Dr Bethany Desroches, MD, MS | |
360 Essex St Ste 403, Hackensack, NJ 07601-8566 | |
(551) 996-2667 | |
Not Available |
Full Name | Dr Bethany Desroches |
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Gender | Female |
Speciality | Urology |
Location | 360 Essex St Ste 403, 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 |
---|---|---|---|
1982015020 | NPI | - | NPPES |
BP10050157 | Other | TX | TEXAS MEDICAL BOARD |
25MA10578000 | Other | NJ | NJ MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | BP10050157 (Texas) | Secondary |
208800000X | Urology | 25MA10578000 (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 |
Mailing Address | Practice Location Address |
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Dr Bethany Desroches, MD, MS 360 Essex St Ste 403, Hackensack, NJ 07601-8566 Ph: (551) 996-2667 | Dr Bethany Desroches, MD, MS 360 Essex St Ste 403, Hackensack, NJ 07601-8566 Ph: (551) 996-2667 |
Dr. Nitin Kumar Yerram, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St Ste 403, Hackensack, NJ 07601 Phone: 551-996-8224 | |
Dr. Sai Krishnaraya Doppalapudi, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 360 Essex St Ste 403, Hackensack, NJ 07601 Phone: 551-996-8090 Fax: 551-996-8221 | |
Dr. Gene S Rosenberg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 20 Prospect Ave, Suite 915, Hackensack, NJ 07601 Phone: 201-343-0082 Fax: 201-488-1203 | |
Dr. Ihor Sawczuk, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St, Hackensack, NJ 07601 Phone: 201-336-8090 Fax: 201-336-8221 | |
Dr. Hossein Sadeghi Nejad, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 20 Prospect Ave, Suite 711, Hackensack, NJ 07601 Phone: 201-342-7977 Fax: 201-489-0877 | |
Dr. Richard A Watson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St, Suite 403, Hackensack, NJ 07601 Phone: 201-336-8624 Fax: 201-336-8221 | |
David Shin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 360 Essex St, Suite 403, Hackensack, NJ 07601 Phone: 551-996-8090 Fax: 551-996-8221 |