Diane Connors, MD | |
455 Jack Martin Blvd, Brick, NJ 08724-7732 | |
(609) 652-6815 | |
(609) 652-6270 |
Full Name | Diane Connors |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 455 Jack Martin Blvd, Brick, 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 |
---|---|---|---|
1851333629 | NPI | - | NPPES |
P00847982 | Other | NJ | RAILROAD MEDICARE |
0106801 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 25MA04956600 (New Jersey) | Primary |
Entity Name | Atlantic Medical Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
Entity Name | Atlantic Radiologists Professional Association Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841438728 PECOS PAC ID: 3678621620 Enrollment ID: O20090430000174 |
Entity Name | Ami Atlanticare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
Mailing Address | Practice Location Address |
---|---|
Diane Connors, MD 72 W Jimmie Leeds Rd, Ste 1100, Galloway, NJ 08205-9406 Ph: (609) 677-9729 | Diane Connors, MD 455 Jack Martin Blvd, Brick, NJ 08724-7732 Ph: (609) 652-6815 |
Dr. Douglas Andrew Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-836-4109 | |
Amelia Jean Cardo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 455 Jack Martin Blvd, Brick, NJ 08724 Phone: 609-677-9729 Fax: 609-652-6270 | |
Dr. Prashant Arun Desai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-836-4030 Fax: 732-836-4036 | |
Johanna Marie Del're Kalemba, MD Radiology Medicare: Medicare Enrolled Practice Location: 455 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-6500 Fax: 732-840-6459 | |
Dr. Nathan Kaufman, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-836-4130 Fax: 732-836-4036 | |
Jeffrey Dipaolo, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-974-8011 Fax: 732-974-8820 | |
Dr. Richard Lansing Dillon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-836-4083 |