MS. DORENE GERALDINE VELIKY APN-C
NPI 1750792636
Nurse Practitioner - Adult Health in Teaneck, NJ
Quality Rating: 92.04 out of 100 score
NPI Status: Active since May 14, 2014
- Individual
- Female
- Years of Experience 13
- Nurse Practitioner
- Adult Health
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About DORENE VELIKY
This page provides the complete NPI Profile along with additional information for Dorene Veliky, a provider established in Teaneck, New Jersey with a medical specialization in Nurse Practitioner, focusing in adult health and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1750792636 assigned on May 2014. The practitioner's primary taxonomy code is 363LA2200X with license number 26NJ00498500 (NJ). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1750792636
- Provider Name
- MS. DORENE GERALDINE VELIKY APN-C
- Other Name
- MISS DORENE GERALDINE BALASA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 718 TEANECK RD TEANECK, NJ 07666
- Location Phone
- (201) 833-3740
- Mailing Address
- 718 TEANECK RD TEANECK, NJ 07666
- Mailing Phone
- (201) 833-3740
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-14-2014
- Last Update Date
- 06-24-2016
- Code Navigator
A nurse practitioner (NP) like Dorene Veliky is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 26NJ00498500
- License State
- NJ
Medicare Participation & PECOS Enrollment Status
Dorene Veliky is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Dorene Veliky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 840507067
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20150921000116
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
7 DME suppliers used 15 Medicare Claims 44 Services Paid
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)
1 DME suppliers used 30 Medicare Claims 30 Services Paid
DME-Other DME (DE000N)
Nebulizer, with compressor (HCPCS:E0570)
2 DME suppliers used 18 Medicare Claims 18 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory (HCPCS:E1028)
1 DME suppliers used 14 Medicare Claims 24 Services Paid
DME-Other DME (DE000N)
Transport chair, adult size, patient weight capacity up to and including 300 pounds (HCPCS:E1038)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
1 DME suppliers used 17 Medicare Claims 17 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
2 DME suppliers used 44 Medicare Claims 44 Services Paid
Unknown
Other-Enteral and Parenteral (OB006N)
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape (HCPCS:B4036)
2 DME suppliers used 12 Medicare Claims 354 Services Paid
Other-Enteral and Parenteral (OB006N)
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit (HCPCS:B4150)
2 DME suppliers used 11 Medicare Claims 3960 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Administration of vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month
Established patient home visit, typically 1 hour
Established patient home visit, typically 40 minutes
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
Transitional care management services for problem of high complexity
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 39 times for 38 patientsAdministering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
This service was performed 20 times for 20 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 31 times for 31 patientsChronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
This service was performed 117 times for 56 patientsAn established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
This service was performed 320 times for 78 patientsAn established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
This service was performed 42 times for 22 patientsThe quadrivalent influenza vaccine is a flu shot that protects against four different flu viruses. Derived from cell cultures, it is free of preservatives and antibiotics. It's a safe and effective way to reduce your risk of getting the flu.
