ 07002 (201) 662-1944 (201) 662-0042
(201) 798-5551 (201) 858-3800 Fax: (201) 533-1600 Fax: (201) 662-0043
Fax: (201) 963-1226 Fax: (201) 858-4409 00 Yrs/99 Yrs 00 Yrs/130 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Arabic Languages: Spanish
Languages: Spanish Languages: Arabic MT 11:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
M 9:00 AM - 7:00 PM M-F 9:00 AM - 6:00 PM W 11:00 AM - 5:00 PM
Sat 8:00 AM - 2:00 PM Armas Home Care LLC
TWTH 9:00 AM - 6:00 PM Zara, Maria DMD Provider ID: 1035713
F 8:00 AM - 6:00 PM
Williams, Hallie DDS Provider ID: TPVP41321-01 Armas Home Care
Sat-Sun 8:00 AM - 4:00 PM
Provider ID: TPVP36020-01 Gender: Female 400 60th St 2nd Fl
Wenger, Abraham DMD Gender: Female Maria Zara DMD LLC West New York, NJ 07093
Metropolitan Family Health 406 32nd St 2nd Fl (201) 868-6520
Network Union City, NJ 07087 Fax: (201) 861-6475
Provider ID: TPVP40190-02
935 Garfield Ave (201) 223-2140 00 Yrs/130 Yrs
Gender: Male
Jersey City, NJ 07304 Fax: (201) 223-2142 Languages: Spanish
North Hudson Community
Action Corporation (201) 478-5800 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
5301 Broadway Fax: (201) 478-5814 Languages: Spanish
00 Yrs/99 Yrs M-TH 10:00 AM - 6:00 PM Bayada Home Healthcare Inc
West New York, NJ 07093
(201) 866-9320 Languages: Arabic F 9:00 AM - 2:00 PM
Fax: (201) 866-7588 MTH 9:00 AM - 7:00 PM Provider ID: 945568
TWF 9:00 AM - 5:00 PM Hearing Aid Supplier 150 Warren St
00 Yrs/99 Yrs
Languages: Spanish Jersey City, NJ 07302
Yapor, Eddy DDS Diefenbacher, Joseph Had (800) 305-3000
M-TH 8:30 AM - 7:00 PM
Provider ID: TPVP103705-04 Provider ID: TPV08237-10 Fax: (800) 705-1429
FSat 8:30 AM - 5:00 PM
Gender: Male Gender: Male 00 Yrs/130 Yrs
Sun 8:30 AM - 3:00 PM
North Hudson Community HearUSA M-F 9:00 AM - 5:00 PM
Action Corporation 7401 Bergenline Ave. Ste 3
5301 Broadway N Bergen, NJ 07047 Bayada Home Healthcare Inc
West New York, NJ 07093 (201) 854-1800
(201) 866-9320 Fax: (204) 861-0269 Provider ID: 945568
Fax: (201) 866-7588 21 Yrs/99 Yrs 299 Grand St Unit 116&118
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Jersey City, NJ 07302
Languages: Spanish (800) 305-3000
M-TH 8:30 AM - 7:00 PM Fax: (800) 705-1429
FSat 8:30 AM - 5:00 PM 00 Yrs/130 Yrs
Sun 8:30 AM - 3:00 PM M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 469
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Home Health Care - cont. Home Care For You Inc Licensed Clinical Social Meyers, Tracie LCSW
Worker Provider ID: 1285413
Bayada Home Healthcare Inc Provider ID: 1016455 Gender: Female
440 60th St Ste 102 - 104 Giannantonio, Ahylzabeth Horizon Health Center
Provider ID: 945568 West New York, NJ 07093 LCSW 115 Christopher Columbus Dr
473 Broadway Bayonne Pl (201) 758-8688 Provider ID: 1046702 Jersey City, NJ 07306
Bayonne, NJ 07002 Fax: (201) 758-8687 Gender: Female (201) 451-6300
(973) 909-5150 00 Yrs/130 Yrs Mount Carmel Guild Fax: (201) 451-8300
Fax: (973) 909-5155 Languages: Russian, Ukrainian, Behavioral Healt 00 Yrs/130 Yrs
00 Yrs/130 Yrs Twi 2201 Bergenline Ave M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Union City, NJ 07087
(201) 558-3737 Meyers, Tracie LCSW
Bayada Home Healthcare Inc Jersey Home Care Fc Fax: (201) 392-5048 Provider ID: 1285413
Provider ID: 1440189 02 Yrs/130 Yrs Gender: Female
Provider ID: 945568 780 Newark Ave Ste 203 MTF 8:30 AM - 5:00 PM Horizon Health Center
Bayada Home Health Care Inc Jersey City, NJ 07306 WTH 8:30 AM - 6:00 PM 714 Bergen Ave
3196 Kennedy Blvd (201) 222-8908 Jersey City, NJ 07306
Union City, NJ 07087 Fax: (732) 640-5633 Gonzalez, Leticia CSW (201) 451-6300
(973) 909-5150 00 Yrs/130 Yrs Fax: (201) 451-8300
Fax: (973) 909-5155 Languages: Hindi, Gujarati Provider ID: 1611331 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Gender: Female M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Prohealth Care Associates of
Promise Care NJ LLC New Je Viera, Ruth LCSW
Bayada Home Healthcare Inc Provider ID: 945677 1425 Bloomfield St Provider ID: 1124070
2 Jefferson Ave Hoboken, NJ 07030 Gender: Female
Provider ID: 945568 Jersey City, NJ 07306 (201) 293-0976 Mount Carmel Guild
Bayada Home Health Care, Inc (201) 418-6800 Fax: (201) 861-0941 Behavioral Healt
123 Liberty View Dr Fax: (201) 418-6892 00 Yrs/130 Yrs 285 Magnolia Ave
Jersey City, NJ 07302 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Jersey City, NJ 07306
(201) 339-1330 M-F 9:00 AM - 5:00 PM (973) 596-5101
Gonzalez, Leticia CSW Fax: (973) 639-5049
Fax: (201) 339-1396 Rosario E Magno Int'L Staffing 00 Yrs/130 Yrs
00 Yrs/130 Yrs Inc Provider ID: 1611331 M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Provider ID: 1208790 Gender: Female
Confident Care Corp Rosario E Magno Intl Staffing Prohealth Care Associates of Licensed Home Care
Provider ID: 928798 Inc New Je Service Agency
591 Summit Ave Ste 406 225 60th St
3196 Kennedy Blvd Ste 3
Jersey City, NJ 07306 West New York, NJ 07093 Access Nursing Services of
Union City, NJ 07087
(201) 963-1010 (201) 293-0976 New Jersey I
(201) 271-1022
Fax: (201) 963-5591 Fax: (201) 293-0977 Provider ID: 943747
Fax: (201) 271-1205
18 Yrs/130 Yrs 00 Yrs/130 Yrs 30 Journal Square Plz
00 Yrs/130 Yrs
Languages: Filipino M-F 9:00 AM - 5:00 PM Jersey City, NJ 07306
Languages: Spanish, Russian,
Hindi, Korean MTWTHFSatSun 9:00 AM - (201) 217-0707
9:00 PM Gonzalez, Leticia CSW Fax: (201) 217-0231
M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs
Secura Home Health LLC Languages: Spanish, Creole,
Confident Care Corp Provider ID: 1611331
Provider ID: 928798 Gender: Female Chinese
591 Summit Ave Ground Fl Provider ID: 1069047 Prohealth Care Associates of M-F 8:30 AM - 5:30 PM
Unit 5 6406 Bergenline Ave New Je
Jersey City, NJ 07306 West New York, NJ 07093 6045 Kennedy Blvd Always Home Care
(201) 427-9818 (201) 854-5508 North Bergen, NJ 07047 Provider ID: 944544
Fax: (201) 427-9822 Fax: (201) 854-5528 (201) 293-0976 5700 Bergenline Ave 3rd
00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 861-0941 West New York, NJ 07093
Languages: Spanish, Russian, Languages: Spanish, Russian, 00 Yrs/130 Yrs (201) 869-0880
Hindi, Korean Hebrew, Armenian M-F 9:00 AM - 5:00 PM Fax: (201) 869-0081
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

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Managed Long Term Services And Supports


Hudson
Licensed Home Care Best Home Care Inc Loving Care Agency Inc Licensed Social Worker
Service Agency - cont. Provider ID: 945937
879 Bergen Ave Ste 200 Provider ID: 1008554 Coleman, Carol CSW
Bayada Home Healthcare Inc Jersey City, NJ 07306 26 Journal Sq Fl 7 Ste 705 Provider ID: 1038679
(201) 798-7600 Jersey City, NJ 07306 Gender: Female
Provider ID: 945568 Fax: (201) 526-0477 (201) 985-8335 Mount Carmel Guild
150 Warren St 00 Yrs/130 Yrs Fax: (201) 985-3795 Behavioral Healt
Jersey City, NJ 07302 Languages: Spanish, Russian, 00 Yrs/130 Yrs 285 Magnolia Ave
(800) 305-3000 Arabic Languages: Spanish, Russian, Jersey City, NJ 07306
Fax: (800) 705-1429 M-F 9:00 AM - 5:00 PM Polish, Ukrainian (201) 395-4812
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Fax: (201) 435-9580
Care Finders Total Care LLC 05 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
Loving Care Agency Inc M-F 8:30 AM - 5:00 PM
Bayada Home Healthcare Inc Provider ID: 964946
443 60th St Provider ID: 1008554 Nutrition
Provider ID: 945568 West New York, NJ 07093 6406 Bergenline Ave
(201) 854-5557 West New York, NJ 07093 Albaum, Rachel RD
299 Grand St Unit 116&118
Jersey City, NJ 07302 Fax: (201) 854-7515 (201) 854-5508 Provider ID: 1436410
(800) 305-3000 00 Yrs/130 Yrs Fax: (201) 856-5528 Gender: Female
Fax: (800) 705-1429 Languages: Spanish, Russian, 00 Yrs/130 Yrs Bhmg-United Medical
00 Yrs/130 Yrs Polish Languages: Spanish, Russian, 988 Broadway Ste 201
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Polish, Ukrainian Bayonne, NJ 07002
M-F 9:00 AM - 5:00 PM (201) 339-6111
Bayada Home Healthcare Inc Care Finders Total Care LLC Fax: (201) 339-6333
Unlimited Care Inc 00 Yrs/130 Yrs
Provider ID: 945568 Provider ID: 964946 Provider ID: 607834 M-TH 8:00 AM - 7:00 PM
473 Broadway Bayonne Pl 591 Summit Ave Unlimited Care Inc F 8:00 AM - 5:00 PM
Bayonne, NJ 07002 Jersey City, NJ 07306 4430 Bergenline Ave Ste 400
(201) 386-0500 Union City, NJ 07087 Duda, Jennifer RD
(973) 909-5150
00 Yrs/130 Yrs (201) 617-7200 Provider ID: 1037668
Fax: (973) 909-5155
Languages: Spanish, Russian, Fax: (201) 617-7200 Gender: Female
00 Yrs/130 Yrs
Polish 00 Yrs/130 Yrs Jennifer A Duda
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish 600 Pavonia Ave Fl 8
Bayada Home Healthcare Inc M-F 9:00 AM - 5:00 PM Jersey City, NJ 07306
Chas Home Care (201) 456-5657
Provider ID: 990058 Visiting Homemaker Service 00 Yrs/130 Yrs
Provider ID: 945568 of Hudson Cou
1169 Kennedy Blvd Holy Name Medical Center
Bayada Home Health Care Inc Bayonne, NJ 07002 Provider ID: 945562 M-W 10:00 AM - 5:00 PM
3196 Kennedy Blvd (201) 339-3506 Visiting Homemaker Service
Union City, NJ 07087 of Hudso Goldstein, Leslie RD
Fax: (201) 339-3508
(973) 909-5150 586 Newark Ave
00 Yrs/130 Yrs Provider ID: 1213358
Fax: (973) 909-5155 Jersey City, NJ 07306
Languages: Spanish Gender: Female
00 Yrs/130 Yrs (201) 656-6001
M-F 9:00 AM - 5:00 PM Leslie Goldstein
M-F 9:00 AM - 5:00 PM Fax: (201) 798-0990 8100 Kennedy Blvd
Interim Healthcare of Hudson 00 Yrs/130 Yrs North Bergen, NJ 07047
Bayada Home Healthcare Inc Richmond In
Languages: Spanish (201) 866-6770
Provider ID: 976332 M-F 9:00 AM - 5:00 PM Fax: (201) 866-6771
Provider ID: 945568 Interim Healthcare of Hudson 00 Yrs/130 Yrs
Bayada Home Health Care, Inc Richmo M-F 10:30 AM - 7:00 PM
123 Liberty View Dr 3133 Central Ave Ste 209
Jersey City, NJ 07302 Union City, NJ 07087
(201) 339-1330 (201) 864-3838
Fax: (201) 339-1396 Fax: (201) 864-0093
00 Yrs/130 Yrs 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM Languages: Spanish
M-F 9:00 AM - 5:00 PM

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Managed Long Term Services And Supports


Hudson
Nutrition - cont. Lisak, Victor OT Angioletti, Lee MD Brazzo, Brian MD
Provider ID: 1576781 Provider ID: 701684
Quintana, Marilyn RD Gender: Male Provider ID: 687530 Gender: Male
Provider ID: 783608 Four C's Learning and Therapy Gender: Male Phillips Eye Specialists
Gender: Female Center Phillips Eye Center 2201 Bergenline Ave STE3
Center For Medical Nutrition 7012 Park Ave Ste 2 2201 Bergenline Ave Ste 3 Union City, NJ 07087
Therap Guttenberg, NJ 07093 Union City, NJ 07087 (201) 601-2020
3000 Kennedy Blvd Ste 313A (201) 869-1000 (201) 601-2020 Fax: (201) 601-9722
Jersey City, NJ 07306 Fax: (201) 869-4360 Fax: (201) 601-9722 00 Yrs/130 Yrs
(551) 226-7960 00 Yrs/18 Yrs 00 Yrs/130 Yrs River Drive Surgery Center
Fax: (551) 226-8894 M-F 10:00 AM - 7:00 PM Languages: Spanish, Italian, LLC
00 Yrs/130 Yrs Korean Languages: Spanish, Russian,
Languages: Tagalog Yagudayev, Leonid OT M-F 8:00 AM - 4:00 PM Italian, Hindi
M 11:00 AM - 6:00 PM Provider ID: 1005239 M 8:30 AM - 6:00 PM
Gender: Male Angioletti, Louis MD TWTH 8:30 AM - 5:00 PM
Occupational Therapy Bizy PT PC F 8:30 AM - 4:00 PM
675 Garfield Ave Provider ID: 1369729
Balshem, Alina OT Jersey City, NJ 07305 Cervenak Panariello, Betty
Gender: Male
Provider ID: 840669 (201) 333-9300 MD
Retina Center of NJ
Gender: Female Fax: (201) 399-3945 6121 Kennedy Blvd 1st Fl Provider ID: 800199
Careplus Rehab LLC 00 Yrs/130 Yrs North Bergen, NJ 07047 Gender: Female
3610 Palisade Ave Languages: Spanish, Russian (201) 766-5151 Palisade Eye Associates PC
Union City, NJ 07087 M-W 9:00 AM - 5:00 PM Fax: (201) 766-5154 Sub Specialty: HIV/AIDs
(732) 423-9094 00 Yrs/130 Yrs 203 Palisade Ave Ste 1
Fax: (732) 692-8447 Ophthalmology Englewood Hospital and Jersey City, NJ 07306
00 Yrs/130 Yrs Medical Center (201) 653-5722
M-F 9:00 AM - 5:00 PM Agarwala, Atul MD M-F 9:00 AM - 5:00 PM Fax: (201) 792-9718
Provider ID: 1647376 00 Yrs/130 Yrs
Daubert, Aaron OT Gender: Male Braunstein, Steven MD Christ Hospital
Provider ID: 714047 Specialty MD, Inc Languages: Spanish, Italian,
Gender: Male 3196 Kennedy Blvd Fl 2 Provider ID: 426472 Polish, Portuguese
Therapro Corf LLC Union City, NJ 07087 Gender: Male MWF 9:00 AM - 5:00 PM
9225 Kennedy Blvd (201) 863-9013 Sub Specialty: HIV/AIDs T 9:00 AM - 7:00 PM
North Bergen, NJ 07047 Fax: (201) 863-8431 7316 Kennedy Blvd Fl 1 TH 8:00 AM - 6:00 PM
(201) 869-2707 00 Yrs/130 Yrs North Bergen, NJ 70474 Sat 9:00 AM - 12:30 PM
Fax: (201) 869-2717 M-F 10:00 AM - 7:00 PM (201) 869-3253 Cervenak Panariello, Betty
00 Yrs/130 Yrs Sat 10:00 AM - 2:00 PM Fax: (201) 869-8235 MD
MW 11:00 AM - 7:00 PM 00 Yrs/130 Yrs
TTH 8:00 AM - 4:00 PM Angioletti, Lee MD Provider ID: 800199
Languages: Spanish, Hindi Gender: Female
MTH 8:00 AM - 5:30 PM
Goss, Anthony OT Provider ID: 1367390 Palisade Eye Associates PC
TFSat 8:00 AM - 12:30 PM
Provider ID: 906275 Gender: Male Sub Specialty: HIV/AIDs
W 8:00 AM - 6:00 PM
Gender: Male Retina Center of NJ 594 Broadway
Therapro Corf LLC 6121 Kennedy Blvd 1st Fl Bayonne, NJ 07002
9225 Kennedy Blvd Ste A North Bergen, NJ 07047 (201) 858-5722
North Bergen, NJ 07047 (201) 766-5151 Fax: (201) 858-2566
(201) 869-2707 Fax: (201) 766-5154 00 Yrs/130 Yrs
Fax: (201) 869-2717 05 Yrs/130 Yrs Christ Hospital
00 Yrs/130 Yrs MT 8:00 AM - 11:00 PM Languages: Spanish, Italian,
MWTH 8:00 AM - 7:00 PM Polish, Portuguese
W 8:30 AM - 5:30 PM
TSat 8:00 AM - 5:00 PM M 9:00 AM - 6:00 PM
THF 8:00 AM - 5:30 PM
F 8:00 AM - 6:00 PM TWTHF 9:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM

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Managed Long Term Services And Supports


Hudson
Ophthalmology - cont. Eichler, Joel MD Gopal, Lekha MD Gurland, Keith MD
Provider ID: 546830 Provider ID: 1196292 Provider ID:
Cinotti, Donald MD Gender: Male Gender: Female TPV044952040020
Provider ID: 1456735 Hudson Eye Specialist Opthalmology and Gender: Male
Gender: Male 2201 Bergenline Ave Ste 3 Nueroopthalmology Specs Unlimited
Liberty Eye Care Center Union City, NJ 07087 Sub Specialty: HIV/AIDs 521 Broadway
418 Summit Ave (201) 601-2020 806 Kearny Ave Bayonne, NJ 07002
Jersey City, NJ 07206 Fax: (201) 601-9722 Kearny, NJ 07032 (201) 339-1266
(201) 499-1969 05 Yrs/130 Yrs (201) 991-6900 Fax: (201) 339-0122
00 Yrs/130 Yrs River Drive Surgery Center Fax: (201) 991-6997 00 Yrs/99 Yrs
Christ Hospital LLC 00 Yrs/130 Yrs Languages: Spanish
M-F 9:00 AM - 5:00 PM Languages: Spanish Robert Wood Johnson MTF 8:00 AM - 6:00 PM
M 8:30 AM - 6:00 PM University Hospital WTH 10:00 AM - 6:00 PM
Cummins, Dean MD TWTH 8:30 AM - 5:00 PM Languages: Hindi, Urdu, Sat 10:00 AM - 1:00 PM
F 8:30 AM - 4:00 PM Gujarati
Provider ID: 1647383 M-F 9:00 AM - 5:00 PM Gurland, Keith MD
Gender: Male Frieman, Brett DO Provider ID: TPV044952040021
Provider ID: 1457716 Guibor, Pierre MD Gender: Male
Specialty MD, Inc.
Gender: Male Provider ID: 1464718 Keith Gurland MD
3196 Kennedy Blvd Fl 2
Jersey City Medical Center Gender: Male 521 Broadway
Union City, NJ 07087
Eye Clin 23 Village Pl Unit 7 Bayonne, NJ 07002
(201) 863-9013
418 Summit Ave Secaucus, NJ 07094 (201) 339-1266
Fax: (201) 863-8431
Jersey City, NJ 07306 (201) 392-3514 Fax: (201) 339-0122
00 Yrs/130 Yrs
(201) 499-1969 Fax: (201) 392-3514 00 Yrs/99 Yrs
Holy Name Medical Center
Fax: (201) 332-7035 00 Yrs/130 Yrs Languages: Spanish
M-F 10:00 AM - 6:00 PM
00 Yrs/130 Yrs Palisades Medical Center MF 9:00 AM - 5:30 PM
Sat 10:00 AM - 4:00 PM
Jersey City Medical Center M-F 9:00 AM - 5:00 PM TWTH 10:00 AM - 5:30 PM
Cummins, Dean MD M-F 8:00 AM - 4:00 PM Sat 10:00 AM - 2:00 PM
Guibor, Pierre MD
Gabay, Jacqueline MD Provider ID: 1464718 Gutman, Justin MD
Provider ID: 1726006 Gender: Male
Gender: Male Pierre Guibor,MD, PA
Healthcheck Eye MDS, LLC Provider ID: 306536 Provider ID: 1460254
Gender: Female 55 Meadowlands Pkwy Ste 2
3196 Kennedy Blvd Fl 2 Gender: Male
Hudson Eye Specialist Secaucus, NJ 07094
Union City, NJ 07087 Retina Center of New Jersey
619 River Dr Ste 201 (201) 392-3438 LLC
(201) 863-9013 Fax: (201) 392-3514
Fax: (201) 863-8431 Elmwood Park, NJ 74071 6121 Kennedy Blvd Fl 1
(201) 796-2020 00 Yrs/130 Yrs North Bergen, NJ 07047
00 Yrs/130 Yrs Palisades Medical Center
Holy Name Medical Center Fax: (201) 796-2833 (201) 766-5151
00 Yrs/130 Yrs M-F 10:00 AM - 5:00 PM Fax: (201) 766-5154
MTWTHFSatSun 10:00 AM -
7:00 PM River Drive Surgery Center 12 Yrs/130 Yrs
Gurland, Keith MD
LLC M-F 9:00 AM - 5:00 PM
Languages: Spanish Provider ID: 945252
D'Alberti, Claudio MD
M 8:30 AM - 6:00 PM Gender: Male Higgins, Patrick MD
Provider ID: 486271
TWTH 8:30 AM - 5:00 PM 521 Broadway Provider ID: 441808
Gender: Male
F 8:30 AM - 4:00 PM Bayonne, NJ 07002 Gender: Male
Dalberti Eye Center (201) 339-1266 Retina Center of NJ
1126 Washington St Fax: (201) 339-0122 Sub Specialty: HIV/AIDs
Hoboken, NJ 07030 18 Yrs/130 Yrs 6121 Kennedy Blvd 1st Fl
(201) 659-2020 Bayonne Medical Center North Bergen, NJ 07047
Fax: (201) 659-8330 Languages: Spanish (201) 766-5151
00 Yrs/130 Yrs MTTH 9:00 AM - 5:30 PM Fax: (866) 806-3675
Hoboken University Medical W 11:00 AM - 5:30 PM 00 Yrs/130 Yrs
Center
F 10:00 AM - 30:00 PM M 1:30 AM - 5:30 PM
Languages: Spanish, Italian
M-F 8:30 AM - 5:00 PM TTH 8:00 AM - 11:30 PM
W 1:30 AM - 6:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Ophthalmology - cont. Kayserman, Larisa MD Lee, Song MD McCoy, Chrishonda MD
Provider ID: 1224193
Jackson, Kurt MD Provider ID: 1342179 Gender: Female Provider ID: 693857
Provider ID: 800149 Gender: Female Vitreoretinal Associates Gender: Female
Gender: Male Retina Consultants PA II Sub Specialty: HIV/AIDs Specialty MD Inc
Retina Center of NJ Sub Specialty: HIV/AIDs 600 Pavonia Ave 4th Fl 3196 Kennedy Blvd Ste 2
Sub Specialty: HIV/AIDs 600 Pavonia Ave 4th Fl Jersey City, NJ 07306 Union City, NJ 07087
6121 Kennedy Blvd 1st Fl Jersey City, NJ 07306 (201) 656-1212 (201) 863-9013
North Bergen, NJ 07047 (201) 656-1212 Fax: (201) 656-3246 Fax: (201) 863-8431
(973) 707-5632 Fax: (201) 656-3246 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 766-5154 00 Yrs/130 Yrs Clara Maass Medical Center Robert Wood Johnson
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM University Hospital
Clara Maass Medical Center Languages: Spanish, Hindi,
Languages: Spanish Kayserman, Larisa MD Lee, Song MD Gujarati
MTTH 8:00 AM - 12:00 PM Provider ID: 1342508 M-F 10:00 AM - 7:00 PM
W 7:30 AM - 12:00 PM Provider ID: 377648 Gender: Female Sat 10:00 AM - 2:00 PM
F 7:30 AM - 11:30 PM Gender: Female Retina Consultants PA II
600 Pavonia Ave Fl 4 Sub Specialty: HIV/AIDs McCoy, Chrishonda MD
Kallina, Lauren MD Jersey City, NJ 07306 600 Pavonia Ave 4th Fl
Provider ID: 1181263 (201) 656-1212 Jersey City, NJ 07306 Provider ID: TPV014215003760
Gender: Female Fax: (201) 656-3246 (201) 656-1212 Gender: Female
Retina Center of NJ 00 Yrs/130 Yrs Fax: (201) 656-3246 Specialty MD Inc
Sub Specialty: HIV/AIDs Languages: Russian, Polish, 00 Yrs/130 Yrs 3196 Kennedy Blvd
6121 Kennedy Blvd 1st Fl Ukrainian Clara Maass Medical Center Union City, NJ 07087
North Bergen, NJ 07047 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM (201) 863-9013
(201) 766-5151 Fax: (201) 863-8431
Fax: (866) 806-3675 Kincade, Thomas MD Maley, Michael MD 00 Yrs/99 Yrs
00 Yrs/130 Yrs Provider ID: 1726035
Clara Maass Medical Center Gender: Male Provider ID: 461945 Panariello, Anthony MD
Languages: Spanish Healthcheck Eye MDS, LLC Gender: Male
MT 8:00 AM - 12:30 PM 3196 Kennedy Blvd Phillips Eye Center Provider ID: 462196
W 8:30 AM - 12:30 PM Union City, NJ 07087 2201 Bergenline Ave Fl 2 Gender: Male
THF 12:30 AM - 5:00 PM (201) 863-9013 Union City, NJ 07087 Sub Specialty: HIV/AIDs
Fax: (201) 863-8431 (201) 796-3330 594 Broadway
Kanengiser, Bruce MD 00 Yrs/130 Yrs Fax: (201) 796-3644 Bayonne, NJ 07002
St. Joseph's Hospital Reg 00 Yrs/130 Yrs (201) 653-5722
Provider ID: 1604509 Medical Center River Drive Surgery Center Fax: (201) 858-2566
Gender: Male M-F 10:00 AM - 6:00 PM LLC 00 Yrs/130 Yrs
Keith Gurland MD Sat 10:00 AM - 3:00 PM M 9:00 AM - 5:00 PM Christ Hospital
521 Broadway T 7:00 AM - 6:00 PM River Drive Surgery Center
Bayonne, NJ 07002 Kincaide, Thomas MD W 7:00 AM - 6:30 PM LLC
(201) 339-1266 Provider ID: 1641957 THF 8:00 AM - 6:00 PM Languages: Spanish, Italian,
Fax: (201) 339-0069 Gender: Male Punjabi, Polish
00 Yrs/130 Yrs Specialty MD Inc M 9:00 AM - 6:00 PM
Bayonne Medical Center 3196 Kennedy Blvd Ste 2 TWTHF 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Union City, NJ 07087 Sat 9:00 AM - 12:30 PM
(201) 863-9019
Fax: (201) 863-8431
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
M-F 10:00 AM - 6:00 PM
Sat 10:00 AM - 3:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Ophthalmology - cont. Rau, Ganesh MD Trotta, Nicholas MD Vogel, Mitchell MD
Provider ID: 658520
Panariello, Anthony MD Gender: Male Provider ID: 1726024 Provider ID: 1422108
Palisade Eye Associates PC Gender: Male Gender: Male
Provider ID: 462196 Sub Specialty: HIV/AIDs Healthcheck Eye MDS, LLC Bhmg-United Medical
Gender: Male 203 Palisade Ave Ste 1 3196 Kennedy Blvd Ste 2 Sub Specialty: HIV/AIDs
Palisade Eye Associates PC Jersey City, NJ 07306 Union City, NJ 07087 988 Broadway Ste 201
Sub Specialty: HIV/AIDs (201) 653-5722 (908) 222-3506 Bayonne, NJ 07002
203 Palisade Ave Ste 1 Fax: (201) 792-9718 Fax: (908) 222-8770 (201) 339-6111
Jersey City, NJ 07306 00 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 339-6333
(201) 653-5722 Bayonne Medical Center St. Joseph's Hospital Reg 12 Yrs/130 Yrs
Fax: (201) 792-9718 Christ Hospital Medical Center Prime Health Services-St
00 Yrs/130 Yrs Palisades Medical Center MTWTHFSat 10:00 AM - 6:00 Marys Hospital
Christ Hospital Languages: Spanish PM Languages: Spanish, French
River Drive Surgery Center M 9:00 AM - 12:00 PM M-F 8:00 AM - 5:00 PM
LLC T 9:00 AM - 11:30 PM Trotta, Nicholas MD
Languages: Spanish, Italian, WTH 1:00 AM - 4:00 PM Vora, Bhupendra MD
Punjabi, Polish Provider ID: 194839
M 1:00 AM - 5:00 PM Rau, Ganesh MD Gender: Male Provider ID: 392435
T 9:00 AM - 7:00 PM Provider ID: 658520 Specialty MD Inc Gender: Male
WF 9:00 AM - 5:00 PM Gender: Male 3196 Kennedy Blvd Ste 2 142 Palisade Ave Ste 113
TH 8:00 AM - 6:00 PM Palisade Eye Associates PC Union City, NJ 07087 Jersey City, NJ 07306
Sat 9:00 AM - 12:30 PM Sub Specialty: HIV/AIDs (201) 863-9013 (201) 656-7171
594 Broadway Fax: (201) 863-8431 Fax: (201) 656-1611
Phillips, Hadley DO Bayonne, NJ 07002 00 Yrs/130 Yrs 12 Yrs/130 Yrs
(201) 355-2574 Languages: Spanish, Italian Languages: Hindi, Gujarati
Provider ID: 432849 Fax: (201) 858-2566 M-F 10:00 AM - 7:00 PM M-W 12:00 AM - 5:00 PM
Gender: Male 00 Yrs/130 Yrs Sat 10:00 AM - 4:00 PM TH 9:30 AM - 12:30 PM
Phillips Eye Center Bayonne Medical Center F 9:30 AM - 12:00 PM
2201 Bergenline Ave Fl 2 Christ Hospital Vallar, Robert MD
Union City, NJ 07087 Palisades Medical Center Provider ID: 1084816 Optometry
(201) 796-3330 Languages: Spanish Gender: Male
Fax: (201) 796-3644 M 1:30 AM - 4:00 PM Sub Specialty: HIV/AIDs Altahtamoni, Basel OP
00 Yrs/130 Yrs T 9:00 AM - 11:00 PM 600 Pavonia Ave Ste 4 Provider ID: TPV008427013110
River Drive Surgery Center Jersey City, NJ 07306 Gender: Male
LLC Roy, Monique MD (201) 656-1212 Eye Savers Optical
Languages: Spanish Provider ID: 1193214 Fax: (201) 656-3246 3513 John F Kennedy Blvd
M 8:30 AM - 6:00 PM Gender: Female 00 Yrs/130 Yrs Jersey City, NJ 07307
TWTH 8:30 AM - 5:00 PM University Physician M-F 9:00 AM - 5:00 PM (201) 420-8162
F 8:30 AM - 4:00 PM Associates
Fax: (201) 420-8163
412 Summit Ave Vallar, Robert MD 00 Yrs/99 Yrs
Jersey City, NJ 07306 Provider ID: 1342507 Languages: Spanish
(201) 946-6870 Gender: Male MWFSat 9:00 AM - 8:00 PM
Fax: (201) 332-7035 Retina Consultants PA II TTH 9:00 AM - 6:00 PM
00 Yrs/130 Yrs 600 Pavonia Ave 4th Fl
M-F 9:00 AM - 3:00 PM Jersey City, NJ 07306 Anosike, Adolphus OD
(201) 656-1212 Provider ID: TPV016503005129
Scannapiego, Saveren MD
Fax: (201) 656-3246 Gender: Male
Provider ID: TPV014370005589 00 Yrs/130 Yrs
Adolphus Anosike OD
Gender: Male Clara Maass Medical Center 3400 Bergenline Ave
Dr Saveren Scannapiego M-F 9:00 AM - 5:00 PM Union City, NJ 07087
198 Stevens Ave
(201) 865-8660
Jersey City, NJ 07305
Fax: (201) 865-0971
(201) 451-1225
00 Yrs/99 Yrs
Fax: (201) 451-1225
Languages: Spanish, French
00 Yrs/99 Yrs
Languages: Spanish

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Managed Long Term Services And Supports


Hudson
Optometry - cont. Davis, Lowell OD Domingues, Maria OD Friedman, Stephen OD
Provider ID: Provider ID: Provider ID: TPV040121002532
Bhattacharjee, Shrabanti OD TPV008778007946 TPV007522005368 Gender: Male
Provider ID: TPV048677005591 Gender: Male Gender: Female Stephen W Friedman OD
Gender: Female Lowell Davisod Maria C Domingues OD 5917 Bergenline Ave
Visionworks Drs of 548 Broadway 150 Harrison Ave West New York, NJ 07093
Optometry 452 Bayonne, NJ 07002 Kearny, NJ 07032 (201) 854-4110
802 Bayonne Crossing Way (201) 339-4375 (201) 955-0354 Fax: (201) 861-7303
Bayonne, NJ 07002 Fax: (201) 339-2105 Fax: (201) 995-0363 00 Yrs/99 Yrs
(201) 858-5615 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish
Fax: (201) 858-5676 Languages: Spanish Languages: Spanish, French
00 Yrs/99 Yrs MWF 9:00 AM - 5:00 PM Hecht, Mark OD
Desai, Roshni OD T 2:00 AM - 7:00 PM Provider ID: TPV033976001276
Choi-Lee, Jessica OD Provider ID: TH 11:00 AM - 7:00 PM Gender: Male
Provider ID: TPV035627007073 TPV025955007540 Dr Mark D Hecht
Gender: Female Gender: Female Duran, Jose OP 550 Summit Ave Ste 206
Union City Vision Care Drs Savoy, Siegel Desai Provider ID: TPV028560005781 Jersey City, NJ 07306
3907 Bergenline Ave 127 Newark Ave Ste 1 Gender: Male (201) 559-4322
Union City, NJ 07087 Jersey City, NJ 07302 Optivision Fax: (201) 659-5758
(201) 865-8300 (201) 333-2768 6110 Bergenline Ave 00 Yrs/99 Yrs
Fax: (201) 865-0123 Fax: (201) 333-3145 West New York, NJ 07093 Languages: Spanish
00 Yrs/99 Yrs 00 Yrs/99 Yrs (201) 861-1234
Languages: Spanish, Korean www.savoysiegelanddesai. Fax: (201) 868-3577 Hnatyko, John OD
M-F 10:00 AM - 6:00 PM com 00 Yrs/99 Yrs Provider ID: TPV045823006716
Sat 10:00 AM - 7:00 PM Languages: Hindi, Gujarati Languages: Spanish, Gender: Male
Sun 12:00 AM - 1:00 PM MT 9:00 AM - 6:00 PM Portuguese Dr Edward Maslansky and
W 9:00 AM - 5:00 PM M 10:00 AM - 8:00 PM Associates
Dave, Kirti OD TH 9:00 AM - 7:00 PM TWTHFSat 10:00 AM - 6:00 399 Kearny Ave
Provider ID: TPV040557036517 F 9:00 AM - 6:30 PM PM Kearny, NJ 07032
Gender: Male Sat 8:30 AM - 3:00 PM (201) 991-0026
Dr Kirti Dave OD Estevez, Joselyn OD Fax: (201) 991-4989
4414 Bergenline Ave Domingues, Maria OD Provider ID: TPV030729016177 00 Yrs/99 Yrs
Union City, NJ 07087 Provider ID: TPV007522005245 Gender: Female maslanskyeye.com
(201) 271-1600 Gender: Female Estevez and Associates Vision
Maria C Domingues OD Centers Iosebashvili, David OD
Fax: (201) 271-1630
400 Park Pl 517 41st St Provider ID: TPV034871006906
00 Yrs/99 Yrs
Secaucus, NJ 07094 Union City, NJ 07087 Gender: Male
Languages: Spanish, Urdu
(201) 325-9277 (201) 866-2440 David Iosebashvili OD
Davis, Barry OD Fax: (201) 325-9347 Fax: (201) 866-3366 9003 Bergenline Ave
Provider ID: 00 Yrs/99 Yrs 00 Yrs/99 Yrs North Bergen, NJ 07047
TPV038774005258 Languages: Spanish, French Languages: Spanish (201) 861-0815
Gender: Male MTH 11:00 AM - 7:00 PM M-F 10:00 AM - 6:00 PM Fax: (201) 861-0359
Davis Vision Works T 2:00 AM - 7:00 PM Sat 10:00 AM - 2:00 PM 00 Yrs/99 Yrs
548 Broadway WSat 9:00 AM - 5:00 PM www.sunriseopticalnj.com
Forszt Jr, Edward OD
Bayonne, NJ 07002 F 10:00 AM - 6:00 PM Languages: Russian
Provider ID: TPV033108017589
(201) 339-4375 Sun 11:00 AM - 3:00 PM Gender: Male Israel, Marissa OD
Fax: (201) 339-2105 Broadway Optics Vision Provider ID: TPV038651006716
00 Yrs/99 Yrs 4610 Bergenline Ave Gender: Female
Languages: Spanish Union City, NJ 07087 Dr Edward Maslansky and
(201) 758-7600 Associates
Fax: (201) 758-7601 399 Kearny Ave
00 Yrs/99 Yrs Kearny, NJ 07032
Languages: Spanish (201) 991-0026
Fax: (201) 991-4989
00 Yrs/99 Yrs
maslanskyeye.com
Languages: Spanish

www.wellcare.com/New-Jersey | 476
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Optometry - cont. Lui, Qichao OD Masadeh, Yasir OD Morganstein, Richard OD
Provider ID: TPV044891039988 Provider ID: TPV025215034465 Provider ID: TPV031178036518
Jankolovits, Melvin OD Gender: Male Gender: Male Gender: Male
Provider ID: TPV022581005783 Jonathan Marx Opticians Super Vision LLC Morganstein Eye Associates
Gender: Male 243 Central Ave 461 Central Ave LLC
Dr Melvin Jankolovits OD Jersey City, NJ 07307 Jersey City, NJ 07307 5618 Bergenline Ave
149 Front St (201) 222-5401 (201) 420-1222 West New York, NJ 07093
Secaucus, NJ 07094 Fax: (201) 222-3297 Fax: (201) 420-1369 (201) 867-2942
(201) 348-0800 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 867-1777
Fax: (201) 348-0801 Languages: Spanish 00 Yrs/99 Yrs
00 Yrs/99 Yrs Lui, Qichao OD M-F 11:00 AM - 7:00 PM www.
Languages: Spanish Provider ID: TPV044891039989 Sat 11:00 AM - 6:30 PM morgansteineyeassociates.
Gender: Male com
Jones, Ruth OD Jonathan Marx Opticians Maslansky, Edward OD Languages: Spanish
Provider ID: TPV009979005591 355 Central Ave Provider ID: TPV020939006716 M-F 10:00 AM - 8:00 PM
Gender: Female Jersey City, NJ 07307 Gender: Male
Visionworks Drs of Morillo, Christian OD
(201) 222-6400 Dr Edward Maslansky and
Optometry 452 Associates Provider ID: TPV024660004414
Fax: (205) 831-6013
802 Bayonne Crossing Way 399 Kearny Ave Gender: Male
00 Yrs/99 Yrs
Bayonne, NJ 07002 Kearny, NJ 07032 Morillo Eye Associates
(201) 858-5615 Manzo, Melissa OD (201) 991-0026 418 38th St
Fax: (201) 858-5676 Provider ID: Fax: (201) 991-4989 Union City, NJ 07087
00 Yrs/99 Yrs TPV004895009898 00 Yrs/99 Yrs (201) 867-0199
Gender: Female maslanskyeye.com Fax: (201) 867-0226
Kowalik, Ronald OD NJ Eye Professionals 00 Yrs/99 Yrs
Languages: Spanish
Provider ID: TPV019134041067 3196 Kennedy Blvd Ste 2 M-F 9:00 AM - 5:00 PM
Gender: Male Union City, NJ 07087 Messinger, Robert OD Sat 9:00 AM - 3:00 PM
Steff Enterprises Inc DBA (201) 863-9013 Provider ID: TPV027871006046
Nobel Optical Fax: (201) 863-8431 O'Hara, Michael OD
Gender: Male
701 Rte 440 (Inside Hudson 00 Yrs/99 Yrs Provider ID: TPV010201005591
Dr Robert Messinger
Mall) Gender: Male
1108 Washington St
Jersey City, NJ 07304 Martinez, Javier OP Visionworks Drs of
Hoboken, NJ 07030 Optometry 452
(201) 433-5080 Provider ID: (201) 659-3724 802 Bayonne Crossing Way
Fax: (201) 435-1101 TPV040929005776 Fax: (201) 653-8292 Bayonne, NJ 07002
00 Yrs/99 Yrs Gender: Male 00 Yrs/99 Yrs (201) 858-5615
Languages: Spanish Sterling Opticalmr Martinez
OP Milstein, Nurit OD Fax: (201) 858-5676
Lee, John OD 6000 Bergenline Ave 00 Yrs/99 Yrs
Provider ID:
Provider ID: TPV040677013110 West New York, NJ 07093 TPV008800006716
Gender: Male O'Kane, Thomas OD
(201) 854-7007 Gender: Female
Eye Savers Optical Provider ID:
Fax: (201) 854-9088 Dr Edward Maslansky and
3513 John F Kennedy Blvd TPV034892005502
00 Yrs/99 Yrs Associates
Jersey City, NJ 07307 Gender: Male
Languages: Spanish 399 Kearny Ave
(201) 420-8162 Dr Thomas Okane OD PC
Kearny, NJ 07032
Fax: (201) 420-8163 Masadeh, Yasir OD 2877 John F Kennedy Blvd
(201) 991-0026
00 Yrs/99 Yrs Jersey City, NJ 07306
Provider ID: TPV025215012627 Fax: (201) 991-4989
Languages: Korean (201) 795-0698
Gender: Male 00 Yrs/99 Yrs
MWFSat 9:00 AM - 8:00 PM Fax: (201) 795-9857
Eyes R US maslanskyeye.com
TTH 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
468 Broadway
Bayonne, NJ 07002
(201) 339-3131
Fax: (201) 339-3003
00 Yrs/99 Yrs
Languages: Spanish

www.wellcare.com/New-Jersey | 477
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Optometry - cont. Rochester, Cletta OD Savoy, Randi OD Shah, Nilam OP
Provider ID: TPV028039001808 Provider ID: TPV031562007540 Provider ID:
Park, Sarah OD Gender: Female Gender: Female TPV029426003549
Provider ID: TPV012718005591 Faith Eye Care Center Drs Savoy, Siegel Desai Gender: Female
Gender: Female 2 Highland Ave 127 Newark Ave Ste 1 2020 Vision LLC
Visionworks Drs of Jersey City, NJ 07306 Jersey City, NJ 07302 1516 Summit Ave
Optometry 452 (201) 434-8833 (201) 333-2768 Union City, NJ 07087
802 Bayonne Crossing Way Fax: (201) 536-0700 Fax: (201) 333-3145 (201) 974-0401
Bayonne, NJ 07002 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 974-0401
(201) 858-5615 Languages: Spanish www.savoysiegelanddesai. 00 Yrs/99 Yrs
Fax: (201) 858-5676 MTTH 10:00 AM - 5:00 PM com Languages: Hindi, Gujarati
00 Yrs/99 Yrs W 10:00 AM - 6:00 PM Languages: Spanish
MT 9:00 AM - 6:00 PM Shah, Renu OD
F 10:00 AM - 2:00 PM
Park, Sarah OD W 9:00 AM - 5:00 PM Provider ID: TPV010062003549
Provider ID: TPV929536-93 Rodriguez, Rodolfo OD TH 9:00 AM - 7:00 PM Gender: Male
Gender: Female F 9:00 AM - 6:30 PM 2020 Vision LLC
Charles M Cummins OD PA Sat 8:30 AM - 3:00 PM 1516 Summit Ave
Provider ID: 1163483
802 Bayonne Crossing Way Union City, NJ 07087
Gender: Male
Bayonne, NJ 07002 Scaramia, John OD (201) 974-0401
Rodolfo L Rodriguez
(201) 858-5615 Provider ID: Fax: (201) 974-0401
Sub Specialty: HIV/AIDs
Fax: (201) 858-5676 TPV020576009904 00 Yrs/99 Yrs
7922 Kennedy Blvd
00 Yrs/99 Yrs Gender: Male Languages: Gujarati
North Bergen, NJ 07047
Louis Eyecare
Patel, Nimali OD (201) 295-2020 Shteyn, Yekaterina OD
3513 John F Kennedy Blvd
Provider ID: TPV030107005591 Fax: (201) 295-0804 Provider ID: TPV020295007972
Jersey City, NJ 07307
Gender: Female 00 Yrs/130 Yrs Gender: Female
(201) 420-8162
Visionworks Drs of Christ Hospital Cohens Fashion
00 Yrs/99 Yrs
Optometry 452 Languages: Spanish Opticalyekaterina Shteyn OD
802 Bayonne Crossing Way M 9:00 AM - 6:30 PM Scharf, Larry OD 156
Bayonne, NJ 07002 T 9:00 AM - 2:00 PM Provider ID: TPV022534005591 30 Mall Dr W Ste 103A
(201) 858-5615 W 9:00 AM - 7:30 PM Gender: Male Jersey City, NJ 07310
Fax: (201) 858-5676 TH 9:00 AM - 4:00 PM Visionworks Drs of (201) 420-7733
00 Yrs/99 Yrs F 9:00 AM - 3:30 PM Optometry 452 Fax: (201) 420-9923
802 Bayonne Crossing Way 00 Yrs/99 Yrs
Racanati, Sergio OD Romero, Roger OP Bayonne, NJ 07002 Languages: Russian, Ukrainian
Provider ID: 1645076 Provider ID: TPV033135008285 (201) 858-5615
Gender: Male Gender: Male Fax: (201) 858-5676 Siegel, Martin OD
Prohealth Care Associates of Ez MD Optical 00 Yrs/99 Yrs Provider ID:
New Je 3196 Kennedy Blvd TPV036206007540
7505 Bergenline Ave Union City, NJ 07087 Schwartz, David OD Gender: Male
North Bergen, NJ 07047 (201) 628-1465 Provider ID: TPV037638002363 Drs Savoy, Siegel Desai
(201) 869-0037 Fax: (201) 863-8431 Gender: Male 127 Newark Ave Ste 1
Fax: (201) 868-5844 00 Yrs/99 Yrs Nobel Optical Jersey City, NJ 07302
00 Yrs/130 Yrs Languages: Spanish 701 State Rt 440 (201) 333-2768
M-F 9:00 AM - 5:00 PM Jersey City, NJ 07304 Fax: (201) 333-3145
Rusignuolo, Anthony OD (201) 433-5080 00 Yrs/99 Yrs
Provider ID: TPV019690000171 Fax: (201) 435-1101 www.savoysiegelanddesai.
Gender: Male 00 Yrs/99 Yrs com
Harborside Optical Languages: Spanish
34 Exchange Pl MT 9:00 AM - 6:00 PM
Jersey City, NJ 07311 W 9:00 AM - 5:00 PM
(201) 946-9100 TH 9:00 AM - 7:00 PM
Fax: (201) 946-9110 F 9:00 AM - 6:30 PM
00 Yrs/99 Yrs Sat 8:30 AM - 3:00 PM
www.optometricarts.com
Languages: Spanish
M-TH 8:00 AM - 7:00 PM
F 8:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 478
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Optometry - cont. Toker, Perry OD Trytjak, Yurij OD Youngewirth, Maty OD
Provider ID: Provider ID: Provider ID: TPV022248005791
Sindhu, Mahmood OD TPV040846035255 TPV036593009836 Gender: Female
Provider ID: TPV020615009914 Gender: Male Gender: Male Optical Palace
Gender: Male Hudson Eyecare Associates Bergen Eyecare Clinic 910 Bergen Ave
Jersey Eyecare 368 Central Ave 910 Bergen Ave Jersey City, NJ 07306
2787 John F Kennedy Blvd Ste Jersey City, NJ 07307 Jersey City, NJ 07306 (201) 610-0980
A9 (201) 659-2775 (201) 610-0980 Fax: (201) 610-0882
Jersey City, NJ 07306 Fax: (201) 653-7319 Fax: (201) 610-0822 00 Yrs/99 Yrs
(201) 239-8007 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Yiddish
Fax: (201) 659-0344 Languages: Spanish, Languages: Spanish, Russian
00 Yrs/99 Yrs Portuguese MTWTHFSat 10:30 AM - 8:30 Youngewirth, Maty OD
Languages: Spanish PM Provider ID:
Tortorici, Michael OD TPV022248009836
Sindhu, Mahmood OD Provider ID: 689127 Velazquez, Natalie OD Gender: Female
Provider ID: TPV020615012627 Gender: Male Provider ID: TPV009901007297 Bergen Eyecare Clinic
Gender: Male Phillips Eye Center Gender: Female 910 Bergen Ave
Eyes R US 2201 Bergenline Ave Fl 2 Natalie Velazquez Assoc Jersey City, NJ 07306
468 Broadway Union City, NJ 07087 517 41st St (201) 610-0980
Bayonne, NJ 07002 (201) 796-3330 Union City, NJ 07087 Fax: (201) 610-0822
(201) 339-3131 Fax: (201) 796-3644 (201) 866-2440 00 Yrs/99 Yrs
Fax: (201) 339-3003 00 Yrs/130 Yrs 00 Yrs/99 Yrs Languages: Yiddish
00 Yrs/99 Yrs Languages: Chinese, Italian, Languages: Spanish MTWTHFSat 10:30 AM - 8:30
Languages: Spanish Hindi, Arabic PM
M-F 8:00 AM - 5:00 PM Visionworks Drs of
Syed, Mansoor OD Optometry 452 Zaky, Jackline OD
Provider ID: TPV020177041831 Trieu, MA-Le OD Provider ID: TPV004932005591 Provider ID: TPV049765005591
Gender: Male Provider ID: TPV001106002843 802 Bayonne Crossing Way Gender: Female
Best Eye Care Next To Gender: Female Bayonne, NJ 07002 Visionworks Drs of
Walmart MA-Le Trieu OD (201) 858-5615 Optometry 452
400 Park Pl 5202 Bergenline Ave Fax: (201) 858-5676 802 Bayonne Crossing Way
Secaucus, NJ 07094 West New York, NJ 07093 00 Yrs/99 Yrs Bayonne, NJ 07002
(201) 325-9277 (201) 974-2999 (201) 858-5615
WAL MART Vision Center
Fax: (201) 325-9347 Fax: (201) 974-2999 Fax: (201) 858-5676
3520
00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Provider ID: TPV041477033635
Languages: Spanish, Hindi Languages: Spanish 400 Park Pl Zimmerling, Inna OD
M-TH 10:00 AM - 6:00 PM
Tandler, Robert OD Secaucus, NJ 07094
F 10:00 AM - 7:00 PM Provider ID: TPV015698007073
Provider ID: TPV004355036515 Sat 10:00 AM - 4:00 PM (201) 325-9277 Gender: Female
Gender: Male Fax: (201) 325-9347 Union City Vision Care
Dr Jack Goldstein Dr Robert Trytjak, Yurij OD 00 Yrs/99 Yrs 3907 Bergenline Ave
Ta M-F 9:00 AM - 9:00 PM
Provider ID: TPV036593005791 Union City, NJ 07087
418 38th St Sat 9:00 AM - 7:00 PM
Gender: Male (201) 865-8300
Union City, NJ 07087 Sun 12:00 AM - 5:00 PM
Optical Palace Fax: (201) 865-0123
(201) 867-0199 910 Bergen Ave 00 Yrs/99 Yrs
Walmart Vision Center 5447
Fax: (201) 867-0226 Jersey City, NJ 07306 Provider ID: TPV003218026478 Languages: Spanish, Russian
00 Yrs/99 Yrs (201) 610-0980 M-F 10:00 AM - 6:00 PM
150 Harrison Ave
Fax: (201) 610-0882 Kearny, NJ 07032 Sat 10:00 AM - 7:00 PM
00 Yrs/99 Yrs (201) 955-0354 Sun 12:00 AM - 1:00 PM
Languages: Spanish, Russian 00 Yrs/99 Yrs

www.wellcare.com/New-Jersey | 479
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Optometry - cont. Robinson, Lealon DMD Rochford, Christopher DMD Ayoub, Michael DDS
Provider ID: TPVP39496-03
Zimmerling, Inna OD Provider ID: TPVP40187-01 Provider ID: TPVP135878-10 Gender: Male
Provider ID: TPV015698041909 Gender: Male Gender: Male North Hudson Community
Gender: Female Saltzberg Wenger Mofs-NJ Oral Facial Surgery Action Corporation
Inna Zimmerling OD 149 Palisade Ave LLC 324 Palisade Ave
7733 Bergenline Ave Jersey City, NJ 07306 901 Washington St Jersey City, NJ 07307
North Bergen, NJ 07047 (201) 798-5551 Hoboken, NJ 07030 (201) 459-8888
(201) 868-1021 Fax: (201) 963-1226 (201) 659-1600 Fax: (201) 239-0318
Fax: (201) 868-2960 00 Yrs/99 Yrs Fax: (201) 604-7195 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs Languages: Spanish
Languages: Spanish, Russian M 9:00 AM - 7:00 PM Languages: Arabic MTTHF 8:30 AM - 5:00 PM
TWTH 9:00 AM - 6:00 PM M-F 8:00 AM - 5:00 PM W 8:30 AM - 7:00 PM
Oral & Maxillofacial F 8:00 AM - 6:00 PM
Surgery Sat-Sun 8:00 AM - 4:00 PM Wuebbels, Nathan DDS Berk, Jason DDS
Provider ID: TPVP153167-04
Bodey, Janet DDS Robinson, Lealon DMD Provider ID: TPVP78735-03 Gender: Male
Provider ID: TPVP33426-10 Gender: Male Journal Square Orthodontics
Gender: Female Provider ID: TPVP40187-02 Barbieri Colameo Berardo 35 Journal Square Ste 601
Mofs-NJ Oral Facial Surgery Gender: Male Associates In Oral Max Jersey City, NJ 07306
LLC North Hudson Community Surgery (201) 420-7116
901 Washington St Action Corporation 7322 Bergenline Ave Fax: (888) 292-7017
Hoboken, NJ 07030 5301 Broadway North Bergen, NJ 07047 00 Yrs/99 Yrs
(201) 659-1600 West New York, NJ 07093 (201) 867-0404 Languages: Spanish
Fax: (201) 604-7195 (201) 866-9320 Fax: (201) 868-2499 MT 11:00 AM - 7:00 PM
00 Yrs/99 Yrs Fax: (201) 866-7588 00 Yrs/99 Yrs WTHF 10:00 AM - 6:00 PM
Languages: Spanish, Arabic 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 5:00 PM Languages: Spanish Berk, Jason DDS
M-TH 8:30 AM - 7:00 PM Orthodontics Provider ID: TPVP153167-06
Dematteis, Isabelle DDS Gender: Male
FSat 8:30 AM - 5:00 PM
Sun 8:30 AM - 3:00 PM Ayoub, Michael DDS Bergenline Orthodontics
Provider ID: TPVP158579-01 Provider ID: TPVP39496-02 3123 Kennedy Blvd
Gender: Female Robinson, Lealon DMD Gender: Male North Bergen, NJ 07047
Mofs-NJ Oral Facial Surgery North Hudson Community (201) 662-0662
LLC Provider ID: TPVP40187-03 Action Corporation Fax: (888) 292-7017
901 Washington St Gender: Male 5301 Broadway 00 Yrs/99 Yrs
Hoboken, NJ 07030 North Hudson Community West New York, NJ 07093 Languages: Spanish
(201) 659-1600 Action Corporation (201) 866-9320 MWF 10:00 AM - 6:00 PM
Fax: (201) 604-7195 324 Palisade Ave Fax: (201) 866-7588 TTH 11:00 AM - 7:00 PM
00 Yrs/99 Yrs Jersey City, NJ 07307 00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM
Languages: Arabic (201) 459-8888 Languages: Spanish
M-F 8:00 AM - 5:00 PM Fax: (201) 239-0318 M-TH 8:30 AM - 7:00 PM Castronova, John DMD
00 Yrs/99 Yrs FSat 8:30 AM - 5:00 PM
Laifook, Martina DMD Sun 8:30 AM - 3:00 PM Provider ID: TPVP142597-05
Languages: Spanish
Provider ID: TPVP36167-01 MTTHF 8:30 AM - 5:00 PM Gender: Male
Gender: Female W 8:30 AM - 7:00 PM Journal Square Orthodontics
Martina S Laifook DMD PA 35 Journal Square Ste 601
2784 Kennedy Blvd Jersey City, NJ 07306
Jersey City, NJ 07306 (201) 420-7116
(201) 332-5360 Fax: (888) 292-7017
Fax: (201) 420-1060 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish
Languages: Spanish MT 11:00 AM - 7:00 PM
M-F 10:00 AM - 5:00 PM WTHF 10:00 AM - 6:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Orthodontics - cont. Saffar, Ronald DDS Pediatric Dentistry Kathawala, Samina DDS
Provider ID: TPVP141713-03 Provider ID: TPVNJSP125832-0
Drut, Oleg DDS Gender: Male Ahmed, Nasrine DDS Gender: Female
Provider ID: TPVP32406-05 Ronald Saffar DDS PA Provider ID: TPVNJSP39569-01 Horizon Health Center
Gender: Male 431 W 59th St Gender: Female 115 Christopher Columbus Dr
Journal Square Orthodontics West New York, NJ 07093 Metropolitan Family Health Jersey City, NJ 07302
35 Journal Square Ste 601 (201) 223-2700 Network (201) 710-2201
Jersey City, NJ 07306 Fax: (201) 590-9560 935 Garfield Ave Fax: (551) 226-6871
(201) 420-7116 00 Yrs/99 Yrs Jersey City, NJ 07304 00 Yrs/06 Yrs
Fax: (888) 292-7017 Languages: Spanish (201) 478-5800 Languages: Arabic
00 Yrs/99 Yrs MT 9:00 AM - 5:00 PM Fax: (201) 478-5814 MTTH 9:00 AM - 7:00 PM
Languages: Spanish, Russian 00 Yrs/06 Yrs WF 9:00 AM - 5:00 PM
MT 11:00 AM - 7:00 PM Seiger, Jeffrey DMD Languages: Arabic
WTHF 10:00 AM - 6:00 PM Provider ID: TPVP40452-10 MTH 9:00 AM - 7:00 PM Kathawala, Samina DDS
Gender: Male TWF 9:00 AM - 5:00 PM
Drut, Oleg DDS Jeffrey Seiger DMD LLC Provider ID: TPVNJSP125832-0
Provider ID: TPVP32406-07 3183 John F Kennedy Blvd Belgrave, Gerald DDS Gender: Female
Gender: Male Jersey City, NJ 07306 Provider ID: TPVNJSP41827-01 Horizon Health Center
Bergenline Orthodontics (201) 798-2322 Gender: Male 714 Bergen Ave
3123 Kennedy Blvd 00 Yrs/99 Yrs Horizon Health Center Jersey City, NJ 07306
North Bergen, NJ 07047 Languages: Spanish 115 Christopher Columbus Dr (201) 451-6300
(201) 662-0662 M 8:00 AM - 4:00 PM Jersey City, NJ 07302 Fax: (551) 226-6871
Fax: (888) 292-7017 (201) 710-2201 00 Yrs/06 Yrs
00 Yrs/99 Yrs Suh, James DDS Fax: (551) 226-6871 Languages: Arabic
Languages: Spanish, Russian Provider ID: TPVP170045-01 00 Yrs/06 Yrs MTTH 9:00 AM - 7:00 PM
MWF 10:00 AM - 6:00 PM Gender: Female Languages: Arabic WF 9:00 AM - 5:00 PM
TTH 11:00 AM - 7:00 PM Journal Square Orthodontics MTTH 9:00 AM - 7:00 PM
Sat 9:00 AM - 5:00 PM 35 Journal Square Ste 601 WF 9:00 AM - 5:00 PM Lavandeira, Janet DMD
Jersey City, NJ 07306
Henick, Edward DDS (201) 420-7116 Belgrave, Gerald DDS Provider ID: TPVNJSP41652-04
Provider ID: TPVP32374-01 Fax: (888) 292-7017 Provider ID: TPVNJSP41827-02 Gender: Female
Gender: Male 00 Yrs/99 Yrs Gender: Male North Hudson Community
Edward Henick DDS PA Languages: Spanish Horizon Health Center Action Corporation
9057 Paliside Ave MT 11:00 AM - 7:00 PM 714 Bergen Ave 5301 Broadway
North Bergen, NJ 07047 WTHF 10:00 AM - 6:00 PM Jersey City, NJ 07306 West New York, NJ 07093
(201) 869-8401 (201) 451-6300 (201) 866-9320
Fax: (201) 869-8146 Terrana, Anthony DMD Fax: (551) 226-6871 Fax: (201) 866-7588
00 Yrs/99 Yrs 00 Yrs/06 Yrs 00 Yrs/06 Yrs
Languages: Spanish Provider ID: TPVP170485-01 Languages: Arabic Languages: Spanish
M 9:00 AM - 1:00 PM Gender: Male MTTH 9:00 AM - 7:00 PM M-TH 8:30 AM - 7:00 PM
T 9:00 AM - 7:00 PM Bergenline Orthodontics WF 9:00 AM - 5:00 PM FSat 8:30 AM - 5:00 PM
3123 Kennedy Blvd Sun 8:30 AM - 3:00 PM
Rabinovich, Martin DMD North Bergen, NJ 07047 Espinosa-Dovale, Maria DDS
(201) 662-0662 Lee, Michael DDS
Provider ID: TPVP174195-02 Fax: (888) 292-7017 Provider ID: TPVNJSP103703-0 Provider ID: TPVNJSP32351-01
Gender: Male 00 Yrs/99 Yrs Gender: Female Gender: Male
Journal Square Orthodontics Languages: Spanish North Hudson Community Grace Dental Union City LLC
35 Journal Square Ste 601 MWF 10:00 AM - 6:00 PM Action Corporation 3133 Central Ave Ste 204
Jersey City, NJ 07306 TTH 11:00 AM - 7:00 PM 5301 Broadway Union City, NJ 07087
(201) 420-7116 Sat 9:00 AM - 5:00 PM West New York, NJ 07093 (201) 330-3333
Fax: (888) 292-7017 (201) 866-9320 Fax: (201) 617-8210
00 Yrs/99 Yrs Fax: (201) 866-7588 06 Yrs/06 Yrs
Languages: Spanish 00 Yrs/06 Yrs Languages: Korean
MT 11:00 AM - 7:00 PM Languages: Spanish M-W 9:00 AM - 6:00 PM
WTHF 10:00 AM - 6:00 PM M-TH 8:30 AM - 7:00 PM
FSat 8:30 AM - 5:00 PM
Sun 8:30 AM - 3:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Pediatric Dentistry - cont. Park, Min DDS Williams, Hallie DDS Periodontics
Provider ID: TPVNJSP112263-0 Provider ID: TPVNJSP36020-01
Obi, Nneka DDS Gender: Female Gender: Female Gerhard, Ronald DDS
Provider ID: TPVNJSP169488-0 Horizon Health Center Metropolitan Family Health Provider ID: TPVP40449-01
Gender: Female 714 Bergen Ave Network Gender: Male
Metropolitan Family Health Jersey City, NJ 07306 935 Garfield Ave Ronald F Gerhard DDS PA
Network (201) 451-6300 Jersey City, NJ 07304 834 Ave C
935 Garfield Ave Fax: (551) 226-6871 (201) 478-5800 Bayonne, NJ 07002
Jersey City, NJ 07304 00 Yrs/06 Yrs Fax: (201) 478-5814 (201) 858-4928
(201) 478-5800 Languages: Arabic 00 Yrs/06 Yrs Fax: (201) 858-1291
Fax: (201) 478-5814 MTTH 9:00 AM - 7:00 PM Languages: Arabic 00 Yrs/99 Yrs
00 Yrs/06 Yrs WF 9:00 AM - 5:00 PM MTH 9:00 AM - 7:00 PM Languages: Spanish
Languages: Arabic TWF 9:00 AM - 5:00 PM MW 9:00 AM - 6:00 PM
MTH 9:00 AM - 7:00 PM Pena, Carmen DDS TTH 10:00 AM - 5:00 PM
TWF 9:00 AM - 5:00 PM Provider ID: TPVNJSP105018-0 Yapor, Eddy DDS F 9:00 AM - 1:00 PM
Gender: Female Provider ID: TPVNJSP103705-0
Orjiekwe, Ogonna DMD Metropolitan Family Health Gender: Male Madjlessi, Nima DDS
Provider ID: TPVNJSP41173-01 Network North Hudson Community Provider ID: TPVP39061-03
Gender: Male 935 Garfield Ave Action Corporation Gender: Male
Diamond Dental Group Jersey City, NJ 07304 5301 Broadway Saltzberg Wenger
2778 John F Kennedy Blvd (201) 478-5800 West New York, NJ 07093 149 Palisade Ave
Jersey City, NJ 07306 Fax: (201) 478-5814 (201) 866-9320 Jersey City, NJ 07306
(201) 659-7000 00 Yrs/06 Yrs Fax: (201) 866-7588 (201) 798-5551
Fax: (201) 659-7003 Languages: Spanish 00 Yrs/06 Yrs Fax: (201) 963-1226
00 Yrs/06 Yrs MTH 9:00 AM - 7:00 PM Languages: Spanish 00 Yrs/99 Yrs
Languages: Spanish TWF 9:00 AM - 5:00 PM M-TH 8:30 AM - 7:00 PM Languages: Spanish
M-W 9:00 AM - 5:00 PM FSat 8:30 AM - 5:00 PM M 9:00 AM - 7:00 PM
TH 9:00 AM - 7:00 PM Razeghi, Nezhat DDS Sun 8:30 AM - 3:00 PM TWTH 9:00 AM - 6:00 PM
F 9:00 AM - 3:00 PM Provider ID: TPVNJSP40013-01 F 8:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM Gender: Female Pedodontics Sat-Sun 8:00 AM - 4:00 PM
Horizon Health Center
Ouzer, Amanda DMD 115 Christopher Columbus Dr Dibos, Patricia DMD Madjlessi, Nima DDS
Provider ID: TPVNJSP157655-0 Jersey City, NJ 07302 Provider ID: TPVP41812-01 Provider ID: TPVP39061-04
Gender: Female (201) 710-2201 Gender: Female Gender: Male
Metropolitan Family Health Fax: (551) 226-6871 Bay Dental Associates North Hudson Community
Network 00 Yrs/06 Yrs 654 Ave C Unit 202 Action Corporation
935 Garfield Ave Languages: Arabic Bayonne, NJ 07002 5301 Broadway
Jersey City, NJ 07304 MTTH 9:00 AM - 7:00 PM (201) 436-7777 West New York, NJ 07093
(201) 478-5800 WF 9:00 AM - 5:00 PM Fax: (201) 436-7770 (201) 866-9320
Fax: (201) 478-5814 00 Yrs/99 Yrs Fax: (201) 866-7588
00 Yrs/06 Yrs Razeghi, Nezhat DDS Languages: Korean 00 Yrs/99 Yrs
Languages: Arabic Provider ID: TPVNJSP40013-02 M 2:00 AM - 8:00 PM Languages: Spanish
MTH 9:00 AM - 7:00 PM Gender: Female TWTH 10:00 AM - 6:00 PM M-TH 8:30 AM - 7:00 PM
TWF 9:00 AM - 5:00 PM Horizon Health Center FSat 8:30 AM - 5:00 PM
714 Bergen Ave Hall, Lonnie DDS Sun 8:30 AM - 3:00 PM
Park, Min DDS Jersey City, NJ 07306 Provider ID: TPVP40424-01
Provider ID: TPVNJSP112263-0 (201) 451-6300 Gender: Male
Gender: Female Fax: (551) 226-6871 Dentistry For Children
Horizon Health Center 00 Yrs/06 Yrs 329 60th St
115 Christopher Columbus Dr Languages: Arabic West New York, NJ 07093
Jersey City, NJ 07302 MTTH 9:00 AM - 7:00 PM (201) 868-0070
(201) 710-2201 WF 9:00 AM - 5:00 PM Fax: (201) 869-4030
Fax: (551) 226-6871 00 Yrs/99 Yrs
00 Yrs/06 Yrs Languages: Spanish
Languages: Arabic M-F 8:00 AM - 4:00 PM
MTTH 9:00 AM - 7:00 PM
WF 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Periodontics - cont. Armas Home Care LLC Bayada Home Healthcare Inc Home Care For You Inc
Provider ID: 1035713
Madjlessi, Nima DDS Armas Home Care Provider ID: 945568 Provider ID: 1016455
Provider ID: TPVP39061-05 400 60th St 2nd Fl Bayada Home Health Care, Inc 440 60th St Ste 102 - 104
Gender: Male West New York, NJ 07093 123 Liberty View Dr West New York, NJ 07093
North Hudson Community (201) 868-6520 Jersey City, NJ 07302 (201) 758-8688
Action Corporation Fax: (201) 861-6475 (201) 339-1330 Fax: (201) 758-8687
324 Palisade Ave 00 Yrs/130 Yrs Fax: (201) 339-1396 00 Yrs/130 Yrs
Jersey City, NJ 07307 Languages: Spanish 00 Yrs/130 Yrs Languages: Russian, Ukrainian,
(201) 459-8888 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Twi
Fax: (201) 239-0318 M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Bayada Home Healthcare Inc Best Home Care Inc
Languages: Spanish Provider ID: 945937 Loving Care Agency Inc
MTTHF 8:30 AM - 5:00 PM Provider ID: 945568 879 Bergen Ave Ste 200
W 8:30 AM - 7:00 PM 150 Warren St Jersey City, NJ 07306 Provider ID: 1008554
Jersey City, NJ 07302 (201) 798-7600 26 Journal Sq Fl 7 Ste 705
Shim, Eunjung DMD (800) 305-3000 Fax: (201) 526-0477 Jersey City, NJ 07306
Provider ID: TPVP41811-01 Fax: (800) 705-1429 00 Yrs/130 Yrs (201) 985-8335
Gender: Female 00 Yrs/130 Yrs Languages: Spanish, Russian, Fax: (201) 985-3795
Bay Dental Associates M-F 9:00 AM - 5:00 PM Arabic 00 Yrs/130 Yrs
654 Ave C Unit 202 M-F 9:00 AM - 5:00 PM Languages: Spanish, Russian,
Bayonne, NJ 07002 Bayada Home Healthcare Inc Polish, Ukrainian
(201) 436-7777 Care Finders Total Care LLC M-F 9:00 AM - 5:00 PM
Fax: (201) 436-7770 Provider ID: 945568
00 Yrs/99 Yrs 299 Grand St Unit 116&118 Provider ID: 964946 Loving Care Agency Inc
Languages: Korean Jersey City, NJ 07302 443 60th St
M 2:00 AM - 8:00 PM (800) 305-3000 West New York, NJ 07093 Provider ID: 1008554
TWTH 10:00 AM - 6:00 PM Fax: (800) 705-1429 (201) 854-5557 6406 Bergenline Ave
00 Yrs/130 Yrs Fax: (201) 854-7515 West New York, NJ 07093
Personal Care Services M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs (201) 854-5508
Languages: Spanish, Russian, Fax: (201) 856-5528
Always Caring Health Care Bayada Home Healthcare Inc Polish 00 Yrs/130 Yrs
Services LLC M-F 9:00 AM - 5:00 PM Languages: Spanish, Russian,
Provider ID: 921581 Provider ID: 945568 Polish, Ukrainian
Always Caring Health Care Care Finders Total Care LLC M-F 9:00 AM - 5:00 PM
473 Broadway Bayonne Pl
Services Bayonne, NJ 07002
5810 Bergenline Ave Provider ID: 964946 Visiting Homemaker Service
(973) 909-5150
West New York, NJ 07093 591 Summit Ave of Hudson Cou
Fax: (973) 909-5155
(201) 662-0042 Jersey City, NJ 07306 Provider ID: 945562
00 Yrs/130 Yrs
Fax: (201) 662-0043 (201) 386-0500 Visiting Homemaker Service
M-F 9:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs of Hudso
Languages: Spanish Bayada Home Healthcare Inc Languages: Spanish, Russian, 586 Newark Ave
M-F 9:00 AM - 5:00 PM Polish Jersey City, NJ 07306
M-F 9:00 AM - 5:00 PM (201) 656-6001
Always Home Care Provider ID: 945568
Fax: (201) 798-0990
Bayada Home Health Care Inc
Provider ID: 944544 Chas Home Care 00 Yrs/130 Yrs
3196 Kennedy Blvd
5700 Bergenline Ave 3rd Provider ID: 990058 Languages: Spanish
Union City, NJ 07087
West New York, NJ 07093 1169 Kennedy Blvd M-F 9:00 AM - 5:00 PM
(973) 909-5150
(201) 869-0880 Bayonne, NJ 07002
Fax: (973) 909-5155
Fax: (201) 869-0081 (201) 339-3506
00 Yrs/130 Yrs
00 Yrs/130 Yrs Fax: (201) 339-3508
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Languages: Spanish
M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Physical Medicine & Patel, Ravi MD Estanislao, Mylen PT Maier, Jason PT
Rehabilitation Provider ID: 1581365 Provider ID: 1488601
Gender: Male Provider ID: 1584629 Gender: Male
Abend, Paul DO Integrative Pain Physician Gender: Female Synergy Sports and Medical
Provider ID: 1604519 Speciali Therapro Corf, LLC Rehab
Gender: Male 7600 River Rd 600 Pavonia Ave Ste 7 6120 Buchanan Pl
West Hudson Pulmonary North Bergen, NJ 07047 Jersey City, NJ 07306 West New York, NJ 07093
Associates (732) 499-7927 (201) 418-0197 (201) 758-5238
816 Kearny Ave 00 Yrs/130 Yrs Fax: (201) 758-2311 Fax: (201) 708-7341
Kearny, NJ 07032 Robert Wood Johnson 05 Yrs/130 Yrs 00 Yrs/130 Yrs
(201) 991-8524 University Hospital MW 8:00 AM - 7:00 PM M 8:30 AM - 7:00 PM
00 Yrs/130 Yrs T 8:00 AM - 5:00 PM TTH 8:30 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM Physical Therapy TH 8:00 AM - 6:00 PM W 9:00 AM - 4:00 PM
F 8:00 AM - 12:00 PM
Constantino, Edwin MD Elhalim, Esmat PT Nunez, Juan PT
Provider ID: 943849 Provider ID: 1520689 Estanislao, Mylen PT Provider ID: 1573471
Gender: Male Gender: Male Gender: Male
Edwin Constantion MD LLC Quality Care Rehabilitation, Provider ID: 1584629 Top Choice Physical Therapy
10 Huron Ave 1L LLC and Wel
Gender: Female
Jersey City, NJ 07306 2120 Kennedk Blvd 515 22nd St Ste 1
Therapro Corf, LLC
(201) 656-0440 Jersey City, NJ 07305 Union City, NJ 07087
9225 Kennedy Blvd Ste A
Fax: (201) 656-3444 (201) 332-9988 (201) 348-0200
North Bergen, NJ 07047
18 Yrs/130 Yrs Fax: (201) 332-4552 Fax: (201) 510-0442
(201) 869-2707
Christ Hospital 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Fax: (201) 869-2717
Languages: Spanish, Tagalog Languages: Arabic M-F 9:00 AM - 5:00 PM
05 Yrs/130 Yrs
M-F 8:30 AM - 1:30 PM MTWTHFSat 9:00 AM - 7:00 MWTH 8:00 AM - 7:00 PM
PM Rojas Currier, Rosalba PT
T 8:00 AM - 5:00 PM
Kao, Cyrus MD F 8:00 AM - 6:00 PM
Esche, Roxana PT Provider ID: 464943
Provider ID: 1581367 Sat 8:00 AM - 12:00 PM
Gender: Male Provider ID: 1597375 Gender: Female
Integrative Pain Physician Gender: Female Santa Fe Physical Therapy
Joshi, Janki PT
Speciali Therapro Sub Specialty: HIV/AIDs
Provider ID: 1640183
7600 River Rd 600 Pavonia Ave Fl 7 405 43rd St
Gender: Female
North Bergen, NJ 07047 Jersey City, NJ 07306 Union City, NJ 07087
Prohealth Care Associates of
(732) 499-7927 (201) 418-0197 (201) 617-0880
New Je
00 Yrs/130 Yrs Fax: (201) 758-2311 Fax: (201) 617-9735
255 State Rt 3 Ste 104F
Robert Wood Johnson 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Secaucus, NJ 07094
University Hospital M-F 9:00 AM - 5:00 PM Languages: Spanish
(551) 257-7910
Fax: (551) 257-7911 M-W 7:30 AM - 1:30 PM
Kolla, Sairamachandra MD Esche, Roxana PT
00 Yrs/130 Yrs
Provider ID: 1597375 Salama, Mina PT
M-F 9:00 AM - 5:00 PM
Provider ID: 944235 Gender: Female Provider ID: 1499459
Gender: Male Therapro Joshi, Janki PT Gender: Male
Sub Specialty: HIV/AIDs 9225 Kennedy Ave Ste A Synergy Sports and Medical
Provider ID: 1640183
2757 Kennedy Blvd Jersey City, NJ 07306 Rehabili
Gender: Female
Jersey City, NJ 07306 (201) 869-2707 6120 Buchanan Pl
Prohealth Care Associates of
(201) 333-8004 Fax: (201) 758-2707 New Je West New York, NJ 07093
Fax: (201) 333-8425 00 Yrs/130 Yrs 324 Palisade Ave (201) 758-5238
18 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Jersey City, NJ 07307 Fax: (201) 708-7341
Languages: Spanish, Hindi (201) 479-8610 18 Yrs/130 Yrs
M-TH 9:00 AM - 5:00 PM Fax: (201) 479-8611 Languages: Arabic
00 Yrs/130 Yrs M 8:30 AM - 7:30 PM
M-F 9:00 AM - 5:00 PM TTH 8:30 AM - 8:00 PM
W 8:30 AM - 7:00 PM
F 8:30 AM - 3:00 PM

www.wellcare.com/New-Jersey | 484
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Physical Therapy - cont. Eramian, Robert DDS Chandak, Ritu MD D'Amato, Thomas MD
Provider ID: TPVP40194-02 Provider ID: 1431177 Provider ID: 946023
Veytsman, Zinaida PT Gender: Male Gender: Female Gender: Male
Provider ID: 672961 North Hudson Community Barnabas Health Medical 179 Palisade Ave
Gender: Female Action Corporation Group South Jersey City, NJ 07306
Bizy PT PC 5301 Broadway 355 Grand St Dept of (201) 795-8375
675 Garfield Ave Ste 1 West New York, NJ 07093 Jersey City, NJ 07302 Fax: (201) 795-8149
Jersey City, NJ 07305 (201) 866-9320 (800) 300-0628 18 Yrs/130 Yrs
(201) 333-9300 Fax: (201) 866-7588 Fax: (201) 369-6301 Christ Hospital
Fax: (201) 399-3945 00 Yrs/99 Yrs 18 Yrs/110 Yrs Languages: Spanish
00 Yrs/130 Yrs Languages: Spanish Jersey City Medical Center M-F 9:00 AM - 5:00 PM
Languages: Chinese, Arabic, M-TH 8:30 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Hebrew, Afrikaans FSat 8:30 AM - 5:00 PM Dela Cruz, Leo MD
MT 8:00 AM - 6:00 PM Sun 8:30 AM - 3:00 PM Cruickshank, Royston MD
Provider ID: 392330
Yoshovayev, Anatoli PT Eramian, Robert DDS Provider ID: 1431131 Gender: Male
Provider ID: TPVP40194-03 Gender: Male Leo A Dela Cruz MD Fapa
Provider ID: 984358 Gender: Male Barnabas Health Medical 142 Palisade Ave Ste 105
Gender: Male North Hudson Community Group South Jersey City, NJ 07306
Dynamic Rehab PT PC Action Corporation 395 Grand St (201) 233-2447
55 Meadowlands Pkwy Fl 3 324 Palisade Ave Jersey City, NJ 07302 Fax: (201) 792-8851
Secaucus, NJ 07094 Jersey City, NJ 07307 (800) 300-0628 18 Yrs/130 Yrs
(973) 910-0307 (201) 459-8888 Fax: (201) 369-6301 Christ Hospital
Fax: (718) 233-2570 Fax: (201) 239-0318 00 Yrs/130 Yrs Languages: Spanish, Tagalog
00 Yrs/130 Yrs 00 Yrs/99 Yrs Jersey City Medical Center M 1:00 AM - 6:00 PM
Languages: Russian, Hebrew Languages: Spanish M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM MTTHF 8:30 AM - 5:00 PM Dyakina, Nika DO
W 8:30 AM - 7:00 PM Czartorysky, Bohdan MD Provider ID: 1028049
Prosthodontics Gender: Female
Psychiatry Provider ID: 1164792 Mount Carmel Guild
Eramian, Robert DDS Gender: Male Behavioral Healt
Provider ID: TPVP40194-01 Bischoff, Stephen MD Bridgeway Rehabilitation 2201 Bergenline Ave
Gender: Male Services Union City, NJ 07087
Saltzberg Wenger Provider ID: 1430349 152 Central Ave (201) 558-3700
149 Palisade Ave Gender: Male Jersey City, NJ 07306 Fax: (201) 392-5048
Jersey City, NJ 07306 Barnabas Health Medical (201) 885-2539 00 Yrs/130 Yrs
(201) 798-5551 Group South 18 Yrs/130 Yrs M 9:30 AM - 5:00 PM
Fax: (201) 963-1226 395 Grand St Trinitas Regional Medical Cent T 9:30 AM - 2:30 PM
00 Yrs/99 Yrs Jersey City, NJ 07302
Languages: Spanish (201) 915-2600 Czartorysky, Bohdan MD Ghali, Anwar MD
M 9:00 AM - 7:00 PM Fax: (201) 369-6301 Provider ID: 1194309
TWTH 9:00 AM - 6:00 PM 00 Yrs/130 Yrs Provider ID: 1164792 Gender: Male
F 8:00 AM - 6:00 PM Saint Barnabas Medical Gender: Male Garden State Healthcare
Sat-Sun 8:00 AM - 4:00 PM Center Livingston Bridgeway Rehabilitation Associates
M-F 9:00 AM - 5:00 PM Services 122-132 Clinton St
862 Newark Ave Hoboken, NJ 07030
Jersey City, NJ 07306 (201) 418-3100
(201) 653-3980 Fax: (201) 418-3148
18 Yrs/130 Yrs 00 Yrs/130 Yrs
Trinitas Regional Medical Cent Hoboken University Medical
Center
Jersey City Medical Center
Trinitas Regional Medical Cent
Languages: Arabic
M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Psychiatry - cont. Hriso, Paul MD Kruse, George MD Lukac, Juraj MD
Provider ID: 944159 Provider ID: 1422106 Provider ID: 1430925
Ghali, Anwar MD Gender: Male Gender: Male Gender: Male
Provider ID: 959880 Paul Hriso MD PA Bhmg - United Medical Barnabas Health Medical
Gender: Male 354 Ave C 988 Broadway Group South
New Jersey Medical and Bayonne, NJ 07002 Bayonne, NJ 07002 395 Grand St Dept of
Health Assoc (201) 437-1775 (201) 339-6111 Jersey City, NJ 73024
122-132 Clinton St Family Fax: (201) 436-1601 Fax: (201) 339-6333 (201) 915-2600
Practice 12 Yrs/130 Yrs 00 Yrs/130 Yrs Fax: (201) 369-6301
Hoboken, NJ 07030 Bayonne Medical Center Holy Name Medical Center 02 Yrs/130 Yrs
(201) 418-3100 Christ Hospital M-F 9:00 AM - 5:00 PM Jersey City Medical Center
Fax: (201) 418-3149 Trinitas Regional Medical Cent M-F 9:00 AM - 5:00 PM
18 Yrs/130 Yrs Languages: Spanish LA Forgia, Anthony MD
Hoboken University Medical M-F 9:00 AM - 5:00 PM Oyem, Kingsley ARNP
Center Provider ID: 805219
Jersey City Medical Center Ibrahim, Syed MD Gender: Male Provider ID: 1563806
Trinitas Regional Medical Cent Provider ID: 1719284 Gender: Male
Mount Carmel Guild
Languages: Arabic Gender: Male Behavioral Healt Barnabas Health Medical
M-F 9:00 AM - 5:00 PM S T Ibrahim Medical PC 2201 Bergenline Ave Group South
1815 John F Kennedy Blvd Union City, NJ 07087 395 Grand St
Hadjiesmaeiloo, Bahar MD Jersey City, NJ 07305 (201) 558-3700 Jersey City, NJ 07302
(631) 943-6104 Fax: (973) 596-4030 (201) 915-2410
Provider ID: 1631047 Fax: (201) 336-3637 00 Yrs/130 Yrs Fax: (201) 915-2411
Gender: Female 00 Yrs/130 Yrs M 9:00 AM - 6:00 PM 00 Yrs/130 Yrs
Prohealth Care Associates of Clara Maass Medical Center M-F 8:00 AM - 5:00 PM
New Je M-F 8:00 AM - 5:00 PM LA Monaca, Anthony MD
1425 Bloomfield St Patel, Narendra MD
Hoboken, NJ 07030 Iskandarani, Nimer MD Provider ID: 1430575
(201) 293-0976 Provider ID: 1721520
Gender: Male
Fax: (201) 861-0941 Provider ID: 1436374 Gender: Male
Barnabas Health Medical
00 Yrs/130 Yrs Gender: Male Group South Barnabas Health Medical
M-F 9:00 AM - 5:00 PM Barnabas Health Medical 395 Grand St Fl 2 Group PC
Group South Jersey City, NJ 07302 355 Grand St
Hadjiesmaeiloo, Bahar MD 395 Grand St Fl 2 (201) 915-2000 Jersey City, NJ 07302
Jersey City, NJ 07302 Fax: (201) 915-2837 (201) 915-2600
Provider ID: 1631047 (201) 915-2000 00 Yrs/130 Yrs Fax: (732) 557-7071
Gender: Female Fax: (201) 915-2837 Jersey City Medical Center 18 Yrs/110 Yrs
Prohealth Care Associates of 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Jersey City Medical Center
New Je Clara Maass Medical Center M-F 8:00 AM - 5:00 PM
225 60th St M-F 9:00 AM - 5:00 PM Lukac, Juraj MD
West New York, NJ 07093 Provider ID: 1430925 Pedroso, Maura MD
(201) 293-0976 Jamil, Imran MD Gender: Male Provider ID: 946180
Fax: (201) 293-0977 Provider ID: 1557344 Barnabas Health Medical Gender: Female
00 Yrs/130 Yrs Gender: Male Group South Bayonne Medical Center
M-F 9:00 AM - 5:00 PM Barnabas Health Medical 355 Grand St 29 E 29th St
Group South Jersey City, NJ 07302 Bayonne, NJ 07002
Hadjiesmaeiloo, Bahar MD 395 Grand St (800) 300-0628 (201) 858-5000
Jersey City, NJ 07302 02 Yrs/130 Yrs Fax: (201) 858-7322
Provider ID: 1631047 (800) 300-0628 Jersey City Medical Center 18 Yrs/130 Yrs
Gender: Female Fax: (732) 914-3854 M-F 9:00 AM - 5:00 PM Hoboken University Medical
Prohealth Care Associates of 00 Yrs/130 Yrs Center
New Je Christ Hospital Languages: Spanish
6045 Kennedy Blvd M-F 9:00 AM - 5:00 PM MT 9:00 AM - 5:00 PM
North Bergen, NJ 07047
(201) 293-0976
Fax: (201) 293-0977
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Psychiatry - cont. Sanchez, Daniel MD Sanusi, Akinlabi MD Shanmugham, Revathi MD
Provider ID: 946681 Provider ID: 1431138
Pedroso, Maura MD Gender: Male Gender: Male Provider ID: 946202
Provider ID: 946180 N Jersey Psychiatry Inc Barnabas Health Medical Gender: Male
Gender: Female 5912 Palisade Ave Group South Hoboken Univ Medical
Community Mental Health West New York, NJ 07093 355 Grand St Center
506 3rd St (201) 861-0077 Jersey City, NJ 07302 308 Willow Ave
Hoboken, NJ 07030 Fax: (201) 861-9595 (800) 300-0628 Hoboken, NJ 07030
(201) 792-8200 05 Yrs/130 Yrs Fax: (201) 915-2415 (301) 222-5200
Fax: (201) 792-8452 Palisades Medical Center 00 Yrs/130 Yrs 18 Yrs/130 Yrs
18 Yrs/130 Yrs Languages: Spanish Jersey City Medical Center Bayonne Medical Center
Hoboken University Medical M-TH 3:30 AM - 7:30 PM M-F 9:00 AM - 5:00 PM Hoboken University Medical
Center F 3:30 AM - 5:30 PM Center
Languages: Spanish Sat 11:00 AM - 3:00 PM Scimone, Anthony MD Languages: Spanish
M 6:00 AM - 8:00 PM Provider ID: 1017039 MT 9:00 AM - 5:00 PM
Sandoval Castellanos, Oscar Gender: Male
Pedroso, Maura MD MD Mount Carmel Guild Wang, Wei MD
Provider ID: 946180 Provider ID: 653107 Behavioral Healt Provider ID: 1101734
Gender: Female Gender: Male 2201 Bergenline Ave Gender: Female
Hoboken Univ Medical O.E. Sandoval MD PC Union City, NJ 07087 North Hudson Community
Center 569 35th St (201) 558-3700 Action Corpo
308 Willow Ave Union City, NJ 07087 Fax: (201) 392-5048 1116 43rd St
Hoboken, NJ 07030 (201) 866-6970 00 Yrs/130 Yrs North Bergen, NJ 07047
(201) 418-1000 Fax: (201) 866-7144 Newton Medical Center (201) 330-2632
18 Yrs/130 Yrs 18 Yrs/80 Yrs MT 8:30 AM - 5:00 PM Fax: (201) 330-2638
Hoboken University Medical M-F 10:00 AM - 6:00 PM WTHF 8:30 AM - 6:00 PM 00 Yrs/130 Yrs
Center Englewood Hospital and
Languages: Spanish Santos, Frank MD Shanmugham, Revathi MD Medical Center
M 6:00 AM - 8:00 PM Provider ID: 445651 MTTHF 8:30 AM - 5:00 PM
Gender: Male Provider ID: 946202 W 8:30 AM - 7:00 PM
Pedroso, Maura MD Palisades Medical Associates, Gender: Male
Provider ID: 946311 LLC Bayonne Medical Center Wang, Wei MD
Gender: Female 7600 River Rd 29 E 29th St Provider ID: 1101734
433 57th St North Bergen, NJ 07047 Bayonne, NJ 07002 Gender: Female
West New York, NJ 07093 (201) 941-4405 (201) 858-5000 North Hudson Community
(201) 884-1005 Fax: (201) 941-4408 Fax: (201) 858-7322 Action Corpo
18 Yrs/130 Yrs 00 Yrs/130 Yrs 18 Yrs/130 Yrs 2500 Kennedy Blvd
Hoboken University Medical Palisades Medical Center Bayonne Medical Center Union City, NJ 07087
Center Languages: Spanish Hoboken University Medical (201) 553-7888
Languages: Spanish M-F 8:00 AM - 5:00 PM Center Fax: (201) 553-7885
M 9:00 AM - 5:00 PM Languages: Spanish 00 Yrs/130 Yrs
Santos, Frank MD M-F 9:00 AM - 5:00 PM Englewood Hospital and
Pedroso, Maura MD Provider ID: 797956 Medical Center
Provider ID: 946311 Gender: Male Shanmugham, Revathi MD MTWFSat 8:30 AM - 5:00 PM
Gender: Female North Hudson Community TH 8:30 AM - 7:00 PM
516 51st St Action Corpo Provider ID: 946202
West New York, NJ 07093 5301 Broadway Gender: Male
(201) 884-1005 West New York, NJ 07093 Community Mental Health
18 Yrs/130 Yrs (201) 866-9320 506 3rd St
Hoboken University Medical Fax: (201) 866-7588 Hoboken, NJ 07030
Center 00 Yrs/130 Yrs (201) 418-1000
Languages: Spanish Palisades Medical Center 18 Yrs/130 Yrs
M-TH 9:00 AM - 5:00 PM Languages: Spanish Bayonne Medical Center
M 3:00 AM - 6:00 PM Hoboken University Medical
TW 3:00 AM - 8:00 PM Center
TH 9:00 AM - 12:30 PM Languages: Spanish
MT 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 487
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Psychiatry - cont. Psychology Parra, Guillermo PHD Trobliger, Robert PHD
Provider ID: 1255711 Provider ID: 808297
Wang, Wei MD Demeyer, Joseph PHD Gender: Male Gender: Male
Provider ID: 1101734 Provider ID: 912104 North Hudson Community Epilepsy and Neurophysiology
Gender: Female Gender: Male Action Corp Medica
North Hudson Community Joseph A De Meyer PHD PC 2500 Kennedy Blvd 377 Jersey Ave Ste 440
Action Corpo 223 Bloomfield St Ste 113 Union City, NJ 07087 Jersey City, NJ 07302
324 Palisade Ave Hoboken, NJ 07030 (201) 553-7888 (201) 343-6670
Jersey City, NJ 07307 (201) 222-9126 Fax: (201) 553-7885 00 Yrs/130 Yrs
(201) 459-8888 Fax: (908) 756-2283 00 Yrs/130 Yrs
Fax: (201) 239-0318 00 Yrs/130 Yrs Englewood Hospital and Rehabilitation Facility
00 Yrs/130 Yrs AHS Hospital Medical Center
M-F 8:30 AM - 5:00 PM Audslp Diagnostic and
Englewood Hospital and Languages: French, German,
Medical Center Rehabilitation Cli
Dutch
MTWFSat 8:30 AM - 5:00 PM M-F 9:00 AM - 8:00 PM Parra, Guillermo PHD Provider ID: 987701
TH 8:30 AM - 7:00 PM Sat 9:00 AM - 2:00 PM Provider ID: 1255711 Audslp Diagnostic and
Gender: Male Rehabilitatio
Wang, Wei MD Griswold, Germaine PHD North Hudson Community 1825 JFK Blvd Ste 103
Provider ID: 1101734 Action Corp Jersey City, NJ 07305
Gender: Female 324 Palisade Ave (551) 225-3238
Provider ID: 673721
North Hudson Community Jersey City, NJ 07307 Fax: (551) 225-3255
Gender: Female
Action Corpo (201) 459-8888 00 Yrs/130 Yrs
North Hudson Community
5301 Broadway Action Corpo Fax: (201) 239-0318 M-F 9:00 AM - 5:00 PM
West New York, NJ 07093 5301 Broadway 00 Yrs/130 Yrs
(201) 866-9320 Englewood Hospital and Baldwin Physical Therapy
West New York, NJ 07093
Fax: (201) 866-7588 Medical Center Provider ID: 492029
(201) 866-9320
00 Yrs/130 Yrs M-F 8:30 AM - 5:00 PM 8 Baldwin Ave 1st Fl
Fax: (201) 866-7588
Englewood Hospital and Jersey City, NJ 07304
00 Yrs/130 Yrs
Medical Center Parra, Guillermo PHD (201) 451-9900
Palisades Medical Center
M-W 8:30 AM - 7:00 PM Provider ID: 1255711 Fax: (201) 451-3900
M-TH 8:30 AM - 7:00 PM
TH 8:30 AM - 0:70 PM Gender: Male 18 Yrs/130 Yrs
FSat 8:30 AM - 5:00 PM
FSat 8:30 AM - 5:00 PM North Hudson Community M-W 3:00 AM - 7:00 PM
Meza, Teissy MD Action Corp TH 8:00 AM - 12:00 PM
Wang, Wei MD Provider ID: 976425 5301 Broadway
Provider ID: 1101734 West New York, NJ 07093 Careplus Rehab LLC
Gender: Female
Gender: Female (201) 866-9320 Provider ID: 910477
St Joseph Regional Med CT
North Hudson Community Fax: (201) 866-7588 300 Broadway
158 14th St
Action Corpo 00 Yrs/130 Yrs Bayonne, NJ 07002
Hoboken, NJ 07030
714 31st St Englewood Hospital and (201) 864-0400
(973) 754-5780
Union City, NJ 07087 Medical Center Fax: (201) 864-6834
12 Yrs/130 Yrs
(201) 863-7077 M-TH 8:30 AM - 7:00 PM 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM
Fax: (201) 863-1470 F 8:30 AM - 5:00 PM Languages: Spanish, French,
00 Yrs/130 Yrs Parra, Guillermo PHD Sat 8:30 AM - 3:00 PM Creole, Hindi
Englewood Hospital and M-F 9:00 AM - 5:00 PM
Provider ID: 1255711
Medical Center Parra, Guillermo PHD
Gender: Male Careplus Rehab LLC
MTWFSat 8:30 AM - 5:00 PM Provider ID: 1255711
North Hudson Community
TH 8:30 AM - 7:00 PM Gender: Male Provider ID: 910477
Action Corp
North Hudson Community 3610 Palisade Ave
1116 43rd St
Action Corp Union City, NJ 07087
North Bergen, NJ 07047
714 31st St (201) 864-0400
(201) 330-2632
Union City, NJ 07087 Fax: (201) 864-6834
Fax: (201) 330-2638
(201) 863-7077 00 Yrs/130 Yrs
00 Yrs/130 Yrs
Fax: (201) 863-1470 Languages: Spanish, French,
Englewood Hospital and
00 Yrs/130 Yrs Creole, Hindi
Medical Center
Englewood Hospital and M-F 9:00 AM - 5:00 PM
M-TH 8:30 AM - 7:00 PM
Medical Center
F 8:30 AM - 5:00 PM
MTTHF 8:30 AM - 5:00 PM
W 8:30 AM - 7:00 PM

www.wellcare.com/New-Jersey | 488
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Rehabilitation Facility - Kessler Institute For Respite Care Services Bayada Home Healthcare Inc
cont. Rehabilitation
Provider ID: 465894 Always Home Care Provider ID: 945568
Careplus Rehab LLC Kessler Rehabilitation Center Provider ID: 944544 Bayada Home Health Care, Inc
Provider ID: 910477 4100 Park Ave Ste 8B 5700 Bergenline Ave 3rd 123 Liberty View Dr
49 Morton Pl Ste 51 Weehawken, NJ 07086 West New York, NJ 07093 Jersey City, NJ 07302
Jersey City, NJ 07305 (201) 271-0800 (201) 869-0880 (201) 339-1330
(201) 209-0001 Fax: (201) 271-0808 Fax: (201) 869-0081 Fax: (201) 339-1396
Fax: (201) 209-1333 16 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/130 Yrs
00 Yrs/130 Yrs Languages: Spanish M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish, French, MT 8:00 AM - 8:00 PM
Creole, Hindi W 9:00 AM - 8:00 PM Bayada Home Healthcare Inc Care Finders Total Care LLC
M-F 9:00 AM - 6:00 PM TH 8:00 AM - 1:00 PM
Provider ID: 945568 Provider ID: 964946
Kessler Institute For Kessler Institute For 150 Warren St 443 60th St
Rehabilitation Rehabilitation Jersey City, NJ 07302 West New York, NJ 07093
Provider ID: 465894 Provider ID: 465894 (800) 305-3000 (201) 854-5557
Kessler Rehabilitation Center Kessler Rehabilitation Center Fax: (800) 705-1429 Fax: (201) 854-7515
200 Washington St Fl 3 620 Essex St 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Hoboken, NJ 07030 Harrison, NJ 07029 M-F 9:00 AM - 5:00 PM Languages: Spanish, Russian,
(201) 876-5200 (973) 483-6159 Polish
Fax: (201) 876-5205 Fax: (973) 483-6409 Bayada Home Healthcare Inc M-F 9:00 AM - 5:00 PM
16 Yrs/130 Yrs 16 Yrs/130 Yrs
Languages: Spanish Languages: Spanish Provider ID: 945568 Care Finders Total Care LLC
MT 7:00 AM - 8:00 PM MT 7:00 AM - 8:00 PM 299 Grand St Unit 116&118
W 12:00 AM - 8:00 PM W 10:00 AM - 8:00 PM Jersey City, NJ 07302 Provider ID: 964946
TH 7:00 AM - 4:00 PM TH 7:00 AM - 4:00 PM (800) 305-3000 591 Summit Ave
Fax: (800) 705-1429 Jersey City, NJ 07306
Kessler Institute For Kessler Institute For
00 Yrs/130 Yrs (201) 386-0500
Rehabilitation Rehabilitation
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Provider ID: 465894 Provider ID: 465894 Languages: Spanish, Russian,
Kessler Rehabilitation Center Kessler Rehabilitation Center Bayada Home Healthcare Inc Polish
21-29 W. The Forum Fitness 6400 River Rd M-F 9:00 AM - 5:00 PM
Club North Bergen, NJ 07047 Provider ID: 945568
Bayonne, NJ 07002 (201) 868-8899 Chas Home Care
473 Broadway Bayonne Pl
(201) 339-4160 Fax: (201) 868-8186 Provider ID: 990058
Bayonne, NJ 07002
Fax: (201) 338-4592 16 Yrs/130 Yrs 1169 Kennedy Blvd
(973) 909-5150
16 Yrs/130 Yrs Languages: Spanish Bayonne, NJ 07002
Fax: (973) 909-5155
Languages: Spanish MWTH 8:00 AM - 8:00 PM (201) 339-3506
00 Yrs/130 Yrs
M-W 7:00 AM - 8:00 PM T 8:00 AM - 12:00 PM Fax: (201) 339-3508
M-F 9:00 AM - 5:00 PM
F 8:00 AM - 1:00 PM 00 Yrs/130 Yrs
Kessler Institute For Bayada Home Healthcare Inc Languages: Spanish
Rehabilitation Kessler Institute For
M-F 9:00 AM - 5:00 PM
Provider ID: 465894 Rehabilitation
Kessler Rehabilitation Center Provider ID: 465894 Provider ID: 945568
2854 John F Kennedy Blvd Kessler Rehabilitation Center Bayada Home Health Care Inc Visiting Homemaker Service
of Hudson Cou
Jersey City, NJ 07306 654 Broadway 3196 Kennedy Blvd
Union City, NJ 07087 Provider ID: 945562
(201) 792-2582 Bayonne, NJ 07002 Visiting Homemaker Service
Fax: (201) 656-5925 (201) 339-1257 (973) 909-5150
of Hudso
16 Yrs/130 Yrs Fax: (201) 339-1524 Fax: (973) 909-5155
586 Newark Ave
Languages: Spanish 16 Yrs/130 Yrs 00 Yrs/130 Yrs
Jersey City, NJ 07306
MWTH 7:00 AM - 8:00 PM Languages: Spanish M-F 9:00 AM - 5:00 PM
(201) 656-6001
T 8:00 AM - 8:00 PM MW 7:00 AM - 8:00 PM Fax: (201) 798-0990
F 7:00 AM - 3:00 PM TF 7:00 AM - 3:00 PM 00 Yrs/130 Yrs
TH 7:00 AM - 7:00 PM Languages: Spanish
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 489
Updated: 11/26/2018

