Provider Demographics
NPI:1881427250
Name:ERA MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:ERA MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:KPAKA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:347-938-4601
Mailing Address - Street 1:74 E GLENWOOD AVE # 276
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-1002
Mailing Address - Country:US
Mailing Address - Phone:347-938-4601
Mailing Address - Fax:302-899-1029
Practice Address - Street 1:74 E GLENWOOD AVE # 276
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1002
Practice Address - Country:US
Practice Address - Phone:347-938-4601
Practice Address - Fax:302-899-1029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty