Dr Caroline O Black, MD | |
Pediatric Emergency Department, 30 Prospect Ave, Hackensack, NJ 07601-0760 | |
(551) 996-2000 | |
Not Available |
Full Name | Dr Caroline O Black |
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Gender | Female |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | Pediatric Emergency Department, 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 |
---|---|---|---|
1023351079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 25MA10612900 (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 Caroline O Black, MD Po Box 1149 One Gustatve Place, Mt Sinai Medical Center Dept Of Emergency Medicine, New York, NY 10029-0311 Ph: (212) 824-8069 | Dr Caroline O Black, MD Pediatric Emergency Department, 30 Prospect Ave, Hackensack, NJ 07601-0760 Ph: (551) 996-2000 |
Dr. Paarth Raj, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Jose Deschamps, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Michael Quinn, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2000 | |
Christine Fernandez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Etd, Hackensack, NJ 07601 Phone: 201-996-4614 Fax: 201-968-1866 | |
Dr. Leah Raguindin, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatric Emergency Dept, Hackensack, NJ 07601 Phone: 201-996-5430 | |
Dr. Malone Vincent Hill Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2331 |