Daniel Adam Rauch, MD | |
30 Prospect Avenue, Wfan 3rd Fl, Hackensack, NJ 07601 | |
(551) 996-5300 | |
Not Available |
Full Name | Daniel Adam Rauch |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 30 Prospect Avenue, Wfan 3rd Fl, 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 |
---|---|---|---|
1841284080 | NPI | - | NPPES |
10091426 | Other | CAPITAL DISTR | |
4142534 | Other | CIGNA | |
01847130 | Medicaid | NY | |
10973772 | Other | AETNA HMO | |
3C5202 | Other | HEALTHNET | |
7686456 | Other | AETNA PPO | |
650Z21 | Other | BCBS | |
2695984 | Other | GHI PPO | |
503280000040 | Other | FIDELIS | |
U104 | Other | CAPITAL DISTR | |
000000093426 | Other | GHI HMO | |
388180 | Other | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 191470 (New York) | Secondary |
208000000X | Pediatrics | 270781 (Massachusetts) | Secondary |
208000000X | Pediatrics | 25MA11780900 (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 |
---|---|
Daniel Adam Rauch, MD 30 Prospect Avenue, Wfan 3rd Fl, Hackensack, NJ 07601 Ph: (551) 996-5300 | Daniel Adam Rauch, MD 30 Prospect Avenue, Wfan 3rd Fl, Hackensack, NJ 07601 Ph: (551) 996-5300 |
Jennifer Northridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2237 | |
Joy L Tun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5430 Fax: 551-996-4919 | |
Dr. Phillip I Ayeni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Dr. Malkhazi Mikadze, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics Dept, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Rose Ann Reyes Macalintal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Summit Ave, Hackensack, NJ 07601 Phone: 201-525-0077 | |
Gurpreet Phull, Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 908-251-3250 | |
Shoshana Sophie Rothman Tell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5329 |