Dr Douglas George Avella, MD | |
140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | |
(201) 612-9988 | |
(201) 445-9050 |
Full Name | Dr Douglas George Avella |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 140 Chestnut St, Ridgewood, 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 |
---|---|---|---|
1437200672 | NPI | - | NPPES |
81042 | Other | NJ | AMERIGROUP |
BS472 | Other | NJ | OXFORD |
0961576-004 | Other | NJ | CIGNA |
1822900 | Medicaid | NJ | |
J31130 | Other | NJ | HEALTHNET |
81D03 | Other | NJ | EMPIRE BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 25MA03908700 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas George Avella, MD 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 Ph: (201) 612-9988 | Dr Douglas George Avella, MD 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 Ph: (201) 612-9988 |
Michael Faloon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1124 E Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-420-7460 | |
Dr. Arnold Criscitiello, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471 | |
Ismar Dizdarevic, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471 | |
Dr. Anthony Delfico, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471 | |
Umer Dasti, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471 | |
Louis Francis Amorosa Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-445-2830 Fax: 201-445-7471 |