Physician Compare National (NPI:1538366976)

HEALTHCARE PROVIDER: NEELANGANI THERESE DESOYZA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538366976
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264600931
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20151207000157
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DESOYZA
	Individual professional last name
Provider First Name	NEELANGANI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	EXCELCARE MEDICAL ASSOCIATES PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4284647868
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	123
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	420 GRAND AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	ENGLEWOOD
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	076314141
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2018714040
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HOLY NAME MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310045
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ENGLEWOOD HOSPITAL AND MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y