Dr Erik Dienna, MD | |
745 Northfield Ave Ste 7, West Orange, NJ 07052-1136 | |
(973) 243-0002 | |
(855) 274-7153 |
Full Name | Dr Erik Dienna |
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Gender | Male |
Speciality | Pediatrics |
Location | 745 Northfield Ave Ste 7, West Orange, 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 |
---|---|---|---|
1003109893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA09966600 (New Jersey) | Primary |
Entity Name | Saint Barnabas Multi Specialty |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780632992 PECOS PAC ID: 3072500727 Enrollment ID: O20040427000024 |
Entity Name | Advocare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Entity Name | Sbmc Provider Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942748983 PECOS PAC ID: 8729344569 Enrollment ID: O20171109003416 |
Mailing Address | Practice Location Address |
---|---|
Dr Erik Dienna, MD 401 Route 73 N Bldg 10, Suite 320, Marlton, NJ 08053 Ph: (973) 243-0002 | Dr Erik Dienna, MD 745 Northfield Ave Ste 7, West Orange, NJ 07052-1136 Ph: (973) 243-0002 |
Dr. Seth Ness, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Marcy Pl, West Orange, NJ 07052 Phone: 973-669-9764 | |
Dr. Svetlana Lantsman Sabel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave Ste 105, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Dr. Susan Sonhe Yoo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 | |
Dr. Constantinos Kintiroglou, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Pleasant Valley Way, Ste 306, West Orange, NJ 07052 Phone: 973-243-0002 Fax: 973-243-1227 | |
Marianne Jacob, Pediatrics Medicare: Medicare Enrolled Practice Location: 375 Mount Pleasant Ave, West Orange, NJ 07052 Phone: 973-322-6900 Fax: 973-322-6999 | |
Valentyna Tack, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Old Short Hills Rd Ste 105, West Orange, NJ 07052 Phone: 973-325-1115 Fax: 973-325-1186 |