Barry Sussman, | |
375 Engle St, Englewood, NJ 07631-1823 | |
(201) 894-0400 | |
(201) 894-1022 |
Full Name | Barry Sussman |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 375 Engle St, Englewood, 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 |
---|---|---|---|
1801881487 | NPI | - | NPPES |
330001880 | Other | NJ | RAILROAD MEDICARE ID # |
0882801 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25MA03498600 (New Jersey) | Primary |
2086S0129X | Surgery - Vascular Surgery | 25MA03498600 (New Jersey) | Secondary |
Entity Name | Medical Associates Of Englewood Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
Mailing Address | Practice Location Address |
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Barry Sussman, 375 Engle St, Englewood, NJ 07631-1823 Ph: (201) 894-0400 | Barry Sussman, 375 Engle St, Englewood, NJ 07631-1823 Ph: (201) 894-0400 |
Mark A Gurland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 216 Engle Street, Englewood, NJ 07631 Phone: 201-568-4066 Fax: 201-568-5595 | |
Dr. Fred Wolodiger, Surgery Medicare: Accepting Medicare Assignments Practice Location: 375 Engle St, Englewood, NJ 07631 Phone: 201-894-0400 Fax: 201-894-1022 | |
Celines Morales-ribeiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-227-5533 | |
Dr. Kenneth Steven Fried, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 180 N Dean St, Englewood, NJ 07631 Phone: 201-568-8666 Fax: 201-568-2941 | |
Dr. Kurt Richard Wengerter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 25 Rockwood Pl, Suite 330, Englewood, NJ 07631 Phone: 201-408-5195 Fax: 201-408-2485 | |
Maz Ganat, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St Ste 6530, Englewood, NJ 07631 Phone: 201-608-2849 | |
Joseph Jongbum Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St Ste 6501, Englewood, NJ 07631 Phone: 201-608-2800 |