Amelia B Bautista, | |
1600 Haddon Ave, Icn, Camden, NJ 08103-3101 | |
(856) 757-3988 | |
Not Available |
Full Name | Amelia B Bautista |
---|---|
Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1600 Haddon Ave, Camden, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760460703 | NPI | - | NPPES |
3987001 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 25MA04033000 (New Jersey) | Primary |
Entity Name | Rutgers Health-rwj Neonatology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295741858 PECOS PAC ID: 2961398730 Enrollment ID: O20040227000051 |
Entity Name | Nicu Associates At Saint Barnabas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992753115 PECOS PAC ID: 9931166055 Enrollment ID: O20041210000130 |
Entity Name | Sbmc Provider Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942748983 PECOS PAC ID: 8729344569 Enrollment ID: O20171109003416 |
Mailing Address | Practice Location Address |
---|---|
Amelia B Bautista, 500 Grove St, Suite 100, Haddon Heights, NJ 08035-1761 Ph: (856) 796-9200 | Amelia B Bautista, 1600 Haddon Ave, Icn, Camden, NJ 08103-3101 Ph: (856) 757-3988 |
Jodi Levy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz Rm 200, Camden, NJ 08103 Phone: 856-342-2001 | |
Vishwanath Bhat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: One Cooper Plaza, 7th Fl. Dorrance Cooper Pediatric Specialists, Camden, NJ 08103 Phone: 856-342-2265 Fax: 856-342-8007 | |
Zubairul Hasan Aghai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2000 | |
Dr. Rhonda Schnur, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz, Suite 200, Camden, NJ 08103 Phone: 856-342-2001 | |
Dr. Melinda Danowitz, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz Rm 200, Camden, NJ 08103 Phone: 856-342-2001 | |
Dr. Miriam Siddique, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-757-7904 | |
Sarra Bae, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2600 |