Managed Long Term Services And Supports


Hudson
Skilled Nursing Facility Hudsonview Care & Rehab The Harborage
Center Provider ID: 479424
Alaris Health At Castle Hill Provider ID: 432802 7600 River Rd
North Bergen Healthcare LLC North Bergen, NJ 07047
Provider ID: 452109 DBA Hud (201) 854-5400
Castle Hill Sub Specialty: Respite Care 00 Yrs/130 Yrs
615 23rd St Castle Hill Health 9020 Wall St Palisades Medical Center
Care Center North Bergen, NJ 07047 Languages: Spanish
Union City, NJ 07087 (201) 861-4040
(201) 348-0818 Fax: (201) 869-8842 West Hudson Sub Acute Care
Fax: (201) 348-0783 18 Yrs/110 Yrs Center LLC
00 Yrs/130 Yrs Provider ID: 1044341
Manhattanview Operations West Hudson Post Acute
Alaris Health At Hamilton LLC 206 Bergen Ave
Park Provider ID: 961092 Kearny, NJ 07032
Provider ID: 441072 Manhattanview Healthcare (201) 955-7067
Hamilton Park Care Center Center Fax: (201) 955-7749
525 Monmouth St Ste Ste 535 3200 Hudson Ave 18 Yrs/110 Yrs
Jersey City, NJ 07302 Union City, NJ 07087 Languages: Spanish
(201) 239-8504 (201) 325-8400
Fax: (201) 239-8586 Fax: (201) 325-8412
00 Yrs/130 Yrs 00 Yrs/130 Yrs

Belgrove Post Acute Care Newport Nursing and Rehab


Center
Provider ID: 961086 Provider ID: 960528
195 Belgrove Dr 198 Stevens Ave
Kearny, NJ 07032 Jersey City, NJ 07303
(973) 844-8400 (201) 451-9000
Fax: (973) 844-4898 Fax: (201) 451-6609
00 Yrs/130 Yrs 00 Yrs/130 Yrs

Harborview Healthcare Palisade Operations LLC


Center
Provider ID: 502163 Provider ID: 960798
Harborview Health Care Palisade Nursing Center
Center 6819 Blvd E
178-198 Ogden Ave Guttenberg, NJ 07093
Jersey City, NJ 07307 (201) 868-3600
(718) 567-0400 Fax: (201) 868-3013
Fax: (718) 567-0600 00 Yrs/130 Yrs
00 Yrs/130 Yrs
Saint Anns Home For The Age
Hudson Hills Senior Living LLC
Provider ID: 983343
Provider ID: 1642150 198 Bergen Ave
3161 Kennedy Blvd Jersey City, NJ 07305
North Bergen, NJ 07047 (201) 433-0950
(201) 867-3585 Fax: (201) 433-6554
Fax: (201) 758-5014 00 Yrs/130 Yrs
55 Yrs/100 Yrs

www.wellcare.com/New-Jersey | 490
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Adult Day Care MI Casa ES Su Casa Inc 2nd Home Paterson Assisted Living Services
Operations LLC
A Plus Adult Medical Day Provider ID: 978478 Provider ID: 977055 Brookdale Wayne
Care Center 911 E 23rd St 100 Hamilton Plz Provider ID: 1197886
Provider ID: 956862 Paterson, NJ 07513 Paterson, NJ 07505 820 Hamburg Tpke
A Plus Adult Medical Day Care (973) 345-4300 (973) 523-3179 Wayne, NJ 07470
Center Fax: (973) 345-8811 Fax: (973) 523-3482 (973) 942-4800
575 E 18th St 18 Yrs/130 Yrs 18 Yrs/130 Yrs 18 Yrs/130 Yrs
Paterson, NJ 07514 Languages: Spanish M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
(973) 977-9100 M-F 7:00 AM - 6:00 PM
Fax: (973) 977-2023 Buckingham Adult Medical Chestnut Hill Residence
00 Yrs/130 Yrs My Day Home LLC Daycare Center Assisted Living
M-F 9:00 AM - 5:00 PM Provider ID: 976100 Provider ID: 975135 Provider ID: 1006766
120 Commerce Way 316 N 6th St Chestnut Hill Residence
Diamond Years Adult Medical Totowa, NJ 07512 Prospect Park, NJ 07508 Assisted Li
Day Care (973) 904-3875 360 Chestnut St
(973) 890-5888
Provider ID: 1442609 Fax: (973) 890-2755 Fax: (973) 904-1477 Passaic, NJ 07055
Diamond Years Adult Medical 00 Yrs/130 Yrs 00 Yrs/130 Yrs (973) 777-7800
Day Car M-F 9:00 AM - 5:00 PM Fax: (973) 249-0623
Languages: Spanish, Russian,
360 W Clinton St Chinese, Portuguese 00 Yrs/130 Yrs
Haledon, NJ 07508 MTWTHFSatSun 7:00 AM - Care Factory Inc
(973) 942-4111 7:00 PM Provider ID: 1245736 The Chelsea At Bald Eagle
Fax: (973) 942-4114 397 Haledon Ave Lower Level
18 Yrs/130 Yrs Sweet Home Adult Medical 1 Provider ID: 995436
Languages: Spanish, Russian, Day Care Haledon, NJ 07508 Bald Eagle Senior Living LLC
Tagalog Provider ID: 975385 (862) 257-3323 DBA Th
M-F 7:30 AM - 6:00 PM 45 E Madison Ave Fax: (862) 239-1830 197 Cahill Cross Rd
Clifton, NJ 07011 18 Yrs/110 Yrs West Milford, NJ 07480
Golden Years Adult Day Care Languages: Spanish, Arabic
(973) 478-4200 (973) 506-8863
LLC MTWTHFSat 8:00 AM - 8:00
Fax: (973) 478-2018 Fax: (973) 657-1657
Provider ID: 969839 21 Yrs/130 Yrs PM 00 Yrs/130 Yrs
Golden Years Adult Day Care Languages: Spanish, Gujarati
Center Straight and Narrow Inc Van Dyks Senior Residence of
M-F 9:00 AM - 5:00 PM
1225 McBride Ave Hawthorne L
Woodland Park, NJ 07424 Xanadu Amdc Provider ID: 1289885 Provider ID: 990572
(973) 782-4112 Provider ID: 971091 182 First St 644 Goffle Rd
Fax: (973) 782-4116 615 Main Ave Fl 3 Passaic, NJ 07055 Hawthorne, NJ 07506
00 Yrs/130 Yrs Passaic, NJ 07055 (973) 405-6675 (973) 636-7000
M-F 9:00 AM - 5:00 PM (973) 365-0079 Fax: (973) 405-6887 Fax: (973) 304-0653
Fax: (973) 365-1772 21 Yrs/130 Yrs 00 Yrs/130 Yrs
Happy Home Adult Day Care
00 Yrs/130 Yrs M-F 8:30 AM - 2:30 PM
Languages: Spanish Audiology
Provider ID: 1102276 M-F 9:00 AM - 5:00 PM The New Caring of Prospect
Freehold Healthcare LLC Park Biondi, Pat AUD
680 Broadway Ste 601 Adult Medical Day Care Provider ID: 977101 Provider ID: TPV03918-01
Paterson, NJ 07514 262 N 10th St Gender: Male
(862) 336-1701 2nd Home Passaic LLC Prospect Park, NJ 07508 Audiology Hearing Aid
Fax: (862) 336-1714 Provider ID: 1014514 (973) 904-9042 Solutons
60 Yrs/130 Yrs 2nd Home Passaic Fax: (973) 904-9046 1115 Clifton Ave Ste 102
M-F 8:00 AM - 6:15 PM 63 Grove St 18 Yrs/130 Yrs Clifton, NJ 07013
Passaic, NJ 07055 M-F 9:00 AM - 5:00 PM (973) 777-5335
(973) 779-4228 Fax: (973) 777-3348
Fax: (973) 779-4238 21 Yrs/99 Yrs
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
Languages: Spanish
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 491
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Audiology - cont. Behavioral Health Chore/Housekeeping Miller, Suzanne CSW
Counseling Services Provider ID: 1456741
Biondi, Pat AUD Gender: Female
Provider ID: TPV03918-02 Goer, Joanne LPC Loving Care Agency Inc Jewish Family Service and
Gender: Male Provider ID: 1005803 Chilrens
Audiology Hearing Aid Gender: Female Provider ID: 1008554 925 Allwood Rd
Solutions New Bridge Services Inc 2 Brighton Rd Ste 402 Clifton, NJ 07012
525 Wanaque Ave Ste 101 105 Hamburg Tpke Clifton, NJ 07012 (973) 777-7638
Pompton Lakes, NJ 07442 Pompton Lakes, NJ 07442 (201) 939-4300 Fax: (973) 777-9311
(973) 777-0011 (973) 831-0613 Fax: (201) 939-4328 00 Yrs/130 Yrs
Fax: (973) 777-3348 Fax: (973) 831-0957 00 Yrs/130 Yrs Languages: German
21 Yrs/99 Yrs 21 Yrs/130 Yrs Languages: Spanish, Russian, M-TH 9:00 AM - 9:00 PM
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Polish, Ukrainian F 9:00 AM - 3:00 PM
M-F 9:00 AM - 5:00 PM
Egarian, April AUD Slavin, Timothy LMFT Pomrantz, Shira LCSW
Provider ID: TPV17857-01 Provider ID: 1032818 Clinical Social Work Provider ID: 1463068
Gender: Female Gender: Male Gender: Female
Audiology Hearing Aid Newbridge Services Inc East, Esther CSW Jewish Family Service and
Solutons 105 Hamburg Tpke Provider ID: 1467817 Chilrens
1115 Clifton Ave Ste 102 Pompton Lakes, NJ 07442 Gender: Female 110 Main Ave
Clifton, NJ 07013 (973) 831-0613 Jewish Family Service and Passaic, NJ 07055
(973) 777-5335 Fax: (973) 831-0957 Chilrens (973) 777-7638
Fax: (973) 777-3348 00 Yrs/130 Yrs 110 Main Ave 00 Yrs/130 Yrs
21 Yrs/99 Yrs M-TH 9:00 AM - 9:00 PM Passaic, NJ 07055 Languages: Spanish
M-F 9:00 AM - 5:00 PM F 9:00 AM - 5:00 PM (973) 777-7638 M-F 8:00 AM - 5:00 PM
00 Yrs/130 Yrs
Gromack, Gary AUD Wasser Malmud, Andrea Languages: Hebrew Pomrantz, Shira LCSW
Provider ID: TPV16537-02 LCSW M-F 8:00 AM - 5:00 PM Provider ID: 1463068
Gender: Male Provider ID: 1004584 Gender: Female
Total Hearing Care Gender: Female East, Esther CSW Jewish Family Service and
601 Hamburg Tpke Newbridge Services Inc Provider ID: 1467817 Chilrens
Wayne, NJ 07470 105 Hamburg Tpke Gender: Female 925 Allwood Rd
(862) 257-1370 Pompton Lakes, NJ 07442 Jewish Family Service and Clifton, NJ 07012
Fax: (862) 257-1371 (973) 686-2200 Chilrens (973) 777-7638
21 Yrs/99 Yrs 18 Yrs/130 Yrs 925 Allwood Rd Fax: (973) 777-9311
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Clifton, NJ 07012 00 Yrs/130 Yrs
(973) 777-7638 Languages: Spanish
Witzmann, Christopher AUD Behavioral Health Facility Fax: (973) 777-9311 M-TH 9:00 AM - 9:00 PM
00 Yrs/130 Yrs F 9:00 AM - 3:00 PM
Provider ID: TPV05496-03 Adult Family Health Services Languages: Hebrew
Gender: Male LLC M-F 9:00 AM - 9:00 PM Ricklis, Pearl LCSW
Total Hearing Care Provider ID: 1488528 Sat 10:00 AM - 4:00 PM Provider ID: 1464719
601 Hamburg Tpke 53 Orchard St Gender: Female
Wayne, NJ 07470 Clifton, NJ 07013 Miller, Suzanne CSW 110 Main Ave
(862) 257-1370 (973) 773-7600 Provider ID: 1456741 Passaic, NJ 07055
Fax: (862) 257-1371 Fax: (973) 773-7011 Gender: Female (973) 777-7638
21 Yrs/99 Yrs 18 Yrs/130 Yrs 110 Main Ave 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM M-F 8:00 AM - 4:00 PM Passaic, NJ 07055 M-F 8:00 AM - 5:00 PM
(973) 777-7638
Turning Point Inc 00 Yrs/130 Yrs
Provider ID: 944854 Languages: German
680 Broadway M-F 8:00 AM - 5:00 PM
Paterson, NJ 07514
(973) 239-9400
Fax: (973) 857-4407
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 492
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Clinical Social Work - Durable Medical Carmens Pharmacy and Integra Partners LLC
cont. Equipment Medical Supplies I Provider ID: 389627
Provider ID: 513714 Pharmacy Plus & Surgical
Ricklis, Pearl LCSW 4 Community Pharmacy LLC Carmens Pharmacy and Supplies
Provider ID: 1464719 Medical Suppl 900 Main St
Gender: Female Provider ID: 1007398 418 River St Paterson, NJ 07503
Jewish Family Service and 900 Main St Paterson, NJ 07524 (888) 700-5004
Chilrens Paterson, NJ 07503 (973) 279-0200 Fax: (888) 700-7313
925 Allwood Rd (862) 257-9990 Fax: (973) 279-7200 00 Yrs/130 Yrs
Clifton, NJ 07012 Fax: (862) 257-9991 00 Yrs/130 Yrs Languages: Spanish, Hebrew
(973) 777-7638 00 Yrs/130 Yrs Languages: Spanish, Italian M-F 9:00 AM - 9:00 PM
Fax: (973) 777-9311 Languages: Spanish, Hindi, M-F 9:00 AM - 7:30 PM Sat 9:00 AM - 6:00 PM
00 Yrs/130 Yrs Arabic Sat 9:00 AM - 6:00 PM Sun 10:00 AM - 5:00 PM
MTTH 9:00 AM - 9:00 PM M-F 9:00 AM - 9:00 PM
W 9:00 AM - 90:0 PM Integra Partners LLC J & J Medical Supply LLC
Sat 9:00 AM - 5:00 PM
F 9:00 AM - 1:00 PM Sun 10:00 AM - 6:00 PM Provider ID: 389627
Advance Medical Supply Provider ID: 460160
Stein, Eileen CSW Beneficial Medicalsupply 12 Legion Place J J Medical Supply LLC
Provider ID: 1457715 Wayne, NJ 07470 669 Broadway Gr Fl
Gender: Female Provider ID: 945828 (888) 700-5004 Paterson, NJ 07514
Jewish Family Service and Beneficial Medical Supply Fax: (888) 700-7313 (973) 553-2405
Chilrens 361 Passaic St 00 Yrs/130 Yrs Fax: (973) 653-9027
110 Main Ave Passaic, NJ 07055 Languages: Spanish, Hebrew 00 Yrs/130 Yrs
Passaic, NJ 07055 (973) 773-4566 M-TH 11:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
(973) 777-7638 Fax: (973) 473-8568 F 10:00 AM - 5:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs New Lucys Pharmacy Inc
M-F 8:00 AM - 5:00 PM Integra Partners LLC
Languages: Spanish, Russian
Provider ID: 389627 Provider ID: 946789
M-F 9:00 AM - 5:00 PM
Stein, Eileen CSW Best Care Medical Supply Co 286-288 Monroe St
Provider ID: 1457715 Bergen Passaic Respiratory Inc Passaic, NJ 07055
Gender: Female Care Inc 61 Lakeview Ave (973) 778-4495
Jewish Family Service and Provider ID: 452396 Clifton, NJ 07011 Fax: (973) 778-2746
Chilrens 933 Van Houten Ave (888) 700-5004 00 Yrs/130 Yrs
925 Allwood Rd Clifton, NJ 07013 Fax: (888) 700-7313 M-F 10:00 AM - 8:00 PM
Clifton, NJ 07012 (973) 773-7171 00 Yrs/130 Yrs Sat 10:00 AM - 6:00 PM
(973) 777-7638 Fax: (973) 773-7115 Languages: Spanish, Hebrew Sun 11:00 AM - 5:00 PM
Fax: (973) 777-9311 00 Yrs/130 Yrs M-F 9:00 AM - 5:30 PM
00 Yrs/130 Yrs Languages: Spanish, Russian, Park Ave Drugs LLC
M-TH 9:00 AM - 9:00 PM Integra Partners LLC
Polish, Slovak Provider ID: 993918
F 9:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 389627 107 Park Ave
Sat 10:00 AM - 4:00 PM Carmen's Pharmacy Paterson, NJ 07501
Best Care Medical Supply 418 River St (973) 928-8888
Paterson, NJ 07524 Fax: (973) 742-0806
Provider ID: 459311 (888) 700-5004 00 Yrs/130 Yrs
61 Lakeview Ave Fax: (888) 700-7313 Languages: Spanish, Arabic
Clifton, NJ 07011 00 Yrs/130 Yrs M-F 9:00 AM - 7:00 PM
(973) 478-8300 Languages: Spanish, Hebrew Sat 10:00 AM - 5:00 PM
Fax: (973) 478-0804 M-F 9:00 AM - 7:30 PM Sun 10:00 AM - 2:00 PM
00 Yrs/130 Yrs Sat 9:00 AM - 4:00 PM
M-F 8:30 AM - 5:30 PM
Sat 9:00 AM - 3:00 PM

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Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Durable Medical Sheefa Pharmacy Alexander, Victoria DDS Butler, Thomas DMD
Equipment - cont. Provider ID: 525773 Provider ID: TPVP169355-05 Provider ID: TPVP152582-01
472 Clifton Ave Gender: Female Gender: Male
Passaic Community Pharmacy Clifton, NJ 07011 Pediatric Dentistry of St Josephs Hospital Medical
Inc (973) 772-7600 Paterson Center
Provider ID: 946004 Fax: (973) 772-7603 1 W Broadway 11 Getty Ave Bldg 275
Passaic Community Pharmacy 00 Yrs/130 Yrs Paterson, NJ 07505 Paterson, NJ 07503
339 Passaic St Languages: Spanish, Arabic, (973) 233-4931 (973) 754-4250
Passaic, NJ 07055 Turkish Fax: (973) 200-2240 Fax: (973) 754-3071
(973) 471-0160 M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 471-0110 Sat 9:00 AM - 1:00 PM Languages: Arabic Languages: Arabic
00 Yrs/130 Yrs M-F 10:00 AM - 5:00 PM M-F 9:00 AM - 3:00 PM
Languages: Spanish Wilpage Inc
M-F 10:00 AM - 8:00 PM Provider ID: 1111780 Asmar, Diane DMD Cao, Dao DDS
Sat 10:00 AM - 6:00 PM 146 Genevieve Ave Provider ID: TPVP169872-04 Provider ID: TPVP149246-02
Hawthorne, NJ 07506 Gender: Female Gender: Female
Plains Pharmacy (973) 423-4100 Paterson Dental St Josephs Hospital Medical
Provider ID: 944648 Fax: (973) 440-1833 1010 Main St Ste 6 Fl 2 Center
578 Valley Rd 00 Yrs/130 Yrs Paterson, NJ 07503 11 Getty Ave Bldg 275
Wayne, NJ 07470 M-F 9:00 AM - 5:00 PM (973) 225-9975 Paterson, NJ 07503
(973) 694-5522 Fax: (973) 225-9982 (973) 754-4250
Fax: (973) 694-1751 Endodontics 00 Yrs/99 Yrs Fax: (973) 754-3071
00 Yrs/130 Yrs Languages: Spanish 00 Yrs/99 Yrs
Languages: Portuguese Marsheh, Firas DDS M 8:00 AM - 6:00 PM Languages: Arabic
M-F 9:00 AM - 5:00 PM Provider ID: TPVP72423-34 TWTHF 9:00 AM - 6:00 PM M-F 9:00 AM - 3:00 PM
Gender: Male Sat 8:00 AM - 3:00 PM
Rivas Medical Supplies LLC Broadway Family Dental Castillo, Guillermo DMD
Passaic 15 Broadway 2nd Fl Barbagelata, Naldo DMD Provider ID: TPVP40937-02
Provider ID: 557330 Passaic, NJ 07055 Gender: Male
Rivas Medical Supplies (973) 955-2002 Provider ID: TPVP136166-03 Castillo Mulkay Dental
176 Jefferson St Ste 178 Fax: (973) 955-2007 Gender: Male 601 Main Ave
Passaic, NJ 07055 00 Yrs/99 Yrs Dental PM PC Passaic, NJ 07055
(973) 249-8989 Languages: Spanish 175 Market St 3rd Fl (973) 473-8188
Fax: (973) 249-0899 M-F 9:00 AM - 6:00 PM Paterson, NJ 07505 Fax: (973) 458-1965
00 Yrs/130 Yrs Sat 9:00 AM - 2:00 PM (973) 247-2580 00 Yrs/99 Yrs
Languages: Spanish Fax: (973) 247-2581 Languages: Spanish
M-F 10:00 AM - 7:00 PM General Dentistry 00 Yrs/99 Yrs M-F 9:00 AM - 2:00 PM
Sat 10:00 AM - 2:00 PM Languages: Spanish
Aboelsaad, Mohamed DDS M-TH 9:00 AM - 5:00 PM D'Alessio, Vince DDS
Rivas Medical Supplies LLC Provider ID: TPVP40687-01
Passaic Provider ID: TPVP166428-02 Batarseh, Michael DDS Gender: Male
Provider ID: 557330 Gender: Male Provider ID: TPVP40772-01 Dental Plaza PA
Rivas Medical Supplies Woodland Park Dental Center Gender: Male 503 Paulison Ave
599A Main Ave 482 Notch Rd Dr Michael Batarseh DDS Passaic, NJ 07055
Passaic, NJ 07055 Woodland Park, NJ 07424 1011 Main Ave (973) 471-4500
(973) 249-8989 (973) 256-3300 Clifton, NJ 07011 Fax: (973) 471-8575
Fax: (973) 249-0899 Fax: (973) 256-1655 (973) 473-8100 00 Yrs/99 Yrs
00 Yrs/130 Yrs 00 Yrs/99 Yrs Fax: (973) 473-8810 Languages: Spanish
Languages: Spanish Languages: Arabic 00 Yrs/99 Yrs M-F 9:00 AM - 5:30 PM
M-F 10:00 AM - 7:00 PM M-TH 9:00 AM - 8:00 PM Languages: Arabic Sat 9:00 AM - 12:30 PM
Sat 10:00 AM - 2:00 PM F 9:00 AM - 5:00 PM MT 10:00 AM - 5:00 PM
Sat 9:00 AM - 3:00 PM W 1:00 AM - 5:00 PM
TH 10:00 AM - 3:00 PM
F 10:00 AM - 1:00 PM

www.wellcare.com/New-Jersey | 494
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
General Dentistry - cont. Eldin, Khaled DDS Fils-Aime, Sheila DDS George, Titus DDS
Provider ID: TPVP33368-02 Provider ID: TPVP157616-01 Provider ID: TPVP124616-02
Desai, Usha DDS Gender: Male Gender: Female Gender: Male
Provider ID: TPVP39609-02 Woodland Park Dental Center Smile Central Passaic Paterson Community Health
Gender: Female 482 Notch Rd 625 Main Ave 3rd Fl Center Inc
Broadway Family Dental Woodland Park, NJ 07424 Passaic, NJ 07055 227 Broadway
15 Broadway 2nd Fl (973) 256-3300 (973) 574-1000 Paterson, NJ 07501
Passaic, NJ 07055 Fax: (973) 256-1655 Fax: (973) 574-1001 (973) 278-2600
(973) 955-2002 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 389-2197
Fax: (973) 955-2007 Languages: Arabic Languages: Arabic 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-TH 9:00 AM - 8:00 PM M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish F 9:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM
M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM Gowda, Anjana DDS
Sat 9:00 AM - 2:00 PM Fong-Soto, Tomas DDS Provider ID: TPVP139743-03
Elsaid, Sheren DMD Provider ID: TPVP41169-01 Gender: Female
Diamond, Marshall DMD Provider ID: TPVP159353-08 Gender: Female Paterson Dental
Provider ID: TPVP34305-02 Gender: Female Main Dental Associates LLC 1010 Main St Ste 6 Fl 2
Gender: Male Smile Central Passaic 1165 Main Ave Paterson, NJ 07503
Paterson Community Health 625 Main Ave 3rd Fl Clifton, NJ 07011 (973) 225-9975
Center Inc Passaic, NJ 07055 (973) 777-4525 Fax: (973) 225-9982
227 Broadway (973) 574-1000 Fax: (973) 955-0777 00 Yrs/99 Yrs
Paterson, NJ 07501 Fax: (973) 574-1001 00 Yrs/99 Yrs Languages: Spanish
(973) 278-2600 00 Yrs/99 Yrs Languages: Spanish, M 8:00 AM - 6:00 PM
Fax: (973) 389-2197 Languages: Arabic Cantonese TWTHF 9:00 AM - 6:00 PM
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM M-W 9:00 AM - 4:30 PM Sat 8:00 AM - 3:00 PM
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM
Fuentes, Peter DDS Gowda, Anjana DDS
Dobrin, Keith DMD Emele, Michael DDS Provider ID: TPVP41372-04 Provider ID: TPVP139743-05
Provider ID: TPVP130232-01 Provider ID: TPVP41143-02 Gender: Male Gender: Female
Gender: Male Gender: Male Paterson Dental Smile Central Passaic
Smile Central Passaic The Family Dental Care Group 1010 Main St Ste 6 Fl 2 625 Main Ave 3rd Fl
625 Main Ave 3rd Fl PC Paterson, NJ 07503 Passaic, NJ 07055
Passaic, NJ 07055 635 Broadway Bsmt (973) 225-9975 (973) 574-1000
(973) 574-1000 Paterson, NJ 07514 Fax: (973) 225-9982 Fax: (973) 574-1001
Fax: (973) 574-1001 (973) 247-1010 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs Fax: (973) 247-1011 Languages: Spanish Languages: Arabic
Languages: Arabic 00 Yrs/99 Yrs M 8:00 AM - 6:00 PM M-F 9:00 AM - 7:00 PM
M-F 9:00 AM - 7:00 PM Languages: Spanish TWTHF 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM
Sat 9:00 AM - 3:00 PM M-W 11:00 AM - 7:00 PM Sat 8:00 AM - 3:00 PM
Gross, Jerry DDS
Elachi, Mohamed DMD Feder-Stamler, Rebecca DMD George, Titus DDS Provider ID: TPVP148181-01
Provider ID: TPVP39377-01 Provider ID: TPVP124616-01 Gender: Male
Gender: Male Provider ID: TPVP152611-01 Gender: Male Jerry Gross DDS PA
Broadway Dental Care Gender: Female Paterson Community Health 152 Market St Ste 400
98 Broadway Ste A Smile Central Passaic Center Inc Paterson, NJ 07505
Paterson, NJ 07505 625 Main Ave 3rd Fl 32 Clinton St (973) 279-2311
(973) 278-0620 Passaic, NJ 07055 Paterson, NJ 07522 Fax: (973) 279-4623
Fax: (973) 278-2325 (973) 574-1000 (973) 790-6594 00 Yrs/99 Yrs
00 Yrs/99 Yrs Fax: (973) 574-1001 Fax: (973) 389-2197 Languages: Spanish
Languages: Arabic 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-TH 9:00 AM - 6:00 PM
M-TH 9:00 AM - 6:00 PM Languages: Arabic Languages: Spanish F 9:00 AM - 12:30 PM
F 9:00 AM - 4:00 PM M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 3:00 PM Sat 9:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 495
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
General Dentistry - cont. Hah, Chansoo DDS Kim, Vivian DDS Mandelbaum, Debra DDS
Provider ID: TPVP137373-01 Provider ID: TPVP169543-01
Grunstein, Robert DMD Gender: Male Gender: Female Provider ID: TPVP166346-01
Provider ID: TPVP39619-01 Smile Central Passaic Paterson Community Health Gender: Female
Gender: Male 625 Main Ave 3rd Fl Center Inc Smile Central Passaic
Smile Central Passaic Passaic, NJ 07055 32 Clinton St 625 Main Ave 3rd Fl
625 Main Ave 3rd Fl (973) 574-1000 Paterson, NJ 07522 Passaic, NJ 07055
Passaic, NJ 07055 Fax: (973) 574-1001 (973) 790-6594 (973) 574-1000
(973) 574-1000 00 Yrs/99 Yrs Fax: (973) 389-2197 Fax: (973) 574-1001
Fax: (973) 574-1001 Languages: Arabic 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Languages: Spanish Languages: Arabic
Languages: Arabic, Hebrew Sat 9:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 7:00 PM
M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM
Sat 9:00 AM - 3:00 PM Hanna, Sarah DDS Krieger, Matthew DMD
Provider ID: TPVP39426-02 Provider ID: TPVP41399-01 Martinez, Annie DDS
Guerrero, Estela DDS Gender: Female Gender: Male Provider ID: TPVP41645-01
Provider ID: TPVP39843-01 Broadway Family Dental Haledon Dental Center Gender: Female
Gender: Female 15 Broadway 2nd Fl 325 Belmont Ave Lafayette Family Dental Care
Passaic Family Dental Passaic, NJ 07055 Haledon, NJ 07508 LLC
218 Autumn St 2nd Fl (973) 955-2002 (973) 942-5515 540 Lafayette Ave
Passaic, NJ 07055 Fax: (973) 955-2007 Fax: (973) 942-5516 Hawthorne, NJ 07506
(973) 815-0053 00 Yrs/99 Yrs 00 Yrs/99 Yrs (973) 304-0700
Fax: (973) 815-0024 Languages: Spanish, Arabic Languages: Korean Fax: (973) 304-2013
00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M 9:00 AM - 5:00 PM 00 Yrs/99 Yrs
Languages: Spanish Sat 9:00 AM - 2:00 PM T 10:00 AM - 7:30 PM Languages: Spanish
M-TH 2:00 AM - 8:00 PM W 9:00 AM - 2:00 PM M 10:00 AM - 6:00 PM
F 10:00 AM - 3:00 PM Kilgore, Kristen DDS TH 9:00 AM - 3:00 PM TTH 10:00 AM - 7:00 PM
Provider ID: TPVP165980-07 W 9:30 AM - 6:00 PM
Gyanchand, Sharmila DDS Gender: Female Kwon, Jihae DDS F 9:30 AM - 5:00 PM
Broadway Family Dental Provider ID: TPVP172785-01
Provider ID: TPVP132496-01 15 Broadway 2nd Fl Gender: Female Monje, Jonas DDS
Gender: Female Passaic, NJ 07055 Broadway Family Dental Provider ID: TPVP123631-04
Childrens Dentistry of Passaic (973) 955-2002 15 Broadway 2nd Fl Gender: Male
LLC Fax: (973) 955-2007 Passaic, NJ 07055 Paterson Dental
124 Gregory Ave Ste 303 00 Yrs/99 Yrs (973) 955-2002 1010 Main St Ste 6 Fl 2
Passaic, NJ 07055 Languages: Spanish Fax: (973) 955-2007 Paterson, NJ 07503
(973) 859-0538 M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs (973) 225-9975
Fax: (862) 249-4929 Sat 9:00 AM - 2:00 PM Languages: Spanish Fax: (973) 225-9982
00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
Languages: Spanish Kim, Steven DMD Sat 9:00 AM - 2:00 PM Languages: Spanish
MW 10:00 AM - 5:00 PM Provider ID: TPVP157872-03 M 8:00 AM - 6:00 PM
T 10:00 AM - 6:00 PM Gender: Male Loutfy, Rana DMD TWTHF 9:00 AM - 6:00 PM
TH 12:00 AM - 7:00 PM Paterson Dental Provider ID: TPVP149247-02 Sat 8:00 AM - 3:00 PM
F 9:30 AM - 4:30 PM 1010 Main St Ste 6 Fl 2 Gender: Female
Sat 8:00 AM - 2:00 PM Paterson, NJ 07503 St Josephs Hospital Medical Mouner, Amer DDS
(973) 225-9975 Center Provider ID: TPVP166313-02
Fax: (973) 225-9982 11 Getty Ave Bldg 275 Gender: Male
00 Yrs/99 Yrs Paterson, NJ 07503 Woodland Park Dental Center
Languages: Spanish (973) 754-4250 482 Notch Rd
M 8:00 AM - 6:00 PM Fax: (973) 754-3071 Woodland Park, NJ 07424
TWTHF 9:00 AM - 6:00 PM 00 Yrs/99 Yrs (973) 256-3300
Sat 8:00 AM - 3:00 PM Languages: Arabic Fax: (973) 256-1655
M-F 9:00 AM - 3:00 PM 00 Yrs/99 Yrs
Languages: Arabic
M-TH 9:00 AM - 8:00 PM
F 9:00 AM - 5:00 PM
Sat 9:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 496
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
General Dentistry - cont. Parra, Massiel DMD Patel, Monika DMD Rehman, Aneeza DMD
Provider ID: TPVP152829-01 Provider ID: TPVP167510-01 Provider ID: TPVP144704-01
Mulkay, Zenaida DMD Gender: Female Gender: Female Gender: Female
Provider ID: TPVP40938-02 Smile Central Passaic Smile Central Passaic Paterson Dental
Gender: Female 625 Main Ave 3rd Fl 625 Main Ave 3rd Fl 1010 Main St Ste 6 Fl 2
Castillo Mulkay Dental Passaic, NJ 07055 Passaic, NJ 07055 Paterson, NJ 07503
601 Main Ave (973) 574-1000 (973) 574-1000 (973) 225-9975
Passaic, NJ 07055 Fax: (973) 574-1001 Fax: (973) 574-1001 Fax: (973) 225-9982
(973) 473-8188 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 458-1965 Languages: Spanish, Arabic Languages: Arabic Languages: Spanish, Arabic
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 7:00 PM M 8:00 AM - 6:00 PM
Languages: Spanish Sat 9:00 AM - 3:00 PM Sat 9:00 AM - 3:00 PM TWTHF 9:00 AM - 6:00 PM
M-F 9:00 AM - 2:00 PM Sat 8:00 AM - 3:00 PM
Patel, Kaushik DDS Pavone, Salvatore DDS
Noll, Jonathan DMD Provider ID: TPVP41596-02 Provider ID: TPVP34448-04 Roby, Brigit DDS
Provider ID: TPVP129935-01 Gender: Male Gender: Male Provider ID: TPVP170317-01
Gender: Male Lafayette Family Dental Care Paterson Dental Gender: Female
Smile Central Passaic LLC 1010 Main St Ste 6 Fl 2 Broadway Family Dental
625 Main Ave 3rd Fl 540 Lafayette Ave Paterson, NJ 07503 15 Broadway 2nd Fl
Passaic, NJ 07055 Hawthorne, NJ 07506 (973) 225-9975 Passaic, NJ 07055
(973) 574-1000 (973) 304-0700 Fax: (973) 225-9982 (973) 955-2002
Fax: (973) 574-1001 Fax: (973) 304-2013 00 Yrs/99 Yrs Fax: (973) 955-2007
00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs
Languages: Arabic Languages: Spanish M 8:00 AM - 6:00 PM Languages: Spanish, Hindi
M-F 9:00 AM - 7:00 PM M 10:00 AM - 6:00 PM TWTHF 9:00 AM - 6:00 PM M-F 9:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM TTH 10:00 AM - 7:00 PM Sat 8:00 AM - 3:00 PM Sat 9:00 AM - 2:00 PM
W 9:30 AM - 6:00 PM
OH, Hyesuk DDS F 9:30 AM - 5:00 PM Pimanov, Anton DMD Roby, Brigit DDS
Provider ID: TPVP129730-03 Provider ID: TPVP156750-04 Provider ID: TPVP170317-02
Gender: Female Patel, Lajja DMD Gender: Male Gender: Female
Willowbrook Mall Dental Provider ID: TPVP168663-02 Paterson Dental Passaic Dental Associates
1445 Willowbrook Blvd Gender: Female 1010 Main St Ste 6 Fl 2 244 Paulison Ave
Wayne, NJ 07470 Paterson Dental Paterson, NJ 07503 Passaic, NJ 07055
(973) 812-4426 1010 Main St Ste 6 Fl 2 (973) 225-9975 (973) 778-7272
Fax: (973) 812-4405 Paterson, NJ 07503 Fax: (973) 225-9982 Fax: (973) 778-5755
00 Yrs/99 Yrs (973) 225-9975 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Arabic Fax: (973) 225-9982 Languages: Spanish Languages: Spanish, Hindi
MTWTHFSat 10:00 AM - 8:00 00 Yrs/99 Yrs M 8:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
PM Languages: Spanish TWTHF 9:00 AM - 6:00 PM Sat 9:30 AM - 2:30 PM
Sun 11:00 AM - 6:00 PM M 8:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM
TWTHF 9:00 AM - 6:00 PM Rodriguez, Nadia DMD
OST, Ellen DDS Sat 8:00 AM - 3:00 PM Ravindra, Neetha DDS Provider ID: TPVP130626-01
Provider ID: TPVP129952-04 Provider ID: TPVP41839-03 Gender: Female
Gender: Female Patel, Mitesh DDS Gender: Female Smile Central Passaic
Willowbrook Mall Dental Provider ID: TPVP41168-02 Virtuoso Dental Care LLC 625 Main Ave 3rd Fl
1445 Willowbrook Blvd Gender: Male 183 Jefferson St 2nd Fl Passaic, NJ 07055
Wayne, NJ 07470 Hawthorne Family Dentistry Passaic, NJ 07055 (973) 574-1000
(973) 812-4426 354 Lincoln Ave (973) 472-1010 Fax: (973) 574-1001
Fax: (973) 812-4405 Hawthorne, NJ 07506 Fax: (973) 473-6232 00 Yrs/99 Yrs
00 Yrs/99 Yrs (973) 427-9299 00 Yrs/99 Yrs Languages: Arabic
Languages: Arabic Fax: (973) 405-6512 Languages: Spanish M-F 9:00 AM - 7:00 PM
MTWTHFSat 10:00 AM - 8:00 00 Yrs/99 Yrs M-TH 9:00 AM - 5:00 PM Sat 9:00 AM - 3:00 PM
PM Languages: Spanish F 9:00 AM - 2:00 PM
Sun 11:00 AM - 6:00 PM MT 9:00 AM - 4:00 PM

www.wellcare.com/New-Jersey | 497
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
General Dentistry - cont. Sanghavi, Kruti DDS Shon, Young DDS Sverdlova, Alyona DDS
Provider ID: TPVP165573-03 Provider ID: TPVP101606-02 Provider ID: TPVP39031-04
Rodriguez, Nadia DMD Gender: Female Gender: Male Gender: Female
Provider ID: TPVP130626-03 Paterson Dental Shon Dental Group PC Willowbrook Mall Dental
Gender: Female 1010 Main St Ste 6 Fl 2 20 Broadway 1445 Willowbrook Blvd
Smile Central Dental PC Paterson, NJ 07503 Passaic, NJ 07055 Wayne, NJ 07470
140 Market St 3rd Fl (973) 225-9975 (973) 666-1754 (973) 812-4426
Paterson, NJ 07505 Fax: (973) 225-9982 Fax: (973) 784-4537 Fax: (973) 812-4405
(973) 742-4200 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 742-4997 Languages: Spanish Languages: Korean Languages: Arabic
00 Yrs/99 Yrs M 8:00 AM - 6:00 PM M-TH 9:00 AM - 6:00 PM MTWTHFSat 10:00 AM - 8:00
Languages: Arabic TWTHF 9:00 AM - 6:00 PM F 9:00 AM - 3:00 PM PM
M-F 9:00 AM - 7:00 PM Sat 8:00 AM - 3:00 PM Sun 11:00 AM - 6:00 PM
Sat 9:00 AM - 3:00 PM Singh, Geetika DDS
Sardelli, Louis DDS Provider ID: TPVP153473-03 Valenzuela, Tirza DDS
Rodriguez, Rafael DDS Provider ID: TPVP40686-01 Gender: Female Provider ID: TPVP116670-01
Provider ID: TPVP36313-01 Gender: Male Broadway Family Dental Gender: Female
Gender: Male Dental Plaza PA 15 Broadway 2nd Fl Smile Central Passaic
Dental PM PC 503 Paulison Ave Passaic, NJ 07055 625 Main Ave 3rd Fl
175 Market St 3rd Fl Passaic, NJ 07055 (973) 955-2002 Passaic, NJ 07055
Paterson, NJ 07505 (973) 471-4500 Fax: (973) 955-2007 (973) 574-1000
(973) 247-2580 Fax: (973) 471-8575 00 Yrs/99 Yrs Fax: (973) 574-1001
Fax: (973) 247-2581 00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM Languages: Spanish, Arabic
Languages: Spanish M-F 9:00 AM - 5:30 PM Sat 9:00 AM - 2:00 PM M-F 9:00 AM - 7:00 PM
M-TH 9:00 AM - 5:00 PM Sat 9:00 AM - 12:30 PM Sat 9:00 AM - 3:00 PM
Sipzner, Jonathan DMD
Ruiz-Sardelli, Bertha DMD Seedat, Ghazala DDS Provider ID: TPVP137093-01 Voladri, Latha DDS
Provider ID: TPVP102674-02 Gender: Female Provider ID: TPVP41685-01
Provider ID: TPVP40685-01 Gender: Female Smile Central Passaic Gender: Female
Gender: Female Paterson Dental 625 Main Ave 3rd Fl Voladri Family Dentistry
Dental Plaza PA 1010 Main St Ste 6 Fl 2 Passaic, NJ 07055 641 Main Ave
503 Paulison Ave Paterson, NJ 07503 (973) 574-1000 Passaic, NJ 07055
Passaic, NJ 07055 (973) 225-9975 Fax: (973) 574-1001 (973) 815-0515
(973) 471-4500 Fax: (973) 225-9982 00 Yrs/99 Yrs Fax: (973) 767-1177
Fax: (973) 471-8575 00 Yrs/99 Yrs Languages: Arabic 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 7:00 PM Languages: Spanish
Languages: Spanish M 8:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM M-TH 9:00 AM - 6:00 PM
M-F 9:00 AM - 5:30 PM TWTHF 9:00 AM - 6:00 PM F 9:00 AM - 2:00 PM
Sat 9:00 AM - 12:30 PM Sat 8:00 AM - 3:00 PM Skjeveland, Richard DDS
Provider ID: TPVP39564-05 Yacoub, Kinda DDS
Saad, Nader DDS Shamshuddin, Safa DMD Gender: Male Provider ID: TPVP41635-02
Provider ID: TPVP40975-02 Provider ID: TPVP172863-03 Paterson Dental Gender: Female
Gender: Male Gender: Female 1010 Main St Ste 6 Fl 2 Chrystal Dental Care
The Fresh Breath Smile Central Passaic Paterson, NJ 07503 2025 Hamburg Tpke Ste F
1180 Clifton Ave 625 Main Ave 3rd Fl (973) 225-9975 Wayne, NJ 07470
Clifton, NJ 07013 Passaic, NJ 07055 Fax: (973) 225-9982 (973) 520-8787
(973) 249-9600 (973) 574-1000 00 Yrs/99 Yrs Fax: (973) 850-4718
Fax: (973) 249-7887 Fax: (973) 574-1001 Languages: Spanish 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs M 8:00 AM - 6:00 PM Languages: Spanish, Arabic
Languages: Arabic Languages: Arabic TWTHF 9:00 AM - 6:00 PM M 8:00 AM - 5:00 PM
M 3:00 AM - 6:00 PM M-F 9:00 AM - 7:00 PM Sat 8:00 AM - 3:00 PM T 9:00 AM - 12:00 PM
T 3:00 AM - 8:00 PM Sat 9:00 AM - 3:00 PM W 9:00 AM - 5:00 PM
W 11:00 AM - 2:00 PM TH 9:00 AM - 1:00 PM

www.wellcare.com/New-Jersey | 498
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
General Dentistry - cont. Home Health Care Casa Home Care Inc Excellent Home Health Care
Provider ID: 943494 Inc
Yassein, Ibraheim DDS Always There Inc 100 Scales Plz Provider ID: 951389
Provider ID: TPVP40970-01 Provider ID: 930801 Clifton, NJ 07013 Excellent Home Health Care
Gender: Male Always There Home Health (201) 474-8063 640 Broadway
Dental Care Center Care Fax: (201) 905-8050 Paterson, NJ 07514
426 Union Ave 1443 Union Valley Rd 18 Yrs/130 Yrs (973) 742-3828
Paterson, NJ 07502 West Milford, NJ 07480 Languages: Spanish, Russian, Fax: (973) 742-2848
(973) 595-8083 (973) 506-7500 Polish 00 Yrs/130 Yrs
Fax: (973) 595-7940 Fax: (973) 506-7323 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs 00 Yrs/130 Yrs
Languages: Spanish, Arabic Languages: Spanish Casa Home Care Inc Secura Home Health LLC
MWTH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Provider ID: 943494
T 9:00 AM - 7:00 PM 930 Clifton Ave Ste 100 Provider ID: 1069047
F 9:00 AM - 2:00 PM Always There Inc Clifton, NJ 07013 1373 Broad St Ste 301
Provider ID: 930801 (201) 474-8063 Clifton, NJ 07013
Hearing Aid Supplier Always There Home Health Fax: (201) 905-8050 (973) 779-4427
Care 18 Yrs/130 Yrs Fax: (973) 779-6322
Brown, Jenny Had 383 Lafayette Ave Languages: Spanish, Russian, 00 Yrs/130 Yrs
Provider ID: TPV16525-01 Hawthorne, NJ 07506 Polish Languages: Spanish, Russian,
Gender: Female (973) 427-7459 M-F 9:00 AM - 5:00 PM Hebrew, Armenian
Total Hearing Care Fax: (973) 427-6837 M-F 9:00 AM - 5:00 PM
601 Hamburg Tpke 00 Yrs/130 Yrs Confident Care Corp
Wayne, NJ 07470 Languages: Spanish Provider ID: 928798 Visiting Therapy Services LLC
(862) 257-1370 M-F 9:00 AM - 5:00 PM 100 Hamilton Pla
Fax: (862) 257-1371 Paterson, NJ 07505 Provider ID: 1231825
Bayada Home Healthcare Inc (973) 684-9996 Homecare Perks
21 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Fax: (973) 684-8488 188 Newark Pompton Tpke
Provider ID: 945568 00 Yrs/130 Yrs Little Falls, NJ 07424
Brown, Jenny Had 45 E Madison Ave Ste 9 Languages: Spanish, Russian, (877) 887-3574
Provider ID: TPV16525-02 Clifton, NJ 07011 Hindi, Korean Fax: (862) 279-7580
Gender: Female (973) 909-5150 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Total Hearing Care Fax: (973) 909-5155 M-F 9:00 AM - 5:00 PM
Emerald Health Care Services
601 Hamburg Turnpike 00 Yrs/130 Yrs
Inc Visiting Visiting Homemaker
Wayne, NJ 07470 M-F 9:00 AM - 5:00 PM
Provider ID: 945210 Service of P
(862) 257-1370
Bayada Home Healthcare Inc 1700 Rte 23 Ste 125 Provider ID: 984050
Fax: (862) 257-1371
Wayne, NJ 07470 Visiting Homemaker Service
21 Yrs/99 Yrs
Provider ID: 945568 (973) 694-6688 of Passa
M-F 9:00 AM - 5:00 PM
Bayada Home Health Care, Inc Fax: (973) 694-7277 783 Riverview Dr
Okken, John Had 1117 Main Ave Ste 202 00 Yrs/130 Yrs Totowa, NJ 07512
Provider ID: TPV10953-01 Clifton, NJ 07011 M-F 9:00 AM - 5:00 PM (973) 523-1224
Gender: Male (973) 574-1120 Fax: (973) 523-5228
Epic Health Services Inc 05 Yrs/130 Yrs
Wayne Hearing Aid Center Fax: (973) 574-1127
1581 State Rte 23 00 Yrs/130 Yrs Languages: Spanish, Italian,
Wayne, NJ 07470 M-F 9:00 AM - 5:00 PM Provider ID: 1275102 Arabic, Polish
(973) 696-7110 2 Brighton Rd Ste 402
21 Yrs/99 Yrs Bayada Home Healthcare Inc Clifton, NJ 07012
M-F 9:00 AM - 5:00 PM (856) 780-1090
Provider ID: 945568 Fax: (856) 234-5753
Bayada Home Health Care, Inc 00 Yrs/130 Yrs
163 East Main St Ste B M-F 9:00 AM - 5:00 PM
Little Falls, NJ 07424
(973) 909-5159
Fax: (973) 909-5112
00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 499
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Licensed Clinical Social Kolaritsch, Kathleen CSW Schessler, Peter LCSW Always Home Care
Worker Provider ID: 1467507 Provider ID: 944544
Provider ID: 1057023 Gender: Male 185 Market St Ste 2
Cohen, Laura LCSW Gender: Female Jewish Family Service and Paterson, NJ 07505
Provider ID: 1527992 Newbridge Services, Inc Child (973) 278-0808
Gender: Female 105 Hamburg Tpke 925 Allwood Rd Fax: (973) 278-0877
Kashoqa Psychiatry Associates Pompton Lakes, NJ 07442 Clifton, NJ 07012 00 Yrs/130 Yrs
PC (973) 831-0613 (973) 777-7638 M-F 9:00 AM - 5:00 PM
506 Hamburg Tpke Ste 203 Fax: (973) 831-0957 Fax: (973) 777-9311
Wayne, NJ 07470 00 Yrs/130 Yrs 00 Yrs/130 Yrs Bayada Home Healthcare Inc
(973) 633-1996 M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 9:00 PM
Fax: (973) 633-8078 F 9:00 AM - 2:00 PM Provider ID: 945568
00 Yrs/130 Yrs MacDonald, Anne Marie 45 E Madison Ave Ste 9
M 9:00 AM - 7:30 PM LCSW Schessler, Peter LCSW Clifton, NJ 07011
T 3:30 AM - 7:30 PM Provider ID: 1491201 Provider ID: 1467507 (973) 909-5150
W 10:00 AM - 2:00 PM Gender: Female Gender: Male Fax: (973) 909-5155
TH 3:30 AM - 7:00 PM Jewish Family Service and Jewish Family Service and 00 Yrs/130 Yrs
Chilrens Chilrens M-F 9:00 AM - 5:00 PM
Danzger, Tamar LCSW 110 Main Ave 110 Main Ave
Provider ID: 1467512 Passaic, NJ 07055 Passaic, NJ 07055 Bayada Home Healthcare Inc
Gender: Female (973) 777-7638 (973) 777-7638
Jewish Family Service and 00 Yrs/130 Yrs 00 Yrs/130 Yrs Provider ID: 945568
Child M-F 8:00 AM - 5:00 PM M-F 8:00 AM - 5:00 PM Bayada Home Health Care, Inc
925 Allwood Rd 1117 Main Ave Ste 202
Clifton, NJ 07012 MacDonald, Anne Marie Tavares, Sarah LCSW Clifton, NJ 07011
(973) 777-7638 LCSW Provider ID: 1523364 (973) 574-1120
Fax: (973) 777-9311 Provider ID: 1491201 Gender: Female Fax: (973) 574-1127
00 Yrs/130 Yrs Gender: Female Kashoqa Psychiatry Associates 00 Yrs/130 Yrs
Languages: Russian, Hebrew Jewish Family Service and PC M-F 9:00 AM - 5:00 PM
MT 8:30 AM - 3:30 PM Chilrens 506 Hamburg Tpke Ste 203
W 8:00 AM - 3:00 PM 925 Allwood Rd Wayne, NJ 07470 Bayada Home Healthcare Inc
TH 4:4 AM - 7:00 PM Clifton, NJ 07012 (973) 633-1996
F 8:30 AM - 12:30 PM (973) 777-7638 Fax: (973) 633-8078 Provider ID: 945568
Sat 9:00 AM - 6:00 PM Fax: (973) 777-9311 00 Yrs/130 Yrs Bayada Home Health Care, Inc
00 Yrs/130 Yrs M 10:00 AM - 6:00 PM 163 East Main St Ste B
Danzger, Tamar LCSW M-F 9:00 AM - 5:00 PM TTH 5:00 AM - 8:00 PM Little Falls, NJ 07424
Provider ID: 1467512 W 2:00 AM - 7:00 PM
Nies, Diane LCSW (973) 909-5159
Gender: Female Fax: (973) 909-5112
Jewish Family Service and Provider ID: 1004573 Licensed Home Care
Service Agency 00 Yrs/130 Yrs
Chilrens Gender: Female
M-F 9:00 AM - 5:00 PM
110 Main Ave Newbridge Services Inc
Passaic, NJ 07055 1801 Greenwood Lake Tpke Always Home Care Loving Care Agency Inc
(973) 777-7638 Hewitt, NJ 07421 Provider ID: 944544
00 Yrs/130 Yrs (973) 728-3938 129 Prospect St Provider ID: 1008554
Languages: Russian, Hebrew 00 Yrs/130 Yrs Passaic, NJ 07055 2 Brighton Rd Ste 402
M-F 8:00 AM - 5:00 PM M 9:00 AM - 9:00 PM (973) 559-6696 Clifton, NJ 07012
T 5:00 AM - 9:00 PM Fax: (973) 928-2231 (201) 939-4300
W 10:00 AM - 9:00 PM 00 Yrs/130 Yrs Fax: (201) 939-4328
TH 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Languages: Spanish, Russian,
Polish, Ukrainian
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 500
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Licensed Home Care Occupational Therapy Junankar, Asha OT Kho, Kathleen OT
Service Agency - cont. Provider ID: 591385 Provider ID: 1156794
Abion, Kristine OT Gender: Female Gender: Female
Unlimited Care Inc Provider ID: 977097 Sub Specialty: HIV/AIDs Holsman Physical Therapy and
Provider ID: 607834 Gender: Female 235 Lakeview Ave Rehabi
100 Hamilton Plz Ste 1401 Holsman Physical Therapy and Clifton, NJ 07011 1070 Clifton Ave Ste 1A
Paterson, NJ 07505 Rehabi (973) 772-8006 Clifton, NJ 07013
(973) 742-2600 1070 Clifton Ave Ste 1A Fax: (973) 772-0907 (973) 246-6565
Fax: (973) 742-3600 Clifton, NJ 07013 00 Yrs/130 Yrs Fax: (973) 883-0140
00 Yrs/130 Yrs (973) 246-6565 MTH 8:00 AM - 7:00 PM 00 Yrs/130 Yrs
Languages: Spanish Fax: (973) 883-0140 TW 8:30 AM - 7:00 PM Languages: Tagalog
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs F 9:00 AM - 4:30 PM M-F 8:00 AM - 5:00 PM
Languages: Spanish, Chinese,
Nutrition Tagalog Junankar, Prashant OT Ocana, Tiffany OT
MTWTHFSat 8:00 AM - 8:00 Provider ID: 590501 Provider ID: 714340
Albaum, Rachel RD PM Gender: Male Gender: Female
Provider ID: 1436410 Sub Specialty: HIV/AIDs Holsman Physical Therapy and
Gioffre, Darren OT 1479 Rte 23 Ste 201 Rehabi
Gender: Female
Bhmg-United Medical Provider ID: 1648483 Wayne, NJ 07470 1070 Clifton Ave Ste 1A
533 Lexington Ave Gender: Male (973) 772-8006 Clifton, NJ 07013
Clifton, NJ 07011 Dynamic Physical Therapy and Fax: (973) 772-0907 (973) 246-6565
Sports 00 Yrs/130 Yrs Fax: (973) 883-0140
(973) 546-6844
680 Broadway Ste 507 MT 7:00 AM - 10:30 PM 00 Yrs/130 Yrs
Fax: (973) 546-7707
Paterson, NJ 07514 W 7:00 AM - 12:00 PM Languages: Filipino
00 Yrs/130 Yrs
(862) 257-1073 M-F 9:00 AM - 4:30 PM
M-F 8:00 AM - 7:00 PM
Fax: (862) 257-1074 Junankar, Prashant OT
Mendez, Victor RD 00 Yrs/130 Yrs Provider ID: 590501 Ophthalmology
Provider ID: 1111278 M-F 9:00 AM - 5:00 PM Gender: Male
Gender: Male Sub Specialty: HIV/AIDs Abessi, Bryan MD
Henson, Dante OT Provider ID: 1499465
Victor Mendez 61 Lakeview Ave
Provider ID: 987761 Clifton, NJ 07011 Gender: Male
716 Broad St 2nd Fl Ste 2E
Gender: Male (973) 772-8006 Advanced Eye Care Center
Clifton, NJ 07013
Holsman Physical Therapy and Fax: (973) 772-0907 220 Hamburg Tpke Ste 7
(973) 777-7938 Rehabi Wayne, NJ 07470
18 Yrs/130 Yrs 00 Yrs/130 Yrs
1070 Clifton Ave Ste 1A (973) 790-1300
MT 5:30 AM - 7:00 PM MW 10:00 AM - 7:00 PM
Clifton, NJ 07013 Fax: (973) 790-5310
W 9:00 AM - 4:00 PM T 11:30 AM - 5:30 PM
(973) 393-5545 00 Yrs/130 Yrs
TH 11:00 AM - 7:00 PM
Pula, Jaime RD Fax: (973) 246-6565 St. Joseph's Hospital Reg
F 10:00 AM - 7:30 PM
00 Yrs/130 Yrs Medical Center
Provider ID: 976404
Languages: Spanish, Tagalog Kalalo, Amory OT M-F 9:00 AM - 5:00 PM
Gender: Female
M-F 8:00 AM - 8:00 PM Provider ID: 1263825
St Josephs Healthcare
Gender: Male Arango, Ulises MD
703 Main St Junankar, Asha OT
Paterson, NJ 07503 Holsman Physical Therapy and Provider ID: TPV003156005587
Provider ID: 591385 Rehab Gender: Male
(973) 754-2700 Gender: Female 1070 Clifton Ave Ste 1A Gold Optical Inc
Fax: (973) 754-2725 Sub Specialty: HIV/AIDs Clifton, NJ 07013 136 Market St
02 Yrs/130 Yrs 1479 Rte 23 Ste 201 (973) 246-6565 Paterson, NJ 07505
M-F 9:00 AM - 5:00 PM Wayne, NJ 07470 00 Yrs/130 Yrs (973) 278-5300
(973) 686-0007 Languages: Tagalog Fax: (973) 523-5856
Fax: (973) 686-0001 M-F 8:00 AM - 8:00 PM 00 Yrs/99 Yrs
00 Yrs/130 Yrs Languages: Spanish
M-TH 7:30 AM - 7:00 PM
F 7:30 AM - 4:30 PM

www.wellcare.com/New-Jersey | 501
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Ophthalmology - cont. Bertolucci, Alessandra MD Burrows, Adria MD Bush, Nahndi MD
Provider ID: Provider ID: 1559318
Badami, Avni MD Provider ID: 488556 TPV035440006054 Gender: Female
Provider ID: 1711955 Gender: Female Gender: Female NJ Eye and Ear, LLC
Gender: Female Alessandra Bertolucci MD LLC Clifton Eye Care 1016 Main Ave Unit 1
NJ Eye and Ear LLC DBA Re 403 Clifton Ave Clifton, NJ 07011
1016 Main Ave 1033 Clifton Ave Ste 107 Clifton, NJ 07011 (973) 546-5700
Clifton, NJ 07011 Clifton, NJ 07013 (973) 546-5700 Fax: (973) 546-8898
(973) 546-5700 (973) 472-6405 Fax: (973) 546-8898 00 Yrs/130 Yrs
Fax: (800) 878-2811 Fax: (973) 472-6406 00 Yrs/99 Yrs MT 7:30 AM - 7:00 PM
00 Yrs/130 Yrs 00 Yrs/130 Yrs www.cliftoneyecare.com W 8:00 AM - 6:30 PM
St. Joseph's Hospital Reg Languages: Spanish, Italian Languages: Russian TH 8:30 AM - 6:30 PM
Medical Center M-F 9:00 AM - 5:00 PM MTHF 9:00 AM - 5:00 PM F 7:30 AM - 6:00 PM
M-F 8:00 AM - 6:00 PM TW 9:00 AM - 8:00 PM Sat 7:30 AM - 1:00 PM
Sat 8:00 AM - 12:00 PM Burrows, Adria MD Sat 8:30 AM - 1:00 PM
Provider ID: 931903 Chechik, Daniel MD
Bailey, Tehara MD Gender: Female Burrows, Andrew MD
Provider ID: 1434337 Clifton Eye Care LLC Provider ID: 942791 Provider ID: 751993
Gender: Female Sub Specialty: HIV/AIDs Gender: Male Gender: Male
Clifton Eye Care LLC 1016 Main Ave Unit 1 Klein Scannapiego MD PA Clifton Eye Care LLC
1016 Main Ave Unit 2B Clifton, NJ 07011 100 Main St 1016 Main Ave Unit 1
Clifton, NJ 07011 (973) 546-5700 Paterson, NJ 07505 Clifton, NJ 07011
(973) 546-5700 Fax: (800) 878-2811 (973) 278-7538 (973) 546-5700
Fax: (973) 546-8898 00 Yrs/130 Yrs Fax: (973) 278-7207 Fax: (973) 546-8898
00 Yrs/21 Yrs Prime Health Services-St 00 Yrs/130 Yrs 00 Yrs/130 Yrs
Prime Health Services-St Marys Hospital Englewood Hospital and Englewood Hospital and
Marys Hospital Languages: Spanish, Russian Medical Center Medical Center
M-F 8:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Holy Name Medical Center
Sat 8:00 AM - 12:00 PM Languages: Russian, Korean
Burrows, Adria MD Bush, Nahndi MD M-F 9:00 AM - 5:00 PM
Bailey, Tehara MD Provider ID: TPV035440004120 Provider ID: 1228209
Provider ID: 1451110 Gender: Female Gender: Female Choo, Nancy MD
Gender: Female Passaic Vision Center Clifton Eye Care LLC Provider ID: 476782
Englewood Eye Center, LLC 289 Monroe St 1016 Main Ave Unit 1 Gender: Female
1016 Main Ave Passaic, NJ 07055 Clifton, NJ 07011 Advanced Eye Care Center PA
Clifton, NJ 07011 (973) 473-5151 (973) 546-5700 220 Hamburg Tpke Ste 7
(973) 546-5700 Fax: (973) 473-3331 Fax: (973) 546-8898 Wayne, NJ 07470
00 Yrs/130 Yrs 00 Yrs/99 Yrs 00 Yrs/130 Yrs (973) 790-1300
Prime Health Services-St Languages: Russian East Orange General Hospital Fax: (973) 790-5310
Marys Hospital MT 7:30 AM - 7:00 PM 00 Yrs/130 Yrs
Burrows, Adria MD W 8:00 AM - 6:30 PM St. Joseph's Hospital Reg
Bailey, Tehara MD Provider ID: TPV035440005771 TH 8:30 AM - 6:30 PM Medical Center
Provider ID: Gender: Female F 7:30 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
TPV046483040546 Clifton Eye Care Sat 7:30 AM - 1:00 PM
Gender: Female 1016 Main Ave Ste 1
Clifton Eye Care Clifton, NJ 07011
1016 Main Ave Ste 1 (973) 546-5700
Clifton, NJ 07011 Fax: (973) 546-8898
(973) 546-5700 00 Yrs/99 Yrs
Fax: (973) 546-8898 www.cliftoneyecare.com
00 Yrs/99 Yrs Languages: Russian

www.wellcare.com/New-Jersey | 502
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Ophthalmology - cont. Feng, Jing MD Green, Donald MD Kirszrot, James MD
Provider ID: 1467562 Provider ID: 484450 Provider ID: 1604010
Cuttler, Nirupa MD Gender: Female Gender: Male Gender: Male
Alden Leifer MD Alessandra Bertolucci MD LLC NJ Eye and Ear, LLC
Provider ID: 1105059 680 Broadway Ste 1H DBA Re 1016 Main Ave Unit 1
Gender: Male Paterson, NJ 07514 1135 Clifton Ave Ste 105 Clifton, NJ 07011
Clifton Eye Care LLC (973) 742-4747 Clifton, NJ 07013 (973) 546-5700
Sub Specialty: HIV/AIDs Fax: (973) 742-0629 (973) 773-9882 Fax: (973) 546-8898
1016 Main Ave Unit 1 00 Yrs/130 Yrs Fax: (973) 773-9883 00 Yrs/130 Yrs
Clifton, NJ 07011 St. Joseph's Hospital Reg 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(973) 546-5700 Medical Center St. Joseph's Hospital Reg
Fax: (973) 772-8875 M-F 9:00 AM - 5:00 PM Medical Center Klein, Warren MD
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Provider ID: 439674
St. Joseph's Hospital Reg Frempong, Tamiesha MD Gender: Male
Medical Center Provider ID: TPV029871005771 Green, Donald MD Paterson Eye Associates
M-F 9:00 AM - 5:00 PM Gender: Not Available Provider ID: 484450 100 Main St Fl 1
Clifton Eye Care Gender: Male Paterson, NJ 07505
Cuttler, Nirupa MD 1016 Main Ave Ste 1 Alessandra Bertolucci MD LLC (973) 278-7538
Clifton, NJ 07011 DBA Re Fax: (973) 278-7207
Provider ID: 1569967 (973) 546-5700 506 Hamburg Tpke Ste 202 00 Yrs/130 Yrs
Gender: Female Fax: (973) 546-8898 Wayne, NJ 07470 River Drive Surgery Center
Eyecare Consultants of NJ PA 00 Yrs/99 Yrs (973) 513-9335 LLC
1225 McBride Ave www.cliftoneyecare.com Fax: (973) 773-9883 Trinitas Regional Medical Cent
Woodland Park, NJ 07424 00 Yrs/130 Yrs MTTH 8:00 AM - 4:00 PM
(973) 785-2050 Frempong, Tamiesha MD St. Joseph's Hospital Reg W 7:00 AM - 3:00 PM
Fax: (973) 785-2423 Provider ID: TPV029871006054 Medical Center FSat 8:00 AM - 12:00 PM
Gender: Not Available M 9:00 AM - 1:00 PM
00 Yrs/130 Yrs
Clifton Eye Care Klein, Warren MD
Languages: Spanish, Tamil Gunzburg, Allison MD
M-F 9:00 AM - 5:00 PM 403 Clifton Ave Provider ID: TPV004966005261
Clifton, NJ 07011 Provider ID: 457195 Gender: Male
Djougarian, Alina MD (973) 546-5700 Gender: Female Paterson Eye Associates
Fax: (973) 546-8898 Sub Specialty: HIV/AIDs 100 Main St
Provider ID: 1634141
00 Yrs/99 Yrs 289 Monroe St Paterson, NJ 07505
Gender: Female
www.cliftoneyecare.com Passaic, NJ 07055 (973) 278-7538
Alden Leifer MD PC
MTHF 9:00 AM - 5:00 PM (973) 473-5151 Fax: (973) 278-7207
680 Broadway Ste 114
TW 9:00 AM - 8:00 PM Fax: (973) 473-3331 00 Yrs/99 Yrs
Paterson, NJ 07514
Sat 8:30 AM - 1:00 PM 00 Yrs/130 Yrs www.eyesbyklein.com
(973) 742-4747
Morristown Memorial Languages: Spanish, German
Fax: (973) 742-0629
Gonzalez, Carmen MD Hospital
00 Yrs/130 Yrs
Provider ID: 457191 M-F 9:00 AM - 5:00 PM Lee, Paul MD
St. Joseph's Hospital Reg
Medical Center Gender: Female Provider ID: 1556639
Kazam, Tal MD Gender: Male
M-F 9:00 AM - 5:00 PM Passaic Eye Specialista
289 Monroe St Provider ID: 1711951 Clifton Eye Care, LLC
Doshi, Vatsal MD Passaic, NJ 07015 Gender: Female 1016 Main Ave Unit 1
(973) 473-5151 NJ Eye and Ear LLC Clifton, NJ 07011
Provider ID: 557537
Fax: (973) 473-3331 1016 Main Ave (973) 546-5700
Gender: Male
00 Yrs/130 Yrs Clifton, NJ 07011 Fax: (973) 546-8898
Sub Specialty: HIV/AIDs
Overlook Hospital (973) 546-5700 00 Yrs/130 Yrs
647 Broadway
Languages: Spanish Fax: (800) 878-2811 M-F 8:00 AM - 6:00 PM
Paterson, NJ 07514
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM
(973) 279-7303
St. Joseph's Hospital Reg
Fax: (973) 279-4580 Medical Center
00 Yrs/130 Yrs M-F 8:00 AM - 6:00 PM
St. Joseph's Hospital Reg Sat 8:00 AM - 12:00 PM
Medical Center
Languages: Spanish, Hindi,
Gujarati
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 503
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Ophthalmology - cont. Matta, Ayman MD Mendoza, Luis MD Mund, Michael MD
Provider ID: 1007483 Provider ID: 510944 Provider ID: TPV050048043010
Lee, Paul MD Gender: Male Gender: Male Gender: Male
Provider ID: TPV048833005771 New Jersey Eye Institute Passaic Vision Center, LLC Short Hills Ophthalmology
Gender: Male Sub Specialty: HIV/AIDs Sub Specialty: HIV/AIDs Group
Clifton Eye Care 1033 Rte 46 Ste G1 289 Monroe St 1187 Main Ave Ste 1F
1016 Main Ave Ste 1 Clifton, NJ 07013 Passaic, NJ 07055 Clifton, NJ 07011
Clifton, NJ 07011 (973) 472-3937 (973) 473-5151 (973) 546-6161
(973) 546-5700 Fax: (973) 472-3938 Fax: (973) 473-3331 Fax: (973) 546-1708
Fax: (973) 546-8898 05 Yrs/130 Yrs 00 Yrs/130 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs Prime Health Services-St M-F 9:00 AM - 5:00 PM
www.cliftoneyecare.com Marys Hospital Obrotka, Thomas MD
Languages: Spanish, German, Mendoza, Luis MD Provider ID: TPV027241007241
Leifer, Alden MD Arabic Provider ID: TPV009272004120 Gender: Male
Provider ID: 398238 M 9:00 AM - 8:00 PM Gender: Male Paterson Eye and Ear Infirmary
Gender: Male TW 9:00 AM - 5:00 PM Passaic Vision Center 680 Broadway Ste 509
IPA of North Jersey Inc THF 8:00 AM - 5:00 PM 289 Monroe St Paterson, NJ 07514
680 Broadway Ste 1H Passaic, NJ 07055 (973) 279-1044
Paterson, NJ 07514 Matta, Ayman MD (973) 473-5151 Fax: (973) 279-1104
(973) 742-4747 Provider ID: TPV035427009579 Fax: (973) 473-3331 00 Yrs/99 Yrs
Fax: (973) 742-0629 Gender: Male 00 Yrs/99 Yrs Languages: Spanish
00 Yrs/130 Yrs New Jersey Eye Institute Languages: Spanish
St. Joseph's Hospital Reg 1010 Main St Ste A3 Parekh, Jai MD
Medical Center Paterson, NJ 07503 Morgan, Charles MD Provider ID: 425431
Languages: Spanish, Hebrew (973) 472-3937 Provider ID: Gender: Male
M-F 9:00 AM - 5:00 PM Fax: (973) 472-3938 TPV004554006054 1031 McBride Ave Ste D106
00 Yrs/99 Yrs Gender: Male Woodland Park, NJ 07424
Lyu, Theodore MD Languages: Spanish, Arabic Clifton Eye Care (973) 785-2050
Provider ID: 1460298 403 Clifton Ave Fax: (973) 785-2423
Gender: Male Matta, Ayman MD Clifton, NJ 07011 00 Yrs/130 Yrs
Clifton Eye Care LLC Provider ID: TPV035427012163 (973) 546-5700 St. Joseph's Hospital Reg
1016 Main Ave Unit 1 Gender: Male Fax: (973) 546-8898 Medical Center
Clifton, NJ 07011 New Jersey Eye Institute 00 Yrs/99 Yrs Languages: Hindi, Gujarati
(973) 546-5700 1033 US Hwy 46 Ste G1 www.cliftoneyecare.com M-F 9:00 AM - 5:00 PM
Fax: (973) 546-8898 Clifton, NJ 07013 Languages: Spanish
00 Yrs/130 Yrs (973) 472-3937 MTHF 9:00 AM - 5:00 PM Parekh, Jai MD
M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs TW 9:00 AM - 8:00 PM Provider ID: 425431
Languages: Spanish, Arabic Sat 8:30 AM - 1:00 PM Gender: Male
Lyu, Theodore MD Brar Parekh Eye Associates
Provider ID: TPV046594005771 Mendoza, Luis MD Mund, Michael MD 1225 McBride Ave Ste 204
Gender: Male Provider ID: 510944 Woodland Park, NJ 07424
Clifton Eye Care Gender: Male Provider ID: 403881 (973) 279-7303
1016 Main Ave Ste 1 Passaic Visino Center LLC Gender: Male Fax: (973) 795-2423
Clifton, NJ 07011 Sub Specialty: HIV/AIDs Short Hills Ophthalmology 00 Yrs/130 Yrs
(973) 546-5700 287 Monroe St Group LLC St. Joseph's Hospital Reg
Fax: (973) 546-8898 Passaic, NJ 07055 Sub Specialty: HIV/AIDs Medical Center
00 Yrs/99 Yrs (973) 473-5151 1187 Main Ave Ste 1F Languages: Hindi, Gujarati
www.cliftoneyecare.com 00 Yrs/130 Yrs Clifton, NJ 07011 M-F 9:00 AM - 5:00 PM
Languages: Spanish, Korean M-F 9:00 AM - 5:00 PM (973) 546-6161
Fax: (973) 546-1708
00 Yrs/130 Yrs
St. Joseph's Hospital Reg
Medical Center
MWF 9:00 AM - 5:00 PM
T 9:00 AM - 7:00 PM
TH 9:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 504
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Ophthalmology - cont. Richard, Michael MD Salzano, Brian MD Stegman, Daniel MD
Provider ID: TPV015385005771
Parekh, Swati MD Provider ID: 1296842 Gender: Male Provider ID: 398333
Provider ID: 398282 Gender: Male Clifton Eye Care Gender: Male
Gender: Female Clifton Eye Care LLC 1016 Main Ave Ste 1 1016 Main Ave Unit 1
Sub Specialty: HIV/AIDs 1016 Main Ave Unit 1 Clifton, NJ 07011 Clifton, NJ 07011
1031 McBride Ave Ste D106 Clifton, NJ 07011 (973) 546-5700 (973) 546-5700
Woodland Park, NJ 07424 (973) 546-5700 Fax: (973) 546-8898 Fax: (973) 546-8898
(973) 785-2050 Fax: (973) 546-8898 00 Yrs/99 Yrs 00 Yrs/130 Yrs
Fax: (973) 785-2423 00 Yrs/130 Yrs www.cliftoneyecare.com St. Joseph's Hospital Reg
00 Yrs/130 Yrs St. Joseph's Hospital Reg Medical Center
St. Joseph's Hospital Reg Medical Center Salzano, Brian MD Languages: Spanish,
Medical Center MT 7:30 AM - 7:00 PM Provider ID: TPV015385006054 Hungarian, Romanian
Languages: Spanish, Hindi W 8:00 AM - 6:30 PM Gender: Male M-F 9:00 AM - 5:00 PM
M-TH 9:00 AM - 4:00 PM TH 8:30 AM - 6:30 PM Clifton Eye Care
F 8:00 AM - 12:00 PM F 7:30 AM - 12:00 PM 403 Clifton Ave Stegman, Daniel MD
Clifton, NJ 07011 Provider ID: TPV031109003271
Parekh, Swati MD Richard, Michael MD (973) 546-5700 Gender: Male
Provider ID: 398282 Provider ID: 1559312 Fax: (973) 546-8898 NJ Eye and Ear LLC
Gender: Female Gender: Male 00 Yrs/99 Yrs 1016 Main Ave Unit 1
Brar Parekh Eye Associates NJ Eye and Ear, LLC www.cliftoneyecare.com Clifton, NJ 07011
Sub Specialty: HIV/AIDs 1016 Main Ave Unit 1 MTHF 9:00 AM - 5:00 PM (973) 546-5700
647 Broadway Fl 1 Clifton, NJ 07011 TW 9:00 AM - 8:00 PM Fax: (973) 546-8898
Paterson, NJ 07514 (973) 546-5700 Sat 8:30 AM - 1:00 PM 00 Yrs/99 Yrs
(973) 279-7303 Fax: (973) 546-8898 www.hughesopticians.com
Fax: (973) 279-4580 00 Yrs/130 Yrs Scannapiego, Saveren MD Languages: French, Hebrew
00 Yrs/130 Yrs MT 7:30 AM - 7:00 PM MTWF 8:00 AM - 6:00 PM
St. Joseph's Hospital Reg W 8:00 AM - 6:30 PM Provider ID: TPV014370005261 TH 9:00 AM - 6:00 PM
Medical Center TH 8:30 AM - 6:30 PM Gender: Male Sat 8:00 AM - 12:00 PM
Languages: Spanish, Hindi F 7:30 AM - 6:00 PM Paterson Eye Associates
M-W 9:00 AM - 4:00 PM Sat 8:00 AM - 12:00 PM 100 Main St Stegman, Daniel MD
TH 9:00 AM - 8:00 PM Paterson, NJ 07505 Provider ID: TPV031109005771
F 4:00 AM - 12:00 PM Salzano, Brian MD (973) 278-7538 Gender: Male
Provider ID: 1559324 Fax: (973) 278-7207 Clifton Eye Care
Parekh, Swati MD Gender: Male 00 Yrs/99 Yrs 1016 Main Ave Ste 1
Provider ID: 901020 NJ Eye and Ear, LLC www.eyesbyklein.com Clifton, NJ 07011
Gender: Male 1016 Main Ave Unit 1 Languages: Spanish (973) 546-5700
Sjrmc Clifton, NJ 07011 Fax: (973) 546-8898
703 Main St (973) 546-5700 Stegman, Daniel MD 00 Yrs/99 Yrs
Paterson, NJ 07503 Fax: (973) 772-8875 Provider ID: 1198619 www.cliftoneyecare.com
(973) 754-2270 00 Yrs/130 Yrs Gender: Male Languages: French, Hebrew
00 Yrs/130 Yrs MTTHF 8:00 AM - 6:00 PM Englewood Eye Center LLC
St. Joseph's Hospital Reg W 9:00 AM - 7:00 PM 1016 Main Ave Stegman, Daniel MD
Medical Center Sat 8:00 AM - 1:00 PM Clifton, NJ 07011 Provider ID: TPV031109006054
M-TH 8:30 AM - 5:00 PM (973) 546-5700 Gender: Male
Salzano, Brian MD 00 Yrs/130 Yrs Clifton Eye Care
Reing, Charles MD Provider ID: 788864 403 Clifton Ave
St. Joseph's Hospital Reg
Provider ID: 539677 Gender: Male Medical Center Clifton, NJ 07011
Gender: Male Clifton Eye Care LLC (973) 546-5700
Advanced Eye Care Center 1016 Main Ave Unit 1 Fax: (973) 546-8898
220 Hamburg Tpke Ste 7 Clifton, NJ 07011 00 Yrs/99 Yrs
Wayne, NJ 07470 (973) 546-5700 www.cliftoneyecare.com
(973) 790-1300 Fax: (973) 772-8875 Languages: French, Hebrew
Fax: (973) 790-5310 00 Yrs/130 Yrs MTHF 9:00 AM - 5:00 PM
00 Yrs/130 Yrs AHS Hospital TW 9:00 AM - 8:00 PM
Languages: Spanish M-F 9:00 AM - 5:00 PM Sat 8:30 AM - 1:00 PM
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 505
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Ophthalmology - cont. Winfield, Steven MD Ariola, Jennifer OD Ariola, Jennifer OD
Provider ID: 1545298 Provider ID:
Tannen, Bradford MD Provider ID: 755793 Gender: Female TPV006473006054
Provider ID: TPV038364005771 Gender: Male Clifton Eye Care, LLC Gender: Female
Gender: Male Winfield Medical Eye Center 1016 Main Ave Unit 1 Clifton Eye Care
Clifton Eye Care PA Clifton, NJ 07011 403 Clifton Ave
1016 Main Ave Ste 1 200 Gregory Ave Fl 1 (973) 546-5700 Clifton, NJ 07011
Clifton, NJ 07011 Passaic, NJ 07055 Fax: (973) 546-8898 (973) 546-5700
(973) 546-5700 (973) 778-8439 00 Yrs/130 Yrs Fax: (973) 546-8898
Fax: (973) 546-8898 Fax: (973) 777-1143 M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM www.cliftoneyecare.com
www.cliftoneyecare.com River Drive Surgery Center Languages: Spanish
Languages: Spanish LLC Ariola, Jennifer OD MTHF 9:00 AM - 5:00 PM
Languages: Spanish, Hebrew, Provider ID: 1559768 TW 9:00 AM - 8:00 PM
Tannen, Bradford MD Yiddish Gender: Female Sat 8:30 AM - 1:00 PM
Provider ID: MTWF 9:00 AM - 4:00 PM NJ Eye and Ear, LLC
TPV038364006054 TH 11:00 AM - 7:00 PM 1016 Main Ave Unit 1 Benetatos, Michael OD
Gender: Male Clifton, NJ 07011 Provider ID:
Clifton Eye Care Winfield, Steven MD (973) 546-5700 TPV000580007475
403 Clifton Ave Provider ID: TPV033437005451 Fax: (973) 546-8898 Gender: Male
Clifton, NJ 07011 Gender: Male 00 Yrs/130 Yrs Michael A Benetatos
(973) 546-5700 Winfield Medical Eye Center St. Joseph's Hospital Reg 1069 Ringwood Ave Ste 106
Fax: (973) 546-8898 PA Medical Center Haskell, NJ 07420
00 Yrs/99 Yrs 200 Gregory Ave M 8:30 AM - 7:00 PM (862) 200-5454
www.cliftoneyecare.com Passaic, NJ 07055 TTHF 8:30 AM - 6:00 PM Fax: (862) 200-5453
Languages: Spanish (973) 778-8439 W 8:30 AM - 7:30 PM 00 Yrs/99 Yrs
MTHF 9:00 AM - 5:00 PM Fax: (973) 767-2632 Sat 8:30 AM - 1:00 PM Languages: Spanish, Greek
TW 9:00 AM - 8:00 PM 00 Yrs/99 Yrs
Languages: Spanish, Hebrew Ariola, Jennifer OD Bhattacharjee, Shrabanti OD
Sat 8:30 AM - 1:00 PM
MTH 11:00 AM - 7:00 PM Provider ID: TPV006473003271 Provider ID:
Gender: Female TPV048677005839
Vogel, Mitchell MD T 9:00 AM - 5:00 PM
NJ Eye and Ear LLC Gender: Female
WF 9:00 AM - 4:00 PM
1016 Main Ave Unit 1 Charles M Cummins OD PA
Provider ID: 439186 453
Gender: Male Wunsh, Stuart MD Clifton, NJ 07011
251 Clifton Ave
New Jersey Vision Associates Provider ID: 1273073 (973) 546-5700
Clifton, NJ 07011
PC Gender: Male Fax: (973) 546-8898
(973) 340-2300
Sub Specialty: HIV/AIDs North Jersey Eye Associates 00 Yrs/99 Yrs
PA Fax: (973) 340-2306
124 Gregory Ave Ste 104 www.hughesopticians.com
1005 Clifton Ave 00 Yrs/99 Yrs
Passaic, NJ 07055 Languages: Spanish
Clifton, NJ 07013 www.ecca.com
(973) 779-0808 MTWF 8:00 AM - 6:00 PM
(973) 472-4114 M-F 9:00 AM - 7:30 PM
Fax: (973) 471-1929 TH 9:00 AM - 6:00 PM
Fax: (973) 472-0775 Sat 9:00 AM - 2:30 PM
00 Yrs/130 Yrs Sat 8:00 AM - 12:00 PM
Overlook Hospital 00 Yrs/130 Yrs Bhattacharjee, Shrabanti OD
St. Joseph's Hospital Reg Ariola, Jennifer OD
Languages: Spanish
Medical Center Provider ID: TPV006473005771
M 8:30 AM - 4:00 PM Provider ID:
M-F 9:00 AM - 5:00 PM Gender: Female
TWTHF 8:00 AM - 4:00 PM TPV048677005840
Clifton Eye Care
Optometry 1016 Main Ave Ste 1 Gender: Female
Clifton, NJ 07011 Charles M Cummins OD PA
Abbas, Laila OD (973) 546-5700 466
Provider ID: TPV048933007991 Fax: (973) 546-8898 255 US Hwy 46
Gender: Female 00 Yrs/99 Yrs Totowa, NJ 07512
Noor Optical Vision Center www.cliftoneyecare.com (973) 785-8000
1135 Main Ave Fl 1 Languages: Spanish Fax: (973) 785-9122
Clifton, NJ 07011 00 Yrs/99 Yrs
(973) 685-7280 www.ecca.com
Fax: (973) 685-7281
00 Yrs/99 Yrs