This service was performed 17 times for 17 patientsThe quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
This service was performed 27 times for 27 patientsTransitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
This service was performed 15 times for 13 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $24.52 for a new patient copayment and $27.89 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07666 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $98.09
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $24.52
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.57
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $27.89
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.04, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 92.04 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 78.2
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| Engagement of Patients, Family, and Caregivers in Developing a Plan of Care | Yes | N/A |
| Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology. | ||
| e-Prescribing | 96% | 147 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Patient-Specific Education | 74% | 57 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 82% | 57 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 2% | 57 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dorene Veliky is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| HOLY NAME MEDICAL CENTER | 718 TEANECK RD TEANECK, NJ 07666 | (201) 833-3000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 7 | 9 | 2 | 6 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 9 | 4 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 9 + 4 + 6 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1750792636 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982604864 | DR. ROBERTO SINGER M.D. Individual | Internal Medicine (Nephrology) | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3223 |
| 1447250303 | DR. ALEXANDER M VITIEVSKY M.D. Individual | Internal Medicine (Nephrology) | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3223 |
| 1346240298 | DR. ALBERT TARTINI M.D. Individual | Internal Medicine (Nephrology) | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3223 |
| 1235139957 | DR. ANANEA ADAMIDIS M.D. Individual | Internal Medicine (Nephrology) | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3223 |
| 1033119094 | KENNETH WEINBERG M.D. Individual | Emergency Medicine | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3913 |
| 1780685362 | DR. AMITA DESAI M.D. Individual | Specialist | 718 TEANECK RD HOLY NAME HOSPITAL TEANECK, NJ 07666 (201) 833-3000 |
| 1104827310 | DR. TIMOTHY V NGUYEN PHARMD Individual | Pharmacist | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3057 |
| 1871588988 | DR. VIPAN KUMAR GUPTA MD Individual | Internal Medicine | 718 TEANECK RD DEPARTMENT OF PRACTICE MANAGEMENT TEANECK, NJ 07666 (201) 833-7265 |
| 1154316982 | MR. ROSARIO (RUSS) JOSEPH LAZZARO I RPH Individual | Pharmacist | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3000 |
| 1184600322 | JONATHAN DAVID SAARI M.S. Individual | Genetic Counselor, MS | 718 TEANECK RD MFM DIVISION TEANECK, NJ 07666 (201) 833-7018 |
| 1639132970 | RICHARD M SCHWAB MD Individual | Emergency Medicine | 718 TEANECK RD HOLY NAME HOSPITAL TEANECK, NJ 07666 (201) 833-3000 |
| 1679529945 | RENAL MEDICINE ASSOCIATES, PA Organization | Internal Medicine (Nephrology) | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3223 |
| 1558308619 | ANGELA MUSHEYEV PA Individual | Physician Assistant | 718 TEANECK RD HOLY NAME HOSPITAL TEANECK, NJ 07666 (201) 833-3000 |
| 1255367280 | JOHN RUNDBACK M.D. Individual | Radiology (Vascular & Interventional Radiology) | 718 TEANECK RD TEANECK, NJ 07666 (201) 227-6210 |
| 1255362570 | DR. JOSHUA D. GROSS MD Individual | Radiology (Radiological Physics) | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-7100 |
| 1346272002 | YADYRA RIVERA M.D. Individual | Specialist | 718 TEANECK RD TEANECK, NJ 07666 (201) 227-6008 |
| 1205861366 | CHARLES P VIALOTTI MD Individual | Radiology (Radiation Oncology) | 718 TEANECK RD TEANECK, NJ 07666 (201) 541-5900 |
| 1134145089 | MRS. EILEEN TERESE DAVIS RN, APN, C Individual | Nurse Practitioner (Women's Health) | 718 TEANECK RD HOLY NAME HOSPITAL CLINIC TEANECK, NJ 07666 (201) 833-3174 |
| 1073533022 | DR. RANDOLPH PAUL COLE MD Individual | Internal Medicine (Critical Care Medicine) | 718 TEANECK RD TEANECK, NJ 07666 (201) 833-3342 |
| 1013930007 | DR. BENJAMIN D ROSENBLUTH M.D. Individual | Specialist | 718 TEANECK RD TEANECK, NJ 07666 (201) 541-5900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750792636, enumerated in the NPI registry as an "individual" on May 14, 2014
The provider is located at 718 Teaneck Rd Teaneck, Nj 07666 and the phone number is (201) 833-3740
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
The provider has more than 13 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $98.09 with an average copayment of $24.52 for new patient appointments. Established patients should expect a typical charge of $111.57 and an average copayment of 27.89. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Administration of vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month, Established patient home visit, typically 1 hour, Established patient home visit, typically 40 minutes, Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free, Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage and Transitional care management services for problem of high complexity.
The practitioner is affiliated to the following hospital(s): HOLY NAME MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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