Dr Matin Mikayil Imanguli, MD, DDS is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" provider in Edison, New Jersey. His current practice location is
102 James St Ste 302, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 635-9300.
Dr Matin Mikayil Imanguli is licensed to practice in New Jersey (license number 25MA10294300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114065406.
Healthcare Provider's Profile
| Full Name | Dr Matin Mikayil Imanguli |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 102 James St Ste 302, Edison, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Matin Mikayil Imanguli attended and graduated from in
NPI Data:
- NPI Number: 1114065406
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Matin Mikayil Imanguli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114065406 | NPI | - | NPPES |
| 542034392 | Other | VA | TAX IDENTIFICATION |
| 113660124 | Other | VA | TAX IDENTIFICATION |
| 841629676 | Other | VA | TAX IDENTIFICATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 0401411071 (Virginia) | Secondary |
| 207Y00000X | Otolaryngology | Q0461 (Texas) | Secondary |
| 207Y00000X | Otolaryngology | 36041 (Alabama) | Secondary |
| 207Y00000X | Otolaryngology | 25MA10294300 (New Jersey) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 25MA10294300 (New Jersey) | Primary |
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. Dr Matin Mikayil Imanguli 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 |
|---|
Dr Matin Mikayil Imanguli, MD, DDS
3600 Route 66 Fl 3,
Neptune, NJ 07753-2645
Ph: (732) 807-0877 | Dr Matin Mikayil Imanguli, MD, DDS
102 James St Ste 302,
Edison, NJ 08820-3970
Ph: (732) 635-9300 |
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