www.wellcare.com/New-Jersey | 506
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Optometry - cont. Charles M Cummins OD PA Cummins, Charles OD Desai, Heema OD
453 Provider ID: Provider ID: TPV045487003271
Bloch, Myron OD Provider ID: TPV019440005839 TPV016498005840 Gender: Female
Provider ID: TPV036334007889 251 Clifton Ave Gender: Male NJ Eye and Ear LLC
Gender: Male Clifton, NJ 07011 Charles M Cummins OD PA 1016 Main Ave Unit 1
Myron Bloch OD PC (973) 340-2300 466 Clifton, NJ 07011
165 Main St Fax: (973) 340-2306 255 US Hwy 46 (973) 546-5700
Paterson, NJ 07505 00 Yrs/99 Yrs Totowa, NJ 07512 Fax: (973) 546-8898
(973) 278-4480 www.ecca.com (973) 785-8000 00 Yrs/99 Yrs
Fax: (973) 278-6003 M-F 9:00 AM - 7:30 PM Fax: (973) 785-9122 www.hughesopticians.com
00 Yrs/99 Yrs Sat 9:00 AM - 2:30 PM 00 Yrs/99 Yrs Languages: Spanish
Languages: Spanish www.ecca.com MTWF 8:00 AM - 6:00 PM
Charles M Cummins OD PA TH 9:00 AM - 6:00 PM
MTWTHFSat 10:00 AM - 6:00 466
PM Cuttler, Nirupa OD Sat 8:00 AM - 12:00 PM
Provider ID: TPV011076005840 Provider ID: TPV033184005771
Brophy, Diann OD 255 US Hwy 46 Gender: Female Desai, Heema OD
Provider ID: TPV024101043010 Totowa, NJ 07512 Clifton Eye Care Provider ID:
Gender: Female (973) 785-8000 1016 Main Ave Ste 1 TPV045487040546
Short Hills Ophthalmology Fax: (973) 785-9122 Clifton, NJ 07011 Gender: Female
Group 00 Yrs/99 Yrs (973) 546-5700 Clifton Eye Care
1187 Main Ave Ste 1F www.ecca.com Fax: (973) 546-8898 1016 Main Ave Ste 1
Clifton, NJ 07011 00 Yrs/99 Yrs Clifton, NJ 07011
(973) 546-6161 Choi-Lee, Jessica OD www.cliftoneyecare.com (973) 546-5700
Fax: (973) 546-1708 Provider ID: TPV035627017671 Fax: (973) 546-8898
00 Yrs/99 Yrs Gender: Female Desai, Heema OD 00 Yrs/99 Yrs
Passaic Vision Care Provider ID: 1307822 Languages: Spanish
Bucharowski, Martin OD 670 Main Ave Gender: Female
Provider ID: Passaic, NJ 07055 Clifton Eye Care LLC Dorman, Alicia OD
TPV027749005840 (973) 779-2020 1016 Main Ave Ste 1 Provider ID: TPV021620005834
Gender: Male Fax: (973) 773-2011 Clifton, NJ 70112 Gender: Male
Charles M Cummins OD PA 00 Yrs/99 Yrs (973) 546-5700 Anthony J Boni OD and Alicia
466 Languages: Spanish, Korean Fax: (973) 546-8898 N Dorman Odpa
255 US Hwy 46 00 Yrs/130 Yrs 245 Paterson Ave
Totowa, NJ 07512 Cooper, Alan OD Little Falls, NJ 07424
M 7:00 AM - 7:00 PM
(973) 785-8000 Provider ID: TPV037592005587 T 7:30 AM - 7:00 PM (973) 785-3277
Fax: (973) 785-9122 Gender: Male Fax: (973) 812-1723
W 8:00 AM - 6:30 PM
00 Yrs/99 Yrs Gold Optical Inc 00 Yrs/99 Yrs
TH 8:30 AM - 6:30 PM
www.ecca.com 136 Market St F 8:00 AM - 6:00 PM Ehrenworth, Steven OD
Paterson, NJ 07505 Sat 8:00 AM - 12:00 PM Provider ID: TPV034319005617
Bulbin, Victoria OD (973) 278-5300
Provider ID: TPV039734012011 Fax: (973) 523-5856 Gender: Male
Desai, Heema OD
Gender: Female 00 Yrs/99 Yrs Drs Ehrenworth Goldsmith
Provider ID: 1559315
Bulbin Optometry PC Languages: Spanish 151 Union Blvd
Gender: Female
186 Warburton Ave Totowa, NJ 07512
Cummins, Charles OD NJ Eye and Ear, LLC
Hawthorne, NJ 07506 (973) 942-4221
Provider ID: TPV016498005839 1016 Main Ave Unit 1 Fax: (973) 942-7593
(973) 427-4864 Clifton, NJ 07011
Gender: Male 00 Yrs/99 Yrs
Fax: (973) 427-5422 (973) 546-5700
Charles M Cummins OD PA
00 Yrs/99 Yrs Fax: (973) 546-8898
453 Elhabbak, Ali OP
Languages: Russian, Polish 00 Yrs/130 Yrs
251 Clifton Ave Provider ID: TPV036884007591
Clifton, NJ 07011 MT 7:30 AM - 7:00 PM Gender: Male
(973) 340-2300 W 8:00 AM - 6:30 PM Zacs Optical
Fax: (973) 340-2306 TH 8:30 AM - 6:30 PM 456 Belmont Ave
00 Yrs/99 Yrs F 8:00 AM - 6:00 PM Haledon, NJ 07508
www.ecca.com Sat 8:00 AM - 12:00 PM (973) 341-4300
M-F 9:00 AM - 7:30 PM Fax: (973) 341-4300
Sat 9:00 AM - 2:30 PM 00 Yrs/99 Yrs
www.zacsoptical.com

www.wellcare.com/New-Jersey | 507
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Optometry - cont. Fures, Denise OD Janiga, Edward OD Krav, Veronika OD
Provider ID: TPV027101005840 Provider ID: TPV019170005443 Provider ID: TPV041977005839
Farbowitz, Michael OD Gender: Female Gender: Male Gender: Female
Provider ID: TPV049434043010 Charles M Cummins OD PA Dr Edward Janiga Charles M Cummins OD PA
Gender: Male 466 188 Lafayette Ave 453
Short Hills Ophthalmology 255 US Hwy 46 Hawthorne, NJ 07506 251 Clifton Ave
Group Totowa, NJ 07512 (973) 423-2015 Clifton, NJ 07011
1187 Main Ave Ste 1F (973) 785-8000 Fax: (973) 310-3089 (973) 340-2300
Clifton, NJ 07011 Fax: (973) 785-9122 00 Yrs/99 Yrs Fax: (973) 340-2306
(973) 546-6161 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 546-1708 www.ecca.com Jasani, Amy OD www.ecca.com
00 Yrs/99 Yrs Provider ID: TPV011720005771 M-F 9:00 AM - 7:30 PM
Glazer, Douglas OD Gender: Female Sat 9:00 AM - 2:30 PM
Ferrer-Garcia, Delia OD Provider ID: Clifton Eye Care
Provider ID: TPV020920005840 1016 Main Ave Ste 1 Krav, Veronika OD
TPV032943006085 Gender: Male Clifton, NJ 07011 Provider ID: TPV041977005840
Gender: Female Charles M Cummins OD PA (973) 546-5700 Gender: Female
Ferrer Garcia Eyecare 466 Fax: (973) 546-8898 Charles M Cummins OD PA
1160 Main Ave 255 US Hwy 46 00 Yrs/99 Yrs 466
Clifton, NJ 07011 Totowa, NJ 07512 www.cliftoneyecare.com 255 US Hwy 46
(973) 472-2828 (973) 785-8000 Languages: Spanish, Gujarati Totowa, NJ 07512
Fax: (973) 472-2838 Fax: (973) 785-9122 (973) 785-8000
00 Yrs/99 Yrs 00 Yrs/99 Yrs Kaplan, Lori OD Fax: (973) 785-9122
www.ferrergarciaeyecare.com www.ecca.com Provider ID: TPV041255007468 00 Yrs/99 Yrs
M-F 10:00 AM - 6:00 PM Gender: Female www.ecca.com
Sat 9:30 AM - 4:00 PM Goldsmith, William OD Natalie Velazquez OD
Provider ID: Associates Lee, Ji OD
Frankel, Alan OP TPV008666005617 222 Main Ave Provider ID: TPV001682005771
Provider ID: TPV023456007526 Gender: Male Passaic, NJ 07055 Gender: Female
Gender: Male Drs Ehrenworth Goldsmith (973) 778-4662 Clifton Eye Care
Optical Services Eye Center 151 Union Blvd Fax: (973) 778-3427 1016 Main Ave Ste 1
1187 Main Ave Ste 1F Totowa, NJ 07512 00 Yrs/99 Yrs Clifton, NJ 07011
Clifton, NJ 07011 (973) 942-4221 www.nvelazquezod.com (973) 546-5700
(973) 478-1124 Fax: (973) 942-7593 Fax: (973) 546-8898
Fax: (973) 546-1708 00 Yrs/99 Yrs Kim, Sarah OD 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish Provider ID: TPV012718005840 www.cliftoneyecare.com
Gender: Female Languages: Korean
Fures, Denise OD Han, Hanna OD Charles M Cummins OD PA
Provider ID: TPV027101005839 Provider ID: TPV041100005834 466 Lee, Ji Yun OD
Gender: Female Gender: Female 255 US Hwy 46 Provider ID: 1298674
Charles M Cummins OD PA Anthony J Boni OD and Alicia Totowa, NJ 07512 Gender: Female
453 N Dorman Odpa (973) 785-8000 Clifton Eye Care, LLC
251 Clifton Ave 245 Paterson Ave Fax: (973) 785-9122 1016 Main Ave Unit 1
Clifton, NJ 07011 Little Falls, NJ 07424 00 Yrs/99 Yrs Clifton, NJ 07011
(973) 340-2300 (973) 785-3277 www.ecca.com (973) 546-5700
Fax: (973) 340-2306 Fax: (973) 812-1723 Fax: (973) 546-8898
00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/130 Yrs
www.ecca.com Languages: Korean MT 7:30 AM - 7:00 PM
M-F 9:00 AM - 7:30 PM W 8:00 AM - 6:30 PM
Sat 9:00 AM - 2:30 PM Horwitz, Mark OD
TH 8:30 AM - 6:30 PM
Provider ID: TPV004552016794
F 8:00 AM - 6:00 PM
Gender: Male
Sat 7:30 AM - 12:00 PM
Family Eye Center
124 Main Ave Ste 1
Passaic, NJ 07055
(973) 916-5050
Fax: (973) 916-5087
00 Yrs/99 Yrs

www.wellcare.com/New-Jersey | 508
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Optometry - cont. Levinson, Paul OD Ly-Schroeder, Emily My OD Ochlan, Melissa OD
Provider ID: TPV031963005619 Provider ID: Provider ID: TPV012685020063
Lee, Ji Yun OD Gender: Male TPV026385005834 Gender: Female
Provider ID: 1298674 North Jersey Eye Care Center Gender: Female Optical Outlet
Gender: Female 2713 State Rt 23 Anthony J Boni OD and Alicia 1430 Main Ave
Pediatric Center Newfoundland, NJ 07435 N Dorman Odpa Clifton, NJ 07011
1016 Main Ave Unit 2B (973) 697-8100 245 Paterson Ave (973) 684-8400
Clifton, NJ 07011 Fax: (973) 697-8104 Little Falls, NJ 07424 Fax: (800) 610-8230
(973) 546-5700 00 Yrs/99 Yrs (973) 785-3277 00 Yrs/99 Yrs
Fax: (973) 546-8898 Fax: (973) 812-1723 M-F 9:00 AM - 7:00 PM
00 Yrs/130 Yrs Lherisson, Lourdes OD 00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Provider ID: Languages: Chinese, Swedish
TPV046495005839 O'Hara, Michael OD
Gender: Female Masadeh, Yasir OD Provider ID: TPV010201005839
Lee, Ji Yun OD
Charles M Cummins OD PA Provider ID: TPV025215040724 Gender: Male
Provider ID: 1559305
453 Gender: Male Charles M Cummins OD PA
Gender: Female
251 Clifton Ave Main Street Optical 453
NJ Eye and Ear, LLC
Clifton, NJ 07011 1010 Main St 251 Clifton Ave
1016 Main Ave Unit 1
(973) 340-2300 Paterson, NJ 07503 Clifton, NJ 07011
Clifton, NJ 07011
Fax: (973) 340-2306 (862) 239-9550 (973) 340-2300
(973) 546-5700
00 Yrs/99 Yrs Fax: (201) 595-0290 Fax: (973) 340-2306
Fax: (973) 772-8875
www.ecca.com 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/130 Yrs
M-F 9:00 AM - 7:30 PM Languages: Spanish www.ecca.com
MT 7:30 AM - 7:00 PM
Sat 9:00 AM - 2:30 PM M-F 9:00 AM - 7:30 PM
W 8:00 AM - 6:30 PM Moreira-Tortorici, Kathy OD Sat 9:00 AM - 2:30 PM
TH 8:30 AM - 6:30 PM Provider ID: TPV020473005839
Lherisson, Lourdes OD
F 8:00 AM - 6:00 PM Gender: Female O'Hara, Michael OD
Provider ID:
Sat 7:30 AM - 12:00 PM Charles M Cummins OD PA
TPV046495005840 Provider ID: TPV010201005840
Gender: Female 453 Gender: Male
Levinson, Howard OD 251 Clifton Ave
Provider ID: TPV027363005619 Charles M Cummins OD PA Charles M Cummins OD PA
466 Clifton, NJ 07011 466
Gender: Male (973) 340-2300
255 US Hwy 46 255 US Hwy 46
North Jersey Eye Care Center Fax: (973) 340-2306
Totowa, NJ 07512 Totowa, NJ 07512
2713 State Rt 23 00 Yrs/99 Yrs
(973) 785-8000 (973) 785-8000
Newfoundland, NJ 07435 www.ecca.com
Fax: (973) 785-9122 Fax: (973) 785-9122
(973) 697-8100 M-F 9:00 AM - 7:30 PM
00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 697-8104 Sat 9:00 AM - 2:30 PM
www.ecca.com www.ecca.com
00 Yrs/99 Yrs
Languages: Portuguese Linenberg, Catherine OD Morillo, Diego OD Park, Sarah OD
Provider ID: TPV019787005834 Provider ID: TPV034107005365 Provider ID: TPV012718005839
Levinson, Marc OD Gender: Female Gender: Male Gender: Female
Provider ID: TPV017547005619 Anthony J Boni OD and Alicia Morillo Eye Associates Charles M Cummins OD PA
Gender: Male N Dorman Odpa 1053 Bloomfield Ave 453
North Jersey Eye Care Center 245 Paterson Ave Clifton, NJ 07012 251 Clifton Ave
2713 State Rt 23 Little Falls, NJ 07424 (973) 594-0020 Clifton, NJ 07011
Newfoundland, NJ 07435 (973) 785-3277 00 Yrs/99 Yrs (973) 340-2300
(973) 697-8100 Fax: (973) 812-1723 Languages: Spanish, French Fax: (973) 340-2306
Fax: (973) 697-8104 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs www.ecca.com
M-F 9:00 AM - 7:30 PM
Sat 9:00 AM - 2:30 PM

www.wellcare.com/New-Jersey | 509
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Optometry - cont. Patel, Urvashi OD Ramsarat, Veronica OD Rusignuolo, Anthony OD
Provider ID: TPV047314005839 Provider ID: TPV046079003271 Provider ID: TPV019690018438
Patel, Hiral OD Gender: Female Gender: Female Gender: Male
Provider ID: TPV023792005839 Charles M Cummins OD PA NJ Eye and Ear LLC Opti-Design
Gender: Female 453 1016 Main Ave Unit 1 140 Main St
Charles M Cummins OD PA 251 Clifton Ave Clifton, NJ 07011 Paterson, NJ 07505
453 Clifton, NJ 07011 (973) 546-5700 (973) 357-8357
251 Clifton Ave (973) 340-2300 Fax: (973) 546-8898 Fax: (973) 357-8359
Clifton, NJ 07011 Fax: (973) 340-2306 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 340-2300 00 Yrs/99 Yrs www.hughesopticians.com Languages: Spanish
Fax: (973) 340-2306 www.ecca.com MTWF 8:00 AM - 6:00 PM
00 Yrs/99 Yrs M-F 9:00 AM - 7:30 PM TH 9:00 AM - 6:00 PM Scharf, Larry OD
www.ecca.com Sat 9:00 AM - 2:30 PM Sat 8:00 AM - 12:00 PM Provider ID: TPV022534005839
M-F 9:00 AM - 7:30 PM Gender: Male
Sat 9:00 AM - 2:30 PM Patel, Urvashi OD Ramsarat, Veronica OD Charles M Cummins OD PA
Provider ID: TPV047314005840 Provider ID: 453
Patel, Hiral OD Gender: Female TPV046079040546 251 Clifton Ave
Provider ID: Charles M Cummins OD PA Gender: Female Clifton, NJ 07011
TPV023792005840 466 Clifton Eye Care (973) 340-2300
Gender: Female 255 US Hwy 46 1016 Main Ave Ste 1 Fax: (973) 340-2306
Charles M Cummins OD PA Totowa, NJ 07512 Clifton, NJ 07011 00 Yrs/99 Yrs
466 (973) 785-8000 (973) 546-5700 www.ecca.com
255 US Hwy 46 Fax: (973) 785-9122 Fax: (973) 546-8898 M-F 9:00 AM - 7:30 PM
Totowa, NJ 07512 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 9:00 AM - 2:30 PM
(973) 785-8000 www.ecca.com
Fax: (973) 785-9122 Reto, Mary OD Scharf, Larry OD
00 Yrs/99 Yrs Ramirez, Joanne OD Provider ID: TPV017199005834 Provider ID:
www.ecca.com Provider ID: TPV045659040718 Gender: Female TPV022534005840
Gender: Female Anthony J Boni OD and Alicia Gender: Male
Patel, Nimali OD Joanne Ramirez OD N Dorman Odpa Charles M Cummins OD PA
Provider ID: TPV030107005839 769 Lafayette Ave 245 Paterson Ave 466
Gender: Female Hawthorne, NJ 07506 Little Falls, NJ 07424 255 US Hwy 46
Charles M Cummins OD PA (979) 949-5085 (973) 785-3277 Totowa, NJ 07512
453 Fax: (973) 427-8866 Fax: (973) 812-1723 (973) 785-8000
251 Clifton Ave 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 785-9122
Clifton, NJ 07011 Languages: Spanish 00 Yrs/99 Yrs
(973) 340-2300 Rusignuolo, Anthony OD
MWF 9:00 AM - 6:00 PM www.ecca.com
Fax: (973) 340-2306 Provider ID: TPV019690015674
TTH 9:00 AM - 7:00 PM
00 Yrs/99 Yrs Gender: Male Seyam, Ramy OD
Sat 9:00 AM - 2:00 PM
www.ecca.com Opti Eyecare Provider ID: TPV032176005834
M-F 9:00 AM - 7:30 PM Ramsarat, Veronica OD 140 Main St Gender: Male
Sat 9:00 AM - 2:30 PM Paterson, NJ 07505 Anthony J Boni OD and Alicia
(973) 357-8357 N Dorman Odpa
Provider ID: 1500778
Patel, Nimali OD Fax: (973) 357-8359 245 Paterson Ave
Gender: Female
Provider ID: TPV030107005840 Clifton Eye Care LLC 00 Yrs/99 Yrs Little Falls, NJ 07424
Gender: Female Languages: Spanish (973) 785-3277
1016 Main Ave Unit 1
Charles M Cummins OD PA MTWTHFSat 10:30 AM - 6:30 Fax: (973) 812-1723
Clifton, NJ 07011
466 PM 00 Yrs/99 Yrs
(973) 546-5700
255 US Hwy 46 Fax: (973) 546-8898 Languages: Arabic
Totowa, NJ 07512 00 Yrs/130 Yrs
(973) 785-8000 M-F 9:00 AM - 5:00 PM
Fax: (973) 785-9122
00 Yrs/99 Yrs
www.ecca.com

www.wellcare.com/New-Jersey | 510
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Optometry - cont. Solis, Melissa OD Trytjak, Yurij OD Velazquez, Natalie OD
Provider ID: Provider ID: TPV036593018438 Provider ID:
Seyam, Ramy OD TPV045666004444 Gender: Male TPV009901007468
Provider ID: TPV032176037812 Gender: Female Opti-Design Gender: Female
Gender: Male Passaic Eyecare 140 Main St Natalie Velazquez OD
Prime Vision Care LLC 177 Prospect St Paterson, NJ 07505 Associates
1055 Hamburg Tpke Ste 14B Passaic, NJ 07055 (973) 357-8357 222 Main Ave
Wayne, NJ 07470 (973) 777-4343 Fax: (973) 357-8359 Passaic, NJ 07055
(973) 832-7222 Fax: (973) 777-0536 00 Yrs/99 Yrs (973) 778-4662
Fax: (973) 832-7707 00 Yrs/99 Yrs Languages: Spanish, Russian Fax: (973) 778-3427
00 Yrs/99 Yrs Languages: Spanish 00 Yrs/99 Yrs
Languages: Arabic M-TH 11:00 AM - 7:00 PM Tsai, Judy OD www.nvelazquezod.com
M-F 9:00 AM - 5:00 PM F 10:00 AM - 4:00 PM Provider ID: Languages: Spanish
Sat 9:00 AM - 1:00 PM TPV034827005839
Traino, Alan OP Gender: Female Vinciguerra, Van OD
Shapiro, Lawrence OD Provider ID: Charles M Cummins OD PA Provider ID: TPV019486007326
Provider ID: TPV030710005587 TPV003627007294 453 Gender: Male
Gender: Male Gender: Male 251 Clifton Ave Sterling Optical
Gold Optical Inc Seymour Pollack Opticians Clifton, NJ 07011 158 Market St
136 Market St 769 Lafayette Ave (973) 340-2300 Paterson, NJ 07505
Paterson, NJ 07505 Hawthorne, NJ 07506 Fax: (973) 340-2306 (973) 345-8694
(973) 278-5300 (973) 427-2020 00 Yrs/99 Yrs Fax: (973) 345-6120
Fax: (973) 523-5856 Fax: (973) 427-8866 www.ecca.com 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 7:30 PM Languages: Spanish
Languages: Spanish Sat 9:00 AM - 2:30 PM
Trajkovska, Violeta OD Waldman, Eric OD
Shin, Wae OD Provider ID: Tsai, Judy OD Provider ID: TPV035793005593
Provider ID: TPV016520007326 TPV022939005840 Provider ID: Gender: Male
Gender: Female Gender: Female TPV034827005840 Dr Eric Waldman
Sterling Optical Charles M Cummins OD PA Gender: Female 607 Main Ave
158 Market St 466 Charles M Cummins OD PA Passaic, NJ 07055
Paterson, NJ 07505 255 US Hwy 46 466 (973) 473-3384
(973) 345-8694 Totowa, NJ 07512 255 US Hwy 46 Fax: (973) 473-0366
Fax: (973) 345-6120 (973) 785-8000 Totowa, NJ 07512 00 Yrs/99 Yrs
00 Yrs/99 Yrs Fax: (973) 785-9122 (973) 785-8000
Languages: Spanish, Korean 00 Yrs/99 Yrs Fax: (973) 785-9122 Watkins, Rebecca OD
www.ecca.com 00 Yrs/99 Yrs Provider ID:
Skinner, Judith OD www.ecca.com TPV003647005834
Provider ID: TPV010016005839 Trytjak, Yurij OD Gender: Female
Gender: Female Provider ID: TPV036593015674 Velazquez, Natalie OD Anthony J Boni OD and Alicia
Charles M Cummins OD PA Gender: Male Provider ID: 1530796 N Dorman Odpa
453 Opti Eyecare Gender: Female 245 Paterson Ave
251 Clifton Ave 140 Main St Eyecare Consultants of NJ PA Little Falls, NJ 07424
Clifton, NJ 07011 Paterson, NJ 07505 1225 McBride Ave Ste 204 (973) 785-3277
(973) 340-2300 (973) 357-8357 Woodland Park, NJ 07424 Fax: (973) 812-1723
Fax: (973) 340-2306 Fax: (973) 357-8359 (973) 785-2050 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 785-2423 Languages: Spanish
www.ecca.com Languages: Spanish, Russian 05 Yrs/130 Yrs
M-F 9:00 AM - 7:30 PM MTWTHFSat 10:30 AM - 6:30 Languages: Spanish
Sat 9:00 AM - 2:30 PM PM M 9:00 AM - 3:00 PM
T 12:30 AM - 4:30 PM
W 9:00 AM - 12:30 PM

www.wellcare.com/New-Jersey | 511
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Optometry - cont. Zaky, Jackline OD Ephros, Hillel DMD Castronova, John DMD
Provider ID: Provider ID: TPVP149255-01
Win, Kelvin OD TPV049765005840 Gender: Male Provider ID: TPVP142597-06
Provider ID: TPV018530035799 Gender: Female St Josephs Hospital Medical Gender: Male
Gender: Male Charles M Cummins OD PA Center Clifton Orthodontics
Vision Consultants of New 466 703 Main St 1053 Bloomfield Ave Ste 14
Jersey LLC 255 US Hwy 46 Paterson, NJ 07503 Clifton, NJ 07012
260 Rt 46 & Rt 23 Totowa, NJ 07512 (973) 754-2290 (973) 471-7200
Wayne, NJ 07470 (973) 785-8000 Fax: (973) 754-4904 Fax: (888) 292-7017
(973) 785-0715 Fax: (973) 785-9122 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 812-7167 00 Yrs/99 Yrs Languages: Spanish Languages: Arabic
00 Yrs/99 Yrs www.ecca.com M-F 9:00 AM - 3:00 PM MWF 10:00 AM - 6:00 PM
Languages: Chinese, Burmese TTH 11:00 AM - 7:00 PM
Zalaznick, Steven OD Tamimi, Imad DMD Sat 9:00 AM - 4:00 PM
Youngewirth, Maty OD Provider ID: TPV015155004444
Provider ID: Gender: Male Provider ID: 1523040 Chelian, Giri DDS
TPV022248003608 Passaic Eyecare Gender: Male Provider ID: TPVP93168-09
Gender: Female 177 Prospect St Royal Oral and Maxillofacial Gender: Male
R C Optical Passaic, NJ 07055 Surg Smile Central Passaic
596 Main Ave (973) 777-4343 1054 Clifton Ave 625 Main Ave 3rd Fl
Passaic, NJ 07055 Fax: (973) 777-0536 Clifton, NJ 07013 Passaic, NJ 07055
(973) 778-1081 00 Yrs/99 Yrs (973) 625-4048 (973) 574-1000
Fax: (973) 778-1083 M-TH 11:00 AM - 7:00 PM Fax: (973) 625-1984 Fax: (973) 574-1001
00 Yrs/99 Yrs F 10:00 AM - 4:00 PM 00 Yrs/130 Yrs 00 Yrs/99 Yrs
Languages: Yiddish St. Joseph's Hospital Reg Languages: Arabic
Zimmerling, Inna OD Medical Center M-F 9:00 AM - 7:00 PM
Zabarko, Diana OD Provider ID: TPV015698018665 Languages: Spanish, Arabic
Sat 9:00 AM - 3:00 PM
Provider ID: TPV003104017080 Gender: Female M-F 9:00 AM - 6:00 PM
Gender: Female Clifton Optical
Drut, Oleg DDS
Diana Zabarko OD 1026 Main Ave Tamimi, Imad DDS
Clifton, NJ 07011 Provider ID: TPVP32406-06
506 Hamburg Tpke Ste 207 Provider ID: TPVP120985-02
(973) 471-2020 Gender: Male
Wayne, NJ 07470 Gender: Male
Fax: (201) 865-0123 Clifton Orthodontics
(862) 336-1990 Royal Oral Maxillofacial
00 Yrs/99 Yrs 1053 Bloomfield Ave Ste 14
Fax: (973) 904-3339 Sugery LLC
Languages: Spanish, Russian Clifton, NJ 07012
00 Yrs/99 Yrs 1054 Clifton Ave Ste 2
MTWTHFSat 10:00 AM - 6:00 (973) 471-7200
Languages: Spanish, Russian Clifton, NJ 07013
PM Fax: (888) 292-7017
M 9:30 AM - 6:30 PM (973) 625-4048 00 Yrs/99 Yrs
T 10:00 AM - 6:30 PM Fax: (973) 625-1984
W 10:00 AM - 5:00 PM
Oral & Maxillofacial Languages: Russian, Arabic
00 Yrs/99 Yrs MWF 10:00 AM - 6:00 PM
Surgery Languages: Arabic
Zaky, Jackline OD TTH 11:00 AM - 7:00 PM
M-F 9:00 AM - 6:00 PM Sat 9:00 AM - 4:00 PM
Provider ID: Ephros, Hillel DMD
TPV049765005839 Provider ID: 1191401 Orthodontics
Gender: Female Kim, Jung DDS
Gender: Male
Charles M Cummins OD PA Hillel Ephros DMD Md Provider ID: TPVP121620-04
Berk, Jason DDS
453 703 Main St Gender: Male
Provider ID: TPVP153167-05 St Josephs Hospital Medical
251 Clifton Ave Paterson, NJ 07503 Gender: Male Center
Clifton, NJ 07011 (973) 754-2290 Clifton Orthodontics 11 Getty Ave Bldg 275
(973) 340-2300 Fax: (973) 754-2633 1053 Bloomfield Ave Ste 14 Paterson, NJ 07503
Fax: (973) 340-2306 00 Yrs/130 Yrs Clifton, NJ 07012 (973) 754-4250
00 Yrs/99 Yrs St. Joseph's Hospital Reg (973) 471-7200 Fax: (973) 754-3071
www.ecca.com Medical Center Fax: (888) 292-7017 00 Yrs/99 Yrs
M-F 9:00 AM - 7:30 PM M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs Languages: Arabic
Sat 9:00 AM - 2:30 PM Languages: Arabic M-F 9:00 AM - 3:00 PM
MWF 10:00 AM - 6:00 PM
TTH 11:00 AM - 7:00 PM
Sat 9:00 AM - 4:00 PM

www.wellcare.com/New-Jersey | 512
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Orthodontics - cont. Pediatric Dentistry Cao, Dao DDS George, Titus DDS
Provider ID: TPVNJSP149246-0 Provider ID: TPVNJSP124616-0
Simon, Lawrence DMD Aboelsaad, Mohamed DDS Gender: Female Gender: Male
Provider ID: TPVP151710-02 St Josephs Hospital Medical Paterson Community Health
Gender: Male Provider ID: TPVNJSP166428-0 Center Center Inc
St Josephs Hospital Medical Gender: Male 11 Getty Ave Bldg 275 32 Clinton St
Center Woodland Park Dental Center Paterson, NJ 07503 Paterson, NJ 07522
11 Getty Ave Bldg 275 482 Notch Rd (973) 754-4250 (973) 790-6594
Paterson, NJ 07503 Woodland Park, NJ 07424 Fax: (973) 754-3071 Fax: (973) 389-2197
(973) 754-4250 (973) 256-3300 00 Yrs/06 Yrs 00 Yrs/06 Yrs
Fax: (973) 754-3071 Fax: (973) 256-1655 Languages: Arabic Languages: Spanish
00 Yrs/99 Yrs 00 Yrs/06 Yrs M-F 9:00 AM - 3:00 PM M-F 9:00 AM - 5:00 PM
Languages: Arabic Languages: Arabic
M-F 9:00 AM - 3:00 PM M-TH 9:00 AM - 8:00 PM Diamond, Marshall DMD George, Titus DDS
F 9:00 AM - 5:00 PM Provider ID: TPVNJSP34305-02 Provider ID: TPVNJSP124616-0
Terrana, Anthony DMD Sat 9:00 AM - 3:00 PM Gender: Male Gender: Male
Paterson Community Health Paterson Community Health
Provider ID: TPVP170485-04 Alexander, Victoria DDS Center Inc Center Inc
Gender: Male Provider ID: TPVNJSP169355-0 227 Broadway 227 Broadway
Clifton Orthodontics Gender: Female Paterson, NJ 07501 Paterson, NJ 07501
1053 Bloomfield Ave Ste 14 Pediatric Dentistry of (973) 278-2600 (973) 278-2600
Clifton, NJ 07012 Paterson Fax: (973) 389-2197 Fax: (973) 389-2197
(973) 471-7200 1 W Broadway 00 Yrs/06 Yrs 00 Yrs/06 Yrs
Fax: (888) 292-7017 Paterson, NJ 07505 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs (973) 233-4931
Languages: Arabic Fax: (973) 200-2240 Eldin, Khaled DDS Gowda, Anjana DDS
MWF 10:00 AM - 6:00 PM 00 Yrs/06 Yrs Provider ID: TPVNJSP33368-02 Provider ID: TPVNJSP139743-0
TTH 11:00 AM - 7:00 PM Languages: Arabic Gender: Male Gender: Female
Sat 9:00 AM - 4:00 PM M-F 10:00 AM - 5:00 PM Woodland Park Dental Center Paterson Dental
482 Notch Rd 1010 Main St Ste 6 Fl 2
Yin, Hong DDS Asmar, Diane DMD Woodland Park, NJ 07424 Paterson, NJ 07503
Provider ID: TPVP125461-01 Provider ID: TPVNJSP169872-0 (973) 256-3300 (973) 225-9975
Gender: Female Gender: Female Fax: (973) 256-1655 Fax: (973) 225-9982
Smile Central Passaic Paterson Dental 00 Yrs/06 Yrs 00 Yrs/06 Yrs
625 Main Ave 3rd Fl 1010 Main St Ste 6 Fl 2 Languages: Arabic Languages: Spanish
Passaic, NJ 07055 Paterson, NJ 07503 M-TH 9:00 AM - 8:00 PM M 8:00 AM - 6:00 PM
(973) 574-1000 (973) 225-9975 F 9:00 AM - 5:00 PM TWTHF 9:00 AM - 6:00 PM
Fax: (973) 574-1001 Fax: (973) 225-9982 Sat 9:00 AM - 3:00 PM Sat 8:00 AM - 3:00 PM
00 Yrs/99 Yrs 00 Yrs/06 Yrs
Languages: Arabic Languages: Spanish Fuentes, Peter DDS Kim, Vivian DDS
M-F 9:00 AM - 7:00 PM M 8:00 AM - 6:00 PM Provider ID: TPVNJSP41372-04 Provider ID: TPVNJSP169543-0
Sat 9:00 AM - 3:00 PM TWTHF 9:00 AM - 6:00 PM Gender: Male Gender: Female
Sat 8:00 AM - 3:00 PM Paterson Dental Paterson Community Health
1010 Main St Ste 6 Fl 2 Center Inc
Butler, Thomas DMD Paterson, NJ 07503 32 Clinton St
Provider ID: TPVNJSP152582-0 (973) 225-9975 Paterson, NJ 07522
Gender: Male Fax: (973) 225-9982 (973) 790-6594
St Josephs Hospital Medical 00 Yrs/06 Yrs Fax: (973) 389-2197
Center Languages: Spanish 00 Yrs/06 Yrs
11 Getty Ave Bldg 275 M 8:00 AM - 6:00 PM Languages: Spanish
Paterson, NJ 07503 TWTHF 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
(973) 754-4250 Sat 8:00 AM - 3:00 PM
Fax: (973) 754-3071
00 Yrs/06 Yrs
Languages: Arabic
M-F 9:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 513
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Pediatric Dentistry - cont. Pavone, Salvatore DDS Seedat, Ghazala DDS Yassein, Ibraheim DDS
Provider ID: TPVNJSP34448-04 Provider ID: TPVNJSP102674-0 Provider ID: TPVNJSP40970-01
Loutfy, Rana DMD Gender: Male Gender: Female Gender: Male
Provider ID: TPVNJSP149247-0 Paterson Dental Paterson Dental Dental Care Center
Gender: Female 1010 Main St Ste 6 Fl 2 1010 Main St Ste 6 Fl 2 426 Union Ave
St Josephs Hospital Medical Paterson, NJ 07503 Paterson, NJ 07503 Paterson, NJ 07502
Center (973) 225-9975 (973) 225-9975 (973) 595-8083
11 Getty Ave Bldg 275 Fax: (973) 225-9982 Fax: (973) 225-9982 Fax: (973) 595-7940
Paterson, NJ 07503 00 Yrs/06 Yrs 00 Yrs/06 Yrs 00 Yrs/06 Yrs
(973) 754-4250 Languages: Spanish Languages: Spanish Languages: Spanish, Arabic
Fax: (973) 754-3071 M 8:00 AM - 6:00 PM M 8:00 AM - 6:00 PM MWTH 9:00 AM - 5:00 PM
00 Yrs/06 Yrs TWTHF 9:00 AM - 6:00 PM TWTHF 9:00 AM - 6:00 PM T 9:00 AM - 7:00 PM
Languages: Arabic Sat 8:00 AM - 3:00 PM Sat 8:00 AM - 3:00 PM F 9:00 AM - 2:00 PM
M-F 9:00 AM - 3:00 PM
Pimanov, Anton DMD Shamshuddin, Safa DMD Pedodontics
Monje, Jonas DDS Provider ID: TPVNJSP156750-0 Provider ID: TPVNJSP172863-0
Provider ID: TPVNJSP123631-0 Gender: Male Gender: Female Akkaway, Jennifer DDS
Gender: Male Paterson Dental Smile Central Passaic Provider ID: TPVP155870-01
Paterson Dental 1010 Main St Ste 6 Fl 2 625 Main Ave 3rd Fl Gender: Female
1010 Main St Ste 6 Fl 2 Paterson, NJ 07503 Passaic, NJ 07055 St Josephs Hospital Medical
Paterson, NJ 07503 (973) 225-9975 (973) 574-1000 Center
(973) 225-9975 Fax: (973) 225-9982 Fax: (973) 574-1001 11 Getty Ave Bldg 275
Fax: (973) 225-9982 00 Yrs/06 Yrs 00 Yrs/06 Yrs Paterson, NJ 07503
00 Yrs/06 Yrs Languages: Spanish Languages: Arabic (973) 754-4250
Languages: Spanish M 8:00 AM - 6:00 PM M-F 9:00 AM - 7:00 PM Fax: (973) 754-3071
M 8:00 AM - 6:00 PM TWTHF 9:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM 00 Yrs/99 Yrs
TWTHF 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM Languages: Arabic
Sat 8:00 AM - 3:00 PM Skjeveland, Richard DDS M-F 9:00 AM - 3:00 PM
Rehman, Aneeza DMD Provider ID: TPVNJSP39564-05
Mouner, Amer DDS Provider ID: TPVNJSP144704-0 Gender: Male Desimone, Helen Ann DDS
Provider ID: TPVNJSP166313-0 Gender: Female Paterson Dental
Gender: Male Paterson Dental 1010 Main St Ste 6 Fl 2 Provider ID: TPVP41781-02
Woodland Park Dental Center 1010 Main St Ste 6 Fl 2 Paterson, NJ 07503 Gender: Female
482 Notch Rd Paterson, NJ 07503 (973) 225-9975 St Josephs Hospital Medical
Woodland Park, NJ 07424 (973) 225-9975 Fax: (973) 225-9982 Center
(973) 256-3300 Fax: (973) 225-9982 00 Yrs/06 Yrs 11 Getty Ave Bldg 275
Fax: (973) 256-1655 00 Yrs/06 Yrs Languages: Spanish Paterson, NJ 07503
00 Yrs/06 Yrs Languages: Spanish, Arabic M 8:00 AM - 6:00 PM (973) 754-4250
Languages: Arabic M 8:00 AM - 6:00 PM TWTHF 9:00 AM - 6:00 PM Fax: (973) 754-3071
M-TH 9:00 AM - 8:00 PM TWTHF 9:00 AM - 6:00 PM Sat 8:00 AM - 3:00 PM 00 Yrs/99 Yrs
F 9:00 AM - 5:00 PM Sat 8:00 AM - 3:00 PM Languages: Arabic
Sat 9:00 AM - 3:00 PM Yacoub, Kinda DDS M-F 9:00 AM - 3:00 PM
Saad, Nader DDS Provider ID: TPVNJSP41635-02
Patel, Lajja DMD Provider ID: TPVNJSP40975-02 Gender: Female Jacobson, Barry DDS
Provider ID: TPVNJSP168663-0 Gender: Male Chrystal Dental Care Provider ID: TPVP31636-02
Gender: Female The Fresh Breath 2025 Hamburg Tpke Ste F Gender: Male
Paterson Dental 1180 Clifton Ave Wayne, NJ 07470 Pediatric Dentistry of
1010 Main St Ste 6 Fl 2 Clifton, NJ 07013 (973) 520-8787 Paterson
Paterson, NJ 07503 (973) 249-9600 Fax: (973) 850-4718 1 W Broadway
(973) 225-9975 Fax: (973) 249-7887 06 Yrs/06 Yrs Paterson, NJ 07505
Fax: (973) 225-9982 06 Yrs/06 Yrs Languages: Spanish, Arabic (973) 233-4931
00 Yrs/06 Yrs Languages: Arabic M 8:00 AM - 5:00 PM Fax: (973) 200-2240
Languages: Spanish M 3:00 AM - 6:00 PM T 9:00 AM - 12:00 PM 00 Yrs/99 Yrs
M 8:00 AM - 6:00 PM T 3:00 AM - 8:00 PM W 9:00 AM - 5:00 PM Languages: Arabic
TWTHF 9:00 AM - 6:00 PM W 11:00 AM - 2:00 PM TH 9:00 AM - 1:00 PM M-F 10:00 AM - 5:00 PM
Sat 8:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 514
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Pedodontics - cont. Sioson-Maser, Patricia DDS Always Home Care Loving Care Agency Inc
Provider ID: 944544
Joshi, Padma DDS Provider ID: TPVP41732-02 185 Market St Ste 2 Provider ID: 1008554
Provider ID: TPVP40218-01 Gender: Female Paterson, NJ 07505 2 Brighton Rd Ste 402
Gender: Female Pediatric Dentistry of (973) 278-0808 Clifton, NJ 07012
Childrens Dentistry of Passaic Paterson Fax: (973) 278-0877 (201) 939-4300
LLC 1 W Broadway 00 Yrs/130 Yrs Fax: (201) 939-4328
124 Gregory Ave Ste 303 Paterson, NJ 07505 M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
Passaic, NJ 07055 (973) 233-4931 Languages: Spanish, Russian,
(973) 859-0538 Fax: (973) 200-2240 Bayada Home Healthcare Inc Polish, Ukrainian
Fax: (862) 249-4929 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Languages: Arabic Provider ID: 945568
Languages: Spanish M-F 10:00 AM - 5:00 PM 45 E Madison Ave Ste 9 Physical Medicine &
MW 10:00 AM - 5:00 PM Clifton, NJ 07011 Rehabilitation
T 10:00 AM - 6:00 PM Periodontics (973) 909-5150
TH 12:00 AM - 7:00 PM Fax: (973) 909-5155 Chemaly, Philippe DO
F 9:30 AM - 4:30 PM Duggal, Priya DMD 00 Yrs/130 Yrs
Sat 8:00 AM - 2:00 PM Provider ID: TPVP39043-02 M-F 9:00 AM - 5:00 PM Provider ID: 786667
Gender: Female Gender: Male
Lee, Judyth DDS Passaic Dental Associates Bayada Home Healthcare Inc Wayne Physical Medicine
Provider ID: TPVP156810-02 244 Paulison Ave Rehabiltat
Gender: Female Passaic, NJ 07055 Provider ID: 945568 401 Hamburg Tpke Ste 105
Pediatric Dentistry of (973) 778-7272 Bayada Home Health Care, Inc Wayne, NJ 07470
Paterson Fax: (973) 778-5755 1117 Main Ave Ste 202 (973) 595-6066
1 W Broadway 00 Yrs/99 Yrs Clifton, NJ 07011 Fax: (973) 595-1127
Paterson, NJ 07505 Languages: Spanish (973) 574-1120 00 Yrs/130 Yrs
(973) 233-4931 M-F 9:00 AM - 5:00 PM Fax: (973) 574-1127 St. Joseph's Hospital Reg
Fax: (973) 200-2240 Sat 9:30 AM - 2:30 PM 00 Yrs/130 Yrs Medical Center
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Languages: Arabic Duggal, Priya DMD
M-F 10:00 AM - 5:00 PM Provider ID: TPVP39043-03 Bayada Home Healthcare Inc Kaszubski, Priscilla DO
Gender: Female Provider ID: 398215
Sciortino, Anthony DDS Broadway Family Dental Gender: Female
Provider ID: 945568
Provider ID: TPVP148959-01 15 Broadway 2nd Fl Bayada Home Health Care, Inc IPA of North Jersey Inc
Gender: Male Passaic, NJ 07055 163 East Main St Ste B 703 Main St
Pediatric Dentistry of (973) 955-2002 Little Falls, NJ 07424 Paterson, NJ 07503
Paterson Fax: (973) 955-2007 (973) 754-2946
(973) 909-5159
1 W Broadway 00 Yrs/99 Yrs Fax: (973) 754-2934
Fax: (973) 909-5112
Paterson, NJ 07505 Languages: Spanish 00 Yrs/130 Yrs
00 Yrs/130 Yrs
(973) 233-4931 M-F 9:00 AM - 6:00 PM St. Joseph's Hospital Reg
M-F 9:00 AM - 5:00 PM
Fax: (973) 200-2240 Sat 9:00 AM - 2:00 PM Medical Center
00 Yrs/99 Yrs Emerald Health Care Services M-TH 9:00 AM - 5:00 PM
Languages: Arabic Personal Care Services Inc F 9:00 AM - 12:00 PM
M-F 10:00 AM - 5:00 PM Provider ID: 945210
Always Home Care 1700 Rte 23 Ste 125 Kolla, Sairamachandra MD
Shah, Rajvi DMD Provider ID: 944544 Wayne, NJ 07470
Provider ID: TPVP156673-02 129 Prospect St (973) 694-6688 Provider ID: 944235
Gender: Female Passaic, NJ 07055 Fax: (973) 694-7277 Gender: Male
Pediatric Dentistry of (973) 559-6696 00 Yrs/130 Yrs Sub Specialty: HIV/AIDs
Paterson Fax: (973) 928-2231 680 Broadway
M-F 9:00 AM - 5:00 PM
1 W Broadway 00 Yrs/130 Yrs Paterson, NJ 07514
Paterson, NJ 07505 M-F 9:00 AM - 5:00 PM (973) 689-7179
(973) 233-4931 Fax: (973) 689-7180
Fax: (973) 200-2240 18 Yrs/130 Yrs
00 Yrs/99 Yrs Languages: Spanish, Hindi
Languages: Arabic M 9:00 AM - 5:00 PM
M-F 10:00 AM - 5:00 PM

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Managed Long Term Services And Supports


Passaic
Physical Medicine & Weidenhammer, Adam MD Encabo, Michelle Gallardo PT Kabbani, Nour PT
Rehabilitation - cont. Provider ID: 1085791
Provider ID: 1344818 Provider ID: 956874 Gender: Female
Rahman, Mohammad MD Gender: Male Gender: Male Ultimate Physical Therapy LLC
St Josephs Healthcare Inc Holsman Physical Therapy and 922 Main St Ste 101
Provider ID: 1344875 224 Hamburg Tpke Rehabi Paterson, NJ 07503
Gender: Male Wayne, NJ 07470 1070 Clifton Ave Ste 1 A (973) 345-8200
St Josephs Healthcare Inc (973) 956-3327 Clifton, NJ 07013 Fax: (973) 345-2906
224 Hamburg Tpke Fax: (973) 389-4069 (973) 246-6565 00 Yrs/130 Yrs
Wayne, NJ 07470 00 Yrs/130 Yrs Fax: (973) 883-0140 M-TH 8:30 AM - 7:00 PM
(973) 754-2946 St. Joseph's Hospital Reg 00 Yrs/130 Yrs F 8:30 AM - 4:30 PM
00 Yrs/130 Yrs Medical Center M-F 8:00 AM - 8:00 PM
St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM Laureano, Mark PT
Medical Center Espeleta, Benigno PT Provider ID: 1284186
M-F 9:00 AM - 5:00 PM Physical Therapy Provider ID: 1253991 Gender: Male
Gender: Male Holsman Physical Therapy and
Rahman, Mohammad MD Abdullah, Cinderella PT Holsman Physical Therapy and Rehab
Rehab 1070 Clifton Ave Ste 1A
Provider ID: 1344875 Provider ID: 1007496 1070 Clifton Ave Ste 1A Clifton, NJ 07013
Gender: Male Gender: Female Clifton, NJ 07013 (973) 246-6565
St Josephs Healthcare Inc Holsman Physical Therapy and (973) 246-6565 Fax: (973) 883-0140
703 Main St Fl 1 Rehabi Fax: (973) 883-0140 00 Yrs/130 Yrs
Paterson, NJ 07503 1070 Clifton Ave Ste 1 A 00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
(973) 754-2946 Clifton, NJ 07013 Languages: Tagalog
(973) 246-6565 MTWTHFSat 8:00 AM - 8:00 Letizia, Robert PT
Fax: (973) 754-2934
00 Yrs/130 Yrs Fax: (973) 883-0140 PM Provider ID: 1341020
St. Joseph's Hospital Reg 00 Yrs/130 Yrs Gender: Male
M-F 9:00 AM - 5:00 PM Holsman, Richard PT Spectrum Therapeutics of NJ
Medical Center
M-F 9:00 AM - 5:00 PM Provider ID: 659516 LLC
Barba, Melchor PT Gender: Male 401 Hamburg Tpke Ste 105
Rosenblatt, Marc DO Provider ID: 1592581 Holsman Physical Therapy and Wayne, NJ 07470
Gender: Male Rehabi (973) 689-7123
Ultra Comprehensive Physical 1070 Clifton Ave Ste 1A Fax: (973) 840-7143
Provider ID: 1321736
Therap Clifton, NJ 07013 00 Yrs/130 Yrs
Gender: Male
246 Clifton Ave (973) 246-6565 M-F 9:00 AM - 5:00 PM
Ord Physitary, PC
Clifton, NJ 07011 Fax: (973) 883-0140
350 Blvd
(862) 899-7900 00 Yrs/130 Yrs Maier, Jason PT
Passaic, NJ 07055
Fax: (862) 899-7901 Languages: Spanish, Tagalog Provider ID: 1488601
(845) 521-1542
00 Yrs/130 Yrs MTWTHFSat 8:00 AM - 8:00 Gender: Male
Fax: (845) 624-3281
M-TH 9:00 AM - 7:00 PM PM Synergy Sports and Medical
00 Yrs/130 Yrs
F 9:00 AM - 5:00 PM Rehab
Prime Health Services-St Jani, Himani PT
Sat 9:00 AM - 1:00 PM 911 E 23rd St
Marys Hospital Provider ID: 1100779 Paterson, NJ 07513
M 10:00 AM - 2:00 PM
Barba, Melchor PT Gender: Female (201) 758-5238
T 9:00 AM - 4:00 PM
Provider ID: 1592603 Haledon Physical Therapy II Fax: (201) 708-7341
Gender: Male LLC 00 Yrs/130 Yrs
Ultra Comprehensive Physical Sub Specialty: HIV/AIDs M 8:30 AM - 7:00 PM
Therap 401 Haledon Ave TTH 8:30 AM - 8:00 PM
246 Clifton Ave Haledon, NJ 07508 W 9:00 AM - 4:00 PM
Clifton, NJ 07011 (973) 689-6112
(862) 899-7900 Fax: (973) 689-6114
Fax: (862) 899-7901 02 Yrs/130 Yrs
12 Yrs/130 Yrs M-W 9:00 AM - 6:00 PM
M-TH 9:00 AM - 7:00 PM TH 9:00 AM - 1:00 PM
F 9:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM

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Managed Long Term Services And Supports


Passaic
Physical Therapy - cont. Moscaritola, Anthony PT Reyna, Alita PT Silletti, Michael PT
Provider ID: 1603075 Provider ID: 1110539
Maniti, Whilma PT Provider ID: 1085792 Gender: Female Gender: Male
Provider ID: 1148830 Gender: Male Allied Rehab Care Specialist, Ultimate Physical Therapy LLC
Gender: Female Ultimate Physical Therapy LLC LLC 922 Main St Ste 304
Holsman Physical Therapy and 922 Main St Ste 101 1135 Clifton Ave Ste 204 Paterson, NJ 07503
Rehabi Paterson, NJ 07503 Clifton, NJ 07013 (973) 345-8200
1070 Clifton Ave Ste 1A (973) 345-8200 (973) 955-2656 Fax: (973) 354-5290
Clifton, NJ 07013 Fax: (973) 345-2906 Fax: (973) 955-2657 00 Yrs/130 Yrs
(397) 324-6656 00 Yrs/130 Yrs 02 Yrs/130 Yrs M-F 8:00 AM - 7:00 PM
Fax: (973) 883-0140 M-F 9:00 AM - 5:00 PM M-W 9:00 AM - 7:00 PM
00 Yrs/130 Yrs TH 9:00 AM - 5:00 PM Talati, Dhaval PT
M-F 9:00 AM - 5:00 PM Ojugo, Elizabeth PT F 9:00 AM - 12:00 PM Provider ID: 709118
Provider ID: 1277818 Gender: Male
Manley, Robert PT Gender: Female Reyna, Angel David PT Holsman Physical Therapy and
Provider ID: 590353 Cepp Innovation Sports Provider ID: 1602009 Rehabi
Gender: Male 1081 Paulison Ave Ste 4 Gender: Male 1070 Clifton Ave Ste 1A
235 Lakeview Ave Clifton, NJ 07011 Allied Rehab Care Specialists, Clifton, NJ 07013
Clifton, NJ 07011 (973) 471-3500 LLC (973) 246-6565
(973) 772-8006 Fax: (973) 471-3504 1135 Clifton Ave Ste 204 Fax: (973) 883-0140
Fax: (973) 772-0907 00 Yrs/130 Yrs Clifton, NJ 07013 00 Yrs/130 Yrs
00 Yrs/130 Yrs M-W 11:00 AM - 5:00 PM (973) 955-2656 Languages: Hindi
MWF 8:00 AM - 8:00 PM Fax: (973) 955-2657 M-F 9:00 AM - 5:00 PM
TTH 12:00 AM - 8:00 PM Patel, Hezal PT 02 Yrs/130 Yrs
Sat 8:00 AM - 12:00 PM Provider ID: 906422 M-W 9:00 AM - 7:00 PM Tuason, Cayetano PT
Gender: Female TH 9:00 AM - 5:00 PM Provider ID: 1602011
Mercado, Christopher PT Holsman Physical Therapy and F 9:00 AM - 12:00 PM Gender: Male
Rehabi Allied Rehab Care Specialists,
Provider ID: 1644301 1070 Clifton Ave Ste 1 Salama, Mina PT LLC
Gender: Male Clifton, NJ 07013 Provider ID: 1499459 1135 Clifton Ave Ste 204
Dynamic Physical Therapy and (973) 246-6565 Gender: Male Clifton, NJ 07013
Sports Fax: (973) 883-0140 Synergy Sports and Medical (973) 955-2656
680 Broadway Ste 507 00 Yrs/130 Yrs Rehabili Fax: (973) 955-2657
Paterson, NJ 07514 Languages: Hindi, Gujarati, 911 E 23rd St 02 Yrs/130 Yrs
(862) 257-1073 Marathi Paterson, NJ 07513 M-W 9:00 AM - 7:00 PM
Fax: (862) 257-1074 M-F 8:15 AM - 4:30 PM (201) 758-5238 TH 9:00 AM - 5:00 PM
00 Yrs/130 Yrs Fax: (201) 708-7341 F 9:00 AM - 12:00 PM
M-F 8:00 AM - 8:00 PM Qazi, Shakeel PT 18 Yrs/130 Yrs
Provider ID: 1195694 Languages: Arabic Ucol, Carlo PT
Moscaritola, Anthony PT Gender: Male M-F 9:00 AM - 5:00 PM Provider ID: 1014907
Northern Rehab, Inc Gender: Male
Provider ID: 1085792 401 Hamburg Tpke Ste 204 Silletti, Michael PT Sub Specialty: HIV/AIDs
Gender: Male Wayne, NJ 07470 Provider ID: 1110539 201 Lower Notch Rd Ste A-3
Ultimate Physical Therapy LLC (973) 790-9010 Gender: Male Little Falls, NJ 07424
1117 Main Ave Ste 101 Fax: (973) 790-9050 Ultimate Physical Therapy LLC (973) 837-6600
Clifton, NJ 07011 00 Yrs/130 Yrs 1117 Main Ave Ste 101 Fax: (973) 837-6601
(973) 345-8200 Languages: Hindi, Urdu, Clifton, NJ 07011 00 Yrs/130 Yrs
Fax: (973) 345-2906 Persian - Farsi, Punjabi (973) 405-6090 MTWTHFSat 8:00 AM - 8:00
00 Yrs/130 Yrs M-TH 9:00 AM - 3:00 PM Fax: (973) 405-6088 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs
M-F 8:00 AM - 7:00 PM

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Managed Long Term Services And Supports


Passaic
Physical Therapy - cont. Yoshovayev, Anatoli PT Bhalla, Ravinder MD Galvez, Lenoy MD
Provider ID: 712096
Uri, Ida Cristina PT Provider ID: 984358 Provider ID: 933735 Gender: Male
Provider ID: 1163158 Gender: Male Gender: Male Lenoy Galvez MD
Gender: Female Dynamic Rehab PT PC Mental Health Clinic of 703 Main St Sjrmc-Dept of
Holsman Physical Therapy and 316 N 6th St Fl 2 Passaic Psychiatry
Rehabi Prospect Park, NJ 07508 1451 Van Houten Ave Paterson, NJ 07503
1070 Clifton Ave Ste 1A (973) 910-0307 Clifton, NJ 07013 (973) 754-2841
Clifton, NJ 07013 Fax: (718) 233-2570 (973) 473-2775 Fax: (973) 754-4350
(973) 246-6565 00 Yrs/130 Yrs Fax: (973) 473-3625 00 Yrs/130 Yrs
Fax: (973) 883-0140 Languages: Russian, Hebrew 00 Yrs/130 Yrs St. Joseph's Hospital Reg
00 Yrs/130 Yrs M-W 8:30 AM - 4:00 PM Prime Health Services-St Medical Center
MTWTHFSat 8:00 AM - 8:00 Marys Hospital Languages: Spanish
PM Psychiatry MTWF 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
TH 9:00 AM - 8:00 PM
Vashi, Pooja PT Arroyo, Louis MD Garcia, Dianelys MD
Provider ID: 1517848 Provider ID: 976400 Czartorysky, Bohdan MD Provider ID: 1127831
Gender: Female Gender: Male Gender: Female
Ultra Comprehensive Physical Sjrmc Provider ID: 1164792 St Josephs Healthcare Inc
Therap 703 Main St Gender: Male Sub Specialty: HIV/AIDs
246 Clifton Ave Ste 5 Paterson, NJ 07503 Bridgeway Rehabilitation 56 Hamilton St 2nd Fl
Clifton, NJ 07011 (973) 754-2000 Services Paterson, NJ 07505
(862) 899-7900 Fax: (973) 754-2129 13 Fairfield Ave Ste 202 (973) 754-4750
00 Yrs/130 Yrs 12 Yrs/130 Yrs Little Falls, NJ 07424 Fax: (973) 754-4777
M-F 9:00 AM - 7:00 PM St. Joseph's Hospital Reg (973) 638-1113 00 Yrs/130 Yrs
Sat 9:00 AM - 2:00 PM Medical Center 18 Yrs/130 Yrs St. Joseph's Hospital Reg
Languages: Spanish Trinitas Regional Medical Cent Medical Center
Voloshin, Igor PT M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM
Provider ID: 441384 Elrafei, Mohamed MD
Gender: Male Arroyo, Louis MD Provider ID: 1138926 Kashoqa, Amer MD
I M Physical Therapy PC Provider ID: 976400 Gender: Male Provider ID: 1530443
1225 McBride Ave Ste 203 Gender: Male Wayne Behavioral Service, LLC Gender: Male
Woodland Park, NJ 07424 St Josephs Hospital & Med 401 Hamburg Tpke Ste 302 224 Hamburg Tpke
(973) 339-9902 Center Wayne, NJ 07470 Wayne, NJ 07470
Fax: (973) 339-9903 56 Hamilton St (973) 790-9222 (973) 942-6900
00 Yrs/130 Yrs Paterson, NJ 07505 Fax: (973) 790-0671 18 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM (973) 754-4750 21 Yrs/130 Yrs St. Joseph's Hospital Reg
Fax: (973) 754-4777 M 1:00 AM - 7:30 PM Medical Center
Vora, Kena PT 12 Yrs/130 Yrs TW 1:00 AM - 6:30 PM M-F 9:00 AM - 5:00 PM
Provider ID: 1530799 St. Joseph's Hospital Reg
Gender: Female Medical Center Galvez, Lenoy MD Kashoqa, Amer MD
Alpha One Physical Therapy Languages: Spanish Provider ID: 1027844
PC M-F 9:00 AM - 5:00 PM Gender: Male Provider ID: 1530443
470 Chamberlain Ave Transcendence Psychiatry and Gender: Male
Paterson, NJ 07522 Medici Kashoqa Psychiatry Associates
(973) 942-1212 1414 Main Ave PC
Fax: (973) 839-3653 Clifton, NJ 07011 506 Hamburg Tpke Ste 203
00 Yrs/130 Yrs (856) 359-0274 Wayne, NJ 07470
MT 2:00 AM - 7:00 PM Fax: (973) 253-6009 (973) 633-1996
18 Yrs/130 Yrs Fax: (973) 633-8078
St. Joseph's Hospital Reg 18 Yrs/130 Yrs
Medical Center St. Joseph's Hospital Reg
Languages: Spanish Medical Center
M 9:00 AM - 6:00 PM MW 10:00 AM - 5:00 PM
TW 2:00 AM - 7:00 PM TTH 9:00 AM - 6:30 PM
TH 9:00 AM - 3:00 PM F 9:00 AM - 5:30 PM

www.wellcare.com/New-Jersey | 518
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Psychiatry - cont. Marrero-Figarella, Arturo MD Sandoval Castellanos, Oscar Wang, Wei MD
MD Provider ID: 1101734
Khanna, Bindu MD Provider ID: 976835 Provider ID: 653107 Gender: Female
Provider ID: 976442 Gender: Male Gender: Male North Hudson Community
Gender: Female St Josephs Hospital & Med O.E. Sandoval MD PC Action Corpo
St Josephs Healthcare Inc Center 642 Broad St 220 Passaic St
56 Hamilton St 56 Hamilton St Clifton, NJ 07013 Passaic, NJ 07055
Paterson, NJ 07505 Paterson, NJ 07505 (201) 866-6970 (201) 210-0200
(973) 754-4750 (973) 754-4750 Fax: (201) 866-7144 Fax: (973) 955-4264
Fax: (973) 754-4777 Fax: (973) 754-4777 18 Yrs/80 Yrs 00 Yrs/130 Yrs
12 Yrs/130 Yrs 02 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM Englewood Hospital and
St. Joseph's Hospital Reg Languages: Spanish, Medical Center
Medical Center Portuguese Schiffman, Erica MD MTTHF 8:30 AM - 5:00 PM
Languages: Spanish, Italian M-F 9:00 AM - 5:00 PM Provider ID: 541662 W 10:30 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM Gender: Female
Mirza, Nighat MD Schiffman, Erica, MD Psychology
Khanna, Bindu MD Provider ID: 976413 703 Main St Sjrmc-Dept of
Provider ID: 976442 Gender: Female Psychiatry Altman, Harold PHD
Gender: Female Sjrmc Paterson, NJ 07503 Provider ID: 1105057
St Josephs Healthcare Inc 703 Main St (973) 684-5122 Gender: Male
621 Main St Paterson, NJ 07503 Fax: (973) 754-5511 703 Main St
Paterson, NJ 75033 (973) 754-2000 00 Yrs/130 Yrs Paterson, NJ 07503
(973) 754-4750 Fax: (973) 754-2249 St. Joseph's Hospital Reg (973) 754-2000
Fax: (973) 754-4777 12 Yrs/130 Yrs Medical Center 18 Yrs/130 Yrs
12 Yrs/130 Yrs St. Joseph's Hospital Reg M-F 9:00 AM - 5:00 PM St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Medical Center Medical Center
Medical Center M-F 9:00 AM - 5:00 PM Taylor, Jennifer MD M-F 9:00 AM - 5:00 PM
Languages: Spanish, Italian Provider ID: 1596875
Ribalta, Marcia MD Gender: Female Altman, Harold PHD
M-F 9:00 AM - 5:00 PM
Provider ID: 434400 St. Joseph's Healthcare Inc. Provider ID: 1105057
Khanna, Bindu MD Gender: Female 703 Main St Gender: Male
Provider ID: 976442 St Joseph's Health Care Inc Paterson, NJ 07503 St Josephs Healthcare Inc
Gender: Female 703 Main St (973) 754-2010 56 Hamilton St
St Josephs Healthcare Inc Paterson, NJ 07503 Fax: (973) 754-3721 Paterson, NJ 07505
703 Main St (973) 754-2805 00 Yrs/130 Yrs (973) 754-4750
Paterson, NJ 07503 00 Yrs/130 Yrs MTWTHFSat 9:00 AM - 5:00 Fax: (973) 754-4777
(973) 754-4750 St. Joseph's Hospital Reg PM 18 Yrs/130 Yrs
12 Yrs/130 Yrs Medical Center St. Joseph's Hospital Reg
St. Joseph's Hospital Reg Languages: Spanish Wang, Cecilia MD Medical Center
Medical Center M-F 9:00 AM - 5:00 PM Provider ID: 797654 M-F 9:00 AM - 5:00 PM
Languages: Spanish, Italian Gender: Female
Rice, Harvey MD North Jersey Psychiatry Demeyer, Joseph PHD
M-F 9:00 AM - 5:00 PM
Provider ID: 1460329 Associates Provider ID: 912104
Marrero-Figarella, Arturo MD Gender: Male 2035 Hamburg Tpke Ste M Gender: Male
Jewish Family Service and Wayne, NJ 07470 Joseph A De Meyer PHD PC
Provider ID: 976835 Child Center (973) 839-2945 1330 Hamburg Tpke
Gender: Male 925 Allwood Rd Fax: (973) 839-1244 Wayne, NJ 07470
Sjrmc Clifton, NJ 07012 00 Yrs/130 Yrs (973) 696-8554
703 Main St (973) 777-7638 Englewood Hospital and Fax: (908) 756-2283
Paterson, NJ 07503 Fax: (973) 777-9311 Medical Center 00 Yrs/130 Yrs
(973) 754-4750 50 Yrs/110 Yrs Languages: Chinese, Mandarin AHS Hospital
02 Yrs/130 Yrs M-TH 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM Languages: French, German,
F 9:00 AM - 1:00 PM Dutch
Languages: Spanish,
Portuguese M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 2:00 PM

www.wellcare.com/New-Jersey | 519
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Psychology - cont. Parra, Guillermo PHD Rehabilitation Facility Kessler Institute For
Provider ID: 1255711 Rehabilitation
Fazelpoor, Guity MD Gender: Male Audslp Diagnostic and Provider ID: 465894
Provider ID: 1105060 North Hudson Community Rehabilitation Cli Kessler Rehabilitation Center
Gender: Male Action Corp Provider ID: 987701 1025 McBride Ave Plaza
St Josephs Healthcare Inc 220 Passaic St Audslp Diagnostic and Square Shopping Center
56 Hamilton St Passaic, NJ 07055 Rehabilitatio Little Falls, NJ 07424
Paterson, NJ 07505 (201) 210-0200 680 Broadway Ste 115 (973) 237-3275
(973) 754-4750 Fax: (973) 955-4264 Paterson, NJ 07514 Fax: (973) 237-1272
Fax: (973) 754-4777 00 Yrs/130 Yrs (973) 278-4382 16 Yrs/130 Yrs
00 Yrs/130 Yrs Englewood Hospital and Fax: (973) 225-0186 Languages: Spanish
St. Joseph's Hospital Reg Medical Center 00 Yrs/130 Yrs M-W 7:00 AM - 8:00 PM
Medical Center MTWFSat 8:30 AM - 5:00 PM M-F 9:00 AM - 5:00 PM TH 7:00 AM - 3:00 PM
M-F 9:00 AM - 5:00 PM TH 8:30 AM - 7:00 PM
Careplus Rehab LLC Kessler Institute For
Joseph, Judith MD Stacom, Elizabeth PHD Provider ID: 910477 Rehabilitation
Provider ID: 1105066 100 Hamilton Plz Ground Fl Provider ID: 465894
Gender: Female Provider ID: 1212203 Paterson, NJ 07505 Kessler Rehabilitation Center
St Josephs Healthcare Inc Gender: Female (973) 523-3179 1135 Broad St
56 Hamilton St St Josephs Healthcare Inc Fax: (797) 377-9423 Clifton, NJ 07013
Paterson, NJ 07505 Sub Specialty: Adolescent/ 00 Yrs/130 Yrs (973) 574-8585
(973) 754-4750 Children Issues Languages: Spanish, French, Fax: (973) 574-8590
Fax: (973) 754-4777 11 Getty Ave Bldg 275 Fl 2 Creole, Hindi 16 Yrs/130 Yrs
00 Yrs/130 Yrs Paterson, NJ 07503 M-F 9:00 AM - 5:00 PM Languages: Spanish
St. Joseph's Hospital Reg (973) 754-3081 M-W 7:00 AM - 8:00 PM
Medical Center Fax: (973) 754-2039 Careplus Rehab LLC TH 7:00 AM - 4:00 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/130 Yrs Provider ID: 910477
St. Joseph's Hospital Reg 63 Grove St Kessler Institute For
McNulty, Kathleen PHD Medical Center Passaic, NJ 07055 Rehabilitation
M-F 9:00 AM - 5:00 PM (973) 779-4228 Provider ID: 465894
Provider ID: 1603783 Fax: (973) 779-4238 Kessler Rehabilitation Center
Gender: Female Stacom, Elizabeth PHD 00 Yrs/130 Yrs 1358 Broad St
St Joseph Healthcare Inc Languages: Spanish, French, Clifton, NJ 07013
641 Amin St Provider ID: 1212203 Creole, Hindi (973) 249-0249
Paterson, NJ 07503 Gender: Female M-F 9:00 AM - 5:00 PM Fax: (973) 249-0251
(973) 754-4750 St Josephs Healthcare Inc 16 Yrs/130 Yrs
Kessler Institute For Languages: Spanish
Fax: (973) 754-4777 Sub Specialty: Adolescent/
Children Issues Rehabilitation M-W 7:00 AM - 8:00 PM
00 Yrs/130 Yrs
1350 Rte 23 Provider ID: 465894 TH 7:00 AM - 4:00 PM
St. Joseph's Hospital Reg
Medical Center Wayne, NJ 07470 Kessler Institute For
(973) 754-3081 Rehabilitatio Kessler Institute For
M-F 9:00 AM - 5:00 PM
Fax: (973) 754-2039 1025 McBride Ave Rehabilitation
Meza, Teissy MD 00 Yrs/130 Yrs Woodland Park, NJ 07424 Provider ID: 465894
Provider ID: 976425 St. Joseph's Hospital Reg (973) 237-3275 Kessler Rehabilitation Center
Gender: Female Medical Center Fax: (973) 237-1272 251 Clifton Ave
Sjrmc M-F 9:00 AM - 5:00 PM 16 Yrs/130 Yrs Clifton, NJ 07011
703 Main St Languages: Spanish (973) 340-7092
Paterson, NJ 07503 M-W 7:00 AM - 8:00 PM Fax: (973) 340-1503
(973) 754-2510 TH 7:00 AM - 3:00 PM 16 Yrs/130 Yrs
Fax: (973) 754-2039 Languages: Spanish
12 Yrs/130 Yrs MT 7:00 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM W 2:00 AM - 8:00 PM
TH 7:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 520
Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Rehabilitation Facility - Bayada Home Healthcare Inc Barnert Subacute Daughter of Miriam
cont. Rehabilitation Center Centerthe Gallen Ins
Provider ID: 945568 Provider ID: 924970
Kessler Institute For 45 E Madison Ave Ste 9 Provider ID: 681547 Daughter of Miriam Center
Rehabilitation Clifton, NJ 07011 Barnert Subacute The Galle
Provider ID: 465894 (973) 909-5150 Rehabilitation Center 155 Hazel St
Kessler Rehabilitation Center Fax: (973) 909-5155 680 Broadway Ste 301 Clifton, NJ 07011
484 Lafayette Ave 00 Yrs/130 Yrs Paterson, NJ 07514 (973) 772-3700
Hawthorne, NJ 07506 M-F 9:00 AM - 5:00 PM (973) 754-0999 Fax: (973) 253-5389
(973) 720-8200 Fax: (973) 333-6995 00 Yrs/130 Yrs
Fax: (973) 720-9213 Bayada Home Healthcare Inc 00 Yrs/130 Yrs
16 Yrs/130 Yrs Doctors Subacute Care
Languages: Spanish Bloomingdale Nursing and
Provider ID: 945568
MT 8:00 AM - 8:00 PM Bayada Home Health Care, Inc Rehabilitation Provider ID: 397467
W 5:00 AM - 8:00 PM 1117 Main Ave Ste 202 Provider ID: 1020673 59 Birch St
TH 8:00 AM - 4:00 PM Clifton, NJ 07011 Bloomingdale Nursing and Paterson, NJ 07522
Rehabilita (973) 942-8899
(973) 574-1120
Kessler Institute For 255 Union Ave 00 Yrs/130 Yrs
Fax: (973) 574-1127
Rehabilitation Bloomingdale, NJ 07403
00 Yrs/130 Yrs
Provider ID: 465894 (973) 283-1700 Hamilton Plaza Nursing and
M-F 9:00 AM - 5:00 PM
Kessler Rehabilitation Center Fax: (973) 283-9812 Rehabilition
701 Hamburg Tpke Plaza Bayada Home Healthcare Inc 18 Yrs/130 Yrs Provider ID: 961103
Square Shopping Center Languages: Chinese, Hebrew, Hamilton Plaza Nursing and
Wayne, NJ 07470 Tagalog Rehabili
Provider ID: 945568
(973) 636-6550 M-F 8:00 AM - 5:00 PM 56 Hamilton Ave
Bayada Home Health Care, Inc
Fax: (973) 636-9461 Passaic, NJ 07055
163 East Main St Ste B Careone At Wayne
16 Yrs/130 Yrs (973) 773-7070
Little Falls, NJ 07424
Languages: Spanish Fax: (973) 773-3171
(973) 909-5159
MT 7:00 AM - 8:00 PM Provider ID: 509193 18 Yrs/130 Yrs
Fax: (973) 909-5112
W 3:00 AM - 8:00 PM Care One At Wayne
00 Yrs/130 Yrs Lakeland Health Care Center
TH 7:00 AM - 4:00 PM 493 Black Oak Ridge Rd
M-F 9:00 AM - 5:00 PM Wayne, NJ 07470
Respite Care Services Emerald Health Care Services (973) 692-9500 Provider ID: 1047763
Inc Fax: (973) 692-1992 25 5th Ave
Always Home Care Provider ID: 945210 00 Yrs/130 Yrs Haskell, NJ 07420
Provider ID: 944544 1700 Rte 23 Ste 125 (973) 839-6000
129 Prospect St Chestnut Hill Convalescent Fax: (718) 567-0600
Wayne, NJ 07470 Rehabilitat
Passaic, NJ 07055 (973) 694-6688 18 Yrs/130 Yrs
(973) 559-6696 Provider ID: 642422
Fax: (973) 694-7277 Llanfair House Care
Fax: (973) 928-2231 Chestnut Hill Convalescent
00 Yrs/130 Yrs and Reha Rehabilitation Cen
00 Yrs/130 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM 360 Chestnut St
Skilled Nursing Facility Passaic, NJ 07055 Provider ID: 914730
Always Home Care (973) 777-7800 Llanfiar House Care
Provider ID: 944544 1120 Alps RD Operating Fax: (973) 778-9013 Rehabilitation
185 Market St Ste 2 Company LLC 18 Yrs/130 Yrs 1140 Black Oak Ridge Rd
Paterson, NJ 07505 M-F 8:00 AM - 5:00 PM Wayne, NJ 07470
Provider ID: 1235035
(973) 278-0808 1120 Alps Rd DBA Post Acute (973) 835-7443
Complete Care At Passaic Fax: (973) 835-1926
Fax: (973) 278-0877 Care of Wayne
00 Yrs/130 Yrs Wayne, NJ 07470 00 Yrs/130 Yrs
M-F 9:00 AM - 5:00 PM (973) 694-2100 Provider ID: 1438089 M-F 9:00 AM - 5:00 PM
Fax: (973) 305-5834 77 E 43rd St
18 Yrs/130 Yrs Paterson, NJ 07514
M-F 8:00 AM - 5:00 PM (797) 327-5467
Fax: (973) 754-6776
00 Yrs/130 Yrs

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Updated: 11/26/2018

Managed Long Term Services And Supports


Passaic
Skilled Nursing Facility - St Joseph's Home For The Speech Therapy
cont. Eldery
Provider ID: 1013053 Kumarasamy, Priyadarsini SLP
Milford Manor Nursing Home St Josephs Home For The
Eldery Provider ID: 925648
Provider ID: 1020832 140 Shepherds Ln Gender: Female
69 Maple Rd Totowa, NJ 07512 Holsman Physical Therapy and
West Milford, NJ 07480 (973) 942-0300 Rehabi
(973) 697-5640 Fax: (973) 942-7201 1070 Clifton Ave
Fax: (973) 697-2450 60 Yrs/130 Yrs Clifton, NJ 07013
50 Yrs/110 Yrs (973) 246-6565
Tri State Healthcare
Languages: Spanish Fax: (973) 883-0140
Management 00 Yrs/130 Yrs
Oak Ridge Rehabilitation and Provider ID: 1217920 M-F 9:00 AM - 5:00 PM
Nursing Cen Lakeview Rehabilitation and
Care Center Valdes, Stephanie SLP
Provider ID: 961123
130 Terhune Dr
Oak Ridge Rehabilitation and
Nursin Wayne, NJ 07470 Provider ID: 1167044
261 Terhune Dr (973) 839-4500 Gender: Female
Wayne, NJ 07470 Fax: (718) 567-0600 Ultimate Physical Therapy LLC
(973) 835-3871 00 Yrs/130 Yrs 1117 Main Ave Ste 101
Fax: (860) 589-3148 Tri State Healthcare Clifton, NJ 07011
18 Yrs/110 Yrs Management (973) 405-6090
Provider ID: 1355366 Fax: (973) 405-6088
Preakness Healthcare Center 00 Yrs/130 Yrs
Lakeview Rehabilitation and
Care Center M-F 9:00 AM - 7:00 PM
Provider ID: 1038265 130 Terhune Dr
305 Oldham Rd Valdes, Stephanie SLP
Wayne, NJ 07470
Wayne, NJ 07470 (973) 839-4500
(973) 585-2132 Fax: (718) 567-0600 Provider ID: 1167044
Fax: (973) 790-1568 00 Yrs/130 Yrs Gender: Female
18 Yrs/130 Yrs Ultimate Physical Therapy LLC
M-F 9:00 AM - 5:00 PM Wanaque Nursing and 922 Main St Ste 101
Rehabilitation LLC Paterson, NJ 07503
Preakness Healthcare Center (973) 345-8200
Provider ID: 1018517
Wanaque Nursing and Fax: (973) 345-2906
Provider ID: 1540147 Rehabilitation 00 Yrs/130 Yrs
305 Oldham Rd 1433 Ringwood Ave M-F 9:00 AM - 7:00 PM
Wayne, NJ 07470 Haskell, NJ 07420
(973) 585-2132 (973) 839-2119
Fax: (973) 790-1568 Fax: (973) 616-4193
18 Yrs/130 Yrs 00 Yrs/130 Yrs
Languages: Spanish, Chinese,
Regency Gardens Nursing Hebrew, Tagalog
Center LLC M-F 8:00 AM - 5:00 PM
Provider ID: 487261
296 Hamburg Tpke
Wayne, NJ 07470
(973) 790-5800
Fax: (973) 790-6870
00 Yrs/130 Yrs

