Core Medical Group, Llc is a medicare enrolled "Pain Medicine - Pain Medicine" provider in Lyndhurst, New Jersey. Their current practice location is
256 Stuyvesant Ave Ste B, Lyndhurst, New Jersey. You can reach out to their office (for appointments etc.) via phone at
(888) 521-0688.
Core Medical Group, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Core Medical Group, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003328824.
Healthcare Provider's Profile
| Full Name | Core Medical Group, Llc |
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| Type | Facility |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 256 Stuyvesant Ave Ste B, Lyndhurst, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003328824
- Provider Enumeration Date: 11/02/2017
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214279439
- Enrollment ID: O20190508001389
Medical Identifiers
Medical identifiers for Core Medical Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003328824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | (* (Not Available)) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | (* (Not Available)) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Core Medical Group, Llc acts as a billing entity for following providers:
| Provider Name | Jagdip Desai |
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| Provider Type | Practitioner - Pain Management |
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| Provider Identifiers | NPI Number: 1194761593
PECOS PAC ID: 7810997889
Enrollment ID: I20061226000057 |
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| Provider Name | Harry Maroulakos |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1205801750
PECOS PAC ID: 1355230889
Enrollment ID: I20080718000393 |
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| Provider Name | Shelly Sharma |
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| Provider Type | Practitioner - Anesthesiology |
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| Provider Identifiers | NPI Number: 1538465760
PECOS PAC ID: 6709001464
Enrollment ID: I20151103003137 |
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| Provider Name | Yevgeniya Gartshteyn |
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| Provider Type | Practitioner - Rheumatology |
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| Provider Identifiers | NPI Number: 1962794909
PECOS PAC ID: 6406072370
Enrollment ID: I20191001003179 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Core Medical Group, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Core Medical Group, Llc
256 Stuyvesant Ave Ste B,
Lyndhurst, NJ 07071-1833
Ph: (888) 521-0688 | Core Medical Group, Llc
256 Stuyvesant Ave Ste B,
Lyndhurst, NJ 07071-1833
Ph: (888) 521-0688 |
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