Dr Bolivar Pascual, MD | |
469 Clifton Ave, Clifton, NJ 07011-3227 | |
(973) 253-0266 | |
Not Available |
Full Name | Dr Bolivar Pascual |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 469 Clifton Ave, Clifton, 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 |
---|---|---|---|
1104882141 | NPI | - | NPPES |
8949301 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA07199200 (New Jersey) | Primary |
Entity Name | County Of Essex |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922056118 PECOS PAC ID: 7214837061 Enrollment ID: O20040109000480 |
Mailing Address | Practice Location Address |
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Dr Bolivar Pascual, MD 469 Clifton Ave, Clifton, NJ 07011-3227 Ph: (973) 253-0266 | Dr Bolivar Pascual, MD 469 Clifton Ave, Clifton, NJ 07011-3227 Ph: (973) 253-0266 |
Diana Riccioli, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 925 Clifton Ave, Ste 103, Clifton, NJ 07013 Phone: 973-417-5256 Fax: 973-471-5157 | |
Dr. Avery Seth Katz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4 Brighton Rd, Clifton, NJ 07012 Phone: 973-471-3680 Fax: 973-471-6360 | |
Dr. Charles Lagaya Gellido, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1005 Clifton Ave Ste 203, Clifton, NJ 07013 Phone: 888-605-3975 Fax: 888-605-3975 | |
Mrs. Marina Foord, APN, PMHNP-BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 777 Bloomfield Ave, Clifton, NJ 07012 Phone: 973-594-0125 | |
Dr. Isidore Michael Keiman, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 469 Clifton Avenue, Clifton, NJ 07011 Phone: 973-253-0266 Fax: 973-253-0399 | |
Dr. Myrna B. Tagayun, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1199 Main Ave, Suite 5, Clifton, NJ 07011 Phone: 973-253-7737 Fax: 973-253-0213 |