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Updated: 11/26/2018

Pharmacy
Bergen
Retail Acme Pharmacy Anthonys Pharmacy Benjamins Pharmacy
Provider ID: TPV1679940654-0 Provider ID: TPV1447391768-0 Provider ID: TPV1679671606-0
Acme Pharmacy 125 Franklin Turnpike 341 Broad Ave 118 Broad Ave Ste N4
Provider ID: TPV1063889350-0 Mahwah, NJ 07430 Palisades Park, NJ 07650 Palisades Park, NJ 07650
2160 Lemoine Ave (201) 512-9332 (201) 944-2720 (201) 945-7222
Fort Lee, NJ 07024 Fax: (201) 512-0149 Fax: (201) 944-9536 Fax: (201) 945-7222
(201) 346-0002 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 346-1217 M-F 9:00 AM - 5:00 PM Languages: Spanish, Italian Languages: Korean
00 Yrs/99 Yrs MTWTHFSat 9:00 AM - 9:00 MTWTHFSat 9:00 AM - 8:00
M-F 9:00 AM - 5:00 PM Acme Pharmacy PM PM
Provider ID: TPV1730556077-0 Sun 9:00 AM - 2:00 PM
Acme Pharmacy 75 Mayhill St Bergen Care Pharmacy Inc
Anthonys Ridgefield Provider ID: TPV1861859092-0
Provider ID: TPV1174990907-0 Saddle Brook, NJ 07663 Pharmacy 1625 Lemoine Ave Ste 1
481 River Rd (201) 712-9151 Provider ID: TPV1588705420-0 Fort Lee, NJ 07024
Edgewater, NJ 07020 Fax: (201) 712-9159 676 Shaler Blvd (201) 461-4646
(201) 840-7764 00 Yrs/99 Yrs Ridgefield, NJ 07657 Fax: (201) 461-4655
Fax: (201) 840-7786 M-F 9:00 AM - 5:00 PM (201) 945-5503 00 Yrs/99 Yrs
00 Yrs/99 Yrs
Allstar Pharmacy Dept Fax: (201) 945-6284 Languages: Chinese, Korean
M-F 9:00 AM - 5:00 PM
Provider ID: TPV1730290974-0 00 Yrs/99 Yrs M-F 9:00 AM - 4:00 PM
Acme Pharmacy 105 Terhune Ave Languages: Spanish Sat 9:00 AM - 3:00 PM
Lodi, NJ 07644 M-F 9:00 AM - 8:00 PM
Provider ID: TPV1265809370-0
(973) 473-2243 Sat 9:00 AM - 5:00 PM Bergen Medical Pharmacy
45 De Mercurio Dr
Allendale, NJ 07401 Fax: (973) 473-8387 Provider ID: TPV1245506427-0
Atrium Pharmacy Provider 1 W Ridgewood Ave Ste 100
(201) 934-8111 00 Yrs/99 Yrs
M-F 9:00 AM - 9:00 PM Provider ID: TPV1366463317-0 Paramus, NJ 07652
Fax: (201) 327-5670
Sat 9:00 AM - 6:00 PM 20 Bland St (201) 444-4322
00 Yrs/99 Yrs
Sun 9:00 AM - 2:00 PM Emerson, NJ 07630 Fax: (201) 444-9022
M-F 9:00 AM - 5:00 PM (201) 262-0287 00 Yrs/99 Yrs
Acme Pharmacy Alvins Pharmacy Fax: (201) 261-4875 Languages: Hindi
Provider ID: TPV1376536342-0 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM
Provider ID: TPV1548637465-0
115 Cedar Ln Languages: Spanish, Arabic Sat 9:00 AM - 1:00 PM
520 Chestnut Ridge Rd
Teaneck, NJ 07666 M-F 8:00 AM - 9:00 PM
Woodcliff Lake, NJ 07677
(201) 836-4586 Sat 9:00 AM - 5:00 PM Bergen Regional Medical
(201) 476-9898
Fax: (201) 836-3475 Center
Fax: (201) 476-9830 Bald Eagle Pharmacy
00 Yrs/99 Yrs 00 Yrs/99 Yrs Provider ID: TPV1518083278-0
Languages: Spanish, Italian Provider ID: TPV1154336790-0 230 E Ridgewood Ave
M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 7:00 PM 610 Valley Health Plz Paramus, NJ 07652
Acme Pharmacy Sat 9:00 AM - 4:00 PM Paramus, NJ 07652 (201) 967-4671
(201) 225-0970 Fax: (201) 967-4600
Provider ID: TPV1558738849-0 Sun 9:00 AM - 2:00 PM
Fax: (201) 225-0973 00 Yrs/99 Yrs
136 Lake Ave
Americare Prescription Surg 00 Yrs/99 Yrs Languages: Spanish
Midland Park, NJ 07432
CT Languages: Spanish M-F 7:00 AM - 5:00 PM
(201) 612-3070
Fax: (201) 612-3073 Provider ID: TPV1871620013-0
511 Main St Baron II Drug Surgical Bergen Regional Medical
00 Yrs/99 Yrs
Fort Lee, NJ 07024 Provider ID: TPV1881932135-0 Center
M-F 9:00 AM - 5:00 PM
(201) 461-2472 91 Moonachie Rd Provider ID: TPV1538303979-0
Acme Pharmacy Fax: (201) 461-0097 Moonachie, NJ 07074 230 E Ridgewood Ave
(201) 641-1110 Paramus, NJ 07652
Provider ID: TPV1649647488-0 00 Yrs/99 Yrs
Languages: Spanish Fax: (201) 641-1113 (201) 967-4000
199 Kinderkamack Rd
M-F 9:00 AM - 6:00 PM 00 Yrs/99 Yrs Fax: (201) 225-7647
Park Ridge, NJ 07656
Sat 9:00 AM - 2:00 PM Languages: Spanish 00 Yrs/99 Yrs
(201) 391-3232
M-F 8:00 AM - 8:00 PM Languages: Spanish
Fax: (201) 930-9672
Sat 9:00 AM - 5:00 PM M-F 7:00 AM - 12:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Sat-Sun 7:00 AM - 6:00 PM

www.wellcare.com/New-Jersey | 523
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. Carepak Pharmacy CVS CVS
Provider ID: TPV1538692462-0 Provider ID: TPV1013140144-0 Provider ID: TPV1134211733-0
Bergenfield Pharmacy 299 Forest Ave. Ste A 80 Piermont Rd 410 Broad Ave
Provider ID: TPV1811038896-0 Paramus, NJ 07652 Cresskill, NJ 07626 Leonia, NJ 07605
32 S Washington Ave Ste 1 (201) 225-0057 (201) 894-0104 (201) 592-2201
Bergenfield, NJ 07621 Fax: (201) 225-0067 Fax: (201) 894-0165 Fax: (201) 242-0499
(201) 384-2820 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 384-3093 Languages: Korean M-F 8:00 AM - 9:00 PM M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM
Languages: Spanish Sun 10:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM
MTTH 9:00 AM - 8:00 PM Center Pharmacy
WF 9:00 AM - 7:00 PM Provider ID: TPV1568450765-0 CVS CVS
Sat 9:00 AM - 6:00 PM 251 Main St Provider ID: TPV1063595122-0 Provider ID: TPV1134365570-0
Fort Lee, NJ 07024 50 W Madison Ave 900 Bergen Town Center
Best Health Pharmacy (201) 947-5550 Dumont, NJ 07628 Paramus, NJ 07652
Provider ID: TPV1306237698-0 Fax: (201) 947-0514 (201) 385-8883 (201) 881-7661
260 Broadway 00 Yrs/99 Yrs Fax: (201) 385-0605 Fax: (201) 881-7672
Elmwood Park, NJ 07407 Languages: Spanish, Korean 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 794-2222 MTWTHFSat 9:00 AM - 8:00 M-F 9:00 AM - 9:00 PM MTWTHFSat 10:00 AM - 7:00
Fax: (201) 794-2255 PM Sat 9:00 AM - 6:00 PM PM
00 Yrs/99 Yrs Sun 10:00 AM - 5:00 PM
M-F 8:00 AM - 8:00 PM Costco Pharmacies CVS
Sat 10:00 AM - 6:00 PM Provider ID: TPV1265542880-0 CVS Provider ID: TPV1164514899-0
Sun 12:00 AM - 5:00 PM Costco Pharmacy Provider ID: TPV1114019718-0 281 Midland Ave
2 Teterboro Landing Dr 880 River Rd Garfield, NJ 07026
Broad Pharmacy Inc Teterboro, NJ 07608 New Milford, NJ 07646 (973) 253-8301
Provider ID: TPV1548358823-0 (201) 487-9671 (201) 225-2100 Fax: (973) 340-9579
17 Broad Ave Fax: (201) 487-9675 Fax: (201) 225-2106 00 Yrs/99 Yrs
Palisades Park, NJ 07650 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM
(201) 313-0111 M-F 10:00 AM - 7:00 PM M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM
Fax: (201) 313-0577 Sat 9:30 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sun 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Sun 9:00 AM - 5:00 PM
Languages: Korean Cresskill Pharmacy CVS
M-F 9:00 AM - 8:00 PM Provider ID: TPV1780695205-0 CVS Provider ID: TPV1174615801-0
Sat 9:00 AM - 4:00 PM 2 Union Ave Provider ID: TPV1124110721-0 175 Rock Rd
Cresskill, NJ 07626 440 Belleville Tpke Glen Rock, NJ 07452
Buckleys Drug Store (201) 568-4737 North Arlington, NJ 07031 (201) 445-2857
Provider ID: TPV1467545897-0 Fax: (201) 568-0908 (201) 246-7231 Fax: (201) 689-2043
35 E Palisade Ave 00 Yrs/99 Yrs Fax: (201) 246-7236 00 Yrs/99 Yrs
Englewood, NJ 07631 Languages: Spanish 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM
(201) 569-1345 M-F 8:00 AM - 8:00 PM M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM
Fax: (201) 568-5354 Sat 9:00 AM - 6:00 PM Sat 10:00 AM - 6:00 PM Sun 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Sun 9:00 AM - 2:00 PM Sun 10:00 AM - 5:00 PM
Languages: Spanish CVS
M-F 9:00 AM - 7:00 PM CVS CVS Provider ID: TPV1184716664-0
Sat 9:00 AM - 5:00 PM Provider ID: TPV1013009596-0 Provider ID: TPV1124277884-0 35 Interstate Shop Center
85 Godwin Ave 1000 Bergen Town Center Ramsey, NJ 07446
Cafe RX Midland Park, NJ 07432 Paramus, NJ 07652 (201) 327-0088
Provider ID: TPV1043707060-0 (201) 447-0110 (201) 226-0105 Fax: (201) 785-1093
2 Piermont Rd Fax: (201) 689-1552 Fax: (201) 226-0174 00 Yrs/99 Yrs
Cresskill, NJ 07626 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 9:00 PM
(201) 627-8800 M-F 8:00 AM - 9:00 PM M-F 8:00 AM - 9:00 PM Sat 8:00 AM - 7:00 PM
Fax: (201) 627-8803 Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sun 9:00 AM - 6:00 PM
00 Yrs/99 Yrs Sun 9:00 AM - 5:00 PM Sun 9:00 AM - 5:00 PM
Languages: Korean
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 524
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. CVS CVS CVS
Provider ID: TPV1265524995-0 Provider ID: TPV1316020647-0 Provider ID: TPV1427140011-0
CVS 198 Main St 250 Closter Dock Rd 572 Paterson Ave
Provider ID: TPV1215010848-0 Ridgefield Park, NJ 07660 Closter, NJ 07624 East Rutherford, NJ 07073
24-12 Fair Lawn Ave (201) 641-3033 (201) 767-6890 (201) 507-3602
Fair Lawn, NJ 07410 Fax: (201) 994-1790 Fax: (201) 750-1644 Fax: (201) 507-3607
(201) 797-7500 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 475-1937 M-F 8:00 AM - 9:00 PM M-F 8:00 AM - 9:00 PM M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM
Sun 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM Sun 9:00 AM - 5:00 PM
CVS
Provider ID: TPV1225111552-0 CVS CVS CVS
1475 Bergen Blvd Provider ID: TPV1265866339-0 Provider ID: TPV1326130899-0 Provider ID: TPV1427402205-0
Fort Lee, NJ 07024 10 W Palisade Ave 29-00 Broadway (Rt 4) 165 Main St
(201) 947-4840 Englewood, NJ 07631 Fairlawn, NJ 07410 Fort Lee, NJ 07024
Fax: (201) 969-8692 (201) 541-5548 (201) 475-8311 (201) 944-5394
00 Yrs/99 Yrs Fax: (201) 541-5588 Fax: (201) 475-2902 Fax: (201) 944-5657
M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Sat-Sun 10:00 AM - 5:00 PM M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 6:00 PM Sat 10:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM
CVS Sun 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM
Provider ID: TPV1225120702-0
101 Polifly Rd CVS CVS CVS
Hackensack, NJ 07601 Provider ID: TPV1275616518-0 Provider ID: TPV1336699321-0 Provider ID: TPV1538251251-0
(201) 525-1149 17-19 Washington Ave 29 Vervalen St 449 Market St
Fax: (201) 678-1808 Tenafly, NJ 07670 Closter, NJ 07624 Elmwood Park, NJ 07407
00 Yrs/99 Yrs (201) 567-5650 (201) 750-2023 (201) 794-7975
M-F 8:00 AM - 9:00 PM Fax: (201) 227-0628 Fax: (201) 750-2043 Fax: (201) 475-3798
Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Sun 9:00 AM - 5:00 PM M-F 8:00 AM - 9:00 PM M-F 10:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM Sat 12:00 AM - 5:00 PM Sat 10:00 AM - 6:00 PM
CVS Sun 10:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM
Provider ID: TPV1225120827-0 CVS
188 Cedar Ln CVS Provider ID: TPV1356433080-0 CVS
Teaneck, NJ 07666 Provider ID: TPV1295838019-0 20 Kinderkamack Rd Provider ID: TPV1558444893-0
(201) 287-4441 295 Valley Blvd Montvale, NJ 07645 364 River Rd
Fax: (201) 287-0925 Wood Ridge, NJ 07075 (201) 930-9010 New Milford, NJ 07646
00 Yrs/99 Yrs (201) 933-7292 Fax: (201) 802-1891 (201) 265-8825
M-F 9:00 AM - 9:00 PM Fax: (201) 635-9190 00 Yrs/99 Yrs Fax: (201) 265-3886
Sat 10:00 AM - 6:00 PM 00 Yrs/99 Yrs M-F 7:00 AM - 9:00 PM 00 Yrs/99 Yrs
Sun 10:00 AM - 5:00 PM M-F 9:00 AM - 9:00 PM Sat 8:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM Sun 8:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM
CVS Sun 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM
Provider ID: TPV1265524987-0 CVS
518 Kinderkamack Rd CVS Provider ID: TPV1386144038-0 CVS
River Edge, NJ 07661 Provider ID: TPV1306938907-0 211 Main St Provider ID: TPV1568565380-0
(201) 441-9223 106 Chestnut Ridge Rd Lodi, NJ 07644 110 Main St
Fax: (201) 441-9552 Montvale, NJ 07645 (973) 773-0005 Hackensack, NJ 07601
00 Yrs/99 Yrs (201) 505-4905 Fax: (973) 473-3011 (201) 487-0092
M-F 8:00 AM - 9:00 PM Fax: (201) 505-4919 00 Yrs/99 Yrs Fax: (201) 487-4712
Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs
Sun 9:00 AM - 5:00 PM M-F 8:00 AM - 9:00 PM M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM
Sun 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 525
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. CVS CVS CVS
Provider ID: TPV1770666091-0 Provider ID: TPV1891015475-0 Provider ID: TPV1982702700-0
CVS 585 Ridge Rd 65 River Rd 150 Rochelle Ave
Provider ID: TPV1588756183-0 North Arlington, NJ 07031 Edgewater, NJ 07020 Rochelle Park, NJ 07662
375 Queen Anne Rd (201) 997-0333 (201) 313-2254 (201) 368-7540
Teaneck, NJ 07666 Fax: (201) 998-6759 Fax: (201) 313-9113 Fax: (201) 368-7546
(201) 928-2901 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 928-2906 M-F 8:00 AM - 9:00 PM M-F 8:00 AM - 9:00 PM M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Sat 10:00 AM - 6:00 PM
M-F 9:00 AM - 9:00 PM Sun 9:00 AM - 5:00 PM Sun 9:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM
Sat 10:00 AM - 6:00 PM
Sun 10:00 AM - 5:00 PM CVS CVS Diginos Apothecary
Provider ID: TPV1851474480-0 Provider ID: TPV1912929522-0 Provider ID: TPV1699003905-0
CVS 303 Franklin Ave 630 Main St 255 Valley Blvd
Provider ID: TPV1619069341-0 Wyckoff, NJ 07481 Hackensack, NJ 07601 Wood Ridge, NJ 07075
1835 River Rd (201) 891-6660 (201) 678-0569 (201) 430-7300
Fair Lawn, NJ 07410 Fax: (201) 848-8708 Fax: (201) 518-1338 Fax: (201) 334-0700
(201) 791-0012 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 791-0991 M-F 9:00 AM - 9:00 PM Languages: Russian
00 Yrs/99 Yrs CVS Sat 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
M-F 8:00 AM - 9:00 PM Provider ID: TPV1861575185-0
Sat 9:00 AM - 6:00 PM 289 Broadway CVS Direct Meds
Sun 9:00 AM - 5:00 PM Westwood, NJ 07675 Provider ID: TPV1952484271-0 Provider ID: TPV1457461444-0
(201) 664-1004 540 Cedar Ln 345 Grand Ave
CVS Fax: (201) 263-1886 Teaneck, NJ 07666 Leonia, NJ 07605
Provider ID: TPV1639252976-0 00 Yrs/99 Yrs (201) 836-6990 (201) 585-0616
269 Livingston St Ste A M-F 8:00 AM - 9:00 PM Fax: (201) 287-1219 Fax: (201) 585-2119
Northvale, NJ 07647 Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 784-0308 Sun 9:00 AM - 5:00 PM M-F 8:00 AM - 12:00 PM Languages: Spanish, Hindi,
Fax: (201) 750-2031 Sat-Sun 8:00 AM - 8:00 PM Arabic, Armenian
00 Yrs/99 Yrs CVS M-F 8:00 AM - 7:00 PM
M-F 8:00 AM - 9:00 PM Provider ID: TPV1861596686-0 CVS Sat 9:00 AM - 3:00 PM
Sat 9:00 AM - 6:00 PM 45 Franklin Tpke Provider ID: TPV1952493439-0
Dunn Meadow Pharmacy
Sun 9:00 AM - 5:00 PM Mahwah, NJ 07430 168 Linwood Plz Ste C
Provider ID: TPV1568869634-0
(201) 529-5930 Fort Lee, NJ 07024
CVS 1555 Center Ave, First Fl
Fax: (201) 529-5994 (201) 944-1214
Fort Lee, NJ 07024
Provider ID: TPV1659393262-0 00 Yrs/99 Yrs Fax: (201) 944-7180
(201) 949-3400
543 River Rd M-F 8:00 AM - 9:00 PM 00 Yrs/99 Yrs
Fax: (201) 949-3455
Edgewater, NJ 07020 Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 9:00 PM
00 Yrs/99 Yrs
(201) 402-0253 Sun 10:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM
M-F 9:00 AM - 6:00 PM
Fax: (201) 402-9912 Sun 9:00 AM - 5:00 PM
00 Yrs/99 Yrs CVS
Elmwood Drugs
M-F 9:00 AM - 9:00 PM Provider ID: TPV1871909143-0 CVS
Provider ID: TPV1992848840-0
Sat 9:00 AM - 6:00 PM 215 Bergen Blvd Provider ID: TPV1972695567-0
73 Broadway
Fairview, NJ 07022 475 Fairlawn Pkwy
CVS Elmwood Park, NJ 07407
(201) 941-2180 Saddle Brook, NJ 07663
(201) 796-0400
Provider ID: TPV1669564142-0 Fax: (201) 941-2826 (201) 475-1516
Fax: (201) 796-0695
216 Old Tappan Rd Ste 34EBI 00 Yrs/99 Yrs Fax: (201) 475-4151
00 Yrs/99 Yrs
Old Tappan, NJ 07675 M-F 8:00 AM - 9:00 PM 00 Yrs/99 Yrs
Languages: Spanish
(201) 722-0934 Sat 9:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM
M-F 9:00 AM - 6:00 PM
Fax: (201) 594-9057 Sun 9:00 AM - 5:00 PM Sat-Sun 10:00 AM - 5:00 PM
Sat 9:00 AM - 1:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 9:00 PM
Sat 10:00 AM - 6:00 PM
Sun 10:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 526
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. Franklyns Pharmacy Genoa-QOL Healthcare Golden Cares Pharmacy Inc
Provider ID: TPV1891835724-0 Provider ID: TPV1104297977-0 Provider ID: TPV1124574751-0
Essexcare Pharmacy 204 Warren Ave 93 W Palisade Ave Rm 128 5357 W. Fort Lee Rd
Provider ID: TPV1831694546-0 Ho Ho Kus, NJ 07423 Englewood, NJ 07631 Bogota, NJ 07603
324 Essex St (201) 444-5550 (201) 627-4407 (201) 343-1170
Lodi, NJ 07644 Fax: (201) 444-8180 Fax: (201) 871-2014 Fax: (201) 343-1190
(201) 368-3333 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 368-3334 Languages: Spanish, Italian, Languages: Spanish Languages: Spanish, Chinese,
00 Yrs/99 Yrs Korean M-F 8:30 AM - 5:00 PM Korean
Languages: Spanish, Hindi M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 7:00 PM Genoa-QOL Healthcare
Sun 10:00 AM - 2:00 PM Provider ID: TPV1699008649-0 Hackensack Pharmacy
Evergreen Pharmacy 395 Main St Provider ID: TPV1184023301-0
Provider ID: TPV1083122949-0 Gallos Health Mart Pharmacy Hackensack, NJ 07601 441 Passaic St
7 Broad Ave Ste 105 (201) 546-5839 Hackensack, NJ 07601
Palisades Park, NJ 07650 Provider ID: TPV1861599797-0 Fax: (201) 487-1935 (201) 488-1230
(201) 941-1111 192 Rochelle Ave 00 Yrs/99 Yrs Fax: (201) 488-6648
Fax: (201) 941-1124 Rochelle Park, NJ 07662 Languages: Spanish 00 Yrs/99 Yrs
00 Yrs/99 Yrs (201) 843-1350 MW 8:30 AM - 5:00 PM Languages: Spanish
Languages: Korean Fax: (201) 843-2455 TTH 8:30 AM - 5:30 PM M-F 9:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs F 8:30 AM - 4:00 PM Sat 10:00 AM - 3:00 PM
Languages: Spanish
Fairlawn Pharmacy LLC Get RX Help Pharmacy Hackensack Univ Med Center
M-F 8:00 AM - 8:00 PM
Provider ID: TPV1346304235-0 Provider ID: TPV1992096374-0
Provider ID: TPV1558593574-0 Sat 9:00 AM - 5:00 PM
173 Old Tappan Rd 92 2nd St Rm 121
14-25 Plaza Rd Sun 9:00 AM - 2:00 PM
Old Tappan, NJ 07675 Hackensack, NJ 07601
Fair Lawn, NJ 07410
Garden Pharmacy (201) 767-0095 (551) 996-5427
(201) 773-6090
Provider ID: TPV1548326291-0 Fax: (201) 767-6105 Fax: (551) 996-0768
Fax: (201) 773-6089
13-38 River Rd 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs
Fair Lawn, NJ 07410 M-F 9:00 AM - 7:00 PM M-F 8:00 AM - 6:00 PM
Languages: Spanish, Russian
M-F 9:00 AM - 8:00 PM (201) 797-6888 Sat 9:00 AM - 3:00 PM Han Ah Reum Pharmacy
Sat 10:00 AM - 6:00 PM Fax: (201) 797-5497
Glen Rock Medical Pharmacy Provider ID: TPV1205978376-0
00 Yrs/99 Yrs
Provider ID: TPV1619998689-0 321 Broad Ave
Fairview Pharmacy Languages: Russian
210 Rock Rd Ridgefield, NJ 07657
Provider ID: TPV1952704165-0 M-F 9:00 AM - 8:00 PM
Glen Rock, NJ 07452 (201) 943-8787
151 Anderson Ave Sat 9:00 AM - 5:00 PM
(201) 444-3200 Fax: (201) 943-7898
Fairview, NJ 07022 00 Yrs/99 Yrs
(201) 840-8049 Garfield Pharmacy Fax: (201) 444-5792
00 Yrs/99 Yrs Languages: Korean
Fax: (201) 945-0816 Provider ID: TPV1053737700-0
Languages: Spanish, Russian MTWTHFSat 9:00 AM - 9:00
00 Yrs/99 Yrs 85 Outwater Ln Unit 7
M-F 9:00 AM - 8:00 PM PM
Languages: Spanish Garfield, NJ 07026
Sat 9:00 AM - 3:00 PM Sun 9:00 AM - 8:00 PM
MTWTHFSat 10:00 AM - 8:00 (862) 225-9422
PM Fax: (862) 225-9423 Sun 9:00 AM - 2:00 PM Hana Grand Pharmacy
Sun 10:00 AM - 6:00 PM 00 Yrs/99 Yrs Provider ID: TPV1962409532-0
Languages: Korean Golden Care Pharmacy
Provider ID: TPV1427479344-0 543 Grand Ave
Fort Lee Pharmacy Surgicals M-F 9:00 AM - 8:00 PM
242 Palisades Ave Englewood, NJ 07631
Provider ID: TPV1922110923-0 Sat 9:00 AM - 4:00 PM
Garfield, NJ 07026 (201) 568-9378
1562 Lemoine Ave Sun 9:00 AM - 1:00 PM
(877) 469-4334 Fax: (201) 568-9226
Fort Lee, NJ 07024
Fax: (888) 987-4763 00 Yrs/99 Yrs
(201) 346-9202
00 Yrs/99 Yrs Languages: Korean
Fax: (201) 346-9212
Languages: Spanish, Chinese, M-F 10:00 AM - 8:00 PM
00 Yrs/99 Yrs
Arabic, Korean Sat 10:00 AM - 3:00 PM
Languages: Korean
M-F 9:00 AM - 7:00 PM M-F 10:00 AM - 6:00 PM
Sat 9:00 AM - 5:00 PM Sat 11:00 AM - 4:00 PM

www.wellcare.com/New-Jersey | 527
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. Ho-Ho-Kus Pharmacy J and J State Street Pharmacy Junction Drugs
Provider ID: TPV1093710428-0 Provider ID: TPV1720144090-0
Hana Healthmart Pharmacy 622 N Maple Ave Provider ID: TPV1306088455-0 266 Columbia Ave
Ho Ho Kus, NJ 07423 298 State St Fort Lee, NJ 07024
Provider ID: TPV1336582709-0 (201) 444-2026 Hackensack, NJ 07601 (201) 886-9191
330 Broad Ave Fax: (201) 612-8182 (201) 820-3360 Fax: (201) 886-2101
Leonia, NJ 07605 00 Yrs/99 Yrs Fax: (201) 820-3358 00 Yrs/99 Yrs
(201) 592-9888 Languages: Spanish 00 Yrs/99 Yrs Languages: Russian
Fax: (201) 592-9880 M-F 9:00 AM - 7:00 PM Languages: Spanish M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 4:00 PM M-TH 9:00 AM - 7:00 PM Sat 9:00 AM - 7:00 PM
Languages: Spanish, Korean F 9:00 AM - 5:00 PM Sun 9:00 AM - 1:00 PM
MTTHF 9:00 AM - 8:00 PM Holy Name Pharmacare Dept
WSat 9:00 AM - 7:00 PM J J Pharmacy Levys Pharmacy
Provider ID: TPV1003309428-0 Provider ID: TPV1275544108-0 Provider ID: TPV1972544302-0
Haworth Apothecary 718 Teaneck Rd Ste 2 527 Cedar Ln 299 Stuyvesant Ave
Provider ID: TPV1548249717-0 Teaneck, NJ 07666 Teaneck, NJ 07666 Lyndhurst, NJ 07071
169 Terrace St (201) 530-7991 (201) 836-7003 (201) 438-1026
Haworth, NJ 07641 Fax: (201) 530-7992 Fax: (201) 836-5886 Fax: (201) 438-1668
(201) 384-7171 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 384-4433 Languages: Spanish Languages: Spanish, French Languages: Spanish, Italian
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 9:00 PM
Languages: Spanish J T L Pharmacy Sat 9:00 AM - 6:00 PM
M-F 9:00 AM - 8:00 PM Hudson Drug Provider ID: TPV1215041280-0 Sun 9:00 AM - 1:00 PM
Sat 9:00 AM - 5:00 PM Provider ID: TPV1740291095-0 191 Main St
Sun 9:00 AM - 12:00 PM 48 Union Ave Little Ferry, NJ 07643 Lewis Drugs Inc
Cresskill, NJ 07626 (201) 641-7200 Provider ID: TPV1023120029-0
H-B Drugs (201) 567-2235 Fax: (201) 641-2939 298 Westwood Ave
Provider ID: TPV1104872357-0 Fax: (201) 567-1881 00 Yrs/99 Yrs Westwood, NJ 07675
98 Ridge Rd 00 Yrs/99 Yrs Languages: Spanish (201) 664-0606
North Arlington, NJ 07031 Languages: Spanish, Hindi M-TH 9:00 AM - 9:00 PM Fax: (201) 664-5963
(201) 997-2010 M-F 8:00 AM - 7:00 PM F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs
Fax: (201) 997-8488 Sat 8:00 AM - 4:00 PM Sat 9:00 AM - 6:00 PM Languages: Spanish
00 Yrs/99 Yrs Sun 8:00 AM - 1:00 PM Sun 10:00 AM - 3:00 PM MTWTHFSatSun 9:00 AM -
Languages: Spanish, Hindi 11:00 PM
M-F 9:00 AM - 9:00 PM Incline Health LLC Jays Pharmacy
Sat 9:00 AM - 6:00 PM Provider ID: TPV1306207659-0 Provider ID: TPV1649212424-0 Liberty Pharmacy
Sun 9:00 AM - 1:00 PM 331 Tom Hunter Rd 223 Kinderkamack Rd Provider ID: TPV1871683599-0
Fort Lee, NJ 07024 Oradell, NJ 07649 1 Tenafly Rd
Heights Specialty Pharmacy (201) 676-3838 (201) 262-1800 Englewood, NJ 07631
Fax: (201) 676-3848 Fax: (201) 262-1596 (201) 568-7868
Provider ID: TPV1245245893-0 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 568-5857
450 Blvd Languages: Spanish M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs
Hasbrouck Heights, NJ 07604 M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM Languages: Spanish
(201) 288-0404 Sun 9:00 AM - 1:00 PM M-F 9:00 AM - 8:00 PM
Fax: (201) 288-8125 Invictus Pharmacy Sat 9:00 AM - 6:00 PM
00 Yrs/99 Yrs Provider ID: TPV1073024931-0 Jiffy Scripts RX
Languages: Russian, Greek, 60 Essex St Ste 105 Provider ID: TPV1396126413-0 Maywood Pharmacy
Polish, Portuguese Rochelle Park, NJ 07662 3110 Promenade Blvd Provider ID: TPV1144547142-0
M-F 9:00 AM - 9:00 PM (201) 880-7000 Fair Lawn, NJ 07410 102 W Pleasant Ave
Sat 9:00 AM - 5:00 PM Fax: (201) 880-7094 (201) 590-2884 Maywood, NJ 07607
Sun 9:00 AM - 2:00 PM 00 Yrs/99 Yrs Fax: (551) 225-1088 (201) 880-5290
Languages: Chinese, German, 00 Yrs/99 Yrs Fax: (201) 880-5291
Korean Languages: Spanish 00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 7:00 PM Languages: Spanish, Russian,
Sat 9:00 AM - 12:00 PM Chinese
M-F 9:00 AM - 8:00 PM
Sat 9:00 AM - 7:00 PM

www.wellcare.com/New-Jersey | 528
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. Oakland Drugs Plaza Pharmacy RITE AID
Provider ID: TPV1487704250-0 Provider ID: TPV1568551257-0 Provider ID: TPV1275058885-0
Memorial Sloan Kettering 350 Ramapo Valley Rd Ste 27 20 Prospect Ave Ste 102 Rite Aid
Provider ID: TPV1669963880-0 Oakland, NJ 07436 Hackensack, NJ 07601 654 Westwood Ave
225 Summit Ave Ste 1001 (201) 337-7300 (551) 996-8744 Rivervale, NJ 07675
Montvale, NJ 07645 Fax: (201) 337-6188 Fax: (551) 996-8757 (201) 664-6900
(201) 775-7055 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 664-9058
Fax: (201) 691-6639 Languages: Hindi Languages: Spanish 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM M-F 7:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 5:00 PM
RITE AID
Midland Drugs Paramus Pharmacy Plymouth Park Pharmacy Inc Provider ID: TPV1306360268-0
Provider ID: TPV1821230608-0 Provider ID: TPV1598828295-0 Rite Aid
600 Midland Ave 61 East Ridgewood Ave Provider ID: TPV1023053469-0 729 Anderson Ave
Garfield, NJ 07026 Paramus, NJ 07652 11-12 Saddle River Rd Cliffside Park, NJ 07010
(973) 772-7966 (201) 599-3366 Fair Lawn, NJ 07410 (201) 943-2225
Fax: (973) 772-5200 Fax: (201) 599-3920 (201) 797-0006 Fax: (201) 943-2095
00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 797-0007 00 Yrs/99 Yrs
Languages: Spanish, Russian Languages: Hindi 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
M-F 10:00 AM - 9:00 PM M-F 9:00 AM - 8:00 PM M-F 9:00 AM - 8:00 PM
Sat 10:00 AM - 2:00 PM Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 1:00 PM RITE AID
Sun 9:00 AM - 3:00 PM Provider ID: TPV1427573864-0
Millers Of Wyckoff, Inc Parkview Pharmacy Rite Aid
Provider ID: TPV1578527248-0 Provider ID: TPV1508961822-0 Readyscrip Advanced Pharma 151 Blvd
678 Wyckoff Ave 1430 Queen Anne Rd Hasbrouck Heights, NJ 07604
Wyckoff, NJ 07481 Teaneck, NJ 07666 Provider ID: TPV1932452646-0 (201) 288-5500
(201) 891-3333 (201) 837-6368 1 Kalisa Way Ste 104 Fax: (201) 288-2172
Fax: (201) 891-6258 Fax: (201) 837-9363 Paramus, NJ 07652 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs (201) 549-8895 M-F 9:00 AM - 5:00 PM
Languages: Spanish, Hindi Languages: Russian Fax: (201) 549-8878
M-F 9:00 AM - 8:00 PM M-F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs RITE AID
Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 2:00 PM M-F 9:00 AM - 5:00 PM Provider ID: TPV1447774138-0
Rite Aid
My Wallington Pharmacy Pascack Pharmacy Richards Pharmacy 1335 16th St
Provider ID: TPV1386039881-0 Provider ID: TPV1558461236-0 Provider ID: TPV1619017555-0 Fort Lee, NJ 07024
25 Locust Ave 124 Broadway 207 Broad Ave (201) 224-8561
Wallington, NJ 07057 Hillsdale, NJ 07642 Palisades Park, NJ 07650 Fax: (201) 224-0019
(973) 777-4717 (201) 664-5500 (201) 944-0863 00 Yrs/99 Yrs
Fax: (973) 777-4719 Fax: (201) 664-0872 Fax: (201) 944-7110 M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Spanish, Russian, M-F 8:00 AM - 6:00 PM Languages: Spanish RITE AID
Chinese, Hindi Sat 8:00 AM - 12:00 PM Provider ID: TPV1477652691-0
M-F 9:00 AM - 9:00 PM
M-F 9:30 AM - 7:30 PM 60 Franklin Tpke
Sat 9:00 AM - 7:00 PM
Sat 9:30 AM - 2:30 PM Pharmacy Plus Surgical Waldwick, NJ 07463
Sun 9:00 AM - 1:00 PM
Supplies (201) 670-1022
Nature Med Pharmacy LLC Provider ID: TPV1538656582-0 RITE AID Fax: (201) 670-7524
57 Linden St Provider ID: TPV1265542922-0 00 Yrs/99 Yrs
Provider ID: TPV1790809119-0 Hackensack, NJ 07601 219 Essex St M-F 9:00 AM - 9:00 PM
518 Anderson Ave (201) 968-5260 Hackensack, NJ 07601 Sat 9:00 AM - 6:00 PM
Cliffside Park, NJ 07010 Fax: (201) 968-5261 (201) 488-7224 Sun 9:00 AM - 5:00 PM
(201) 945-8006 00 Yrs/99 Yrs Fax: (201) 488-2394
Fax: (201) 945-7650 Languages: Spanish, Hindi, 00 Yrs/99 Yrs
00 Yrs/99 Yrs Arabic M-F 8:00 AM - 10:00 PM
Languages: Spanish, Russian M-F 9:00 AM - 5:00 PM Sat-Sun 9:00 AM - 8:00 PM
M-F 9:00 AM - 8:00 PM
Sat 10:00 AM - 6:00 PM

www.wellcare.com/New-Jersey | 529
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. RITE AID Rock Ridge Pharmacy Shoprite Pharmacy
Provider ID: TPV1891219853-0 Provider ID: TPV1518317593-0 Provider ID: TPV1033224811-0
RITE AID Rite Aid 191 Rock Rd 814 River Rd
Provider ID: TPV1609390376-0 199 E Ridgewood Ave Glen Rock, NJ 07452 New Milford, NJ 07646
Rite Aid Ridgewood, NJ 07450 (201) 444-4190 (201) 262-8838
325 Kinderkamack Rd (201) 447-3424 Fax: (201) 444-2698 Fax: (201) 599-1009
Oradell, NJ 07649 Fax: (201) 447-4092 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 265-3343 00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 9:00 PM
Fax: (201) 262-4030 M-F 9:00 AM - 5:00 PM M-TH 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM
00 Yrs/99 Yrs F 9:00 AM - 6:00 PM Sun 9:00 AM - 2:00 PM
M-F 9:00 AM - 5:00 PM RITE AID Sat 9:00 AM - 4:00 PM
Provider ID: TPV1902321342-0 Sun 10:00 AM - 1:00 PM Shoprite Pharmacy
RITE AID Rite Aid Provider ID: TPV1467567248-0
Provider ID: TPV1710402474-0 45 Outwater Lane Ste 3 Rodeo Pharmacy 14 Post Rd
Rite Aid Garfield, NJ 07026 Provider ID: TPV1821089186-0 Oakland, NJ 07436
123 Anderson St (973) 772-2937 225 Broad Ave Ste 202-203 (201) 405-0707
Hackensack, NJ 07601 Fax: (973) 772-7086 Palisades Park, NJ 07650 Fax: (201) 651-0506
(201) 488-0654 00 Yrs/99 Yrs (201) 363-1181 00 Yrs/99 Yrs
Fax: (201) 883-1619 M-F 9:00 AM - 5:00 PM Fax: (201) 363-1182 Languages: Spanish, Chinese
00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM
M-F 9:00 AM - 5:00 PM RITE AID Languages: Korean Sat 9:00 AM - 6:00 PM
Provider ID: TPV1902915325-0 M-F 9:00 AM - 4:00 PM Sun 9:00 AM - 2:00 PM
RITE AID 10 Portland Ave Sat 9:00 AM - 3:00 PM
Provider ID: TPV1760591101-0 Bergenfield, NJ 07621 Shoprite Pharmacy
265 Pascack Rd (201) 384-2789 Royal Pharmacy Provider ID: TPV1497860274-0
Westwood, NJ 07677 Fax: (201) 384-9569 Provider ID: TPV1700375292-0 372 Broadway
(201) 664-7900 00 Yrs/99 Yrs 1424 Bergen Blvd Hillsdale, NJ 07642
Fax: (201) 594-0540 M-F 9:00 AM - 9:00 PM Fort Lee, NJ 07024 (201) 664-0556
00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM (201) 482-0801 Fax: (201) 664-8152
M-F 8:00 AM - 9:00 PM Sun 10:00 AM - 6:00 PM Fax: (201) 331-1444 00 Yrs/99 Yrs
Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs Languages: Spanish
Sun 10:00 AM - 6:00 PM RITE AID Languages: Spanish, Chinese, M-F 9:00 AM - 9:00 PM
Provider ID: TPV1942724794-0 Korean Sat 9:00 AM - 6:00 PM
RITE AID Rite Aid M-F 9:00 AM - 5:00 PM Sun 9:00 AM - 2:00 PM
Provider ID: TPV1770007536-0 441 Valley Brook Ave
Serom Pharmacy Shoprite Pharmacy
Rite Aid Lyndhurst, NJ 07071
Provider ID: TPV1174991525-0
44 W Allendale Ave (201) 935-1338 Provider ID: TPV1639284417-0
210 Broad Ave
Allendale, NJ 07401 Fax: (201) 935-1027 224 Rte 4 E
Palisades Park, NJ 07650
(201) 327-4901 00 Yrs/99 Yrs Paramus, NJ 07652
(201) 242-1000
Fax: (201) 327-2639 M-F 9:00 AM - 5:00 PM (201) 291-4190
Fax: (201) 242-1010
00 Yrs/99 Yrs Fax: (201) 291-4192
RITE AID 00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs
Provider ID: TPV1952826638-0 Languages: Korean M-F 8:00 AM - 9:00 PM
RITE AID Rite Aid M-F 9:00 AM - 9:00 PM Sat 8:00 AM - 7:00 PM
Provider ID: TPV1831613504-0 208 Park Ave Sat 9:00 AM - 7:00 PM Sun 9:00 AM - 4:00 PM
Rite Aid Rutherford, NJ 07070 Shoprite Pharmacy
33 Rivier Rd (201) 896-9251 Shoprite Pharmacy
Provider ID: TPV1003921883-0
Bogota, NJ 07603 Fax: (201) 896-1073 Provider ID: TPV1659486439-0
500 S River St
(201) 489-7805 00 Yrs/99 Yrs 40 Nathaniel Pl
Hackensack, NJ 07601
Fax: (201) 489-6465 M-F 9:00 AM - 5:00 PM Englewood, NJ 07631
(201) 329-7480
00 Yrs/99 Yrs (201) 816-8322
Fax: (201) 329-7471
M-F 9:00 AM - 5:00 PM Fax: (201) 816-1768
00 Yrs/99 Yrs 00 Yrs/99 Yrs
Languages: Greek Languages: Italian
M-F 9:00 AM - 9:00 PM M-F 8:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM Sat 8:00 AM - 6:00 PM
Sun 10:00 AM - 2:00 PM Sun 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 530
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. Shoprite Pharmacy Specialty RX Inc Stop Shop Pharmacy
Provider ID: TPV1922113703-0 Provider ID: TPV1104862580-0 Provider ID: TPV1649202532-0
Shoprite Pharmacy 246 Livingston St 2 Bergen Tpke 425 Lewandowski St
Provider ID: TPV1679688444-0 Northvale, NJ 07647 Ridgefield, NJ 07660 Lyndhurst, NJ 07071
425 Old Hook Rd (201) 784-3607 (908) 241-6337 (201) 438-7835
Emerson, NJ 07630 Fax: (201) 784-3880 Fax: (908) 634-4038 Fax: (201) 438-7792
(201) 262-1722 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 262-4212 M-F 9:00 AM - 9:00 PM Languages: Spanish, Hebrew M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM
Languages: Russian Sun 9:00 AM - 1:00 PM Sat-Sun 9:00 AM - 5:00 PM Sun 9:00 AM - 3:00 PM
M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM Shoprite Pharmacy St Philo Pharmacy Stop Shop Pharmacy
Sun 9:00 AM - 2:00 PM Provider ID: TPV1942315726-0 Provider ID: TPV1932531936-0 Provider ID: TPV1649202599-0
220 W Passaic St 38B Ridge Rd 816 Franklin Ave
Shoprite Pharmacy Rochelle Park, NJ 07662 North Arlington, NJ 07031 Franklin Lakes, NJ 07417
Provider ID: TPV1750496535-0 (201) 843-5572 (201) 955-6260 (201) 891-8706
540 New York Ave Fax: (201) 843-2145 Fax: (201) 955-6261 Fax: (201) 891-8712
Lyndhurst, NJ 07071 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 939-4867 M-F 8:00 AM - 9:00 PM Languages: Arabic M-F 9:00 AM - 9:00 PM
Fax: (201) 372-0695 Sat 8:00 AM - 5:00 PM M-F 10:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM
00 Yrs/99 Yrs Sun 9:00 AM - 5:00 PM Sat 11:00 AM - 5:00 PM Sun 9:00 AM - 2:00 PM
Languages: Spanish, Greek
M-F 9:00 AM - 9:00 PM Sicomac Pharmacy Star Pharmacy Stop Shop Pharmacy
Sat 9:00 AM - 6:00 PM Provider ID: TPV1912901323-0 Provider ID: TPV1497020242-0 Provider ID: TPV1720010671-0
Sun 9:00 AM - 2:00 PM 300 Sicomac Ave 1400 Anderson Ave 859 N State Rt 17
Wyckoff, NJ 07481 Fort Lee, NJ 07024 Paramus, NJ 07652
Shoprite Pharmacy (201) 891-0822 (201) 224-8877 (201) 445-4540
Provider ID: TPV1790823706-0 Fax: (201) 891-4790 Fax: (201) 224-8871 Fax: (201) 652-4243
175 Main St 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Lodi, NJ 07644 Languages: Spanish Languages: Korean M-F 8:00 AM - 9:00 PM
(973) 365-2289 M-TH 9:00 AM - 8:00 PM M-F 9:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM
Fax: (973) 365-0925 F 9:00 AM - 7:00 PM Sat 9:00 AM - 6:00 PM Sun 9:00 AM - 3:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 4:00 PM Sun 10:00 AM - 4:00 PM
Languages: Spanish Stop Shop Pharmacy
M-F 9:00 AM - 9:00 PM Sicomac Pharmacy LTC Stop Shop Pharmacy Provider ID: TPV1730111683-0
Sat 9:00 AM - 6:00 PM Provider ID: TPV1700914934-0 Provider ID: TPV1114397346-0 20 Washington Ave
Sun 9:00 AM - 2:00 PM 300 Sicomac Ave Ste 4 400 Demarest Ave Dumont, NJ 07628
Wyckoff, NJ 07481 Closter, NJ 07624 (201) 385-6262
Shoprite Pharmacy (201) 891-0844 (201) 784-7190 Fax: (201) 385-7368
Provider ID: TPV1902911787-0 Fax: (201) 891-0038 Fax: (201) 784-7197 00 Yrs/99 Yrs
201 Roosevelt Pl 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM
Palisades Park, NJ 07650 Languages: Spanish M-F 8:00 AM - 8:00 PM Sat 9:00 AM - 6:00 PM
(201) 461-2893 M-TH 9:00 AM - 8:00 PM Sat-Sun 9:00 AM - 5:00 PM Sun 9:00 AM - 2:00 PM
Fax: (201) 461-6501 F 9:00 AM - 7:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 4:00 PM Stop Shop Pharmacy Stop Shop Pharmacy
Languages: Spanish, Korean Provider ID: TPV1326118258-0 Provider ID: TPV1821020777-0
M-F 9:00 AM - 9:00 PM Sol Pharmacy 175 Franklin Ave 675 Paterson Ave
Sat 9:00 AM - 6:00 PM Provider ID: TPV1659760783-0 Ridgewood, NJ 07450 Carlstadt, NJ 07072
Sun 10:00 AM - 2:00 PM 450B Broad Ave (201) 444-2800 (201) 842-9985
Palisades Park, NJ 07650 Fax: (201) 444-6524 Fax: (201) 842-9987
(201) 947-8877 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 944-2135 M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM
Languages: Korean Sun 9:00 AM - 3:00 PM Sun 9:00 AM - 3:00 PM
MTWTHFSat 9:00 AM - 9:00
PM
Sun 9:00 AM - 7:00 PM

www.wellcare.com/New-Jersey | 531
Updated: 11/26/2018

Pharmacy
Bergen
Retail - cont. Town and Country Comp Variety Drug Walmart Pharmacy
Conslt Provider ID: TPV1578614673-0 Provider ID: TPV1992196422-0
Stop Shop Pharmacy Provider ID: TPV1003022203-0 50 Passaic St 1 Teterboro Landing Dr
Provider ID: TPV1912939869-0 106 Prospect St Garfield, NJ 07026 Teterboro, NJ 07608
380 W Pleasantview Ave Ridgewood, NJ 07450 (973) 779-5951 (201) 375-4004
Hackensack, NJ 07601 (201) 447-2020 Fax: (973) 473-5935 Fax: (201) 375-4003
(201) 342-0847 Fax: (201) 447-3253 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 342-3768 00 Yrs/99 Yrs Languages: Hindi M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 8:00 PM Sat 9:00 AM - 7:00 PM
M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM Sun 10:00 AM - 4:00 PM
Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 1:00 PM Sun 10:00 AM - 1:00 PM
Sun 9:00 AM - 2:00 PM Wegmans Pharmacy
Town Country Pharmacy Vencer Vital Care Provider ID: TPV1255859658-0
Sunny Pharmacy Provider ID: TPV1811065055-0 Provider ID: TPV1518394451-0 100 Farm View
Provider ID: TPV1730515792-0 60 E Ridgewood Ave 255 W Spring Valley Ave Ste Montvale, NJ 07645
711 Anderson Ave Ridgewood, NJ 07450 201 (551) 249-2145
Cliffside Park, NJ 07010 (201) 652-0013 Maywood, NJ 07607 Fax: (551) 249-2198
(201) 313-9797 Fax: (201) 652-0020 (201) 881-0773 00 Yrs/99 Yrs
Fax: (201) 313-9798 00 Yrs/99 Yrs Fax: (201) 881-0776 M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Languages: Hindi 00 Yrs/99 Yrs
Languages: Korean M-F 9:00 AM - 7:00 PM MTWTHFSatSun 9:00 AM - West End Pharmacy
M-F 9:00 AM - 8:00 PM Sat 9:00 AM - 5:00 PM 8:00 PM Provider ID: TPV1073667424-0
Sat 9:00 AM - 6:00 PM Sun 9:00 AM - 2:00 PM 311 Union Ave
Waldwick Pharmacy Rutherford, NJ 07070
The Medicine Shoppe US Pharmacy Lab Provider ID: TPV1760490395-0 (201) 438-2164
Provider ID: TPV1184657397-0 Provider ID: TPV1275929150-0 16 E Prospect St Fax: (201) 438-5380
653 Westwood Ave 220 Livingston St Waldwick, NJ 07463 00 Yrs/99 Yrs
Rivervale, NJ 07675 Northvale, NJ 07647 (201) 445-1100 Languages: Spanish, Hindi,
(201) 664-5553 (551) 256-2377 Fax: (201) 652-2455 Portuguese
Fax: (201) 664-0905 Fax: (201) 767-2680 00 Yrs/99 Yrs MTWTHFSat 9:00 AM - 7:00
00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish, Hindi PM
M-F 9:00 AM - 7:00 PM Languages: Arabic, Korean M-F 8:00 AM - 7:00 PM
Sat 9:00 AM - 2:00 PM Sat 9:00 AM - 4:00 PM Yorkshire Pharmacy
M-F 8:00 AM - 6:00 PM
Sat 9:00 AM - 1:00 PM Sun 9:00 AM - 1:00 PM Provider ID: TPV1366982001-0
The Medicine Shoppe 788 Main St
Provider ID: TPV1578675575-0 Valley Health Pharmacy Walmart Pharmacy Hackensack, NJ 07601
487 Market St Ste 9 Provider ID: TPV1861410557-0 (201) 342-1999
Provider ID: TPV1306377569-0
Saddle Brook, NJ 07663 189 US Hwy 46 Fax: (201) 342-1955
223 N Van Dien Ave
(201) 291-0844 Saddle Brook, NJ 07663 00 Yrs/99 Yrs
Ridgewood, NJ 07450
Fax: (201) 291-0857 (201) 226-0466 M-F 9:00 AM - 5:00 PM
(201) 447-8434
00 Yrs/99 Yrs Fax: (201) 226-9273
Fax: (201) 389-0818
M-F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs
Sat 9:00 AM - 2:00 PM M-F 9:00 AM - 9:00 PM
M-F 9:00 AM - 5:00 PM
Sat 9:00 AM - 7:00 PM
The Medicine Shoppe
Valley Health Pharmacy Sun 10:00 AM - 5:00 PM
Pharmacy
Provider ID: TPV1356455661-0
Provider ID: TPV1467490177-0 Walmart Pharmacy
1 Valley Health Plz
2468 Lemoine Ave Provider ID: TPV1861703274-0
Paramus, NJ 07652
Fort Lee, NJ 07024 174 Passaic St
(201) 634-5799
(201) 944-1002 Garfield, NJ 07026
Fax: (201) 634-5776
Fax: (201) 944-6336 (973) 330-3557
00 Yrs/99 Yrs
00 Yrs/99 Yrs Fax: (973) 330-3551
M-F 7:00 AM - 5:00 PM
Languages: Korean 00 Yrs/99 Yrs
Sat 8:00 AM - 1:00 PM
M-F 10:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM
Sat 10:00 AM - 3:00 PM Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM

www.wellcare.com/New-Jersey | 532
Updated: 11/26/2018

Pharmacy
Hudson
Retail Acme Pharmacy American Pharmacy Avon Pharmacy
Provider ID: TPV1598132342-0 Provider ID: TPV1790790384-0 Provider ID: TPV1851432983-0
530 Montgomery Street 19 Ave At Port Imperial 509 Westside Ave 222 Jackson St
Pharmacy West New York, NJ 07093 Jersey City, NJ 07304 Hoboken, NJ 07030
Provider ID: TPV1982756524-0 (201) 272-1171 (201) 333-6663 (201) 420-8300
450 Ocean Ave Fax: (201) 867-1976 Fax: (201) 333-3613 Fax: (201) 420-8333
Jersey City, NJ 07305 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 333-8999 M-F 9:00 AM - 5:00 PM Languages: Spanish Languages: Spanish, Arabic
Fax: (201) 333-0018 M-F 9:00 AM - 8:00 PM M-F 10:00 AM - 8:00 PM
00 Yrs/99 Yrs Ahmar Pharmacy Sat 9:00 AM - 6:00 PM Sat 10:00 AM - 3:00 PM
Languages: Spanish, Arabic Provider ID: TPV1043370281-0 Sun 12:00 AM - 4:00 PM
M-F 10:00 AM - 6:00 PM 53 Baldwin Ave Barnabas Health Retail
Sat 12:00 AM - 3:00 PM Jersey City, NJ 07304 Americas Pharmacy Pharmacy
(201) 332-9333 Provider ID: TPV1427063049-0 Provider ID: TPV1730513847-0
A Plus Drugs Surgical LLC Fax: (201) 332-3317 1500 Summit Ave 355 Grand St
Provider ID: TPV1285000950-0 00 Yrs/99 Yrs Union City, NJ 07087 Jersey City, NJ 07302
8 Baldwin Ave Languages: Spanish (201) 867-5153 (201) 915-2166
Jersey City, NJ 07304 M-F 9:00 AM - 6:00 PM Fax: (201) 865-0848 Fax: (201) 915-2362
(201) 451-4944 Sat 9:00 AM - 4:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 332-2557 Languages: Spanish M-F 10:00 AM - 6:00 PM
00 Yrs/99 Yrs Albini Pharmacy M-F 10:00 AM - 7:00 PM
Provider ID: TPV1952408882-0 Sat 10:00 AM - 6:00 PM Bayonne Pharmacy
Languages: Spanish
401 Adams St Provider ID: TPV1255475711-0
M-F 11:00 AM - 6:00 PM
Hoboken, NJ 07030 Anthonys Pharmacy 651 Broadway
Sat 8:00 AM - 3:00 PM
(201) 798-5245 Bayonne, NJ 07002
Provider ID: TPV1356765036-0
Acme Pharmacy Fax: (201) 798-2139 (201) 339-1200
4300 Palisade Ave
Provider ID: TPV1497122246-0 00 Yrs/99 Yrs Fax: (201) 339-1144
Union City, NJ 07087
4100 Park Ave Languages: Spanish 00 Yrs/99 Yrs
(201) 863-0631
Weehawken, NJ 07086 M-F 9:00 AM - 8:00 PM Languages: Spanish, Arabic
Fax: (201) 863-0637
(201) 867-0750 Sat 9:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs
Fax: (201) 422-9308 Sat 9:00 AM - 5:00 PM
Languages: Spanish, Hindi
00 Yrs/99 Yrs Allcare Pharmacy LLC M-F 9:00 AM - 8:00 PM
Provider ID: TPV1386034726-0 Bayonne RX Apothecary
M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 6:00 PM
590 Ave C Provider ID: TPV1710495379-0
Acme Pharmacy Bayonne, NJ 07002 Arlington Pharmacy 490 Broadway
Provider ID: TPV1518334440-0 (973) 453-4071 Provider ID: TPV1013055615-0 Bayonne, NJ 07002
321 Rte 440 Fax: (908) 698-0702 434 Kearny Ave (201) 471-2537
Jersey City, NJ 07305 00 Yrs/99 Yrs Kearny, NJ 07032 Fax: (201) 471-2538
(210) 434-1212 Languages: Spanish, Arabic (201) 991-2444 00 Yrs/99 Yrs
Fax: (201) 499-1063 M-F 9:00 AM - 5:00 PM Fax: (201) 991-2447 Languages: Spanish, Hindi
00 Yrs/99 Yrs Sat 9:00 AM - 2:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Languages: Hindi
Ameen Pharmacy Bergen Ave Drugs
M-F 9:00 AM - 7:00 PM
Acme Pharmacy Provider ID: TPV1619114170-0 Sat 9:00 AM - 5:00 PM Provider ID: TPV1184923823-0
Provider ID: TPV1588031603-0 7527 Bergenline Ave 745 Bergen Ave
125 18th St North Bergen, NJ 07047 Atlas Drug Jersey City, NJ 07306
Jersey City, NJ 07310 (201) 751-4500 Provider ID: TPV1417992629-0 (201) 521-0545
(201) 626-5533 Fax: (201) 751-4499 8416 Kennedy Blvd Fax: (201) 521-0546
Fax: (201) 217-0288 00 Yrs/99 Yrs North Bergen, NJ 07047 00 Yrs/99 Yrs
00 Yrs/99 Yrs Languages: Spanish, Arabic (201) 869-5990 Languages: Spanish, Hindi
M-F 9:00 AM - 5:00 PM M-F 10:00 AM - 7:00 PM Fax: (201) 869-8371 M-F 10:00 AM - 7:00 PM
Sat 10:00 AM - 4:00 PM 00 Yrs/99 Yrs Sat 10:00 AM - 2:00 PM
Languages: Spanish
M-F 9:00 AM - 8:00 PM

www.wellcare.com/New-Jersey | 533
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. Broadway Continental Drugs Carepoint Health Pharmacy Community Pharmacy
Provider ID: TPV1639523996-0 Provider ID: TPV1427469675-0 Surgical Inc
Bergen Point Apothecary 7200 Broadway 176 Palisade Ave Provider ID: TPV1609129733-0
Provider ID: TPV1811270622-0 North Bergen, NJ 07047 Jersey City, NJ 07306 79 Monticello Ave
110 W 4th St (201) 854-4800 (201) 217-4720 Jersey City, NJ 07304
Bayonne, NJ 07002 Fax: (201) 854-1518 Fax: (201) 217-4721 (201) 333-4700
(201) 436-5875 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 333-4708
Fax: (201) 436-4063 M-F 9:00 AM - 8:00 PM Languages: Spanish, Russian 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-F 10:00 AM - 6:00 PM M-F 10:00 AM - 6:00 PM
Broadway Health Pharmacy Sat 10:00 AM - 3:00 PM
Languages: Spanish
Carepoint Health Pharmacy
M-F 9:00 AM - 7:00 PM
Sat 10:00 AM - 2:00 PM Provider ID: TPV1275061178-0 Continental Drugs
974 Broadway Provider ID: TPV1881015717-0 Provider ID: TPV1023312477-0
Bergenline Drugs Bayonne, NJ 07002 308 Willow Ave 6419 Park Ave
Provider ID: TPV1063515328-0 (201) 471-2400 Hoboken, NJ 07030 West New York, NJ 07093
5005 Bergenline Ave Fax: (201) 471-2411 (201) 418-2830 (201) 854-3535
West New York, NJ 07093 00 Yrs/99 Yrs Fax: (201) 418-2834 Fax: (201) 854-6770
(201) 867-0615 Languages: Spanish, Arabic 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 867-1188 M-F 9:00 AM - 5:00 PM Languages: Hindi Languages: Spanish
00 Yrs/99 Yrs M-F 9:00 AM - 6:00 PM M-F 9:00 AM - 7:00 PM
Languages: Spanish Broadway Pharmacy Sat 10:00 AM - 5:00 PM
M-F 8:00 AM - 6:00 PM Provider ID: TPV1447703236-0 Central Pharmacy
Sat 8:00 AM - 12:00 PM 7211 Broadway Provider ID: TPV1720171150-0 Cosmo Pharmacy
North Bergen, NJ 07047 335-60th St Provider ID: TPV1922482025-0
Bmc Pharmacy (201) 766-9300 West New York, NJ 07093 402 Pacific Ave
Provider ID: TPV1043455512-0 Fax: (201) 766-9298 (201) 854-1829 Jersey City, NJ 07304
29 E 29th St 00 Yrs/99 Yrs Fax: (201) 854-6371 (201) 332-7008
Bayonne, NJ 07002 Languages: Spanish 00 Yrs/99 Yrs Fax: (201) 332-7022
(201) 858-5215 M-F 10:00 AM - 7:00 PM Languages: Spanish 00 Yrs/99 Yrs
Fax: (201) 858-7663 Sat 10:00 AM - 5:00 PM M-F 10:00 AM - 8:00 PM Languages: Spanish
00 Yrs/99 Yrs Sat 10:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish, Hindi Brockmans Pharmacy
M-F 9:00 AM - 6:00 PM Provider ID: TPV1962420612-0 Central Pharmacy Inc Courthouse Pharmacy
78 Ave C Provider ID: TPV1659700656-0 Provider ID: TPV1770685794-0
Bond Drugs Bayonne, NJ 07002 438 Central Ave 570 Newark Ave
Provider ID: TPV1073592754-0 (201) 437-2175 Jersey City, NJ 07302 Jersey City, NJ 07306
371 Central Ave Fax: (201) 437-4449 (201) 876-1100 (201) 653-4093
Jersey City, NJ 07307 00 Yrs/99 Yrs Fax: (201) 876-1103 Fax: (201) 222-1901
(201) 656-3900 Languages: Spanish, Hindi 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 656-3517 M-F 9:00 AM - 9:00 PM Languages: Spanish, Hindi, Languages: Spanish
00 Yrs/99 Yrs Sat 9:00 AM - 8:00 PM Arabic M-F 9:00 AM - 7:00 PM
Languages: Spanish, Hindi Sun 9:00 AM - 1:00 PM M-F 10:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM
MTWTHFSat 9:00 AM - 9:00 Sat 10:00 AM - 3:00 PM
PM Carepluscvs Pharmacy Onsite CVS
Cf Parentini Pharmacy Provider ID: TPV1154343770-0
Broadway Care Pharmacy Provider ID: TPV1356590046-0 Provider ID: TPV1720191265-0 100 14th St
Provider ID: TPV1528505351-0 1200 Harbor Blvd 2517 Bergenline Ave Jersey City, NJ 07310
516 Broadway Weehawken, NJ 07086 Union City, NJ 07087 (201) 499-0018
Bayonne, NJ 07002 (201) 330-8147 (201) 863-2700 Fax: (201) 942-2910
(201) 437-5100 Fax: (201) 330-8560 Fax: (201) 863-2701 00 Yrs/99 Yrs
Fax: (201) 437-6100 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs M-F 8:30 AM - 5:30 PM Languages: Spanish Sat-Sun 9:00 AM - 6:00 PM
Languages: Spanish M-F 10:00 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 6:00 PM

www.wellcare.com/New-Jersey | 534
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. CVS CVS Downtown Pharmacy
Provider ID: TPV1578655056-0 Provider ID: TPV1831292366-0 Provider ID: TPV1396129995-0
CVS 59 Washington St 714 Summit Ave 201 Morris Blvd
Provider ID: TPV1235221706-0 Hoboken, NJ 07030 Union City, NJ 07087 Jersey City, NJ 07302
560 Ave C (201) 798-1889 (201) 866-2892 (201) 885-2939
Bayonne, NJ 07002 Fax: (201) 798-1631 Fax: (201) 866-2848 Fax: (201) 885-2931
(201) 823-5601 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 823-5606 M-F 8:00 AM - 10:00 PM Languages: Spanish, Russian
00 Yrs/99 Yrs CVS Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 9:00 PM
M-F 8:00 AM - 10:00 PM Provider ID: TPV1649353988-0 Sun 9:00 AM - 5:00 PM Sat-Sun 9:00 AM - 5:00 PM
Sat 9:00 AM - 6:00 PM 220 Schuyler Ave
Kearny, NJ 07032 CVS Downtown Pharmacy
Sun 9:00 AM - 5:00 PM
(201) 997-4600 Provider ID: TPV1861584344-0 Provider ID: TPV1427142306-0
CVS Fax: (201) 998-6836 5300 Bergenline Ave 52 Essex St
Provider ID: TPV1245252865-0 00 Yrs/99 Yrs West New York, NJ 07093 Jersey City, NJ 07302
7101 Tonnelle Ave M-F 9:00 AM - 9:00 PM (201) 974-0818 (201) 434-2200
North Bergen, NJ 07047 Sat 10:00 AM - 6:00 PM Fax: (201) 867-1095 Fax: (201) 434-2600
(201) 520-1702 Sun 10:00 AM - 5:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 272-1663 M-F 9:00 AM - 9:00 PM Languages: Spanish, Korean
00 Yrs/99 Yrs CVS Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 9:00 PM
M-F 9:00 AM - 7:00 PM Provider ID: TPV1750464384-0 Sun 9:00 AM - 5:00 PM Sat-Sun 9:00 AM - 5:00 PM
Sat 9:00 AM - 5:00 PM 9015 Bergenline Ave Empire Pharmacy
Sun 11:00 AM - 5:00 PM North Bergen, NJ 07047 Differx Pharmacy
Provider ID: TPV1528342557-0
(201) 869-3930 Provider ID: TPV1982109880-0 6509 Bergenline Ave
CVS Fax: (201) 869-3248 492 Central Ave West New York, NJ 07093
Provider ID: TPV1295827897-0 00 Yrs/99 Yrs Jersey City, NJ 07307 (201) 758-7800
811 Clinton St (201) 716-2568
CVS Fax: (866) 466-3710
Hoboken, NJ 07030 Fax: (201) 221-8201 00 Yrs/99 Yrs
(201) 420-4825 Provider ID: TPV1801919907-0 00 Yrs/99 Yrs Languages: Spanish
Fax: (201) 217-3471 210 14th St Languages: Spanish, Arabic M-F 9:00 AM - 7:00 PM
00 Yrs/99 Yrs Hoboken, NJ 07030 M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM
M-F 9:00 AM - 9:00 PM (201) 420-3286
Sat 9:00 AM - 6:00 PM Fax: (201) 420-4076 Direct Meds of Jersey City Excel Pharmacy
Sun 10:00 AM - 5:00 PM 00 Yrs/99 Yrs Provider ID: TPV1184917494-0
M-F 9:00 AM - 9:00 PM Provider ID: TPV1598040875-0 612 Pavonia Ave
CVS Sat-Sun 10:00 AM - 5:00 PM 26 Greenville Ave Jersey City, NJ 07306
Provider ID: TPV1316040140-0 Jersey City, NJ 07306 (201) 239-5800
4700 Bergenline Ave CVS (201) 333-3524 Fax: (201) 239-5806
Union City, NJ 07087 Provider ID: TPV1801988530-0 Fax: (201) 333-3527 00 Yrs/99 Yrs
(201) 867-5900 101 Plaza Center 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM
Fax: (201) 601-9899 Secaucus, NJ 07094 Languages: Spanish, Arabic Sat 9:00 AM - 3:00 PM
00 Yrs/99 Yrs (201) 863-5535 M-F 9:00 AM - 6:00 PM
M-F 8:00 AM - 9:00 PM Fax: (201) 325-0416 Sat 9:00 AM - 3:00 PM Fabios Pharmacy 2
Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs Provider ID: TPV1154834729-0
Sun 9:00 AM - 5:00 PM M-F 8:00 AM - 9:00 PM Dittmars Pharmacy 3413 Bergenline Ave
Sat 9:00 AM - 6:00 PM Provider ID: TPV1497855431-0 Union City, NJ 07087
CVS Sun 9:00 AM - 5:00 PM 924 Broadway (201) 421-9663
Provider ID: TPV1447766761-0 Bayonne, NJ 07002 Fax: (862) 257-3313
88 Morgan St (201) 339-0405 00 Yrs/99 Yrs
Jersey City, NJ 07302 Fax: (201) 339-2473 Languages: Spanish
(201) 433-3510 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
Fax: (201) 831-3066 Languages: Spanish, Hindi
00 Yrs/99 Yrs MTTHF 10:00 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM W 10:00 AM - 7:00 PM
Sat 10:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 535
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. Garfield Healthcare Pharmacy Health Aid Drugs Health Smart Pharmacy
Provider ID: TPV1356423149-0 Provider ID: TPV1578050357-0
Family Pharmacy Inc Provider ID: TPV1437423456-0 212 Palisade Ave 2709 John F Kennedy Blvd
Provider ID: TPV1578629259-0 935 Garfield Ave Jersey City, NJ 07306 Jersey City, NJ 07306
291 Central Ave Jersey City, NJ 07304 (201) 653-1441 (201) 360-3784
Jersey City, NJ 07307 (201) 434-6968 Fax: (201) 653-3050 Fax: (201) 360-3747
(201) 420-7737 Fax: (201) 434-5464 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 420-7705 00 Yrs/99 Yrs Languages: Spanish Languages: Spanish, German,
00 Yrs/99 Yrs Languages: Spanish, Hindi M-F 10:00 AM - 7:00 PM Hindi
Languages: Hindi M-F 9:00 AM - 7:00 PM Sat 10:00 AM - 4:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 1:00 PM
Sat 9:00 AM - 5:00 PM Health Care Pharmacy Heights Pharmacy
Gilmore Pharmacy Provider ID: TPV1376608703-0 Provider ID: TPV1457694952-0
Farmacia Latina Provider ID: TPV1982726279-0 119 Ocean Ave 424 Central Ave
Provider ID: TPV1861790040-0 6000 Park Ave Jersey City, NJ 07305 Jersey City, NJ 07307
216 48th St West New York, NJ 07093 (201) 432-6968 (201) 222-1777
Union City, NJ 07087 (201) 868-5005 Fax: (201) 432-7004 Fax: (201) 222-1172
(201) 766-5526 Fax: (201) 868-5974 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 766-5528 00 Yrs/99 Yrs Languages: Spanish, Hindi Languages: Spanish, Hindi
00 Yrs/99 Yrs Languages: Spanish M-F 9:00 AM - 6:00 PM M-F 10:00 AM - 6:00 PM
Languages: Spanish M-F 10:00 AM - 6:00 PM Sat 9:00 AM - 3:00 PM Sat 10:00 AM - 2:00 PM
Sat 10:00 AM - 4:00 PM
Farmacia San Jose Health Care Pharmacy Herberts Pharmacy
Provider ID: TPV1023173549-0 Goodwill Pharmacy Provider ID: TPV1457456311-0 Provider ID: TPV1427545987-0
149 48st 1825 John F Kennedy Blvd 753 Bergen Ave
Provider ID: TPV1558715862-0
Union City, NJ 07087 Jersey City, NJ 07305 Jersey City, NJ 07306
4313 Bergenline Ave
(201) 864-1809 (201) 369-6918 (201) 333-7250
Union City, NJ 07087
Fax: (201) 864-4077 Fax: (201) 333-1149 Fax: (201) 200-0525
(201) 758-5159
00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 758-5160
Languages: Spanish Languages: Spanish Languages: Spanish, Chinese,
00 Yrs/99 Yrs
M-F 10:00 AM - 7:00 PM MTTH 9:00 AM - 7:00 PM Hindi, Korean
Languages: Spanish, Hindi
Sat 10:00 AM - 5:00 PM WF 9:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
MTWTHFSat 10:00 AM - 7:00
PM Sat 10:00 AM - 3:00 PM
Fenny Pharmacy Hines Pharmacy
Provider ID: TPV1215043849-0 Greenville Pharmacy LLC Health Center Pharmacy Provider ID: TPV1770598385-0
129 Newark Ave Provider ID: TPV1356855480-0 Provider ID: TPV1053636043-0 2301 Bergenline Ave
Jersey City, NJ 07302 1850 Kennedy Blvd 6200 Bergenline Ave Union City, NJ 07087
(201) 333-2223 Jersey City, NJ 07305 West New York, NJ 07093 (201) 348-2667
Fax: (201) 333-2224 (201) 433-8002 (201) 861-7521 Fax: (201) 348-0436
00 Yrs/99 Yrs Fax: (201) 433-4655 Fax: (201) 861-1471 00 Yrs/99 Yrs
Languages: Spanish, Hindi 00 Yrs/99 Yrs 00 Yrs/99 Yrs Languages: Spanish
Languages: Arabic Languages: Spanish M-F 10:00 AM - 7:00 PM
Friendly Pharmacy M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 8:00 PM Sat 10:00 AM - 6:00 PM
Provider ID: TPV1275664237-0 Sat 9:00 AM - 7:00 PM
360 Martin Luther King Jr Dr Harrys Pharmacy Dept Sun 11:00 AM - 4:00 PM Hoboken Family Pharmacy
Jersey City, NJ 07305 Provider ID: TPV1730479221-0
(201) 433-6990 7917 Kennedy Blvd Health Fair Pharmacy Provider ID: TPV1427382266-0
Fax: (201) 433-6512 North Bergen, NJ 07047 Provider ID: TPV1578629457-0 307 1st St
00 Yrs/99 Yrs (201) 662-7575 315 Willow Ave Hoboken, NJ 07030
Languages: Chinese Fax: (201) 621-5627 Hoboken, NJ 07030 (201) 420-7777
M-F 10:00 AM - 6:00 PM 00 Yrs/99 Yrs (201) 222-6968 Fax: (201) 420-3333
Sat 11:00 AM - 4:00 PM M-F 10:00 AM - 7:00 PM Fax: (201) 222-6852 00 Yrs/99 Yrs
Sat 11:00 AM - 3:00 PM 00 Yrs/99 Yrs Languages: Spanish
Languages: Spanish M-F 9:00 AM - 7:00 PM
M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM
Sat 10:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 536
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. Hudson Specialty Pharmacy JFK Pharmacy Live Smart Pharmacy
Provider ID: TPV1063892735-0 Provider ID: TPV1841728003-0
Home Towne RX Provider ID: TPV1821458886-0 2818A John F Kennedy Blvd 6101 Kennedy Blvd
Provider ID: TPV1548714611-0 5313 Hudson Ave Jersey City, NJ 07306 North Bergen, NJ 07047
267 Central Ave West New York, NJ 07093 (201) 356-9132 (201) 854-0800
Jersey City, NJ 07307 (201) 766-5060 Fax: (201) 356-9133 Fax: (201) 854-0803
(201) 792-1800 Fax: (201) 625-6491 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 792-0946 00 Yrs/99 Yrs Languages: Spanish, Hindi, Languages: Hindi
00 Yrs/99 Yrs Languages: Spanish Arabic M-F 9:00 AM - 5:00 PM
Languages: Spanish M-F 10:00 AM - 8:00 PM M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 5:00 PM Sat 10:00 AM - 6:00 PM Manhattan Pharmacy
Provider ID: TPV1366570624-0
Hook Pharmacy Jerrys Drug Surgical Journal Square Pharmacy 3300 John F Kennedy Blvd
Provider ID: TPV1366733883-0 Provider ID: TPV1639102940-0 Provider ID: TPV1316256290-0 Jersey City, NJ 07307
204 Washington St Ste 1B 455 Broadway 2801 Kennedy Blvd (201) 653-1725
Jersey City, NJ 07302 Bayonne, NJ 07002 Jersey City, NJ 07306 Fax: (201) 653-3233
(201) 333-5189 (201) 339-1992 (201) 222-6655 00 Yrs/99 Yrs
Fax: (201) 333-5178 Fax: (201) 339-3616 Fax: (201) 222-6645 Languages: Hindi
00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 10:00 AM - 7:00 PM
Languages: French Languages: Spanish, Arabic Languages: French, Russian, Sat 10:00 AM - 2:00 PM
M-F 8:00 AM - 8:00 PM MTTHF 9:00 AM - 9:00 PM Arabic
Sat 10:00 AM - 5:00 PM WSat 9:00 AM - 6:00 PM M-F 10:00 AM - 8:00 PM Marin Pharmacy
Sun 10:00 AM - 2:00 PM Sat 11:00 AM - 5:00 PM Provider ID: TPV1639173651-0
Horizon Pharmacy 5222 Bergenline Ave
Provider ID: TPV1316476542-0 Jersey City Pharmacy Kwickmed Farmacia West New York, NJ 07093
115 Christopher Columbus Dr Provider ID: TPV1841605342-0 Provider ID: TPV1730416892-0 (201) 866-8348
Jersey City, NJ 07302 1815 John F Kennedy Blvd 4121C New York Ave Fax: (201) 866-8254
(551) 200-9680 Jersey City, NJ 07305 Union City, NJ 07087 00 Yrs/99 Yrs
Fax: (551) 200-9733 (201) 433-8900 (201) 758-8982 Languages: Spanish
00 Yrs/99 Yrs Fax: (201) 433-8990 Fax: (201) 758-8983 M-TH 10:00 AM - 8:00 PM
Languages: Spanish 00 Yrs/99 Yrs 00 Yrs/99 Yrs F 10:00 AM - 7:00 PM
M-F 9:00 AM - 5:00 PM Languages: Spanish Languages: Spanish, Hindi Sat 10:00 AM - 6:00 PM
MTWTHFSat 10:00 AM - 6:00 M-F 8:00 AM - 8:00 PM
Hudacko Pharmacy PM Sat 8:00 AM - 3:00 PM Marras Drug Store
Provider ID: TPV1316043573-0 Sun 8:00 AM - 1:00 PM Provider ID: TPV1457489718-0
861 Broadway Jersey Drugs 1285 Paterson Plank Rd
Bayonne, NJ 07002 Provider ID: TPV1407833122-0 Liberty Pharmacy Secaucus, NJ 07094
(201) 436-4488 286 Central Ave Provider ID: TPV1841516564-0 (201) 865-3540
Fax: (201) 436-0240 Jersey City, NJ 07307 208 Broadway Fax: (201) 865-5537
00 Yrs/99 Yrs (201) 656-4392 Bayonne, NJ 07002 00 Yrs/99 Yrs
Languages: Spanish Fax: (201) 420-8399 (201) 436-7000 Languages: Spanish, Italian
M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs Fax: (201) 339-0999 M-F 9:00 AM - 10:00 PM
Sat 9:00 AM - 5:00 PM Languages: Spanish, Chinese 00 Yrs/99 Yrs Sat 9:00 AM - 9:00 PM
Sun 10:00 AM - 4:00 PM M-F 8:00 AM - 8:00 PM Languages: Arabic Sun 9:00 AM - 8:00 PM
Sat 8:00 AM - 7:00 PM M-F 10:00 AM - 7:00 PM
Hudson Pharmacy Sat 10:00 AM - 4:00 PM Mastrolia Pharmacy
Sun 9:00 AM - 2:00 PM
Provider ID: TPV1437210820-0 Provider ID: TPV1508972068-0
2260 Kennedy Blvd Lifeline RX LLC 325 7th St
Jersey City, NJ 07304 Provider ID: TPV1275939746-0 Jersey City, NJ 07302
(201) 432-5205 5408 Park Ave (201) 653-8378
Fax: (201) 432-2578 West New York, NJ 07093 Fax: (201) 653-9909
00 Yrs/99 Yrs (201) 624-8015 00 Yrs/99 Yrs
Languages: Spanish, Hindi Fax: (201) 624-8016 Languages: Spanish, Hindi
M-F 10:00 AM - 7:00 PM 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM
Sat 10:00 AM - 5:00 PM Languages: Arabic Sat 9:00 AM - 5:00 PM
M-F 9:00 AM - 7:00 PM
Sat 9:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 537
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. Mulkay Drugs Inc Normans Pharmacy Palace Drugs
Provider ID: TPV1821107954-0 Provider ID: TPV1992214308-0 Provider ID: TPV1902927460-0
McGinley Sq Pharmacy Inc 6601 Broadway Ave 501 Jersey Ave 172 Newark Ave
West New York, NJ 07093 Jersey City, NJ 07302 Jersey City, NJ 07302
Provider ID: TPV1083132989-0 (201) 854-4900 (201) 435-8112 (201) 432-3300
683 Montgomery St Fax: (201) 854-4901 Fax: (201) 435-8113 Fax: (201) 432-1317
Jersey City, NJ 07306 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 200-3866 Languages: Spanish Languages: Spanish, Hindi Languages: Spanish, Hindi
Fax: (201) 200-3899 M-F 10:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 8:00 PM
00 Yrs/99 Yrs Sat 10:00 AM - 5:00 PM Sat 10:00 AM - 8:00 PM
Languages: Spanish North Bergen Pharmacy Sun 10:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Myerson Pharmacy Provider ID: TPV1992713283-0
Provider ID: TPV1275696890-0 7126 Bergenline Ave Palisade Drugs
Medicine Man Pharmacy 1019 Summit Ave North Bergen, NJ 07047 Provider ID: TPV1255494324-0
Compounding Union City, NJ 07087 (201) 868-6900 338 Palisade Ave
Provider ID: TPV1598009383-0 (201) 865-0844 Fax: (201) 868-7127 Jersey City, NJ 07307
511 Washington St Fax: (201) 865-1003 00 Yrs/99 Yrs (201) 222-9399
Hoboken, NJ 07030 00 Yrs/99 Yrs Languages: Spanish, Hindi Fax: (201) 222-0255
(201) 942-9777 Languages: Spanish, Hindi M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs
Fax: (201) 942-9779 M-F 10:00 AM - 7:00 PM Sat 10:00 AM - 6:00 PM Languages: Spanish, Hindi
00 Yrs/99 Yrs Sat 10:00 AM - 5:00 PM M-F 9:00 AM - 7:00 PM
Languages: Spanish, Hindi North Hudson Community Sat 10:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM New Horizon Pharmacy Pharmacy
Provider ID: TPV1043506827-0 Provider ID: TPV1629528914-0 Pan American Pharmacy
Metro Drugs 711 Bergen Ave 5301 Broadway Provider ID: TPV1598847436-0
Provider ID: TPV1407183676-0 Jersey City, NJ 07306 West New York, NJ 07093 232 60th St
79 Hudson St (201) 324-3900 (201) 520-9364 West New York, NJ 07093
Hoboken, NJ 07030 Fax: (201) 324-3970 Fax: (201) 330-8204 (201) 861-7966
(201) 253-1100 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 868-7945
Fax: (201) 253-1101 Languages: Spanish, Arabic Languages: Spanish 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM Languages: Spanish
Languages: Spanish Sat 10:00 AM - 5:00 PM
Novecks Pharmacy Park Avenue Pharmacy
M-F 9:00 AM - 7:00 PM
Newport Pharmacy Provider ID: TPV1659450328-0 Provider ID: TPV1881932093-0
Sat 9:00 AM - 3:00 PM
Provider ID: TPV1275544439-0 7823 Bergenline Ave 3712 Park Ave
Midtown Pharmacy 165 Erie St North Bergen, NJ 07047 Weehawken, NJ 07086
Provider ID: TPV1962565838-0 Jersey City, NJ 07302 (201) 869-1235 (201) 552-9500
581 Kearny Ave (201) 963-1903 Fax: (201) 215-9794 Fax: (201) 552-9501
Kearny, NJ 07032 Fax: (201) 222-6534 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 991-3454 00 Yrs/99 Yrs Languages: Spanish, Hindi, Languages: Spanish
Fax: (201) 991-1319 Languages: Spanish Arabic M-F 10:00 AM - 8:00 PM
00 Yrs/99 Yrs M-F 10:00 AM - 7:00 PM Sat 10:00 AM - 3:00 PM
Noble Pharmacy Inc Sat 10:00 AM - 5:00 PM
Languages: Korean Pavonia Pharmacy
Provider ID: TPV1861590192-0
M-F 8:00 AM - 10:00 PM Provider ID: TPV1275669103-0
47 Tonnele Ave Oscar Pharmacy
Sat 9:00 AM - 7:00 PM 600 Pavonia Ave
Jersey City, NJ 07306 Provider ID: TPV1255868691-0
Sun 9:00 AM - 6:00 PM Jersey City, NJ 07306
(201) 604-5812 4505 Bergenline Ave
Fax: (201) 604-5815 Union City, NJ 07087 (201) 216-9666
Modern Medicine RX
00 Yrs/99 Yrs (201) 751-4984 Fax: (201) 216-9283
Provider ID: TPV1992117451-0
Languages: Spanish, Italian, Fax: (201) 751-4985 00 Yrs/99 Yrs
33-41 Newark St Ste 2B
German 00 Yrs/99 Yrs Languages: Spanish, Hindi
Hoboken, NJ 07030
M-F 10:00 AM - 7:00 PM Languages: Spanish, Korean M-F 8:00 AM - 7:00 PM
(201) 420-9000
Sat 10:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 5:00 PM
Fax: (201) 420-4040
00 Yrs/99 Yrs
Languages: Italian
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 538
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. Pomarico Pharmacy Quick Chek Pharmacy RITE AID
Provider ID: TPV1750399853-0 Provider ID: TPV1649305780-0 Provider ID: TPV1245755982-0
Peckmans Pharmacy 239 Old Bergen Rd 260-280 Broadway Rite Aid
Provider ID: TPV1619954443-0 Jersey City, NJ 07305 Bayonne, NJ 07002 337 Central Ave
227 Ocean Ave (201) 434-8062 (201) 437-2193 Jersey City, NJ 07307
Jersey City, NJ 07305 Fax: (201) 434-7596 Fax: (201) 437-5891 (201) 653-0357
(201) 433-1512 00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (201) 217-3291
Fax: (201) 433-1566 Languages: Spanish, Italian M-F 8:30 AM - 9:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish, Hindi Sat 9:00 AM - 6:00 PM Sun 9:00 AM - 1:00 PM
M-F 9:00 AM - 8:00 PM Sun 9:00 AM - 2:00 PM RITE AID
Sat 9:00 AM - 7:00 PM RITE AID Provider ID: TPV1467561803-0
Premier Pharmacy Provider ID: TPV1013433317-0 2859 John F Kennedy Blvd Ste
Pharmacy Plus Surgical Sppls Provider ID: TPV1073069779-0 Rite Aid 61
LLC 101 Park Ave Ste 2 3100 Bergenline Ave Jersey City, NJ 07306
Provider ID: TPV1689986424-0 Hoboken, NJ 07030 Union City, NJ 07087 (201) 433-2826
236 Harrison Ave (201) 683-8647 (201) 865-3237 Fax: (201) 433-3207
Harrison, NJ 07029 Fax: (201) 683-8648 Fax: (201) 865-0255 00 Yrs/99 Yrs
(973) 900-9275 00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM
Fax: (862) 849-2189 Languages: Russian M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 9:00 PM
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM Sun 9:00 AM - 6:00 PM
Languages: Spanish, Hindi, RITE AID
Prescription Center Pharmacy Provider ID: TPV1033633094-0 RITE AID
Arabic
M-F 9:00 AM - 8:00 PM Rite Aid Provider ID: TPV1497865273-0
Sat 9:00 AM - 5:00 PM Provider ID: TPV1790874980-0 432 Bergen St 1097 Broadway
Sun 10:00 AM - 2:00 PM 1914 Bergenline Ave Harrison, NJ 07029 Bayonne, NJ 07002
Union City, NJ 07087 (973) 483-5336 (201) 436-6831
Pharmacy Value (201) 864-2004 Fax: (973) 483-6541 Fax: (201) 437-2089
Provider ID: TPV1922197615-0 Fax: (201) 864-3875 00 Yrs/99 Yrs 00 Yrs/99 Yrs
7012 Park Ave 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
Guttenberg, NJ 07093 Languages: Spanish Sat-Sun 9:00 AM - 9:00 PM
(201) 662-7949 M-F 10:00 AM - 7:00 PM RITE AID
Fax: (201) 662-9469 Sat 10:00 AM - 4:00 PM Provider ID: TPV1184148884-0 RITE AID
00 Yrs/99 Yrs Rite Aid Provider ID: TPV1659897254-0
Languages: Spanish Prime Care Pharmacy 12 16 North St Rite Aid
M-F 9:00 AM - 8:00 PM Provider ID: TPV1316346679-0 Bayonne, NJ 07002 1300 Willow Ave
Sat 9:00 AM - 6:00 PM 95 Martin Luther King Jr Dr (201) 436-6268 Hoboken, NJ 07030
Sun 10:00 AM - 3:00 PM Jersey City, NJ 07305 Fax: (201) 436-1078 (201) 798-0558
(201) 433-4000 00 Yrs/99 Yrs Fax: (201) 798-5370
Pintos Pharmacy Fax: (201) 433-4044 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs
Provider ID: TPV1932575479-0 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
161 Palisade Ave Languages: Spanish, Hindi RITE AID
Jersey City, NJ 07306 M-F 9:00 AM - 6:00 PM Provider ID: TPV1184149833-0 RITE AID
(201) 241-3333 Sat 9:00 AM - 4:00 PM Rite Aid Provider ID: TPV1720503485-0
Fax: (201) 653-7576 1320 Shipyard Lane Rite Aid
00 Yrs/99 Yrs Quick Chek Pharmacy Hoboken, NJ 07030 395 Danforth Ave
Languages: Spanish, Hindi Provider ID: TPV1346375482-0 (201) 876-0040 Jersey City, NJ 07305
M-F 9:00 AM - 5:00 PM 7201 Bergenline Ave Ste 11 Fax: (201) 876-4125 (201) 200-9801
North Bergen, NJ 07047 00 Yrs/99 Yrs Fax: (201) 324-0735
(201) 869-3553 M-F 9:00 AM - 5:00 PM 00 Yrs/99 Yrs
Fax: (201) 869-9406 M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs
M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 5:00 PM
Sun 9:00 AM - 1:00 PM

www.wellcare.com/New-Jersey | 539
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. RITE AID Seiferts Pharmacy Shoprite Pharmacy
Provider ID: TPV1982129581-0 Provider ID: TPV1659416378-0 Provider ID: TPV1992810774-0
RITE AID Rite Aid 6801 Park Ave 3147 Kennedy Blvd
Provider ID: TPV1770007601-0 471 Broadway Guttenberg, NJ 07093 North Bergen, NJ 07047
Rite Aid Bayonne, NJ 07002 (201) 861-2333 (201) 865-7050
1212 Summit Ave (201) 339-8181 Fax: (201) 861-2477 Fax: (201) 553-9613
Jersey City, NJ 07307 Fax: (201) 339-5786 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(201) 876-0107 00 Yrs/99 Yrs Languages: Italian Languages: Spanish
Fax: (201) 876-0142 M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 8:00 PM M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM
M-F 9:00 AM - 5:00 PM Sachin Pharmacy Inc Sun 9:00 AM - 12:00 PM Sun 10:00 AM - 2:00 PM
Provider ID: TPV1760555999-0
RITE AID 295 Central Ave Shoprite Pharmacy Singer Pharmacy
Provider ID: TPV1780100412-0 Jersey City, NJ 07307 Provider ID: TPV1477691244-0 Provider ID: TPV1508909326-0
Rite Aid (201) 653-1200 900 Madison St 5532 Bergenline Ave
5706 Bergenline Ave Fax: (201) 653-1205 Hoboken, NJ 07030 West New York, NJ 07093
West New York, NJ 07093 00 Yrs/99 Yrs (201) 792-9652 (201) 864-1168
(201) 869-8054 Languages: Spanish, Korean Fax: (201) 792-6241 Fax: (201) 864-9133
Fax: (201) 869-6697 M-F 9:00 AM - 7:00 PM 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM Languages: Chinese Languages: Spanish
M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 9:00 PM M-F 10:00 AM - 8:00 PM
Saint Moses Pharmacy Sat 9:00 AM - 6:00 PM Sat 10:00 AM - 5:00 PM
RITE AID Provider ID: TPV1649688524-0 Sun 10:00 AM - 3:00 PM
Provider ID: TPV1821513573-0 1727 John F Kennedy Blvd St Johns Pharmacy
Rite Aid Jersey City, NJ 07305 Shoprite Pharmacy Provider ID: TPV1770617037-0
701 Frank E Rodgers Blvd N (201) 984-2585 Provider ID: TPV1780799551-0 2980 Kennedy Blvd
Harrison, NJ 07029 Fax: (201) 360-0196 100 Passaic Ave Jersey City, NJ 07306
(973) 483-8228 00 Yrs/99 Yrs Kearny, NJ 07032 (201) 963-3617
Fax: (973) 483-6305 Languages: Arabic (201) 991-3568 Fax: (201) 963-8616
00 Yrs/99 Yrs M-F 9:00 AM - 8:00 PM Fax: (201) 991-4272 00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 5:00 PM 00 Yrs/99 Yrs Languages: Arabic
Languages: Spanish M-F 10:00 AM - 10:00 PM
RITE AID SAMS CLUB M-F 8:00 AM - 9:00 PM Sat 10:00 AM - 8:00 PM
Provider ID: TPV1902916679-0 Provider ID: TPV1518984657-0 Sat 8:00 AM - 7:00 PM
981 W Side Ave 300 Park Pl Sun 9:00 AM - 4:00 PM St Maria Pharmacy, Corp
Jersey City, NJ 07306 Secaucus, NJ 07094 Provider ID: TPV1033560917-0
(201) 332-0410 (201) 974-0556 Shoprite Pharmacy 1093 Ave C
Fax: (201) 332-1101 Fax: (201) 974-0219 Provider ID: TPV1821103607-0 Bayonne, NJ 07002
00 Yrs/99 Yrs 00 Yrs/99 Yrs 400 Luis Munoz Marin Blvd (201) 535-0440
M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 7:00 PM Jersey City, NJ 07302 Fax: (201) 955-6261
Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM (201) 418-0327 00 Yrs/99 Yrs
Sun 10:00 AM - 6:00 PM Fax: (201) 418-7370 Languages: Spanish, Arabic
Santa Maria Pharmacy 00 Yrs/99 Yrs MTWTHFSat 10:00 AM - 6:00
RITE AID Provider ID: TPV1992796379-0 M-F 9:00 AM - 9:00 PM PM
Provider ID: TPV1982128682-0 1115 New York Ave Sat 9:00 AM - 6:00 PM
Rite Aid Union City, NJ 07087 Sun 10:00 AM - 3:00 PM St Mark Pharmacy
248 Kearny Ave (201) 864-6307 Provider ID: TPV1811018377-0
Kearny, NJ 07032 Fax: (201) 864-7254 Shoprite Pharmacy 875 Bergen Ave
(201) 998-8787 00 Yrs/99 Yrs Provider ID: TPV1912012790-0 Jersey City, NJ 07306
Fax: (201) 998-8772 Languages: Spanish, Hindi 583 Ave C (201) 792-9881
00 Yrs/99 Yrs M-F 10:00 AM - 8:00 PM Bayonne, NJ 07002 Fax: (201) 792-9882
M-F 9:00 AM - 5:00 PM Sat 10:00 AM - 6:00 PM (201) 437-5898 00 Yrs/99 Yrs
Fax: (201) 339-1862 Languages: Arabic
00 Yrs/99 Yrs M-F 10:00 AM - 8:00 PM
M-F 8:00 AM - 9:00 PM Sat 10:00 AM - 5:00 PM
Sat 9:00 AM - 6:00 PM
Sun 9:00 AM - 2:00 PM

www.wellcare.com/New-Jersey | 540
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. The Galaxy Drug Store Tucker Drugs United Pharmacy
Provider ID: TPV1376688010-0 Provider ID: TPV1922181874-0 Provider ID: TPV1245510270-0
Stop Shop Pharmacy 7000 Kennedy Blvd E 1000 Washington St 6014 B Bergenline Ave
Provider ID: TPV1366474215-0 West New York, NJ 07093 Hoboken, NJ 07030 West New York, NJ 07093
1 Lefante Dr (201) 453-0555 (201) 659-8492 (201) 758-1415
Bayonne, NJ 07002 Fax: (201) 453-0550 Fax: (201) 659-0350 Fax: (201) 758-1401
(201) 823-8411 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (201) 823-8718 Languages: Spanish, Hindi Languages: Spanish Languages: Spanish, Arabic
00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 8:00 PM
M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 8:00 PM Sat 10:00 AM - 4:00 PM Sat 10:00 AM - 6:00 PM
Sat 9:00 AM - 5:00 PM Sun 10:00 AM - 4:00 PM Sun 10:00 AM - 3:00 PM
Sun 9:00 AM - 3:00 PM Ultra Care Pharmacy
The Peoples Pharmacy Provider ID: TPV1215334701-0 Verona Pharmacy
Sugarmans Drug Store Shoppe 557 Broadway Provider ID: TPV1992731624-0
Provider ID: TPV1366527657-0 Provider ID: TPV1932395621-0 Bayonne, NJ 07002 741 Communipaw Ave
4207 Bergenline Ave 4012 Bergenline Ave (201) 455-8200 Jersey City, NJ 07304
Union City, NJ 07087 Union City, NJ 07087 Fax: (201) 455-8207 (201) 946-9500
(201) 867-6705 (201) 348-0810 00 Yrs/99 Yrs Fax: (201) 946-9700
Fax: (201) 867-3758 Fax: (201) 348-1555 Languages: Hindi 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Languages: Arabic
Languages: Spanish Languages: Spanish Sat 10:00 AM - 4:00 PM MTWTHFSat 10:00 AM - 8:00
MTWF 9:00 AM - 7:00 PM M-TH 9:00 AM - 8:00 PM PM
F 9:00 AM - 9:00 PM Ultra Care Pharmacy
TH 7:00 AM - 7:00 PM
Sat 10:00 AM - 7:00 PM Provider ID: TPV1982619516-0 Vitalis Pharmacy
Sat 9:00 AM - 6:00 PM
568 W Side Ave Provider ID: TPV1851725964-0
Summit Care Pharmacy The Prescription Shoppe Jersey City, NJ 07304 3495 Kennedy Blvd
Provider ID: TPV1144779273-0 Provider ID: TPV1295003184-0 (201) 433-9777 Jersey City, NJ 07307
518 Summit Ave 550 Newark Ave Ste 101 Fax: (201) 433-9779 (201) 222-1800
Jersey City, NJ 07306 Jersey City, NJ 07306 00 Yrs/99 Yrs Fax: (201) 222-1811
(201) 222-2721 (201) 360-0600 Languages: Spanish, Hindi 00 Yrs/99 Yrs
Fax: (201) 222-8761 Fax: (201) 360-0543 M-F 10:00 AM - 6:00 PM Languages: Spanish, Arabic
00 Yrs/99 Yrs 00 Yrs/99 Yrs M-F 10:00 AM - 8:00 PM
Languages: Spanish, Hindi Umr Pharmacy Surgicals Inc
Languages: Spanish, Hindi, Sat 10:00 AM - 3:00 PM
Arabic M-F 10:00 AM - 6:00 PM
M-F 9:00 AM - 7:00 PM Sat 10:00 AM - 2:00 PM Provider ID: TPV1124105093-0 Walmart Pharmacy
Sat 10:00 AM - 6:00 PM 437 Central Ave Provider ID: TPV1013244961-0
Toledo Pharmacy Jersey City, NJ 07307 2100 88th St
Summit Healthcare Pharmacy Provider ID: TPV1114077435-0 (201) 418-0009 North Bergen, NJ 07047
3808 Bergenline Ave Fax: (201) 418-0090 (201) 758-2891
Provider ID: TPV1356497770-0 Union City, NJ 07087 00 Yrs/99 Yrs Fax: (201) 758-2893
103 Summit Ave (201) 867-0297 Languages: Hindi 00 Yrs/99 Yrs
Jersey City, NJ 07304 Fax: (201) 867-6848 M-F 10:00 AM - 6:00 PM M-F 9:00 AM - 9:00 PM
(201) 333-6968 00 Yrs/99 Yrs Sat 10:00 AM - 3:00 PM Sat 9:00 AM - 7:00 PM
Fax: (201) 333-6883 Languages: Spanish, Hindi Sun 10:00 AM - 6:00 PM
M-F 9:00 AM - 8:00 PM Union City Pharmacy
00 Yrs/99 Yrs
Sat 9:00 AM - 5:00 PM Provider ID: TPV1952672859-0 Walmart Pharmacy
Languages: Spanish, Hindi
M-F 10:00 AM - 6:00 PM 3214 Bergenline Ave Provider ID: TPV1609893742-0
Town Pharmacy Union City, NJ 07087 400 Park Pl
Sat 10:00 AM - 4:00 PM
Provider ID: TPV1366785701-0 (201) 250-8290 Secaucus, NJ 07094
4900 Bergenline Ave Ste 2 Fax: (201) 250-8291 (201) 325-9275
Union City, NJ 07087 00 Yrs/99 Yrs Fax: (201) 325-9287
(201) 766-1900 Languages: Spanish 00 Yrs/99 Yrs
Fax: (201) 766-1904 M-F 9:00 AM - 8:00 PM M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs Sat 10:00 AM - 7:00 PM Sat 9:00 AM - 7:00 PM
Languages: Spanish Sun 10:00 AM - 6:00 PM
M-F 9:00 AM - 7:00 PM
Sat 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 541
Updated: 11/26/2018

