Dr Gen Koshibe, MD | |
730 Palisade Ave, 2nd Floor, Teaneck, NJ 07666 | |
(201) 928-2160 | |
(201) 287-8385 |
Full Name | Dr Gen Koshibe |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 730 Palisade Ave, Teaneck, 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 |
---|---|---|---|
1609004787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25MA08530100 (New Jersey) | Primary |
Entity Name | Bergen Anesthesia Associates P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407965080 PECOS PAC ID: 3072400084 Enrollment ID: O20040303001017 |
Entity Name | Teaneck Surgical Center, Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1841444593 PECOS PAC ID: 3072668342 Enrollment ID: O20090910000272 |
Mailing Address | Practice Location Address |
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Dr Gen Koshibe, MD 730 Palisade Ave, 2nd Floor, Teaneck, NJ 07666 Ph: (201) 928-2160 | Dr Gen Koshibe, MD 730 Palisade Ave, 2nd Floor, Teaneck, NJ 07666 Ph: (201) 928-2160 |
Isaiah Florence, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 Cedar Ln, Suite 210, Teaneck, NJ 07666 Phone: 201-287-1100 Fax: 201-586-0409 | |
Brian M Martin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-7149 Fax: 201-833-6576 | |
Dr. Michael G D'souza, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Dept.of Anesthesia, Teaneck, NJ 07666 Phone: 201-833-7149 Fax: 201-833-6576 | |
Steven Michael Novak, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-7149 | |
Avani P Trivedi, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-7149 Fax: 201-833-6576 | |
Maksim Ptushko, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-3000 | |
Wojciech Franzl, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 718 Teaneck Rd, Teaneck, NJ 07666 Phone: 201-833-7149 |