Cheryl Buensuceso Panem, MD | |
5301 Broadway, West New York, NJ 07093-2622 | |
(201) 866-9320 | |
(201) 867-9183 |
Full Name | Cheryl Buensuceso Panem |
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Gender | Female |
Speciality | Pediatrics |
Location | 5301 Broadway, West New York, 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 |
---|---|---|---|
1215972476 | NPI | - | NPPES |
0066478 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA07821400 (New Jersey) | Primary |
Entity Name | St Josephs Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
Entity Name | St Josephs Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
Mailing Address | Practice Location Address |
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Cheryl Buensuceso Panem, MD 98 Romaine Ave, Jersey City, NJ 07306-5302 Ph: (201) 963-6706 | Cheryl Buensuceso Panem, MD 5301 Broadway, West New York, NJ 07093-2622 Ph: (201) 866-9320 |
Dr. Luis A Correa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 323 62nd St, West New York, NJ 07093 Phone: 201-392-3527 Fax: 201-392-3534 | |
Dr. Clifford Jay Butterman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 228 60th St, West New York, NJ 07093 Phone: 201-868-1120 Fax: 201-868-5801 | |
Dr. David Fayngersh, M. D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-866-9320 Fax: 201-867-9183 | |
Ilene Caren Laufer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 Broadway, West New York, NJ 07093 Phone: 201-866-9320 Fax: 201-392-9084 | |
Dr. Maria Gutierrez Mena, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 418 57th St, West New York, NJ 07093 Phone: 201-868-5391 Fax: 201-453-1054 | |
Dr. Altagarcia Munoz-llaveria, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 217 60th St, West New York, NJ 07093 Phone: 201-869-1108 |