Aleksandr Martirosov, DO | |
31-00 Broadway, 1st Floor, Fair Lawn, NJ 07410-3963 | |
(201) 791-7771 | |
(201) 791-7337 |
Full Name | Aleksandr Martirosov |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 31-00 Broadway, Fair Lawn, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700931185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MB06860100 (New Jersey) | Primary |
207QA0401X | Family Medicine - Addiction Medicine | 25MB06860100 (New Jersey) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dynamic Health Rehabilitation Center Pc | 2466670120 | 4 |
Tri-state Health And Wellness Medical Care Center Pc | 3577628056 | 2 |
Entity Name | Tri-state Health And Wellness Medical Care Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942457023 PECOS PAC ID: 3577628056 Enrollment ID: O20090217000316 |
Entity Name | Dynamic Health Rehabilitation Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588077705 PECOS PAC ID: 2466670120 Enrollment ID: O20140822000249 |
Mailing Address | Practice Location Address |
---|---|
Aleksandr Martirosov, DO 31-00 Broadway, 1st Floor, Fair Lawn, NJ 07410-3963 Ph: (201) 791-7771 | Aleksandr Martirosov, DO 31-00 Broadway, 1st Floor, Fair Lawn, NJ 07410-3963 Ph: (201) 791-7771 |
Alexander Westcott, Family Medicine Medicare: Medicare Enrolled Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-2255 Fax: 201-796-3711 | |
Long Qin Wang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31-00 Broadway, Fair Lawn, NJ 07410 Phone: 201-796-2255 | |
William Joseph Gallagher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2-22 Banta Pl, Fair Lawn, NJ 07410 Phone: 201-509-8600 | |
Samia Riaz Chaudry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 04 Goldblatt Terrace, Fair Lawn, NJ 07410 Phone: 201-797-7129 Fax: 201-703-6982 | |
Kiran Syed, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 22-18 Broadway Ste 201, Fair Lawn, NJ 07410 Phone: 201-475-5050 Fax: 201-475-5522 | |
Dr. Salvatore Infantino, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11-26 Saddle River Rd, Fair Lawn, NJ 07410 Phone: 201-796-9225 Fax: 201-796-7606 | |
Mrs. Sadia R Chaudry, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 41-04 Goldblatt Ter, Fair Lawn, NJ 07410 Phone: 201-797-7129 Fax: 201-703-6982 |