Brenda Harris, MD | |
150 New Providence Rd, Mountainside, NJ 07092-2590 | |
(908) 301-5491 | |
(908) 301-5456 |
Full Name | Brenda Harris |
---|---|
Gender | Female |
Speciality | Pediatrics - Neurodevelopmental Disabilities |
Location | 150 New Providence Rd, Mountainside, 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 |
---|---|---|---|
1427024975 | NPI | - | NPPES |
0107791000 | Other | NJ | AMERICHOICE |
1145039 | Other | NJ | AETNA HEALTHCARE |
221487148-088 | Other | NJ | QUALCARE |
3K3746 | Other | NJ | HEALTHNET |
67931 | Other | NJ | AMERIGROUP |
4577364 | Other | NJ | CIGNA HEALTHCARE |
S51B01 | Other | NJ | EMPIRE |
13902 | Other | NJ | UNIVERSITY HEALTH PLANS |
60020933 | Other | NJ | HORIZON NJ HEALTH |
P3637710 | Other | NJ | OXFORD HEALTH PLANS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0008X | Pediatrics - Neurodevelopmental Disabilities | 25MA04680900 (New Jersey) | Primary |
Entity Name | Kennedy Krieger Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871515783 PECOS PAC ID: 1759280597 Enrollment ID: O20031231000300 |
Mailing Address | Practice Location Address |
---|---|
Brenda Harris, MD 150 New Providence Rd, Mountainside, NJ 07092-2590 Ph: (908) 301-5491 | Brenda Harris, MD 150 New Providence Rd, Mountainside, NJ 07092-2590 Ph: (908) 301-5491 |
Rose Mary Merola, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-389-5661 Fax: 908-301-5456 | |
Moshe Kupferstein, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 888-244-5373 | |
Dr. Nita Vaswani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Children's Specialized Hospital, Mountainside, NJ 07092 Phone: 888-244-5373 | |
Adam Aronsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 Fax: 908-301-5456 | |
Krishan Yalamanchi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-301-5505 | |
Dr. Sheryl Lisa Vassallo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 Fax: 908-301-5430 | |
Ave O Gozo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 150 New Providence Rd, Mountainside, NJ 07092 Phone: 908-233-3720 Fax: 908-301-5456 |