Pharmacy
Hudson
Retail - cont. Willow Pharmacy
Provider ID: TPV1730121518-0
Walmart Pharmacy 900 Willow Ave
Provider ID: TPV1669414660-0 Hoboken, NJ 07030
150 Harrison Ave (201) 659-4992
Kearny, NJ 07032 Fax: (201) 659-4971
(201) 955-0162 00 Yrs/99 Yrs
Fax: (201) 955-0345 Languages: Spanish, Hindi
00 Yrs/99 Yrs M-F 9:00 AM - 9:00 PM
M-F 9:00 AM - 9:00 PM Sat 9:00 AM - 6:00 PM
Sat 9:00 AM - 7:00 PM
Sun 10:00 AM - 6:00 PM Wisdom Pharmacy
Provider ID: TPV1083632772-0
Walmart Pharmacy 2717 John F Kennedy Blvd
Provider ID: TPV1801175872-0 Jersey City, NJ 07306
500 Bayonne Crossing Way (201) 451-5388
Bayonne, NJ 07002 Fax: (201) 451-3431
(201) 620-6512 00 Yrs/99 Yrs
Fax: (201) 620-6343 Languages: Russian, Arabic,
00 Yrs/99 Yrs Polish
M-F 9:00 AM - 9:00 PM M-F 10:00 AM - 8:00 PM
Sat 9:00 AM - 7:00 PM Sat 10:00 AM - 5:00 PM
Sun 10:00 AM - 6:00 PM

Welcome Pharmacy
Provider ID: TPV1194807909-0
770 W Side Ave
Jersey City, NJ 07306
(201) 333-0100
Fax: (201) 333-1722
00 Yrs/99 Yrs
Languages: Hindi
M-F 9:00 AM - 7:00 PM
Sat 10:00 AM - 5:00 PM

Well Care Pharmacy


Provider ID: TPV1528428828-0
779 Broadway
Bayonne, NJ 07002
(201) 455-8600
Fax: (201) 455-8665
00 Yrs/99 Yrs
Languages: Spanish, Arabic
M-F 9:00 AM - 8:00 PM
Sat 10:00 AM - 5:00 PM

WellCare Pharmacy
Provider ID: TPV1225314198-0
3406 Bergenline Ave
Union City, NJ 07087
(201) 590-9040
Fax: (201) 590-9041
00 Yrs/99 Yrs
Languages: Spanish
M-F 10:00 AM - 7:00 PM
Sat 11:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 542
Updated: 11/26/2018

Pharmacy
Passaic
Retail Billstra Pharmacy Carmens Pharmacy Med Community Care Pharmacy
Provider ID: TPV1871660944-0 Supply
Barnert Pharmacy 608 21st Ave Provider ID: TPV1750488680-0 Provider ID: TPV1942364195-0
Provider ID: TPV1477092039-0 Paterson, NJ 07513 418 River St 55 N Main St
680 Broadway Ste 108 (973) 279-2200 Paterson, NJ 07524 Paterson, NJ 07522
Paterson, NJ 07514 Fax: (973) 279-4933 (973) 279-0200 (973) 790-3323
(973) 925-7200 00 Yrs/99 Yrs Fax: (973) 279-7200 Fax: (973) 790-8468
Fax: (973) 925-7202 Languages: Spanish 00 Yrs/99 Yrs 00 Yrs/99 Yrs
00 Yrs/99 Yrs MTWTHFSat 9:00 AM - 7:00 Languages: Spanish Languages: Spanish
Languages: Spanish, Hindi PM M-F 9:00 AM - 7:00 PM M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 12:00 PM
Biologictx, LLC
Basic Home Infusion Provider ID: TPV1245503648-0 Cityrx Pharmacy Community Care RX NJ
Provider ID: TPV1679514509-0 40D Commerce Way Provider ID: TPV1487984043-0 Provider ID: TPV1164845475-0
1401 Valley Rd 4th Fl Totowa, NJ 07512 7 W Broadway 225 Rte 46 W Ste 4
Wayne, NJ 07470 (877) 567-8087 Paterson, NJ 07505 Totowa, NJ 07512
(201) 475-0500 Fax: (877) 567-8089 (973) 247-0786 (973) 837-8044
Fax: (973) 706-8009 00 Yrs/99 Yrs Fax: (973) 247-1786 Fax: (973) 837-8043
00 Yrs/99 Yrs Languages: Spanish, Chinese, 00 Yrs/99 Yrs
Italian 00 Yrs/99 Yrs
M-F 8:00 AM - 7:00 PM Languages: Spanish, French, Languages: Spanish, Hindi
M-F 8:00 AM - 5:00 PM Hindi, Arabic M-F 9:00 AM - 6:00 PM
Belmont Pharmacy M-F 9:00 AM - 6:00 PM
Black Oak Pharmacy Sat 9:00 AM - 3:00 PM
Provider ID: TPV1316453251-0 Sat 9:00 AM - 2:00 PM
Provider ID: TPV1790295616-0
364 Belmont Ave Community Care Specialty
879 Black Oak Ridge Rd Clifton Pharmacy
Haledon, NJ 07508 Pharmacy
Wayne, NJ 07470 Compounding Cntr
(973) 457-8850 Provider ID: TPV1730612847-0
(973) 837-8770
Fax: (973) 457-8860 Provider ID: TPV1801900105-0 225 US Hwy 46 Ste 3
Fax: (973) 837-8771
00 Yrs/99 Yrs 595 Van Houten Ave Totowa, NJ 07512
00 Yrs/99 Yrs
Languages: Spanish, Arabic Clifton, NJ 07013 (973) 837-6877
Languages: Spanish, Russian
M-F 9:00 AM - 5:00 PM (973) 777-2428 Fax: (973) 837-6878
M-F 9:00 AM - 5:00 PM Fax: (973) 777-8745 00 Yrs/99 Yrs
Bengal Pharmacy Blooming Pharmacy 00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM
Provider ID: TPV1730629650-0 Provider ID: TPV1093207292-0 Languages: Spanish
366 Union Ave 102 Broadway M-F 9:00 AM - 6:00 PM Coram Cvssplty Infusion Svcs
Paterson, NJ 07502 Paterson, NJ 07505 Sat 9:00 AM - 1:00 PM Provider ID: TPV1063432672-0
(973) 595-5434 (973) 742-0054 11 H Commerce Way
Fax: (973) 595-5831 Clifton Pharmacy RX Totowa, NJ 07512
Fax: (973) 742-0074
00 Yrs/99 Yrs 00 Yrs/99 Yrs Provider ID: TPV1316446594-0 (973) 812-9100
Languages: Spanish, Hindi M-F 9:00 AM - 5:00 PM 730 Clifton Ave Fax: (973) 812-8646
M-F 9:00 AM - 5:00 PM Clifton, NJ 07013 00 Yrs/99 Yrs
Burgios Pharmacy (862) 225-9726 M-F 8:30 AM - 5:30 PM
Best Pharmacy Surgical Inc Fax: (862) 225-9728
Provider ID: TPV1366837213-0
Provider ID: TPV1164766390-0 00 Yrs/99 Yrs Cortese Pharmacy
137 Union Blvd
919 Main Ave Store B M-F 9:00 AM - 5:00 PM Provider ID: TPV1629094255-0
Totowa, NJ 07512
Passaic, NJ 07055 222 Union Ave
(973) 790-3711
(973) 773-3300 Colonial Pharmacy Paterson, NJ 07502
Fax: (973) 790-1279
Fax: (973) 773-3400 Provider ID: TPV1568573376-0 (973) 942-7329
00 Yrs/99 Yrs
00 Yrs/99 Yrs 828 Clifton Ave Fax: (973) 942-4647
Languages: Spanish
Languages: Spanish, Hindi Clifton, NJ 07013 00 Yrs/99 Yrs
M-F 9:00 AM - 7:00 PM
M-F 10:00 AM - 7:00 PM (973) 473-4000 Languages: Spanish
Sat 9:00 AM - 4:00 PM
Sat 10:00 AM - 3:00 PM Fax: (973) 473-4002 M-F 9:00 AM - 8:00 PM
Sun 9:00 AM - 1:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM
Languages: Spanish, Hindi
M-F 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM

www.wellcare.com/New-Jersey | 543
Updated: 11/26/2018

Pharmacy
Passaic
Retail - cont. CVS CVS Damiano Pharmacy
Provider ID: TPV1265454888-0 Provider ID: TPV1689758278-0 Provider ID: TPV1891866539-0
Costco Pharmacies 30 Kingsland Rd 54 Preakness Shopping Center 270 Parker Ave
Provider ID: TPV1629188248-0 Clifton, NJ 07014 Wayne, NJ 07470 Clifton, NJ 07011
Costco Pharmacy (973) 330-0003 (973) 694-5500 (973) 546-6700
20 Bridewell Pl Fax: (973) 320-9188 Fax: (973) 709-1296 Fax: (973) 546-8514
Clifton, NJ 07014 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 779-0189 M-F 9:00 AM - 9:00 PM M-F 8:00 AM - 9:00 PM Languages: Spanish, French,
Fax: (973) 779-0717 Sat-Sun 9:00 AM - 6:00 PM Sat 9:00 AM - 6:00 PM Italian
00 Yrs/99 Yrs Sun 9:00 AM - 5:00 PM M-F 9:00 AM - 8:00 PM
M-F 10:00 AM - 7:00 PM CVS Sat 9:00 AM - 5:00 PM
Sat 9:30 AM - 6:00 PM Provider ID: TPV1396849113-0 CVS Sun 10:00 AM - 3:00 PM
115 Skyline Dr Provider ID: TPV1841393667-0
Costco Pharmacies Ringwood, NJ 07456 515 Allwood Rd Dawa Pharmacy
Provider ID: TPV1992815518-0 (973) 962-0490 Clifton, NJ 07012 Provider ID: TPV1558842021-0
Costco Pharmacy Fax: (973) 962-0494 (973) 778-7630 70 Brown Ave
149 State Rte 23 00 Yrs/99 Yrs Fax: (973) 594-1786 Prospect Park, NJ 07508
Wayne, NJ 07470 M-F 8:00 AM - 9:00 PM 00 Yrs/99 Yrs (973) 925-5004
(973) 339-4016 Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 11:00 PM Fax: (973) 363-3140
Fax: (973) 339-4007 Sun 10:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs Sun 9:00 AM - 5:00 PM Languages: Spanish, Arabic
M-F 10:00 AM - 7:00 PM CVS M-F 9:00 AM - 5:00 PM
Sat 9:30 AM - 6:00 PM Provider ID: TPV1437241163-0 CVS
120 Union Blvd Provider ID: TPV1881786473-0 Debliecks Pharmacy
Curemed Pharmacy Totowa, NJ 07512 1762 Ratzer Rd Provider ID: TPV1427134162-0
Provider ID: TPV1477979649-0 (973) 956-9101 Wayne, NJ 07470 467 High Mountain Rd
353 Crooks Ave Fax: (973) 720-1913 (973) 389-2081 North Haledon, NJ 07508
Clifton, NJ 07011 00 Yrs/99 Yrs Fax: (973) 389-2076 (973) 427-6300
(862) 225-9432 M-F 8:00 AM - 9:00 PM 00 Yrs/99 Yrs Fax: (973) 427-7579
Fax: (862) 225-9433 Sat 9:00 AM - 6:00 PM M-F 8:00 AM - 9:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs Sun 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM Languages: Spanish
Languages: Spanish Sun 9:00 AM - 5:00 PM M-TH 9:00 AM - 8:00 PM
M-F 10:00 AM - 7:00 PM CVS F 9:00 AM - 7:00 PM
Provider ID: TPV1548343882-0 CVS Sat 9:00 AM - 5:00 PM
CVS 2440 Hamburg Tpke Provider ID: TPV1932202751-0
Provider ID: TPV1134202450-0 Wayne, NJ 07470 1646 Main Ave Downtown Pharmacy
16 Main Ave (973) 839-3400 Clifton, NJ 07011 Provider ID: TPV1235298647-0
Clifton, NJ 07014 Fax: (973) 835-2845 (973) 546-9599 125 Main St
(973) 661-1212 00 Yrs/99 Yrs Fax: (973) 340-5380 Paterson, NJ 07505
Fax: (973) 542-0901 00 Yrs/99 Yrs (973) 742-5347
00 Yrs/99 Yrs CVS M-F 8:00 AM - 10:00 PM Fax: (973) 754-1255
M-F 9:00 AM - 9:00 PM Provider ID: TPV1629160106-0 Sat 9:00 AM - 10:00 PM 00 Yrs/99 Yrs
Sat-Sun 10:00 AM - 6:00 PM 90 Lakeview Ave Sun 9:00 AM - 6:00 PM Languages: Spanish
Clifton, NJ 07011 M-F 10:00 AM - 6:00 PM
CVS (973) 478-7508 CVS Sat 10:00 AM - 2:00 PM
Provider ID: TPV1144312612-0 Fax: (973) 253-8561 Provider ID: TPV1932291531-0
394 Broadway 00 Yrs/99 Yrs 1104 Ringwood Ave Drug Zone Pharmacy LLC
Passaic, NJ 07055 M-F 9:00 AM - 9:00 PM Haskell, NJ 07420 Provider ID: TPV1730410655-0
(973) 594-4041 Sat 9:00 AM - 6:00 PM (973) 831-3111 75 Market St
Fax: (973) 594-8580 Sun 10:00 AM - 5:00 PM Fax: (973) 831-3116 Paterson, NJ 07505
00 Yrs/99 Yrs 00 Yrs/99 Yrs (973) 684-6991
M-F 8:00 AM - 10:00 PM M-F 9:00 AM - 9:00 PM Fax: (973) 684-6993
Sat 9:00 AM - 6:00 PM Sat 10:00 AM - 6:00 PM 00 Yrs/99 Yrs
Sun 10:00 AM - 5:00 PM Sun 10:00 AM - 5:00 PM Languages: Spanish
M-F 9:00 AM - 7:00 PM
Sat 10:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 544
Updated: 11/26/2018

Pharmacy
Passaic
Retail - cont. Fenny 1 Pharmacy Green Cross Pharmacy Icare Pharmacy
Provider ID: TPV1770810574-0 Provider ID: TPV1831232792-0 Provider ID: TPV1740780980-0
Fabios Pharmacy 362 Monroe St Ste C 120 Market St Passaic NJ 0705 661 Main St
Provider ID: TPV1649693557-0 Passaic, NJ 07055 Passaic, NJ 07055 Paterson, NJ 07503
88 Market St (973) 928-2230 (973) 473-3727 (973) 307-9000
Paterson, NJ 07505 Fax: (973) 928-2269 Fax: (973) 473-8003 Fax: (973) 754-0044
(862) 257-3300 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (862) 257-3313 Languages: Spanish, Hindi Languages: Spanish, Hindi Languages: Spanish, Arabic
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM M-F 10:00 AM - 6:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish Sat 9:00 AM - 3:00 PM Sat 10:00 AM - 2:00 PM
M-F 9:00 AM - 7:00 PM Ideal Marketplace Pharmacy
Sat 9:00 AM - 5:00 PM First Aid RX Hamilton Pharmacy
Sun 10:00 AM - 3:00 PM Provider ID: TPV1831436823-0 Provider ID: TPV1053455196-0 Provider ID: TPV1932639440-0
397 Haledon Ave Ste Ste 102 177 Market St 85 Ackerman Ave
Family Drug Shops Haledon Haledon, NJ 07508 Paterson, NJ 07505 Clifton, NJ 07011
(862) 237-7222 (973) 345-1012 (973) 928-3400
Provider ID: TPV1194171843-0 Fax: (862) 237-7224 Fax: (973) 345-1305 Fax: (973) 928-4010
183 Belmont Ave Unit 4 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Haledon, NJ 07508 Languages: Spanish Languages: Spanish Languages: Spanish
(973) 917-3175 M-W 9:00 AM - 7:00 PM MTWTHFSat 9:00 AM - 6:00 M-F 9:00 AM - 5:00 PM
Fax: (973) 917-3177 TH 9:00 AM - 8:00 PM PM
00 Yrs/99 Yrs F 9:00 AM - 6:00 PM International Drugs
Sat 9:00 AM - 5:00 PM Health Care Pharmacy
Languages: Spanish Provider ID: TPV1326181140-0
Provider ID: TPV1093870420-0 48 Park Ave
M-F 9:00 AM - 7:00 PM
Florida Drugs Liquor 15 Broadway Paterson, NJ 07501
Sat 9:00 AM - 3:00 PM
Provider ID: TPV1639235906-0 Passaic, NJ 07055 (973) 345-4900
Farmacia Del Pueblo 507 Broadway (973) 473-4444 Fax: (973) 357-2978
Provider ID: TPV1568567428-0 Paterson, NJ 07514 Fax: (973) 473-6175 00 Yrs/99 Yrs
994 Madison Ave (973) 742-6313 00 Yrs/99 Yrs Languages: Spanish
Paterson, NJ 07501 Fax: (973) 523-8503 Languages: Spanish, Hindi M-F 9:00 AM - 7:00 PM
(973) 523-0500 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 5:00 PM
Fax: (973) 523-1988 Languages: Arabic Sat 9:00 AM - 4:00 PM
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Irving Pharmacy
Sat 9:00 AM - 6:00 PM Hometown Pharmacy Provider ID: TPV1962511675-0
Languages: Spanish
Provider ID: TPV1841302841-0 382 Main St
M-F 9:00 AM - 9:00 PM Goodman Pharmacy Surgical 36 Main St Ste A Paterson, NJ 07501
Sat 10:00 AM - 6:00 PM Provider ID: TPV1962718668-0 Bloomingdale, NJ 07403 (973) 742-8186
Farmacias Del Pueblo II 296 Passaic St (973) 838-0909 Fax: (973) 742-8187
Passaic, NJ 07055 Fax: (973) 838-8313 00 Yrs/99 Yrs
Provider ID: TPV1881639433-0
(973) 777-2727 00 Yrs/99 Yrs Languages: Spanish
22 Market St
Fax: (973) 777-2777 Languages: Spanish, Hindi M-F 9:00 AM - 6:00 PM
Paterson, NJ 07503
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 9:00 AM - 3:00 PM
(973) 523-2070
Languages: Spanish, Hindi Sat 9:00 AM - 3:00 PM
Fax: (973) 523-2590
M-F 10:00 AM - 7:00 PM Jerusalem Pharmacy
00 Yrs/99 Yrs Hospital Pharmacy
Sat 10:00 AM - 3:00 PM Provider ID: TPV1467652057-0
Languages: Spanish Provider ID: TPV1861555153-0
M-F 10:00 AM - 7:00 PM 1414 Main Ave
Green Apple Pharmacy 544 Market St Clifton, NJ 07011
Sat 10:00 AM - 4:00 PM Provider ID: TPV1770077968-0 Paterson, NJ 07513 (973) 340-6200
1145 Main Ave (973) 279-0707 Fax: (973) 340-6204
Clifton, NJ 07011 Fax: (973) 684-4408 00 Yrs/99 Yrs
(862) 400-7075 00 Yrs/99 Yrs Languages: Spanish, Arabic
Fax: (973) 773-7001 Languages: Spanish M-F 10:00 AM - 8:00 PM
00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM Sat 10:00 AM - 6:00 PM
Languages: Spanish Sat 9:00 AM - 5:00 PM
M-F 9:00 AM - 5:00 PM Sun 10:00 AM - 2:00 PM

www.wellcare.com/New-Jersey | 545
Updated: 11/26/2018

Pharmacy
Passaic
Retail - cont. Main Fair Pharmacy Middle Village Pharmacy Nour Pharmacy
Provider ID: TPV1124102983-0 Provider ID: TPV1134226061-0 Provider ID: TPV1114242484-0
Kay Pharmacy 87 Main St 393 Piaget Ave 1578 Main Ave
Provider ID: TPV1609910017-0 Paterson, NJ 07505 Clifton, NJ 07011 Clifton, NJ 07011
448 Chamberlain Ave (973) 279-5510 (973) 478-0600 (973) 955-4000
Paterson, NJ 07522 Fax: (973) 279-3045 Fax: (973) 478-0603 Fax: (973) 955-4004
(973) 942-8296 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 942-1213 Languages: Spanish Languages: Spanish, Hindi Languages: Spanish
00 Yrs/99 Yrs MTWTHFSat 9:00 AM - 7:00 M-TH 10:00 AM - 9:00 PM M-F 10:00 AM - 8:00 PM
Languages: Spanish, Hindi PM FSat 10:00 AM - 6:00 PM Sat 10:00 AM - 2:00 PM
M-F 9:00 AM - 8:00 PM Sun 11:00 AM - 4:00 PM
Sat 9:00 AM - 6:00 PM Main St Pharmacy Mort Jacobs Pharmacy
Provider ID: TPV1922507656-0 Provider ID: TPV1417095613-0 Olssons Pharmacy-Taibis Fmly
Kressatys Pharmacy 764 Main St 506 Park Ave Phy
Provider ID: TPV1457493041-0 Paterson, NJ 07503 Paterson, NJ 07504 Provider ID: TPV1245339449-0
1068 Ringwood Ave Ste 1 (973) 278-9000 (973) 279-4600 576 Lafayette Ave
Haskell, NJ 07420 Fax: (973) 278-9002 Fax: (973) 278-2666 Hawthorne, NJ 07506
(973) 835-1627 00 Yrs/99 Yrs 00 Yrs/99 Yrs (973) 427-1700
Fax: (973) 835-9111 Languages: Spanish, Arabic Languages: Spanish Fax: (973) 427-7292
00 Yrs/99 Yrs M-F 9:00 AM - 5:00 PM M-F 9:00 AM - 8:00 PM 00 Yrs/99 Yrs
Languages: Arabic Sat 9:00 AM - 6:00 PM Languages: Spanish, Italian
M-F 9:00 AM - 8:00 PM McDermott Pharmacy M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 5:00 PM Provider ID: TPV1558303339-0 My Friends Pharmacy Sat 9:00 AM - 6:00 PM
Sun 9:00 AM - 1:00 PM 433 Union Ave Provider ID: TPV1194839167-0 Sun 9:00 AM - 1:00 PM
Paterson, NJ 07502 916 Main Ave
LA Nueva Mercedes (973) 790-8486 Passaic, NJ 07055 Organix Pharmacy
Pharmacy Fax: (973) 790-3315 (973) 470-0556 Provider ID: TPV1518227347-0
Provider ID: TPV1720521420-0 00 Yrs/99 Yrs Fax: (973) 470-0593 720 Hamburg Tpke
500 River St Languages: Spanish, Hindi, 00 Yrs/99 Yrs Pompton Lakes, NJ 07442
Paterson, NJ 07524 Arabic Languages: Spanish, Hindi (973) 907-7440
(973) 279-2800 M-F 9:00 AM - 8:00 PM M-F 10:00 AM - 7:00 PM Fax: (973) 907-7441
Fax: (973) 279-2197 Sat 9:00 AM - 5:00 PM Sat 10:00 AM - 3:00 PM 00 Yrs/99 Yrs
00 Yrs/99 Yrs Sun 10:00 AM - 2:00 PM Languages: Spanish
Languages: Spanish, Hindi New Lucys Pharmacy Inc M-F 9:00 AM - 9:00 PM
M-F 9:00 AM - 5:00 PM Medi Center Pharmacy Provider ID: TPV1992843155-0 Sat 10:00 AM - 6:00 PM
Provider ID: TPV1073592713-0 286-288 Monroe St Sun 10:00 AM - 2:00 PM
Lakeview Pharmacy 993 McBride Ave Passaic, NJ 07055
Provider ID: TPV1730531286-0 Woodland Park, NJ 07424 (973) 778-4495 Park Ave Pharmacy
244 Lakeview Ave (973) 256-0144 Fax: (973) 778-2746 Provider ID: TPV1497052245-0
Clifton, NJ 07011 Fax: (973) 256-8995 00 Yrs/99 Yrs 107 Park Ave
(973) 510-0250 00 Yrs/99 Yrs Languages: Spanish, Arabic Paterson, NJ 07501
Fax: (973) 510-0251 Languages: Spanish M-F 10:00 AM - 8:00 PM (973) 928-8888
00 Yrs/99 Yrs M-F 10:00 AM - 7:00 PM Sat 10:00 AM - 6:00 PM Fax: (973) 742-0806
Languages: Spanish, Arabic, Sat 10:00 AM - 3:00 PM Sun 11:00 AM - 5:00 PM 00 Yrs/99 Yrs
Polish Languages: Spanish, Russian,
M-F 9:00 AM - 5:00 PM Melcons Pharmacy North Hudson Pharmacy At Arabic
Provider ID: TPV1609949544-0 Passaic M-F 9:00 AM - 7:00 PM
Little Falls Pharmacy 207 Diamond Bridge Ave Provider ID: TPV1417460601-0 Sat 10:00 AM - 5:00 PM
Provider ID: TPV1962860130-0 Hawthorne, NJ 07506 220 Passaic St Ste 125-A Sun 10:00 AM - 2:00 PM
75 Newark Pompton Tpke (973) 427-1234 Passaic, NJ 07055
Little Falls, NJ 07424 Fax: (973) 427-6624 (862) 295-3875
(973) 638-1561 00 Yrs/99 Yrs Fax: (973) 458-8033
Fax: (973) 638-1566 Languages: Italian 00 Yrs/99 Yrs
00 Yrs/99 Yrs M-F 8:00 AM - 8:00 PM M-F 9:00 AM - 5:00 PM
Languages: Spanish Sat 9:00 AM - 6:00 PM
M-F 9:00 AM - 8:00 PM Sun 9:00 AM - 1:00 PM
Sat 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 546
Updated: 11/26/2018

Pharmacy
Passaic
Retail - cont. Pharmacy Plus Surgical Quick Chek Pharmacy RITE AID
Supplies Provider ID: TPV1851426977-0 Provider ID: TPV1245755842-0
Passaic Community Pharmacy Provider ID: TPV1487060109-0 79 Union Blvd Rite Aid
Inc 625 Main Ave Totowa, NJ 07512 132 Main St
Provider ID: TPV1326100264-0 Passaic, NJ 07055 (973) 790-5005 Bloomington, NJ 07403
339 Passaic St (973) 471-9100 Fax: (973) 942-7305 (973) 838-0003
Passaic, NJ 07055 Fax: (973) 471-9900 00 Yrs/99 Yrs Fax: (973) 838-1310
(973) 471-0160 00 Yrs/99 Yrs M-F 8:30 AM - 9:00 PM 00 Yrs/99 Yrs
Fax: (973) 471-0110 Languages: Spanish, Hindi, Sat 9:00 AM - 5:00 PM M-F 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Arabic Sun 9:00 AM - 1:00 PM
Languages: Hindi M-F 9:00 AM - 7:00 PM RITE AID
M-F 10:00 AM - 8:00 PM Sat 9:00 AM - 3:00 PM Quick Chek Pharmacy Provider ID: TPV1275642613-0
Sat 10:00 AM - 6:00 PM Sun 10:00 AM - 3:00 PM Provider ID: TPV1851426993-0 1366 Clifton Ave
195 Main Ave Clifton, NJ 07012
Passaic Pharmacy Pharmacy Plus Surgical Passaic, NJ 07055
Supplies (973) 778-2940
Provider ID: TPV1336665827-0 (973) 773-0055 Fax: (973) 778-9223
110 Van Houten Ave Provider ID: TPV1518200567-0 Fax: (973) 773-3203
900 Main St 00 Yrs/99 Yrs
Passaic, NJ 07055 00 Yrs/99 Yrs M-F 8:00 AM - 10:00 PM
(973) 955-4600 Paterson, NJ 07503 M-F 8:30 AM - 9:00 PM
(862) 257-9990 Sat 9:00 AM - 6:00 PM
Fax: (973) 955-2165 Sat 9:00 AM - 7:00 PM Sun 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Fax: (862) 257-9991 Sun 9:00 AM - 2:00 PM
Languages: Spanish, Hindi 00 Yrs/99 Yrs RITE AID
M-F 9:00 AM - 5:00 PM Languages: Spanish, Hindi, Raab Pharmacy
Arabic Provider ID: TPV1285158030-0
Provider ID: TPV1275034795-0
MTWTHFSat 9:00 AM - 9:00 Rite Aid
Passaic Valley Medical 31 Lexington Ave
PM 325 Lafayette Ave
Pharmacy Passaic, NJ 07055
Sun 10:00 AM - 6:00 PM Hawthorne, NJ 07506
Provider ID: TPV1215316641-0 (973) 473-2100
(973) 423-5500
1225 McBride Ave Ste 112 Fax: (201) 340-2633
Plains Pharmacy Fax: (973) 423-3172
Woodland Park, NJ 07424 00 Yrs/99 Yrs
Provider ID: TPV1013048065-0 00 Yrs/99 Yrs
(973) 256-0222 Languages: Spanish, Hindi
578 Valley Rd M-F 9:00 AM - 5:00 PM
Fax: (973) 256-4222 M-F 9:00 AM - 5:00 PM
Wayne, NJ 07470
00 Yrs/99 Yrs RITE AID
(973) 694-5522 Red Apple Pharmacy
M-F 9:00 AM - 7:00 PM Provider ID: TPV1336664077-0
Fax: (973) 694-1751 Provider ID: TPV1326467275-0
00 Yrs/99 Yrs 1135 Main Ave Rite Aid
Paterson Pharmacy
Languages: Spanish, Hindi Clifton, NJ 07011 1460 State Rte 23
Provider ID: TPV1639212533-0 Wayne, NJ 07470
430 Madison Ave M-F 8:00 AM - 9:00 PM (973) 773-7000
Sat 9:00 AM - 6:00 PM Fax: (973) 773-7001 (973) 633-1057
Paterson, NJ 07524 Fax: (973) 633-1429
(973) 278-5808 Sun 9:00 AM - 2:00 PM 00 Yrs/99 Yrs
Languages: Spanish 00 Yrs/99 Yrs
Fax: (973) 278-3547 M-F 9:00 AM - 5:00 PM
Presidential Pharmacy M-F 9:00 AM - 7:00 PM
00 Yrs/99 Yrs
Provider ID: TPV1073889861-0 Sat 9:00 AM - 2:00 PM
Languages: Spanish, Hindi RITE AID
121 W Broadway
M-F 9:00 AM - 7:00 PM Provider ID: TPV1588763718-0
Paterson, NJ 07522 RITE AID
Sat 9:00 AM - 5:00 PM 3 Marshall Hill Rd
(973) 782-4955 Provider ID: TPV1184140816-0
Sun 10:00 AM - 2:00 PM West Milford, NJ 07480
Fax: (973) 782-4957 Rite Aid
00 Yrs/99 Yrs 78 Main Ave (973) 728-8000
Pharmacy Express Inc
Languages: Spanish Passaic, NJ 07055 Fax: (973) 728-8326
Provider ID: TPV1114422102-0 00 Yrs/99 Yrs
991 Main St Unit 1B M-F 9:00 AM - 6:00 PM (973) 778-0510
Sat 9:00 AM - 4:00 PM Fax: (973) 778-4985 M-F 9:00 AM - 9:00 PM
Paterson, NJ 07503 Sat 9:00 AM - 6:00 PM
(973) 754-1000 00 Yrs/99 Yrs
M-F 9:00 AM - 5:00 PM Sun 9:00 AM - 5:00 PM
Fax: (973) 754-1010
00 Yrs/99 Yrs
Languages: Spanish, Arabic
M-F 9:00 AM - 5:00 PM

www.wellcare.com/New-Jersey | 547
Updated: 11/26/2018

Pharmacy
Passaic
Retail - cont. Sheefa Pharmacy Shoprite Pharmacy Stop Shop Pharmacy
Provider ID: TPV1407994379-0 Provider ID: TPV1568500346-0 Provider ID: TPV1144385089-0
RITE AID 1040 Main St 171 Browertown Rd 1187 Broad St
Provider ID: TPV1972027670-0 Paterson, NJ 07503 Little Falls, NJ 07424 Clifton, NJ 07013
Rite Aid (973) 345-4242 (973) 256-1559 (973) 778-2800
116 130 Broadway Fax: (973) 345-3307 Fax: (973) 256-1564 Fax: (973) 778-1496
Passaic, NJ 07055 00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 779-2865 Languages: Filipino Languages: French, Italian, M-F 8:00 AM - 8:00 PM
Fax: (973) 779-3897 M-F 9:00 AM - 8:00 PM Hindi, Hebrew Sat 9:00 AM - 5:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 6:00 PM M-F 7:00 AM - 9:00 PM Sun 9:00 AM - 3:00 PM
M-F 9:00 AM - 5:00 PM Sun 10:00 AM - 2:00 PM Sat 7:00 AM - 6:00 PM
Sun 9:00 AM - 2:00 PM Stop Shop Pharmacy
RITE AID Shippee Pharmacy Provider ID: TPV1356373203-0
Provider ID: TPV1992814354-0 Provider ID: TPV1013056068-0 Shoprite Pharmacy 4 Union Ave
431 Haledon Ave 636 Ringwood Ave Provider ID: TPV1578678355-0 Haskell, NJ 07420
Haledon, NJ 07508 Wanaque, NJ 07465 641 Hamburg Tpke (973) 616-1700
(973) 904-0550 (973) 835-6871 Wayne, NJ 07470 Fax: (973) 616-1944
Fax: (973) 790-9055 Fax: (973) 835-1308 (973) 595-0296 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 720-1503 M-F 9:00 AM - 9:00 PM
M-F 9:00 AM - 9:00 PM M-F 9:00 AM - 9:00 PM 00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM
Sat 9:00 AM - 6:00 PM Sat 9:00 AM - 5:00 PM M-F 9:00 AM - 9:00 PM Sun 9:00 AM - 3:00 PM
Sun 9:00 AM - 5:00 PM Sun 10:00 AM - 1:00 PM Sat 9:00 AM - 6:00 PM
Sun 9:00 AM - 2:00 PM Stop Shop Pharmacy
Riverview Pharmacy Shoppers Pharmacy Provider ID: TPV1730111626-0
Provider ID: TPV1942574629-0 Provider ID: TPV1093076218-0 Shoprite Pharmacy 160 Kingsland Rd
2405 Hamburg Tpke Ste C 750 Hamburg Tpke Provider ID: TPV1811002694-0 Clifton, NJ 07014
Wayne, NJ 07470 Pompton Lakes, NJ 07442 23 Marshall Hill Rd (973) 779-7831
(973) 831-4080 (973) 835-9900 West Milford, NJ 07480 Fax: (973) 779-5245
Fax: (973) 831-4081 Fax: (973) 835-9907 (973) 728-4754 00 Yrs/99 Yrs
00 Yrs/99 Yrs 00 Yrs/99 Yrs Fax: (973) 728-4759 M-F 9:00 AM - 9:00 PM
Languages: Spanish, Hindi Languages: Hindi 00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM
M-F 9:00 AM - 8:00 PM M-F 9:00 AM - 8:00 PM M-F 9:00 AM - 9:00 PM Sun 9:00 AM - 3:00 PM
Sat 9:00 AM - 4:00 PM Sat 9:00 AM - 5:00 PM Sat 9:00 AM - 6:00 PM
Sun 9:00 AM - 2:00 PM Sun 10:00 AM - 2:00 PM Sun 9:00 AM - 2:00 PM Stop Shop Pharmacy
Provider ID: TPV1992737845-0
Sheefa Pharmacy Shoprite Pharmacy Sinai Quick Stop Pharmacy 1220 Alps Rd
Provider ID: TPV1316968381-0 Provider ID: TPV1154436939-0 Provider ID: TPV1528085339-0 Wayne, NJ 07470
472 Clifton Ave 503 Paulison Ave 715 Broadway (973) 305-5860
Clifton, NJ 07011 Passaic, NJ 07055 Paterson, NJ 07514 Fax: (973) 305-5864
(973) 772-7600 (973) 471-7499 (973) 742-6556 00 Yrs/99 Yrs
Fax: (973) 772-7603 Fax: (973) 471-0279 Fax: (973) 742-6119 M-F 9:00 AM - 9:00 PM
00 Yrs/99 Yrs 00 Yrs/99 Yrs 00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM
Languages: Spanish, Arabic Languages: Spanish, Hindi Languages: Spanish, Arabic Sun 9:00 AM - 3:00 PM
M-F 9:00 AM - 9:00 PM M-F 8:00 AM - 9:00 PM M-F 8:00 AM - 6:00 PM
Sat 9:00 AM - 2:00 PM Sat 9:00 AM - 6:00 PM Sat 8:00 AM - 12:00 PM Sussmans Drugs
Sun 10:00 AM - 2:00 PM Sun 9:00 AM - 5:00 PM Provider ID: TPV1316960776-0
Steigner Pharmacy 422 10th Ave
Shoprite Pharmacy Provider ID: TPV1376080820-0 Paterson, NJ 07514
Provider ID: TPV1194830976-0 688 Main St (973) 345-3991
122 8th St Paterson, NJ 07503 Fax: (973) 345-0443
Passaic, NJ 07055 (973) 278-2207 00 Yrs/99 Yrs
(973) 471-7575 Fax: (973) 278-1258 Languages: Spanish, Hindi
Fax: (973) 471-2198 00 Yrs/99 Yrs M-F 9:00 AM - 7:00 PM
00 Yrs/99 Yrs Languages: Spanish, Hindi Sat 9:00 AM - 5:00 PM
Languages: Spanish, German M-F 9:00 AM - 5:00 PM
M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 6:00 PM
Sun 9:00 AM - 2:00 PM

www.wellcare.com/New-Jersey | 548
Updated: 11/26/2018

Pharmacy
Passaic
Retail - cont. Value Pharmacy WellCare Pharmacy LLC
Provider ID: TPV1528142478-0 Provider ID: TPV1891102448-0
Tonys Pharmacy 98A Broadway 693 E 18th St
Provider ID: TPV1336124593-0 Passaic, NJ 07055 Paterson, NJ 07501
357 21st Ave (973) 916-1111 (973) 925-7757
Paterson, NJ 07501 Fax: (973) 916-1113 Fax: (718) 421-4085
(973) 742-1235 00 Yrs/99 Yrs 00 Yrs/99 Yrs
Fax: (973) 742-0353 Languages: Spanish, Hindi Languages: Chinese
00 Yrs/99 Yrs MTWTHFSat 10:00 AM - 7:00 M-F 10:00 AM - 6:00 PM
Languages: Spanish, Italian PM Sat 10:00 AM - 3:00 PM
M-F 9:00 AM - 9:00 PM
Sat 9:00 AM - 8:00 PM Valurx Pharmacy West Milford Pharmacy
Sun 10:00 AM - 4:00 PM Provider ID: TPV1356636401-0 Provider ID: TPV1730104241-0
2075 Hamburg Tpke Ste 2A 1495 Union Valley Rd
Tonys Pharmacy Wayne, NJ 07470 West Milford, NJ 07480
Provider ID: TPV1538144787-0 (973) 513-9940 (973) 728-1400
534 21st Ave Fax: (973) 513-9941 Fax: (973) 728-0756
Paterson, NJ 07513 00 Yrs/99 Yrs 00 Yrs/99 Yrs
(973) 742-6655 M-F 8:00 AM - 8:00 PM Languages: Spanish
Fax: (973) 742-7741 Sat-Sun 9:00 AM - 3:00 PM M-F 8:00 AM - 9:00 PM
00 Yrs/99 Yrs Sat 9:00 AM - 5:00 PM
Languages: Spanish Van Houten Pharmacy Sun 9:00 AM - 2:00 PM
M-F 9:00 AM - 9:00 PM Provider ID: TPV1295846665-0
Sat 9:00 AM - 8:00 PM 669 Van Houten Ave Williams Pharmacy
Sun 10:00 AM - 4:00 PM Clifton, NJ 07013 Provider ID: TPV1073653762-0
(973) 779-1122 305 Broadway
Tonys Pharmacy Fax: (973) 779-8996 Paterson, NJ 07501
Provider ID: TPV1679558597-0 00 Yrs/99 Yrs (973) 523-0777
291 Monroe St Languages: Spanish Fax: (973) 279-0489
Passaic, NJ 07055 M-F 8:00 AM - 6:00 PM 00 Yrs/99 Yrs
(973) 777-3121 Sat 8:00 AM - 12:00 PM Languages: Spanish, Hindi
Fax: (973) 777-3181 MTWTHFSat 9:00 AM - 6:00
00 Yrs/99 Yrs Vital Plus Pharmacy PM
Languages: Spanish, Italian Provider ID: TPV1255875969-0
M-F 9:00 AM - 9:00 PM 10 W. Broadway
Sat 9:00 AM - 8:00 PM Paterson, NJ 07505
(862) 267-0385
Valley Pharmacy Fax: (888) 285-3398
Provider ID: TPV1104258045-0 00 Yrs/99 Yrs
791 Hamburg Tpke Languages: Spanish, Chinese,
Wayne, NJ 07470 Vietnamese
(973) 832-7200 M-F 9:00 AM - 5:00 PM
Fax: (973) 832-7202
00 Yrs/99 Yrs Wayne Pharmacy
Languages: Spanish, Hindi Provider ID: TPV1033214721-0
M-F 9:00 AM - 8:00 PM 1055 Hamburg Tpke
Sat 9:00 AM - 4:00 PM Wayne, NJ 07470
Sun 9:00 AM - 2:00 PM (973) 696-6667
Fax: (973) 872-0088
Valley Pharmacy 00 Yrs/99 Yrs
Provider ID: TPV1427109255-0 M-F 9:00 AM - 8:00 PM
377 Valley Rd Sat 9:00 AM - 4:00 PM
Clifton, NJ 07013 Sun 9:00 AM - 2:00 PM
(973) 278-8876
Fax: (973) 279-3059
00 Yrs/99 Yrs
M-F 9:00 AM - 7:00 PM
Sat 9:00 AM - 3:00 PM

www.wellcare.com/New-Jersey | 549
ALTERNATE LANGUAGES INDEX
You can find a provider who speaks a different language in this index. First look for the language you need.
Then check the specialty and provider name.
Indice de idiomas alternativos: En este índice, usted puede encontrar un proveedor que hable otro idioma.
Primero busque el idioma que necesita, y luego verifique la especialidad y el nombre del proveedor.
Afrikaans Batarseh, Michael DDS
Chiropractic
Belgrave, Gerald DDS
Physical Therapy Subin, David DC
Beydoun, Fadi DDS
Veytsman, Zinaida PT
Chore/Housekeeping Services Bral, Pourang DDS
Albanian All Metro Health Care Butler, Thomas DMD
Cao, Dao DDS
Family Practice Colon & Rectal Surgery
Dobrin, Keith DMD
Conte, Daniel DO Khoury, Hani MD
Elachi, Mohamed DMD
Internal Medicine Dermatology Eldin, Khaled DDS
Qipo, Andi MD Katz, James MD Elfar, Mina DMD
Elsaid, Sheren DMD
Ophthalmology Diagnostic Imaging
Estedrak, Maryz DDS
Kamthan, Gautam MD Jersey City Diagnostic Center Inc
Feder-Stamler, Rebecca DMD
American Sign Language Durable Medical Equipment Fils-Aime, Sheila DDS
4 Community Pharmacy LLC Freeman Jr., Paul DDS
Family Practice
Healing Hands Homecare Inc Fuentes, Peter DDS
Ferrell, David MD
Park Ave Drugs LLC Gerges, Nabil DDS
Amharic Sheefa Pharmacy Gowda, Anjana DDS
Grunstein, Robert DMD
Internal Medicine Endocrinology, Diabetes,
Metabolism Gurung, Sita DMD
Seman, Ahmed MD
Hanna, Fiby MD Hah, Chansoo DDS
Arabic Hanna, Sarah DDS
Khaddash, Saleh MD
Yeshou, Dima MD Kathawala, Samina DDS
Adult Day Care
Loutfy, Rana DMD
Advanced Services International Family Practice Mandelbaum, Debra DDS
Inc
Abdeljaber, Basil MD Morcos, Safinaz DDS
Care With Love Adult Daycare Inc
Kazmouz, Hasna MD Mouner, Amer DDS
Good Shepard Adult Day Care
Makar, Gamil MD Noll, Jonathan DMD
Sunflower Medical Adult Day Care
Nabulsi, Omar MD Obi, Nneka DDS
Adult Medical Day Care Rae, Susan MD OH, Hyesuk DDS
Care Factory Inc Soliman, Ishak MD OST, Ellen DDS
Zaina, Samir MD Ouhame, Nisrine DDS
Allergy & Immunology
Chang, Cindy MD Federally Qualified Health Center Ouzer, Amanda DMD
Najib, Nabeel MD Horizon Health Center Park, Min DDS
Suliaman, Fawzi MD Parra, Massiel DMD
Gastroenterology Patel, Monika DMD
Cardiology Baddoura, Walid MD Rafique, Maryam DMD
Doss, Emile MD Hajjar, Bassam MD Rahman, Mohammed DDS
Faillace, Robert MD Salah-Eldin, Alaa MD Razeghi, Nezhat DDS
Habib, Michael MD Rehman, Aneeza DMD
General Dentistry
Kahf, Ahmad MD Rodriguez, Nadia DMD
Aboelsaad, Mohamed DDS
Shamoon, Fayez MD Saad, Nader DDS
Ahmed, Nasrine DDS
Alexander, Victoria DDS Shamshuddin, Safa DMD

www.wellcare.com/New-Jersey | 550
ALTERNATE LANGUAGES INDEX
Arabic - cont. Ibrahim, Ehab MD Sylvestre, Vonetta MD
Ibrahim, Mary MD
General Dentistry - cont. Ophthalmology
Ismail, Medhat MD
Shetty, Reshma DDS Matta, Ayman MD
Karim, Karim MD
Sipzner, Jonathan DMD
Khaddash, Saleh MD Optometry
Soliman, Raafat DMD
Lashin, Waleed MD Seyam, Ramy OD
Sverdlova, Alyona DDS
Mallouhi, Samuel MD Tortorici, Michael OD
Tadros, Jacklyn DDS
Rabbat, Mohamed MD
Valenzuela, Tirza DDS Oral & Maxillofacial Surgery
Sabi, Majdouline MD
Weyrauch, Michael DMD Bodey, Janet DDS
Salah-Eldin, Alaa MD
Williams, Hallie DDS Dematteis, Isabelle DDS
Saleeb, Joseph MD
Xenakis, George DDS Rochford, Christopher DMD
Saliba, Jehad MD
Yacoub, Kinda DDS Tamimi, Imad DDS
Seman, Ahmed MD
Yassein, Ibraheim DDS Tamimi, Imad DMD
Shaker, Safwat MD
Youssoufian, Anahid DDS
Wassef, Wagih MD Orthodontics
General Surgery Yeshou, Dima MD Berk, Jason DDS
Azer, Wageeh MD Zahran, Ali MD Castronova, John DMD
Elrabie, Nazmi MD Zedan, Eman ARNP Chelian, Giri DDS
Drut, Oleg DDS
Hematology & Oncology Licensed Home Care Service
Agency Huh, Ahrin DDS
Badin, Michel MD
All Metro Health Care Kim, Jung DDS
Badin, Simon MD
Best Home Care Inc Simon, Lawrence DMD
Home Health Care Terrana, Anthony DMD
Visiting Visiting Homemaker Maternal Fetal Medicine Yin, Hong DDS
Service of P Khoury, Aldo MD
Pediatric Cardiology
Infectious Disease Nephrology Kotb, Mohy MD
Hamadeh, Randa MD Haddad, Bassam MD
Rabbat, Mohamed MD Haddad, Danny MD Pediatric Dentistry
Hajal, Hussam MD Aboelsaad, Mohamed DDS
Internal Medicine Ahmed, Nasrine DDS
Abbasi, Tareef MD Neurology Alexander, Victoria DDS
Abbassi, Samih MD Hanna, Amir MD Belgrave, Gerald DDS
Abutabikh, Nael MD Ibrahim, Ayman DO Butler, Thomas DMD
Alfakir, Maria MD Rao, Gautami MD Cao, Dao DDS
Al-Shrouf, Amal MD Eldin, Khaled DDS
Nurse Midwife
Badin, Michel MD Kathawala, Samina DDS
Walker, Molly CNM
Balboul, Elsaid MD Loutfy, Rana DMD
Elamir, Mazhar MD Obstetrics Mouner, Amer DDS
Elamir, Mohammed MD Khoury, Aldo MD Obi, Nneka DDS
Elias, Sameh MD Ouzer, Amanda DMD
Obstetrics/Gynecology
Gabriel, Ahab MD Park, Min DDS
Ahkami, Shahrokh MD
Gotdiener, Alexandra MD Rahman, Mohammed DDS
Alnakeeb, Mohammed MD
Haddad, Bassam MD Razeghi, Nezhat DDS
Diarbakerli, Fares MD
Haddad, Danny MD Rehman, Aneeza DMD
Haddad, Charles MD
Hajjar, Bassam MD Saad, Nader DDS
Hassan, Khaled MD
Hamadeh, Randa MD Shamshuddin, Safa DMD
Ibrahim, Gehan MD
Hanna, Fiby MD Williams, Hallie DDS
Locke, Linda CNM
Hassanien, Gammal DO Yacoub, Kinda DDS
Michnik, Mark MD

www.wellcare.com/New-Jersey | 551
ALTERNATE LANGUAGES INDEX
Arabic - cont. Gendy, Remon DPM Park Ave Pharmacy
Hawawini, Naji DPM Pharmacy Express Inc
Pediatric Dentistry - cont.
Michael, Jonathan DPM Pharmacy Plus Surgical Sppls LLC
Yassein, Ibraheim DDS
Shansky, David DPM Pharmacy Plus Surgical Supplies
Pediatric Nephrology Saint Moses Pharmacy
Psychiatry
Hajal, Hussam MD Sheefa Pharmacy
Ghali, Anwar MD
Sinai Quick Stop Pharmacy
Pediatrics
Pulmonary Disease St Johns Pharmacy
Abbassi, Saeed MD
Al Shrouf, Amal MD St Maria Pharmacy, Corp
Abdulmasih, Yousef MD
Al-Shrouf, Amal MD St Mark Pharmacy
Basta, Janette MD
Ismail, Medhat MD St Philo Pharmacy
Basta, Magdy MD
Refaie, Tarek MD Summit Care Pharmacy
Elias, Maurice MD
Saliba, Jehad MD United Pharmacy
Eltemsah, Nagi MD
US Pharmacy Lab
Ghaly, Maged MD Respite Care Services
Verona Pharmacy
Lazieh, Janet MD All Metro Health Care
Vitalis Pharmacy
Najib, Nabeel MD
Retail Well Care Pharmacy
Rasheed, Fouad MD
530 Montgomery Street Pharmacy Wisdom Pharmacy
Samuel, Hala MD
Allcare Pharmacy LLC
Wahba, Janette MD Skilled Nursing Facility
Ameen Pharmacy
Wassef, Inas MD Armenian Nursing and
Atrium Pharmacy Provider Rehabilitation Cent
William, Pushpam ARNP
Avon Pharmacy
Pedodontics Bayonne Pharmacy Vascular Surgery
Akkaway, Jennifer DDS Belmont Pharmacy Elrabie, Nazmi MD
Desimone, Helen Ann DDS Broadway Health Pharmacy Armenian
Estelle, Kyle DMD Central Pharmacy Inc
Jacobson, Barry DDS Cityrx Pharmacy General Surgery
Kleyman, Boris DDS Dawa Pharmacy Teehan, Edwin MD
Lee, Judyth DDS Differx Pharmacy Home Health Care
Sciortino, Anthony DDS Direct Meds Secura Home Health LLC
Shah, Rajvi DMD Direct Meds of Jersey City
Sioson-Maser, Patricia DDS Florida Drugs Liquor Orthotics & Prosthetics
Stillman, Dmitry DDS Golden Care Pharmacy Carlascio Inc
Greenville Pharmacy LLC Psychiatry
Periodontics
Icare Pharmacy Airapetian, Karine MD
Obiechina, Nkemjika DMD
Jerrys Drug Surgical
Personal Care Services Jerusalem Pharmacy Retail
All Metro Health Care JFK Pharmacy Direct Meds
Best Home Care Inc Journal Square Pharmacy Vascular Surgery
Broadway Respite Andhome Care Kressatys Pharmacy Teehan, Edwin MD
LLC Lakeview Pharmacy
Liberty Pharmacy Bengali
Physical Therapy
Elhalim, Esmat PT Lifeline RX LLC Cardiology
Salama, Mina PT Main St Pharmacy Agarwal, Ashoke MD
Veytsman, Zinaida PT McDermott Pharmacy
New Horizon Pharmacy Family Practice
Podiatry New Lucys Pharmacy Inc Vitale, Mary APRN
Castiblanco, Jose DPM Novecks Pharmacy

www.wellcare.com/New-Jersey | 552
ALTERNATE LANGUAGES INDEX
Bengali - cont. Herberts Pharmacy
Hematology & Oncology
Invictus Pharmacy
Internal Medicine Benn, Howard MD
Jersey Drugs
Agarwal, Ashoke MD
Internal Medicine Maywood Pharmacy
Nephrology Co, John MD My Wallington Pharmacy
Banu, Nazifa MD Yung, York-Mui MD Royal Pharmacy
Shoprite Pharmacy
Obstetrics/Gynecology Licensed Home Care Service
Agency Vital Plus Pharmacy
Sylvestre, Vonetta MD
Access Nursing Services of New WellCare Pharmacy LLC
Pediatrics Jersey I Skilled Nursing Facility
Raha, Bandana MD Awca Homecare Agency Inc Bloomingdale Nursing and
Razzak, Mannan MD L & L Staffing and Home Care Rehabilitation
Razzak, Nadia MD Services Wanaque Nursing and
Psychiatry Obstetrics/Gynecology Rehabilitation LLC
Hossain, Asghar MD Michnik, Mark MD Creole
Burmese Occupational Therapy Allergy & Immunology
Optometry Abion, Kristine OT Chang, Cindy MD
Win, Kelvin OD Ophthalmology Licensed Home Care Service
Cantonese Kamthan, Gautam MD Agency
Access Nursing Services of New
General Dentistry Optometry Jersey I
Fong-Soto, Tomas DDS Chang, Yang OD
Kim, Yoonsung OD Rehabilitation Facility
Neurology Ly-Schroeder, Emily My OD Careplus Rehab LLC
Woo, Judy MD Tortorici, Michael OD Croatian
Nuclear Cardiology Win, Kelvin OD
Wong, Carson OD Nurse Practitioner Adult Health
Ding, You-Guang MD
Obradovic, Dragana ARNP
Nuclear Medicine Personal Care Services
L & L Staffing and Home Care Dutch
Ding, You-Guang MD
Services
Psychology
Radiation Oncology
Physical Therapy Demeyer, Joseph PHD
Zhang, Mei MD
Veytsman, Zinaida PT
Faroese
Chinese
Podiatry
Cardiology
Adult Day Care Moy, Anna DPM
Salimi, Mostafa MD
My Day Home LLC
Psychiatry
Senior Spirit of Jersey City Federally Qualified Health Center
Wang, Cecilia MD
Horizon Health Center
Adult Medical Day Care
Radiation Oncology
Atmiya Adult Day Care LLC Pediatrics
Vialotti, Charles MD
Shah, Sapna MD
Allergy & Immunology
Retail
Li, Wei MD Filipino
Bergen Care Pharmacy Inc
Dermatopathology Biologictx, LLC Family Practice
Li, Yongming MD Friendly Pharmacy Lucila, Rafael MD
Golden Care Pharmacy Macalalag, Angeline ARNP
Golden Cares Pharmacy Inc Tindoc, Lorelane MD

www.wellcare.com/New-Jersey | 553
ALTERNATE LANGUAGES INDEX
Filipino - cont.
Hematology & Oncology Physical Medicine & Rehabilitation
General Surgery Benn, Howard MD Seidel, Benjamin DO
Bobila, Alexis MD
Home Health Care Podiatry
Home Health Care Angels Care LLC Haspel, Marc DPM
Rosario E Magno Int'L Staffing Inc Hawawini, Naji DPM
Infectious Disease
Rossi, Francis DPM
Occupational Therapy Hamadeh, Randa MD
Ocana, Tiffany OT Psychology
Internal Medicine
Demeyer, Joseph PHD
Pediatrics Balboul, Elsaid MD
Endaya-Aguila, Thelma MD Cristescu, Corina MD Pulmonary Disease
Rubia-Sazon, Elvira MD Gosalia, Tanmay DO Capo, Aida MD
Tengson, Roger MD Hajjar, Bassam MD
Rehabilitation Facility
Hamadeh, Randa MD
Retail Careplus Rehab LLC
Sabi, Majdouline MD
Sheefa Pharmacy
Wien, Frederic MD Respite Care Services
Skilled Nursing Facility Angels Care LLC
Neonatal Perinatal Medicine
Prospect Heights Care Center
Lespinasse, Antoine MD Retail
Vascular Surgery Rosen, Harel MD Cityrx Pharmacy
Bobila, Alexis MD Damiano Pharmacy
Neurology
Hook Pharmacy
French Hanna, Amir MD
J J Pharmacy
Adult Day Care Obstetrics/Gynecology Journal Square Pharmacy
Sunflower Medical Adult Day Care Ahkami, Shahrokh MD Shoprite Pharmacy
Chavez-Cacho, Jose MD
Allergy & Immunology Skilled Nursing Facility
Diarbakerli, Fares MD
Perin, Patrick MD Armenian Nursing and
Ophthalmology Rehabilitation Cent
Behavioral Health Counseling
Stegman, Daniel MD Care One At Pine Rest
Demers, Kathleen LCSW
Vogel, Mitchell MD Oradell Health Care Center
Cardiology Regent Care Center
Optometry
Faraz, Haroon MD
Anosike, Adolphus OD Urology
Chore/Housekeeping Services Domingues, Maria OD Howhannesian, Andranik MD
Angels Care LLC Morillo, Diego OD Georgian
Sultani, Attefa OD
Diagnostic Imaging Pediatrics
Bergenline X Ray Diagnostic Center Orthotics & Prosthetics Yenukashvili, Nana MD
Millers Of Wychoff Inc
Durable Medical Equipment German
Millers Of Wychoff Inc Pediatrics
Abdulmasih, Yousef MD Clinical Social Work
Family Practice
Buono, Amy MD Miller, Suzanne CSW
Cirignano, Barbara MD
Chism, Melissa MD Family Practice
Gastroenterology Hetling, Kristina MD Potoczek Salahi, Jolanta MD
Baddoura, Walid MD Zucker, Scott MD
Goldstein, Steven MD Neurology
Personal Care Services Altschul, Dorothea MD
Hajjar, Bassam MD
Angels Care LLC

www.wellcare.com/New-Jersey | 554
ALTERNATE LANGUAGES INDEX
German - cont. Chinai, Ronak MD
Pediatric Gastroenterology
Gandhi, Kirit MD
Ophthalmology Rivera-Penera, Maria MD
Gosalia, Tanmay DO
Klein, Warren MD
Pediatrics Luhana, Manish MD
Matta, Ayman MD
Psalidas, Panagiotis MD Patel, Jayeshkumar MD
Psychology Rivera-Penera, Maria MD Shah, Deepak MD
Demeyer, Joseph PHD Shah, Kamalesh MD
Podiatry
Shah, Nalini MD
Retail Econopouly, Demetrios DPM
Health Smart Pharmacy Kaufman, Sean DPM Medical Oncology
Invictus Pharmacy Rallatos, Michael DPM Gupta, Bhavna MD
Noble Pharmacy Inc
Retail Nephrology
Shoprite Pharmacy
Heights Specialty Pharmacy Patel, Jayeshkumar MD
Skilled Nursing Facility Shoprite Pharmacy
Neurology
Regent Care Center
Sleep Medicine Kapoor, Ashish MD
Urology Pavlou, Theophanis MD
Obstetrics/Gynecology
Howhannesian, Andranik MD
Gujarati Locke, Linda CNM
Vascular Medicine
Adult Day Care Ophthalmology
Altschul, Dorothea MD
Adultcare Inc Doshi, Vatsal MD
Greek Advanced Services International Gopal, Lekha MD
Inc McCoy, Chrishonda MD
Behavioral Health Counseling Sweet Home Adult Medical Day Parekh, Jai MD
Rudo, Antonio LMHC Care Vora, Bhupendra MD
Cardiology Adult Medical Day Care Optometry
Kyreakakis, Anthony MD Atmiya Adult Day Care LLC Desai, Roshni OD
Chiropractic Allergy & Immunology Jasani, Amy OD
Papaleonardos, George DC Kothari, Harish MD Papaiya, Nilesh OD
Li, Wei MD Shah, Nilam OP
Gastroenterology
Shah, Renu OD
Pavlou, George MD Cardiology
Gadhvi, Pragnesh MD Pediatrics
Internal Medicine
Desai, Vijaya MD
Ibrahim, Ehab MD Family Practice Patel, Shilpa MD
Psalidas, Panagiotis MD Amin, Samirlal MD
Physical Therapy
Licensed Professional Counselor Gastroenterology Patel, Hezal PT
Golfinopoulos, Catherine Pn Raval, Parthiv MD
Podiatry
Medical Genetics Hematology & Oncology Lokhat, Fatema DPM
Simotas, Christopher MD Upadhyaya, Hitendrakumar MD
Psychiatry
Neuroradiology Home Health Care Shah, Pritesh MD
Lapas, Alkies DO Jersey Home Care Fc
Pulmonary Disease
Optometry Infectious Disease Elamir, Mazhar MD
Benetatos, Michael OD Khan, Noroze MD Patel, Manmohan MD
Pediatric Cardiology Internal Medicine
Myridakis, Dorothy MD Amin, Deepak MD

www.wellcare.com/New-Jersey | 555
ALTERNATE LANGUAGES INDEX
Hebrew Fishkin, Joseph MD
Behavioral Health Facility
Freilich, Benjamin MD
Ambulatory Surgery Center West Bergen Mentalhealthcare
Leifer, Alden MD
Liberty Amulatory Surgery Center
LLC Stegman, Daniel MD Cardiac Electrophysiology
Winfield, Steven MD Ahmad, Ahsanuddin MD
Audiology
Gotlieb Hearing Center Optometry Cardiology
Kim, Dong OD Agarwal, Ashoke MD
Cardiology Ahmad, Ahsanuddin MD
Wild, David MD Orthotics & Prosthetics
Das, Dhirendra MD
Integra Partners LLC
Clinical Social Work Faraz, Haroon MD
East, Esther CSW Pediatric Cardiology Gadhvi, Pragnesh MD
Kern, Jeffrey MD Gupta, Ajay MD
Dermatology Rathi, Ravi MD
Zemel, Mathias MD Physical Therapy
Syed, Tariqshah MD
Veytsman, Zinaida PT
Durable Medical Equipment Toor, Saddad MD
Yoshovayev, Anatoli PT
Integra Partners LLC Virk, Hartaj MD
Radiation Oncology
Gastroenterology Clinical Neurophysiology
Dubin, David MD
Fishbein, Susan MD Puntambekar, Preeti MD
Rosenbluth, Benjamin MD
Gronowitz, Steven MD Vialotti, Charles MD Diagnostic Imaging
General Dentistry Fairlawn Diagnosticimaging Center
Retail
Grunstein, Robert DMD Shoprite Pharmacy Durable Medical Equipment
General Surgery Specialty RX Inc 4 Community Pharmacy LLC
Kempner, Robbi MD Millers Of Wychoff Inc
Skilled Nursing Facility
Home Health Care Bloomingdale Nursing and Family Practice
Rehabilitation Amin, Samirlal MD
Secura Home Health LLC
Wanaque Nursing and Babbar, Puneet MD
Internal Medicine Rehabilitation LLC Gupta, Vikram MD
Tilson, Morris MD Sleep Medicine Gastroenterology
Licensed Clinical Social Worker Miller, Jeffrey DO Bains, Yatinder MD
Danzger, Tamar LCSW Goldstein, Steven MD
Hindi
Neonatal Perinatal Medicine Gupta, Ashok MD
Adult Day Care Gupta, Ramesh MD
Rosen, Harel MD Sunshine Adult Day Health Care Raval, Parthiv MD
Neuropsychology Center
Benoff, Keith PHD Gastroenterology & Hepatology
Adult Medical Day Care Rizvi, Masood MD
Nuclear Cardiology Atmiya Adult Day Care LLC
Wild, David MD General Dentistry
Allergy & Immunology Hussain, Sakina DDS
Obstetrics/Gynecology Ahuja, Kishore MD Roby, Brigit DDS
Asulin, Yitzhack MD Kothari, Harish MD
Friedman, Amir MD Li, Wei MD General Surgery
Sylvestre, Vonetta MD Zuberi, Jamshed MD
Behavioral Health Counseling
Yahav, Eric MD Demers, Kathleen LCSW Hematology & Oncology
Ophthalmology Vitiello, Anna LCSW Ghuman, Damanjit MD
Chechik, Daniel MD Palathingal, Rini MD

www.wellcare.com/New-Jersey | 556
ALTERNATE LANGUAGES INDEX
Hindi - cont.
Neonatal Perinatal Medicine Pediatric Gastroenterology
Hematology & Oncology - cont. Datta-Bhutada, Subhashree MD Goli, Sridhar MD
Upadhyaya, Hitendrakumar MD
Nephrology Pediatrics
Home Health Care Batwara, Ruchika MD Desai, Vijaya MD
Confident Care Corp Patel, Jayeshkumar MD Deshmukh, Pratibha MD
Jersey Home Care Fc Simoes, Sonia MD Elliston, Jason MD
Vijay- Sharma, Mayuri MD Fernandes, Rinet MD
Infectious Disease
Walia, Birendra MD Jadhav, Latha MD
Khan, Noroze MD
Jariwala, Nilesh MD
Neurology
Internal Medicine Khan, Ferhana MD
Jafri, Syed MD
Agarwal, Ashoke MD Mathew, Omana MD
Kapoor, Ashish MD
Ahmad, Muhammad MD Parsi, Prakasham MD
Kapoor, Vinod MD
Akhtar, Shahnaz MD Patel, Shilpa MD
Khan, Musaid MD
Amin, Deepak MD Raghu, Shalini MD
Puntambekar, Preeti MD
Avancha, Amarnath MD Raha, Bandana MD
Rao, Gautami MD
Brar, Harleen MD Razzak, Mannan MD
Chatterjee, Deelip MD Nuclear Cardiology Razzak, Nadia MD
Chinai, Ronak MD Avancha, Amarnath MD
Physical Medicine & Rehabilitation
Gandhi, Kirit MD
Obstetrics/Gynecology Kolla, Sairamachandra MD
Gupta, Ajay MD
Jain, Ratnam MD
Gupta, Manju MD Physical Therapy
Kamal, Roohi MD
Hamsa, Gangaswamaiah MD Patel, Hezal PT
Koul, Mrinal MD
Kumar, Anand MD Qazi, Shakeel PT
Locke, Linda CNM
Kumar, Chitra MD Talati, Dhaval PT
Pendse, Vijay MD
Liu, Mingkong MD
Sylvestre, Vonetta MD Podiatry
Luhana, Manish MD
Labruna, Vincent DPM
Mirza, Muhammed MD Ophthalmology
Levinson, Franklin DPM
Patel, Jayeshkumar MD Braunstein, Steven MD
Lokhat, Fatema DPM
Rafeeuddin, Mohamed MD Brazzo, Brian MD
Rastogi, Sadhna MD Doshi, Vatsal MD Psychiatry
Rastogi, Surender MD Gopal, Lekha MD Nair, Prathila MD
Rizvi, Syed MD McCoy, Chrishonda MD Shah, Pritesh MD
Sen, Sourav MD Parekh, Jai MD
Pulmonary Disease
Shah, Kamalesh MD Parekh, Swati MD
Desai, Viren MD
Shah, Nalini MD Vora, Bhupendra MD
Elamir, Mazhar MD
Simoes, Sonia MD
Optometry Patel, Manmohan MD
Syed, Saquiba MD
Desai, Roshni OD Zubair, Mohammad MD
Zubair, Mohammad MD
Shah, Nilam OP
Rehabilitation Facility
Interventional Cardiology Syed, Mansoor OD
Careplus Rehab LLC
Syed, Tariqshah MD Tortorici, Michael OD
Retail
Licensed Clinical Social Worker Orthotics & Prosthetics
Anthonys Pharmacy
Qureshi, Nadia LCSW Millers Of Wychoff Inc
Arlington Pharmacy
Medical Oncology Pediatric Endocrinology Barnert Pharmacy
Gupta, Bhavna MD Kaul, Sushma MD Bayonne RX Apothecary
Kumar, Chitra MD Prasad, Vijaya MD Bengal Pharmacy

www.wellcare.com/New-Jersey | 557
ALTERNATE LANGUAGES INDEX
Hindi - cont. Novecks Pharmacy Hungarian
Oakland Drugs
Retail - cont. Ear, Nose & Throat
Palace Drugs
Bergen Ave Drugs Kardos, Frank MD
Palisade Drugs
Bergen Medical Pharmacy
Paramus Pharmacy General Surgery
Best Pharmacy Surgical Inc
Passaic Community Pharmacy Inc Cioroiu, Michael MD
Bmc Pharmacy
Passaic Pharmacy
Bond Drugs Obstetrics/Gynecology
Paterson Pharmacy
Brockmans Pharmacy Balazs, Peter MD
Pavonia Pharmacy
Carepoint Health Pharmacy
Peckmans Pharmacy Ophthalmology
Central Pharmacy Inc
Pharmacy Plus Surgical Sppls LLC Stegman, Daniel MD
Cityrx Pharmacy
Pharmacy Plus Surgical Supplies
Colonial Pharmacy Wound, Ostomy and Continence
Pintos Pharmacy Care
Community Care RX NJ
Plains Pharmacy Cioroiu, Michael MD
Direct Meds
Prime Care Pharmacy
Dittmars Pharmacy Indonesian
Raab Pharmacy
Essexcare Pharmacy
Riverview Pharmacy Adult Medical Day Care
Family Pharmacy Inc
Santa Maria Pharmacy Long Life Adult Day Care LLC
Fenny 1 Pharmacy
Shoppers Pharmacy
Fenny Pharmacy Italian
Shoprite Pharmacy
Garfield Healthcare Pharmacy
Steigner Pharmacy Allergy & Immunology
Goodman Pharmacy Surgical
Summit Care Pharmacy Maccia, Clement MD
Goodwill Pharmacy
Summit Healthcare Pharmacy
Green Cross Pharmacy Ambulatory Surgery Center
Sussmans Drugs
H-B Drugs Surgicare of Central Jersey
The Galaxy Drug Store
Health Care Pharmacy
The Prescription Shoppe Behavioral Health Counseling
Health Smart Pharmacy
Toledo Pharmacy Rudo, Antonio LMHC
Heights Pharmacy
Town Country Pharmacy
Herberts Pharmacy Cardiology
Ultra Care Pharmacy
Hometown Pharmacy Eichman, Gerard MD
Umr Pharmacy Surgicals Inc
Hudson Drug Fusilli, Louis MD
Valley Pharmacy
Hudson Pharmacy Grossman, Steven MD
Value Pharmacy
JFK Pharmacy
Variety Drug Diagnostic Imaging
Kay Pharmacy
Waldwick Pharmacy Bergenline X Ray Diagnostic Center
Kwickmed Farmacia
Welcome Pharmacy North Jersey Imaging Center 60th
LA Nueva Mercedes Pharmacy
West End Pharmacy
Live Smart Pharmacy Durable Medical Equipment
Williams Pharmacy
Manhattan Pharmacy Carmens Pharmacy and Medical
Willow Pharmacy
Mastrolia Pharmacy Supplies I
McDermott Pharmacy Rheumatology
Medicine Man Pharmacy Brar, Harleen MD Ear, Nose & Throat
Compounding Kardos, Frank MD
Middle Village Pharmacy Skilled Nursing Facility Labagnara Jr, James MD
Millers Of Wyckoff, Inc Regent Care Center
Family Practice
My Friends Pharmacy Sleep Medicine Cirignano, Barbara MD
My Wallington Pharmacy Zubair, Mohammad MD Diaz, Francisco MD
Myerson Pharmacy Fishkin, Adria APRN
Normans Pharmacy Vascular Surgery
Varma, Shubha MD Raffaelli, Anthony MD
North Bergen Pharmacy

www.wellcare.com/New-Jersey | 558
ALTERNATE LANGUAGES INDEX
Italian - cont.
Pediatric Infectious Disease Ophthalmology
Family Practice - cont. Lamacchia, Michael MD Burrows, Andrew MD
Rotella, Frank DO
Pediatric Psychiatry Pediatrics
Spinelli-Drenth, Rosemarie ARNP
Khanna, Bindu MD Park, Chong-Hyo MD
Gastroenterology
Pediatrics Kannada
Candido, Frank MD
Chism, Melissa MD
Martino, Michael MD Internal Medicine
Elliston, Jason MD
Shami, Joseph MD Hamsa, Gangaswamaiah MD
Pandey, Krishna MD
General Surgery Zucker, Scott MD Pediatrics
Longo Salvador, Jose MD Fernandes, Rinet MD
Plastic & Reconstructive Surgery
Raghu, Shalini MD
Geriatric Medicine Podda, Silvio MD
Natelli, Anthony MD Weber, Renata MD Korean
Home Health Care Podiatry Adult Day Care
Visiting Visiting Homemaker Labruna, Vincent DPM Good Shepard Adult Day Care
Service of P Rossi, Francis DPM
Adult Medical Day Care
Internal Medicine Rossi, Peter DPM
Bergen County Adult Day Care LLC
Candido, Frank MD Shansky, David DPM DBA New
Cardiello, Gary MD Psychiatry Long Life Adult Day Care LLC
Chouake, Benjamin MD Khanna, Bindu MD Allergy & Immunology
Ferraro, Lisa MD
Pulmonary Disease Sheen, Eun MD
Milazzo, Carmelo MD
Natelli, Anthony MD Amoruso, Robert MD Behavioral Health Counseling
Oliver, Richard MD Retail Vitiello, Anna LCSW
Qipo, Andi MD Alvins Pharmacy Cardiology
Rubino, Gennaro MD Anthonys Pharmacy Jhun, Steve MD
Nephrology Biologictx, LLC Lee, Terrance MD
Thomsen, Stephen MD Damiano Pharmacy Shim, Mark MD
Franklyns Pharmacy
Obstetrics/Gynecology Levys Pharmacy Chore/Housekeeping Services
Chavez-Cacho, Jose MD Marras Drug Store Angels Care LLC
Locke, Linda CNM Melcons Pharmacy Colon & Rectal Surgery
Marino, Nicholas MD Modern Medicine RX Seo, Christina MD
Stella, Stefano MD Noble Pharmacy Inc
Olssons Pharmacy-Taibis Fmly Phy Dermatology
Ophthalmology
Pomarico Pharmacy Lee, Hyun-Soo MD
Angioletti, Lee MD
Bertolucci, Alessandra MD Seiferts Pharmacy Diagnostic Imaging
Brazzo, Brian MD Shoprite Pharmacy Holy Name Breast Imaging Partners
Cervenak Panariello, Betty MD Tonys Pharmacy Medical Park Imaging
Chechik, Daniel MD Japanese Ridgefield Imaging Center, Inc
D'Alberti, Claudio MD
Family Practice Durable Medical Equipment
Panariello, Anthony MD
Chiusano, Emi MD Ej and Jj Inc
Trotta, Nicholas MD
Sunny Pharmacy
Optometry Nephrology
Banu, Nazifa MD Ear, Nose & Throat
Tortorici, Michael OD
Moon, Taewon MD

www.wellcare.com/New-Jersey | 559
ALTERNATE LANGUAGES INDEX
Korean - cont. Min, Christina MD Park, Chong-Hyo MD
Park, Byong MD Psalidas, Panagiotis MD
Family Practice
Psalidas, Panagiotis MD
Woo, James MD Pedodontics
Licensed Home Care Service Dibos, Patricia DMD
Gastroenterology Agency
Kahn, Simon MD Periodontics
Awca Homecare Agency Inc
Gentle Heart Careagency Shim, Eunjung DMD
General Dentistry
Cantuarias, Isela DDS Personal Care Services
Licensed Social Worker
Chong, Sarah DDS Angels Care LLC
Kim, Sun LSW
Hur, Eun DMD Bergen County Adult Day Care LLC
You, Eun LSW
Kim, Yoojin DDS DBA New
Krieger, Matthew DMD Neonatal Perinatal Medicine Gentle Heart Careagency
Lee, Michael DDS Lee, Hyejin DO
Physical Medicine & Rehabilitation
Lee, Sang DDS Neurology Pak, Hong MD
Ro, Charles DMD Ko, James MD
Seok, Bo Hyun DMD Physician Assistant
Shin, Hyun Won DDS Obstetrics/Gynecology Dobkowski, Darlene PA
Shon, Young DDS Fernandez-Cos, Henry MD
Podiatry
Yu, Seo DDS Ophthalmology Chung, Caleb DPM
Yun, Sung DDS Angioletti, Lee MD Khaimov, Gavriil DPM
General Surgery Chechik, Daniel MD Kwon, Jake DPM
Kim, Wanchu MD Jee, Jimmy MD Yi, Yoon DPM
Seo, Christina MD Kim, Daniel MD
Pulmonary Disease
Yang, Hee MD Lyu, Theodore MD
Han, Paul MD
Geriatric Medicine Optometry Jo, Young MD
Woo, James MD Choi-Lee, Jessica OD
Respite Care Services
Han, Hanna OD
Gynecological Oncology Angels Care LLC
Kim, Diane OD
Lewin, Sharyn MD Gentle Heart Careagency
Kim, Dong OD
Hematology & Oncology Kim, Martin OD Retail
Min, Christina MD Lee, Ji OD Benjamins Pharmacy
Lee, John OD Bergen Care Pharmacy Inc
Home Health Care Moon, Carolyn OD Broad Pharmacy Inc
Angels Care LLC Shin, Wae OD Cafe RX
Confident Care Corp Carepak Pharmacy
Oral & Maxillofacial Surgery
Hospice Center Pharmacy
Lee, Alexander DDS
Life Source Services LLC Downtown Pharmacy
Orthodontics Evergreen Pharmacy
Hospital Kim, Jung DDS Fort Lee Pharmacy Surgicals
Bergen Regional Medical Center Franklyns Pharmacy
Orthotics & Prosthetics
Internal Medicine Garfield Pharmacy
Ej and Jj Inc
Joo, Richard MD Golden Care Pharmacy
Kahn, Simon MD Pediatric Dentistry Golden Cares Pharmacy Inc
Kim, Ann MD Lee, Michael DDS Han Ah Reum Pharmacy
Lee, Soo MD Hana Grand Pharmacy
Pediatrics
Lee, Sung Won MD Hana Healthmart Pharmacy
Kim, Claudia MD
Herberts Pharmacy

www.wellcare.com/New-Jersey | 560
ALTERNATE LANGUAGES INDEX
Korean - cont.
Pediatrics Family Practice
Retail - cont. Mathew, Omana MD Makui, Sheyda MD
Invictus Pharmacy William, Pushpam ARNP
General Dentistry
Midtown Pharmacy
Mandarin Jahansouz, Maryam DDS
Oscar Pharmacy
Lazar, Jonathan DMD
Rodeo Pharmacy Adult Day Care
Pedoeem, Victoria DDS
Royal Pharmacy Senior Spirit of Jersey City
Rozehzadeh, Joseph DDS
Sachin Pharmacy Inc
Allergy & Immunology
Serom Pharmacy General Surgery
Chang, Cindy MD
Shoprite Pharmacy Teehan, Edwin MD
Sol Pharmacy Ambulatory Surgery Center
Internal Medicine
Star Pharmacy Surgicare of Central Jersey
Ahmad, Muhammad MD
Sunny Pharmacy
Neurology Ameen, Abdul MD
The Medicine Shoppe Pharmacy
Woo, Judy MD
US Pharmacy Lab Neurology
Nuclear Cardiology Kapoor, Vinod MD
Rheumatology
Ding, You-Guang MD
Chu, Alice MD Obstetrics/Gynecology
Nuclear Medicine Ahkami, Shahrokh MD
Skilled Nursing Facility
Ding, You-Guang MD
Bergen Regional Medical Center Pediatrics
Psychiatry Naficy, Parvin MD
Sleep Medicine
Wang, Cecilia MD
Han, Paul MD Physical Therapy
Ko, James MD Psychology Qazi, Shakeel PT
Wu, Ho Shyuan PHD
Speech Therapy Vascular Surgery
Bergen County Adult Day Care LLC Radiation Oncology Teehan, Edwin MD
DBA New Zhang, Mei MD
Polish
Urology Oncology Marathi
Dobkowski, Darlene PA Adult Day Care
Clinical Neurophysiology Bayonne Adult Medical Day Care
Laotian Puntambekar, Preeti MD Center
Internal Medicine Neurology Allergy & Immunology
Zwitiashvili, Robert MD Puntambekar, Preeti MD Kosinski, Slawomir MD
Zaleska, Violetta MD
Lithuanian Physical Therapy
Patel, Hezal PT Assisted Living Services
Cardiology
Geriatric Living Solutions Inc
Obeleniene, Rimvida MD Nepali
Cardiology
Family Practice Family Practice Eichman, Gerard MD
Bondarenko, Ruta ARNP Neopane, Padam MD Ziolo, Gregory MD
Macedonian General Practice Chore/Housekeeping Services
Nurse Practitioner Adult Health Neopane, Padam MD Angels Care LLC
Obradovic, Dragana ARNP Persian - Farsi Loving Care Agency Inc
Malayalam Cardiology Durable Medical Equipment
Ameen, Abdul MD Bergen Passaic Respiratory Care Inc
Allergy & Immunology
Varghese, Mathew MD

www.wellcare.com/New-Jersey | 561
ALTERNATE LANGUAGES INDEX
Polish - cont. Klos, Andrzej MD Latorre, Juan MD
Lipert, Zofia MD
Endocrinology, Diabetes, Internal Medicine
Metabolism Personal Care Services Jacob, Emad MD
Khaddash, Saleh MD Angels Care LLC Neno, Rosa DO
Family Practice Care Finders Total Care LLC Ryngel, Henry MD
Paduszynski, Adam MD L & L Staffing and Home Care Simoes, Sonia MD
Services
Potoczek Salahi, Jolanta MD Licensed Professional Counselor
Loving Care Agency Inc
Gastroenterology Arlia, Jaime LPC
Respite Care Services
Huskowski, Piotr MD Nephrology
Angels Care LLC
General Dentistry Care Finders Total Care LLC Ryngel, Henry MD
Redzio, Ursula DDS Simoes, Sonia MD
Retail
Home Health Care Heights Specialty Pharmacy Obstetrics/Gynecology
Angels Care LLC Lakeview Pharmacy Chavez-Cacho, Jose MD
Casa Home Care Inc Wisdom Pharmacy Vitale, Diana MD
Visiting Homemaker Home Health Ophthalmology
Aide Serv Rheumatology
Lewko, Michael MD Cervenak Panariello, Betty MD
Visiting Visiting Homemaker
Service of P Skilled Nursing Facility Optometry
Care One At Pine Rest Duran, Jose OP
Internal Medicine
Gallina, Paul OP
Dmytrienko, Igor MD Urgent Care Center Levinson, Howard OD
Khaddash, Saleh MD Get Well Urgent Care Clifton LLC Toker, Perry OD
Llacuna, Florencio MD
Odorczuk, Marzena MD Portuguese Orthotics & Prosthetics
Schwarz, Michael MD Adult Day Care Mercy Home Care & Mecical
Szewczyk-Szczech, Krystyna MD Supplies
My Day Home LLC
Plains Pharmacy
Licensed Home Care Service Ambulatory Surgery Center
Agency Pediatric Ophthalmology
Liberty Amulatory Surgery Center
Care Finders Total Care LLC LLC Napolitano, Joseph MD
L & L Staffing and Home Care
Services Behavioral Health Counseling Pediatric Psychiatry
Loving Care Agency Inc Bersch, Kristine LCSW Marrero-Figarella, Arturo MD
Gehrig-Mullins, Lorraine LCSW Pediatrics
Obstetrics/Gynecology
Heguy, Susannah LCSW Palmiery Jr, Ponciano MD
Marki, Richard MD
Child Neurology Psychiatry
Ophthalmology
Lastra, Carlos MD Marrero-Figarella, Arturo MD
Cervenak Panariello, Betty MD
Kayserman, Larisa MD Diagnostic Imaging Retail
Panariello, Anthony MD The Radiology Center of Lyndhurst Heights Specialty Pharmacy
Optometry Durable Medical Equipment West End Pharmacy
Bulbin, Victoria OD Mercy Home Care & Mecical Punjabi
Fruchtman, William OD Supplies
Plains Pharmacy Cardiology
Pediatrics Asif, Mohammad MD
Gruczynski, Tomasz MD Family Practice Vehra, Ijaz MD
Jedlinski, Tadeusz MD Cirignano, Barbara MD Virk, Hartaj MD

www.wellcare.com/New-Jersey | 562
ALTERNATE LANGUAGES INDEX
Punjabi - cont.
Ophthalmology Chore/Housekeeping Services
Family Practice Stegman, Daniel MD Loving Care Agency Inc
Gupta, Vikram MD
Pediatrics Colon & Rectal Surgery
Gastroenterology Abdulmasih, Yousef MD Serur, Anna MD
Gupta, Ashok MD Daici, Silvia MD
Dermatology
Gastroenterology & Hepatology Pulmonary Disease Ahkami Whitworth, Rosaline MD
Ahmad, Maliha MD Rappaport, Liviu MD Khasak, Dmitry MD
Internal Medicine Wound, Ostomy and Continence Diagnostic and Treatment Center
Akhtar, Shahnaz MD Care Redi Diagnostics Corp
Mirza, Muhammed MD Cioroiu, Michael MD
Diagnostic Imaging
Singh, Amandeep MD Russian Diagnostic Imaging Associates of
Syed, Saquiba MD North J
Adult Day Care
Interventional Cardiology Ridgefield Imaging Center, Inc
Bayonne Adult Medical Day Care
Wasty, Najam MD Center Durable Medical Equipment
Medical Oncology Diamond Years Adult Medical Day B and L Medical Supply Inc
Gupta, Bhavna MD Care Beneficial Medicalsupply
My Day Home LLC Bergen Passaic Respiratory Care Inc
Nephrology Senior Spirit of Jersey City Comfort Care Medical LLC
Saini, Harjinder MD Sunflower Medical Adult Day Care Comfort Shoes and Supplies Inc
Walia, Birendra MD
Adult Medical Day Care Mikhael Ruzhin LTD
Neurology Bergen County Adult Day Care LLC Millers Of Wychoff Inc
Khan, Musaid MD DBA New Pro Medquip LLC
Long Life Adult Day Care LLC
Ophthalmology Endocrinology, Diabetes,
Panariello, Anthony MD Allergy & Immunology Metabolism
Gutin, Faina MD Goykhman, Stanislav MD
Pediatric Nephrology Strizhevsky, Marina DO
Kosinski, Slawomir MD
Singh, Anup MD
Ambulatory Surgery Center Family Practice
Pediatrics Dekhtyar, Yuliya PA
Northern New Jersey Center For
Jadhav, Latha MD Advanced Fishkin, Adria APRN
Physical Therapy Gupta, Vikram MD
Behavioral Health Counseling
Qazi, Shakeel PT Katsman, Tatyana DO
Bersch, Kristine LCSW Potoczek Salahi, Jolanta MD
Romanian Gehrig-Mullins, Lorraine LCSW Zaina, Samir MD
Heguy, Susannah LCSW
General Surgery Millan, Valeska LCSW Gastroenterology
Cioroiu, Michael MD Vitiello, Anna LCSW Goldstein, Steven MD
Infectious Disease Kaplounov, Irina MD
Cardiology
Grigoriu, Adriana MD Asif, Mohammad MD General Dentistry
Internal Medicine Gorelik, Dmitry MD Aviarbakh, Hanna DDS
Cristescu, Corina MD Obeleniene, Rimvida MD Barysenka, Alena DDS
Salimi, Mostafa MD Drutsko, Sergey DMD
Obstetrics/Gynecology Gelman, Yevgeniya DDS
Dinu, Catalina MD Child Neurology Igdalev, Igor DMD
Surgan, Victoria MD Igdalev, Julia DDS

www.wellcare.com/New-Jersey | 563
ALTERNATE LANGUAGES INDEX
Russian - cont. Vinokur, Anna DO
Obstetrics/Gynecology
Yenukashvili, Nana MD
General Dentistry - cont. Borja, Manuel MD
Khalid, Rashid DMD Dinu, Catalina MD Pedodontics
Khaylomsky, Lena DMD Michnik, Mark MD Estelle, Kyle DMD
Martirosov, Sophia DDS Patel, Amy DMD
Occupational Therapy
Meskin, Vladimir DDS Stillman, Dmitry DDS
Yagudayev, Leonid OT
Petlyuk, Nataliya DDS
Personal Care Services
Rehman, Aneeza DMD Ophthalmology
Bergen County Adult Day Care LLC
Turanskiy, Zinoviy DDS Brazzo, Brian MD DBA New
Zakjyev, Rustam DMD Burrows, Adria MD Best Home Care Inc
Chechik, Daniel MD Broadway Respite Andhome Care
Home Health Care
Goldfarb, Mark MD LLC
Care 4 Me LLC
Kayserman, Larisa MD Care 4 Me LLC
Care4me LLC
Casa Home Care Inc Optometry Care Finders Total Care LLC
Confident Care Corp Bulbin, Victoria OD Home Care For You Inc
Home Care For You Inc Iosebashvili, David OD L & L Staffing and Home Care
Preferred Home Health Care and Services
Kim, Dong OD
Nursing S Loving Care Agency Inc
Naumova, Yulia OD
Secura Home Health LLC Starlight Home Care Agency Inc
Raeva, Natalia OD
Infectious Disease Sholomon, Robert OD Physical Therapy
Finkel, Diana DO Shteyn, Yekaterina OD Kryagin, Michael PT
Trytjak, Yurij OD Yoshovayev, Anatoli PT
Internal Medicine Zabarko, Diana OD
Dmytrienko, Igor MD Podiatry
Zimmerling, Inna OD
Finkel, Diana DO Becker, Simon DPM
Gotdiener, Alexandra MD Orthodontics Gilels, Alex DPM
Kaplounov, Irina MD Berk, Jason DDS Kesler, Michael DPM
Levin, Daniel MD Castronova, John DMD Khaimov, Gavriil DPM
Shapnik, Bella MD Drut, Oleg DDS
Psychiatry
Silkov, Andrey MD Rabinovich, Martin DMD
Airapetian, Karine MD
Szewczyk-Szczech, Krystyna MD Sullivan, Sara DDS
Ragheb, Sameh MD
Zwitiashvili, Robert MD Orthotics & Prosthetics Vaynberg, Dina MD
Licensed Clinical Social Worker Millers Of Wychoff Inc
Pulmonary Disease
Danzger, Tamar LCSW Pediatric Dentistry Levin, Daniel MD
Licensed Home Care Service Aviarbakh, Hanna DDS
Respite Care Services
Agency Pediatric Endocrinology Care Finders Total Care LLC
Best Home Care Inc Harwood, Katerina MD
Care Finders Total Care LLC Retail
L & L Staffing and Home Care Pediatrics Black Oak Pharmacy
Services Abbassi, Saeed MD Carepoint Health Pharmacy
Loving Care Agency Inc Fayngersh, David MD Diginos Apothecary
Starlight Home Care Agency Inc Jedlinski, Tadeusz MD Downtown Pharmacy
Leykin, Tanya MD Fairlawn Pharmacy LLC
Neuro Psychiatrist MD
Lin, Tatiana MD Garden Pharmacy
Dementyeva, Yuliya MD
Meshko, Yanina MD Glen Rock Medical Pharmacy
Nagorna, Malgorzata MD Heights Specialty Pharmacy

