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Luz Charielle Quezada Mejia

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

254 Easton Ave, New Brunswick, NJ 08901-1766

PECOS Enrollment

This provider is enrolled in PECOS as LUZ QUEZADA MEJIA.

Based on the most recent information from CMS, provider Luz Charielle Quezada Mejia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1902402985
Provider Type
Individual
Full Name
Quezada Mejia, Luz Charielle
Credential
APN

Gender
Female
Sole Proprietor
No
Enumeration Date
12/7/2020
Last Updated
12/7/2020

Contact Information

Practice Location

254 Easton Ave, New Brunswick, NJ 08901-1766

(732) 745-8600

(732) 448-9741

Mailing Location

254 Easton Ave, New Brunswick, NJ 08901-1766

(732) 745-8600

(732) 448-9741

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ01086600 New Jersey
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 26NR15404200 New Jersey

Luz Charielle Quezada Mejia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

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