| Dhara Shah, | |
|
62 S Fullerton Ave, Montclair, NJ 07042-2676 | |
| (973) 746-8585 | |
| (973) 746-0088 |
| Full Name | Dhara Shah |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 62 S Fullerton Ave, Montclair, 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 |
|---|---|---|---|
| 1255795613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MB11460800 (New Jersey) | Primary |
| Entity Name | Summit Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942254347 PECOS PAC ID: 5395642276 Enrollment ID: O20031218000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dhara Shah, 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 Ph: (908) 273-4300 | Dhara Shah, 62 S Fullerton Ave, Montclair, NJ 07042-2676 Ph: (973) 746-8585 |
Dr. Alvin Bell, M.D.,F.A.C.P.,F.A.S. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 129 Grove St, Montclair, NJ 07042 Phone: 973-783-6110 Fax: 973-744-7385 | |
Dr. Ankita Patel, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6196 | |
Kenneth Miller, MD FACC FSCAI Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 62 S Fullerton Ave, Montclair, NJ 07042 Phone: 973-746-8585 Fax: 973-746-0088 | |
Nonkulie Zweli Dladla, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 120 Stonebridge Rd, Montclair, NJ 07042 Phone: 347-277-8324 | |
Joseph Barbagallo, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 65 Union St, Suite 24, Montclair, NJ 07042 Phone: 917-225-4785 | |
Dr. Charles S Goldberg, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 127 Pine Street, Montclair, NJ 07042 Phone: 973-233-9559 Fax: 973-233-9660 | |
Michael Jay Yellin, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 138 Buckingham Rd, Montclair, NJ 07043 Phone: 973-744-7093 Fax: 203-764-2416 |