Dr Alfred Peter Gillio Iii, MD | |
30 Prospect Ave, Hackensack, NJ 07601-1914 | |
(201) 996-5600 | |
(201) 996-0521 |
Full Name | Dr Alfred Peter Gillio Iii |
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Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 30 Prospect Ave, 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 |
---|---|---|---|
1588602270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 25MA06367600 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Entity Name | Hackensack Meridian Health Medical Group - Complex Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154379626 PECOS PAC ID: 0446272298 Enrollment ID: O20060109000000 |
Mailing Address | Practice Location Address |
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Dr Alfred Peter Gillio Iii, MD 126 E 10th St, New York, NY 10003-7507 Ph: (212) 533-1068 | Dr Alfred Peter Gillio Iii, MD 30 Prospect Ave, Hackensack, NJ 07601-1914 Ph: (201) 996-5600 |
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 |