Charles Anthony Riccobono, MD | |
20 Prospect Ave, Suite 915, Hackensack, NJ 07601 | |
(201) 342-9119 | |
(201) 342-3735 |
Full Name | Charles Anthony Riccobono |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 20 Prospect Ave, Hackensack, 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 |
---|---|---|---|
1215900527 | NPI | - | NPPES |
1415301 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA24007 (New Jersey) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | MA24007 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Mailing Address | Practice Location Address |
---|---|
Charles Anthony Riccobono, MD 20 Prospect Ave, Suite 915, Hackensack, NJ 07601 Ph: (201) 342-9119 | Charles Anthony Riccobono, MD 20 Prospect Ave, Suite 915, Hackensack, NJ 07601 Ph: (201) 342-9119 |
Dr. Sean Shabbir Sadikot, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 20 Prospect Ave Ste 707, Hackensack, NJ 07601 Phone: 551-996-2211 Fax: 551-996-5727 | |
Mr. Angel J Mulkay, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 493 Essex Avenue, Hackensack, NJ 07601 Phone: 201-996-9244 Fax: 201-601-0995 | |
Dr. Morris Samuel Friedman, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 52 1st St, Hackensack, NJ 07601 Phone: 201-342-0066 Fax: 201-342-0079 | |
Dr. David Serur, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 20 Prospect Ave Ste 406, Hackensack, NJ 07601 Phone: 551-996-2608 Fax: 551-996-0826 | |
Jerome F Levine, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 20 Prospect Ave, Suite 507, Hackensack, NJ 07601 Phone: 201-487-4088 | |
Dr. Noa Biran, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 92 2nd St, Hackensack, NJ 07601 Phone: 551-996-8704 Fax: 551-996-0582 | |
Naresh Chanderi, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 344 Prospect Ave, Hackensack, NJ 07601 Phone: 201-342-4233 Fax: 201-342-4840 |