Dr Chang Bae Son, MD | |
200 Grand Ave 201, Englewood, NJ 07631-4363 | |
(201) 944-3800 | |
(201) 944-3804 |
Full Name | Dr Chang Bae Son |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 24 Years |
Location | 200 Grand Ave 201, Englewood, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063493898 | NPI | - | NPPES |
25MA08185100 | Other | NJ | NJ LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD425589 (Pennsylvania) | Secondary |
207N00000X | Dermatology | 25MA08185100 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Son Dermatology Pc | 1153473046 | 3 |
Entity Name | Son Dermatology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679700868 PECOS PAC ID: 1153473046 Enrollment ID: O20090724000022 |
Mailing Address | Practice Location Address |
---|---|
Dr Chang Bae Son, MD 200 Grand Ave 201, Englewood, NJ 07631-4363 Ph: (201) 944-3800 | Dr Chang Bae Son, MD 200 Grand Ave 201, Englewood, NJ 07631-4363 Ph: (201) 944-3800 |
Dr. Ilyse Simone Lefkowicz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 106 Grand Ave, Englewood, NJ 07631 Phone: 201-567-8884 Fax: 201-567-1707 | |
Dr. Michele Grodberg, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 106 Grand Ave, Englewood, NJ 07631 Phone: 201-567-8884 Fax: 201-567-5799 | |
Dr. Elsa Ordoukhanian, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 106 Grand Ave, Englewood, NJ 07631 Phone: 201-567-8884 Fax: 201-567-1707 | |
Miriam Fishman, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 216 Engle St, Englewood, NJ 07631 Phone: 201-569-5678 Fax: 201-569-6225 | |
Dr. Natasha Steinman, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 106 Grand Ave, Englewood, NJ 07631 Phone: 201-567-8884 Fax: 201-567-5799 | |
Dr. Sharon Zelovic Fried, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 180 N Dean St, Suite 2 South, Englewood, NJ 07631 Phone: 201-569-9800 Fax: 201-568-2941 |