www.wellcare.com/New-Jersey | 564
ALTERNATE LANGUAGES INDEX
Russian - cont. Advanced Services International
Inc Assisted Living Services
Retail - cont. Hamilton Park Atrium Opco
Care With Love Adult Daycare Inc
Journal Square Pharmacy Diamond Years Adult Medical Day Behavioral Health Counseling
Junction Drugs Care Bersch, Kristine LCSW
Maywood Pharmacy Good Shepard Adult Day Care Doerr, Christine ARNP
Midland Drugs Holy Name Medical Center Gehrig-Mullins, Lorraine LCSW
My Wallington Pharmacy MI Casa ES Su Casa Inc Heguy, Susannah LCSW
Nature Med Pharmacy LLC My Day Home LLC McClendon, Elizabeth LCSW
Park Ave Pharmacy Senior Spirit of Jersey City McKenna, Regina LCSW
Parkview Pharmacy Sunflower Medical Adult Day Care Millan, Valeska LCSW
Premier Pharmacy Sunshine Adult Day Health Care Rivera, Antonio LCSW
Shoprite Pharmacy Center Rudo, Antonio LMHC
Wisdom Pharmacy Sweet Home Adult Medical Day Vitiello, Anna LCSW
Care
Rheumatology
Xanadu Amdc Behavioral Health Facility
Grinchenko, Tatyana DO
West Bergen Mentalhealthcare
Raklyar, Irina MD Adult Medical Day Care
2nd Home Passaic LLC Cardiology
Skilled Nursing Facility
2nd Home Union City LLC Ameen, Abdul MD
Armenian Nursing and
Rehabilitation Cent Atmiya Adult Day Care LLC Asif, Mohammad MD
Bergen County Adult Day Care LLC Barber, Nathaniel MD
Sleep Medicine DBA New Brar, Navtej DO
Miller, Jeffrey DO Care Factory Inc Capitanelli, John MD
Casa Manito Adult Medical Day Costomiris, Robert MD
Speech Therapy Care
Bergen County Adult Day Care LLC Happy Days III Adult Day Damle, Jagadish MD
DBA New Das, Dhirendra MD
Healthcare LLC
Eichman, Gerard MD
Serbian Long Life Adult Day Care LLC
Faillace, Robert MD
Nurse Practitioner Adult Health Allergy & Immunology Faraz, Haroon MD
Obradovic, Dragana ARNP Goodstein, Carolyn MD Gadhvi, Pragnesh MD
Kothari, Harish MD Gorelik, Dmitry MD
Sindhi Li, Wei MD Grandhi, Sreeram MD
Behavioral Health Counseling Najib, Nabeel MD Hamada, Murray MD
Demers, Kathleen LCSW Varghese, Mathew MD Hupart, Preston DO
Witkowska, Renata MD Inguaggiato, Anthony MD
Internal Medicine Kohan, Feraydoon MD
Luhana, Manish MD Ambulatory Surgery Center
Kyreakakis, Anthony MD
Endoscopy Center of Hackensack
Neurology LLC Leon, Robert MD
Khan, Musaid MD Liberty Amulatory Surgery Center Mulkay, Angel MD
LLC Obeleniene, Rimvida MD
Slovak Park, Soo MD
Northern New Jersey Center For
Durable Medical Equipment Advanced Prakash, Atul MD
Bergen Passaic Respiratory Care Inc River Drive Surgery Center LLC Rubinstein, Hector MD
Surgicare of Central Jersey Salimi, Mostafa MD
Spanish Schair, Barry MD
Surgicare Surgical Associates of
Adult Day Care Fairlaw Suede, Samuel MD
Adultcare Inc Williams, Raashan MD
Wong, Peter MD

www.wellcare.com/New-Jersey | 565
ALTERNATE LANGUAGES INDEX
Spanish - cont. Holy Name Breast Imaging Partners Khaddash, Saleh MD
Holy Name Peace Health Partners
Cardiology - cont. Endodontics
PC
Zakir, Ramzan MD Angelica, Robert DDS
Hudson River Radiology Center LLC
Jersey City Diagnostic Center Inc Levi, Jack DDS
Child Neurology
McBride Imaging Center LLC Marsheh, Firas DDS
Lastra, Carlos MD
Segal, Eric MD Medical Park Imaging Family Practice
North Jersey Imaging Center 60th Abubakar, Shaik MD
Chiropractic Northeast Imaging and Diagnostics Balacco, Leonard MD
Degeorge, Michael DC LLC Chaudry, Samia DO
Pellino, Christopher DC Ridgefield Imaging Center, Inc Cirignano, Barbara MD
Schulman, Suzi DC The Radiology Center of Lyndhurst Conte, Daniel DO
Subin, David DC University Radiology Group PC Cortina, Osvaldo MD
Chore/Housekeeping Services University Radiology Teaneck LLC Diaz, Francisco MD
All Metro Health Care Durable Medical Equipment Fajardo, Gil MD
Angels Care LLC 4 Community Pharmacy LLC Fishkin, Adria APRN
Loving Care Agency Inc B and L Medical Supply Inc Healy, Christine DO
Beneficial Medicalsupply Jenkins, Lisa MD
Clinical Neurophysiology
Segal, Eric MD Bergen Passaic Respiratory Care Inc Jurado, Jerry MD
Carmens Pharmacy and Medical Kazmouz, Hasna MD
Clinical Social Work Supplies I Latorre, Juan MD
Pomrantz, Shira LCSW Comfort Care Medical LLC Lucila, Rafael MD
Comfort Shoes and Supplies Inc Macalalag, Angeline ARNP
Colon & Rectal Surgery
Delta Orthopedic Labinc Mathew, Selvi APRN
Seo, Christina MD
H Singers Pharmacy Muccino, Gary MD
Dermatology Have Shoes Will Travel Panem, Flordeliz MD
Ahkami Whitworth, Rosaline MD Healing Hands Homecare Inc Pierre Louis, Marylin MD
Brown, Justin MD Integra Partners LLC Polishchuk, Yelena APRN
Chouake, Jason MD Jerrys Drug and Surgical Supply Pritsiolas, Kristine APRN
Goldberg, David MD Levy's Pharmacy of Lyndhurst LLC Revoredo, Fred MD
Hershenbaum, Esther MD Mercy Home Care & Mecical Sanderson, James DO
Khasak, Dmitry MD Supplies Soliman, Ishak MD
Lee, Hyun-Soo MD Mikhael Ruzhin LTD Tindoc, Lorelane MD
Lolis, Margarita MD Millers Of Wychoff Inc Vitale, Joseph MD
Rapaport, Jeffrey MD Park Ave Drugs LLC Vitale, Mary APRN
Zemel, Mathias MD Passaic Community Pharmacy Inc
Federally Qualified Health Center
Zouzias, Dimitris MD Pomac Bray Orthotics Prsthetics
Horizon Health Center
Pro Medquip LLC
Diagnostic and Treatment Center
Rivas Medical Supplies LLC Passaic North Hudson Community Action
Redi Diagnostics Corp Corp
Sheefa Pharmacy
Diagnostic Imaging Gastroenterology
Ear, Nose & Throat
Advanced Open MRI Ofwest Dizon, Alita MD
Hudson PA Behin, Babak MD Farkas, John MD
Bergenline X Ray Diagnostic Center Kardos, Frank MD Gibilisco, Raffaele MD
Diagnostic Imaging Associates of Lehrer, Joel MD Goldstein, Steven MD
North J Endocrinology, Diabetes, Gupta, Ramesh MD
Garden State Open MRI Metabolism Hajjar, Bassam MD
Hoboken Radiology LLC Hanna, Fiby MD Huskowski, Piotr MD

www.wellcare.com/New-Jersey | 566
ALTERNATE LANGUAGES INDEX
Spanish - cont. Kwon, Jihae DDS Sacristan, Carlos MD
Lavandeira, Janet DMD
Gastroenterology - cont. General Surgery
MA, Monali DMD
Kancherla, Sandarsh MD Bobila, Alexis MD
Manchikanti, Radha DMD
Kosc, Gary MD Bordan, Dennis MD
Margolin, Jerome DDS
Ramos, Rafael MD Cioroiu, Michael MD
Martinez, Annie DDS
Raval, Parthiv MD Costa, German MD
Mian, Saima DMD
Ruiz, Frank MD Elrabie, Nazmi MD
Monje, Jonas DDS
Salah-Eldin, Alaa MD Gonzalez, Juan MD
Mulkay, Zenaida DMD
Spinnell, Mitchell MD Ibrahim, Ibrahim MD
Munoz, Juan DDS
Stowe, Arthur MD Kempner, Robbi MD
Nathi, Lakshmi DDS
Zapiach, Leonidas MD Longo Salvador, Jose MD
Orjiekwe, Ogonna DMD
Zapiach, Mauricio MD Molino, Bruno MD
Parra, Massiel DMD
Zingler, Barry MD Morales-Ribeiro, Celines MD
Patel, Kaushik DDS
Ottley, Anroy MD
Gastroenterology & Hepatology Patel, Lajja DMD
Popovich, Joseph MD
Ahmad, Maliha MD Patel, Mitesh DDS
Seo, Christina MD
Pavone, Salvatore DDS
General Dentistry Strain, Jeffrey MD
Perricci, Jeffrey DDS
Asmar, Diane DMD Sultan, Ronald MD
Pimanov, Anton DMD
Barbagelata, Naldo DMD Teehan, Edwin MD
Pizzano, Marc DDS
Botero-Mondul, Claudia DDS Ukrainskyj, Motria MD
Ravindra, Neetha DDS
Buckshey, Sakshi DMD
Rehman, Aneeza DMD Geriatric Medicine
Castillo, Guillermo DMD
Roby, Brigit DDS Gorishernandez, Joselina ARNP
Choudhary, Geeta DDS
Rodriguez, Rafael DDS Gramatica, Nelson APRN
Cohen, Jacob DDS
Romaguera-Pazmino, Leyla DMD Gramatica, Nelson ARNP
D'Alessio, Vince DDS
Rueda, Robert DDS Pierre Louis, Marylin MD
Dalpizzol, Peter DMD
Ruggiero, James DMD
Desai, Usha DDS Gynecological Oncology
Ruiz-Sardelli, Bertha DMD
Discepola, Joseph DDS Lewin, Sharyn MD
Salazar, Maria DMD
Durgam, Chithra DDS
Saltzberg, David DMD Hematology
Emele, Michael DDS
Sanghavi, Kruti DDS Shah, Nalini MD
Espinosa-Dovale, Maria DDS
Sardelli, Louis DDS
Fine, Craig DDS Hematology & Oncology
Seedat, Ghazala DDS
Fong-Soto, Tomas DDS Afonja, Richards MD
Sethi, Ritu DDS
Fuentes, Peter DDS Badin, Simon MD
Singh, Geetika DDS
George, Titus DDS Druck, Mark MD
Skjeveland, Richard DDS
Goldstein, Sammy DDS Palathingal, Rini MD
Sladky, Joerg DDS
Gowda, Anjana DDS Patel, Amit MD
Turanskiy, Zinoviy DDS
Gross, Jerry DDS Richard, Shambavi MD
Valenzuela, Tirza DDS
Guerrero, Estela DDS
Voladri, Latha DDS Home Health Care
Gurung, Sita DMD
Wenger, Abraham DMD Always Caring Health Care Services
Gyanchand, Sharmila DDS
Yacoub, Kinda DDS LLC
Hanna, Sarah DDS
Yapor, Eddy DDS Always There Home Health Care of
Hernandez-Reyes, Fransico DDS Bergen
Yassein, Ibraheim DDS
Karmann, Richard DMD Always There Inc
Zara, Maria DMD
Kilgore, Kristen DDS Angels Care LLC
Kim, Steven DMD General Practice Armas Home Care LLC
Kim, Vivian DDS Jain, Doney MD Care 4 Me LLC

www.wellcare.com/New-Jersey | 567
ALTERNATE LANGUAGES INDEX
Spanish - cont. Chatterjee, Deelip MD Okoya, Jackson MD
Chouake, Benjamin MD Park, Soo MD
Home Health Care - cont.
Co, John MD Patel, Jayeshkumar MD
Care4me LLC
De LA Cruz, Angel MD Pathak, Sonal MD
Casa Home Care Inc
Delacruz, Catalino MD Pavon, Alex MD
Confident Care Corp
Desueza, Juan MD Perez, Ruben MD
Preferred Home Health Care and
Nursing S Dizon, Alita MD Pichardo, Nelson MD
Secura Home Health LLC Dmytrienko, Igor MD Pinal, Jose MD
Unique Home Care Agency Inc Elias, Sameh MD Prager, Roman MD
Visiting Homemaker Home Health Farkas, John MD Prakash, Atul MD
Aide Serv Ferraro, Lisa MD Psalidas, Panagiotis MD
Visiting Nurse Association of Finkel, Diana DO Rastogi, Sadhna MD
Englewood Florentino, Hector MD Ravi, Nanjappa MD
Visiting Visiting Homemaker Fogari, Robert MD Rey, Ricardo MD
Service of P Gonzalez, Marcia MD Reyes, Nancy ARNP
Hospice Gosalia, Tanmay DO Rigolosi, Ronald MD
Holy Name Medical Center Gotdiener, Alexandra MD Rizvi, Anwar MD
Life Source Services LLC Gura, Russell MD Roque Dieguez, Hilda MD
Haddad, Danny MD Ryngel, Henry MD
Hospital Hajjar, Bassam MD Salah-Eldin, Alaa MD
Bergen Regional Medical Center Hamsa, Gangaswamaiah MD Saleeb, Joseph MD
Childrens Specialized Hospital Hanna, Fiby MD Sanchez-Pena, Jose MD
Infectious Disease Hidalgo, Maria MD Sandoval, Ramon MD
Finkel, Diana DO Hoffman, Mark MD Schair, Barry MD
Khan, Noroze MD Ibrahim, Ehab MD Schwarz, Michael MD
Inguaggiato, Anthony MD Shah, Deepak MD
Internal Medicine Kancherla, Sandarsh MD Shaker, Safwat MD
Acierno, Lynne MD Katz, Manuel MD Shammash, Jonathan MD
Ahmad, Muhammad MD Khaddash, Saleh MD Shukla, Paresh MD
Akhtar, Shahnaz MD Khan, Muhammad MD Silkov, Andrey MD
Alfakir, Maria MD Kosc, Gary MD Silva, Waldemar MD
Alfonso, Jesus MD Krisa, Paul MD Simoes, Sonia MD
Al-Shrouf, Amal MD Kumar, Anand MD Stadler, Isaac MD
Ameen, Abdul MD Kumar, Chitra MD Syed, Saquiba MD
Amin, Deepak MD Kumaresan, Arulnangai MD Taclob, Erlinda MD
Armas, Holger MD Lazo, Angel MD Tejeda, Carlos MD
Arteta, Pablo MD Luna, Luis MD Tilson, Morris MD
Assaleh, Marwan MD Mainero, Michael MD Valencia, Bienvenido MD
Balboul, Elsaid MD Mangia, Anthony MD Vazquez Falcon, Luis MD
Barber, Nathaniel MD Marani Dicovskiy, Marcela MD Viera, Jorge ARNP
Beaty, Patrick MD Mayorquin, Bertha MD Wassef, Wagih MD
Bellifemine, Morris MD Milazzo, Carmelo MD Wasserman, Kennneth MD
Benitez, Olga MD Mirza, Muhammed MD Wien, Frederic MD
Borghini, Margarita MD Morales, Annette ARNP Yung, York-Mui MD
Brar, Harleen MD Moussa, Ghias MD Zingler, Barry MD
Cabral, Cesar MD Murillo, Narcisa MD Zubair, Mohammad MD
Cahill, Kathleen ARNP Natarajan, Sekar MD
Campoalegre, Maria MD Nwosu-Nelson, Joel MD

www.wellcare.com/New-Jersey | 568
ALTERNATE LANGUAGES INDEX
Spanish - cont. Fernandez-Cos, Henry MD
Neurology
Gressock, Joseph MD
Licensed Clinical Social Worker Altschul, Dorothea MD
Haddad, Charles MD
Caraccio, Steve LCSW Brophy, Shannon ARNP
Kamal, Roohi MD
Hanna, Amir MD
Licensed Home Care Service Koul, Mrinal MD
Agency Kapoor, Ashish MD
Lambert-Woolley, Margaret MD
Access Nursing Services of New Kapoor, Vinod MD
Marsan, Ena DO
Jersey I Katz, Avery MD
McQuilkin, George MD
All Metro Health Care Kornitzer, Jeffrey MD
Michnik, Mark MD
Best Home Care Inc Neurosurgery Milanes Roberts, Norma MD
Care Finders Total Care LLC Feldstein, Neil MD Mushayandebvu, Taonei MD
Chas Home Care O'Donnell, Maria CNM
Interim Healthcare of Hudson Nuclear Medicine
Perisic, Dusan MD
Richmond In Holy Name Peace Health Partners
PC Potter-Mcquilkin, Dineasha MD
L & L Staffing and Home Care
Services Ramirez, Elizabeth MD
Nurse Midwife Schaefer, Robert MD
Loving Care Agency Inc
Ditommaso, Marie CNM Stella, Stefano MD
Priority Nursing Services
Nierenberg, Susan CNM Vitale, Diana MD
Starlight Home Care Agency Inc
Rivera Delvalle, Gail CNM
Unlimited Care Inc Occupational Therapy
Walker, Molly CNM
Visiting Homemaker Service of Abion, Kristine OT
Hudson Cou Nurse Practitioner Family Medicine Henson, Dante OT
Licensed Professional Counselor Atlas, Kellie ARNP Yagudayev, Leonid OT
Arlia, Jaime LPC Smith, Josephine APRN
Vassallo, Christina ARNP Ophthalmology
Medical Oncology Angioletti, Lee MD
Jennis, Andrew MD Nurse Practitioner Psychiatric Arango, Ulises MD
Mental Health Bertolucci, Alessandra MD
Kumar, Chitra MD
Fallon, Elizabeth ARNP Braunstein, Steven MD
McNamara, Donna MD
Shah, Nalini MD Nurse Practitioner Womens Health Brazzo, Brian MD
De Pina, Eneida ARNP Burrows, Adria MD
Neonatal Perinatal Medicine Burrows, Andrew MD
Cruz, Florencia MD Obstetrics Campolattaro, Brian MD
McDonald, Kathleen MD Cocoziello, Ramin MD Cervenak Panariello, Betty MD
Nephrology Obstetrics/Gynecology Chechik, Daniel MD
Audia, Pat MD Abrahams, Michael MD Cuttler, Nirupa MD
Banu, Nazifa MD Adu-Amankwa, Bernice MD D'Alberti, Claudio MD
Chandran, Chandra MD Aguilar, Raul MD Doshi, Vatsal MD
Graziano, Vincent MD Ahkami, Shahrokh MD Eichler, Joel MD
Haddad, Danny MD Alnakeeb, Mohammed MD Fishkin, Joseph MD
Hajal, Hussam MD Asulin, Yitzhack MD Freilich, Benjamin MD
Moquete, Manuel MD Balazs, Peter MD Gabay, Jacqueline MD
Patel, Jayeshkumar MD Baptiste, Nicole MD Goldfarb, Mark MD
Ryngel, Henry MD Bitar, Maria MD Gonzalez, Carmen MD
Saini, Harjinder MD Borja, Manuel MD Gurland, Keith MD
Simoes, Sonia MD Broizman, David MD Jackson, Kurt MD
Thomsen, Stephen MD Chavez-Cacho, Jose MD Kallina, Lauren MD
Triolo, Diane MD Diarbakerli, Fares MD Klein, Warren MD
Dinu, Catalina MD Leifer, Alden MD

www.wellcare.com/New-Jersey | 569
ALTERNATE LANGUAGES INDEX
Spanish - cont. Insight Optical
Orthodontics
Israel, Marissa OD
Ophthalmology - cont. Ayoub, Michael DDS
Jankolovits, Melvin OD
Lyu, Theodore MD Berk, Jason DDS
Jasani, Amy OD
Matta, Ayman MD Castronova, John DMD
Kateman, Russell OD
McCoy, Chrishonda MD Drut, Oleg DDS
Kim, Diane OD
Mendoza, Luis MD Henick, Edward DDS
Kim, Dong OD
Morgan, Charles MD McCarthy, Karen DMD
Kim, Martin OD
Obrotka, Thomas MD Rabinovich, Martin DMD
Kowalik, Ronald OD
Panariello, Anthony MD Saffar, Ronald DDS
Lyons, Michael OP
Parekh, Swati MD Seiger, Jeffrey DMD
Martinez, Javier OP
Phillips, Hadley DO Suh, James DDS
Masadeh, Yasir OD
Rau, Ganesh MD Terrana, Anthony DMD
Maslansky, Edward OD
Reing, Charles MD
Morganstein, Richard OD Orthotics & Prosthetics
Scannapiego, Saveren MD
Morillo, Diego OD Allcare Orthotic and Prosthetic
Stegman, Daniel MD
Papaiya, Nilesh OD Services
Tannen, Bradford MD
Ramirez, Joanne OD Carlascio Inc
Trotta, Nicholas MD
Rochester, Cletta OD Delta Orthopedic Labinc
Vogel, Mitchell MD
Rodriguez, Rodolfo OD East Coast Orthotic and Prosthetic
Winfield, Steven MD Corp
Romero, Roger OP
Optometry Rusignuolo, Anthony OD Integra Partners LLC
Altahtamoni, Basel OP Savoy, Randi OD Mercy Home Care & Mecical
Angel, Shirley OD Supplies
Shapiro, Lawrence OD
Anosike, Adolphus OD Millers Of Wychoff Inc
Shin, Wae OD
Ariola, Jennifer OD Sholomon, Robert OD Pediatric Allergy & Immunology
Benetatos, Michael OD Siegel, Martin OD Bokhari, Tahira MD
Bloch, Myron OD Sindhu, Mahmood OD
Caloras, Steven OD Pediatric Cardiology
Solis, Melissa OD
Cardona, Maria OD Galeano, Narmer MD
Sultani, Attefa OD
Chocky, Michael OD Kern, Jeffrey MD
Sunga, Epifanio OD
Choi-Lee, Jessica OD Syed, Mansoor OD Pediatric Dentistry
Cooper, Alan OD Tapia, Taryn OD Asmar, Diane DMD
Dave, Kirti OD Toker, Perry OD Espinosa-Dovale, Maria DDS
Davis, Barry OD Trieu, MA-Le OD Fuentes, Peter DDS
Davis, Lowell OD Trytjak, Yurij OD George, Titus DDS
Desai, Heema OD Velazquez, Natalie OD Gowda, Anjana DDS
Domingues, Maria OD Vinciguerra, Van OD Kim, Vivian DDS
Duran, Jose OP Watkins, Rebecca OD Lavandeira, Janet DMD
Estevez, Joselyn OD Wong, Carson OD Monje, Jonas DDS
Forszt Jr, Edward OD Zabarko, Diana OD Orjiekwe, Ogonna DMD
Friedman, Stephen OD Zimmerling, Inna OD Patel, Lajja DMD
Fruchtman, William OD Pavone, Salvatore DDS
Oral & Maxillofacial Surgery
Gallina, Paul OP Pena, Carmen DDS
Bodey, Janet DDS
Goldsmith, William OD Pimanov, Anton DMD
Ephros, Hillel DMD
Graves, Jeanine OD Pizzano, Marc DDS
Laifook, Martina DMD
Hecht, Mark OD Rehman, Aneeza DMD
Robinson, Lealon DMD
Iarossi, Jeffrey OP Seedat, Ghazala DDS
Tamimi, Imad DMD
Iarossi, Laila OP Skjeveland, Richard DDS

www.wellcare.com/New-Jersey | 570
ALTERNATE LANGUAGES INDEX
Spanish - cont. Castillo, Marianne MD Rivera, Roger MD
Castillo, Rodrigo MD Rivera, Seetha MD
Pediatric Dentistry - cont.
Chism, Melissa MD Rivera-Penera, Maria MD
Yacoub, Kinda DDS
Conde, Humberto MD Rodriguez, Magdelyn MD
Yapor, Eddy DDS
Daici, Silvia MD Rodriguez, Maria MD
Yassein, Ibraheim DDS
Desai, Vijaya MD Rubia-Sazon, Elvira MD
Pediatric Ear, Nose & Throat Elliston, Jason MD Samuel, Hala MD
Behin, Babak MD Eltemsah, Nagi MD Sarigul, Melih MD
Fayngersh, David MD Sliwowski, Stanilaw MD
Pediatric Endocrinology
Fenkart, Douglas MD Steinbaum, Deborah MD
Kaul, Sushma MD
Fernandez, Yocasta MD Surti, Daxa MD
Pediatric Gastroenterology Ginart, Gaspar MD Tandra, Suneela MD
Galeano, Narmer MD Gonzalez, Isabel MD Thomas, Abraham MD
Goli, Sridhar MD Grullon Okumus, Ariolis MD Torres-Soto, Eileen MD
Rivera-Penera, Maria MD Gunn, Angela MD Ucheagwu, Hyacinth MD
Hetling, Kristina MD Wahba, Janette MD
Pediatric Hematology/Oncology
Iwelumo, Ifeoma MD Zucker, Scott MD
Menell, Jill MD
Jadhav, Latha MD
Pedodontics
Pediatric Infectious Disease Jain, Doney MD
Hall, Lonnie DDS
Lamacchia, Michael MD Japa Camilo, Judelka MD
Joshi, Padma DDS
Jedlinski, Tadeusz MD
Pediatric Nephrology
Kastner, Theodore MD Periodontics
Hajal, Hussam MD
Kim, Claudia MD Duggal, Priya DMD
Pediatric Neurosurgery LA Rosa, Niurka MD Gerhard, Ronald DDS
Anderson, Richard MD Laufer, Ilene MD Madjlessi, Nima DDS
Liberti, Lorraine MD
Pediatric Ophthalmology Personal Care Services
Lin, Tatiana MD
Napolitano, Joseph MD All Metro Health Care
Lipert, Zofia MD
Always Caring Health Care Services
Pediatric Psychiatry Lugo, Mirian MD LLC
Khanna, Bindu MD Mallamuci, Carmen MD Angels Care LLC
Marrero-Figarella, Arturo MD Mayo, Yilda MD Armas Home Care LLC
Sanchez, Daniel MD Mejia, Edgar MD Bergen County Adult Day Care LLC
Mico, Mario MD DBA New
Pediatrics
Moises, Rodulfo MD Best Home Care Inc
Abbassi, Saeed MD
Munoz Llaverias, Altagracia MD Broadway Respite Andhome Care
Aguayofigueroa, Lourdes MD
Naficy, Parvin MD LLC
Alexander, Leah MD
Nagorna, Malgorzata MD Care 4 Me LLC
Almanzar, Raul MD
Najib, Nabeel MD Care Finders Total Care LLC
Alvarez, Marie MD
Onwuka, William MD Chas Home Care
Ayodeji, Olutope MD
Oropeza, Maria MD L & L Staffing and Home Care
Baluyot, Helen MD
Palmiery Jr, Ponciano MD Services
Basta, Janette MD
Pandey, Krishna MD Loving Care Agency Inc
Basta, Magdy MD
Panem, Cheryl MD Starlight Home Care Agency Inc
Batista, Jose MD
Perez, Sania MD Visiting Homemaker Service of
Bienstock, Jeffrey MD Hudson Cou
Pinili Valencia, Teresita MD
Bokhari, Tahira MD
Psalidas, Panagiotis MD Physical Medicine & Rehabilitation
Buono, Amy MD
Raha, Bandana MD Adler, Uri MD
Castillo, Elma MD
Rasheed, Fouad MD Constantino, Edwin MD

www.wellcare.com/New-Jersey | 571
ALTERNATE LANGUAGES INDEX
Spanish - cont. Shah, Ketan DPM
Rehabilitation Facility
Physical Medicine & Rehabilitation Shansky, David DPM Careplus Rehab LLC
- cont. Testa, Jack DPM
Kessler Institute For Rehabilitation
Kolla, Sairamachandra MD Welch, Matthew DPM
Vdb Enterprises LLC DBA
Zisa, John DPM Rehabilitation S
Physical Therapy
Bednarski, Stephanie PT Preventive Medicine Respite Care Services
Holsman, Richard PT Adair, Robert MD All Metro Health Care
Kryagin, Michael PT Prosthodontics Angels Care LLC
Rojas Currier, Rosalba PT Eramian, Robert DDS Care Finders Total Care LLC
Chas Home Care
Physician Assistant Psychiatry Visiting Homemaker Service of
Dobkowski, Darlene PA Arroyo, Louis MD Hudson Cou
Plastic & Reconstructive Surgery D'Amato, Thomas MD
Dela Cruz, Leo MD Retail
Baruch, Michael MD
Galvez, Lenoy MD 530 Montgomery Street Pharmacy
Podda, Silvio MD
Hriso, Paul MD A Plus Drugs Surgical LLC
Weber, Renata MD
Khanna, Bindu MD Ahmar Pharmacy
Podiatry Marrero-Figarella, Arturo MD Albini Pharmacy
Amador, Sandy DPM Ostrowski, Dora MD Allcare Pharmacy LLC
Annillo, Donna DPM Palmer, Barbara MD Alvins Pharmacy
Arloro, Vincent DPM Pedroso, Maura MD Ameen Pharmacy
Bonnin Bethea, Denise DPM Prince, Leonie MD American Pharmacy
Castiblanco, Jose DPM Ragheb, Sameh MD Americare Prescription Surg CT
De Benedectis, Thomas DPM Ribalta, Marcia MD Americas Pharmacy
Denbleyker, Leonard DPM Saiz Quintana, Maria MD Anthonys Pharmacy
Dworkin, Diane DPM Sanchez, Daniel MD Anthonys Ridgefield Pharmacy
Econopouly, Demetrios DPM Santos, Frank MD Atlas Drug
Gendy, Remon DPM Shanmugham, Revathi MD Atrium Pharmacy Provider
Godoy, Irma DPM Avon Pharmacy
Goler, Scott DPM Pulmonary Disease Bald Eagle Pharmacy
Gomez, Claudio DPM Al-Shrouf, Amal MD Barnert Pharmacy
Granata, Mark DPM Aman, Chaudhry MD Baron II Drug Surgical
Heller, Jon DPM Bellifemine, Morris MD Bayonne Pharmacy
Kaufman, Sean DPM Capo, Maria MD Bayonne RX Apothecary
Labruna, Vincent DPM Elamir, Mazhar MD Belmont Pharmacy
Levine, Peter DPM Han, Paul MD Bengal Pharmacy
Levinson, Franklin DPM Khan, Muhammad MD Bergen Ave Drugs
Lokhat, Fatema DPM Natarajan, Sekar MD Bergen Point Apothecary
Nisivoccia, Jacqueline DPM Perera, Sharmalie MD Bergen Regional Medical Center
Ponce, Javier DPM Periut, Richard MD Bergenfield Pharmacy
Portela, Margaret DPM Refaie, Tarek MD Bergenline Drugs
Purisima, Jonathan DPM Sanchez-Pena, Jose MD Best Pharmacy Surgical Inc
Rendon, Monica DPM Solis, Roberto MD Billstra Pharmacy
Rosenblum, Michael DPM Zubair, Mohammad MD Biologictx, LLC
Rossi, Francis DPM Radiation Oncology Black Oak Pharmacy
Rossi, Peter DPM Dubin, David MD Bmc Pharmacy
Salazar, James DPM Bond Drugs
Sears, Michael DPM Broadway Care Pharmacy

www.wellcare.com/New-Jersey | 572
ALTERNATE LANGUAGES INDEX
Spanish - cont. First Aid RX Jerusalem Pharmacy
Franklyns Pharmacy JFK Pharmacy
Retail - cont.
Gallos Health Mart Pharmacy Jiffy Scripts RX
Broadway Health Pharmacy
Garfield Healthcare Pharmacy Kay Pharmacy
Broadway Pharmacy
Genoa-QOL Healthcare Kwickmed Farmacia
Brockmans Pharmacy
Gilmore Pharmacy LA Nueva Mercedes Pharmacy
Buckleys Drug Store
Glen Rock Medical Pharmacy Lakeview Pharmacy
Burgios Pharmacy
Golden Care Pharmacy Levys Pharmacy
Carepoint Health Pharmacy
Golden Cares Pharmacy Inc Lewis Drugs Inc
Carmens Pharmacy Med Supply
Goodman Pharmacy Surgical Liberty Pharmacy
Center Pharmacy
Goodwill Pharmacy Little Falls Pharmacy
Central Pharmacy
Green Apple Pharmacy Main Fair Pharmacy
Central Pharmacy Inc
Green Cross Pharmacy Main St Pharmacy
Cf Parentini Pharmacy
Hackensack Pharmacy Marin Pharmacy
Cityrx Pharmacy
Hamilton Pharmacy Marras Drug Store
Clifton Pharmacy Compounding
Cntr Hana Healthmart Pharmacy Mastrolia Pharmacy
Colonial Pharmacy Haworth Apothecary Maywood Pharmacy
Community Care Pharmacy H-B Drugs McDermott Pharmacy
Community Care RX NJ Health Aid Drugs McGinley Sq Pharmacy Inc
Continental Drugs Health Care Pharmacy Medi Center Pharmacy
Cortese Pharmacy Health Center Pharmacy Medicine Man Pharmacy
Health Fair Pharmacy Compounding
Cosmo Pharmacy
Health Smart Pharmacy Metro Drugs
Courthouse Pharmacy
Heights Pharmacy Middle Village Pharmacy
Cresskill Pharmacy
Herberts Pharmacy Midland Drugs
Curemed Pharmacy
Hines Pharmacy Millers Of Wyckoff, Inc
Damiano Pharmacy
Hoboken Family Pharmacy Mort Jacobs Pharmacy
Dawa Pharmacy
Ho-Ho-Kus Pharmacy Mulkay Drugs Inc
Debliecks Pharmacy
Holy Name Pharmacare Dept My Friends Pharmacy
Differx Pharmacy
Home Towne RX My Wallington Pharmacy
Direct Meds
Hometown Pharmacy Myerson Pharmacy
Direct Meds of Jersey City
Horizon Pharmacy Nature Med Pharmacy LLC
Dittmars Pharmacy
Hospital Pharmacy New Horizon Pharmacy
Downtown Pharmacy
Hudacko Pharmacy New Lucys Pharmacy Inc
Drug Zone Pharmacy LLC
Hudson Drug Newport Pharmacy
Elmwood Drugs
Hudson Pharmacy Noble Pharmacy Inc
Empire Pharmacy
Hudson Specialty Pharmacy Normans Pharmacy
Essexcare Pharmacy
Icare Pharmacy North Bergen Pharmacy
Fabios Pharmacy
Ideal Marketplace Pharmacy North Hudson Community
Fabios Pharmacy 2
Incline Health LLC Pharmacy
Fairlawn Pharmacy LLC
International Drugs Nour Pharmacy
Fairview Pharmacy
Irving Pharmacy Novecks Pharmacy
Family Drug Shops Haledon
J and J State Street Pharmacy Olssons Pharmacy-Taibis Fmly Phy
Farmacia Del Pueblo
J J Pharmacy Organix Pharmacy
Farmacia Latina
J T L Pharmacy Oscar Pharmacy
Farmacia San Jose
Jerrys Drug Surgical Palace Drugs
Farmacias Del Pueblo II
Jersey City Pharmacy Palisade Drugs
Fenny 1 Pharmacy
Jersey Drugs Pan American Pharmacy
Fenny Pharmacy

www.wellcare.com/New-Jersey | 573
ALTERNATE LANGUAGES INDEX
Spanish - cont. Tucker Drugs
Thoracic Surgery
Ultra Care Pharmacy
Retail - cont. Prendergast, Thomas MD
Union City Pharmacy
Park Ave Pharmacy
United Pharmacy Urgent Care Center
Park Avenue Pharmacy
Valley Pharmacy Get Well Urgent Care Clifton LLC
Passaic Pharmacy
Value Pharmacy
Paterson Pharmacy Urology
Van Houten Pharmacy
Pavonia Pharmacy Chang, David MD
Vital Plus Pharmacy
Peckmans Pharmacy Howhannesian, Andranik MD
Vitalis Pharmacy
Pharmacy Express Inc Rosen, Jay MD
Waldwick Pharmacy
Pharmacy Plus Surgical Sppls LLC
Well Care Pharmacy Urology Oncology
Pharmacy Plus Surgical Supplies
WellCare Pharmacy Dobkowski, Darlene PA
Pharmacy Value
West End Pharmacy
Pintos Pharmacy Vascular Medicine
West Milford Pharmacy
Plains Pharmacy Altschul, Dorothea MD
Williams Pharmacy
Plaza Pharmacy
Willow Pharmacy Vascular Surgery
Pomarico Pharmacy
Beniwal, Jagbir MD
Prescription Center Pharmacy Rheumatology
Bobila, Alexis MD
Presidential Pharmacy Brar, Harleen MD
Elrabie, Nazmi MD
Prime Care Pharmacy Chu, Alice MD
Popovich, Joseph MD
Raab Pharmacy Fogari, Robert MD
Resnikoff, Michael MD
Red Apple Pharmacy Lewko, Michael MD
Teehan, Edwin MD
Richards Pharmacy
Skilled Nursing Facility
Riverview Pharmacy Wound, Ostomy and Continence
Armenian Nursing and Care
Rock Ridge Pharmacy Rehabilitation Cent
Royal Pharmacy Cioroiu, Michael MD
Bergen Regional Medical Center
Sachin Pharmacy Inc Care One At Pine Rest Swahili
Santa Maria Pharmacy Care One At Valley
Sheefa Pharmacy Family Practice
Milford Manor Nursing Home
Shoprite Pharmacy Amin, Samirlal MD
Oradell Health Care Center
Sicomac Pharmacy Prospect Heights Care Center Swedish
Sicomac Pharmacy LTC Regent Care Center
Sinai Quick Stop Pharmacy Optometry
The Harborage
Singer Pharmacy Ly-Schroeder, Emily My OD
Wanaque Nursing and
Specialty RX Inc Rehabilitation LLC Podiatry
St Maria Pharmacy, Corp West Hudson Sub Acute Care Rallatos, Michael DPM
Steigner Pharmacy Center LLC
Sugarmans Drug Store Tagalog
Summit Care Pharmacy Sleep Medicine
Bathini, Manjula DO Adult Day Care
Summit Healthcare Pharmacy
Han, Paul MD Diamond Years Adult Medical Day
Sussmans Drugs Care
The Galaxy Drug Store Miller, Jeffrey DO
Zubair, Mohammad MD Sunshine Adult Day Health Care
The Peoples Pharmacy Shoppe Center
The Prescription Shoppe Speech & Language Pathology
Toledo Pharmacy Ambulatory Surgery Center
Duran, Chrystie SLP
Tonys Pharmacy Liberty Amulatory Surgery Center
Speech Therapy LLC
Town and Country Comp Conslt
Town Pharmacy Bergen County Adult Day Care LLC
DBA New

www.wellcare.com/New-Jersey | 574
ALTERNATE LANGUAGES INDEX
Tagalog - cont. Castillo, Marianne MD
Ophthalmology
Castillo, Rodrigo MD
Cardiology Cuttler, Nirupa MD
Eltemsah, Nagi MD
Ameen, Abdul MD
Franco, Maria MD Pediatrics
Chiropractic Mangosing, Emma MD Raghu, Shalini MD
Degeorge, Michael DC Mathew, Omana MD William, Pushpam ARNP
Moises, Rodulfo MD
Dermatology Pulmonary Disease
Palmiery Jr, Ponciano MD
Nardone, Jennifer ARNP Natarajan, Sekar MD
Panem, Cheryl MD
Diagnostic Imaging Tengson, Roger MD Telugu
Bergenline X Ray Diagnostic Center
North Jersey Imaging Center 60th Physical Medicine & Rehabilitation Internal Medicine
Constantino, Edwin MD Natarajan, Sekar MD
Family Practice
Physical Therapy Neurology
Jurado, Jerry MD
Espeleta, Benigno PT Krish, Nagesh MD
Panem, Flordeliz MD
Holsman, Richard PT
Pediatrics
Gastroenterology
Plastic & Reconstructive Surgery Jadhav, Latha MD
Dizon, Alita MD
Baruch, Michael MD
Pulmonary Disease
Hematology & Oncology
Podiatry Natarajan, Sekar MD
Palathingal, Rini MD
Purisima, Jonathan DPM
Thai
Internal Medicine Shansky, David DPM
Alday, Arnold MD Endocrinology, Diabetes,
Psychiatry Metabolism
Ameen, Abdul MD
Dela Cruz, Leo MD Srisethnil, Pudchong MD
Delacruz, Catalino MD
Dizon, Alita MD Skilled Nursing Facility Internal Medicine
Llacuna, Florencio MD Bloomingdale Nursing and Nil, Pudchong MD
Ravi, Nanjappa MD Rehabilitation
Srisethnil, Pudchong MD
Taclob, Erlinda MD Prospect Heights Care Center
Taclob, Lowell MD Wanaque Nursing and Pediatrics
Wassef, Wagih MD Rehabilitation LLC Cardiello, Peter MD
Nurse Practitioner Family Medicine Tamil Turkish
Inocencio, Mark ARNP Diagnostic Imaging Diagnostic Imaging
Nutrition Advanced Magnetic Imaging PA The Radiology Center of Lyndhurst
Quintana, Marilyn RD Advanced Open MRI Ofwest
Hudson PA Durable Medical Equipment
Obstetrics/Gynecology Sheefa Pharmacy
O'Donnell, Maria CNM Internal Medicine
Kumar, Anand MD Family Practice
Occupational Therapy Natarajan, Sekar MD Makui, Sheyda MD
Abion, Kristine OT Richard, Merwin MD Internal Medicine
Henson, Dante OT
Nephrology Onat, Nermi MD
Kalalo, Amory OT
Kho, Kathleen OT Chandran, Chandra MD Pediatrics
Neurology Sarigul, Melih MD
Pediatrics
Krish, Nagesh MD Yucel, Cengiz MD
Alvarez, Marie MD
Castillo, Elma MD

www.wellcare.com/New-Jersey | 575
ALTERNATE LANGUAGES INDEX
Twi
Cardiac Electrophysiology Nephrology
Home Health Care Ahmad, Ahsanuddin MD Jain, Deepika MD
Home Care For You Inc
Cardiology Neurology
Personal Care Services Ahmad, Ahsanuddin MD Kapoor, Ashish MD
Home Care For You Inc Asif, Mohammad MD
Obstetrics/Gynecology
Faraz, Haroon MD
Ukrainian Jain, Ratnam MD
Sandhu, Mohammad MD
Kamal, Roohi MD
Adult Day Care Syed, Tariqshah MD
Bayonne Adult Medical Day Care Toor, Saddad MD Ophthalmology
Center Vehra, Ijaz MD Gopal, Lekha MD
Chore/Housekeeping Services Diagnostic Imaging Optometry
Loving Care Agency Inc Advanced Magnetic Imaging PA Dave, Kirti OD
Dermatology Advanced Open MRI Ofwest
Hudson PA Pediatric Allergy & Immunology
Ahkami Whitworth, Rosaline MD Bokhari, Tahira MD
Ear, Nose & Throat
Family Practice Pediatrics
Lehrer, Joel MD
Gupta, Vikram MD Bokhari, Tahira MD
Family Practice Elliston, Jason MD
General Surgery
Chaudry, Samia DO Eltemsah, Nagi MD
Ukrainskyj, Motria MD
Federally Qualified Health Center Khan, Ferhana MD
Home Health Care Siddiqui, Rehma MD
Horizon Health Center
Home Care For You Inc
Gastroenterology Physical Therapy
Internal Medicine Qazi, Shakeel PT
Gupta, Ashok MD
Dmytrienko, Igor MD
Silkov, Andrey MD Gastroenterology & Hepatology Pulmonary Disease
Ahmad, Maliha MD Aman, Chaudhry MD
Licensed Home Care Service Khan, Muhammad MD
Agency Rizvi, Masood MD
Patel, Manmohan MD
Loving Care Agency Inc General Surgery
Zuberi, Jamshed MD Vietnamese
Obstetrics/Gynecology
Bilenki, Natalie MD Hematology & Oncology Retail
Zaman, Aamir MD Vital Plus Pharmacy
Ophthalmology
Kayserman, Larisa MD Internal Medicine Yiddish
Optometry Ahmad, Muhammad MD Behavioral Health Facility
Shteyn, Yekaterina OD Akhtar, Shahnaz MD West Bergen Mentalhealthcare
Jain, Deepika MD
Personal Care Services Khan, Muhammad MD Internal Medicine
Home Care For You Inc Mahmood, Saleem MD Tilson, Morris MD
Loving Care Agency Inc Mirza, Muhammed MD Medical Oncology
Rheumatology Rafeeuddin, Mohamed MD Jennis, Andrew MD
Lewko, Michael MD Rizvi, Syed MD
Syed, Saquiba MD Ophthalmology
Urdu Winfield, Steven MD
Interventional Cardiology
Allergy & Immunology Syed, Tariqshah MD Optometry
Parikh, Sudhir MD Wasty, Najam MD Youngewirth, Maty OD

www.wellcare.com/New-Jersey | 576
ALTERNATE LANGUAGES INDEX
Yiddish - cont.
Radiation Oncology
Dubin, David MD
Zhang, Mei MD

www.wellcare.com/New-Jersey | 577
Specialty Provider At-A-Glance
You can find a specific kind of provider in this index. First look for the type of care you need. Then check the
county and page number. You can go to that page to get the provider's information.
Un vistazo a los proveedores especializados: En este índice, usted puede encontrar un tipo específico de
proveedor. Primero busque el tipo de cuidado que necesita, y luego verifique el condado y el número de
página. Consulte esa página para obtener la información del proveedor.
A B
Chiropractic
Acupuncture Bariatric Surgery Bergen 89
Bergen 335 Bergen 335 Hudson 167
Hudson 369 Passaic 243
Behavioral Health Counseling
Addiction Medicine Bergen Chore/Housekeeping Services
Bergen 335 335, 336, 337, 338, 339, 408, 409, 410, Bergen 413
411, 412 Hudson 462
Addiction Psychiatry Hudson 369, 461 Passaic 492
Bergen 79, 407 Passaic 389, 492
Clinic
Adult Day Care Behavioral Health Facility Hudson 320
Bergen 407 Bergen 310, 412
Hudson 461 Hudson 320, 462 Clinical Neurophysiology
Passaic 491 Passaic 327, 492 Bergen 89, 90, 340
Hudson 167
Adult Medical Day Care C Passaic 243
Bergen 407
Hudson 461 Cardiac Electrophysiology Clinical Social Work
Passaic 491 Bergen 80 Bergen 340, 413
Hudson 159 Hudson 369, 370, 462
Advance Registered Nurse Passaic 236 Passaic
Practitioner Psychiatrist 390, 492, 493
Passaic 389 Cardiology Colon & Rectal Surgery
Bergen Bergen 90, 91
Advanced Practice Midwife
80, 81, 82, 83, 84, 85, 86, 87, 88, 339, Passaic 243
Passaic 389 340
Allergy & Immunology Hudson Critical Access Hospital
Bergen 79, 80, 335 159, 160, 161, 162, 163, 164, 165, 166, 369 Bergen 306
Hudson 158, 159, 369 Passaic D
Passaic 236, 389 236, 237, 238, 239, 240, 241, 242, 389
Dermatology
Ambulatory Surgery Center Cardiovascular Surgery Bergen 91, 92, 340
Bergen 310 Bergen 88 Hudson 167, 168, 370, 371
Hudson 320 Hudson 166 Passaic 243, 244, 390, 391
Passaic 327 Passaic 242, 389
Dermatopathology
Assisted Living Services Certified Nurse Midwife Bergen 92
Bergen 407, 408 Passaic 389, 390 Hudson 168
Hudson 461 Child Neurology
Passaic 491 Diagnostic and Treatment Center
Bergen 88, 89 Bergen 311
Audiology Hudson 166
Bergen 310, 335, 408 Passaic 243 Diagnostic Imaging
Hudson 369, 461 Bergen 311
Passaic 389, 491, 492 Hudson 320, 321

www.wellcare.com/New-Jersey | 578
Specialty Provider At-A-Glance
D - cont. G
Hematology
Diagnostic Imaging - cont. Gastroenterology Bergen 103
Passaic 327 Bergen 94, 95, 96, 97 Hudson 181, 182
Hudson 169, 170, 171
Dialysis
Passaic 246, 247, 248, 249 Hematology & Oncology
Bergen 311 Bergen 104
Hudson 321 Gastroenterology & Hepatology Hudson 182, 183
Passaic 327, 328 Hudson 172 Passaic 258, 259, 392
Passaic 249
Dietician Home Health Care
Bergen 340, 341 General Dentistry Bergen 314, 315, 418, 419
Hudson 371 Bergen Hudson 322, 323, 469, 470
Passaic 391 97, 98, 99, 100, 415, 416, 417, 418 Passaic 329, 330, 499
Hudson
Distinct Part Unit Psych
172, 173, 174, 175, 176, 177, 178, 179, 463, Hospice
Hudson 321 464, 465, 466, 467, 468, 469 Bergen 315
Passaic Passaic 330
Durable Medical Equipment
Bergen 312, 313, 413, 414, 415 249, 250, 251, 252, 253, 254, 494, 495, Hospital
Hudson 321, 322, 462, 463 496, 497, 498, 499 Bergen 306
Passaic 328, 329, 493, 494 General Practice Hudson 307
Bergen 100 Passaic 308
E
Hudson 28 I
Ear, Nose & Throat Passaic 56
Bergen 92 Infectious Disease
Hudson 168 General Surgery Bergen 104
Passaic 244 Bergen 100, 101, 102, 103, 341, 342 Hudson 183, 184
Hudson 179, 180, 181, 372 Passaic 259, 260
Endocrinology, Diabetes, Passaic 254, 255, 256, 257, 392
Metabolism Internal Medicine
Bergen 93, 341 Geriatric Medicine Bergen
Hudson 168, 371 Bergen 103 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 104,
Passaic 245, 391 Hudson 181, 373 105, 106, 107, 342, 343
Passaic 257, 392 Hudson
Endodontics
28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38,
Bergen 93, 415 Geriatric Psychiatry
Hudson 169, 463 Passaic 257 39, 40, 41, 184, 185, 186, 373, 374, 375
Passaic
Passaic 245, 494 Gynecological Oncology 56, 57, 58, 59, 60, 61, 62, 63, 64, 65,
F Bergen 103, 342 66, 67, 68, 69, 260, 261, 262, 263, 392,
Passaic 258 393
Family Practice
Bergen 1, 2, 93, 94, 341 Gynecology Interventional Cardiology
Hudson Bergen 103 Bergen 108, 343
23, 24, 25, 26, 27, 28, 169, 371, 372 Passaic 258 Hudson 187
Passaic Passaic 263
H
52, 53, 54, 55, 56, 245, 246, 392 L
Hearing Aid Supplier
Federally Qualified Health Center Bergen 313, 314, 418 Laboratory Pathology Testing
Bergen 313 Hudson 322, 469 All 309, 406
Hudson 322 Passaic 329, 499 Bergen 315
Passaic 329

www.wellcare.com/New-Jersey | 579
Specialty Provider At-A-Glance
L - cont. N Passaic 396
Licensed Clinical Social Worker Neonatal Perinatal Medicine Nurse Practitioner Adult Health
Bergen Bergen 110 Bergen 361, 362
343, 344, 345, 346, 347, 348, 419, 420, Hudson 188 Hudson 378, 379, 380
421, 422, 423, 424 Passaic 264, 265 Passaic 396, 397
Hudson 375, 470
Passaic 393, 394, 500 Nephrology Nurse Practitioner Family Medicine
Bergen 110, 111 Bergen 362, 363
Licensed Home Care Service Hudson 188, 189, 190 Hudson 380, 381, 382
Agency Passaic 265, 266, 267, 268 Passaic 397, 398
Bergen 424
Hudson 470, 471 Neuro Psychiatrist MD Nurse Practitioner Gerentology
Passaic 500, 501 Passaic 268 Bergen 363
Hudson 382
Licensed Marriage and Family Neurodevelopmental Disabilities
Passaic 398
Therapist Passaic 268
Bergen 109, 348, 349, 350 Neurology Nurse Practitioner Nephrology
111, 112, 113, 114, 359 Hudson 382, 383
Licensed Mental Health Counselor Bergen
190, 191, 192, 193, 375, 376 Passaic 398
Bergen 350 Hudson
Passaic 268, 269 Nurse Practitioner Pediatric
Licensed Professional Counselor
Bergen 363, 364
Bergen Neuropsychology
114 Hudson 383, 384
109, 350, 351, 352, 353, 354, 425, 426, Bergen
427, 428, 429 Passaic 398, 399
Neuroradiology
193 Nurse
Licensed Social Worker Practitioner Psychiatric
Hudson Mental Health
Bergen
Bergen 364
354, 355, 356, 357, 358, 429, 430, 431, Neurosurgery
432, 433 Bergen 114, 115, 359 Hudson 384
Hudson 375, 471 Hudson 193, 376 Passaic 399
Passaic 270, 394 Nurse Practitioner Womens Health
M
Nuclear Cardiology Bergen 364
Marriage & Family Therapy Bergen 115 Hudson 384
Bergen 358, 359 Passaic 270 Nutrition
Maternal Fetal Medicine Nuclear Medicine Bergen 364, 365, 433
Bergen 109 Bergen 115 Hudson 384, 471, 472
Hudson 187 Hudson 193 Passaic 399, 501
Passaic 263, 264
Nurse Midwife O
Medical Genetics Bergen 359, 360 Obstetrics
Passaic 264 Hudson 376, 377, 378 Bergen 116
Medical Oncology Passaic 394, 395 Passaic 270
Bergen 109 Nurse Practitioner
Hudson 187, 188 Bergen Obstetrics/Gynecology
360, 361 Bergen 14, 15, 116, 117, 118, 119, 120, 365
Medically Necessary Hudson 378 Hudson
Transportation Passaic 396 41, 42, 193, 194, 195, 196, 197, 198, 199,
All 309, 406 Nurse Practitioner Acute Care 200, 201, 202, 203, 204, 384, 385
Hudson 378

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Specialty Provider At-A-Glance
O - cont. P Passaic 290
Obstetrics/Gynecology - cont. Pain Management Pediatric Orthopedic Surgery
Passaic Bergen 136, 365 Hudson 216
69, 270, 271, 272, 273, 274, 275, 399, Passaic 287 Passaic 290
400
Pediatric Allergy & Immunology Pediatric Psychiatry
Occupational Therapy Bergen 136 Hudson 216
Bergen 365, 433 Passaic 290
Hudson 385, 472 Pediatric Cardiology
Passaic 400, 501 Bergen 136, 137 Pediatric Pulmonology
Hudson 214 Bergen 138
Ophthalmology Passaic 287, 288 Hudson 216, 217
Bergen Passaic 291
120, 121, 122, 123, 124, 125, 126, 127, 128, Pediatric Dentistry
434, 435, 436, 437, 438, 439, 440, 441 Bergen 316, 317, 448, 449 Pediatric Rheumatology
Hudson Hudson 324, 325, 481, 482 Bergen 138
204, 205, 206, 207, 208, 472, 473, Passaic 330, 331, 332, 513, 514 Hudson 217
474, 475 Passaic 291
Pediatric Ear, Nose & Throat
Passaic Bergen 137 Pediatric Surgery
275, 276, 277, 278, 279, 280, 501, 502, Hudson 214 Hudson 217
503, 504, 505, 506
Passaic 288 Passaic 291
Optometry
Pediatric Endocrinology Pediatric Urology
Bergen
Bergen 137 Bergen 138, 139
128, 129, 130, 131, 132, 133, 134, 135, 315,
441, 442, 443, 444, 445, 446, 447, 448 Hudson 214, 386
Hudson Passaic 288, 400 Pediatrics
Bergen
208, 209, 210, 211, 212, 323, 475, 476, Pediatric Gastroenterology 15, 16, 17, 18, 19, 20, 21, 22, 139, 140, 365
477, 478, 479, 480 Bergen 137 Hudson
Passaic Hudson 214, 215 43, 44, 45, 46, 47, 48, 49, 50, 51, 217,
280, 281, 282, 283, 284, 285, 286, Passaic 288, 289 386
330, 506, 507, 508, 509, 510, 511, 512 Passaic
Pediatric Hematology/Oncology
Oral & Maxillofacial Surgery 69, 70, 71, 72, 73, 74, 75, 76, 77, 78,
Bergen 137 291, 400, 401
Bergen 135, 448
Hudson 215
Hudson 212, 480
Passaic 289 Pediatrics Behavioral and
Passaic 286, 512 Developmental
Pediatric Infectious Disease Bergen 140
Orthodontics
Bergen 138 Passaic 291, 292
Bergen 135, 136, 448
Hudson 216
Hudson 212, 213, 480, 481
Passaic 289 Pedodontics
Passaic 286, 287, 512, 513 Bergen 140, 141, 449, 450
Pediatric Nephrology Hudson 217, 482
Orthopaedic Surgery
Bergen 138 Passaic 292, 514, 515
Bergen 136, 365
Hudson 216
Hudson 213, 385
Passaic 289, 290 Periodontics
Passaic 287 Bergen 141, 450
Pediatric Neurosurgery Hudson 217, 218, 482, 483
Orthotics & Prosthetics
Bergen 138 Passaic 292, 515
Bergen 315, 316
Hudson 323, 324 Pediatric Ophthalmology Personal Care Services
Passaic 330 Bergen 138 Bergen 450

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Specialty Provider At-A-Glance
P - cont. S
Psychology
Personal Care Services - cont. Bergen 150, 457 Skilled Nursing Facility
Hudson 483 Hudson 229, 488 Bergen 318, 319, 459, 460
Passaic 515 Passaic 299, 519, 520 Hudson 326, 490
Passaic 333, 334, 521, 522
Physical Medicine & Rehabilitation Pulmonary Disease
Bergen 141, 142, 366, 451, 452 Bergen 151, 367 Sleep Medicine
Hudson 218, 484 Hudson 230, 231, 232 Bergen 154
Passaic 292, 293, 515, 516 Passaic 299, 300, 301 Hudson 233
Passaic 303
Physical Therapy R
Bergen 366, 452 Speech & Language Pathology
Hudson 386, 387, 484, 485 Radiation Oncology Bergen 367
401, 402, 403, 516, 517, 518 Bergen 152
Passaic Hudson 388
Hudson 232 Passaic 404
Physician Assistant Passaic 301, 302
Bergen 366 Speech Therapy
Hudson 387 Radiation Therapy Bergen 319, 367, 460
403 Bergen 152, 153
Passaic Passaic 404, 522
Radiology - Interventional &
Physician Assistant OB/GYN Sports Medicine
Vascular
Hudson 387 Bergen Bergen 154
153, 367
Physician Assistant Pediatric Hudson 233 Substance Abuse
Passaic 403 Passaic 302 Bergen 154
Hudson 233
Plastic & Reconstructive Surgery Rehabilitation Facility
Bergen 142 Bergen 317, 318, 457, 458 Surgical Oncology
Hudson 218 Hudson 325, 326, 488, 489 Bergen 154, 367, 368
Passaic 293, 294 Passaic 332, 520, 521 Passaic 303
Podiatry Respite Care Services T
Bergen 142, 143, 144, 145, 146 Bergen 458, 459
Hudson Hudson 489 Thoracic & Cardiovascular Surgery
521 Bergen 154, 155, 368
218, 219, 220, 221, 222, 223, 224, 225 Passaic
Passaic 303, 404
Passaic 294, 295, 296, 297 Retail
Thoracic Surgery
Preventive Medicine Bergen
Bergen 368
Bergen 146 523, 524, 525, 526, 527, 528, 529, 530,
531, 532 Hudson 233, 234
Prosthodontics Hudson Passaic 303
Hudson 225, 226, 485 533, 534, 535, 536, 537, 538, 539, 540,
U
Psychiatry 541, 542
Passaic Urgent Care Center
Bergen
543, 544, 545, 546, 547, 548, 549 Bergen 319
146, 147, 148, 149, 150, 366, 367, 452,
453, 454, 455, 456 Hudson 326
Rheumatology Passaic 334
Hudson Bergen 153
226, 227, 228, 229, 387, 485, 486, Hudson 233 Urology
487, 488 Bergen 155, 156
Passaic 302, 303
Passaic 297, 298, 299, 518, 519 Hudson 234
Passaic 303, 304

www.wellcare.com/New-Jersey | 582
Specialty Provider At-A-Glance
U - cont.
Urology Oncology
Bergen 368
Urology/Gynecology
Hudson 235
V
Vascular Medicine
Bergen 156
Passaic 304
Vascular Surgery
Bergen 156, 157, 368
Hudson 235
Passaic 304, 305
W
Wound, Ostomy and Continence
Care
Bergen 460

www.wellcare.com/New-Jersey | 583
EXTENDED HOURS INDEX
You can find a provider who has longer office hours in this index. First look for the provider’s name. Then check
the county and page number. You can go to that page to get the provider’s office hours.
En este índice, usted puede encontrar un proveedor con horario más prolongado de atención en el consultorio.
Primero busque el nombre del proveedor, y luego verifique el condado y el número de página. Consulte esa
página para obtener el horario de atención del proveedor.
Bergen McGrath, Kathleen LCSW 337, 410 Patel, Rima MD 86
McKenna, Regina LCSW 337, 410 Pomerantz, Mark MD 86
Adult Day Care
Meiselman, Lorie LCSW 338, 411 Shah, Anuj MD 87
Careway Medical Adult Day Care
Millan, Valeska LCSW 338, 411 Vehra, Ijaz MD 87
Corp Fc 407
Montuore, Lisa LCSW 338, 411
Golden Adult Day Care Inc Fc 407 Chiropractic
Pettinati, Marilyn LCSW 338, 411
Good Shepard Adult Day Care 407 Gurman, Cathy DC 89
Robinson, Christopher LCSW
Jay Shree Krishna Little Ferry LLC Gurman, Jett DC 89
338, 411
407 Kantzilieris, Panagiotis DC 89
Romeo, Dawn LCSW 338, 411
My Home Adult Day Care Center Kim, Sung-Dong DC 89
Rudo, Antonio LMHC 338, 411
Inc 407 Kim, Sungsik DC 89
Sacher, Jeremy LCSW 339, 411
Sunshine Adult Day Health Care Mariano, Daniel DC 89
Smith, Patricia LCSW 339, 411
Center 407 Mariniello, Shannon DC 89
Tuttle, Gloria LCSW 339, 412
Markowitz, Ross DC 89
Adult Medical Day Care Vitiello, Anna LCSW 339, 412
Long Life Adult Day Care LLC 407 Vollenweider, Diane LCSW 339, 412 Clinical Social Work
Wint, Keisha LCSW 339, 412 Kardonsky, Elena LCSW 340, 413
Allergy & Immunology
Tider, Toby CSW 340, 413
Blume, Jessica MD 79 Behavioral Health Facility
Goodstein, Carolyn MD 79 Team Management 2000 Inc Fc Critical Access Hospital
Kosinski, Slawomir MD 79 310, 412 Select Specialty Hospital -
Li, Wei MD 79 Vantage Healthsystem 310, 412 Northeast NE 306
Perin, Patrick MD 80 West Bergen Mentalhealthcare
Dermatology
Varghese, Mathew MD 80 310, 412
Carmona, Corinne ARNP 340
Ambulatory Surgery Center Cardiology Chouake, Jason MD 91
River Drive Surgery Center LLC 310 Angeli, Stephen MD 81 Goldberg, David MD 91
Surgicare of Central Jersey 310 Bikkina, Mahesh MD 81 Hadi, Ahmed MD 91
Blood, David MD 81 Hershenbaum, Esther MD 91
Assisted Living Services
407 Cohen, Michael MD 81 Katz, James MD 91
Bright Side Manor
Christian Health Care Center 407 Erlebacher, Jay MD 82 Lee, Hyun-Soo MD 91
Geriatric Living Solutions Inc 407 Goldweit, Richard MD 82 Zemel, Mathias MD 92
Jewish Home Assisted Living 407 Grossman, Steven MD 82
Diagnostic and Treatment Center
408 Hamada, Murray MD 83
The Actors Fund Homes Redi Diagnostics Corp 311
Herrera, Maryeth ARNP 339
Behavioral Health Counseling Husain, Syed MD 83 Diagnostic Imaging
Albracht, Barbara LCSW 335, 408 Jhun, Steve MD 83 Diagnostic Imaging Associates of
Chapman, Mark LCSW 336, 409 Kapoor, Deepa PA 340 North J 311
Demers, Kathleen LCSW 336, 409 Lala, Lekhraj MD 84 Njin of Rutherford 311
Diniro, Joanne LCSW 336, 409 Leber, George MD 84 Oradell Medical Imaging Center
Doerr, Christine ARNP 336, 409 Lee, Terrance MD 84 LLC Fc 311
Holway, Lorelle LCSW 337, 410 Maresca, Warren MD 84 Pinnacle MRI Group LLC 311
Kuperinsky, Renee LCSW 337, 410 Mulkay, Angel MD 85 Ridgefield Imaging Center, Inc 311
Martino, Jodi LCSW 337, 410 Obeleniene, Rimvida MD 85 Sovereign Health Imaging LLC 311

www.wellcare.com/New-Jersey | 584
EXTENDED HOURS INDEX
Bergen - cont. Rozehzadeh, Joseph DDS 99, 417
Gastroenterology
Severe, Martha DDS 100, 417
Diagnostic Imaging - cont. Biener, Alexander MD 94
Shin, Hyun Won DDS 100, 417
The Radiology Center of Lyndhurst Candido, Frank MD 95
Tadros, Jacklyn DDS 100, 418
311 Fishbein, Susan MD 95
Xenakis, George DDS 100, 418
Friedrich, Ivan MD 95
Dialysis Yapor, Eddy DDS 100, 418
Gupta, Ramesh MD 95
Hackensack Dialysis 311 Yu, Seo DDS 100, 418
Kahn, Simon MD 95
Radburn Dialysis 311 Yun, Sung DDS 100, 418
Kancherla, Sandarsh MD 95
Zakaim, Elvis DMD 100, 418
Durable Medical Equipment Kaplounov, Irina MD 95
Zakjyev, Rustam DMD 100, 418
At Home Medical 312, 413Panella, Vincent MD 96
Center Pharmacy 312, 413Rubin, Kenneth MD 96 General Practice
Have Shoes Will Travel 312, 413Sapienza, Mark MD 96 Borkowski, Douglas MD 100
Integra Partners LLC 312, 413, 414Spinnell, Mitchell MD 96
General Surgery
Levy's Pharmacy of Lyndhurst LLC
General Dentistry Longo Salvador, Jose MD 101
312, 414
313, 415 Aboelsaad, Mohamed DDS 97, 415 McGinty, James MD 101
Sunny Pharmacy
Alexander, Victoria DDS 97, 415 Narvaez, Guillermo MD 101
Yang Shoe Corporation 313, 415
Aviarbakh, Hanna DDS 97, 415 Poole, John MD 102
Ear, Nose & Throat Barysenka, Alena DDS 97, 415
Gynecology
Lehrer, Joel MD 92 Blades, Brandon DMD 97, 415
Bauer, Christopher MD 103
Moon, Taewon MD 92 Carto, Faith DMD 97, 415
Samadi, Sharyar MD 92 Chong, Sarah DDS 97, 415 Home Health Care
Drutsko, Sergey DMD 97, 416 Care4me LLC 314, 419
Endocrinology, Diabetes,
Metabolism Edalat, Fariba DDS 97, 416 Maxim Healthcare Services Inc
Kim, Christian MD 93 Eldin, Khaled DDS 98, 416 314, 419
Sandhu, Narinder MD 93 Elfar, Mina DMD 98, 416 Visiting Homemaker Home Health
Espinosa-Dovale, Maria DDS Aide Serv 314, 419
Endodontics 98, 416
Smiley, Stephen DDS 93, 415 Estedrak, Maryz DDS Hospice
98, 416
Life Source Services LLC 315
Family Practice Gerges, Nabil DDS 98, 416
Abdulmassih, Sami MD 1 Halim, Katerine DMD 98, 416 Hospital
Castro, Rodrigo DO 93 Hur, Eun DMD 98, 416 Bergen Regional Medical Center
Chiusano, Emi MD 93 Igdalev, Igor DMD 98, 416 306
Ferrell, David MD 94 Igdalev, Julia DDS 98, 416 Englewood Hospital and Medical
Healy, Christine DO 94 Jahansouz, Maryam DDS 98, 416 Center 306
Kaul, Rachna MD 94 Kim, Yoojin DDS 98, 416 Holy Name Medical Center 306
Lee, Mark DO 94 Lavandeira, Janet DMD 98, 416
Infectious Disease
Norton, Kevin DO 94 Lazar, Jonathan DMD 99, 416
Jathavedam, Ashwin MD 104
Reddy, Sureka MD 94 Margolin, Jerome DDS 99, 417
Weisholtz, Steven MD 104
Saros, Cathleen DO 94 Meskin, Vladimir DDS 99, 417
Shuldgach, Deborah ARNP 341 Morcos, Safinaz DDS 99, 417 Internal Medicine
Spinelli-Drenth, Rosemarie ARNP Ouhame, Nisrine DDS 99, 417 Agadi, Smitha MD 2
341 Petlyuk, Nataliya DDS 99, 417 Arnouk, Munzer MD 3
Wilkin, Daniel DO 2 Pizzano, Marc DDS 99, 417 Biener, Alexander MD 3
Rahman, Mohammed DDS 99, 417 Bowe, Geraldine ARNP 342
Federally Qualified Health Center Rao, Nirmala DMD 99, 417 Candido, Frank MD 3
North Hudson Community Action Redzio, Ursula DDS 99, 417 Casimiro, Nita ARNP 342
Corp 313 Rehman, Aneeza DMD 99, 417 Chouake, Benjamin MD 4

www.wellcare.com/New-Jersey | 585
EXTENDED HOURS INDEX
Bergen - cont. Singh, Amandeep MD 12
Neurology
Sonzogni, Elaine ARNP 343
Internal Medicine - cont. Hanna, Amir MD 112
Spinnell, Mitchell MD 13
Chung, Haeyang MD 4
Wasserman, Kennneth MD 13 Nuclear Cardiology
Coppola, Peter MD 4
Weisholtz, Steven MD 14 Blood, David MD 115
Cristescu, Corina MD 105
Wien, Frederic MD 14
Erlebacher, Jay MD 4 Nurse Midwife
Farber, Liora MD 5 Interventional Cardiology Fisherman, Amy CNM 359
Fleischer, Joseph MD 5 Angeli, Stephen MD 108 Naranjo, Erika CNM 360
Galumyan, Yelena MD 5 Shah, Anuj MD 108 Powell, Carole CNM 360
Goldweit, Richard MD 5 Rake, Shari CNM 360
Laboratory Pathology Testing
Gura, Russell MD 6 Rivera Delvalle, Gail CNM 360
Bio Reference Laboratories Inc 315
Hamilton, Monique MD 6
Nurse Practitioner
Ibrahim, Ehab MD 6 Licensed Clinical Social Worker
Atlas, Kellie ARNP 360
Jacobs, Stephen MD 6 Altamura, Christina LCSW 343, 419
Herrera, Maryeth ARNP 360
Jathavedam, Ashwin MD 6 Basilio, Deborah CSW 343, 419
Joo, Richard MD 6 Blane, Daniel LCSW 344, 420 Nurse Practitioner Adult Health
Kahn, Simon MD 105 Caraccio, Steve LCSW 344, 420 Kutzleb, Judith ARNP 362
Kancherla, Sandarsh MD 6 Schrader, Cheryl LCSW 347, 423
Nurse Practitioner Family Medicine
Kaplounov, Irina MD 6
Licensed Marriage and Family Baldeo-Dat, Dhanmatie ARNP 362
Karim, Karim MD 7 Therapist Inocencio, Mark ARNP 363
Katz, Manuel MD 7 Massoud, Daniel LMFT 349 Kihwaga, Naomi APRN 363
Kim, Ann MD 7 Zihal, Annmarie LMFT 350 OH, Beomseok ARNP 363
Kim, Christian MD 106
Kocher, Jeffery MD 106 Licensed Professional Counselor Nurse Practitioner Pediatric
Laiosa, Catherine MD 7 Alkhalaileh, Michelle LPC 350, 425 Gregory, Josefina ARNP 363
Lang, Anna ARNP 342 Arlia, Jaime LPC 350, 425 Vales-Buckwald, Nicole ARNP 364
Leber, George MD 7 Bryer, Janice LPC 351, 425
Golfinopoulos, Catherine Pn Nurse Practitioner Psychiatric
Lee, Sung Won MD 7 Mental Health
Lippe, Scott MD 8 109, 426
Fallon, Elizabeth ARNP 364
Malovany, Robert MD 8 Lee, Joon Eui LPC 352, 427
Mehta, Bijal MD 8 Torres, Luz LPC 353, 428 Nutrition
Mitchel, Jeffrey MD 9 Zihal, Annmarie LMFT 354, 428 Albaum, Rachel RD 364, 433
Mudry, Carolyn DO 9 Quintana, Marilyn RD 364, 433
Licensed Social Worker
Oliver, Richard MD 9 Vero, Linda RD 365, 433
Artis, Ladeana CSW 354, 429
Panella, Vincent MD 9 Yachechak, Suzanne RD 365, 433
Mitchell, Michelle LSW 356, 431
Parangi, Robert MD 9 Purwin, Nicole LSW 357, 432 Obstetrics
Park, Myoung ARNP 343 Urato, Gabriella LSW 358, 433 Cocoziello, Ramin MD 116
Pavon, Alex MD 10 You, Eun LSW 358, 433
Perez, Ruben MD 10 Obstetrics/Gynecology
Pizzi, Rose ARNP 343 Neonatal Perinatal Medicine Adu-Amankwa, Bernice MD 116
Pomerantz, Mark MD 10 Bhat, Kiran MD 110 Balazs, Peter MD 116
Psalidas, Panagiotis MD 10 Cruz, Florencia MD 110 Bennett, Bruce MD 116, 117
Rigolosi, Ronald MD 11 Goil, Sunita MD 110 Bentolila, Eric MD 117
Safa, Nina MD 11 Lee, Hyejin DO 110 Borja, Manuel MD 117
Sapienza, Mark MD 11 Lespinasse, Antoine MD 110 Broizman, David MD 14
Shapnik, Bella MD 12 Margolis, Eric MD 110 Dailsay, Aurora ARNP 365
Shin, Peter MD 107 McDonald, Kathleen MD 110 Kamal, Roohi MD 118
Rosen, Harel MD 110 Knause, Rita MD 118

www.wellcare.com/New-Jersey | 586
EXTENDED HOURS INDEX
Bergen - cont. Lee, Ji OD 132, 444
Pediatrics
Lee, Ji Yun OD 132, 445
Obstetrics/Gynecology - cont. Aliaga, Julie MD 15
Levine, Marie OD 132, 445
Mann, Manpreet MD 118 Bokhari, Tahira MD 139
Morillo, Christian OD 133, 445
Milanes Roberts, Norma MD 119 Calilap Bernardo, Charmane ARNP
Ramsarat, Veronica OD 133, 446
Yahav, Eric MD 15 365
Sultani, Attefa OD 134, 447
Cardiello, Peter MD 16
Ophthalmology Tortorici, Michael OD 134, 447
Cerkvenik, Kathleen MD 16
Badami, Avni MD 120, 434 Wong, Carson OD 135, 447
Chung, Haeyang MD 16
Bailey, Tehara MD 120, 434 Youngewirth, Maty OD 135, 447
Conde, Humberto MD 17
Brazzo, Brian MD 120, 434 Zabarko, Diana OD 135, 447
Delgado, Mercedes MD 139
Burrows, Adria MD 121, 434
Oral & Maxillofacial Surgery Fayngersh, David MD 17
Burrows, Andrew MD 121, 435
Lee, Alexander DDS 135, 448 Fenkart, Douglas MD 17
Bush, Nahndi MD 121, 435
Ginart, Gaspar MD 17
Chechik, Daniel MD 121, 122, 435 Orthodontics
Hecht, Stacey MD 17
Cuttler, Nirupa MD 122, 435 Berk, Jason DDS 135, 448
Hutton-Cassie, Donna MD 17
Eichler, Joel MD 122, 436 Castronova, John DMD 135, 448
Jacob, Mariamma MD 17
Fishkin, Joseph MD 122, 436 Huh, Ahrin DDS 135, 448
John, Jeani MD 18
Gabay, Jacqueline MD 123, 436 Kim, Jung DDS 136, 448
Kumar, Geeta DO 18
Higgins, Patrick MD 123, 437 McCarthy, Karen DMD 136, 448
Laufer, Ilene MD 18
Jackson, Kurt MD 123, 437 Rabinovich, Martin DMD 136, 448
Long, Jessie MD 19
Kallina, Lauren MD 124, 437 Sullivan, Sara DDS 136, 448
Maldonado, Jose MD 19
Kamthan, Gautam MD 124, 437
Orthotics & Prosthetics Mathew, Omana MD 19
Kazam, Tal MD 124, 437
At Home Medical 315 Moshet, Osama MD 19
Kim, Daniel MD 124, 437
East Coast Orthotic and Prosthetic Nasiek, Sara MD 19
Lee, Paul MD 125, 438
Corp 315 Nghi, Phuong MD 19
Lipka, Andrew MD 125, 126, 439
Integra Partners LLC 316 Pandey, Krishna MD 20
Lyu, Theodore MD 126, 439
Panem, Cheryl MD 20
Maley, Michael MD 126, 439 Pediatric Allergy & Immunology
Park, Chong-Hyo MD 20
Phillips, Hadley DO 127, 440 Bokhari, Tahira MD 136
Psalidas, Panagiotis MD 20
Richard, Michael MD 127, 440
Pediatric Dentistry Rao, Harini MD 139
Rothman, Murray MD 127, 440
Aboelsaad, Mohamed DDS Rubia-Sazon, Elvira MD 20
Salzano, Brian MD 127, 440
316, 448 Segal, Melissa MD 21
Stegman, Daniel MD
Aviarbakh, Hanna DDS 316, 448 Sliwowski, Martha MD 21
127, 128, 440, 441
Eldin, Khaled DDS 316, 448 Steinbaum, Deborah MD 21
Weinberg, Martin MD 128, 441
Pizzano, Marc DDS 316, 449 Surti, Daxa MD 21
Optometry Rahman, Mohammed DDS 316, 449 Torres-Soto, Eileen MD 21
Angel, Shirley OD 128, 441 Zakaim, Elvis DMD 317, 449 Vinokur, Anna DO 22
Ariola, Jennifer OD 128, 129, 441, 442 Wahba, Janette MD 22
Choi, Seung-Hee OD 129, 442 Pediatric Ear, Nose & Throat Yenukashvili, Nana MD 22
130, 442 Hassan, Sherif MD 137
Cusenza, Chelsea OD Yucel, Cengiz MD 22
Samadi, Sharyar MD 137
Cuttler, Nirupa OD 130, 442
Pedodontics
Desai, Heema OD 130, 443 Pediatric Endocrinology
Ambrose, Terri DDS 140, 449
Fruchtman, William OD 130, 443 Kaul, Sushma MD 137
Cohen, Daniel DDS 140, 449
Insight Optical 131, 444
131, 444 Pediatric Gastroenterology Estelle, Kyle DMD 140, 449
Kateman, Russell OD
131, 444 Abdelwahab, Ayman MD 137 Husain, Qudsia DDS 140, 449
Kim, Diane OD
Jacobson, Barry DDS 140, 449
Kim, Martin OD 131, 444
Kleyman, Boris DDS 140, 449

www.wellcare.com/New-Jersey | 587
EXTENDED HOURS INDEX
Bergen - cont. Bergen Care Pharmacy Inc 523
Psychiatry
Bergen Medical Pharmacy 523
Pedodontics - cont. Bianco, Kathleen ARNP 366, 452
Bergen Regional Medical Center
Lee, Judyth DDS 140, 449 Cummins, Margaret ARNP 366, 452
523
Patel, Amy DMD 140, 449 Czartorysky, Bohdan MD 146, 453
Bergenfield Pharmacy 524
Shah, Rajvi DMD 140, 449 Hossain, Asghar MD 146, 453
Best Health Pharmacy 524
Shon, Nicholle DDS 140, 449 Kruse, George MD 146, 453
Broad Pharmacy Inc 524
Sioson-Maser, Patricia DDS 140, 449 Lewis, Tanya MD 147, 454
Buckleys Drug Store 524
Stillman, Dmitry DDS 141, 450 Louis, Kristan ARNP 367, 454
Center Pharmacy 524
Ostrowski, Dora MD 147, 454
Periodontics Costco Pharmacies 524
Palkhiwala, Bharati MD 147, 454
Obiechina, Nkemjika DMD 141, 450 Cresskill Pharmacy 524
Prince, Leonie MD 148, 455
CVS 524, 525, 526
Personal Care Services Ragheb, Sameh MD 148, 455
Direct Meds 526
Broadway Respite Andhome Care Santos, Frank MD 149, 455, 456
Dunn Meadow Pharmacy 526
LLC 450 Shah, Pritesh MD 149, 456
Elmwood Drugs 526
Thorpe, Michelle MD 149, 456
Physical Medicine & Rehabilitation Fairlawn Pharmacy LLC 527
Vaynberg, Dina MD 149, 456
Logvinenko, Andrei MD 141, 451 Fairview Pharmacy 527
Wang, Wei MD 149, 150, 456
Pak, Hong MD 142, 451 Fort Lee Pharmacy Surgicals 527
Putcha, Nitin DO 142, 451 Psychology Franklyns Pharmacy 527
Griswold, Germaine PHD 150, 457 Gallos Health Mart Pharmacy 527
Physical Therapy
Bednarski, Stephanie PT 366, 452 Parra, Guillermo PHD 150, 457 Garden Pharmacy 527
366, 452 Vaccarella, Gerard PHD 150, 457 Garfield Pharmacy 527
Ebeido, Motaz PT
Get RX Help Pharmacy 527
Kryagin, Michael PT 366, 452 Pulmonary Disease
Glen Rock Medical Pharmacy 527
Bowe, Geraldine ARNP 367
Podiatry Golden Care Pharmacy 527
142 Malovany, Robert MD 151
Annillo, Donna DPM Hackensack Pharmacy 527
143 Shatkin, Jason MD 151
Chung, Caleb DPM Hackensack Univ Med Center 527
Gilels, Alex DPM 143 Radiology - Interventional & Han Ah Reum Pharmacy 527
Goler, Scott DPM 143 Vascular Hana Grand Pharmacy 527
Han, Yoon DPM 143 Gallo, Vincent MD 153 Hana Healthmart Pharmacy 528
Haspel, Marc DPM 143 Herman, Kevin MD 153 Haworth Apothecary 528
Jeon, Jiyong DPM 143 H-B Drugs 528
Rehabilitation Facility
Khaimov, Gavriil DPM 144 Heights Specialty Pharmacy 528
Careplus Rehab LLC 317, 457
Kotzias, Georgios DPM 144 Ho-Ho-Kus Pharmacy 528
Kessler Institute For Rehabilitation
Kwon, Jake DPM 144 Hudson Drug 528
317, 318, 457, 458
Labruna, Vincent DPM 144 J and J State Street Pharmacy 528
Vdb Enterprises LLC DBA
Leodori, Mark DPM 144 J J Pharmacy 528
Rehabilitation S 318, 458
Manno, Helene DPM 144 J T L Pharmacy 528
Marcus, Robert DPM 144 Retail Jays Pharmacy 528
Patel, Rajan DPM 144 Allstar Pharmacy Dept 523 Jiffy Scripts RX 528
Rosenblum, Michael DPM 145 Alvins Pharmacy 523 Junction Drugs 528
Salazar, James DPM 145 Americare Prescription Surg CT 523 Levys Pharmacy 528
Sears, Michael DPM 145 Anthonys Pharmacy 523 Lewis Drugs Inc 528
Simon, Jeffrey DPM 145 Anthonys Ridgefield Pharmacy 523 Liberty Pharmacy 528
Slomowitz, Henry DPM 145 Atrium Pharmacy Provider 523 Maywood Pharmacy 528
Tievsky, Alex DPM 145 Bald Eagle Pharmacy 523 Midland Drugs 529
Yi, Yoon DPM 146 Baron II Drug Surgical 523 Millers Of Wyckoff, Inc 529
Benjamins Pharmacy 523 My Wallington Pharmacy 529

www.wellcare.com/New-Jersey | 588
EXTENDED HOURS INDEX
Bergen - cont. Care One At Teaneck 318, 459 Hudson
Care One At Valley 318, 459
Retail - cont. Acupuncture
Care One At Wellington 318, 459
Nature Med Pharmacy LLC 529 Rhee, Stephen LAC 369
Careone At Crestskill 318, 459
Oakland Drugs 529
Christian Health Care Center Adult Day Care
Paramus Pharmacy 529
318, 459 Advanced Services International
Parkview Pharmacy 529
County Manor Rehab & Health Inc 461
Pascack Pharmacy 529
Care Center LLC 318, 459 Bayonne Adult Medical Day Care
Plaza Pharmacy 529
Dellridge Health and Rehab Center Center 461
Plymouth Park Pharmacy Inc 529
318, 459 Care With Love Adult Daycare Inc
Richards Pharmacy 529
Inglemoor Center 319, 460 461
RITE AID 529, 530
Jewish Home At Rockleigh 319, 460 North Bergen Seniors Count LLC
Rock Ridge Pharmacy 530
Maple Glen Center 319, 460 461
Rodeo Pharmacy 530
Mr of Teaneck LLC 319, 460 Senior Spirit of Jersey City 461
Serom Pharmacy 530
Oakland Operator LLC 319, 460 Sunflower Medical Adult Day Care
Shoprite Pharmacy 530, 531
Oradell Health Care Center 461
Sicomac Pharmacy 531
319, 460
Sicomac Pharmacy LTC 531 Adult Medical Day Care
Prospect Heights Care Center
Sol Pharmacy 531 Casa Manito Adult Medical Day
319, 460
Specialty RX Inc 531 Care 461
Regent Care Center 319, 460
St Philo Pharmacy 531
Ridgewood Center 319, 460 Allergy & Immunology
Star Pharmacy 531
The Actors Fund Home 319, 460 Dangelo, Salvatore MD 158
Stop Shop Pharmacy 531, 532
The Buckingham At Norwood Care Kothari, Harish MD 158
Sunny Pharmacy 532
Rehabil 319, 460 Li, Wei MD 158
The Medicine Shoppe 532
Woodcliff Lake Health & Rehab Najib, Nabeel MD 158
The Medicine Shoppe Pharmacy
Center 319, 460 Perlman, Donald MD 158
532
Woodcrest Health Care Center Pine, Martin MD 158
Town and Country Comp Conslt
319, 460 Varghese, Mathew MD 159
532
Town Country Pharmacy 532 Speech & Language Pathology Assisted Living Services
US Pharmacy Lab 532 Hwang, Kyung SLP 367 Hamilton Park Atrium Opco 461
Valley Health Pharmacy 532
Surgical Oncology Cardiology
Variety Drug 532
Schwegman, Julie PA 367 Barber, Nathaniel MD 159
Vencer Vital Care 532
Cohen, Michael MD 160
Waldwick Pharmacy 532 Urgent Care Center Dailey-Sterling, Felix MD 160
Walmart Pharmacy 532 Doctors Office of New Jersey LLC Dungo, Joven MD 161
West End Pharmacy 532 319 Gadhvi, Pragnesh MD 161
Excel Urgent Care of Paramus LLC
Rheumatology Grandhi, Sreeram MD 162
319
Ewald, Edward MD 153 Inguaggiato, Anthony MD 162
Medexpress Urgent Care New Javed, Mohammad MD 162
Skilled Nursing Facility Jersey Inc 319 Kyreakakis, Anthony MD 163
Armenian Nursing and Rmd Urgent Care 319 Mulkay, Angel MD 163
Rehabilitation Cent 318, 459
Urology Saleh, Rany DO 164
Atrium Post Acute Care of Park
Shah, Anuj MD 165
318, 459 Howhannesian, Andranik MD 155
Ridge
Stock, Jeffrey MD 156 Shah, Deepak MD 165
Bergen Regional Medical Center
Wong, Peter MD 165, 166
318, 459 Wu, David MD 156
Care One At Pine Rest 318, 459

www.wellcare.com/New-Jersey | 589
EXTENDED HOURS INDEX
Hudson - cont. Baskin, Steven DDS 172, 463
Endodontics
Belgrave, Gerald DDS 172, 463
Chiropractic Angelica, Robert DDS 169, 463
Beydoun, Fadi DDS 172, 463
Pellino, Christopher DC 167 Levi, Jack DDS 169, 463
Bishara, G DMD 172, 463
Roses, Paul DC 167
167 Family Practice Bral, Pourang DDS 172, 464
Subin, David DC
Abdeljaber, Basil MD 23 Buckshey, Sakshi DMD 172, 464
Dermatology Amin, Samirlal MD 23 Cantuarias, Isela DDS 172, 464
Khasak, Dmitry MD 167 Cortina, Osvaldo MD 23 Cho, Chun DDS 172, 464
Marion, Anthony PA 370 Diaz, Francisco MD 24 Cohen, Steven DMD 173, 464
Yanusz, Donna ARNP 371 Fajardo, Gil MD 24 Dalpizzol, Peter DMD 173, 464
Fritz, John DO 24 Discepola, Joseph DDS 173, 464
Diagnostic Imaging
Gibson, Laura PA 372 Durgam, Chithra DDS 173, 464
Advanced Magnetic Imaging PA
Goldstein, Marc DO 24 Espinosa-Dovale, Maria DDS
320
Jurado, Jerry MD 24 173, 464, 465
Advanced Open MRI Ofwest
Katsman, Tatyana DO 24 Freeman Jr., Paul DDS 173, 465
Hudson PA 320
Knihnicky, Alexander DO 24 Fuentes, Peter DDS 173, 465
Advanced Womens Imaging LLC
Levine, Howard DO 25 Gelman, Yevgeniya DDS 173, 465
320
Bergenline X Ray Diagnostic Center Macalalag, Angeline ARNP 372 Goldstein, Andrew DDS 173, 465
Matienzo, Ricardo MD 25 Gurung, Sita DMD 174, 465
320
320 Mbadugha, Nkechi PA 372 Heisler, Patti DDS 174, 465
Hoboken Radiology LLC
Mmereole, Robert MD 25 Herman, Harris DMD 174, 465
Hudson MRI PA 320
Hudson River Radiology Center LLC Neopane, Padam MD 26 Hernandez-Reyes, Fransico DDS
Panem, Flordeliz MD 26 174, 465
320
Potoczek Salahi, Jolanta MD 26 Hussain, Sakina DDS 174, 465
Jersey Advanced MRI and
Sanderson, James DO 27 Karmann, Richard DMD 174, 465
Diagnostic Center 320
Saunders, Abby PA 372 Kathawala, Samina DDS 174, 465
Jersey City Diagnostic Center Inc
Shuldgach, Deborah ARNP 372 Khalid, Rashid DMD 174, 465
320
Spivak, Dana MD 27 Khaylomsky, Lena DMD 174, 466
Montclair Radiological Associates
Subrati, Rahman MD 28 Lavandeira, Janet DMD 174, 466
PA 321
North Jersey Imaging Center 60th Veloso, Corazon MD 28 Lee, Michael DDS 175, 466
Lee, Sang DDS 175, 466
321 Federally Qualified Health Center
MA, Monali DMD 175, 466
Sonoview Consulting Inc 321 Horizon Health Center 322
Manchikanti, Radha DMD 175, 466
Metropolitan Health Family
Dialysis Martirosov, Sophia DDS 175, 466
321 Network 322
Bayonne Renal Centerllc Mian, Saima DMD 175, 466
North Hudson Community Action
Mulkay, Zenaida DMD 175, 466
Distinct Part Unit Psych Corp 322
Munoz, Juan DDS 175, 466
Newark Beth Israel Med Center 321
Gastroenterology Nathi, Lakshmi DDS 175, 466
Durable Medical Equipment Dizon, Alita MD 170 Nourbakhsh, Michael DDS 175, 466
Integra Partners LLC 321, 462, 463 Gibilisco, Raffaele MD 170 Obi, Nneka DDS 175, 466
Jerrys Drug and Surgical Supply Goldstein, Steven MD 170 OH, Hyesuk DDS 176, 466
321, 463 Krohn, Natan MD 171 Orjiekwe, Ogonna DMD 176, 466
MD Respiratory Service Inc 321, 463 Ramos, Rafael MD 171 OST, Ellen DDS 176, 467
St Clara Medical Supplies Corp Stowe, Arthur MD 171 Ouzer, Amanda DMD 176, 467
322, 463 Zapiach, Mauricio MD 171 Park, Min DDS 176, 467
Perricci, Jeffrey DDS 176, 467
Endocrinology, Diabetes, General Dentistry
Metabolism Rafique, Maryam DMD 176, 467
Ahmed, Nasrine DDS 172, 463
Sandhu, Narinder MD 168 Razeghi, Nezhat DDS 176, 467

