Andranik Howhannesian, | |
14-01 Broadway Ste 3, Fair Lawn, NJ 07410-2008 | |
(201) 791-4544 | |
Not Available |
Full Name | Andranik Howhannesian |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 34 Years |
Location | 14-01 Broadway Ste 3, 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 |
---|---|---|---|
1174591762 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 25MA06432200 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Valley Hospital | Ridgewood, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sovereign Medical Group Llc | 1456535392 | 18 |
Entity Name | Sovereign Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710282082 PECOS PAC ID: 1456535392 Enrollment ID: O20110418000519 |
Mailing Address | Practice Location Address |
---|---|
Andranik Howhannesian, 85 Harristown Rd Fl 2, Glen Rock, NJ 07452-3329 Ph: (201) 855-8446 | Andranik Howhannesian, 14-01 Broadway Ste 3, Fair Lawn, NJ 07410-2008 Ph: (201) 791-4544 |
Clifford B Bleustein, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 15-01 Broadway, Rt 4 West, Suites 1 & 3, Fair Lawn, NJ 07410 Phone: 201-791-4544 Fax: 201-791-6585 | |
Dr. Stephen Gordon Cohen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1501 Broadway, Fair Lawn, NJ 07410 Phone: 201-791-4544 | |
Glenn A. Gmyrek, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 15-01 Broadway, Rt 4 West, Suites 1 & 3, Fair Lawn, NJ 07410 Phone: 201-791-4544 Fax: 201-791-6585 |