Dr Chinweike Izeogu, MD | |
290 S Livingston Ave Ste 1, Livingston, NJ 07039-3986 | |
(973) 533-0954 | |
(973) 533-0958 |
Full Name | Dr Chinweike Izeogu |
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Gender | Male |
Speciality | Anesthesiology |
Location | 290 S Livingston Ave Ste 1, Livingston, 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 |
---|---|---|---|
1598789141 | NPI | - | NPPES |
235169 | Other | NY | NEW YORK STATE OFFICE OF THE PROFESSIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 235169 (New York) | Secondary |
207L00000X | Anesthesiology | 25MA08075700 (New Jersey) | Primary |
Entity Name | Advanced Spine Pain Therapy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538671268 PECOS PAC ID: 0941630289 Enrollment ID: O20200428002036 |
Mailing Address | Practice Location Address |
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Dr Chinweike Izeogu, MD 290 S Livingston Ave Ste 1, Livingston, NJ 07039-3986 Ph: (973) 533-0954 | Dr Chinweike Izeogu, MD 290 S Livingston Ave Ste 1, Livingston, NJ 07039-3986 Ph: (973) 533-0954 |
Dr. Emmanuel Rodriguez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 Fax: 973-322-8165 | |
David Allen Zylberger, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 | |
Gerry C. Fox, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 | |
Dr. Oluyemisi Modupeore Odugbesan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 | |
Jessica P Mahajan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-8945 | |
Dr. Arpita Ghosh, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 Fax: 973-322-8165 | |
Miro Bergam, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5512 Fax: 973-322-8165 |