Colin A Bethel, MD | |
2130 Millburn Avenue, Suite C-1, Maplewood, NJ 07040 | |
(888) 287-3652 | |
(973) 549-6079 |
Full Name | Colin A Bethel |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 2130 Millburn Avenue, Maplewood, 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 |
---|---|---|---|
1871528943 | NPI | - | NPPES |
7346409 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 25MA06559800 (New Jersey) | Primary |
Entity Name | Pediatric Surgery Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679580781 PECOS PAC ID: 1456426956 Enrollment ID: O20080819000069 |
Entity Name | Barnabas Health Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
Entity Name | Nbimc Neonatal Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154572212 PECOS PAC ID: 9830321322 Enrollment ID: O20140416000498 |
Entity Name | St Josephs Medical Group Pc |
---|---|
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 |
---|---|
Colin A Bethel, MD P.o. Box 785361, Pediatric Surgery Group, Philadelphia, PA 19178 Ph: (888) 282-3652 | Colin A Bethel, MD 2130 Millburn Avenue, Suite C-1, Maplewood, NJ 07040 Ph: (888) 287-3652 |
Nishith Bhattacharyya, MD Surgery Medicare: Medicare Enrolled Practice Location: 2130 Millburn Avenue, Pediatric Surgery Group, Maplewood, NJ 07040 Phone: 888-287-3652 Fax: 973-549-6079 | |
Dr. Michael Edward Valdes, MD Surgery Medicare: Medicare Enrolled Practice Location: 8 Fairview Ter, Maplewood, NJ 07040 Phone: 973-722-2747 Fax: 866-771-3575 |