www.wellcare.com/New-Jersey | 590
EXTENDED HOURS INDEX
Hudson - cont. Florentino, Hector MD 33
Hospital
Fogari, Robert MD 33
General Dentistry - cont. Bayonne Medical Center 307
Gabriel, Ahab MD 33
Ro, Charles DMD 176, 467 Christ Hospital 307
Goldstein, Steven MD 34
Rodriguez, Nadia DMD 176, 467 Hoboken University Medical
Gosalia, Tanmay DO 34
Romaguera-Pazmino, Leyla DMD Center 307
Haddad, Bassam MD 34
176, 467 Hudson Regional Hospital 307
Haddad, Danny MD 34
Rueda, Robert DDS 177, 467 Jersey City Medical Center 307
Hamsa, Gangaswamaiah MD 34
Ruiz-Sardelli, Bertha DMD 177, 467 Newark Beth Israel Med Center
Hidalgo, Maria MD 34
Saad, Nader DDS 177, 467 307
Hoffman, Mark MD 34
Salazar, Maria DMD 177, 468 Palisades Medical Center 307
Ibrahim, Mary MD 35
Saltzberg, David DMD 177, 468
Infectious Disease Inguaggiato, Anthony MD 35
Sardelli, Louis DDS 177, 468
Khan, Noroze MD 184 Jacob, Emad MD 35
Seok, Bo Hyun DMD 177, 468
Kumar, Chitra MD 185
Sethi, Ritu DDS 177, 468 Internal Medicine
Liu, Sizhu ARNP 374
Shetty, Reshma DDS 177, 468 Abbassi, Samih MD 28
Luhana, Manish MD 35
Skjeveland, Richard DDS 177, 468 Acierno, Lynne MD 29
Lukusa, Heather ARNP 374
Sladky, Joerg DDS 178, 468 Adaniel, Victor MD 29
Mangia, Anthony MD 36
Turanskiy, Zinoviy DDS 178, 468 Ahmad, Muhammad MD 29
Milazzo, Carmelo MD 36
Verma, Ganga DDS 178, 469 Akhtar, Shahnaz MD 29
Mirza, Muhammed MD 36
Wenger, Abraham DMD 178, 469 Al-Asad, Manar MD 184
Morales, Annette ARNP 374
Weyrauch, Michael DMD 178, 469 Aman, Chaudhry MD 29
Moussa, Ghias MD 36
Williams, Hallie DDS 178, 469 Amin, Deepak MD 29
Murillo, Narcisa MD 36
Yapor, Eddy DDS 178, 179, 469 Anton, Joseph MD 29
Neno, Rosa DO 37
Youssoufian, Anahid DDS 179, 469 Armas, Holger MD 29
Newton, David ARNP 374
Zara, Maria DMD 179, 469 Arteta, Pablo MD 29
Owusu, Solomon MD 37
Assaleh, Marwan MD 29
General Practice Padilla, Adrian MD 37
Badin, Diane MD 30
Jain, Doney MD 28 Park, Byong MD 37
Badin, Michel MD 30
Neopane, Padam MD 28 Park, Seongae ARNP 374
Barber, Nathaniel MD 30
Perez, Ruben MD 37
General Surgery Barbour, Marva ARNP 373
Pinal, Jose MD 38
Miller, Benetta MD 180 Benitez, Olga MD 30
Rastogi, Sadhna MD 38
Ottley, Anroy MD 180 Borghini, Margarita MD 30
Rastogi, Surender MD 38
Schrag, Sherwin MD 180 Boylan, Edward MD 31
Riotto, Lorraine MD 39
Sultan, Ronald MD 181 Campoalegre, Maria MD 184
Roque Dieguez, Hilda MD 39
Cardiello, Gary MD 31
Geriatric Medicine Saleeb, Joseph MD 39
Chinai, Ronak MD 31
Goldstein, Marc DO 181 Saliba, Jehad MD 39
Ciechanowski, George MD 184
Seman, Ahmed MD 39
Hematology Da Silva, Robert MD 31
Shah, Anuj MD 186
Skarbnik, Alan MD 182 Dedousis, John MD 32
Shah, Deepak MD 39
Delacruz, Catalino MD 32
Hematology & Oncology Shah, Kamalesh MD 39
Desai, Vikas MD 32
Badin, Michel MD 182 Shah, Rohitkumar MD 39
Dizon, Alita MD 32
Richard, Shambavi MD 183 Shukla, Paresh MD 39
Doshi, Prakash MD 32
Riotto, Lorraine MD 183 Syed, Saquiba MD 40
Dungo, Joven MD 32
Trusty, Mazie ARNP 375
Home Health Care Elamir, Mazhar MD 32
Vaiana, Paul MD 40
Rosario E Magno Int'L Staffing Inc Elamir, Mohammed MD 33
Vaswani, Rani MD 40
323, 470 Elias, Sameh MD 33
Vazquez Falcon, Luis MD 40

www.wellcare.com/New-Jersey | 591
EXTENDED HOURS INDEX
Hudson - cont. Branch, Karon ARNP 380
Occupational Therapy
Brun, Darlene ARNP 380
Internal Medicine - cont. Daubert, Aaron OT 385, 472
Inocencio, Mark ARNP 381
Viola, Kyle PA 375 Goss, Anthony OT 385, 472
Kihwaga, Naomi APRN 381
Lisak, Victor OT 385, 472
Interventional Cardiology Ruzehaji, Sevim ARNP 381
Javed, Mohammad MD 187 Smith, Josephine APRN 382 Ophthalmology
Shah, Anuj MD 187 Agarwala, Atul MD 204, 472
Nurse Practitioner Pediatric
Braunstein, Steven MD 204, 472
Licensed Clinical Social Worker Gregory, Josefina ARNP 383
Brazzo, Brian MD 204, 472
Giannantonio, Ahylzabeth LCSW Hedlund, Julie ARNP 383
Cervenak Panariello, Betty MD
375, 470 Lukusa, Heather ARNP 383
204, 472
Mmereole, Paulina ARNP 383
Maternal Fetal Medicine Cummins, Dean MD 205, 473
Vales-Buckwald, Nicole ARNP
Khoury, Aldo MD 187 Eichler, Joel MD 205, 473
383, 384
Gabay, Jacqueline MD 205, 473
Medical Oncology
187 Nurse Practitioner Womens Health Gurland, Keith MD 205, 206, 473
Gupta, Bhavna MD
188 De Pina, Eneida ARNP 384 Higgins, Patrick MD 206, 473
Kumar, Chitra MD
Kincade, Thomas MD 206, 474
Skarbnik, Alan MD 188 Nutrition
Kincaide, Thomas MD 206, 474
Albaum, Rachel RD 384, 471
Nephrology Maley, Michael MD 206, 474
188 Goldstein, Leslie RD 384, 471
Bonifant, George MD McCoy, Chrishonda MD 207, 474
Quintana, Marilyn RD 384, 472
Haddad, Danny MD 189 Panariello, Anthony MD
Thomsen, Stephen MD 190 Obstetrics/Gynecology 207, 474, 475
Balazs, Peter MD 194 Phillips, Hadley DO 207, 475
Neurology
Baptiste, Nicole MD 195 Trotta, Nicholas MD 207, 475
Brannan, Timothy MD 190
Barlog, Lauren MD 195 Vora, Bhupendra MD 208, 475
Kapoor, Ashish MD 191
Bennett, Bruce MD 195
Kapoor, Vinod MD 191, 192 Optometry
Borja, Manuel MD 196
Khan, Musaid MD 192 Altahtamoni, Basel OP 323, 475
Brescia, Mark MD 196
Krish, Nagesh MD 192 Choi-Lee, Jessica OD 208, 476
Broizman, David MD 41
Desai, Roshni OD 208, 476
Nurse Midwife Chavez-Cacho, Jose MD 196
Domingues, Maria OD 208, 476
Ditommaso, Marie CNM 376 Dailsay, Aurora ARNP 384, 385
Duran, Jose OP 323, 476
Fisherman, Amy CNM 376 Esiely, Mohamed MD 197
Estevez, Joselyn OD 208, 476
Naranjo, Erika CNM 377 Farkas, Andrew MD 197
Lee, John OD 209, 477
Powell, Carole CNM 377 Friedman, Amir MD 197
Masadeh, Yasir OD 209, 477
Rake, Shari CNM 377 Hessami, Sam MD 42
Morganstein, Richard OD 210, 477
Rivera Delvalle, Gail CNM 378 Khoury, Aldo MD 198
Morillo, Christian OD 210, 477
Walker, Molly CNM 378 Knause, Rita MD 198
Rochester, Cletta OD 210, 478
Locke, Linda CNM 385
Nurse Practitioner Acute Care Rodriguez, Rodolfo OD 210, 478
Lowe, Samantha DO 199
Taliercio, Joseph ARNP 378 Rusignuolo, Anthony OD 210, 478
Luchs, Saul MD 199
Savoy, Randi OD 210, 478
Nurse Practitioner Adult Health Malcolm, Therese MD 199
Siegel, Martin OD 211, 478
Dixon, Kari-Ann ARNP 379 Marki, Richard MD 42
Trieu, MA-Le OD 211, 479
Ernst, Jeanne ARNP 379 Migliaccio, Thomas MD 200
Trytjak, Yurij OD 211, 479
Geronimo, Cynthia ARNP 379 Milanes Roberts, Norma MD 200
WAL MART Vision Center 3520
Rowe, Nivia ARNP 379 Pellecchia, Ralph MD 202
211, 479
Picard, Johan MD 202
Nurse Practitioner Family Medicine Youngewirth, Maty OD 212, 479
Stella, Stefano MD 204
Baldeo-Dat, Dhanmatie ARNP 380 Zimmerling, Inna OD 212, 479
Yahav, Eric MD 42

www.wellcare.com/New-Jersey | 592
EXTENDED HOURS INDEX
Hudson - cont. Ucheagwu, Hyacinth MD 50
Pediatric Psychiatry
Umali, Winston MD 50
Oral & Maxillofacial Surgery Sanchez, Daniel MD 216
Wassef, Inas MD 50
Robinson, Lealon DMD 212, 480
Pediatrics Wosu, Carolee MD 50
Orthodontics Abbassi, Saeed MD 43 Yu, William MD 51
Ayoub, Michael DDS 212, 213, 480 Aliaga, Julie MD 43
Pedodontics
Berk, Jason DDS 213, 480 Ansay, Editha MD 43
Dibos, Patricia DMD 217, 482
Castronova, John DMD 213, 480 Azhar, Sarwat MD 43
Drut, Oleg DDS 213, 481 Butterman, Clifford MD 44 Periodontics
Henick, Edward DDS 213, 481 Calilap Bernardo, Charmane ARNP Gerhard, Ronald DDS 217, 482
Rabinovich, Martin DMD 213, 481 386 Madjlessi, Nima DDS 218, 482, 483
Suh, James DDS 213, 481 Castillo, Elma MD 44 Shim, Eunjung DMD 218, 483
Terrana, Anthony DMD 213, 481 Castillo, Marianne MD 44
Physical Medicine & Rehabilitation
Castillo, Rodrigo MD 44
Orthotics & Prosthetics Kao, Cyrus MD 218, 484
Da Silva, Robert MD 45
Integra Partners LLC 324 Patel, Ravi MD 218, 484
Desai, Vijaya MD 45
Pediatric Cardiology Dimaculangan, Nelo MD 45 Physical Therapy
Kotb, Mohy MD 214 Eltemsah, Nagi MD 45 Elhalim, Esmat PT 386, 484
Endaya-Aguila, Thelma MD 45 Estanislao, Mylen PT 386, 484
Pediatric Dentistry
Ghaly, Maged MD 45 Maier, Jason PT 387, 484
Ahmed, Nasrine DDS 324, 481
Gonzalez, Isabel MD 46 Salama, Mina PT 387, 484
Belgrave, Gerald DDS 324, 481
Hutton-Cassie, Donna MD 46 Veytsman, Zinaida PT 387, 485
Espinosa-Dovale, Maria DDS
Jain, Doney MD 46
324, 481 Physician Assistant OB/GYN
Jean Philippe, Carolyne MD 46
Kathawala, Samina DDS 324, 481 Gomola, Ashley PA 387
LA Rosa, Niurka MD 46
Lavandeira, Janet DMD 324, 481
Laufer, Ilene MD 46 Podiatry
Lee, Michael DDS 324, 481
Lipert, Zofia MD 46 Azzolini, Thomas DPM 219
Obi, Nneka DDS 324, 482
Maldonado, Jose MD 47 Bear, Andrew DPM 219
Orjiekwe, Ogonna DMD 324, 482
Mangosing, Emma MD 47 De Benedectis, Thomas DPM 219
Ouzer, Amanda DMD 324, 482
Mayo, Yilda MD 47 Denbleyker, Leonard DPM 219
Park, Min DDS 324, 482
Meshko, Yanina MD 217 Econopouly, Demetrios DPM 219
Pena, Carmen DDS 325, 482
Munoz Llaverias, Altagracia MD 47 Hanna, Mina DPM 220
Razeghi, Nezhat DDS 325, 482
Nagorna, Malgorzata MD 48 Hawawini, Naji DPM 220
Williams, Hallie DDS 325, 482
Najib, Nabeel MD 48 Isaac, Michael DPM 221
Yapor, Eddy DDS 325, 482
Nasiek, Sara MD 48 Levine, Peter DPM 221
Pediatric Ear, Nose & Throat Oropeza, Maria MD 48 Levinson, Franklin DPM 222
Hassan, Sherif MD 214 Owusu, Solomon MD 48 Moy, Anna DPM 222
Palmiery Jr, Ponciano MD 48 Nisivoccia, Jacqueline DPM 222
Pediatric Endocrinology
Panem, Cheryl MD 48 Perlman, Michael DPM 222
Lala, Vinod MD 214
Perlman, Donald MD 217 Portela, Margaret DPM 223
Salas, Max MD 214
Pradhan, Gunjan MD 49 Rallatos, Michael DPM 223
Pediatric Gastroenterology Raha, Bandana MD 49 Rendon, Monica DPM 223
Abdelwahab, Ayman MD 214, 215 Rao, Gunjan MD 49 Reynolds, Eric DPM 223
Goli, Sridhar MD 215 Rivera, Roger MD 49 Rossi, Francis DPM 224
Rivera, Seetha MD 49 Shah, Ketan DPM 224
Pediatric Hematology/Oncology
Rubia-Sazon, Elvira MD 49 Sharma, Shital DPM 224
Bhagia, Pooja MD 215
Sodhi, Surinder MD 49 Testa, Jack DPM 225
Kahn, Alissa MD 215
Surti, Daxa MD 49 Welch, Matthew DPM 225

www.wellcare.com/New-Jersey | 593
EXTENDED HOURS INDEX
Hudson - cont. Atlas Drug 533 Jersey City Pharmacy 537
Avon Pharmacy 533 Jersey Drugs 537
Podiatry - cont.
Barnabas Health Retail Pharmacy JFK Pharmacy 537
Youssef, Emad DPM 225
533 Journal Square Pharmacy 537
Prosthodontics Bayonne Pharmacy 533 Kwickmed Farmacia 537
Eramian, Robert DDS 225, 226, 485 Bergen Ave Drugs 533 Liberty Pharmacy 537
Bergen Point Apothecary 534 Lifeline RX LLC 537
Psychiatry
Bergenline Drugs 534 Manhattan Pharmacy 537
Czartorysky, Bohdan MD 226, 485
Bmc Pharmacy 534 Marin Pharmacy 537
Dela Cruz, Leo MD 226, 485
Bond Drugs 534 Marras Drug Store 537
LA Forgia, Anthony MD 227, 486
Broadway Continental Drugs 534 Mastrolia Pharmacy 537
Pedroso, Maura MD 227, 487
Broadway Pharmacy 534 Metro Drugs 538
Sanchez, Daniel MD 228, 487
Brockmans Pharmacy 534 Midtown Pharmacy 538
Sandoval Castellanos, Oscar MD
Carepoint Health Pharmacy 534 Mulkay Drugs Inc 538
228, 487
Central Pharmacy 534 Myerson Pharmacy 538
Santos, Frank MD 228, 487
Central Pharmacy Inc 534 New Horizon Pharmacy 538
Scimone, Anthony MD 228, 487
Cf Parentini Pharmacy 534 Newport Pharmacy 538
Wang, Wei MD 228, 229, 487, 488
Community Pharmacy Surgical Inc Noble Pharmacy Inc 538
Psychology 534 North Bergen Pharmacy 538
Demeyer, Joseph PHD 229, 488 Continental Drugs 534 Novecks Pharmacy 538
Griswold, Germaine PHD 229, 488 Courthouse Pharmacy 534 Palace Drugs 538
Parra, Guillermo PHD 229, 488 CVS 534, 535 Palisade Drugs 538
Direct Meds of Jersey City 535 Pan American Pharmacy 538
Pulmonary Disease
Dittmars Pharmacy 535 Park Avenue Pharmacy 538
Aman, Chaudhry MD 230
Downtown Pharmacy 535 Pavonia Pharmacy 538
Ciechanowski, George MD 230
Empire Pharmacy 535 Peckmans Pharmacy 539
Desai, Viren MD 230
Excel Pharmacy 535 Pharmacy Plus Surgical Sppls LLC
Elamir, Mazhar MD 231
Family Pharmacy Inc 536 539
Natarajan, Sekar MD 231
Farmacia Latina 536 Pharmacy Value 539
Saliba, Jehad MD 232
Farmacia San Jose 536 Pomarico Pharmacy 539
Rehabilitation Facility Fenny Pharmacy 536 Prescription Center Pharmacy 539
Baldwin Physical Therapy 325, 488 Friendly Pharmacy 536 Prime Care Pharmacy 539
Careplus Rehab LLC 325, 489 Garfield Healthcare Pharmacy 536 Quick Chek Pharmacy 539
Kessler Institute For Rehabilitation Gilmore Pharmacy 536 RITE AID 539, 540
325, 326, 489 Goodwill Pharmacy 536 Sachin Pharmacy Inc 540
Harrys Pharmacy Dept 536 Saint Moses Pharmacy 540
Retail
Health Aid Drugs 536 SAMS CLUB 540
530 Montgomery Street Pharmacy
Health Care Pharmacy 536 Santa Maria Pharmacy 540
533
Health Center Pharmacy 536 Seiferts Pharmacy 540
A Plus Drugs Surgical LLC 533
Health Fair Pharmacy 536 Shoprite Pharmacy 540
Ahmar Pharmacy 533
Heights Pharmacy 536 Singer Pharmacy 540
Albini Pharmacy 533
Hines Pharmacy 536 St Johns Pharmacy 540
Allcare Pharmacy LLC 533
Hoboken Family Pharmacy 536 St Maria Pharmacy, Corp 540
Ameen Pharmacy 533
Hook Pharmacy 537 St Mark Pharmacy 540
American Pharmacy 533
Hudacko Pharmacy 537 Stop Shop Pharmacy 541
Americas Pharmacy 533
Hudson Pharmacy 537 Sugarmans Drug Store 541
Anthonys Pharmacy 533
Hudson Specialty Pharmacy 537 Summit Care Pharmacy 541
Arlington Pharmacy 533
Jerrys Drug Surgical 537 Summit Healthcare Pharmacy 541

www.wellcare.com/New-Jersey | 594
EXTENDED HOURS INDEX
Hudson - cont. Narang, Ravinder MD 240
Substance Abuse
Salimi, Mostafa MD 241
Retail - cont. Integrity Inc Fc 233
Toor, Saddad MD 242
The Galaxy Drug Store 541
Urgent Care Center
The Peoples Pharmacy Shoppe 541 Certified Nurse Midwife
Concentra Urgent Care 326
The Prescription Shoppe 541 Blaustein, Sylvia CNM 389
Toledo Pharmacy 541 Urology Katz, Debra CNM 390
Town Pharmacy 541 Hsieh, Kuang-Yiao MD 234
Chiropractic
Tucker Drugs 541 Wu, David MD 234
Kazan, Yanal DC 243
Ultra Care Pharmacy 541
Passaic Papaleonardos, George DC 243
Umr Pharmacy Surgicals Inc 541
Schulman, Suzi DC 243
Union City Pharmacy 541 Adult Day Care
Sidoti, Thomas DC 243
United Pharmacy 541 Diamond Years Adult Medical Day
Verona Pharmacy 541 Care 491 Clinical Social Work
Vitalis Pharmacy 541 Happy Home Adult Day Care 491 East, Esther CSW 390, 492
Walmart Pharmacy 541, 542 MI Casa ES Su Casa Inc 491 Miller, Suzanne CSW 390, 492
Welcome Pharmacy 542 My Day Home LLC 491 Pomrantz, Shira LCSW 390, 492
Well Care Pharmacy 542 Ricklis, Pearl LCSW 390, 493
Adult Medical Day Care
WellCare Pharmacy 542 Stein, Eileen CSW 390, 493
Care Factory Inc 491
Willow Pharmacy 542
Colon & Rectal Surgery
Wisdom Pharmacy 542 Allergy & Immunology
Khoury, Hani MD 243
Ahuja, Kishore MD 236
Rheumatology Nochumson, Joshua MD 243
Chang, Cindy MD 236
Fogari, Robert MD 233
Kosinski, Slawomir MD 236 Dermatology
Maiello, Dominic MD 233
Perin, Patrick MD 236 Ahkami Whitworth, Rosaline MD
Skilled Nursing Facility 243
Ambulatory Surgery Center
Alaris Health At Castle Hill 326, 490 Aspen, Otter MD 243
Surgicare Surgical Assoc of Wayne
Alaris Health At Hamilton Park Marion, Anthony PA 391
LLC 327
326, 490 Masessa, Joseph MD 244
Belgrove Post Acute Care Center Assisted Living Services Nardone, Jennifer ARNP 391
326, 490 Chestnut Hill Residence Assisted Whitworth, Jeffrey MD 244
Harborview Healthcare Center Living 491 Zemel, Mathias MD 244
326, 490 The Chelsea At Bald Eagle 491 Zouzias, Dimitris MD 244
Hudson Hills Senior Living LLC Van Dyks Senior Residence of
Diagnostic Imaging
326, 490 Hawthorne L 491
Clifton Imaging Center LLC 327
Hudsonview Care & Rehab Center
Behavioral Health Counseling Clifton MRI LLC Fc 327
326, 490
Slavin, Timothy LMFT 389, 492 Garden State Open MRI 327
Manhattanview Operations LLC
Hudson River Radiology Center LLC
326, 490 Cardiac Electrophysiology
327
Newport Nursing and Rehab Tsai, Wenchi MD 236
Medical Park Imaging 327
326, 490
Cardiology Njin of Clifton 327
Palisade Operations LLC 326, 490
Ahmad, Ahsanuddin MD 237 Northeast Imaging and Diagnostics
Saint Anns Home For The Age
Atreja, Surabhi MD 237 LLC 327
326, 490
Biehl, Michael MD 237 Personal Touch Radiology LLC 327
The Harborage 326, 490
Capitanelli, John MD 237
West Hudson Sub Acute Care Dialysis
Ghassemi, Rex MD 238
Center LLC 326, 490 Great Falls Dialysis LLC 327
Kahf, Ahmad MD 239
Physicians Dialysis Passaic 327
Losardo, Anthony MD 240

www.wellcare.com/New-Jersey | 595
EXTENDED HOURS INDEX
Passaic - cont. Lee, Mark DO 246 Guerrero, Estela DDS 251, 496
Lucila, Rafael MD 53 Gyanchand, Sharmila DDS 251, 496
Dialysis - cont.
Magnusen, Mary DO 53 Hah, Chansoo DDS 251, 496
Renal Center of Passaic LLC 328
Makar, Gamil MD 53 Hanna, Sarah DDS 251, 496
Woodland Park Dialysis Center LLC
Makui, Sheyda MD 53 Kilgore, Kristen DDS 251, 496
328
Mao, Cheng-An MD 54 Kim, Steven DMD 251, 496
Durable Medical Equipment Muccino, Gary MD 54 Krieger, Matthew DMD 251, 496
4 Community Pharmacy LLC Norton, Kevin DO 246 Kwon, Jihae DDS 251, 496
328, 493 Patel, Viral MD 246 Mandelbaum, Debra DDS 252, 496
Best Care Medical Supply 328, 493 Rae, Susan MD 54 Martinez, Annie DDS 252, 496
Carmens Pharmacy and Medical Reddy, Sureka MD 246 Monje, Jonas DDS 252, 496
Supplies I 328, 493 Revoredo, Fred MD 55 Mouner, Amer DDS 252, 496
Integra Partners LLC 328, 493 Riesenman, Joseph MD 55 Noll, Jonathan DMD 252, 497
New Lucys Pharmacy Inc 328, 493 Shuldgach, Deborah ARNP 392 OH, Hyesuk DDS 252, 497
Park Ave Drugs LLC 328, 493 Soliman, Ishak MD 55 OST, Ellen DDS 252, 497
Passaic Community Pharmacy Inc Woo, James MD 55 Parra, Massiel DMD 252, 497
328, 494 Yorio, David DO 55 Patel, Kaushik DDS 252, 497
Rivas Medical Supplies LLC Passaic Patel, Lajja DMD 252, 497
329, 494 Federally Qualified Health Center Patel, Monika DMD 252, 497
Sheefa Pharmacy 329, 494 North Hudson Community Action Pavone, Salvatore DDS 252, 497
Corp 329
Pimanov, Anton DMD 253, 497
Ear, Nose & Throat
244 Gastroenterology Ravindra, Neetha DDS 253, 497
Labagnara Jr, James MD
Baddoura, Walid MD 246 Rehman, Aneeza DMD 253, 497
Endocrinology, Diabetes, Hajjar, Bassam MD 247 Roby, Brigit DDS 253, 497
Metabolism Huskowski, Piotr MD 247 Rodriguez, Nadia DMD
Dershowitz, Meir PA 391 Kosc, Gary MD 248 253, 497, 498
Eliades, Myrto MD 245 Raval, Parthiv MD 248 Rodriguez, Rafael DDS 253, 498
Khaddash, Saleh MD 245 Ruiz-Sardelli, Bertha DMD 253, 498
Panah, Manizheh MD 245 General Dentistry Saad, Nader DDS 253, 498
Srisethnil, Pudchong MD 245 Aboelsaad, Mohamed DDS Sanghavi, Kruti DDS 253, 498
249, 494
Endodontics Sardelli, Louis DDS 253, 498
Asmar, Diane DMD 249, 494
Marsheh, Firas DDS 245, 494 Barbagelata, Naldo DMD 249, 494 Seedat, Ghazala DDS 253, 498
Shamshuddin, Safa DMD 253, 498
Family Practice Batarseh, Michael DDS 249, 494
Shon, Young DDS 253, 498
Abdulmassih, Sami MD 52 D' A lessio, Vince DDS 250, 494
Singh, Geetika DDS 254, 498
Allegra, Diane MD 52 Desai, Usha DDS 250, 495
Sipzner, Jonathan DMD 254, 498
Bock, Robert MD 52 Dobrin, Keith DMD 250, 495
Skjeveland, Richard DDS 254, 498
Cergnul, Irene MD 52 Elachi, Mohamed DMD 250, 495
Sverdlova, Alyona DDS 254, 498
Crabtree, Shawn MD 52 Eldin, Khaled DDS 250, 495
Valenzuela, Tirza DDS 254, 498
Delisi, Michael MD 52 Elsaid, Sheren DMD 250, 495
Voladri, Latha DDS 254, 498
Demuro, Paul MD 52 Emele, Michael DDS 250, 495
Yacoub, Kinda DDS 254, 498
Ferrell, David MD 246 Feder-Stamler, Rebecca DMD Yassein, Ibraheim DDS 254, 499
Gloria, Stephen DO 53 250, 495
Handler, Heidi MD 246 Fils-Aime, Sheila DDS 250, 495 General Practice
Jenkins, Lisa MD 53 Fuentes, Peter DDS 250, 495 Baquiran, Henry MD 56
Kazmouz, Hasna MD 53 Gowda, Anjana DDS 251, 495
General Surgery
Keaney, Karen ARNP 392 Gross, Jerry DDS 251, 495
Bethel, Colin MD 254
Kordie, Dennis APRN 392 Grunstein, Robert DMD 251, 496
Bobila, Alexis MD 254

www.wellcare.com/New-Jersey | 596
EXTENDED HOURS INDEX
Passaic - cont. Berkel, Reyhan MD 58 Taclob, Lowell MD 67
Bhuiyan, Shamsul MD 58 Tejeda, Carlos MD 68
General Surgery - cont.
Bollu, Janardhan MD 59 Weiss, Jeffrey MD 68
Bui, Hoan MD 255
Cecere, Antoinette MD 59 Zahran, Ali MD 68
Christian, Derick MD 255
Chennapragada, Kausalya 59 Zwitiashvili, Robert MD 69
Damani, Tanuja MD 255
Covelli, Joseph MD 261
Elrabie, Nazmi MD 255 Licensed Clinical Social Worker
Cronin, Stephen MD 59
Lin, Jeffrey MD 256 Cohen, Laura LCSW 393, 500
Desueza, Juan MD 60
Ukrainskyj, Motria MD 256 Danzger, Tamar LCSW 393, 500
Fazio, Ignazio MD 60
Nies, Diane LCSW 394, 500
Geriatric Medicine Ferraro, Lisa MD 60
Schessler, Peter LCSW 394, 500
Delisi, Michael MD 257 Goodman, Paul MD 60
Tavares, Sarah LCSW 394, 500
Demuro, Paul MD 257 Gundavaram, Pawan MD 60, 61
Natelli, Anthony MD 257 Hajjar, Bassam MD 61 Maternal Fetal Medicine
Woo, James MD 257 Hassanien, Gammal DO 61 Khoury, Aldo MD 263
Ismail, Medhat MD 62
Geriatric Psychiatry Neonatal Perinatal Medicine
Ismail, Mourad MD 62
Hayashi, Fumitaka MD 257 Bhat, Kiran MD 264
Kahf, Ahmad MD 261
Brnouti, Fares MD 264
Gynecology Khaddash, Saleh MD 62
Duchon, Jennifer MD 264
Bauer, Christopher MD 258 Khan, Muhammad MD 261
Rosenblum, Stacy MD 264
Kosc, Gary MD 261
Hematology & Oncology Weissman, Michelle MD 265
Lashin, Waleed MD 63
Afonja, Richards MD 258
Liu, Ying MD 63 Nephrology
Benn, Howard MD 258
Loughlin, Bruce DO 63 Graziano, Vincent MD 265
Gundavaram, Pawan MD 258, 259
Luna, Luis MD 63 Notkin, Alicia MD 266
Home Health Care Mainero, Michael MD 63 Zeltser, Eugene MD 268
Visiting Visiting Homemaker Mallouhi, Samuel MD 63
Neurology
Service of P 330, 499 Manickam, Rajapriya MD 63
Cornett, Oriana MD 268
Marani Dicovskiy, Marcela MD 64
Hospice Katz, Avery MD 269
Natelli, Anthony MD 64
Compassionate Care Hospice of Stein, Beth MD 269
Nil, Pudchong MD 64
Clifton LL Fc 330 Taylor, Jennifer MD 269
Nwosu-Nelson, Joel MD 64
Hospital OH, Soon Ja APRN 393 Neurosurgery
Prime Health Services-St Marys Okoye, Frederick MD 64 Feldstein, Neil MD 270
Hospital 308 Onat, Nermi MD 65 Randazzo, Ciro MD 270
St. Joseph's Hospital Reg Medical O'Neal, Issac MD 65
Nurse Midwife
Center 308 Onyeador, Beatrice MD 65
Fisherman, Amy CNM 394
Panah, Manizheh MD 65
Infectious Disease Naranjo, Erika CNM 394
Pichardo, Nelson MD 65
Marton, Lewis MD 259 Nierenberg, Susan CNM 395
Prakash, Atul MD 65
Rabbat, Mohamed MD 259 Patuto, Jennifer CNM 395
Raouf, Medhat MD 66
Powell, Carole CNM 395
Internal Medicine Rizvi, Syed MD 66
Rivera Delvalle, Gail CNM 395
Abutabikh, Nael MD 56 Roque, Evangelina ARNP 393
Ahmad, Fuad MD 57 Sanchez-Pena, Jose MD 66 Nurse Practitioner Acute Care
Alday, Arnold MD 57 Sandoval, Ramon MD 66 Luttenberger, Kristen APRN 396
Arnouk, Munzer MD 57 Shah, Nalini MD 262 Nair, Salini APRN 396
Asokan, Rengaswamy MD 57 Singhal, Monisha MD 67
Nurse Practitioner Adult Health
Balboul, Elsaid MD 58 Sommers, Daniel MD 262
Adams, Richard APRN 396
Bauer, Francis MD 58 Taclob, Erlinda MD 67

www.wellcare.com/New-Jersey | 597
EXTENDED HOURS INDEX
Passaic - cont. Stansfield-Panzera, Dorothy CNM Park, Sarah OD 283, 509
400 Patel, Hiral OD 284, 510
Nurse Practitioner Adult Health -
cont. Tah, Peter MD 274 Patel, Nimali OD 284, 510
Beenstock, Dana APRN 396 Yahav, Eric MD 69 Patel, Urvashi OD 284, 510
Ramirez, Joanne OD 284, 510
Nurse Practitioner Family Medicine Occupational Therapy Ramsarat, Veronica OD 284, 510
Baldeo-Dat, Dhanmatie ARNP 397 Abion, Kristine OT 400, 501
Rusignuolo, Anthony OD 284, 510
Blackett, Natasha ARNP 397 Henson, Dante OT 400, 501
Scharf, Larry OD 284, 510
Inocencio, Mark ARNP 397 Junankar, Asha OT 400, 501
Seyam, Ramy OD 285, 511
Kihwaga, Naomi APRN 397 Junankar, Prashant OT 400, 501
Skinner, Judith OD 285, 511
Kilroy, Jeanne ARNP 397 Kalalo, Amory OT 400, 501
Solis, Melissa OD 285, 511
Kitele, Maria ARNP 397 Ophthalmology Trytjak, Yurij OD 285, 511
Nurse Practitioner Pediatric Badami, Avni MD 275, 502 Tsai, Judy OD 285, 511
Gregory, Josefina ARNP 398 Bailey, Tehara MD 275, 502 Zabarko, Diana OD 286, 512
Hedlund, Julie ARNP 398 Burrows, Adria MD 276, 502 Zaky, Jackline OD 286, 512
Vales-Buckwald, Nicole ARNP 399 Bush, Nahndi MD 276, 502 Zalaznick, Steven OD 286, 512
Frempong, Tamiesha MD 276, 503 Zimmerling, Inna OD 286, 512
Nurse Practitioner Psychiatric Kazam, Tal MD 277, 503
Mental Health Oral & Maxillofacial Surgery
Klein, Warren MD 277, 503
Dettmore, Diane ARNP 399 Lee, Paul MD Tamimi, Imad DDS 286, 512
277, 503
Tamimi, Imad DMD 286, 512
Nutrition Matta, Ayman MD 277, 504
Albaum, Rachel RD 399, 501 Morgan, Charles MD 278, 504 Orthodontics
Mendez, Victor RD 399, 501 Mund, Michael MD 278, 504 Berk, Jason DDS 286, 512
Parekh, Swati MD 278, 505 Castronova, John DMD 286, 512
Obstetrics Richard, Michael MD 279, 505 Chelian, Giri DDS 286, 512
Khoury, Aldo MD 270 Salzano, Brian MD 279, 505 Drut, Oleg DDS 287, 512
Obstetrics/Gynecology Stegman, Daniel MD 279, 505 Terrana, Anthony DMD 287, 513
Ahkami, Shahrokh MD 270 Tannen, Bradford MD 279, 506 Yin, Hong DDS 287, 513
Alnakeeb, Mohammed MD 270 Winfield, Steven MD 280, 506
Orthopaedic Surgery
Balazs, Peter MD 270 Optometry Sabharwal, Sanjeev MD 287
Bello-Hornak, Rosemarie CNM 399 Ariola, Jennifer OD 280, 506
Bitar, Maria MD 271 Bhattacharjee, Shrabanti OD Orthotics & Prosthetics
Borja, Manuel MD 271 Integra Partners LLC 330
280, 506
Broizman, David MD 69 Bloch, Myron OD 280, 507 Pediatric Cardiology
Chavez-Cacho, Jose MD 271 Charles M Cummins OD PA 453 Galeano, Narmer MD 288
Dailsay, Aurora ARNP 399 281, 507
Dinu, Catalina MD 272 Cummins, Charles OD Pediatric Dentistry
281, 507
El Deeb, Mokhtar MD 272 Desai, Heema OD Aboelsaad, Mohamed DDS 330, 513
281, 507
Greene, Jennifer MD 272 Ferrer-Garcia, Delia OD Asmar, Diane DMD 330, 513
282, 508
Hakimi, Daniel MD 272 Fures, Denise OD Eldin, Khaled DDS 331, 513
282, 508
Hassan, Khaled MD 272 Krav, Veronika OD Fuentes, Peter DDS 331, 513
282, 508
Hessami, Sam MD 273 Lee, Ji Yun OD 282, 283, 508, 509 Gowda, Anjana DDS 331, 513
Ibrahim, Gehan MD 273 Lherisson, Lourdes OD Monje, Jonas DDS 331, 514
283, 509
Jain, Ratnam MD 273 Moreira-Tortorici, Kathy OD Mouner, Amer DDS 331, 514
Milanes Roberts, Norma MD 273 Patel, Lajja DMD 331, 514
283, 509
Pendse, Vijay MD 274 Ochlan, Melissa OD Pavone, Salvatore DDS 331, 514
283, 509
Shah, Vinay MD 274 O'Hara, Michael OD Pimanov, Anton DMD 331, 514
283, 509
Rehman, Aneeza DMD 331, 514

www.wellcare.com/New-Jersey | 598
EXTENDED HOURS INDEX
Passaic - cont. Mallamaci, Carmen MD 75
Podiatry
Mejia, Edgar MD 75
Pediatric Dentistry - cont. Castiblanco, Jose DPM 294
Mejia, Gloria MD 75
Saad, Nader DDS 332, 514 Chung, Caleb DPM 294
Mico, Mario MD 75
Seedat, Ghazala DDS 332, 514 Freundlich, William DPM 294
Moises, Rodulfo MD 76
Shamshuddin, Safa DMD 332, 514 Fusaro, Michael DPM 294
Pandey, Krishna MD 291
Skjeveland, Richard DDS 332, 514 Gambetta, Louis DPM 294
Pertubal, Maria MD 76
Yacoub, Kinda DDS 332, 514 Goler, Scott DPM 295
Razzak, Mannan MD 76
Yassein, Ibraheim DDS 332, 514 Gomez, Claudio DPM 295
Rubia-Sazon, Elvira MD 77
Haspel, Marc DPM 295
Pediatric Ear, Nose & Throat Siddiqui, Rehma MD 77
Kesler, Michael DPM 295
Hassan, Sherif MD 288 Tengson, Roger MD 78
Leodori, Mark DPM 295
Turizo, Maria MD 78
Pediatric Endocrinology McEvoy, John DPM 295
Wosu, Carolee MD 78
Prasad, Vijaya MD 288 Michael, Jonathan DPM 295
Yung, York-Mui MD 78
Montoya, Edward DPM 296
Pediatric Gastroenterology
Pedodontics Pollack, Daniel DPM 296
Galeano, Narmer MD 288
Joshi, Padma DDS 292, 515 Richardson, James DPM 296
Pediatric Hematology/Oncology Slomowitz, Henry DPM 297
Periodontics
Bhagia, Pooja MD 289 Sysounthone, Vilayvanh DPM 297
Duggal, Priya DMD 292, 515
Kahn, Alissa MD 289 Zisa, John DPM 297
Physical Medicine & Rehabilitation
Pediatric Surgery Psychiatry
Kaszubski, Priscilla DO 293, 515
Bethel, Colin MD 291 Bhalla, Ravinder MD 297, 518
Physical Therapy Czartorysky, Bohdan MD 297, 518
Pediatrics
Barba, Melchor PT 401, 516 Elrafei, Mohamed MD 297, 518
Abbassi, Saeed MD 69
Encabo, Michelle Gallardo PT Galvez, Lenoy MD 297, 518
Almanzar, Raul MD 70
401, 516 Kashoqa, Amer MD 298, 518
Alvarez, Marie MD 70
Espeleta, Benigno PT 401, 516 Rice, Harvey MD 298, 519
Baluyot, Helen MD 70
Holsman, Richard PT 401, 516 Taylor, Jennifer MD 298, 519
Basta, Magdy MD 71
Jani, Himani PT 401, 516 Wang, Wei MD 299, 519
Blaustein, Silvia MD 71
Kabbani, Nour PT 401, 516
Calilap Bernardo, Charmane ARNP Psychology
Maier, Jason PT 402, 516
400, 401 Demeyer, Joseph PHD 299, 519
Manley, Robert PT 402, 517
Cardiello, Peter MD 71 Parra, Guillermo PHD 299, 520
Mercado, Christopher PT 402, 517
Deshmukh, Pratibha MD 71
Reyna, Alita PT 402, 517 Pulmonary Disease
Fayngersh, David MD 72
Reyna, Angel David PT 402, 517 Desai, Viren MD 300
Fernandes, Rinet MD 72
Silletti, Michael PT 402, 517 Ismail, Medhat MD 300
Gonzalez, Isabel MD 73
Tuason, Cayetano PT 403, 517 Khan, Muhammad MD 300
Grullon Okumus, Ariolis MD 73
Ucol, Carlo PT 403, 517 Sanchez-Pena, Jose MD 301
Gupta, Punita MD 73
Uri, Ida Cristina PT 403, 518 Solis, Roberto MD 301
Hutton-Cassie, Donna MD 73
Vashi, Pooja PT 403, 518
Iwelumo, Ifeoma MD 73 Radiation Oncology
Vora, Kena PT 403, 518
Jacob, Mariamma MD 73 Bond, Laura MD 301
Jariwala, Nilesh MD 74 Physician Assistant Ennis, Ronald MD 301
Jedlinski, Tadeusz MD 74 Soliven, Christine PA 403 Haffty, Bruce MD 301
Kim, Claudia MD 74 Hathout, Lara MD 301
Plastic & Reconstructive Surgery
Knee, C. MD 75 Mahmoud, Omar MD 302
Baruch, Michael MD 293
Kortowska, Malgorzata MD 75 Pereira, Michael MD 302
Hamawy, Adam MD 293
Long, Jessie MD 75
Podda, Silvio MD 293

www.wellcare.com/New-Jersey | 599
EXTENDED HOURS INDEX
Passaic - cont. Melcons Pharmacy 546 Daughter of Miriam Centerthe
Middle Village Pharmacy 546 Gallen Ins 333, 521
Rehabilitation Facility
Mort Jacobs Pharmacy 546 Doctors Subacute Care 333, 521
Kessler Institute For Rehabilitation
My Friends Pharmacy 546 Hamilton Plaza Nursing and
332, 520, 521
New Lucys Pharmacy Inc 546 Rehabilition 333, 521
Retail Nour Pharmacy 546 Lakeland Health Care Center
Basic Home Infusion 543 Olssons Pharmacy-Taibis Fmly Phy 333, 521
Best Pharmacy Surgical Inc 543 546 Milford Manor Nursing Home
Billstra Pharmacy 543 Organix Pharmacy 546 333, 522
Burgios Pharmacy 543 Park Ave Pharmacy 546 Oak Ridge Rehabilitation and
Carmens Pharmacy Med Supply Passaic Community Pharmacy Inc Nursing Cen 333, 522
543 547 Preakness Healthcare Center
Cityrx Pharmacy 543 Passaic Valley Medical Pharmacy 333, 522
Clifton Pharmacy Compounding 547 Regency Gardens Nursing Center
Cntr 543 Paterson Pharmacy 547 LLC 333, 522
Colonial Pharmacy 543 Pharmacy Plus Surgical Supplies St Joseph's Home For The Eldery
Community Care Pharmacy 543 547 333, 522
Community Care RX NJ 543 Plains Pharmacy 547 Tri State Healthcare Management
Cortese Pharmacy 543 Presidential Pharmacy 547 333, 522
Costco Pharmacies 544 Quick Chek Pharmacy 547
Sleep Medicine
Curemed Pharmacy 544 Red Apple Pharmacy 547
Miller, Jeffrey DO 303
CVS 544 RITE AID 547, 548
Damiano Pharmacy 544 Riverview Pharmacy 548 Speech Therapy
Debliecks Pharmacy 544 Sheefa Pharmacy 548 Valdes, Stephanie SLP 404, 522
Downtown Pharmacy 544 Shippee Pharmacy 548
Thoracic & Cardiovascular Surgery
Drug Zone Pharmacy LLC 544 Shoppers Pharmacy 548
Wilson, Althea PA 404
Fabios Pharmacy 545 Shoprite Pharmacy 548
Family Drug Shops Haledon 545 Sinai Quick Stop Pharmacy 548 Urgent Care Center
Farmacia Del Pueblo 545 Stop Shop Pharmacy 548 Concentra Urgent Care 334
Farmacias Del Pueblo II 545 Sussmans Drugs 548 Get Well Urgent Care Clifton LLC
Fenny 1 Pharmacy 545 Tonys Pharmacy 549 334
First Aid RX 545 Valley Pharmacy 549 Medexpress Urgent Care New
Florida Drugs Liquor 545 Value Pharmacy 549 Jersey Inc 334
Goodman Pharmacy Surgical 545 Valurx Pharmacy 549
Urology
Green Cross Pharmacy 545 Van Houten Pharmacy 549
Christiensen, Keith MD 304
Hamilton Pharmacy 545 Wayne Pharmacy 549
Howhannesian, Andranik MD 304
Health Care Pharmacy 545 WellCare Pharmacy LLC 549
Stock, Jeffrey MD 304
Hometown Pharmacy 545 West Milford Pharmacy 549
Hospital Pharmacy 545 Williams Pharmacy 549 Vascular Surgery
International Drugs 545 Bobila, Alexis MD 304
Rheumatology
Irving Pharmacy 545 Elrabie, Nazmi MD 304
Chu, Alice MD 302
Jerusalem Pharmacy 545
Lewko, Michael MD 302
Kay Pharmacy 546
Kressatys Pharmacy 546 Skilled Nursing Facility
Little Falls Pharmacy 546 Barnert Subacute Rehabilitation
Main Fair Pharmacy 546 Center 333, 521
McDermott Pharmacy 546 Careone At Wayne 333, 521
Medi Center Pharmacy 546 Complete Care At Passaic 333, 521

www.wellcare.com/New-Jersey | 600
PROVIDER INDEX
Numerics Accredited Health Services Inc Fc Ahmed, Nasrine DDS
1120 Alps RD Operating Company 424, 458 172, 324, 463, 481
LLC 333, 521 Acevedo, Yanitza ARNP 378 Ahuja, Kishore MD 236
2nd Home Passaic LLC 491 Achilles Prosthetics& Orthotics LLC Airapetian, Karine MD 146, 452
2nd Home Paterson Operations 315 Akhtar, Shahnaz MD 29
LLC 491 Acierno, Lynne MD 29 Akkaway, Jennifer DDS 292, 514
2nd Home Union City LLC 461 Acme Pharmacy 523, 533 Al Haddawi, Anwar MD 43
4 Community Pharmacy LLC Acosta, Katiusca MD 69 Al Shrouf, Amal MD 299
328, 493 Adair, Robert MD 146 Alaris Health At Castle Hill 326, 490
530 Montgomery Street Pharmacy Adamova, Yelizaveta DO 141, 451 Alaris Health At Hamilton Park
533 Adams, Richard APRN 396 326, 490
Adaniel, Victor MD 29 Al-Asad, Manar MD 184
A
Adel, Nourihan MD 2, 103 Albaum, Rachel RD
A Joy Health Care LLC 314, 418, 450
Adlawan, Eina APRN 397 364, 384, 399, 433, 471, 501
A Plus Adult Medical Day Care
Adler, Uri MD 141, 451 Alberaqdar, Enis MD 300
Center 491
Adu Amankwa, Bernice MD 116 Albini Pharmacy 533
A Plus Drugs Surgical LLC 533
Adu-Amankwa, Bernice MD 116 Albracht, Barbara LCSW 335, 408
Abbas, Laila OD 280, 506
Adult Family Health Services LLC Alday, Arnold MD 2, 57
Abbasi, Arshia MD 110
327, 492 Alenick, D. MD 136
Abbasi, Tareef MD 56
Adultcare Inc 461 Alexander, Leah MD 15, 291
Abbassi, Saeed MD 15, 43, 69
Advanced Magnetic Imaging PA Alexander, Victoria DDS
Abbassi, Samih MD 2, 28
320 97, 249, 330, 415, 494, 513
Abbassi, Sonja MD 56
Advanced Open MRI Ofwest Alfakir, Maria MD 57, 300
Abdalla, Majdi MD 56
Hudson PA 320 Alfonso, Jesus MD 29
Abdeljaber, Basil MD 1, 23
Advanced Radiology Solutions 320 Ali, Sabia MD 23
Abdelwahab, Ayman MD
Advanced Services International Aliaga, Julie MD 15, 43
137, 214, 215
Inc 461 Alkhalaileh, Michelle LPC 350, 425
Abdullah, Cinderella PT 401, 516
Advanced Womens Imaging LLC All Metro Health Care
Abdulmasih, Yousef MD 69
320 413, 424, 450, 459
Abdulmassih, Sami MD 1, 52
Afonja, Richards MD 56, 258 Allcare Orthotic and Prosthetic
Abend, Paul DO 218, 484
Agadi, Smitha MD 2 Services 315
Abessi, Bryan MD 275, 501
Agarwal, Ashoke MD Allcare Pharmacy LLC 533
Abion, Kristine OT 400, 501
57, 236, 237, 260 Allegra, Diane MD 52
Aboelsaad, Mohamed DDS
Agarwala, Atul MD 204, 472 Allstar Pharmacy Dept 523
97, 249, 316, 330, 415, 448, 494, 513
Aguayofigueroa, Lourdes MD Almanzar, Raul MD 70
Aboulnaja, Mona ARNP 361, 378
43, 69, 70 Alnakeeb, Mohammed MD 270
Above and Beyond Home Care
Aguilar, Raul MD 194 Alqudah, Mohammad SLP 404
Services 314, 418
Ahern, Barbara ARNP 363 Al-Shrouf, Amal MD 57, 300
Abrahams, Michael MD 193, 194
Ahkami Whitworth, Rosaline MD Altahtamoni, Basel OP 323, 475
Abubakar, Shaik MD 23
243 Altamura, Christina LCSW 343, 419
Abutabikh, Nael MD 56
Ahkami, Shahrokh MD 270 Alter, Robert MD 181, 187
Access Care Physicians of NJ LLC
Ahmad, Ahsanuddin MD 159, 237 Altman, Harold PHD 299, 519
327
Ahmad, Fuad MD 57 Altschul, Dorothea MD
Access Nursing Services of New
Ahmad, Maliha MD 172, 249 111, 156, 268, 304
Jersey I 470
Ahmad, Muhammad MD Alvarez Perez, Jesus MD 187, 194
Accredited Health Services Inc
29, 159, 184 Alvarez, Marie MD 70
424, 458
Ahmar Pharmacy 533 Alvins Pharmacy 523

www.wellcare.com/New-Jersey | 601
PROVIDER INDEX
A - cont. Antonovich, Palina ARNP 380 August, Elizabeth MD 1
Always Caring Health Care Services Appelbaum, Lori ARNP 397 Augustine-Phalen, Tara LCSW
LLC 322, 469, 483 Aqel, Mahmoud MD 57 335, 336, 408
Always Home Care Arango, Ulises MD 275, 501 Avancha, Amarnath MD 58, 270
424, 450, 459, 470, 483, 489, 500, Arce Fung, Maria Kristen ARNP Averill, Allison MD 141, 451
515, 521 378, 379 Aviarbakh, Hanna DDS
Always There Home Health Care of Archer, Wyman Had 313, 418 97, 316, 415, 448
Bergen 314, 418 Arigbe, Evelyn ARNP 379, 396 Avon Pharmacy 533
Always There Inc 329, 499 Ariola, Jennifer OD Awad, Safwat MD 303
Amador, Sandy DPM 218 128, 129, 280, 441, 442, 506 Awca Homecare Agency Inc 424
Aman, Chaudhry MD 29, 230 Arlia, Jaime LPC 350, 425 Ayodeji, Olutope MD 70
Ambe Nguni, Irene APRN 396 Arlington Pharmacy 533 Ayoub, Michael DDS 212, 213, 480
Ambe Nguni, Irene ARNP 392 Arloro, Vincent DPM 219 Azer, Wageeh MD 179
Ambrose, Terri DDS 140, 449 Armas Home Care LLC Azhak, Sameer MD 237
Ambulatory Center For Endocopy 322, 469, 483 Azhar, Sarwat MD 43
LLC 320 Armas, Holger MD 29 Azoyan, Narine ARNP 362, 380
Ameen Pharmacy 533 Armenian Nursing and Azzariti, George MD 15
Ameen, Abdul MD 159, 184 Rehabilitation Cent 318, 459 Azzolini, Thomas DPM 219
American Pharmacy 533 Arnofsky, Adam MD 154
Americare Prescription Surg CT 523 B
Arnouk, Munzer MD 3, 57
Americas Pharmacy 533 B and L Medical Supply Inc 312, 413
Arroyo, Louis MD 297, 518
Amin, Deepak MD 29 Babbar, Puneet MD 23
Arteta, Pablo MD 29
Amin, Samirlal MD 23 Back, Jiyoung ARNP 382
Artis, Ladeana CSW 354, 429
Amoruso, Robert MD 300 Badami, Avni MD 120, 275, 434, 502
Aryal, Sunita MD 70
Amponsah, Kwame MD 41 Baddoura, Walid MD 246
Asfour, Mervet MD 245
Anam, Khalid MD 43, 70 Badin, Diane MD 30
Ashtyani, Hormoz MD 151, 154
Anam, Sadrul MD 43 Badin, Michel MD 30, 182
Asif, Mohammad MD 159
Ananth, Prakash MD 265 Badin, Simon MD 182
Asmar, Diane DMD
Anderson, Richard MD 138 Baghal, Eyad MD 169, 246
249, 330, 494, 513
Andron, Adam OD 128, 441 Bahramipour, Phillip MD 153
Asokan, Rengaswamy MD 57, 260
Angel, Shirley OD 128, 441 Bailey, Tehara MD 120, 275, 434, 502
Aspen, Otter MD 243
Angeli, Stephen MD 80, 81, 108 Bains, Yatinder MD 169
Assaleh, Marwan MD 29
Angelica, Robert DDS 169, 463 Baker, Azzam MD 43
Assina, Rachid MD 268
Angels Care LLC Baker, Iyad MD 23, 43
Asta, Charles MD 111
314, 413, 418, 450, 459 Baker, Omar MD 44
Asulin, Yitzhack MD 116, 194
Angioletti, Lee MD Baker, Zeyad MD 44
At Home Medical 312, 315, 413
120, 204, 434, 472 Balacco, Leonard MD 23
Atlas Drug 533
Angioletti, Louis MD Balasubramanian, Kanchana MD 30
Atlas, Kellie ARNP
120, 204, 434, 472 Balazs, Peter MD 116, 194, 270, 271
360, 362, 380, 397
Anik, Karishma DO 194 Balboul, Elsaid MD 58
Atmiya Adult Day Care LLC 407
Anike, Appolonia APRN 378 Bald Eagle Pharmacy 523
Atoot, Adam MD 3, 30
Anjos, Arlene CSW 369, 462 Baldeo-Dat, Dhanmatie ARNP
Atreja, Surabhi MD 237
Annillo, Donna DPM 142, 218 362, 380, 397
Atrium Pharmacy Provider 523
Anosike, Adolphus OD 208, 475 Baldwin Physical Therapy 325, 488
Atrium Post Acute Care of Park
Ansay, Editha MD 43 Balshem, Alina OT 385, 472
Ridge 318, 459
Anthonys Pharmacy 523, 533 Baluyot, Helen MD 70
Audia, Pat MD 265
Anthonys Ridgefield Pharmacy 523 Banerjee, Indrani DO 58
Audslp Diagnostic and
Anton, Joseph MD 29 Bansil, Noel MD 44
Rehabilitation Cli 325, 332, 488, 520

www.wellcare.com/New-Jersey | 602
PROVIDER INDEX
B - cont. Beaty, Patrick MD 30 Berk, Jason DDS
Banu, Nazifa MD 265 Beck, Jaclyn PA 341, 368 135, 213, 286, 448, 480, 512
Banzon, Manuel MD 116, 195 Becker, Alyssa MD 3 Berkel, Reyhan MD 58
Baptiste, Nicole MD 195 Becker, Simon DPM 143 Berkovich, Gady ARNP 373, 382
Baquiran, Henry MD 56 Bednarski, Stephanie PT 366, 452 Berkovsky, Elina PA 399
Baratta, Joseph MD 254 Beenstock, Dana APRN 396 Bernardo, Dennis MD 1
Barba, Melchor PT 401, 516 Behin, Babak MD 168, 214 Bernheim, Oren MD 260
Barbagelata, Naldo DMD 249, 494 Belgrave, Gerald DDS Bernik, Thomas MD 156
Barber, Nathaniel MD 30, 159 172, 324, 463, 481 Bernstein, Stanley MD 58
Barbour, Marva ARNP 373 Belgrove Post Acute Care Center Bersch, Kristine LCSW 336, 408
Barilari, Rafael MD 137, 215 326, 490 Bertolucci, Alessandra MD 275, 502
Barlog, Lauren MD 195 Bellamy, Mike LCSW Best Care Medical Supply 328, 493
Barnabas Health Retail Pharmacy 336, 354, 408, 429 Best Health Pharmacy 524
533 Bellardini, Angelo MD 58, 257 Best Home Care Inc 471, 483
Barnert Pharmacy 543 Bellifemine, Morris MD 30, 230 Best Pharmacy Surgical Inc 543
Barnert Subacute Rehabilitation Bello-Hornak, Rosemarie CNM 399 Bethel, Colin MD 254, 291
Center 333, 521 Belmont Pharmacy 543 Beydoun, Fadi DDS 172, 463
Barnes, Tanganyika MD 3 Beneficial Medicalsupply 328, 493 Bhagia, Pooja MD 215, 289
Baron II Drug Surgical 523 Benetatos, Michael OD 280, 506 Bhalla, Ravinder MD 297, 518
Barr, Jerome MD 104, 153, 302 Bengal Pharmacy 543 Bhaskarabhatla, Krishna MD 52
Barrientos, Monica MD 30, 58 Benitez, Olga MD 30 Bhat, Kiran MD 110, 264
Baruch, Michael MD 293 Beniwal, Jagbir MD 304 Bhatia, Taruna MD 169, 170
Barysenka, Alena DDS 97, 415 Benjamins Pharmacy 523 Bhattacharjee, Shrabanti OD
Bashist, Debra PHD 114 Benn, Howard MD 258 129, 208, 280, 442, 476, 506
Basic Home Infusion 543 Bennett, Bruce MD 116, 117, 195 Bhatty, Anis MD 15, 16, 137
Basilio, Deborah CSW 343, 419 Bennett, Harvey MD 243 Bhuiyan, Shamsul MD 58
Baskin, Steven DDS 172, 463 Benoff, Keith PHD 114 Bianco, Kathleen ARNP 366, 452
Basta, Janette MD 70 Benoff, Lane MD 81 Bidol Lee, Sohee MD 3
Basta, Magdy MD 71 Bentolila, Eric MD 117 Biehl, Michael MD 237
Batarseh, Michael DDS 249, 494 Benz, Michael MD 160 Biener, Alexander MD 3, 94
Batchu, Priyanka MD 104 Berfet, Shontelle PA 342, 373 Bienstock, Jeffrey MD 16
Bathini, Manjula DO 154 Bergen Ave Drugs 533 Bikkina, Mahesh MD 81, 237
Batista, Jose MD 71 Bergen Care Pharmacy Inc 523 Bilenki, Natalie MD 271
Batwara, Ruchika MD 188 Bergen County Adult Day Care LLC Billstra Pharmacy 543
Bauer, Christopher MD 103, 258 DBA New 319, 407, 450, 460 Bio Reference Laboratories Inc 315
Bauer, Francis MD 58 Bergen Home Care Nursing Inc Biologictx, LLC 543
Bautista, Zoraida ARNP 379 314, 418 Biondi, Pat AUD 389, 491, 492
Bayada Home Healthcare Inc Bergen Medical Pharmacy 523 Bischoff, Stephen MD 226, 485
314, 323, 329, 418, 424, 450, 459, 469, Bergen Passaic Respiratory Care Inc Bishara, G DMD 172, 463
470, 471, 483, 489, 499, 500, 515, 521 328, 493 Bitar, Maria MD 271
Bayonne Adult Medical Day Care Bergen Point Apothecary 534 Black Oak Pharmacy 543
Center 461 Bergen Regional Medical Center Blackett, Natasha ARNP 397
Bayonne Medical Center 307 306, 318, 459, 523 Blackwell, Lauren MD 104
Bayonne Pharmacy 533 Bergenfield Pharmacy 524 Blades, Brandon DMD 97, 415
Bayonne Renal Centerllc 321 Bergenline Drugs 534 Blanch, Tanya MD 3
Bayonne RX Apothecary 533 Bergenline X Ray Diagnostic Center Blane, Daniel LCSW 343, 344, 420
Bazile, Rosenancy CNP 361 320 Blank, Kenneth MD 152
Bear, Andrew DPM 219 Blaustein, Silvia MD 71

www.wellcare.com/New-Jersey | 603
PROVIDER INDEX
B - cont. Bral, Pourang DDS 172, 464 Buckshey, Sakshi DMD 172, 464
Blaustein, Sylvia CNM 389 Branch, Karon ARNP 380 Buehler, Lyndsay ARNP 362
Blechner, Michael MD 138, 216, 291 Brannan, Timothy MD 190 Bui, Hoan MD 255
Bleeker, David MD 58 Brar, Harleen MD 261, 302 Bulbin, Victoria OD 281, 507
Blitz, Lawrence MD 237 Brar, Navtej DO 160 Bumbaco, Alison ARNP 398
Bloch, Myron OD 280, 507 Brault, Peter MD 71 Buono, Amy MD 16
Blood, David MD 81, 115 Braunstein, Steven MD 204, 472 Burgios Pharmacy 543
Blooming Pharmacy 543 Bravo, Holanda MD 44, 71 Burgos, Rolando LSW 354, 429
Bloomingdale Nursing and Brazzo, Brian MD 120, 204, 434, 472 Burrows, Adria MD
Rehabilitation 333, 521 Breitbart, Seth MD 3 121, 275, 276, 434, 502
Blum, Richard MD 195 Breitwieser, Jamie LSW 354, 429 Burrows, Andrew MD
Blume, Jessica MD 79 Brescia, Mark MD 117, 196 121, 276, 435, 502
Bmc Pharmacy 534 Briganti, Robert DPM 143, 219, 294 Bush, Nahndi MD 121, 276, 435, 502
Bobila, Alexis MD 254, 304 Bright Side Manor 407 Busto, Mary ARNP 361
Bock, Robert MD 52 Brnouti, Fares MD 264 Butler, Thomas DMD
Bodey, Janet DDS 212, 480 Broad Pharmacy Inc 524 250, 331, 494, 513
Boghdady, Maged MD 271 Broadway Adult Medical Day Care Butterman, Clifford MD 44
Boja, Conrado MD 1 407 Buttigheri, Joseph DPM 143, 219
Boja, Michael DO 1 Broadway Care Pharmacy 534
C
Bokhari, Naimat MD 16, 44 Broadway Continental Drugs 534
Cabral, Cesar MD 31
Bokhari, Tahira MD 136, 139 Broadway Health Pharmacy 534
Cadoo, Lisa MD 3
Bollu, Janardhan MD 59 Broadway Pharmacy 534
Cafe RX 524
Bolton, Maryanne ARNP 396 Broadway Respite and Home Care
Cahill, Kathleen ARNP 342
Bond Drugs 534 LLC 314, 418
Calilap Bernardo, Charmane ARNP
Bond, Laura MD 301 Broadway Respite Andhome Care
365, 386, 400, 401
Bondarenko, Ruta ARNP 371 LLC 450
Caloras, Steven OD 129, 442
Bonheur, Magnolita ARNP 373 Brockmans Pharmacy 534
Camilo, Antonio MD 71
Bonifant, George MD 188 Brody-Sendroff, Joie OD 129, 442
Campoalegre, Maria MD 31, 184
Bonney, David DO 91 Broizman, David MD 14, 41, 69, 117
Campolattaro, Brian MD 121, 435
Bonnin Bethea, Denise DPM 143 Brookdale Wayne 491
Candido, Frank MD 3, 95
Bordan, Dennis MD 254, 255 Broomes, Tarashon ARNP 373
Canning, Mark ARNP 379
Boreale, Kathleen ARNP 340 Brophy, Diann OD 280, 507
Cantuarias, Isela DDS 172, 464
Borer, Gary PHD 150, 457 Brophy, Shannon ARNP 359
Cao, Dao DDS 250, 331, 494, 513
Borghini, Margarita MD 30 Brower, Steven MD 100, 154
Capitanelli, John MD 237
Borja, Manuel MD 117, 196, 271 Brown Huston, Heather LPC
Capo, Aida MD 230
Borker, Sonia DO 169 350, 425
Capo, Maria MD 230
Borkowski, Douglas MD 100 Brown, Jenny Had 329, 499
Caraccio, Steve LCSW 344, 420
Botero-Mondul, Claudia DDS Brown, Justin MD 167
Cardiello, Gary MD 31
97, 415 Brown, Melva PA 373
Cardiello, Peter MD 16, 71, 139
Bottino, Nicole PA 403 Bruce, Nivioska LPC 351, 425
Cardona, Maria OD 129, 442
Boutros, Maged MD 260 Brun, Darlene ARNP 380
Care 4 Me LLC 314, 419, 450
Bowe, Geraldine ARNP 342, 367 Bryan, Craigh MD 3
Care Factory Inc 491
Bowersox, Linda ARNP 361, 396 Bryer, Janice LPC 351, 425
Care Finders Total Care LLC
Boxer, Andrew MD 3, 59, 170, 247 Buchalski, Joseph DDS 172, 464
471, 483, 489
Boylan, Edward MD 31 Bucharowski, Martin OD 281, 507
Care One At Pine Rest 318, 459
Brahmbhatt, Gaurang MD 1, 23 Buckingham Adult Medical Daycare
Care One At Teaneck 318, 459
Brahmbhatt, Ravikumar MD 179 Center 491
Care One At Valley 318, 459
Brahver, Danit MD 23 Buckleys Drug Store 524

www.wellcare.com/New-Jersey | 604
PROVIDER INDEX
C - cont. Cergnul, Irene MD 52 Chism, Melissa MD 16
Care One At Wellington 318, 459 Cerkvenik, Kathleen MD 16 Chiusano, Emi MD 93
Care With Love Adult Daycare Inc Cervenak Panariello, Betty MD Cho, Chun DDS 172, 464
461 204, 472 Cho, Soung MD 59, 237, 270
Care4me LLC 314, 419 Cf Parentini Pharmacy 534 Chocky, Michael OD 129, 442
Careone At Crestskill 318, 459 Chaaban, Fadi MD 81, 160 Choi, Seung-Hee OD 129, 442
Careone At Wayne 333, 521 Chaaban, Janti MD 166 Choi, Yoon Hee MD 16
Carepak Pharmacy 524 Chaar, Mitchell MD 179 Choi-Lee, Jessica OD
Careplus Rehab LLC Chabbott, David MD 81 129, 208, 281, 442, 476, 507
317, 325, 332, 457, 488, 489, 520 Chan, Erwin PA 368 Cholhan, Ruth MD 153
Carepluscvs Pharmacy Onsite 534 Chandak, Ritu MD 226, 485 Chong, Sarah DDS 97, 415
Carepoint Health Pharmacy 534 Chandran, Chandra MD 265 Choo, Nancy MD 276, 502
Careway Medical Adult Day Care Chang, Cindy MD 79, 236 Chouake, Benjamin MD 4
Corp Fc 407 Chang, David MD 155, 303, 304 Chouake, Jason MD 91
Carlascio Inc 323, 330 Chang, Yang OD 129, 442 Choudhary, Geeta DDS 97, 415
Carmens Pharmacy and Medical Chapman, Mark LCSW 336, 409 Chow, Jessica DO 52
Supplies I 328, 493 Charles M Cummins OD PA 453 Chowdhury, Dolan DPM 294
Carmens Pharmacy Med Supply 281, 507 Chowdhury, Shamima MD 59
543 Charles M Cummins OD PA 466 Christ Hospital 307, 320
Carmona, Corinne ARNP 340 281, 507 Christensen, Lindsey LCSW
Carter, Cheryl MD 196 Chas Home Care 471, 483, 489 344, 420
Carto, Faith DMD 97, 415 Chatha, Anjum MD 31 Christian Health Care Center
Caruso, Robert MD 155, 234 Chatterjee, Deelip MD 59 318, 407, 459
Casa Home Care Inc 329, 499 Chau, Jennie DPM 219 Christian, Derick MD 255
Casa Manito Adult Medical Day Chaudry, Samia DO 93 Christiansen, Keith MD 155
Care 461 Chavez-Cacho, Jose MD 196, 271 Christiensen, Keith MD 304
Casia, Jeffrey MD 44 Chechik, Daniel MD Chu, Alice MD 302
Casimiro, Nita ARNP 342 121, 122, 276, 435, 502 Chu, Mary MD 41, 42
Cassarello Fernandez, Lillian APRN Chehade, Ghassan MD 263 Chui, Joey PA 401
340 Chehet, Svetlana ARNP 370 Chung, Caleb DPM 143, 294
Castiblanco, Jose DPM 294 Chelian, Giri DDS 286, 512 Chung, Haeyang MD 4, 16
Castillo, Elma MD 44 Chelliah, Padmini MD 16 Chung, Jaehoon MD 81
Castillo, Guillermo DMD 250, 494 Chemaly, Philippe DO 292, 515 Chung, Nam MD 16
Castillo, Marianne MD 44 Chen, Jenny ARNP 361 Cianci, Carol ARNP 361
Castillo, Rodrigo MD 44 Chen, Ling ARNP 382 Ciechanowski, George MD 184, 230
Castro, Rodrigo DO 93 Chennapragada, Kausalya 59 Cielesz, Amanda AUD 335, 408
Castronova, John DMD Chennapragada, Kausalya MD 59 Cinotti, Donald MD 205, 473
135, 213, 286, 448, 480, 512 Chessler, Richard MD 3, 4, 95 Cioroiu, Michael MD 100, 460
Catalano, Mariano MD 44 Chestnut Hill Convalescent Cirignano, Barbara MD 1
Catania, Lori PHD 243 Rehabilitat 333, 521 Cityrx Pharmacy 543
Catena, Michele ARNP 339, 369 Chestnut Hill Residence Assisted Clifton Imaging Center LLC 327
Cavalli, Nina MD 16 Living 491 Clifton MRI LLC Fc 327
Cavanaugh, Kelly ARNP 380 Childrens Ambulatory Surgery Clifton Pharmacy Compounding
Cebedo, Judith ARNP 392 Center of NJ 310 Cntr 543
Cecere, Antoinette MD 59 Childrens Specialized Hospital Clifton Pharmacy RX 543
Center Pharmacy 312, 413, 524 307, 308 Co, John MD 4
Central Pharmacy 534 Chinai, Ronak MD 31 Cocoziello, Ramin MD 116
Central Pharmacy Inc 534 Chinn, Natasha MD 117, 196, 197 Cohen, Daniel DDS 140, 449

www.wellcare.com/New-Jersey | 605
PROVIDER INDEX
C - cont. Cosmo Pharmacy 534 Daly, Marisa ARNP 380
Cohen, David MD 81, 304 Costa, German MD 179 Damani, Tanuja MD 255
Cohen, Heather AUD 369, 461 Costco Pharmacies 524, 544 D'Amato, Thomas MD 226, 485
Cohen, Jacob DDS 173, 464 Costello Jr, Robert MD 59 Damiano Pharmacy 544
Cohen, Laura LCSW 393, 500 Costomiris, Robert MD 160 Damle, Jagadish MD 160
Cohen, Michael MD 81, 160 Couceiro, Marian LCSW 344, 420 Damle, Vasanti MD 31
Cohen, Steven DMD 173, 464 County Manor Rehab & Health Dangelo, Salvatore MD 79, 158
Coleman, Carol CSW 375, 471 Care Center LLC 318, 459 Danzger, Tamar LCSW 393, 500
Coleman, Katherine LPC Courthouse Pharmacy 534 Daoko, Joseph MD 31, 82, 160
351, 425, 426 Covelli, Joseph MD 261 Das, Dhirendra MD 59, 82, 238
Coleman, Reginald MD 44, 45 Cox, Jill ARNP 362 Das, Shyunti MD 105
Colletti, Mario MD 139 Crabtree, Shawn MD 52 Dasilva, Veronica ARNP 398
Colon Cabassa, Sylvia ARNP 362 Craciun, Liviu MD 111, 190 Datta-Bhutada, Subhashree MD
Colonial Pharmacy 543 Craft, Arnold OD 129, 442 188, 264
Comfort Care Medical LLC 321, 462 Cresskill Pharmacy 524 Daubert, Aaron OT 385, 472
Comfort Shoes and Supplies Inc Cristescu, Corina MD 105 Daughter of Miriam Centerthe
312, 413 Cronin, Stephen MD 59 Gallen Ins 333, 521
Community Care Pharmacy 543 Cronk, Rebecca AUD 335, 408 Dave, Kirti OD 208, 476
Community Care RX NJ 543 Crowther, Maryanne APRN 394 Dave, Vinnidhy MD 105
Community Care Specialty Cruickshank, Royston MD 226, 485 Davis, Barry OD 208, 476
Pharmacy 543 Cruz, Florencia MD 110 Davis, Ellen MD 290
Community Pharmacy Surgical Inc Cruz, Mary MD 238 Davis, John MD 179
534 Cummins, Charles OD Davis, Lowell OD 208, 476
Compassionate Care Hospice of 129, 281, 442, 507 Davis, Orkeem LPC 351, 426
Clifton LL Fc 330 Cummins, Dean MD 205, 473 Davis, Orrin MD 92
Complete Care At Passaic 333, 521 Cummins, Margaret ARNP Davison, Carol ARNP 364
Concentra Urgent Care 366, 452, 453 Dawa Pharmacy 544
319, 326, 334 Curemed Pharmacy 544 Day, Brian MD 271
Conde, Humberto MD 17 Cusenza, Chelsea OD 130, 442 De Benedectis, Thomas DPM 219
Confident Care Corp Cuttler, Nirupa MD De LA Cruz, Angel MD 59
314, 323, 329, 419, 470, 499 122, 276, 435, 503 De LA Rosa, Nila ARNP 361
Connolly, Mark MD 303 Cuttler, Nirupa OD De LA Torre, Andrew MD 255
Connors, Robert MD 111 130, 281, 442, 507 De Melo, Mauricio MD 31, 32
Constantino, Edwin MD 218, 484 CVS 524, 525, 526, 534, 535, 544 De Pina, Eneida ARNP 384
Conte, Daniel DO 1 Czartorysky, Bohdan MD Debliecks Pharmacy 544
Continental Drugs 534 146, 226, 297, 453, 485, 518 Dedousis, John MD 32
Cooper, Alan OD 281, 507 Degeorge, Michael DC 243
D
Cooper, Harvey MD 59 Degiovine, Donna ARNP 373
Da Silva, Robert MD 31, 45
Cooper, Sanford MD 189 Dejesus, Jennifer MD 23
Daici, Silvia MD 17
Coppola, Adrienne LSW Dekhtyar, Yuliya PA 372
Dailey Sterling, Felix MD
354, 355, 429 Del Sordo, Amie LCSW
81, 105, 160, 184, 185
Coppola, Peter MD 4 344, 345, 420, 421
Dailey-Sterling, Felix MD 160
Coram Cvssplty Infusion Svcs 543 Del Tufo, Laura LMFT 348
Dailsay, Aurora ARNP
Cornett, Oriana MD 268 Dela Cruz, Leo MD 226, 485
365, 384, 385, 399
Correa, Luis MD 31 Delacruz, Catalino MD 32
D'Alberti, Claudio MD 205, 473
Corrigan, Nicole MD 268, 269 Delara, Vilma MD 271
D'Alessio, Vince DDS 250, 494
Cortese Pharmacy 543 Delgado, Mercedes MD 139
Dalpizzol, Peter DMD 173, 464
Cortina, Osvaldo MD 23 Delgado, Wilson MD 45

www.wellcare.com/New-Jersey | 606
PROVIDER INDEX
D - cont. Diaz, Jasmine CSW 369, 462 Doss, Nermine MD 45
Delisi, Michael MD 52, 257 Diaz, Michelle PA 372 Dougan, Sascha ARNP 400
Dellridge Health and Rehab Center Dibos, Patricia DMD 217, 482 Douyon, Philippe MD 111, 190
318, 459 Dickens, Allison LPC 351, 426 Dovlatyan, Raida MD 141, 451
Delta Orthopedic Labinc Dickman, Rona ARNP 380, 381 Downtown Pharmacy 535, 544
321, 323, 462 Diefenbacher, Joseph Had Druck, Mark MD 104, 182
Deluca, Loren DO 110, 139 313, 322, 418, 469 Drug Zone Pharmacy LLC 544
Demarco, Angelo MD 23 Differx Pharmacy 535 Drut, Oleg DDS 213, 287, 481, 512
Demarco, Christina ARNP 361 Diggs, Carsandra PA 342 Drutsko, Sergey DMD 97, 416
Demarco, Joseph MD 293 Diginos Apothecary 526 Dube, Bianca MD 24
Dematteis, Isabelle DDS 212, 480 Dillon, Elaine APRN 379 Dubin, David MD 152
Dementyeva, Yuliya MD 268 Dimaculangan, Nelo MD 45 Duchon, Jennifer MD 264
Demers, Kathleen LCSW 336, 409 Dimurro, Madeline DO 72 Duda, Jennifer RD 384, 471
Demeyer, Joseph PHD Ding, You-Guang MD 115 Duggal, Priya DMD 292, 515
229, 299, 488, 519 Diniro, Joanne LCSW 336, 409 Dungo, Joven MD 32, 161
Demuro, Paul MD 52, 257 Dinu, Catalina MD 272 Dunn Meadow Pharmacy 526
Denbleyker, Leonard DPM 219 Direct Meds 526 Duran, Chrystie SLP 388
Dershowitz, Meir PA 341, 371, 391 Direct Meds of Jersey City 535 Duran, Jose OP 323, 476
Desai, Foram MD 32 Dirk, Heather PA 359 Durgam, Chithra DDS 173, 464
Desai, Heema OD 130, 281, 443, 507 Discepola, Joseph DDS 173, 464 Duvvuri, Krishna MD 108, 263
Desai, Parth MD 230 Ditommaso, Marie CNM 376 Dworkin, Diane DPM 219
Desai, Roshni OD 208, 476 Dittmars Pharmacy 535 Dyakina, Nika DO 226, 485
Desai, Shalin MD 80, 82 Divagno, Leonardo MD 108
E
Desai, Usha DDS 250, 495 Dixon, Kari-Ann ARNP 379
Eana, Armina DO 197
Desai, Vijaya MD 45 Dixon, Keith MD 154
East Coast Orthotic and Prosthetic
Desai, Vikas MD 32 Dizon, Alita MD 32, 170
Corp 315
Desai, Viren MD 4, 32, 230, 300 Djougarian, Alina MD 276, 503
East Paterson Dialysis 327
Deserio, Josephine ARNP 342 Dmytrienko, Igor MD 4
East, Esther CSW 390, 492
Deshmukh, Pratibha MD 71 Dobkowski, Darlene PA 366, 368
Ebeido, Motaz PT 366, 452
Desiato, Lisa PA 340 Dobrin, Keith DMD 250, 495
Ebersole, John MD 111, 191
Desimone, Helen Ann DDS 292, 514 Doctors Office of New Jersey LLC
Econopouly, Demetrios DPM 219
Desueza, Juan MD 60 319
Edalat, Fariba DDS 97, 416
Dettmore, Diane ARNP 399 Doctors Subacute Care 333, 521
Edelman, Christina CNM 394
Dhalla, Sameer MD 170 Doerr, Chris ARNP 366, 367, 453
Edelman, Mark MD 153, 233, 302
Dharia, Amishi DO 141, 451 Doerr, Christine ARNP 336, 409
Egarian, April AUD 389, 492
Dhindsa, Sumeet MD 4 Domingues, Maria OD
Ehrenworth, Steven OD
Di Giorgio, Christopher MD 60, 238 130, 208, 443, 476
130, 281, 443, 507
Diagnostic Imaging Associates of Donohue, Gerard PHD 150, 457
Eichler, Joel MD 122, 205, 436, 473
North J 311 Donohue, Melissa LSW
Eichman, Gerard MD 82
Dialysis At Palisades Medical Center 355, 429, 430
Eid, Sebastian MD 100
321 Dorkhom, Stephan MD 258
Eisenstein, Elliot MD 72
Diamond Years Adult Medical Day Dorman, Alicia OD
Ej and Jj Inc 312, 315, 413
Care 491 130, 281, 443, 507
El Deeb, Mokhtar MD 272
Diamond, Marshall DMD Doroudi, Shideh MD 52
El Khashab, Mostafa MD 114, 115, 193
250, 331, 495, 513 Dorse, Jennine OD 130, 443
Elachi, Mohamed DMD 250, 495
Diarbakerli, Fares MD 271 Doshi, Prakash MD 32
Elamir, Mazhar MD 32, 230, 231
Diaz Garcia, Mary ARNP 386 Doshi, Vatsal MD 122, 276, 435, 503
Elamir, Mohammed MD 33
Diaz, Francisco MD 24 Doss, Emile MD 238

www.wellcare.com/New-Jersey | 607
PROVIDER INDEX
E - cont. Espiritusanto, Yokaira DPM 294 Feng, Jing MD 276, 503
Eldin, Khaled DDS Essexcare Pharmacy 527 Fenkart, Douglas MD 17
98, 250, 316, 331, 416, 448, 495, 513 Estanislao, Mylen PT 386, 484 Fenny 1 Pharmacy 545
Elfar, Mina DMD 98, 416 Estedrak, Maryz DDS 98, 416 Fenny Pharmacy 536
Elhabbak, Ali OP 330, 507 Estelle, Kyle DMD 140, 449 Feoli, Enrique MD 89, 111, 167, 191
Elhalim, Esmat PT 386, 484 Estevez, Joselyn OD 208, 476 Fermano, Tina PA 340
Eliades, Myrto MD 93, 168, 245 Evans, Frank MD 82 Fernandes, Rinet MD 72
Elias, Maurice MD 72 Evergreen Pharmacy 527 Fernandez, Osbert 15, 42
Elias, Sameh MD 33 Ewald, Edward MD 153 Fernandez, Osbert MD 15, 42
Elias, Steven MD 156, 157, 235 Excel Pharmacy 535 Fernandez, Yocasta MD 72
Elkhalili, Walid MD 4 Excel Urgent Care of Paramus LLC Fernandez-Cos, Henry MD 117, 197
Elliston, Jason MD 45 319 Ferraro, Lisa MD 60
Elmwood Drugs 526 Excellent Home Health Care Inc Ferrell, David MD 94, 246
Elrabie, Nazmi MD 255, 304 330, 499 Ferrer, Angel MD 72
Elrafei, Mohamed MD 297, 518 Ferrer-Garcia, Delia OD 282, 508
F
Elsaid, Sheren DMD 250, 495 Fidalgo, Lara LMFT 348
Fabios Pharmacy 545
Elsawy, Osama DO 255 Fidelity Care 315, 424, 450, 459
Fabios Pharmacy 2 535
Elsayed, Ali MD 185 Figueroa, Nilka MD 60
Fagan, Sara LCSW 345, 421
Eltemsah, Nagi MD 45 Fils-Aime, Sheila DDS 250, 495
Faillace, Robert MD 238
Elzomor, Walid PA 403 Findura, John LPC 351, 426
Fair Lawn Diagnosticimaging Center
Emele, Michael DDS 250, 495 Fine, Craig DDS 98, 416
311
Emerald Health Care Services Inc Fine, Ronnie MD 138
Fairlawn Diagnosticimaging Center
329, 499, 515, 521 Finkel, Diana DO 33, 60, 183, 259
311
Emerson Convalescent Center Inc Fiorillo, Marc MD 5, 95
Fairlawn Pharmacy LLC 527
318, 460 First Aid RX 545
Fairview Pharmacy 527
Empire Pharmacy 535 Fishbein, Susan MD 95
Fajardo, Gil MD 24
Encabo, Michelle Gallardo PT Fisher, Daisy ARNP 370, 390
Falis, Ashley PA 370, 390
401, 516 Fisherman, Amy CNM 359, 376, 394
Fallil, Zianka MD 111, 191
Endaya-Aguila, Thelma MD 45 Fishkin, Adria APRN 392
Fallon, Elizabeth ARNP 364
Endoscopy Center of Hackensack Fishkin, Joseph MD 122, 436
Family Drug Shops Haledon 545
LLC 310 Fleischer, Joseph MD 5
Family Pharmacy Inc 536
Englewood Hospital and Medical Fletcher, Indeya ARNP 363
Faraz, Haroon MD 33, 161
Center 306 Florentino, Hector MD 33
Farber, Liora MD 5
Ennis, Ronald MD 301 Florida Drugs Liquor 545
Farbowitz, Michael OD 282, 508
Ephros, Hillel DMD 286, 512 Floyd, Therese ARNP 398
Farkas, Andrew MD 197
Epic Health Services Inc 329, 499 Fogari, Robert MD 33, 233
Farkas, John MD 247, 261
Eramian, Robert DDS 225, 226, 485 Fong-Soto, Tomas DDS 250, 495
Farmacia Del Pueblo 545
Erguder, Iris MD 1 Forszt Jr, Edward OD 209, 476
Farmacia Latina 536
Erlebacher, Jay MD 4, 82 Fort Lee Pharmacy Surgicals 527
Farmacia San Jose 536
Erlich, Sara OD 130, 443 Fox, Nathan MD 117
Farmacias Del Pueblo II 545
Ernst, Jeanne ARNP 379 Francis, Randa CNM 376
Fayngersh, David MD 17, 72
Esche, Roxana PT 386, 484 Franco, Maria MD 217
Fazelpoor, Guity MD 299, 520
Escobar, Juan MD 197 Frankel, Alan OP 330, 508
Fazio, Ignazio MD 60, 265
Escobar, Paola CNM 400 Franklyns Pharmacy 527
Feder-Stamler, Rebecca DMD
Esiely, Mohamed MD 197 Franzoni, David MD 155, 234
250, 495
Espeleta, Benigno PT 401, 516 Freeman Jr., Paul DDS 173, 465
Feinstein, Esther PA 390
Espinosa-Dovale, Maria DDS Freeman, Michael MD 255
Feldstein, Neil MD 270
98, 173, 324, 416, 464, 465, 481 Freilich, Benjamin MD 122, 436

www.wellcare.com/New-Jersey | 608
PROVIDER INDEX
F - cont. Garcia, Jessica LCSW 345, 421 Gioffre, Darren OT
Frempong, Tamiesha MD Garcia, Steven MD 24 365, 400, 433, 501
123, 276, 436, 503 Garden Pharmacy 527 Gioioso, Scott DPM 220
Freundlich, William DPM 294 Garden State Open MRI 327 Girgis, Marina DO 24
Freyle, Jaime MD 138 Garfield Healthcare Pharmacy 536 Gitlin, Jordan MD 138, 155
Fried, Arno MD 115, 193 Garfield Pharmacy 527 Glassman, Yosef MD 105
Friedman, Amir MD 197 Garrido, Laura ARNP 382 Glazer, Douglas OD 282, 508
Friedman, Stephen OD Geffner, Rami MD 168 Glen Rock Medical Pharmacy 527
130, 209, 443, 476 Gehrig-Mullins, Lorraine LCSW Glick-Novack, Stacey LCSW
Friedrich, Ivan MD 5, 95 336, 409 337, 409
Frieman, Brett DO 205, 473 Gejerman, Glen MD 152, 232 Gloria, Stephen DO 53
Friendly Pharmacy 536 Gelfand, Robert MD 182 Gmyrek, Glenn MD 155
Fries, Danielle APRN 382 Gelfer, Carole SLP 367, 460 Godfrey, Loren MD 152
Fritz, John DO 24 Geller, Aaron MD 111, 112, 191 Godoy, Irma DPM 294
Fruchtman, William OD 130, 443 Gelman, Yevgeniya DDS 173, 465 Goel, Narender MD 34
Fuchs, Mae ARNP 365 Gendy, Remon DPM 294 Goer, Joanne LPC 389, 492
Fuentes, Peter DDS Genoa-QOL Healthcare 527 Goil, Sunita MD 110
173, 250, 331, 465, 495, 513 Genova, Alexandra LSW 355, 430 Golabek, Agnieszka ARNP 361
Fures, Denise OD 131, 282, 443, 508 Gentile, Susan ARNP 335 Golbert, Thomas MD 79, 158, 236
Fusaro, Michael DPM 294 Gentle Heart Careagency Gold, Jeffrey MD 60
Fusilli, Louis MD 238 424, 450, 459 Goldberg, David MD
Fyffe, Ullanda MD 1, 52 George, Titus DDS 91, 138, 216, 289
250, 251, 331, 495, 513 Goldberg, Stuart MD 182
G
Gerges, Nabil DDS 98, 416 Golden Adult Day Care Inc Fc 407
Gaafer-Ahmed, Hany MD 118, 272
Gerhard, Ronald DDS 217, 482 Golden Care Pharmacy 527
Gabay, Jacqueline MD
Geriatric Living Solutions Inc 407 Golden Cares Pharmacy Inc 527
123, 205, 436, 473
Geronimo, Cynthia ARNP 361, 379 Golden Years Adult Day Care LLC
Gabay, Theresa ARNP 359, 376
Get RX Help Pharmacy 527 491
Gabelman, Mark MD 161
Get Well Urgent Care Clifton LLC Goldenberg, Linda APRN 392
Gabriel, Ahab MD 33
334 Goldfarb, Mark MD 123, 436
Gadalla, Hisham MD 72
Ghacibeh, Georges MD 112 Goldfinger, Danielle LMFT 348
Gadhvi, Pragnesh MD 161
Ghali, Anwar MD 226, 485, 486 Goldman, Faith MD 118
Gadvhi, Pragnesh MD 161, 162
Ghaly, Maged MD 45 Goldsmith, William OD
Gagescu, Melissa LCSW 345, 421
Ghanaat, Mazyar MD 155 131, 282, 443, 508
Galaktionova, Dina DO 255
Ghassemi, Rex MD 238 Goldstein, Andrew DDS 173, 465
Galeano, Narmer MD
Ghosh, Propa MD 304 Goldstein, Leslie RD 384, 471
136, 137, 214, 215, 287, 288
Ghotra, Navjot MD 198 Goldstein, Marc DO 24, 181
Gallagher, Nancy ARNP 393
Ghuman, Damanjit MD 182 Goldstein, Sammy DDS 174, 465
Gallen Adult Day Healthcare 407
Giannantonio, Ahylzabeth LCSW Goldstein, Steven MD 34, 170
Gallina, Paul OP 315, 443
375, 470 Goldweit, Richard MD 5, 82
Gallo, Vincent MD 153
Gibiezaite, Sandra MD 245 Goler, Scott DPM 143, 295
Gallos Health Mart Pharmacy 527
Gibilisco, Raffaele MD 170 Golfinopoulos, Catherine Pn
Galluci, John MD 217
Gibson, Laura PA 372 109, 426
Galumyan, Yelena MD 5
Gilels, Alex DPM 143, 220 Goli, Sridhar MD 215
Galvez, Lenoy MD 297, 518
Gill, Rupinder MD 215 Gomez, Claudio DPM 295
Gambetta, Louis DPM 294
Gilmore Pharmacy 536 Gomola, Ashley PA 387
Gandhi, Kirit MD 33
Ginart, Gaspar MD 17, 72 Gonzalez, Abel MD 5
Garcia, Dianelys MD 298, 518
Gonzalez, Carmen MD 277, 503

www.wellcare.com/New-Jersey | 609
PROVIDER INDEX
G - cont. Gregory, Josefina ARNP H
Gonzalez, Isabel MD 17, 46, 73 363, 364, 383, 398 H Singers Pharmacy 321, 462
Gonzalez, Juan MD 180 Gressock, Joseph MD 198 Habib, Michael MD 61, 239
Gonzalez, Leticia CSW Grigoriu, Adriana MD 184 Hackensack Dialysis 311
345, 375, 421, 470 Grinchenko, Tatyana DO 302 Hackensack Pharmacy 527
Gonzalez, Marcia MD 34 Griswold, Germaine PHD Hackensack Univ Med Center 527
Good Shepard Adult Day Care 407 150, 229, 457, 488 Haddad, Bassam MD 34, 189
Goodman Pharmacy Surgical 545 Gromack, Gary AUD 389, 492 Haddad, Charles MD 272
Goodman, Denise ARNP 382, 383 Gronowitz, Steven MD 95, 171, 247 Haddad, Danny MD 34, 189
Goodman, Paul MD 60 Gross, Jerry DDS 251, 495 Hadi, Ahmed MD 91
Goodman, Robert MD 152 Grossman, Matthew MD 60, 247 Hadjiesmaeiloo, Bahar MD
Goodnight, James MD 244, 293 Grossman, Steven MD 5, 82, 238 146, 226, 227, 453, 486
Goodstein, Carolyn MD 79 Gruboy, Irina PA 403 Hafez, Nagwa MD 61, 257
Goodwill Pharmacy 536 Gruczynski, Tomasz MD 73 Haffty, Bruce MD 301
Gopal, Lekha MD 205, 473 Grullon Okumus, Ariolis MD 73 Hah, Chansoo DDS 251, 496
Gordon, Karen MD 91 Grunstein, Robert DMD 251, 496 Haim, Sara MD 217
Gorelik, Dmitry MD 82 Guan, Xin PA 370, 391 Hajal, Hussam MD 189, 216
Gorgy, Raafat DO 53 Guerrero, Estela DDS 251, 496 Hajjar, Bassam MD 61, 247
Gorishernandez, Joselina ARNP 373 Guibor, Pierre MD 205, 473 Hakimi, Daniel MD 272
Gorshein, Dov MD 109, 153, 301 Guittari, Nicholas MD 181 Halim, Katerine DMD 98, 416
Gosalia, Tanmay DO 34 Guma, Michael DO 302 Hall, Edward MD 146, 453
Goss, Anthony OT 385, 472 Guma, Richard DC 243 Hall, Lonnie DDS 217, 482
Gotdiener, Alexandra MD 5 Gundavaram, Pawan MD Haller, Sarah DPM 220
Gothi, Mona PA 373 60, 61, 258, 259 Hallon, Mervat ARNP 392
Gotlieb Hearing Center 310, 408 Gunn, Angela MD 73 Hamada, Murray MD 83
Gowda, Anjana DDS Gunzburg, Allison MD 277, 503 Hamadeh, Randa MD
251, 331, 495, 513 Gupta, Ajay MD 34, 61, 104, 184, 259
Goy, Andre MD 103, 109 5, 6, 61, 83, 108, 238, 239, 261, 263 Hamawy, Adam MD 293
Goykhman, Stanislav MD Gupta, Ashok MD 247 Hamded, Anthony PA 403
93, 168, 245 Gupta, Bhavna MD 187 Hamilton Park Atrium Opco 461
Graham, Deena MD 182 Gupta, Manju MD 61 Hamilton Pharmacy 545
Gramatica, Nelson APRN 373 Gupta, Punita MD 73 Hamilton Plaza Nursing and
Gramatica, Nelson ARNP 373 Gupta, Raksha MD 17 Rehabilition 333, 521
Granata, Mark DPM 220 Gupta, Ramesh MD 95 Hamilton, Monique MD 6
Grandhi, Sreeram MD 162 Gupta, Ritu ARNP 370 Hamsa, Gangaswamaiah MD 34
Granet, Paul MD 255 Gupta, Simi MD 118 Han Ah Reum Pharmacy 527
Graves, Jeanine OD 131, 443 Gupta, Vikram MD 53 Han, Eugene MD 105
Grayson, Douglas MD 123, 436 Gura, Russell MD 6 Han, Hanna OD 282, 508
Graziano, Vincent MD 265 Gurland, Keith MD 205, 206, 473 Han, Paul MD 231, 233
Great Falls Dialysis LLC 327 Gurman, Cathy DC 89 Han, Yoon DPM 143
Green Apple Pharmacy 545 Gurman, Jett DC 89 Hana Grand Pharmacy 527
Green Cross Pharmacy 545 Gurung, Sita DMD 174, 465 Hana Healthmart Pharmacy 528
Green, Donald MD 277, 503 Gutierrez, Martin MD 181, 187 Handler, Heidi MD 246
Green, Hyeryong ARNP 341 Gutin, Faina MD 79 Handler, Marc MD 91
Greenberg, Alan DPM 220 Gutman, Justin MD Hanger Clinic 315
Greene, Jennifer MD 272 123, 206, 436, 473 Hanley, Kayla LSW 355, 430
Greenville Pharmacy LLC 536 Gyanchand, Sharmila DDS 251, 496 Hanna, Amir MD 112, 191
Gregor, Sarah LSW 355, 430 Hanna, Fiby MD 168, 185

www.wellcare.com/New-Jersey | 610
PROVIDER INDEX
H - cont. Henick, Edward DDS 213, 481 Horizon Pharmacy 537
Hanna, Madouna DO 141, 451 Henson, Dante OT 400, 501 Horwitz, Mark OD 282, 508
Hanna, Mina DPM 220 Herberts Drug and Surgical Sales Hosay, John MD 234
Hanna, Sarah DDS 251, 496 Co 321, 462 Hospital Pharmacy 545
Happy Days III Adult Day Herberts Pharmacy 536 Hossain, Asghar MD 146, 453
Healthcare LLC 461 Herman, Harris DMD 174, 465 Hossain, Shahreen MD 62
Happy Home Adult Day Care 491 Herman, Kevin MD 153 Howell, Melanie DO 141, 451
Harborview Healthcare Center Hernandez Santana, Nydia MD 140 Howhannesian, Andranik MD
326, 490 Hernandez, Jacqueline DO 46 155, 304
Harper, Harry MD 104, 182 Hernandez, Jacqueline MD 73 Hriso, Paul MD 227, 486
Harris, Michael MD 101 Hernandez-Reyes, Fransico DDS Hrymack, Kyle OD 131, 443
Harris, Robert MD 6 174, 465 Hsieh, Kuang-Yiao MD 155, 234
Harrys Pharmacy Dept 536 Herrera, Maryeth ARNP Huang, Grace DO 46
Harwood, Katerina MD 288 339, 360, 369, 378 Hudacko Pharmacy 537
Hasan, Munir MD 6 Hershenbaum, Esther MD 91 Hudson Drug 528
Hasan, Omar MD 108 Herskovic, Thomas MD 301 Hudson Hills Senior Living LLC
Hashim, Anjum MD 166 Hessami, Sam MD 42, 198, 235, 273 326, 490
Haspel, Marc DPM 143, 295 Hetling, Kristina MD 17 Hudson MRI PA 320
Hassan, Khaled MD 272 Hidalgo, Maria MD 34 Hudson Pharmacy 537
Hassan, Sherif MD 137, 214, 288 Higgins, Patrick MD Hudson Regional Hospital 307
Hassanien, Gammal DO 61 123, 206, 436, 437, 473 Hudson River Radiology Center LLC
Hastings, Ramin MD 105, 108 Hilaris, Peter DPM 143 320, 327
Hathout, Lara MD 301 Hines Pharmacy 536 Hudson Specialty Pharmacy 537
Have Shoes Will Travel 312, 413 Hnatyko, John OD 209, 476 Hudson View Adult Medical Day
Hawawini, Naji DPM 220 Hoboken Family Pharmacy 536 Care Center 461
Haworth Apothecary 528 Hoboken Radiology LLC 320 Hudsonview Care & Rehab Center
Hayashi, Fumitaka MD 257 Hoboken University Medical 326, 490
Hazzah, Marwa MD 62 Center 307 Huh, Ahrin DDS 135, 448
H-B Drugs 528 Hodle, Mary OD 131, 443 Hupart, Preston DO 239
Healey, Kevin DPM 295 Hoffman, Mark MD 34 Hur, Eun DMD 98, 416
Healing Hands Homecare Inc Ho-Ho-Kus Pharmacy 528 Husain, Qudsia DDS 140, 449
321, 462 Holahan, Joseph MD 291 Husain, Syed MD 83
Health Aid Drugs 536 Holahan, Nancy MD 292 Huskowski, Piotr MD 247
Health Care Pharmacy 536, 545 Holsman, Richard PT 401, 516 Hussain, Sakina DDS 174, 465
Health Center Pharmacy 536 Holway, Lorelle LCSW 337, 410 Hutton-Cassie, Donna MD
Health Fair Pharmacy 536 Holy Name Breast Imaging Partners 17, 46, 73
Health Smart Pharmacy 536 311 Hwang, Jeslyn OD 131, 444
Healy, Christine DO 94 Holy Name Medical Center Hwang, Kyung SLP 367
Hearx LTD 310, 408 306, 315, 407 Hyon, Joseph DO 6
Hecht, Mark OD 209, 476 Holy Name Peace Health Partners
I
Hecht, Stacey MD 17 PC 115, 311
Iarossi, Jeffrey OP 315, 444
Hedlund, Julie ARNP 383, 398 Holy Name Pharmacare Dept 528
Iarossi, Laila OP 315, 444
Heguy, Susannah LCSW 337, 409 Home Care For You Inc
Ibrahim, Ayman DO 112
Heights Pharmacy 536 323, 470, 483
Ibrahim, Dina DPM 220
Heights Specialty Pharmacy 528 Home Towne RX 537
Ibrahim, Ehab MD 6
Heisler, Patti DDS 174, 465 Hometown Pharmacy 545
Ibrahim, Gehan MD 198, 273
Heller, Jon DPM 295 Hook Pharmacy 537
Ibrahim, Ibrahim MD 101, 180
Henderson, Timothy MD 287 Horizon Health Center 322

www.wellcare.com/New-Jersey | 611
PROVIDER INDEX
I - cont. Jacobson, Barry DDS Jodorkovsky, Roberto MD
Ibrahim, Intisar APRN 381 140, 292, 449, 514 138, 216, 289
Ibrahim, Mary MD 35 Jadhav, Latha MD 74 John, Jeani MD 18
Ibrahim, Syed MD 227, 486 Jadun, Wamiq MD 74 Johnson, Kathryn ARNP 370
Icare Pharmacy 545 Jafri, Syed MD 191, 269 Johnson, Lynn AUD 335, 408
Ideal Marketplace Pharmacy 545 Jahansouz, Maryam DDS 98, 416 Jones, Maliaka ARNP 342, 373
Igdalev, Igor DMD 98, 416 Jain, Deepika MD 185, 189 Jones, Ruth OD 209, 477
Igdalev, Julia DDS 98, 416 Jain, Doney MD 28, 46 Joo, Richard MD 6
Ijaz, Muhammad MD 35 Jain, Ratnam MD 273 Joseph, Dionne ARNP 342
Iles, Stacy DPM 220 James, Kevin MD 305 Joseph, Judith MD 299, 520
Impeduglia, Theresa MD 157 Jamil, Imran MD 227, 486 Joshi, Janki PT 386, 484
Incline Health LLC 528 Jani, Himani PT 401, 516 Joshi, Padma DDS 292, 515
Ingenito, Anthony MD 152, 232 Janiga, Edward OD 282, 508 Jospeh, Albert MD 261
Inglemoor Center 319, 460 Jankolovits, Melvin OD 209, 477 Journal Square Pharmacy 537
Ingram, Mark MD 256 Japa Camilo, Judelka MD 74 Junankar, Asha OT 400, 501
Inguaggiato, Anthony MD 35, 162 Jariwala, Nilesh MD 74 Junankar, Prashant OT 400, 501
Innella, Robin DO 213 Jasani, Amy OD 282, 508 Junction Drugs 528
Inocencio, Mark ARNP 363, 381, 397 Jasutkar, Niren MD 95, 171 Jung, Jaehwan MD 105
Insight Optical 131, 444 Jathavedam, Ashwin MD 6, 104 Jurado, Jerry MD 24
Integra Partners LLC Javadpoor, Michele ARNP 363
K
312, 315, 316, 321, 324, 328, 330, 413, Javed, Mohammad MD 162, 187
414, 462, 463, 493 Kabbani, Nour PT 401, 516
Jay Shree Krishna Little Ferry LLC
Integrity Inc Fc 233 Kahf, Ahmad MD 239, 261
407
Interim Healthcare of Hudson Kahf, Amr MD 62
Jays Pharmacy 528
Richmond In 471 Kahn, Alissa MD 215, 289
Jean Philippe, Carolyne MD 46
International Drugs 545 Kahn, Simon MD 95, 105
Jedlinski, Tadeusz MD 74
Invictus Pharmacy 528 Kakkar, Pankaj MD 112
Jee, Jimmy MD 124, 437
Iosebashvili, David OD 209, 476 Kalalo, Amory OT 400, 501
Jenkins, Lisa MD 53
Irving Pharmacy 545 Kallina, Lauren MD
Jennis, Andrew MD 35, 187
Isaac, Michael DPM 221 124, 206, 437, 474
Jeon, Jiyong DPM 143
Isip, Rachele ARNP 361 Kallini, Ronnie MD 105
Jerrys Drug and Surgical Supply
Iskandarani, Nimer MD 227, 486 Kamal, Roohi MD 118
321, 463
Ismail, Medhat MD 62, 300 Kamthan, Gautam MD 124, 437
Jerrys Drug Surgical 537
Ismail, Mourad MD 62 Kanazik, Christy Lynn CNM 389
Jersey Advanced MRI and
Israel, Marissa OD 209, 476 Kancherla, Sandarsh MD 6, 95
Diagnostic Center 320
Iwelumo, Ifeoma MD 73 Kanengiser, Bruce MD 206, 474
Jersey City Diagnostic Center Inc
Iyengar, Arjun MD 182 Kantha Bhatnager, Rajashree MD 1
320
Kantzilieris, Panagiotis DC 89
J Jersey City Medical Center 307
Kao, Cyrus MD 218, 484
J & J Medical Supply LLC 328, 493 Jersey City Pharmacy 537
Kaplan, Lori OD 282, 508
J and J State Street Pharmacy 528 Jersey Drugs 537
Kaplan, Sarah MD 83
J J Pharmacy 528 Jersey Home Care Fc 323, 470
Kaplounov, Irina MD 6, 95
J T L Pharmacy 528 Jerusalem Pharmacy 545
Kapoor, Ashish MD 191
Jackson, Kurt MD 123, 206, 437, 474 Jewish Home Assisted Living 407
Kapoor, Deepa PA 340
Jacob, Emad MD 35 Jewish Home At Rockleigh 319, 460
Kapoor, Vinod MD 191, 192
Jacob, Mariamma MD 17, 73 JFK Pharmacy 537
Karadsheh, Tawfiq MD 62
Jacobs, Abbie MD 169 Jhun, Steve MD 83
Kardonsky, Elena LCSW 340, 413
Jacobs, Niama MD 112, 146, 453 Jiffy Scripts RX 528
Kardos, Frank MD 244
Jacobs, Stephen MD 6 Jo, Young MD 151

www.wellcare.com/New-Jersey | 612
PROVIDER INDEX
K - cont. Khalid, Rashid DMD 174, 465 King, Marcy LCSW 345, 421
Karetzky, Monroe MD 151 Khalil, Chaza MD 62 Kirszrot, James MD
Karim, Karim MD 7 Khalil, Samir MD 24, 53 124, 125, 277, 438, 503
Karim, Naheed MD 18 Khalil, Steve MD 35 Kitele, Maria ARNP 397
Karl, Justin MD 83 Khan, Ferhana MD 74 Kithinji, Kagendo MD 118
Karmann, Richard DMD 174, 465 Khan, Muhammad MD 261, 300 Klein, Paul DPM 295
Karou, Fadi MD 239 Khan, Musaid MD 192 Klein, Robert MD 158, 236
Kashoqa, Amer MD 298, 518 Khan, Noroze MD 184 Klein, Warren MD 277, 503
Kastner, Theodore MD 18 Khan, Yusra MD 139 Kleiwerda, Melissa LCSW
Kaszubski, Priscilla DO 293, 515 Khanna, Bindu MD 290, 298, 519 345, 346, 421, 422
Katdare, Umesh MD 84, 162 Khasak, Dmitry MD 167 Kleyman, Boris DDS 140, 449
Katechis, Dennis DO 7, 84 Khaylomsky, Lena DMD 174, 466 Klos, Andrzej MD 217
Kateman, Russell OD 131, 444 Kho, Kathleen OT 400, 501 Kloss, Allyson LCSW 346, 422
Kathawala, Samina DDS Khoshnu, Esha MD 146, 453 Knause, Rita MD 118, 198
174, 324, 465, 481 Khoury, Aldo MD 187, 198, 263, 270 Knee, C. MD 18, 75, 138, 153
Katsman, Tatyana DO 24 Khoury, Hani MD 243 Knihnicky, Alexander DO 24
Kattwinkel, Karen CNP 361 Kiani, Ali MD 256 Knoll, Miriam MD 152, 232
Katz, Avery MD 269 Kiblawi, Fuad MD 136, 288 Ko, James MD 112, 154
Katz, Debra CNM 390 Kihwaga, Naomi APRN 363, 381, 397 Koch, Donna DO 1
Katz, Harry MD 92 Kilgore, Kristen DDS 251, 496 Kocher, Jeffery MD 106
Katz, James MD 91 Kilroy, Jeanne ARNP 397 Kodery, Chitra DO 2, 154
Katz, Manuel MD 7 Kim, Ann MD 7 Koh, Elsie MD 302
Kaufman, Sean DPM 143, 221 Kim, Anthony MD 7 Kohan, Feraydoon MD 163
Kaul, Rachna MD 94 Kim, Charles MD 146, 453 Kolaritsch, Kathleen CSW 393, 500
Kaul, Sushma MD 137 Kim, Christian MD 93, 105, 106 Kolla, Sairamachandra MD
Kawashima, Amie DO 216 Kim, Claudia MD 74 218, 293, 484, 515
Kay Pharmacy 546 Kim, Dae Sik Alex DPM 144, 221 Kolsky, Neil MD 18
Kayserman, Larisa MD Kim, Daniel MD 124, 437 Kondoleon, Mary MD 273
124, 206, 437, 474 Kim, Debbie OD 131, 444 Kondratyeva, Alexandra DO 216
Kazam, Tal MD 124, 277, 437, 503 Kim, Diane OD 131, 444 Konlian, Donna MD 240
Kazan, Yanal DC 243 Kim, Dong OD 131, 444 Konstantaros, Patricia APRN 398
Kazmi, Ahsan MD 185 Kim, John MD 124, 438 Konzel, Cara ARNP 393
Kazmouz, Hasna MD 53 Kim, Jung DDS 136, 287, 448, 512 Kopelan, Leah MD 62
KCI USA Inc 312, 414 Kim, Martin OD 131, 444 Kordie, Dennis APRN 392
Keaney, Karen ARNP 392 Kim, Mee Hyea LPC 351, 352, 426 Korn, Elizabeth MD 214
Keck, Martha APRN 373 Kim, Sanghyun MD 101 Kornhaber, Arlene AUD 369, 461
Kellum, Sandra MD 74 Kim, Sarah OD 131, 282, 444, 508 Kornitzer, Jeffrey MD 269, 290
Kempner, Robbi MD 180 Kim, Steve MD 92 Kortowska, Malgorzata MD 75
Kern, Jeffrey MD 136 Kim, Steven DMD 251, 496 Korya, Dani MD 192
Kesler, Michael DPM 295 Kim, Sun LSW 355, 356, 430 Kosc, Gary MD 248, 261, 262
Kessler Institute For Rehabilitation Kim, Sung-Dong DC 89 Kosinski, Slawomir MD 79, 158, 236
317, 318, 325, 326, 332, 457, 458, 489, Kim, Sungsik DC 89 Kotb, Mohy MD 214
520, 521 Kim, Vivian DDS 251, 331, 496, 513 Kothari, Harish MD 158
Kest, Helen MD 138, 216, 289 Kim, Wanchu MD 256 Kotzias, Georgios DPM 144
Khaddash, Ibrahim MD 240, 261 Kim, Yoojin DDS 98, 416 Koukas, Aikaterini OD 132, 444
Khaddash, Saleh MD 62, 245 Kim, Yoonsung OD 131, 444 Koul, Mrinal MD 199
Khaimov, Gavriil DPM 144 Kincade, Thomas MD 206, 474 Kovar, Lance MD 108
Khalid, Khaula MD 84, 162 Kincaide, Thomas MD 206, 474

www.wellcare.com/New-Jersey | 613
PROVIDER INDEX
K - cont. Lagana, Jamie LPC 352, 426, 427 Lee, Ji Yun OD
Kowalik, Ronald OD Lahita, Robert MD 62 132, 282, 283, 445, 508, 509
132, 209, 444, 477 Laifook, Martina DMD 212, 480 Lee, John OD 209, 477
Kranias, Hristos MD 199 Laiosa, Catherine MD 7 Lee, Joon Eui LPC 352, 427
Krauss, Charles DC 167 Lakeland Health Care Center Lee, Judyth DDS 140, 292, 449, 515
Kraut, Evelyn MD 18 333, 521 Lee, Mark DO 94, 246
Krav, Veronika OD Lakeview Pharmacy 546 Lee, Michael DDS 175, 324, 466, 481
132, 282, 444, 508 Lakhanpal, Sanjiv MD 88, 166, 242 Lee, Nellie MD 84
Kressatys Pharmacy 546 Lala, Lekhraj MD 84 Lee, Paul MD 125, 277, 438, 503, 504
Krieger, Matthew DMD 251, 496 Lala, Vinod MD 214 Lee, Sang DDS 175, 466
Krisa, Paul MD 7 Lamacchia, Michael MD 289 Lee, Sang MD 193
Krish, Nagesh MD 192 Lamba, Renu MD 35, 183 Lee, Sangwoo MD 125, 438
Krohn, Natan MD 171, 248 Lambert-Woolley, Margaret MD Lee, Song MD 125, 206, 438, 474
Kruse, George MD 199 Lee, Soo MD 7
146, 227, 453, 486 Lancman, Marcelo MD Lee, Sung Won MD 7
Kryagin, Michael PT 366, 452 89, 112, 167, 192 Lee, Terrance MD 84
Kucharski, Jarrod MD 46 Lane, Joann APRN 392 Lee, Thomas MD 305
Kulik, Gabrielle ARNP 363 Lang, Anna ARNP 342 Legoff, Yassel PA 401
Kulikova-Schupak, Romana MD Lapas, Alkies DO 193 Lehrer, Joel MD 92
138, 216, 290 Lashin, Waleed MD 63 Leifer, Alden MD 277, 504
Kull, Katie APRN 370 Lastra, Carlos MD 166 Leighton, Jennifer LSW
Kumar, Anand MD 62 Latkany, Robert MD 125, 438 356, 430, 431
Kumar, Chitra MD 185, 188 Latorre, Juan MD 25 Lenkovskiy, Irina RD 371
Kumar, Geeta DO 18 Lauber, Kristen LCSW 346, 422 Lentini Rivera, Angela ARNP 399
Kumar, Harini MD 25 Laufer, Beatrice MD 35 Leodori, Mark DPM 144, 295
Kumarasamy, Priyadarsini SLP Laufer, Ilene MD 18, 46 Leon, Robert MD 163
404, 522 Laureano, Mark PT 402, 516 Lespinasse, Antoine MD 110
Kumaresan, Arulnangai MD 185 Lavandeira, Janet DMD Lesser, Eric MD 264
Kuperinsky, Renee LCSW 337, 410 98, 174, 324, 416, 466, 481 Letizia, Lauren ARNP 398
Kutzleb, Judith ARNP 361, 362 Lawrence, Natasha ARNP 373 Letizia, Robert PT 402, 516
Kwickmed Farmacia 537 Lawton, Jeffrey PA 385 Levi, Jack DDS 169, 463
Kwon, Jake DPM 144 Lazar, Jonathan DMD 99, 416 Levin, Daniel MD 106, 151, 262, 300
Kwon, Jihae DDS 251, 496 Lazar, Lorraine MD 113, 192 Levin, Susan MD 2
Kyreakakis, Anthony MD 163 Lazieh, Janet MD 18 Levine, Howard DO 25
Lazo, Angel MD 7, 35 Levine, Marie OD 132, 445
L
Lazo, Maria ARNP 378 Levine, Martin DO 25
L & L Staffing and Home Care
Le, Vanny MD 287 Levine, Peter DPM 144, 221, 295
Services 424, 450
Leber, George MD 7, 84 Levinson, Franklin DPM 222
LA Forgia, Anthony MD 227, 486
Lebow, Elissa PA 403 Levinson, Howard OD 283, 509
LA Monaca, Anthony MD 227, 486
Ledden, Lisa ARNP 370 Levinson, Ilan MD 147, 453
LA Nueva Mercedes Pharmacy 546
Lee, Alexander DDS 135, 448 Levinson, Marc OD 283, 509
LA Rosa, Niurka MD 46
Lee, Anthony MD 141, 451 Levinson, Paul OD 283, 509
LA Torre, Debora ARNP 369
Lee, Clara MD 18 Levys Pharmacy 528
Labagnara Jr, James MD 244
Lee, Hyejin DO 110 Levy's Pharmacy of Lyndhurst LLC
Laban-Grant, Olgica MD
Lee, Hyun-Soo MD 91 312, 414
89, 112, 167, 192
Lee, Jennifer OD 132, 444 Lewin, Sharyn MD 103
Labcorp 309, 406
Lee, Ji OD 132, 282, 444, 508 Lewis Drugs Inc 528
Labruna, Vincent DPM 144
Lewis, Brett MD 152, 232

www.wellcare.com/New-Jersey | 614
PROVIDER INDEX
L - cont. Lopinto, Patricia ARNP 360 Mahmoud, Omar MD 302
Lewis, Kristen ARNP 370 Losak, Drew LCSW 337, 410 Maiello, Dominic MD 233
Lewis, Tanya MD 147, 454 Losardo, Anthony MD 240 Maier, Jason PT 387, 402, 484, 516
Lewko, Michael MD 302, 303 Loughlin, Bruce DO 63 Maimone, Terrylee OD 132, 445
Leykin, Tanya MD 18 Louis, Kristan ARNP 367, 454 Main Fair Pharmacy 546
Lherisson, Lourdes OD 283, 509 Loutfy, Rana DMD 251, 331, 496, 514 Main St Pharmacy 546
Li, Lin MD 7, 79 Loving Care Agency Inc Mainero, Michael MD 63
Li, Wei MD 79, 80, 158 413, 424, 450, 462, 471, 483, 492, 500, Majmundar, Sapan DO 36
Li, Yongming MD 92 515 Makar, Gamil MD 53
Libassi, David OD 132, 445 Lowe, Samantha DO 118, 199 Makui, Sheyda MD 53
Liberti, Lorraine MD 18 Lubansky, Kenneth MD 63 Malcolm, Therese MD 199
Liberty Amulatory Surgery Center Lubinski, Diane ARNP 362, 374 Maldonado, Jose MD 19, 47
LLC 320 Lucas, Shkeirra ARNP 381 Maley, Michael MD
Liberty Pharmacy 528, 537 Lucev, Anthony MD 8 126, 206, 439, 474
Life Source Services LLC 315 Luchs, Saul MD 199 Mallamaci, Carmen MD 75
Lifeline RX LLC 537 Lucila, Rafael MD 53 Mallamuci, Carmen MD 75
Lin, Jeffrey MD 256 Lugo, Mirian MD 75 Mallardi, Brittany PA 370, 391
Lin, Pei MD 168 Luhana, Manish MD 35 Mallen, Carrie PA 340
Lin, Tatiana MD 18, 75 Lui, Jackie MD 291 Mallik, Aparna MD 268
Lincare Inc 312, 414 Lui, Qichao OD 209, 477 Mallouhi, Samuel MD 63
Lincare Inc NY 312, 414 Lukac, Juraj MD 227, 486 Malloy Craig, Shannon ARNP 370
Linenberg, Catherine OD Lukusa, Heather ARNP 374, 383 Malmrose, Katherine SLP 367
132, 283, 445, 509 Luna, Luis MD 63 Malovany, Robert MD 8, 151
Lipert, Zofia MD 46 Luttenberger, Kristen APRN 396 Mamji, Salman MD 8
Lipka, Andrew MD 125, 126, 438, 439 Lynch, Claudia ARNP 382 Manandhar, Lochana MD 189
Lippe, Scott MD 8 Lynch, Kaitlin APRN 362 Manchikanti, Radha DMD 175, 466
Lisak, Victor OT 385, 472 Lyons, Michael OP 315, 445 Mandel, Irina ARNP 396
Little Falls Pharmacy 546 Lyons, William MD 8, 84 Mandelbaum, Debra DDS 252, 496
Liu, Mingkong MD 8, 63 Ly-Schroeder, Emily My OD Maneyapanda, Mukundha MD
Liu, Sizhu ARNP 374 132, 283, 445, 509 54, 246
Liu, Ying MD 63 Lyu, Theodore MD Mangia, Anthony MD 36
Liva, Bradford MD 126, 439 126, 277, 439, 504 Mangone, Kevin DO 106
Live Smart Pharmacy 537 Mangosing, Emma MD 47
M
Llacuna, Florencio MD 63 Manhattan Pharmacy 537
MA, Monali DMD 175, 466
Llamas, Eden MD 19 Manhattanview Operations LLC
Macalalag, Angeline ARNP 372
Llanfair House Care Rehabilitation 326, 490
Maccia, Clement MD 80
Cen 333, 521 Manickam, Rajapriya MD 63
MacDonald, Anne Marie LCSW
Loaiza, Diego ARNP 374 Maniti, Whilma PT 402, 517
393, 394, 500
Lobato, Larissa ARNP 370 Manley, Robert PT 402, 517
Mack, Kyle LCSW 346, 422
Locke, Linda CNM 385 Mann, Manpreet MD 118
Madden, Victoria LSW 356, 431
Lockhart, Shakeerah ARNP 381 Manno, Helene DPM 144
Madjlessi, Nima DDS 218, 482, 483
Logvinenko, Andrei MD 141, 451 Mansouri, Farshad MD 256
Madlinger, Robert DO 256
Lokhat, Fatema DPM 222 Mantel, Janet ARNP 367
Magnusen, Mary DO 53
Lolis, Margarita MD 91 Manzo, Melissa OD 209, 477
Magrino, Michael DO 101
Lombardo, Salvatore MD 155, 234 Mao, Cheng An MD 54
Maguina, Juan MD 75
Long Life Adult Day Care LLC 407 Mao, Cheng-An MD 54
Mahmood, Nader MD 300
Long, Jessie MD 19, 75 Maple Glen Center 319, 460
Mahmood, Saleem MD 35
Longo Salvador, Jose MD 101 Marani Dicovskiy, Marcela MD 64
Mahmoud, Ayesha MD 19, 47

www.wellcare.com/New-Jersey | 615
PROVIDER INDEX
M - cont. Matta, Rana MD 75 Medicine Man Pharmacy
Marcus, Robert DPM 144 Matza, Ilene APRN 394 Compounding 538
Maresca, Warren MD 84, 240 Maury, Allison CSW 356, 431 Mediterraneo, Susan MD 75
Margolin, Jerome DDS 99, 417 Maxim Healthcare Services Inc Medsurg Durables LLC 313, 414
Margolis, Eric MD 110 314, 419 Mehta, Bijal MD 8
Mariano, Daniel DC 89 Maxim Healthcareservices Inc Mehta, Tapan MD 265
Marin Pharmacy 537 314, 419 Meininger, Michael MD 9, 96
Mariniello, Shannon DC 89 Mayo, Yilda MD 47 Meiselman, Lorie LCSW 338, 411
Marino, Nicholas MD 273 Mayorquin, Bertha MD 36 Mejia, Edgar MD 75
Marion, Anthony PA 370, 391 Maywood Pharmacy 528 Mejia, Gloria MD 75
Marki, Richard MD 42 Mazin, Howard MD 139 Melcons Pharmacy 546
Markowitz, Ross DC 89 Mazza, Victor MD 85, 163 Memorial Sloan Kettering 529
Maron, Edward MD 64 Mazzola, Patricia ARNP 342 Mena, Maria MD 47
Maroules, Michael MD 259 Mbadugha, Nkechi PA 372 Mendez, Carol MD 25
Marquet, Judith ARNP 384 McAuley, Jennifer LCSW 346, 422 Mendez, Victor RD 399, 501
Marras Drug Store 537 McBride Imaging Center LLC 327 Mendoza, Luis MD 278, 504
Marrero, Luis MD 188, 264 McCarthy, Karen DMD 136, 448 Mendoza, Lynette DO 101
Marrero-Figarella, Arturo MD McCarthy, Stephanie ARNP 362 Menell, Jill MD 215, 289
290, 298, 519 McClendon, Elizabeth LCSW Menken, Gregory MD 188, 264
Marsan, Ena DO 199 369, 461 Mercado, Christopher PT
Marsheh, Firas DDS 245, 494 McCormick, Kimbreya ARNP 370 366, 402, 452, 517
Martin, Howard DDS 175, 466 McCoy, Chrishonda MD 207, 474 Merchant, Aziz MD 256
Martinez, Annie DDS 252, 496 McCrone, Erin ARNP Mercy Home Care & Mecical
Martinez, Javier OP 323, 477 359, 360, 361, 375, 378 Supplies 313, 316, 414
Martino Woods, Teresa LPC McDermott Pharmacy 546 Mermelstein, Jack OD 133, 445
352, 427 McDonald, Kathleen MD 110 Mesad, Salah MD 113, 192
Martino, Jodi LCSW 337, 410 McEvoy, John DPM 295 Meshko, Yanina MD 217
Martino, Michael MD 248 McGinley Sq Pharmacy Inc 538 Meskin, Vladimir DDS 99, 417
Martirosov, Sophia DDS 175, 466 McGinty, James MD 101 Messina, John MD 136, 288
Marton, Lewis MD 64, 259 McGovern, Peter DO 273 Messinger, Robert OD 210, 477
Masadeh, Yasir OD McGrath, Kathleen LCSW 337, 410 Meszaros, Beata MD 47
209, 283, 477, 509 McIntosh, Violet MD 154 Metro Drugs 538
Masand, Anjali MD 265 McKeever, Kristin PA 387 Metropolitan Health Family
Masessa, Joseph MD 168, 244 McKenna, Regina LCSW 337, 410 Network 322
Maslansky, Edward OD 209, 477 McNamara, Donna MD 188 Metropolitan Surgery Center 310
Massoud, Daniel LMFT 348, 349 McNulty, Kathleen PHD 299, 520 Meyers, Tracie LCSW 375, 470
Mastrolia Pharmacy 537 McQuilkin, George MD 200 Meza, Teissy MD 229, 299, 488, 520
Mastromonaco, Denise DO 91 McQuillen, Nicole LCSW 338, 410 MI Casa ES Su Casa Inc 491
Mathew, Alexander MD 84, 163 McSpirittguzio, Marilyn RD Mian, Fawad MD 113
Mathew, Omana MD 19 340, 341, 391 Mian, Saima DMD 175, 466
Mathew, Selvi APRN 372 MD Respiratory Service Inc 321, 463 Michael, Jonathan DPM 222, 295
Mathews, Stefanie ARNP 400 Meany, Joseph LCSW 346, 422 Michnik, Mark MD 200
Matican, Jeffrey MD 8, 84 Mechineni, Ashesha MD 8 Mickey, Kevin MD 290
Matienzo, Ricardo MD 25 Medexpress Urgent Care New Mico, Mario MD 47, 75
Matos-Cloke, Susan MD 8 Jersey Inc 319, 334 Middle Village Pharmacy 546
Matta, Ayman MD Medi Center Pharmacy 546 Midland Drugs 529
126, 277, 278, 439, 504 Medical Park Imaging 327 Midtown Pharmacy 538
Matta, Jyoti MD 231 Migliaccio, Thomas MD 15, 42, 200

www.wellcare.com/New-Jersey | 616
PROVIDER INDEX
M - cont. Montoya, Edward DPM 296 Murphy, Martina ARNP 393
Mikhael Ruzhin LTD 313, 414 Montuore, Lisa LCSW 338, 411 Murray-Burton, Carolyn MD 47
Milanes Roberts, Norma MD Moon, Carolyn OD 133, 445 Mushayandebvu, Taonei MD 201
119, 200, 273 Moon, Jeremy MD 119, 200, 201 Mustafa, Diane MD 273
Milazzo, Carmelo MD 36 Moon, Taewon MD 92 My Day Home LLC 491
Milford Manor Nursing Home Moore, Claire ARNP 389 My Friends Pharmacy 546
333, 522 Moquete, Manuel MD 265, 266 My Home Adult Day Care Center
Militano, Thomas MD 154 Morales, Annette ARNP Inc 407
Milite, James MD 126, 439 342, 374, 393 My Wallington Pharmacy 529
Millan, Valeska LCSW 338, 411 Morales-Ribeiro, Celines MD 101 Myerson Pharmacy 538
Miller, Benetta MD 180 Morcos, Safinaz DDS 99, 417 Myridakis, Dorothy MD 137, 288
Miller, Gary MD 243 Morecraft, John MD 64
N
Miller, Jeffrey DO 303 Moreira-Tortorici, Kathy OD
Nabulsi, Omar MD 54
Miller, Jeffrey DPM 296 283, 509
Nachajon, Roberto MD 138, 291
Miller, Richard MD 103, 109 Morgan, Charles MD
Nadiminti, Sheila MD 85, 163, 240
Miller, Suzanne CSW 390, 492 126, 278, 439, 504
Naficy, Parvin MD 76
Miller, Tari LMHC 350 Morganstein, Richard OD 210, 477
Nagorna, Malgorzata MD 48
Millers Of Wychoff Inc 313, 316, 414 Morillo, Christian OD
Naim, Farid MD 76
Millers Of Wyckoff, Inc 529 133, 210, 445, 477
Naim, Suprema MD 76
Miller-Westfield, Chae APRN Morillo, Diego OD 283, 509
Nair, Prathila MD 147, 454
363, 382 Morris, Craig MD 147, 454
Nair, Salini APRN 396
Milov, Lyudmila OD 133, 445 Mort Jacobs Pharmacy 546
Najib, Nabeel MD 48, 158
Milstein, Nurit OD 210, 477 Moscaritola, Anthony PT 402, 517
Nammour, Adel ARNP 381
Min, Christina MD 104, 106, 183, 185 Moshet, Osama MD 19
Nandigam, Purna MD 110, 266
Minhas, Navpreet MD 2 Mostafa, John DPM 222
Nangia, Arun MD 113, 269
Miqbel, Mohammad MD 25 Motivala, Apurva MD
Napolitano, Joseph MD 138
Miric, Slobodan MD 113, 147, 454 85, 108, 240, 263
Narang, Ravinder MD 240
Mirza, Muhammed MD 36 Motoki, Lobsang LCSW
Naranjo, Erika CNM 360, 377, 394
Mirza, Nighat MD 298, 519 346, 347, 423
Narbone, L. LPC 352, 427
Mitchel, Jeffrey MD 9 Moulayes, Nadra DO 303
Nardone, Jennifer ARNP 340, 391
Mitchell, Bridgette ARNP 342 Mouner, Amer DDS
Narvaez, Guillermo MD 101
Mitchell, Michelle LSW 356, 431 252, 331, 496, 514
Nasiek, Sara MD 19, 48
Mittelmann, Eric MD 113 Moussa, Ghias MD 36
Natarajan, Sekar MD 36, 231
Mmereole, Paulina ARNP 383 Moy, Anna DPM 222
Natelli, Anthony MD 64, 257
Mmereole, Robert MD 25 Mr of Teaneck LLC 319, 460
Nathi, Lakshmi DDS 175, 466
Modern Medicine RX 538 Muccino, Gary MD 54
Nature Med Pharmacy LLC 529
Modugno, James DPM 296 Mucha, Samantha DO 47
Naumova, Yulia OD 133, 445
Mody, Sushama MD 153 Mudry, Carolyn DO 9
Neilan, Martin MD 64
Mohammad, Naser MD 240 Mughni, Azam MD 185, 189, 190
Nelson, Larry DPM 296
Moises, Rodulfo MD 76 Mulder, Cynthia ARNP 343
Neno, Rosa DO 37
Molino, Bruno MD 180 Mulkay Drugs Inc 538
Neopane, Padam MD 26, 28
Monga, Ashmita MD 19 Mulkay, Angel MD 85, 106, 163, 185
Neufville, Deborah ARNP 342
Monje, Jonas DDS 252, 331, 496, 514 Mulkay, Zenaida DMD
Neville Fernandes, Jamie PA 374
Montanez, Vanessa ARNP 401 175, 252, 466, 497
New Horizon Pharmacy 538
Montclair Radiological Associates Mund, Michael MD 278, 504
New Jersey Adult Medical Day Care
PA 321 Munoz Llaverias, Altagracia MD 47
Center 407
Monteagudo, Ana MD 109 Munoz, Juan DDS 175, 466
Monti, Erika PA 342 Murillo, Narcisa MD 36, 64

www.wellcare.com/New-Jersey | 617
PROVIDER INDEX
N - cont. O Oropeza, Maria MD 48
New Lucys Pharmacy Inc Oak Ridge Rehabilitation and Ortiz, Nathalie ARNP 381
328, 493, 546 Nursing Cen 333, 522 Oscar Pharmacy 538
Newark Beth Israel Med Center Oakland Drugs 529 Oshman, Meredith LMFT 349
307, 321 Oakland Operator LLC 319, 460 OST, Ellen DDS 176, 252, 467, 497
Newport Nursing and Rehab Obeleniene, Rimvida MD Ostrowski, Dora MD 147, 454
326, 490 85, 163, 240 Otero, Crystal Had
Newport Pharmacy 538 Obi, Nneka DDS 175, 324, 466, 482 314, 322, 418, 469
Newton, David ARNP 374, 378 Obiechina, Nkemjika DMD 141, 450 Ottley, Anroy MD 180
Nghi, Phuong MD 19 Obradovic, Dragana ARNP 379 Ouhame, Nisrine DDS 99, 417
Nierenberg, Susan CNM 395 Obrotka, Thomas MD 278, 504 Ouzer, Amanda DMD
Nies, Diane LCSW 394, 500 Ocana, Tiffany OT 400, 501 176, 324, 467, 482
Nil, Pudchong MD 64 Occhiuto, Tina ARNP 370, 391 Owusu Boahen, Olivia MD 19
Nisivoccia, Jacqueline DPM 222 Ochlan, Melissa OD 283, 509 Owusu, Solomon MD 37, 48
Njin of Clifton 327 O'Connell, Lauren LPC 352, 427 Oyem, Kingsley ARNP 387, 486
Njin of Rutherford 311 Odaid, Sana MD 274 Ozurumba, Dorothy APRN 395
Njin of Union City 321 O'Donnell, Maria CNM 385
P
Noble Pharmacy Inc 538 Odorczuk, Marzena MD 64
Pachella, Cheryl ARNP 366, 451
Nochumson, Joshua MD 243 OH Park, Mooyeon MD 141, 451
Padela, Mohammad MD 269
Noll, Jonathan DMD 252, 497 OH, Beomseok ARNP 363
Padilla, Adrian MD 37
Normans Pharmacy 538 OH, Hyesuk DDS 176, 252, 466, 497
Paduszynski, Adam MD 26
North Bergen Pharmacy 538 OH, Soon Ja APRN 393
Pagan, Sharon ARNP 381
North Bergen Seniors Count LLC O'Hara, Michael OD
Pak, Hong MD 142, 451
461 133, 210, 283, 446, 477, 509
Palace Drugs 538
North Hudson Community Action Ojelade, Michael ARNP 374
Palathingal, Rini MD 183
Corp 313, 322, 329 Ojugo, Elizabeth PT 402, 517
Palisade Drugs 538
North Hudson Community O'Kane, Thomas OD 210, 477
Palisade Operations LLC 326, 490
Pharmacy 538 Okken, John Had 329, 499
Palisades Medical Center 307
North Hudson Pharmacy At Passaic Oko, Piotr MD 48
Palkhiwala, Bharati MD 147, 454
546 Okoya, Jackson MD 37
Palmer, Barbara MD 147, 454
North Jersey Friendship House Inc Okoye, Frederick MD 64
Palmiery Jr, Ponciano MD 48
Fc 154 Oliver, Richard MD 9
Pampinella, Jeffrey PA 389
North Jersey Imaging Center 60th Olssons Pharmacy-Taibis Fmly Phy
Pan American Pharmacy 538
321 546
Panagiotou, Demetrios MD 9
Northeast Imaging and Diagnostics Omar, Susan ARNP 381
Panah, Manizheh MD 65, 245
LLC 327 Onat, Nermi MD 65
Panaretos, Harry John OD 133, 446
Northern New Jersey Center For O'Neal, Issac MD 65
Panariello, Anthony MD
Advanced 310 O'Neill, Megan LMFT 349
207, 474, 475
Norton, Kevin DO 94, 246 Onwuka, William MD 19
Panavelil, Jillu LSW 356, 357, 431
Notkin, Alicia MD 110, 266 Onyeador, Beatrice MD 65
Pandey, Krishna MD 20, 291
Nour Pharmacy 546 Oradell Health Care Center
Pandya, Komal MD 244
Nourbakhsh, Michael DDS 175, 466 319, 460
Panella, Vincent MD 9, 96
Novecks Pharmacy 538 Oradell Medical Imaging Center
Panem, Cheryl MD 20, 48
Nunez, Juan PT 387, 484 LLC Fc 311
Panem, Flordeliz MD 26
Nwigwe, Genevieve MD 37 Orellana Chasi, Pamela MD 26
Paolicchi, Juliann MD 88, 166
Nwosu-Nelson, Joel MD 64 Organix Pharmacy 546
Papaiya, Nilesh OD 133, 446
Orjiekwe, Ogonna DMD
Papaleonardos, George DC 243
176, 324, 466, 482

www.wellcare.com/New-Jersey | 618
PROVIDER INDEX
P - cont. Patel, Jayeshkumar MD 37, 190 Pellecchia, Ralph MD 202
Pappas, Lara MD 215 Patel, Jigna MD 201 Pellino, Christopher DC 167
Pappas, Peter MD 305 Patel, Kaushik DDS 252, 497 Pena, Carmen DDS 325, 482
Paralkar, Mayur MD 106 Patel, Lajja DMD 252, 331, 497, 514 Pendse, Vijay MD 274
Paramus Endoscopy LLC 310 Patel, Lava MD 180 Penmatsa, Tanuja MD 119, 202
Paramus Pharmacy 529 Patel, Manmohan MD 231 Pensabeni Jasper, Tiziana MD 65
Parangi, Robert MD 9 Patel, Mitesh DDS 252, 497 Perdomo, Louis MD 54
Parekh, Jai MD 278, 504 Patel, Monika DMD 252, 497 Pereira, Michael MD 302
Parekh, Kirten DPM 144 Patel, Narendra MD 227, 486 Perera, Sharmalie MD 231, 232
Parekh, Swati MD 278, 505 Patel, Nimali OD Perez, Ruben MD 10, 37
Parikh, Chaula MD 48 133, 210, 284, 446, 478, 510 Perez, Sania MD 20
Parikh, Coral MD 9 Patel, Prachi DPM 222 Perez, Sujelis PA 371, 391
Parikh, Shailesh MD 142, 451 Patel, Puja MD 54 Perez, Susan DO 186
Parikh, Sudhir MD 158 Patel, Rajan DPM 144 Perin, Patrick MD 80, 236
Park Ave Drugs LLC 328, 493 Patel, Rajiv DO 86 Perisic, Dusan MD 202
Park Ave Pharmacy 546 Patel, Rakhee MD 201 Periut, Richard MD 232
Park Avenue Pharmacy 538 Patel, Ravi MD 218, 484 Perlaza, Jessica CSW 369, 462
Park, Anne DO 9 Patel, Rima MD 86 Perlman, Donald MD 158, 217
Park, Byong MD 10, 37, 65 Patel, Shilpa MD 20 Perlman, Michael DPM 144, 222, 223
Park, Chong-Hyo MD 20 Patel, Shivani MD 76 Perricci, Jeffrey DDS 176, 467
Park, Kenneth DO 136 Patel, Sunil MD 164 Personal Touch Radiology LLC 327
Park, Min DDS 176, 324, 467, 482 Patel, Sunita ARNP 381 Pertubal, Maria MD 76, 291
Park, Myoung ARNP 343, 393 Patel, Trupti MD 20, 48 Petlyuk, Nataliya DDS 99, 417
Park, Paul MD 106 Patel, Urvashi OD 133, 284, 446, 510 Petronaci, Brian PA 365
Park, Peter MD 153 Patel, Vinod MD 164, 185 Pettinati, Marilyn LCSW 338, 411
Park, Sarah OD 210, 283, 478, 509 Patel, Viral MD 246 Pfisterer, Christine DO 142, 451
Park, Seongae ARNP 374 Paterson Pharmacy 547 Pharmacy Express Inc 547
Park, Soo MD 85, 86, 106, 185 Pathak, Sonal MD 37, 185 Pharmacy Plus Surgical Sppls LLC
Parker, Princess LPC 353, 427 Pathak, Vineeta MD 48 539
Parkview Pharmacy 529 Patten, Anthony PA 404 Pharmacy Plus Surgical Supplies
Parness, Ira MD 137 Patterson, Francis MD 136 529, 547
Parra, Guillermo PHD Patuto, Jennifer CNM 395 Pharmacy Value 539
150, 229, 299, 457, 488, 520 Pavlou, George MD 248 Phillips, Hadley DO
Parra, Massiel DMD 252, 497 Pavlou, Theophanis MD 154 127, 207, 440, 475
Parsi, Prakasham MD 20 Pavon, Alex MD 10, 106 Physicians Dialysis Passaic 327
Pascack Pharmacy 529 Pavone, Salvatore DDS Picard, Johan MD 119, 202
Passaic Community Pharmacy Inc 252, 331, 497, 514 Pichardo, Nelson MD 65
328, 494, 547 Pavonia Pharmacy 538 Pierre Louis, Marylin MD 26, 181
Passaic Pharmacy 547 Pawliw, Myron MD 202 Pimanov, Anton DMD
Passaic Valley Medical Pharmacy Peace, Nyota MD 274 253, 331, 497, 514
547 Peckmans Pharmacy 539 Pinal, Jose MD 37, 38, 232
Patel Batra, Zankhana MD 201, 202 Pecora, Andrew MD 181, 188 Pine, Martin MD 80, 158
Patel, Amar MD 106, 110, 262, 266 Pedoeem, Victoria DDS 176, 467 Pineda, Edson ARNP 379
Patel, Amit MD 183, 305 Pedroso, Maura MD Pineda, Veronica DO 26
Patel, Amy DMD 140, 449 227, 228, 486, 487 Pinili Valencia, Teresita MD 76
Patel, Dushyant MD 10 Peereboom, Erika PA 370, 391 Pinnacle MRI Group LLC 311
Patel, Hezal PT 402, 517 Pelaez, Linda MD 103, 109 Pinney, Antonia MD 203
Patel, Hiral OD 133, 284, 446, 510 Pella, Reynaldo APRN 362, 379 Pintos Pharmacy 539

www.wellcare.com/New-Jersey | 619
PROVIDER INDEX
P - cont. Preakness Healthcare Center Qureshi, Nadia LCSW 347, 423
Pizzano, Marc DDS 99, 316, 417, 449 333, 522
R
Pizzi, Rose ARNP 343 Preferred Home Health Care and
Raab Pharmacy 547
Placenti, Joseph LPC 358, 359 Nursing S 314, 419
Rabago Reyes, Cassandra MD 38
Plains Pharmacy 328, 330, 494, 547 Premier Pharmacy 539
Rabbat, Mohamed MD
Platt, Robert MD 65 Prendergass, Kimlin ARNP 374
65, 66, 259, 260
Plaza Pharmacy 529 Prendergast, Kathleen ARNP
Rabinovich, Martin DMD
Plymouth Park Pharmacy Inc 529 367, 454
136, 213, 448, 481
PM Pediatrics of Livingston 319, 334 Prendergast, Thomas MD 233, 234
Racanati, Sergio OD 210, 478
Podda, Silvio MD 142, 218, 293, 294 Prescription Center Pharmacy 539
Rackovsky, Ori MD 248
Polishchuk, Yelena APRN 372 Presidential Pharmacy 547
Radburn Dialysis 311
Politsky, Jeffrey MD 113, 192 Primak, Dmitry MD 147, 455
Rae, Sam MD 266
Polizio, Vincent PA 371 Prime Care Pharmacy 539
Rae, Susan MD 54
Pollack, Daniel DPM 296 Prime Health Services-St Marys
Raeva, Natalia OD 133, 446
Pomac Biodynamic Technologies Hospital 308
Rafeeuddin, Mohamed MD 10
313, 414 Primiani, Lisa MD 26
Raffaelli, Anthony MD 26
Pomac Bray Orthotics Prsthetics Prince, Leonie MD 148, 455
Rafique, Maryam DMD 176, 467
313, 414 Principe, David MD 263, 264
Ragheb, Sameh MD 148, 455
Pomac Delta Orthopedic Lab Priority Nursing Services 424
Raghu, Shalini MD 49
322, 463 Pritsiolas, Kristine APRN 372
Raha, Bandana MD 49
Pomac Garden State Orthopedic Pro Medquip LLC 322, 463
Rahman, Mohammad MD 293, 516
313, 414 Proano, Jayme LPC 353, 428
Rahman, Mohammed DDS
Pomac Nouveau Prosthetics and Progressive Medical Imaging of
99, 316, 417, 449
Orthotics 313, 414 Hackensac 311
Rake, Shari CNM 360, 377
Pomac Othopedic Specialties Promise Care NJ LLC 323, 470
Raklyar, Irina MD 303
Unlimited 313, 414 Prospect Heights Care Center
Rallatos, Michael DPM 145, 223
Pomac Rinko Orthopedic 319, 460
Ramadi, Roula MD 20
Appliances 313, 415 Proverbssingh, Tracy MD 104, 183
Ramakrishnan, Vivek DO 115, 193
Pomarico Pharmacy 539 Psalidas, Panagiotis MD 10, 20
Ramasubramaniam, Nagarani MD
Pomerantz, Mark MD 10, 86 Pua, Zarah MD 264
10, 38
Pomeranz, Bruce MD 142, 451 Pudinak, Anna MD 54
Ramay, Mohammad MD 148, 455
Pomrantz, Shira LCSW 390, 492 Pula, Jaime RD 399, 501
Ramirez, Elizabeth MD 119, 203
Ponamgi, Suri MD 218 Punla, Paul PA 385, 387
Ramirez, Joanne OD
Ponce, Javier DPM 223 Puntambekar, Preeti MD
133, 284, 446, 510
Poole, John MD 102 90, 113, 167, 192
Ramirez, Lenny DPM 145, 223, 296
Popovich, Joseph MD 180, 235 Purisima, Jonathan DPM 223
Ramos, Luz ARNP 341
Portanova, Brian ARNP 371 Purwin, Nicole LSW 357, 432
Ramos, Rafael MD 171
Portela, Margaret DPM 223 Putcha, Nitin DO 142, 451
Ramsarat, Veronica OD
Potoczek Salahi, Jolanta MD 26 Puthiyathu, Manoj MD 113, 148, 455
133, 134, 284, 446, 510
Potter-Mcquilkin, Dineasha MD
Q Ramsay, Calene ARNP 396
203
Qazi, Shakeel PT 402, 517 Randazzo, Ciro MD 270
Powell, Carole CNM 360, 377, 395
Qipo, Andi MD 10, 65 Rao, Gautami MD 192
Powell, Jacqueline LSW 357, 431
Quest Diagnostics 309, 406 Rao, Gunjan MD 49
Pradhan, Gunjan MD 49
Quiambao, Cherrielyn ARNP 376 Rao, Harini MD 139
Prager, Roman MD 10
Quick Chek Pharmacy 539, 547 Rao, Nirmala DMD 99, 417
Prakash, Ananth MD 266
Quintana, Marilyn RD Raouf, Medhat MD 66
Prakash, Atul MD 65, 241
364, 384, 433, 472 Rapaport, Jeffrey MD 92, 168, 244
Prasad, Vijaya MD 288

www.wellcare.com/New-Jersey | 620
PROVIDER INDEX
R - cont. Restivo, Carl MD 233 Robinson, Christopher LCSW
Rappaport, Liviu MD 301 Reto, Mary OD 284, 510 338, 411
Rasheed, Fouad MD 76 Revoredo, Fred MD 55 Robinson, Lealon DMD 212, 480
Rastogi, Sadhna MD 38 Rey, Ricardo MD 66 Roby, Brigit DDS 253, 497
Rastogi, Surender MD 38 Reyes, Elizabeth PA 387, 403 Rocha, Gary OD 134, 446
Rathi, Ravi MD 241 Reyes, Nancy ARNP 374 Rochester, Cletta OD 210, 478
Rathmann, Allison DO 115, 193 Reyna, Alita PT 402, 517 Rochford, Christopher DMD
Rau, Ganesh MD 207, 475 Reyna, Angel David PT 402, 517 212, 480
Raval, Parthiv MD 248 Reynolds, Eric DPM 223 Rock Ridge Pharmacy 530
Ravi, Nanjappa MD 10 Rhee, Stephen LAC 335, 369 Rodeo Pharmacy 530
Ravi, Venkata MD 54 Ribalta, Marcia MD 298, 519 Rodriguez, Catherine LSW 357, 432
Ravindra, Neetha DDS 253, 497 Rice, Harvey MD 298, 519 Rodriguez, Edith ARNP 393
Rawal, Chilka PA 335, 389 Richard, Merwin MD 38, 164 Rodriguez, Magdelyn MD 77
Rawls, Valerie CSW 340, 413 Richard, Michael MD Rodriguez, Maria MD 49
Raymond, Sara ARNP 383 127, 279, 440, 505 Rodriguez, Nadia DMD
Raza, Jaffar MD 86, 164 Richard, Shambavi MD 183 176, 253, 467, 497, 498
Razeghi, Nezhat DDS Richards Pharmacy 529 Rodriguez, Rafael DDS 253, 498
176, 325, 467, 482 Richardson, James DPM 145, 296 Rodriguez, Reinerio MD 2, 26
Razmandi, Azadeh OD 134, 446 Ricklis, Pearl LCSW 390, 492, 493 Rodriguez, Rodolfo OD 210, 478
Razzak, Mannan MD 76 Ridgefield Imaging Center, Inc 311 Rogaski, Krista PA 394
Razzak, Nadia MD 77 Ridgewood Center 319, 460 Rogers, Michelle PA 342
Readyscrip Advanced Pharma 529 Riesenman, Joseph MD 55 Rojas Currier, Rosalba PT 387, 484
Rebarber, Andrei MD 119 Rigolosi, Ronald MD 11 Romaguera-Pazmino, Leyla DMD
Rebein, Benjamin DO 256 Riotto, Lorraine MD 39, 183 176, 467
Red Apple Pharmacy 547 RITE AID Romeo, Dawn LCSW 338, 411
Reddy, Srikanth MD 529, 530, 539, 540, 547, 548 Romero, Roger OP 323, 478
79, 148, 407, 455 Rivadelo, Sonia CNP 335 Roque Dieguez, Hilda MD 39
Reddy, Sureka MD 94, 246 Rivas Medical Supplies LLC Passaic Roque, Evangelina ARNP 393, 397
Redi Diagnostics Corp 311 329, 494 Rosario E Magno Int'L Staffing Inc
Redzio, Ursula DDS 99, 417 River Drive Surgery Center LLC 310 323, 470
Refaie, Tarek MD 301 Rivera Delvalle, Gail CNM Rosen, Arie MD 92
Regency Gardens Nursing Center 360, 378, 395 Rosen, Harel MD 110
LLC 333, 522 Rivera Segarra, Stephanie MD 119 Rosen, Jay MD 156
Regent Care Center 319, 460 Rivera, Antonio LCSW 338, 411 Rosenblatt, Debra DDS
Rehman, Aneeza DMD Rivera, Elsie ARNP 371 99, 316, 417, 449
99, 253, 331, 417, 497, 514 Rivera, Leonora MD 142, 452 Rosenblatt, Marc DO 293, 516
Reicher, Oscar MD 287 Rivera, Roger MD 49 Rosenblum, Michael DPM 145, 296
Reid, Mary ARNP 335 Rivera, Seetha MD 49 Rosenblum, Stacy MD 264
Reinagle, Rachael ARNP 371 Rivera-Penera, Maria MD 77, 288 Rosenbluth, Benjamin MD 152
Reing, Charles MD Riverview Pharmacy 548 Roses, Paul DC 167
127, 278, 440, 505 Rizk, Naglaa MD 119 Rossetos, Ourania MD 203
Reisner, Michelle MD 38, 181 Rizvi, Anwar MD 186 Rossi, Francis DPM 224
Renal Center of Englewood LLC 311 Rizvi, Masood MD 172 Rossi, Peter DPM 145, 224
Renal Center of Passaic LLC 328 Rizvi, Syed MD 66 Rotella, Frank DO 26
Rendon, Monica DPM 223 Rizzo, Robert MD 66 Roth, Joseph MD 96, 106, 248, 262
Requena, Caitlin CSW 357, 432 Rmd Urgent Care 319 Rothman, Murray MD 127, 440
Resnikoff, Michael MD 305 Ro, Charles DMD 176, 467 Rowe, Nivia ARNP 379
Respler, Don MD 92 Robbins, Sandra OD 134, 446 Roy, Monique MD 207, 475

www.wellcare.com/New-Jersey | 621
PROVIDER INDEX
R - cont. Saleh, Rany DO 164 Scharf, Larry OD
Roy, Vijaykumar MD 183 Salem, Noel MD 153 134, 210, 284, 447, 478, 510
Royal Pharmacy 530 Salem, Suhail MD 171 Schehr Kimble, Danielle DO 27
Rozehzadeh, Joseph DDS 99, 417 Saliba, Jehad MD 11, 39, 151, 232 Scheller, Tracy MD 120
Rubia-Sazon, Elvira MD 20, 49, 77 Salimi, Mostafa MD 241 Schessler, Peter LCSW 394, 500
Rubin, Kenneth MD 11, 96 Saltzberg, David DMD 177, 468 Schiffman, Erica MD 298, 519
Rubino, Gennaro MD 66 Saltzman, Daniel MD 119 Schiowitz, Ira DPM 296
Rubinstein, Hector MD 164 Salzano, Brian MD 127, 279, 440, 505 Schlussel, Richard MD 139, 156
Rudo, Antonio LMHC 338, 339, 411 Sama, Jahir MD 258 Schrader, Cheryl LCSW 347, 423
Rudolph, Justin LSW 357, 358, 432 Samadi, Sharyar MD 92, 137 Schrag, Sherwin MD 180
Rueda, Robert DDS 177, 467 Samofal, Russell DPM 296 Schulman, Suzi DC 243
Ruffo, Scott MD 86 SAMS CLUB 540 Schwarcz, Aron MD 86
Ruggiero, James DMD 99, 417 Samuel, Anish MD 11 Schwartz, David OD 211, 478
Ruiz, Frank MD 96, 249 Samuel, Hala MD 77 Schwartz, Jessica LSW 358, 432
Ruiz-Sardelli, Bertha DMD Sanchez, Daniel MD 216, 228, 487 Schwarz, Michael MD 11, 66
177, 253, 467, 498 Sanchez, Matthew ARNP 371 Schwegman, Julie PA 367
Rumbak, Dania MD 140 Sanchez-Pena, Jose MD 66, 301 Scimone, Anthony MD 228, 487
Ruocco, Emmanuelle MD 27 Sanderson, James DO 27 Sciortino, Anthony DDS 292, 515
Rusignuolo, Anthony OD Sandhaus, Leah ARNP 364 Scollo, Paul DPM 145
210, 284, 478, 510 Sandhu, Mohammad MD 164 Scopulovic-Nikolic, Biljana MD 66
Ruvolo, Michelle MD 148, 455 Sandhu, Narinder MD 93, 168 Sears, Michael DPM 145
Ruzehaji, Sevim ARNP 381 Sandoval Castellanos, Oscar MD Secura Home Health LLC
Ryngel, Henry MD 39, 190 148, 228, 298, 455, 487, 519 314, 323, 330, 419, 470, 499
Sandoval, Ramon MD 66 Sedlak, Christen PA 387
S
Sanghavi, Kruti DDS 253, 498 Seedat, Ghazala DDS
Saad, Nader DDS
Santa Maria Pharmacy 540 253, 332, 498, 514
177, 253, 332, 467, 498, 514
Santana, Jose MD 86, 165 Segal, Eric MD 88, 89, 90, 166, 167
Sabharwal, Sanjeev MD 287
Santana, Juan ARNP 399 Segal, Melissa MD 21
Sabi, Majdouline MD 106
Santana, Rosemary LPC 353, 428 Segal, Olga MD 113, 114, 192
Sacher, Jeremy LCSW 339, 411
Santiago, Doris ARNP 375 Segal, Shiri MD 11
Sachin Pharmacy Inc 540
Santos, Concepcion MD 20 Sehgal, Evan MD 11, 86
Sacristan, Carlos MD 56
Santos, Frank MD Seidel, Benjamin DO 142, 452
Safa, Nina MD 11
148, 149, 228, 455, 456, 487 Seiferts Pharmacy 540
Saferstein, Mitchell OD 134, 446
Sanusi, Akinlabi MD 228, 487 Seiger, Jeffrey DMD 213, 481
Saffar, Ronald DDS 213, 481
Sapienza, Mark MD 11, 96 Select Specialty Hospital -
Saif, Shazia MD 186
Sardelli, Louis DDS Northeast NE 306
Saini, Harjinder MD 267
177, 253, 468, 498 Seman, Ahmed MD 39
Saint Anns Home For The Age
Sarigul, Melih MD 77 Sen, Sourav MD 11, 66
326, 490
Saros, Cathleen DO 94 Senior Spirit of Jersey City 461
Saint Moses Pharmacy 540
Satwani, Sunita MD 49 Seo, Christina MD 90, 102
Saiz Quintana, Maria MD 148, 455
Saunders, Abby PA 372 Seok, Bo Hyun DMD 177, 468
Salah-Eldin, Alaa MD 171, 186
Savoy, Randi OD 210, 478 Serom Pharmacy 530
Salam, Misbah MD 166
Scannapiego, Saveren MD Serur, Anna MD 90
Salama, Mina PT 387, 402, 484, 517
207, 279, 475, 505 Sethi, Ritu DDS 177, 468
Salas, Max MD 214
Scaramia, John OD 210, 478 Sethi, Shalini MD 169
Salazar, James DPM 145
Schaefer, Robert MD 203 Severe, Martha DDS 100, 417
Salazar, Maria DMD 177, 468
Schair, Barry MD 11, 66, 86, 241 Severini ARNP 362
Saleeb, Joseph MD 39
Seyam, Ramy OD 284, 285, 510, 511

www.wellcare.com/New-Jersey | 622
PROVIDER INDEX
S - cont. Shim, Eunjung DMD 218, 483 Singer Pharmacy 540
Shafi, Heather MD 77 Shim, Mark MD 87 Singh, Amandeep MD 12
Shafi, Samya MD 260 Shin, Hyun Won DDS 100, 417 Singh, Anup MD 216
Shah, Anuj MD Shin, Marie DPM 224 Singh, Archana MD 217
87, 106, 108, 165, 186, 187, 262 Shin, Peter MD 107 Singh, Geetika DDS 254, 498
Shah, Asha MD 234 Shin, Seulkih MD 2 Singh, Nidhi MD 12
Shah, Bankim MD 12, 39 Shin, Wae OD 285, 511 Singh, Samantha ARNP 382
Shah, Deepak MD 39, 165 Shippee Pharmacy 548 Singhal, Monisha MD 67
Shah, Falguni MD 138 Sholomon, Robert OD 134, 447 Sioson-Maser, Patricia DDS
Shah, Hemant MD 27 Shon, Nicholle DDS 140, 449 140, 292, 449, 515
Shah, Kamalesh MD 39 Shon, Young DDS 253, 498 Sipzner, Jonathan DMD 254, 498
Shah, Ketan DPM 224 Shoppers Pharmacy 548 Sirajuddin, Syed MD 94, 169
Shah, Nalini MD 67, 181, 188, 262 Shoprite Pharmacy Skarbnik, Alan MD 182, 188
Shah, Nilam OP 323, 478 530, 531, 540, 548 Skidmore, Leah ARNP 359, 376
Shah, Nilay MD 193 Shraytman, Arkadiy MD 55 Skinner, Judith OD 285, 511
Shah, Pritesh MD 149, 456 Shteyn, Yekaterina OD 211, 478 Skjeveland, Richard DDS
Shah, Rajvi DMD 140, 292, 449, 515 Shukla, Paresh MD 39 177, 254, 332, 468, 498, 514
Shah, Renu OD 134, 211, 447, 478 Shuldgach, Deborah ARNP Skory, Christopher PA 366
Shah, Rohitkumar MD 39 341, 372, 392 Skroce, Linda MD 188, 264
Shah, Rupali PA 368 Shulman, Elliot MD 156, 234 Sladky, Joerg DDS 178, 468
Shah, Sanjay MD 111, 262, 267 Sicomac Pharmacy 531 Slavin, Timothy LMFT 389, 492
Shah, Sapna MD 21, 77 Sicomac Pharmacy LTC 531 Sliwowski, Martha MD 21
Shah, Shipra MD 67 Siddiqui, Anwar DPM 224 Sliwowski, Stanilaw MD 140
Shah, Tejas MD 157, 305 Siddiqui, Rehma MD 77 Slomowitz, Henry DPM 145, 297
Shah, Vinay MD 274 Sidoti, Thomas DC 243 Smiley, Stephen DDS 93, 415
Shaiman, Alan MD 152, 232 Sidwa, Charles PA 371 Smith, Jacqueline MD 274
Shaker, Safwat MD 12 Sidwa, Vickie ARNP 371 Smith, John DO 87
Shami, Joseph MD 249 Siegel, David MD 104, 183 Smith, Josephine APRN 382
Shammash, Jonathan MD 12 Siegel, Martin OD 211, 478 Smith, Leon MD 103, 109
Shamoon, Fayez MD 241 Siegel, Rebecca CSW Smith, Patricia LCSW 339, 411
Shamshuddin, Safa DMD 340, 369, 370, 413, 462 Sodhi, Surinder MD 49
253, 332, 498, 514 Siepser, Stuart MD 241 Sol Pharmacy 531
Shanmugham, Revathi MD 228, 487 Sifonios, Anthony MD 287 Solanky, Mukesh MD 193
Shansky, David DPM 224, 296 Silberstein, Stuart MD 107, 151 Soliman, Ishak MD 55
Shapiro, Lawrence OD 285, 511 Silkov, Andrey MD 12 Soliman, Raafat DMD 178, 468
Shapiro, Michael MD 256 Silletti, Michael PT 402, 517 Solis, Melissa OD 285, 511
Shapnik, Bella MD 12 Silva, Waldemar MD 67 Solis, Roberto MD 301
Sharma, Shital DPM 224 Silverberg Urian, Yael CNM 395 Soliven, Christine PA 403
Shatkin, Jason MD 151 Simoes, Sonia MD 186, 190 Sommers, Daniel MD 262
Shatzkes, Joseph MD 12, 107 Simon, Elizabeth DO 39 Sonnenblick, Elizabeth APRN 389
Sheefa Pharmacy 329, 494, 548 Simon, Jeffrey DPM 145 Sonoview Consulting Inc 321
Sheen, Eun MD 80 Simon, John LMFT 349 Sonzogni, Elaine ARNP 343
Shehada, Almutasemb DPM 297 Simon, Lawrence DMD 287, 513 Sonzogni, Lisa ARNP 343
Sheldon, Ira MD 27 Simotas, Christopher MD 264 Sorkin, Craig ARNP 382
Sherman, Jingjing MD 102, 181 Simpson, Jasmine ARNP 368 Sovereign Health Imaging LLC 311
Sheth, Meetkumar MD 12, 67 Simpson, Josephine ARNP 398 Specialty RX Inc 531
Shetty, Reshma DDS 177, 468 Sinai Quick Stop Pharmacy 548 Speziale, Liss ARNP 397
Shilad, Aiman MD 274 Sindhu, Mahmood OD 211, 479

www.wellcare.com/New-Jersey | 623
PROVIDER INDEX
S - cont. Subin, David DC 167 Sysounthone, Vilayvanh DPM 297
Spinellidrenth, Rosemarie ARNP Subrati, Rahman MD 27, 28 Szewczyk-Szczech, Krystyna MD
341 Suede, Samuel MD 87, 241 13, 67
Spinelli-Drenth, Rosemarie ARNP Sugarmans Drug Store 541
T
341 Suh, James DDS 213, 481
Tabaksblat, Martin MD 242
Spinnell, Mitchell MD 13, 96 Suh, Jin MD 260
Taclob, Erlinda MD 67
Spivak, Dana MD 27 Suliaman, Fawzi MD 80
Taclob, Lowell MD 67
Squire, Alexa LMFT 349 Sullivan, Brendan MD 87, 242
Taclob, Michelle MD 263
Srinivascan Mehta, Jaya MD 217, 291 Sullivan, Brian DPM 224
Tadros, Jacklyn DDS 100, 418
Srisethnil, Pudchong MD 67, 245 Sullivan, Gregory MD
Tager, Patricia MD 168
St Ann's Home For The Aged 461 40, 67, 165, 242
Tah, Peter MD 274, 275
St Clara Medical Supplies Corp Sullivan, Sara DDS 136, 448
Taha, Firas MD 114, 193
322, 463 Sultan, Ronald MD 181
Tahzib, Munirih MD 80
St Johns Pharmacy 540 Sultani, Attefa OD 134, 447
Talati, Dhaval PT 403, 517
St Joseph's Home For The Eldery Summit Care Pharmacy 541
Taliercio, Joseph ARNP 378
333, 522 Summit Healthcare Pharmacy 541
Talwar, Sumit MD 183, 186
St Maria Pharmacy, Corp 540 Sun, Li DO 213
Tamimi, Imad DDS 286, 512
St Mark Pharmacy 540 Sunflower Medical Adult Day Care
Tamimi, Imad DMD 286, 512
St Philo Pharmacy 531 461
Tan, Flerida ARNP 371
St. Joseph's Hospital Reg Medical Sunga, Epifanio OD 134, 447
Tandler, Robert OD 211, 479
Center 308 Sunny Pharmacy 313, 415, 532
Tandra, Suneela MD 50
Stacom, Elizabeth PHD 299, 520 Sunshine Adult Day Health Care
Taneja, Uttama DO 21
Stadler, Isaac MD 40 Center 407
Tannen, Bradford MD
Stansfield-Panzera, Dorothy CNM Surahio, Ali MD 149, 456
128, 279, 441, 506
400 Surgan, Victoria MD 166
Taormina, Donna ARNP 398
Star Pharmacy 531 Surgicare of Central Jersey 310
Taoudi Benchekroun, Mohammed
Starlight Home Care Agency Inc Surgicare Surgical Assoc of Wayne
MD 13
424, 450 LLC 327
Tapia, Taryn OD 134, 447
Staunton, Paul DPM 297 Surgicare Surgical Associates of
Taranath, Dheeraj DO 94, 246
Stay Well Services Inc 450 Fairlaw 310
Taranto, Elizabeth PA 387
Stegman, Daniel MD Surgicare Surgical Associates of
Tartakovsky, Irina MD 13
127, 128, 279, 440, 441, 505 Jersey 320
Tassan, Robert MD 107, 186
Steigman, Elliot MD 234 Suri, Ritu MD 94
Tatevossian, Tiffany MD 13, 67
Steigner Pharmacy 548 Surti, Daxa MD 21, 49
Taubman, Jessica MD 28
Stein, Beth MD 269 Sussman, Barry MD 102
Tavares, Sarah LCSW 394, 500
Stein, Eileen CSW 390, 493 Sussmans Drugs 548
Taylor, Bellazmin PA 375
Steinbaum, Deborah MD 21, 77 Sutter, John MD 77
Taylor, Jennifer MD 269, 298, 519
Stella, Stefano MD 204 Sverdlova, Alyona DDS 254, 498
Team Management 2000 Inc Fc
Stern, Marianne ARNP 379 Swan, Alexander MD 262, 267
310, 412
Sticco, Christine MD 274 Sweet Home Adult Medical Day
Teehan, Edwin MD 256, 305
Stillman, Dmitry DDS 141, 450 Care 491
Tejeda, Carlos MD 68
Stock, Jeffrey MD 156, 304 Swingle, Christine PA 385
Tendler, Catherine ARNP 367, 456
Stop Shop Pharmacy Syed, Amer MD 40
Tengson, Roger MD 78
531, 532, 541, 548 Syed, Khalid MD 77
Tennenbaum, Steven MD 139
Stowe, Arthur MD 171 Syed, Mansoor OD 211, 479
Tenpenny, Ela ARNP 371
Straight and Narrow Inc 491 Syed, Saquiba MD 40
Terner, Sofia MD 107
Strain, Jeffrey MD 102, 181 Syed, Tariqshah MD 87, 108
Strizhevsky, Marina DO 93, 168, 245 Sylvestre, Vonetta MD 204

www.wellcare.com/New-Jersey | 624
PROVIDER INDEX
T - cont. Toor, Khadija MD 21, 50, 137, 215 Unique Home Care Agency Inc
Terrana, Anthony DMD Toor, Saddad MD 242 314, 419
213, 287, 481, 513 Torres, Luz LPC 353, 428 United Pharmacy 541
Terrone, Deborah APRN 395 Torres-Soto, Eileen MD 21, 50, 78 University Radiology Group PC 311
Terrone, Deborah ARNP Tortorici, Michael OD University Radiology Teaneck LLC
343, 361, 396 134, 211, 447, 479 311
Testa, Jack DPM 225 Total Hearing Care-Westwood Unlimited Care Inc 424, 471, 501
Thabata, Nadine DPM 225 310, 408 Upadhyaya, Hitendrakumar MD
The Actors Fund Home 319, 460 Town and Country Comp Conslt 104, 183
The Actors Fund Homes 408 532 Urato, Gabriella LSW 358, 433
The Buckingham At Norwood Care Town Country Pharmacy 532 Urena, Julio MD 68
Rehabil 319, 460 Town Pharmacy 541 Uri, Ida Cristina PT 403, 518
The Chelsea At Bald Eagle 491 Traino, Alan OP 330, 511 US Pharmacy Lab 532
The Galaxy Drug Store 541 Trajkovska, Violeta OD
V
The Harborage 326, 490 134, 285, 447, 511
Vaccarella, Gerard PHD 150, 457
The Medicine Shoppe 532 Treskova, Erena MD 289
Vaiana, Paul MD 40
The Medicine Shoppe Pharmacy Tri State Healthcare Management
Valdes, Stephanie SLP 404, 522
532 333, 522
Valdivieso, Yaira MD 21
The New Caring of Prospect Park Trieu, MA-Le OD 134, 211, 447, 479
Valencia, Bienvenido MD 68
491 Trigoura, Mabel ARNP 363, 382
Valenciano, Marilyn LSW 358, 433
The Peoples Pharmacy Shoppe 541 Triolo, Diane MD 267
Valentin-Torres, Melanie MD 260
The Prescription Shoppe 541 Trobliger, Robert PHD
Valenza, Joseph MD 142, 452
The Radiology Center of Lyndhurst 150, 229, 457, 488
Valenzuela, Tirza DDS 254, 498
311 Tronza, Claudia SLP 388
Vales-Buckwald, Nicole ARNP
Thomas, Abraham MD 78 Trotta, Nicholas MD 207, 475
364, 383, 384, 399
Thomas, Jessy MD 28 Trovato, Sana DPM 225
Valiveti, Sailaja MD 149, 456
Thomas, Kathleen MD 159 Trujillo Caravalho, Cecilia MD 204
Vallar, Robert MD
Thomas, Mary MD 78 Trusty, Mazie ARNP 375
128, 207, 208, 441, 475
Thomas, Yasmine ARNP 378 Trytjak, Yurij OD 211, 285, 479, 511
Valley Health Pharmacy 532
Thompson, Sara ARNP 392, 393 Tsai, Joyce MD 114
Valley Pharmacy 549
Thomsen, Stephen MD 190 Tsai, Judy OD 134, 285, 447, 511
Value Pharmacy 549
Thorpe, Michelle MD 149, 456 Tsai, Wenchi MD 236
Valurx Pharmacy 549
Tider, Toby CSW 340, 413 Tuason, Cayetano PT 403, 517
Van Blarcom, Toni LAC 109
Tieng, Fortunata MD 68 Tucker Drugs 541
Van Dyks Senior Residence of
Tievsky, Alex DPM 145 Tulsyan, Nirman MD 235, 305
Hawthorne L 491
Tikoo, Ravinder MD 114 Turanskiy, Zinoviy DDS 178, 468
Van Houten Pharmacy 549
Tilson, Morris MD 13 Turizo, Maria MD 78
Vantage Healthsystem 310, 412
Tindoc, Lorelane MD 55 Turning Point Inc 320, 327, 462, 492
Varghese, Mathew MD 80, 159
Tirado, Roberto APRN 389 Tuttle, Gloria LCSW 339, 411, 412
Varghese, Vibu MD 13, 68
Tiyyagura, Satish MD 87, 242
U Variety Drug 532
Tkachchubay, Irina MD 275
Ucheagwu, Hyacinth MD 50 Varma, Marianne PA 392
Tlamsa, Aileen MD 107
Ucol, Carlo PT 403, 517 Varma, Shubha MD 157, 235
Tobias Quiroz, Aurea MD 21
Ukrainskyj, Motria MD 256 Varoqua, Sabah MD 68
Tokat, Ikbal MD 78
Ultra Care Pharmacy 541 Varughese, Joe LPC 353, 428
Toker, Perry OD 211, 479
Umali, Winston MD 50 Vasco, Yajaira LCSW 347, 423
Toledo Pharmacy 541
Umr Pharmacy Surgicals Inc 541 Vasena Marengo, Maria MD 78
Tomsa, Anca MD 21
Union City Pharmacy 541 Vashi, Pooja PT 403, 518
Tonys Pharmacy 549

www.wellcare.com/New-Jersey | 625
PROVIDER INDEX
V - cont. Visiting Visiting Homemaker Wasserman, Kennneth MD 13
Vassallo, Christina ARNP Service of P 330, 499 Wasty, Najam MD 187
363, 382, 386, 398 Vital Plus Pharmacy 549 Watkins, Rebecca OD 285, 511
Vaswani, Rani MD 40 Vitale, Diana MD 275 Wayne Cancer Center LLC Fc 302
Vaynberg, Dina MD 149, 456 Vitale, Joseph MD 55 Wayne Pharmacy 549
Vazquez Falcon, Luis MD 40 Vitale, Mary APRN 392 Weber, Renata MD 142
Vdb Enterprises LLC DBA Vitalis Pharmacy 541 Wegmans Pharmacy 532
Rehabilitation S 318, 458 Vitiello, Anna LCSW 339, 412 Weidenhammer, Adam MD
Vece, Lorrie MD 21 Vitting, Kevin MD 267 293, 516
Vega, Dennis MD 303 Vogel, Mitchell MD Weinberg, Martin MD 128, 441
Vehra, Ijaz MD 13, 87, 107, 242 208, 280, 475, 506 Weinstein, Mark MD 159
Velazquez, Natalie OD Voladri, Latha DDS 254, 498 Weisholtz, Steven MD 14, 104
211, 285, 479, 511 Volfson, Ariy MD 249 Weisman, Jeffrey DO 186
Velickovic, Marina MD 50 Vollenweider, Diane LCSW 339, 412 Weiss, Harvey OD 135, 447
Veloso, Corazon MD 28 Voloshin, Igor PT 403, 518 Weiss, Jeffrey MD 68
Velpari, Sudarshan MD 40 Vora, Bhupendra MD 208, 475 Weissman, Andrew MD 14, 87
Vencer Vital Care 532 Vora, Kena PT 403, 518 Weissman, Michelle MD 265
Venkat, Anu MD 166 Vora, Puja MD 114, 193 Welch, Matthew DPM 146, 225
Ventura, Evelyn MD 50 Vranesich, Sarah ARNP 363 Welcome Pharmacy 542
Vera, Abraham ARNP 380 Well Care Pharmacy 542
W
Verma, Ganga DDS 178, 469 WellCare Customer Service
Wahba, Janette MD 22, 78
Vero, Linda RD 365, 433 309, 406
Wahba, Magdy MD 301
Verona Pharmacy 541 WellCare Pharmacy 542
WAL MART Vision Center 3520
Veytsman, Zinaida PT 387, 485 WellCare Pharmacy LLC 549
211, 479
Vialotti, Charles MD 152 Wenger, Abraham DMD 178, 469
Waldman, Eric OD 285, 511
Vicente, Natali PA 372 Wenger, Peter MD 216
Waldwick Pharmacy 532
Viera, Jorge ARNP 343, 375, 393 West Bergen Mentalhealthcare
Walia, Birendra MD 267
Viera, Ruth LCSW 375, 470 310, 412
Walker, Elizabeth ARNP 371
Vij, Raman MD 142, 452 West End Pharmacy 532
Walker, Molly CNM 378
Vijay- Sharma, Mayuri MD 190 West Hudson Sub Acute Care
Walmart Pharmacy 532, 541, 542
Vinciguerra, Van OD 285, 511 Center LLC 326, 490
Walmart Vision Center 5447
Vinod, Jeevan MD 171 West Milford Pharmacy 549
211, 479
Vinokur, Anna DO 22 Weyrauch, Michael DMD 178, 469
Walpole, Joan LPC 353, 354, 428
Viola, Kyle PA 375 White, Evelyn MD 275
Walsh, Bernadette ARNP 382
Virk, Hartaj MD 13, 242, 263 White, Ronald MD 91
Walsh, Lauren LCSW 347, 423, 424
Visionworks Drs of Optometry 452 Whitworth, Jeffrey MD 244
Wanaque Nursing and
211, 479 Wieder, Jennifer MD 22
Rehabilitation LLC 334, 522
Visionworks Drs of Optometry 461 Wien, Frederic MD 14
Wang, Cecilia MD 298, 519
135, 447 Wiener, Michael DO 2
Wang, Wei MD
Visiting Homemaker Home Health Wiesen, Mark MD 245
149, 150, 228, 229, 299, 456, 487, 488,
Aide Serv 314, 419 Wilcox, Ellis MD 41, 186, 232
519
Visiting Homemaker Service of Wild, David MD 87, 88, 115
Wardeh, Ghassan MD 151
Hudson Cou 471, 483, 489 Wilkenfeld, Craig MD 88
Warren, Wendy MD 103, 109
Visiting Nurse Association of Wilkin, Daniel DO 2
Warta, Melissa MD 257
Englewood 315, 419 Willets, Catharine LCSW 348, 424
Wassef, Inas MD 50
Visiting Therapy Services LLC William, Pushpam ARNP 386
Wassef, Wagih MD 40
330, 499 Williams Pharmacy 549
Wasser Malmud, Andrea LCSW
389, 492

www.wellcare.com/New-Jersey | 626
PROVIDER INDEX
W - cont. Yagudayev, Leonid OT 385, 472 Zaleska, Violetta MD 236
Williams, Hallie DDS Yahav, Eric MD 15, 42, 69 Zaman, Aamir MD 259
178, 325, 469, 482 Yang Shoe Corporation 313, 415 Zapiach, Leonidas MD 96, 171
Williams, Karlene MD 14, 22 Yang, Annie MD 107 Zapiach, Mauricio MD 96, 171
Williams, Marcus MD 88 Yang, Hee MD 103 Zara, Maria DMD 179, 469
Williams, Raashan MD 165 Yang, Sherry MD 290 Zawahir, Shamila MD 137
Willow Pharmacy 542 Yang, Yulong MD 14 Zedan, Eman ARNP 375
Wilpage Inc 329, 494 Yanusz, Donna ARNP 371 Zeik, Carol LCSW 348, 424
Wilson, Althea PA 404 Yapor, Eddy DDS Zelkovic, Paul MD 139, 156
Win, Kelvin OD 286, 512 100, 178, 179, 325, 418, 469, 482 Zeltser, Eugene MD 267, 268
Winfield, Steven MD 280, 506 Yassein, Ibraheim DDS Zemel, Mathias MD 92, 244
Wint, Keisha LCSW 339, 412 254, 332, 499, 514 Zezon, Anna MD 107, 263
Wisdom Pharmacy 542 Yegen, Lonna MD 22 Zhang, Lisa DPM 225
Witkowska, Renata MD 80 Yenukashvili, Nana MD 22, 51 Zhang, Mei MD 152
Witt, Virginia MD 28 Yeshou, Dima MD 14, 93 Zierer, Kenneth MD 96, 249
Witzmann, Christopher AUD Yi, Yoon DPM 146 Zihal, Annmarie LMFT
389, 492 Yin, Hong DDS 287, 513 349, 350, 354, 428, 429
Wohler, Alexander MD 155 Yorio, David DO 2, 55 Zimmerling, Inna OD
Wolf, Edward MD 103, 109 Yorke, Maureen RD 341, 371, 391 212, 286, 479, 480, 512
Wolodiger, Fred MD 103 Yorkshire Pharmacy 532 Zingler, Barry MD 14, 96, 97
Wong, Carson OD 135, 447 Yoshovayev, Anatoli PT Ziolo, Gregory MD 88
Wong, Irene MD 55 387, 403, 485, 518 Zisa, John DPM 297
Wong, Peter MD 165, 166 You, Eun LSW 358, 433 Znamensky, Vladimir MD 187, 242
Woo, James MD 55, 257 Youngewirth, Maty OD Zolot, Charles OD 135, 448
Woo, Judy MD 114, 269 135, 212, 286, 447, 479, 512 Zoretic, Stephen MD 156
Wood, Chelsea ARNP 384 Yousef, Nadia MD 107, 111, 263, 267 Zouzias, Dimitris MD 244
Woodcliff Lake Health & Rehab Youssef, Emad DPM 225 Zubair, Mohammad MD 41, 232, 233
Center 319, 460 Youssoufian, Anahid DDS 179, 469 Zuberi, Jamshed MD 257
Woodcrest Health Care Center Ysique, Jacqueline MD 2 Zucker, Scott MD 22, 78
319, 460 Yu, Seo DDS 100, 418 Zwitiashvili, Robert MD 69
Woodhull, Courtney PA 368 Yu, William MD 51
Woodland Park Dialysis Center LLC Yucel, Cengiz MD 22
328 Yun, Sung DDS 100, 418
Woolbright, William MD 50 Yung, York-Mui MD 68, 78
Wosu, Carolee MD 50, 78 Yussaf, Shiraz MD 56
Wu, David MD 156, 234
Z
Wu, Ho Shyuan PHD 150, 457
Zabarko, Diana OD
Wuebbels, Nathan DDS
135, 286, 447, 512
135, 212, 448, 480
Zahran, Ali MD 68
Wunsh, Stuart MD 280, 506
Zaina, Samir MD 56
X Zakaim, Elvis DMD 100, 317, 418, 449
Xanadu Amdc 491 Zaki, Isaac MD 28
Xenakis, George DDS 100, 418 Zakir, Ramzan MD 166
Zakjyev, Rustam DMD 100, 418
Y
Zaky, Jackline OD
Yachechak, Suzanne RD 365, 433
135, 212, 286, 448, 479, 512
Yacoub, Kinda DDS
Zalaznick, Steven OD 286, 512
254, 332, 498, 514

www.wellcare.com/New-Jersey | 627
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